Central European Journal of Paediatrics

Objective – This study examines the correlation between demographic characteristics (age and gender), attitudes toward sexting, and peer pressure and sexting behavior among adolescents.Materials and Methods – The current study was conducted among 359 adolescents ages 15-17 in Bosnia and Herzegovina, with data collected again one year after baseline. Participants completed questionnaires on demographic data, sexting behavior, attitudes toward sexting, and peer pressure.Results – Descriptive analyses showed that although adolescents have negative attitudes toward sexting, they do participate in sexting, reporting more receiving (62.95 % –64.06 %) than sending (30.91 % – 32.31 %) and posting (8.91 % – 8.63 %) sexts. Regression analysis revealed that age, gender, attitudes toward sexting and the influence of peer pressure in the fields of risky behavior and parental relationships are significant predictors of various types of sexting. Attitudes toward sexting and peer pressure to engage in risky behavior were also a predictor of sexting behavior one year later. Conclusion – The findings highlight the importance of addressing attitudes toward sexting and peer pressure in future preventive interventions related to sexting.

Ana Kvesić

Arta Dodaj

Kristina Sesar

The Central European Journal of Paediatrics

Attitudes toward Sexting, Peer Pressure and Sexting among Adolescents

青少年对发送色情短信的态度、同伴压力与发送色情短信行为

Objectives − Type 1 Diabetes Mellitus (DM1) requires demanding treatment in order to achieve good metabolic control. Our aim was to assess whether either method of insulin administration (multiple daily administrations of insulin analogues (MDIA) or continuous subcutaneous insulin infusion (CSII)) is associated with better health-related quality of life (HRQoL).Methods − We conducted a cross-sectional study. Patients aged 10-18 years with a disease duration of at least six months were included. HRQoL was assessed by having patients and their caregivers complete the DISABKIDS-37 questionnaire.Results − Of the 40 patients included, 22 (55%) had CSII. There were no statistically significant differences between subscale scores and overall HRQoL between patients or between parents of patients with CSII or MDIA. CSII patients and parents scored better on all subscales and on the total scale, although without statistically significant differences. There were no statistically significant differences in the subscale scores and overall HRQoL reported by the patients and their parents, but there was a strong correlation between the children’s and parents’ scores (R=0.770; P&lt;0.01), which was similar in patients with CSII or MDIA (R=0.735 vs R=0.790).Conclusion − Although we did not identify statistically significant differences, there was a trend towards a better HRQoL associated with the use of CSII, both from the perspective of the adolescents and their parents. This could influence therapeutic choice. Consistency between the assessments of adolescents and their carers was observed. The choice between MDIA and CSII should be based on individual preferences in order to optimize the HRQoL of adolescents with DM1.

Cecília Gomes Pereira

Sara Nogueira Machado

Catarina Azevedo

Lucinda Delgado

Beatriz Sousa

Ângela Dias

Carla Meireles

Subcutaneous Insulin Infusion Versus Multiple Administrations of Insulin Analogs: Is Either Method Associated with Better Quality of Life in Pediatric Patients with Type 1 Diabetes Mellitus?

皮下胰岛素输注与多次胰岛素类似物注射：哪种方法能更好地改善1型糖尿病患儿的生活质量？

Objective − This case report was written with the purpose of educating neonatal caregivers with regard to the early detection of osteomyelitis in order to start treatment quickly and avoid the devastating consequences later with lifelong disability.Case Report − We present a 20-day-old newborn with a lack of spontaneous movement of the right arm, which first occurred 5 days prior. The newborn was diagnosed with Erb’s palsy, and physiotherapy was started. Upon re-examination, he did not move his right arm, his shoulder was slightly swollen, he was afebrile, and C-reactive protein was elevated. The initial radiographic finding was normal, but the ultrasound evaluation found evidence of proximal humerus osteomyelitis. Over the next two days, the condition did not improve despite the included therapy (vancomycin and amikacin). Then, joint drainage surgery was performed. The radiographic finding upon discharge showed significant destruction of the proximal humerus and shoulder joint. At the age of 12 months, the range of motion in the affected shoulder joint was less than in the left.Conclusion − Regular arm mobility in the early postpartum days, pseudoparalysis on examination, a swollen and raised shoulder, pain during passive movements, a positive ultrasound examination, and a high level of C-reactive protein are data that can reliably indicate the onset of osteomyelitis of the proximal humerus and help in the differential diagnosis between osteomyelitis and Erb’s palsy. The lack of timely diagnosis of osteomyelitis and the delayed inclusion of therapy can lead to late consequences, such as significant destruction of the proximal humerus and the shoulder joint.

Lidija Banjac

Boban Banjac

Neonatal Proximal Humerus Osteomyelitis: A Case Report and Literature Review

新生儿肱骨近端骨髓炎：病例报告与文献综述

Objective − Duodenal atresia with apple-peel intestinal atresia remains a difficult and complex condition, even with advances in medical and surgical therapies. Due to the significant difference in etiology, the association between these two types of atresia is very rare and is associated with a high rate of mortality. Only twelve of these cases have been described so far in English literature, most often with a poor outcome. Our patient survived and is doing well.Case Report − Here, we present a premature infant in whom intestinal atresia was suspected prenatally. On the first day of life, based on clinical, radiographic and ultrasound examination, suspicion was confirmed and surgical intervention was performed. It was discovered that the proximal part of the duodenum blindly ends with a large dilation. The proximal jejunum also ends blindly and the distal small intestine wraps around a single mesenteric vessel in a spiral fashion reminiscent of an “apple-peel.” At the first operation (on the first day of life), a double enterostomy of the proximal duodenum and the proximal jejunum was performed. On the second operation (on day 10), the continuity of the digestive intestine was established by end-to-end duodeno-jejunal anastomosis. Progress in body mass was confirmed during the postoperative period and normal stool was formed on a regular basis.Conclusion − Based on our case, possible reasons for the good outcome of patients with these rare forms of intestinal atresia are prenatal suspicion, early postnatal diagnosis, and early surgical intervention. Further studies should investigate the possibility of a common cause of duodenal atresia and apple-peel atresia to facilitate early diagnosis and early treatment.

Azem Haliti

Velibor Majic

Duodenal Atresia with Apple-peel Intestinal Atresia: a Case with Favorable Outcome

十二指肠闭锁伴苹果皮样肠闭锁：一例预后良好的病例

The purpose of survey questionnaire testing is to ensure that the questionnaire is effective, reliable, and valid research instrument. It should accurately reflect the intended construct and provide stable and consistent results. In recent years, there has been a growing emphasis on the importance of survey questionnaire testing; however, relatively little methodological research and guidance about testing methods is provided. Our goal is to present the methods available for questionnaire testing in brief and give some advice on how to use them.Conclusion – Testing a survey questionnaire before its deployment is crucial in ensuring the data's accuracy and consistency. There are various testing methods available that address the content and technical quality of the research instrument.

Rebeka Lea Sajko

On Survey Questionnaire Testing

关于调查问卷测试的研究

Publication Information	Publisher: University Clinical Hospital Tuzla，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 2017，Proportion of original research papers: 0.00%，Self Citation Rate:N.A.， Gold OA Rate: 0.00%

Central European Journal of Paediatrics

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Attitudes toward Sexting, Peer Pressure and Sexting among Adolescents

Subcutaneous Insulin Infusion Versus Multiple Administrations of Insulin Analogs: Is Either Method Associated with Better Quality of Life in Pediatric Patients with Type 1 Diabetes Mellitus?

Neonatal Proximal Humerus Osteomyelitis: A Case Report and Literature Review

Duodenal Atresia with Apple-peel Intestinal Atresia: a Case with Favorable Outcome

On Survey Questionnaire Testing

Attitudes toward Sexting, Peer Pressure and Sexting among Adolescents

Subcutaneous Insulin Infusion Versus Multiple Administrations of Insulin Analogs: Is Either Method Associated with Better Quality of Life in Pediatric Patients with Type 1 Diabetes Mellitus?

Neonatal Proximal Humerus Osteomyelitis: A Case Report and Literature Review

Duodenal Atresia with Apple-peel Intestinal Atresia: a Case with Favorable Outcome

On Survey Questionnaire Testing

ISSN	2490-3639, 2490-3671
h-index	4