Consequences For Children Research Articles

Human values behind intensive parenting

Abstract Intensive parenting (IP) is a contemporary parenting norm that emphasizes investing in children for their optimal growth and often strains parental resources. It demands centering family life around children and providing them with stimulating environments. Previous studies predominantly link IP to socioeconomic factors, overlooking its psychological determinants. Our research explores how support for IP is tied to individuals’ value systems. We use data from CRONOS online survey, conducted as a part of the European Social Survey (ESS) in 2016–2018. It covered over 1,500 people aged 18 and older. The survey included items that allowed the measurement of two central dimensions of IP: child-centeredness and stimulation (dependent variables in our study). To measure individuals’ values (our explanatory variables), we use ESS Schwartz’s value scale. Our analyses also controlled for key socioeconomic variables (country, sex, age, education, parity). Regression analysis reveals that tradition and security values positively correlate with both dimensions of intensive parenting, highlighting motivations to preserve traditions and ensure a secure future for children. Centering family’s life around children is additionally linked to benevolence, while the stimulation dimension – to achievement and (negatively) to universalism. This suggests that different aspects of IP may be motivated to some extent differently. Highlights • Childrearing standard of intensive parenting (IP) is tied to human values. • Importance of tradition and security is a shared core for different aspects of IP. • Child-centeredness ties additionally to caring for family wellbeing. • Providing children with stimulation appears to be additionally fueled by the need of achievement. • Depending on how IP is motivated, it may carry different consequences for children and parents.

Assessing Fears of Negative Consequences in Children With Symptoms of Avoidant Restrictive Food Intake Disorder

ABSTRACTObjectiveFear of Aversive Consequences (FOAC), such as choking or vomiting, is an important associated feature of Avoidant/Restrictive Food Intake Disorder (ARFID). However, the manifestation of FOAC in young children is poorly understood. This study aimed to describe the fears of children with ARFID symptoms and examine the concordance between parent and child ratings of fear.MethodChild‐reported FOAC was assessed using an interview designed for children between 6 and 10 years old, the Gustatory Avoidance and Gastrointestinal Stress Symptoms (GAGSS). Parents were administered a semi‐structured diagnostic interview regarding their child's symptoms, the Pica, ARFID, and Rumination Interview.ResultsAmong 68 children with ARFID diagnoses or symptoms (41.2% female, 85.3% White, mean age = 8.2 years, SD = 1.1 years; range 5.2–9.9 years), 91.2% of children endorsed at least one fear relative to 26.5% of parents. Among parent–child dyads, 36.8% disagreed about the child's fear of stomach pain (κ = 0.12) and 48.5% disagreed about the child's fear of vomiting, (κ = 0.08), both indicating low inter‐rater reliability. On average, children endorsed 4.3 (SD = 2.3) fears out of 9 options. The most frequently endorsed fears were that food will “taste bad,” (n = 43, 63.2%), “make you gag” (n = 37, 54.4%), and “look disgusting” (n = 36, 52.9%).DiscussionFindings highlight ways in which fear may manifest in children with ARFID that are not easily discernable by adults. Greater precision in depicting childhood fears may facilitate the earlier detection of problematic eating behaviors.

Psychological Sequelae of Dog Bites in Children: A Review.

Although rare in the Western world, dog bites may be lethal or lead to physically severe outcomes. However, little attention is given to their psychological consequences. We aimed to review their psychological consequences in children 1-14 years of age, focusing on the prevalence and nature of psychological disorders, evaluating the impact on future mental health of children and their families, and assessing the effectiveness of preventive interventions and measures. On 23 May 2024, we investigated the PubMed, CINAHL, and PsycINFO/PsycARTICLES databases using ("dog bite" OR animal-induced OR animal-caused) AND (psychol* OR mental OR psychiatr* OR anxiety OR anxious OR depress* OR obsess* OR trauma* OR psychosis OR psychotic OR schizophren* OR schizoaffect*) filtered for ages 0-18 years. This resulted in 311 records, of which 50 were eligible. These included original research, case reports, patient surveys, and reviews/meta-analyses. Findings indicate that younger children are particularly vulnerable, often suffering head/neck bites, leading to severe injuries and psychological distress, with post-traumatic stress disorder (PTSD) being a common outcome. Symptoms such as nightmares, flashbacks, anxiety, and social withdrawal were frequently reported. Positive parental support and timely psychological interventions were found to mitigate these effects. Interdisciplinary approaches integrating education, cognitive restructuring, and behaviour modification are needed to effectively prevent and address the psychological impacts of dog bites. Summarising, dog bites in children result in substantial psychological sequelae, necessitating robust prevention and intervention strategies to improve their quality of life and reduce the risk of chronic mental conditions.

Predictors of Media Emotion Regulation and Its Consequences for Children’s Socioemotional Development

Media emotion regulation has been defined as parents’ use of media to regulate their children's emotions in early childhood. The purpose of this review is to investigate the predictors of media emotion regulation and its consequences on children's socioemotional development. As predictors of media emotion regulation, parental education level, parental media use, and the child’s temperament were examined. It was observed that parents with low levels of education and higher personal media use more frequently offer their children media emotion regulation than other parents. The relationships between children’s temperamental domains of negative affect and extraversion/surgency and media emotion regulation have been shown as positive, while the relationship between effortful control and media emotion regulation has been displayed as negative. As for the consequences of media emotion regulation on children's socioemotional development, children’s problematic media use, emotional knowledge, and empathy were examined. The relationship between media emotion regulation and problematic media use was displayed as positive; children who frequently experienced media emotion regulation had increased problematic media use. Also, it was shown that media emotion regulation has a negative role in children's emotional knowledge. As children's experience with media emotion regulation increased, their emotional knowledge decreased. Lastly, in the relationship between media emotion regulation and empathy, both positive and negative findings were observed and variables that may influence this relationship were discussed. This study contributes significantly to understanding the conditions under which children more frequently experience media emotion regulation and the role of this experience on children's socioemotional developmentAs the consequences of media emotion regulation on children’s socio-emotional development, children's problematic media use, emotional knowledge, and empathy have been explored. There is a positive relationship between media emotion regulation and problematic media use. As media emotion regulation increases, children's emotional knowledge decreases. Finally, in the relationship between media emotion regulation and empathy, both positive and negative outcomes have been found, suggesting that media content and how children perceive media emotion regulation may influence this relationship. This study offers a significant contribution by exploring the conditions under which children more frequently experience media emotion regulation and its role in children's socio-emotional development.

"Vis-à-Vis Training" to Improve Emotional and Executive Competences in Very Preterm Children: A Pilot Study and Randomised Controlled Trial.

Premature birth can lead to socio-emotional, behavioural and executive problems that impact quality of life and school performance in the long term. The aim of this pilot study was to evaluate the feasibility and efficacy of a 12-week computerised training called Vis-à-vis to enhance these competencies in a cohort of very preterm (VPT) children aged 6 to 9. This pilot randomised controlled trial included 45 children born before 32 gestational weeks. Socio-emotional, behavioural and executive competencies were evaluated at three time points using computerised tasks, neuropsychological tests and questionnaires. Among the eligible VPT children, 20% (n = 45) accepted to be part of the study, and 40% (n = 18) dropped out. Finally, 60% (n = 27) of the enrolled participants completed the study. Results showed a significant improvement in emotion knowledge and recognition immediately after the completion of the training. Overall, our results indicate that the implementation of this type of computerised training is feasible, but the overall compliance is unsatisfactory given the high dropout rate. Nevertheless, the positive effect of the training on emotion recognition encourages further exploration of these kinds of interventions to prevent adverse consequences in children born too soon.

Gastrointestinal and Hepatobiliary Manifestations Associated with Untreated Celiac Disease in Adults and Children: A Narrative Overview.

Celiac disease (CeD) is a chronic inflammatory disease of the small intestine, produced by ingesting dietary gluten products in susceptible people. Gluten causes an impairment of the mucosal surface and, consequently, an abnormal absorption of nutrients. Although malabsorption of essential nutrients is a major risk factor for various CeD-associated morbidities, genetic, immunological, and environmental factors also play an important role. The clinical presentation of CeD widely varies and can range from asymptomatic to full-blown symptoms due to the multi-system nature of CeD. The typical gastrointestinal (GI) manifestations of CeD include abdominal pain, diarrhea, bloating, and weight loss, but several hepatobiliary manifestations and a poor nutritional status have also been described. Currently, a gluten-free diet (GFD) is the only current evidence-based treatment that leads to the complete recovery of mucosal damage and the reversibility of its progression. Conversely, undiagnosed CeD might have severe consequences in children as well as in adult patients. This narrative overview aims to characterize the GI and hepatobiliary manifestations, nutritional deficiencies, and delayed pediatric development associated with unrecognized CeD in order to identify it promptly. Moreover, the role of GFD and how it could prevent long-term complications of CeD are described.

Combating cyberbullying as ensuring the child right to safety

The modern digital world opens up many opportunities for communication, learning, and entertainment. However, along with these opportunities, the number of threats is also increasing. The development of information technologies is accompanied by a rapid spread of offenses in this area. Cyberbullying, as a form of digital violence, has become a serious threat to children in the virtual space. It is a dynamic phenomenon, because it is becoming more dangerous every year, and the number of people affected by it is increasing. Cyberbullying violates not only emotional and social well-being but also security, which is one of the fundamental human rights. Given the increasing digitization of society and the increase in the number of online interactions, understanding and effectively combating cyberbullying is becoming an extremely important component of creating a safe and healthy environment for children’s development. The scientific research is devoted to the investigation of the problem of cyberbullying how to ensure a child right to safety in the online environment. The article analyzes various aspects of cyberbullying, including approaches to defining the concept by foreign and Ukrainian scientists, its types, and consequences for children’s development. An analysis of the legislation was carried out, and the effectiveness of the measures provided by it to prevent and counteract the above-mentioned phenomenon was analyzed. The role of educational institutions and their effectiveness in combating cyberbullying has been studied. It was concluded that there is no single approach to defining the concept of cyberbullying and its types. It was said that the negative impact can have various manifestations and can be both psychological and physical. It was also concluded that there are problems in the effectiveness of measures aimed at combating cyberbullying. The conclusions of the article indicate the importance of a comprehensive approach to the problem of cyberbullying and the need for joint efforts of all interested parties to create a safe online environment for children, forming a model of responsible behavior in cyberspace. The need to develop and implement effective strategies against cyberbullying aimed at ensuring and protecting the child right to safety is emphasized.

The slow pace of reform in a time of criticism, crisis, creativity and opportunity: a call for transformative visions and actions

ABSTRACT The recently revised NAEYC position papers and the fourth edition of NAEYC’s Developmentally Appropriate Guidelines (NAEYC. 2022. Developmentally Appropriate Practice in Early Childhood Programs: ServingChildren from Birth Through Age 8, edited by S. Friedman, 4th ed. Washington: National Association for the Education of Young Children) focus on children’s strengths and diversity, and the need for equitable opportunities in early childhood programmes. We applaud these recent shifts. Yet previous ideas of risk, abnormality and inappropriateness are still embedded in the document, with still hidden, and negative, consequences for children, their families and communities, and for the educators and programmes that serve them. Drawing on critiques of developmentalism, the ideas of postdevelopmentalism and the framework of governmentality, we engage in a dialogue between an early career teacher educator and long-time advocate for DAP change and explore the control DAP has over early childhood education programmes. Despite claims that the fourth edition is too ‘woke’, we challenge educators and organisations in the USA (and elsewhere) to move away from the past and current approaches that still focus on children as innocent and in need of protection, as well as normal (and therefore, abnormal) childhood(s) – and to open up towards an education that is more fluid, one that focuses on children’s diverse strengths, unimagined interests and as-yet-unknown possibilities.

Household food and water insecurity and its association with diarrhoea, respiratory illness, and stunting in Ecuadorian children under 5 years.

Household food and water insecurity has been previously associated with adverse health consequences in children. However, these relationships are understudied in middle-income Latin American populations such as in Ecuador, where a high prevalence of food and water insecurity has been reported. Using cross-sectional data from 2018 Ecuadorian National Health and Nutrition Survey, we examined the association of household food insecurity (HFI), household water insecurity (HWI), and concurrent HFI-HWI with diarrhoea, respiratory illness (RI), and stunting in 20,510 children aged ≤59 months. HFI was measured using the Food Insecurity Experience Scale. HWI was defined when households responded negatively to one or more of four drinking water indicators. Maternal caregivers reported on child diarrhoea and RI episodes during the previous 2 weeks. Measured length or height was used to assess stunting. We constructed log-binomial regression models to estimate the associations of HFI, HWI, and concurrent HFI-HWI with child outcomes. Moderate-severe HFI was associated with a higher prevalence of diarrhoea (PR = 1.39; 95% CI: 1.18, 1.63) and RI (PR = 1.34; 95% CI: 1.22, 1.47), HWI with a higher prevalence of RI (PR = 1.13; 95% CI: 1.04, 1.22), and concurrent HFI-HWI with a higher prevalence of diarrhoea (PR = 1.30; 95% CI: 1.05, 1.62) and RI (PR = 1.45; 95% CI: 1.29, 1.62). Stunting was not associated with HFI, HWI nor concurrent HFI-HWI. These findings suggest that HFI and HWI can independently and jointly act to negatively affect children's health. Policies and interventions aimed at alleviating both food and water insecurity are needed to bring sustained health improvements in Ecuadorian children.

Views of Mothers with Children with Special Needs on Complementary and Alternative Medicine Methods

Introduction: This study aimed to reveal the views of mothers of children with special needs on complementary and alternative medicine methods. Method: This study utilized the phenomenological design, a qualitative research technique. Participants in this study were selected using the criterion sampling method, a purposive sampling technique. Data collected through semi-structured interview questions prepared by the researcher were analyzed using the content analysis method. Findings: Codes were generated based on the answers of the participants to each research question, and 14 themes encompassing these codes were identified. These themes and codes were examined under the titles of the views of the participants on complementary and alternative medicine methods, information about the methods practiced according to the special need type and the underlying reasons, characteristics perceived as beneficial and harmful in these methods, and factors that motivate participants to use these methods. Nearly all participants were observed to apply these methods. It was reported they resorted to these methods for the child's disability type or for illnesses that develop alongside the disability due to the solution-seeking idea and receiving guidance from various sources, and found practices beneficial. Discussion: In children with special needs, complementary and alternative medicine methods are observed to vary based on types of disabilities and regional differences, and usage of these methods has been gradually increasing recently. Considering their potentially serious consequences for children, it is essential to establish a legal and evidence-based implementation procedure for these methods.

Beliefs about social mobility in young American children.

Although actual experiences of upward social mobility are historically low, many adolescents and adults express a belief in social mobility (e.g., that social status can change). Although a belief in upward mobility (e.g., that status can improve) can be helpful for economically disadvantaged adolescents and adults, a belief in upward social mobility in adults is also associated with greater acceptance of societal inequality. While this belief might have similar benefits or consequences in children, no previous work has examined whether children are even capable of reasoning about social mobility. This is surprising, given that elementary-aged children exhibit sophisticated reasoning about both social status, as well as about the fixedness or malleability of properties and group membership. Across an economically advantaged group of 5- to 12-year-old American children (N=151, Mage=8.91, 63% racial majority, 25% racially marginalized; Mhousehold income=$133,064), we found evidence that children can reason about social mobility for their own families and for others. Similar to research in adults, children believe that others are more likely to experience upward than downward mobility. However, in contrast to adult's typical beliefs-but in line with economic realities-between 7- and 9-years-old, children become less likely to expect upward mobility for economically disadvantaged, versus advantaged, families. In sum, children are capable of reasoning about social mobility in nuanced ways; future work should explore the implications of these beliefs. RESEARCH HIGHLIGHTS: Despite harsh economic realities, a belief in upward social mobility and the American Dream is alive and well. Between 7 and 9 years of age, economically advantaged, American children begin to expect economically disadvantaged families to experience less upward mobility than economically advantaged families. Children's beliefs about social mobility better accord with reality than adults' do.

The Impact of Malnutrition on the Developing Lung and Long-Term Lung Health: A Narrative Review of Global Literature.

Worldwide, over 2 billion children under the age of 5 experience stunting, wasting, or are underweight. Malnutrition contributes to 45% of all deaths in this age group (approximately 3.1 million deaths) [1]. Poverty, food insecurity, suboptimal feeding practices, climate change, and conflict are all contributing factors. Malnutrition causes significant respiratory problems, including increased risk of respiratory infections, impaired lung function, and increased risk of subsequent adult respiratory disease, including asthma, COPD, and lung cancer. Childhood malnutrition not only has serious consequences for children's health but it also has numerous consequences on wellbeing and educational attainment. Childhood malnutrition is a complex and multifaceted problem. However, by understanding and addressing the underlying causes, and investing in prevention and treatment programs, it is possible to maximize children's health and wellbeing on a global scale. This narrative review will focus on the impact of childhood malnutrition on lung development, the consequent respiratory disease, and what actions can be taken to reduce the burden of malnutrition on lung health.

Cerebral Malformations Related to Coronavirus Disease 2019 during Pregnancy

AbstractThe pandemic of severe-acute-respiratory-syndrome-related coronavirus (SARS-Cov-2) has shown a wide spectrum of possible consequences in children, ranging from asymptomatic patients to the development of severe conditions, such as multisystem inflammatory syndrome in children and encephalopathies related to cytokine storm. Specifically, neurological and neuroimaging abnormalities, ranging from mild-to-the severe ones, have been documented in children as well, such as postinfectious immune-mediated acute disseminated encephalomyelitis, myelitis, neural enhancement, cranial nerve enhancement, and cortical injury, also without neurological symptoms. Considering the neurotropism of coronaviruses and SARS-Cov-2, which has been well described in the literature, we reviewed the literature reporting possible cerebral malformation in neonates due to the infection of SARS-Cov-2 in pregnancy. Coronavirus disease 2019 (COVID-19) during pregnancy might develop cerebral disorders in several ways. Articles in English in the literature were screened using the following search terms: (1) “brain malformations” AND “COVID-19”; (2) “cerebral malformations” AND “COVID-19”; (3) brain malformations AND “Sars-Cov-2”; (4) “cerebral malformations “AND “Sars-Cov-2.” Considering the congenital brain malformation found in newborns exposed to infection of SARS-Cov-2 pre- or neonatally, we identified one paper which reported three neonates with cerebral malformation. Although sporadic, cerebral malformations like atypical signals in white matter with delayed myelination, brain dysplasia/hypoplasia with delayed myelination, and unusual signals in the periventricular regions have been documented.

Editorial: Cognitive-motor development and its consequences in children with neurodevelopmental disorders

Editorial: Cognitive-motor development and its consequences in children with neurodevelopmental disorders

Nationwide Study of Factors Impacting Survival Outcome and Consequences in Children with Reactivation/Refractory Langerhans Cell Histiocytosis.

Disease reactivation/refractory remains a major challenge in managing Langerhans cell histiocytosis (LCH). Outcomes and late sequelae should be explored. A multi-institutional retrospective study was conducted to describe clinical characteristics, predictive factors, outcomes and late sequelae of pediatric reactivation/refractory LCH in Thailand. In all, 47 patients were studied, 25 (53.2%) patients had disease reactivation and 22 (46.8%) patients had refractory LCH. The median reactivation and refractory time were 1.59 and 0.33 years from diagnosis, respectively (p <0.001). The most common site of reactivation/refractory was the bone (n = 26, 55%), and 20 (42.6%) patients developed late sequelae. The 5-year overall survival (OS) was 76.1%. Patients with reactivation and refractory LCH performed similarly in 5-year OS (88% vs. 63%, p = 0.055). Prognostic factors associated with mortality were liver, spleen, hematopoietic system and lung reactivation (p <0.05). Lung reactivation was the only independent risk factor associated with the survival outcome (p = 0.002). The outcomes of pediatric patients between reactivation and refractory LCH in Thailand were similarly desirable and mortality was minimal although late sequelae may evolve. Pulmonary reactivation/refractory was an independent risk factor associated with survival.

Results of a comprehensive assessment of the health status of children after a new coronavirus infection (COVID-19)

The inhabitants of the planet in the XXI century are experiencing a second pandemic. The new coronavirus SARSCoV-2 is distinguished not only by its ubiquitous spread, but also by the possibility of developing adverse outcomes, which does not cause anyone doubts today.Aim. To present the dynamic characteristics of children’s health depending on the form of severity of the new coronavirus infection (COVID-19).Material and methods. A prospective single-center clinical study of the complex state of health of children hospitalized in a monoinfective hospital on the basis of the GUZ “City Clinical Hospital” was conducted. The observation included 86 convalescents of a new coronavirus infection aged 7 to 14 years. Dynamic monitoring was carried out for children for 1.5 years from the moment of infection with SARSCoV-2, control visits were performed 1, 6 and 18 months after the disease.Results and discussion. According to the results of a comprehensive assessment of the health status of children after COVID-19, an increase in the number of registrations of recurrent upper and lower respiratory tract infections in convalescents of a moderate form of a new coronavirus infection was found. In 35 (41%) children after infection with SARSCoV-2, concomitant diseases were recorded, in contrast to 23 (26.7%) cases recorded before the pandemic. The structure of concomitant pathology in COVID-19 convalescents is represented by endocrine pathology in 30.2% of cases, in patients after moderate forms of the disease, the frequency of eating disorders (19.8%) increased by 2 times relative to the period before COVID-19, type 1 diabetes mellitus was first detected in 1 (1.2%) child. Diseases of the nervous system (20.9%) were 1.9 times more likely to be diagnosed after COVID-19. Diseases of the eye and its accessory apparatus were registered in 16.3% of children, more often after a moderate form of the disease. The number of cases of gastrointestinal pathology has not changed. Diseases of the respiratory system were recorded in 4.7% of patients, skin and subcutaneous tissue – 3.5% of the examined.Conclusion. A comprehensive assessment of the health status of children after COVID-19 for 1.5 years allows us to establish a decrease in the response of the child’s macroorganism to acute respiratory infections, an increase in the number of registered comorbidities, the relationship between the severity of COVID-19 and its consequences for children.

Нейровізуалізаційні особливості нервової системи в дітей раннього віку з епілептичними енцефалопатіями за даними МР-трактографії

The aim is to analyze neuroimaging changes in the nervous system of children of an early and preschool age with epileptic encephalopathies (EE) according to MR-tractography to improve the diagnosis of these conditions. Materials and methods. 157 children aged 0 to 6 years with EE, epileptiform and developmental encephalopathies (DEE) were examined. The study included MR-tractography using a 3 Tesla MR scanner. Fractional anisotropy (FA) and average diffusion coefficient (ADC) were determined in Broca's and Wernicke's areas, left arcuate tract, both uncinate tracts, corpus callosum and thalamus. The examined children were divided into 3 groups: I - 75 children with EE, with the onset of seizures before 1 year of age; II - 44 children with EE, with the onset of seizures at the age of 1-3 years; III - 38 children with DEE. Differences between groups were assessed using the Kruskal-Wallis test and Pearson's Chi-square (χ²) test. Results. In children with EE from groups I and II, there was a significant decrease in FA and an increase in ADC in the areas of both language centers and the right uncinate tract in comparison with children of group III (p&lt;0.05). In the group I with EE, there was a significant decrease in FA in the left uncinate tract, knee and trunk of the MT in comparison with the groups II and III of children (p&lt;0.05). It was found that more than 60% of children from group I had destruction of the fibers of the arcuate tract and in the area of one of the speech centers, and 70% had hypoplasia and destruction of the left uncinate tract. In the children of group II with EE, hypoplasia of the anterior (63.6%) and posterior (65.9%) parts of the arcuate tract and the right uncinate tract (81.8%) was detected. Among children from group III, more than 60% had an abnormal location of Broca's speech center, and more than 70 % had an abnormal location of Wernicke's center, almost 80 % had an abnormal location of the left uncinate tract. Conclusions. It was found that in children with EE and DEE, according to MR tractography, there is a decrease in FA indicators and an increase in ADC in all studied structures (arcuate and uncinate tract, corpus callosum, thalamus) in comparison with the reference values given in the scientific literature. The detected changes indicate a violation of the structural integrity of the white matter in Broca's and Wernicke's centers and associative pathways, which will lead to the optimization of early diagnosis and prognosis of consequences in children with EE and DEE. The study was carried out in accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the Local Ethics Committees of the institutions indicated in the work. The informed consent of the children's parents was obtained for conducting the research. No conflict of interest was declared by the authors.

Food insecurity in children with heart disease.

This review discusses the epidemiology of food insecurity (FI) and its consequences in children with congenital heart disease. We aimed to highlight current interventions to screen and address food insecurity in the context of pediatric cardiology and to offer strategies for providers to engage in this meaningful work. Food insecurity is consistently associated with poor health outcomes in children. In the United States, 17.3% of households with children experience FI. Nonwhite and single-parent families are disproportionately affected. Interestingly, because of a low-quality diet, FI is associated with childhood obesity, putting affected children at increased risk for cardiovascular morbidity and mortality over time. Children with congenital heart disease are susceptible to poor outcomes due to unique altered metabolic demands, increased risk for growth impairment, frequent need for specialized feeding regimens, and additional morbidity associated with heart surgery in underweight children. Today, the burden of screening for FI is most commonly placed on general pediatricians. Considering the importance of nutrition to cardiovascular health and general wellbeing, and the ease with which screening can be performed, pediatric cardiologists and other subspecialists should take a more active role in FI screening.

Should we be afraid of long-term cardiac consequences in children with multisystem inflammatory syndrome? Experience from subsequent waves of COVID-19.

The purpose of the study was to assess and compare short- and long-term cardiac complications of the multisystem inflammatory syndrome in children (MIS-C) by predominant severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants throughout the pandemic. The analysis of prospectively collected data comparing cardiac complications of MIS-C during and after hospitalization across the original/alpha, delta, and omicron waves. Cardiac complications were defined as cardiac failure with systolic function impairment or hypotension or abnormalities in echocardiographic findings (decrease in LVEF, FS, valvular insufficiency, pericardial effusion, or coronary artery abnormalities). A total of 120 patients with MIS-C admitted to the Children's Hospital of Krakow between November 1, 2020, and May 5, 2023, were included in the study (74 during original/alpha dominance, 31 delta, and 15 omicron). Patients in the omicron group were found to be younger than those in the alpha and delta groups (37 vs. 75 vs. 80months, p = 0.03). The frequency of cardiac failure with systolic function impairment or hypotension was diagnosed more frequently in the original/alpha and delta groups than in the omicron group (44.59% vs. 41.94% vs. 13.33%, p = 0.08) also echocardiographic abnormalities changed, with rates of 60.8%, 35.5%, and 13.3% (p < 0.001) accordingly. The multivariable regression revealed an older age (OR = 1.19, 95% CI = 1.07-1.33, p = 0.002) as the only independent factors of cardiac failure with systolic function impairment or hypotension. In all patients, signs of cardiac failure resolved during the hospitalization. Moreover, in 98.3% of patients, all echocardiagraphic abnormalities resolved completely during the observation period. Conclusion: The cardiac complications of MIS-C appeared to advance less severely in younger children during the Omicron outbreak. In long-term observation, symptoms of cardiac failure resolve completely. Similarly, also echocardiographic abnormalities normalize in the vast majority of patients. What is Known: • Knowledge about the long-term cardiac complications of MIS-C is still evolving and uncertain. • The greatest concern of MIS-C is cardiac complications, including cardiac failure and coronary artery dilatation. What is New: • Long-term observations revealed complete resolution of cardiac complications in the vast majority of patients with MIS-C, irrespective of the dominant variant. • Cardiac complications of MIS-C were less common in younger children during subsequent pandemic waves in our patient population.

Features of the application of boccia game in the physical and sports rehabilitation of disabled athletes with the consequences of children's cerebral palsy

In the article, based on the study of scientific literature, an analysis of the features of the boccia game in the physical and sports rehabilitation of athletes with the consequences of cerebral palsy is carried out. On the basis of the obtained data, a program of physical and sports rehabilitation of athletes with the consequences of cerebral palsy in the adaptation and training period using the boccia game was developed and substantiated. It was found that the means and methods of physical and sports rehabilitation proposed in the program contributed to the restoration of the functional state of the musculoskeletal system and the psycho-emotional state of athletes with the consequences of cerebral palsy.&#x0D; It was found that mobile adaptive games as a means of rehabilitation of athletes with the consequences of cerebral palsy have a number of advantages, among which the development of motor qualities, the formation of the optimal structure of coordination abilities, which helps to correct problem areas of the posture of an athlete with disabilities, the high emotionality of participants, pleasure from muscular work in the game and from the possibility of friendly communication. During the mobile game, a complex effect is exerted on the motility and neuropsychological sphere of the patient with cerebral palsy. It has been proven that boccia can become one of the promising means of a complex program of physical and sports rehabilitation of athletes with the consequences of cerebral palsy.