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Results for “Dutch Paediatric Association”

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PubMed1990

[Administration of vitamin K to neonates and infants].

The Committee on Infant Nutrition of the Dutch National Cross Association and the Education Bureau on Food and Nutrition, and the Dutch Paediatric Association recommend the administration of a single oral dose of 1 mg vitamin K1 at birth to all healthy infants in order to prevent haemorrhagic disease of the newborn (HDN). Parenteral administration of vitamin K1 at birth is recommended for newborn especially at risk. For infants who are wholly or largely breastfed a daily dose of 25 micrograms vitamin K1 orally is recommended for the first three months, to be increased to 50 micrograms per day in case of additional risk factors. Literature on causes of vitamin K deficiency, incidence of HDN and trends in prophylaxis is summarized and issues which require further clarification are indicated.

Bottle Feeding↗

PubMed1992

Pediatric euthanasia.

Pediatric euthanasia is currently practiced in the Netherlands on newborns, infants, children, and adolescents, although exact numbers are not known. Euthanasia in the Netherlands is generally assumed to be active and voluntary, but some cases of pediatric euthanasia would have to be characterized as nonvoluntary. Much of the motivation behind the euthanasia movement and the performance of pediatric euthanasia in the Netherlands is a genuine, compassionate desire to alleviate pain and suffering. In this study, we review the Dutch experience, with particular attention to the current practice of euthanasia on newborns, infants, children, and adolescents. We discuss pediatric euthanasia from an ethical point of view. We assert that more effective pain control, better symptom management, and psychosocial support of the dying and their families would alleviate the perception of suffering, and reduce the perceived need to resort to euthanasia.

Adolescent↗

PubMed1992

[Risk factors for the occurrence of recurrent convulsions following an initial febrile convulsion].

The results of a follow up study of 155 Dutch children who visited the emergency room of an urban paediatric hospital after experiencing their first febrile seizure are presented. Median follow up time was 38 months (range 27-60). Of these 155 initially untreated children 58 (37%) suffered at least one, 47 (30%) at least two and 27 (17%) at least three recurrent seizures. The recurrence hazard after any seizure was highest in the first six months, and dropped markedly after 6 months without seizures. The effect of the various postulated risk factors on the occurrence of any recurrent seizure and three or more recurrences was assessed. A first degree family history of febrile or nonfebrile seizures appears to be a predictor of multiple recurrences; an age of at least 30 months and a temperature of 40.0 degrees C or higher at the initial seizure are associated with a decreased risk. Several factors act together on the risk of recurrent seizures, sometimes in opposite directions. By considering the action of all relevant factors (age at onset, family history and features of the initial febrile seizure) subgroups of children with one year seizure recurrence rates as low as 15% and as high as 48% were identified.

Age Factors↗