Feeding and Eating Disorders (FED) are mostly described in infants and adolescents but are less well-known in children. Information on the prevalence of FED in the general pediatric population is still limited. The aim of this study was to estimate the prevalence and the care pathway of FED in a population aged 0–18 years old, using the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 classification. Two physicians interviewed 401 families using a questionnaire including demographics, BMI, dietary behavior data, and age-appropriate screening tools. Qualitative and quantitative variables were compared using the Chi2 test and Student’s t-test, respectively. After a headcount adjustment based on the French population by age group, the estimated prevalence rate was 3% [95%CI (1.7–5.1)] for Avoidant and Restrictive Food Intake Disorder (ARFID), and 9.7% [95%CI (7.2–13.0)] for Unspecified FED (UFED), which included other restrictive and compulsive FED. The median age for ARFID was 4.8 years (0.8–9 years), and 7.5 years (0.6–17 years) for UFED. The interviews did not identify cases of anorexia, bulimia, binge eating disorder, other specified FED, pica or rumination. Only 15.2% of children with an FED were receiving medical care. The development of validated pediatric screening tools, as well as the training of health professionals in children FED is necessary.
Background
Episodic angioedema with eosinophilia (EAE, Gleich syndrome) is a rare disease, consisting of recurrent angioedema with hypereosinophilia and frequent increased serum immunoglobulin M levels. Less than 100 patients have been reported, mainly adults, sometimes with underlying lymphocytic variant of hypereosinophilic syndrome (HESL). The aim of this study was to identify and describe pediatric cases.
Methods
We performed a retrospective study of all pediatric cases of EAE referred within the French National Referral Center for Hypereosinophilic Syndrome (CEREO). Next, the PRISMA guidelines were applied in order to perform a systematic review (data sources: PubMed, Web of Science).
Results
Among the two reported and 15 previously published cases of EAE occurring in children, the main clinical findings mimicked those of adults, including recurrent angioedema, hives, and weight gain. The median time between the first angioedema flare and the diagnosis of EAE was 5 years in published cases. Hypereosinophilia was constant, usually worsening with each attack, but seldom disappeared between flares. Total IgM serum levels were elevated in 16 patients. Four children had evidence of abnormal CD3‐CD4+ T cells. First‐line therapy relied on oral corticosteroids in all patients, and further lines (used in five patients) included interferon‐α, methotrexate, and cyclosporin. Two children developed eosinophilic myocarditis during follow‐up.
Conclusion
Pediatricians should be aware that EAE is a diagnosis to consider in children. T‐cell immunophenotyping is warranted in this setting. Prognosis seems fair, yet eosinophil‐related organ damage may occur in patients with persistent eosinophilia.
A new ultrawide-band (UWB) antenna named the "scissors antenna" has been designed specially for transient ultrawide-band applications. The scissors antenna, which is composed of conducting wires, radiates ultrashort pulses with very low dispersion. The radiation of this antenna has been characterized by a transient measurement method suitable for characterizing UWB antennas with very low dispersion. After a presentation of the scissors antenna, this measurement method is described. The last part of the paper presents a comparison between the radiation characteristics of the scissors antenna obtained by the transient measurements and those obtained by the classical harmonic measurements.Index Terms-Transient measurements, ultrawide-band (UWB) antenna.
Extraintestinal manifestations occurred at lower frequency in elderly-onset compared with pediatric-onset patients. In both age populations, presence of EIM at diagnosis independently increased the need for corticosteroid and immunosuppressive treatment.
A novel ultrawideband (UWB) antenna, called the Shark antenna, and designed especially for transient applications is proposed in this paper. A Shark antenna array is also conceived in order to obtain a high power UWB pulse radiation source through the frequency band [800 MHz-8 GHz]. For this application, the elementary antenna must be compact, non-dispersive, and the array must have a high transient front to back ratio. The geometry of the Shark antenna and its radiation characteristics are detailed. Moreover, an approach which evaluates the transient front to back ratio of a square array is presented. Index Terms-High power radiations, miniature ultrawideband (UWB) antenna, transient array.
Abstract-An ultra wideband radar system based on a coherent emission of an ultra-wideband antenna array using photoconductive switching devices is proposed. The triggering process is obtained by the excitation of semiconductor samples in linear mode using a picosecond laser source. The emitting antenna system and the receiving antenna developed by the Research Institute XLIM present some specific qualities suitable for radiation and measurement of ultrashort pulses. The optical control of the sources allows to sum the The experiments realized with this optoelectronic array validate these two concepts. Another way of improving these systems is proposed. It involves using bipolar pulse generators.
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