The persistence of palpitations in some patients after supraventricular tachycardia ablation is a common challenge despite high procedural success rates. Establishing a correlation between symptoms and tachycardia is especially crucial for adolescent patients, who face challenges in perceiving and articulating their symptoms. This study aimed to evaluate the significance and efficacy of external event recorders in detecting symptom-arrhythmia correlation in paediatric patients experiencing palpitations following successful supraventricular tachycardia ablation.

Among the 1682 patients who underwent successful supraventricular tachycardia ablation at our center between 2013 and 2023, the study included those who met the following criteria: 1) diagnosed with atrioventricular nodal reentrant tachycardia, concealed accessory pathway, or focal atrial tachycardia (excluding substrates identifiable on surface electrocardiogram such as Wolff-Parkinson-White and Mahaim type preexcitations), 2) without CHD, 3) aged over 10 years (as this age is considered sufficient for reliable symptom reporting), and 4) presenting with palpitations post-ablation, with no supraventricular tachycardia detected on electrocardiogram or 24-hour Holter monitoring. Patient data were retrospectively reviewed from medical records.

Among a total of 104 patients reporting palpitations (15%), event recording data of 73 patients were available. Supraventricular tachycardia was documented in eight cases, whereas sinus tachycardia was detected in nine patients. Symptom-arrhythmia correlation was achieved in 23% of patients, nearly half of whom had supraventricular tachycardia recurrence. Patients reporting palpitations with recurrent supraventricular tachycardia episodes were analysed according to diagnostic subgroups. The recurrence rate in patients with palpitations was higher in the focal atrial tachycardia group compared to the others (33%).

Despite successful ablation procedures, palpitations continue to pose a significant concern. To precisely explore the actual symptom-rhythm correlation, we advocate safe and effective utilisation of external event recorders in paediatric patients, particularly those with sporadic symptoms, as opposed to relying solely on electrocardiogram and Holter monitoring.

Evaluate factors influencing the decision-making processes of school administrators and investigate the existence and use of emergency operations plans (EOPs) during the COVID-19 pandemic.

Using survey data representative of US K-12 public schools in 2022, the prevalence of 16 factors that influenced reporting school administrators’ COVID-19 prevention strategy implementation decision-making (Wave 4; N = 399) and the presence and use of school EOPs (Wave 5; N = 400) are presented overall and by urban-rural classification, poverty level, and school level. Qualitative interviews were conducted with a subset of school administrators and used thematic analysis to understand factors influencing implementation of prevention strategies and emergency preparedness.

School district requirements or recommendations (81.6%) was the top reported factor influencing decisions on the use of COVID-19 prevention strategies. Although most schools created or updated their EOP during the 2021/2022 school year (78.1%), only 26.7% implemented or exercised an EOP during the COVID-19 pandemic. Themes from qualitative analysis focused on factors influencing the implementation of prevention strategies, limitations of current EOPs, and importance of continuous investment in school preparedness.

Investing in actions to improve schools’ capacity to respond to emergencies such as developing comprehensive EOPs, building partnerships, and defining roles and responsibilities is important.

This study aims to explore the perspectives of urban and regional living Aboriginal and Torres Strait Islander adults and children regarding Bush Foods, nutrition, and health to advocate for future culturally-informed programs and policy.

The qualitative study conducted nine Yarning sessions which were recorded, and transcribed verbatim. An inductive, reflexive thematic analysis using a codebook was employed to analyse the data.

All Yarns were conducted face-to-face in in various locations across Southeast Queensland.

Yarning sessions were conducted with Aboriginal and Torres Strait Islander participants (n = 20), including ten adults and ten children. Participants resided in areas classified as inner regional, outer regional, and major cities.

Five interconnected themes were generated concerning participants’ perspectives on Bush Foods, nutrition, and health. These themes included the effects of colonisation and bureaucratic impositions, socio-environmental factors influencing food provision, the significance of Bush Foods in cultural connection and nutritional health, the importance of reciprocity in communities, and the nuanced role of agency influenced by education.

The findings were synthesised into two over-arching concepts: the role of family, kin, and culture at the individual and community level, aligning with cultural determinants of Indigenous health, and the broader socio-political influences of colonialism, capitalism, and power imbalances, reflecting social determinants of Indigenous health. This research highlights a need for culturally-informed health policies guided by consideration of cultural, social, and commercial determinants that support an Indigenised food system and Bush Food reintegration for urban-living Aboriginal and Torres Strait Islander adults and children.

This systematic review aimed to explore the impact of food voucher schemes during pregnancy and early life on fruit and vegetable (F&V) consumption and explore experiences of schemes.

Six electronic databases and grey literature sources were searched. Interventional, observational, qualitative and mixed methods studies published from January 2000 to April 2024 in English were included.

Food voucher interventions targeting F&V intake.

Low-income pregnant women and families with young children (aged under 5 years).

7,344 peer reviewed records, and 103 grey literature documents were screened. Sixteen peer reviewed studies (across eighteen reports) and eight grey literature documents met the inclusion criteria. All studies took place in the UK or the USA. There was a lack of consistency across primary quantitative outcomes. Overall, F&V voucher schemes did appear to increase fruit and/or vegetable consumption, but confidence in this finding was low. Qualitative data was more consistent. F&V vouchers were used in three main ways; as a financial benefit to subsidise food already being purchased, to increase the quantity or variety of F&V purchased, or as a safety net, to be used to ensure that the family had something to eat.

F&V vouchers may increase F&V intake and are positively received by recipients. This review also highlights some of the difficulties that researchers face in evaluating the impact of public health measures to improve population health. It is clear that more high quality research is required to better understand the impacts of F&V vouchers on individual outcomes.

To (1) determine how serum fatty acid (FA) levels differ by developmental stage, (2) quantify associations between perinatal HIV-related factors and PUFA levels and (3) examine the heterogeneity of these associations by developmental stage.

Cross-sectional secondary analysis of baseline data from two prospective cohorts.

Kampala, Uganda.

243 children (6–10 years old) and 383 adolescents (11–18 years old) were recruited at Kawaala Health Center based on perinatal HIV status. Youth (children and adolescents) were classified as: those with perinatal HIV infection (PHIV: n 212), those perinatally HIV exposed but remained uninfected (HEU: n 211) and those perinatally HIV unexposed and uninfected (HUU: n 203).

Adolescents had lower n-6 and n-3 PUFA levels than children, and among adolescents, these levels increased with age. Relative to children HUU, children PHIV had a higher triene:tetraene ratio and 20:3n-9 (indicators of essential fatty acid deficiency (EFAD)). Adolescents PHIV v. HUU had lower 20:5n-3 levels. When considering in utero/peripartum antiretroviral therapy (IPA) exposure, the FA profile was indicative of EFAD for youth PHIV with (a) no IPA exposure and (b) combination IPA exposure, whereas non-nucleoside RT inhibitor+nucleoside RT inhibitor exposure was associated with a favourable FA profile among youth PHIV and HEU (all P < 0·05).

In this sample, perinatal HIV status was associated with low PUFA levels, and these associations varied by developmental stage and IPA exposure type. Future research should elucidate the contribution of IPA exposure type to EFAD and the implications of these differences on growth and cognitive development.

The large-scale Russian invasion of Ukraine in early 2022 resulted in a humanitarian crisis with hundreds of thousands of children exposed to traumatic events. To date, trauma-focused evidence-based treatments (EBTs) for children and youth have not been systematically evaluated and implemented in Ukraine. This study aims at evaluating 1) the feasibility of a training program for Ukrainian therapists on Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) and 2) the feasibility and effectiveness of the treatment for children, youth, and their families in and from Ukraine during the ongoing war.

The project “TF-CBT Ukraine” was implemented between March 2022 and May 2024, in close collaboration with local and international partners. Therapists completed questionnaires before/after the training, and patients were asked to complete a measure on PTSD before and after treatment.

Altogether 138 therapists started the training program and 44.9% were certified as TF-CBT therapists. The program completers reported overall high satisfaction with the training program, a positive change in their attitude towards EBTs and trauma-related knowledge gain. The patients (age 3–21, 37% male) reported significant improvement in symptoms of PTSD at the end of treatment with large pre-post effect sizes for DSM-5 PTSD (dselfreport = 2.36; dcaregiverreport = 2.27), ICD-11 PTSD (dselfreport = 1.97; dcaregiverreport = 1.77), ICD-11 CPTSD (dselfreport = 2.04; dcaregiverreport = 1.99), and DSM-5 pre-school PTSD (dcaregiverreport = 3.14).

The results of this study are promising in regard to the general implementation of trauma-focused EBTs in active conflict areas. Future studies need to replicate these findings in a randomized controlled study design.