Highlights in this issue


Language impairment


Children with language impairment show significant differences in how they generate mental imagery. Maria Guarnera et al. have found that this imagery deficit in language-impaired children may involve generation, maintenance and interpretation of visual image. See article (pp. 539–543).

Language delays are common among preterm infants and children with hearing loss. Melinda Caskey and Betty Vohr have reviewed language delays in these two populations and describe a new useful tool to assess the natural language environment – Language Environment Analysis language processor (LENA). See review article (pp. 451–461).

Novel lung genes


Recently, several novel genetic variants important for lung function in adults have been identified. Sviatlana Panasevich et al. have found that many of these variants also affect lung function in children. The group replicated a lung association for gene polymorphisms with lung function in children, and suggests that interaction with tobacco smoke exposure may be of importance and increase the risk for COPD in adult life. See article (pp. 498–503).

See also commentary by Juan C. Celedón et al. (pp. 449–450).

Delayed cord clamping – infection and neurodevelopment


Delayed umbilical cord clamping increases haemoglobin levels in newborn infants and improves iron stores at 4–6 months of age. Ola Andersson et al. have studied if delayed clamp also affect neurodevelopment and infection. No differences were found in overall neurodevelopment, immunoglobulin G levels or symptoms of infection between infants randomized to delayed or early cord clamping. However, the study did show that delayed cord clamping may have an impact on specific neurodevelopmental domains. See article (pp. 525–531).

Treatment of hypotension in premies – thinking fast or slow


The diagnosis and treatment of hypotension in premature infants is controversial. Luigi Gagliardi gives his view on pathophysiological approaches versus evidence-based medicine. He draws a parallel to the Nobel laureate Daniel Kahneman's description of how our mind deals with judgment and choices by thinking fast or slow. The practice of medicine seems to follow general laws of human thinking. See a different view (pp. 446–448).

Early sudden unexpected death in infancy


Early sudden unexpected death in infancy, ESUDI, is a rare cause of death in newborns during the first hours of life. Maria Gnigler et al. describe three cases of ESUDI and give an overview of the literature. The authors conclude that close observation during the first hours of life is essential and can be lifesaving, especially during early skin-to-skin contact. See online article (pp. e235–e238).