keyword
https://read.qxmd.com/read/37969457/fournier-gangrene-in-an-infant-complicated-with-severe-sepsis-and-liver-dysfunction-a-case-report
#21
Ilirjana Bakalli, Saimir Heta, Ermira Kola, Ermela Celaj
BACKGROUND: Fournier gangrene is a rare, life-threatening infection characterized by necrotizing fasciitis in the perineal, genital and/or lower abdominal regions. Despite its rarity, the unfavorable prognosis associated with this disease is dependent on the timing of medical care. CASE SUMMARY: A 3-month-old boy was admitted to our pediatric intensive care unit in critical condition after a 5-day history of fever and scrotal erythema with breaching skin lesions and swelling...
October 26, 2023: World Journal of Clinical Cases
https://read.qxmd.com/read/37965485/the-preserving-kidney-function-in-children-with-ckd-preserve-study-rationale-design-and-methods
#22
JOURNAL ARTICLE
Michelle R Denburg, Hanieh Razzaghi, Amy J Goodwin Davies, Vikas Dharnidharka, Bradley P Dixon, Joseph T Flynn, Dorey Glenn, Caroline A Gluck, Lyndsay Harshman, Aneta Jovanovska, Chryso Pefkaros Katsoufis, Amy L Kratchman, Mark Levondosky, Rebecca Levondosky, Jill McDonald, Mark Mitsnefes, Zubin J Modi, Jordan Musante, Alicia M Neu, Cynthia G Pan, Hiren P Patel, Larry T Patterson, Julia Schuchard, Priya S Verghese, Amy C Wilson, Cynthia Wong, Christopher B Forrest
RATIONALE & OBJECTIVE: PRESERVE seeks to provide new knowledge to inform shared decision-making regarding blood pressure (BP) management for pediatric chronic kidney disease (CKD). PRESERVE will compare the effectiveness of alternative strategies for monitoring and treating hypertension on preserving kidney function; expand the National Patient-Centered Clinical Research Network (PCORnet) common data model by adding pediatric- and kidney-specific variables and linking electronic health record data to other kidney disease databases; and assess the lived experiences of patients related to BP management...
November 2023: Kidney medicine
https://read.qxmd.com/read/37932982/sucking-lollipop-after-awakening-from-sevoflurane-anesthesia-reduces-the-degree-of-emergence-agitation-in-children-undergoing-ambulatory-surgery-a-prospective-randomized-controlled-trial
#23
RANDOMIZED CONTROLLED TRIAL
Xiaofei Mo, Jiequn Zeng, Xiaoying Wu, Fa Huang, Kunling Zhang
BACKGROUND: Emergence agitation (EA) is a common complication in pediatric anesthesia, especially in preschool children maintained by sevoflurane, with incidence ranging up to 80%. The purpose of the study was to determine whether sucking lollipop after awakening from sevoflurane anesthesia reduced the degree of EA in children undergoing ambulatory surgery. METHODS: In this prospective study, 40 children aged 2 to 6 years scheduled for ambulatory surgery with sevoflurane were enrolled...
November 3, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37877361/9-1-1-activations-from-ambulatory-care-centers-a-sicker-pediatric-population
#24
JOURNAL ARTICLE
Theodore W Heyming, Chloe Knudsen-Robbins, Shelby K Shelton, Phung K Pham, Shelley Brukman, Maxwell Wickens, Brooke Valdez, Kellie Bacon, Jonathan Thorpe, Kenneth T Kwon, Carl Schultz
BACKGROUND: Pediatric patients transferred by Emergency Medical Services (EMS) from urgent care (UC) and office-based physician practices to the emergency department (ED) following activation of the 9-1-1 EMS system are an under-studied population with scarce literature regarding outcomes for these children. The objectives of this study were to describe this population, explore EMS level-of-care transport decisions, and examine ED outcomes. METHODS: This was a retrospective review of patients zero to <15 years of age transported by EMS from UC and office-based physician practices to the ED of two pediatric receiving centers from January 2017 through December 2019...
October 25, 2023: Prehospital and Disaster Medicine
https://read.qxmd.com/read/37876560/factors-affecting-length-of-stay-in-pediatric-emergency-department-in-a-teaching-hospital-in-saudi-arabia
#25
JOURNAL ARTICLE
Abdullah A Yousef, Mohammed H Al Qahtani, Abdullah K Al-Mutairi, Faisal O AlQurashi, Reem S AlOmar, Nouf A AlShamlan, Malak A Al Shammari, Hannen A Yousef
BACKGROUND: Decreasing the number of Emergency Department patient visits for treatment, especially in non-urgent cases, is an international healthcare goal. The same applies for pediatric emergency rooms where the utilization of ED is much more than adults. OBJECTIVE: We aim to measure the length of stay for all pediatric patients and examine the factors influencing it. METHODS: A retrospective chart review study was conducted at the pediatric ED of King Fahd Hospital in the Eastern Province of Saudi Arabia...
2023: Medical Archives
https://read.qxmd.com/read/37815762/racial-and-gender-disparities-in-suicide-and-mental-health-care-utilization-in-a-pediatric-primary-care-setting
#26
JOURNAL ARTICLE
Laura M Prichett, Robert H Yolken, Emily G Severance, Andrea S Young, Destini Carmichael, Yong Zeng, Tina Kumra
PURPOSE: We examined racial and gender disparities in the underrecognition of mental health disorders in adolescents and young adults as defined by a suicide-related diagnosis without a previous mental or behavioral health diagnosis. METHODS: We employed a series of adjusted mixed multilevel logistic regression models to determine the odds of specific mental health diagnoses (anxiety, depression, and suicide-related) in a large, U.S. pediatric ambulatory care group (ages 8-20 years) using Electronic Medical Record Data...
October 9, 2023: Journal of Adolescent Health
https://read.qxmd.com/read/37781787/humanitarian-outpatient-pediatric-endeavor-hope-a-novel-specialist-ambulatory-health-care-concept-in-conflict-areas
#27
JOURNAL ARTICLE
Matti Mizrachi, Einat Levy, Amiel A Dror, Eyal Sela, Sergey Kutikov, Masad Barhoum, Ohad Ronen, Maayan Gruber
With the collapse of the medical system in Syria, Israel began providing Syrians with humanitarian aid, first to the war-injured and then general medical treatment. We developed a novel specialist ambulatory care concept to provide medical care for Syrian children. Children with their caregivers were transported by bus across the border from Syria to our medical center in Israel for day-stay outpatient-clinic advanced evaluation and treatment due to coordination between Syrian, Red Cross, and Israeli authorities, including Israeli Defense Forces...
October 2, 2023: Disaster Medicine and Public Health Preparedness
https://read.qxmd.com/read/37771272/a-multicenter-retrospective-database-evaluation-of-pediatric-patients-diagnosed-with-tinea-capitis
#28
JOURNAL ARTICLE
Lauren Mazur, Zizhong Tian, Katherine Shedlock, Adrian D Zurca, Shouhao Zhou, Neal J Thomas, Conrad Krawiec
Purpose Tinea capitis is a common pediatric superficial dermatophyte infection associated with lower socioeconomic status, overcrowded environments, and poor hygiene internationally. Nevertheless, to the authors' knowledge, no studies in the United States have reported an association between tinea capitis diagnoses and diagnostic codes for social determinants of health (SDOH). The objectives of the present study were to analyze the diagnostic and treatment approach and frequency of SDOH diagnostic codes in order to assess the presence of racial disparities in the treatment of pediatric patients aged 0 to 18 years diagnosed with tinea capitis...
September 29, 2023: Permanente Journal
https://read.qxmd.com/read/37767697/genetic-contribution-to-end-stage-cardiomyopathy-requiring-heart-transplantation
#29
JOURNAL ARTICLE
Yuri Kim, Oddný Brattberg Gunnarsdóttir, Anissa Viveiros, Daniel Reichart, Daniel Quiat, Jon A L Willcox, Hao Zhang, Huachen Chen, Justin J Curran, Daniel H Kim, Simon Urschel, Barbara McDonough, Joshua Gorham, Steven R DePalma, Jonathan G Seidman, Christine E Seidman, Gavin Y Oudit
BACKGROUND: Many cardiovascular disorders propel the development of advanced heart failure that necessitates cardiac transplantation. When treatable causes are excluded, studies to define causes are often abandoned, resulting in a diagnosis of end-stage idiopathic cardiomyopathy. We studied whether DNA sequence analyses could identify unrecognized causes of end-stage nonischemic cardiomyopathy requiring heart transplantation and whether the prevalence of genetic causes differed from ambulatory cardiomyopathy cases...
September 28, 2023: Circulation. Genomic and Precision Medicine
https://read.qxmd.com/read/37762835/pregnancy-zone-protein-as-an-emerging-biomarker-for-cardiovascular-risk-in-pediatric-chronic-kidney-disease
#30
JOURNAL ARTICLE
Wei-Ling Chen, Wei-Ting Liao, Chien-Ning Hsu, You-Lin Tain
Cardiovascular disease (CVD) is a significant cause of mortality and morbidity among children with chronic kidney disease (CKD). The causes of pediatric CKD differ from those in adults, as congenital anomalies in the kidney and urinary tract (CAKUT) are the leading causes in childhood. Identifying ideal markers of CVD risk early is crucial for CKD children to improve their care. Previously, we screened differentially expressed proteins in CKD children with or without blood pressure (BP) abnormalities and identified pregnancy zone protein (PZP)...
September 11, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37752610/unplanned-admissions-after-day-case-surgery-in-an-italian-third-level-pediatric-hospital-a-retrospective-study
#31
JOURNAL ARTICLE
Alessandro Vittori, Luigi Tritapepe, Fabrizio Chiusolo, Emanuele Rossetti, Marco Cascella, Emiliano Petrucci, Roberto Pedone, Franco Marinangeli, Elisa Francia, Ilaria Mascilini, Giuliano Marchetti, Sergio Giuseppe Picardo
BACKGROUND: Increasing procedures in day-case surgery can mitigate the costs of health service, without reducing safety and quality standards. The Ospedale Pediatrico Bambino Gesù has adopted an educational program for healthcare personnel and patients' families to increase the number of day-case surgery procedures performed without reducing the level of safety. The unplanned admission rate after day-case surgery can be a quality benchmark for pediatric day-case surgery, and in literature, there are no Italian data...
September 26, 2023: Perioperative Medicine
https://read.qxmd.com/read/37748536/selection-and-recruitment-strategies-among-competitive-pediatric-training-programs-and-the-impact-of-diversity
#32
JOURNAL ARTICLE
Gunjan Tiyyagura, Jasmine Weiss, Michael P Goldman, Destanee M Crawley, Melissa L Langhan
OBJECTIVE: Aspects of the written application, interview and ranking may negatively impact recruitment of underrepresented in medicine (URiM) applicants. Our objectives were to explore knowledge, attitudes, and perceptions of pediatric faculty who assess potential trainees and how diversity impacts these assessments. METHODS: We performed qualitative interviews of 20 geographically diverse faculty at large pediatric residencies and fellowships. We analyzed data using the constant comparative method to develop themes...
September 23, 2023: Academic Pediatrics
https://read.qxmd.com/read/37741494/beyond-medicine-bridging-the-gap-between-health-and-wealth-in-pediatric-primary-care
#33
JOURNAL ARTICLE
Lucy E Marcil, G Sarah Bredy, Isabel De Los Rios, Gail Sokoloff, Megan H Bair-Merritt
No abstract text is available yet for this article.
September 21, 2023: Academic Pediatrics
https://read.qxmd.com/read/37682593/using-it-to-improve-outcomes-for-children-living-with-cancer-symon-says-protocol-for-a-single-institution-waitlist-randomized-controlled-trial
#34
JOURNAL ARTICLE
Jin-Shei Lai, Sally E Jensen, John Devin Peipert, Sandra A Mitchell, Sofia F Garcia, David Cella, Stewart Goldman, Alicia Lenzen
BACKGROUND: Children and adolescents with cancer may experience multiple disease- and treatment-related symptoms that negatively affect health-related quality of life. Routine symptom surveillance thus constitutes an important component of supportive care in pediatric oncology. The Symptom Monitoring and Systematic Assessment and Reporting System in Young Survivors (SyMon-SAYS) system will administer, score, interpret, and display the results of symptom assessments captured weekly using patient-reported outcomes presented via the electronic health record (EHR) portal between clinic visits in oncology ambulatory settings, when patients are likely to be more symptomatic...
September 8, 2023: JMIR Research Protocols
https://read.qxmd.com/read/37678635/reflecting-in-pink-blue-yellow-and-white
#35
JOURNAL ARTICLE
Lauren Aiello
No abstract text is available yet for this article.
September 5, 2023: Academic Pediatrics
https://read.qxmd.com/read/37669788/changes-in-emergency-department-use-in-british-columbia-canada-during-the-first-3-years-of-the-covid-19-pandemic
#36
JOURNAL ARTICLE
Jiayun Yao, Michael A Irvine, Braeden Klaver, Moe Zandy, Aman K Dheri, Eric Grafstein, Kate Smolina
BACKGROUND: Previous studies have shown reductions in the volume of emergency department visits early in the COVID-19 pandemic, but few have evaluated the pandemic's impact over time or stratified analyses by reason for visits. We aimed to quantify such changes in British Columbia, Canada, cumulatively and during prominent nadirs, and by reason for visit, age and acuity. METHODS: We included data from the National Ambulatory Care Reporting System for 30 emergency departments across BC from January 2016 to December 2022...
September 5, 2023: Canadian Medical Association Journal: CMAJ
https://read.qxmd.com/read/37666391/changes-in-provider-perceptions-and-practices-regarding-dosing-units-for-oral-liquid-medications
#37
JOURNAL ARTICLE
Jennifer N Lind, Maribeth C Lovegrove, Ian M Paul, H Shonna Yin, Daniel S Budnitz
OBJECTIVE: A 2015 survey of primary care providers (PCPs) found that while many believed that milliliter (mL)-only dosing was safest for oral liquid medications, few would use mL alone in dosing instructions. Since 2015, many recommendations have promoted "mL-only" dosing. In 2019, a follow-up survey was conducted to assess if PCP perceptions and practices have changed. METHODS: Pediatricians, family medicine physicians, nurse practitioners, and internists participating in the 2015 and 2019 DocStyles cross-sectional, web-based surveys were asked about their perceptions and practices regarding dosing units for oral liquid medications...
September 2, 2023: Academic Pediatrics
https://read.qxmd.com/read/37635686/hearing-assessment-in-infants-children-and-adolescents-recommendations-beyond-neonatal-screening
#38
JOURNAL ARTICLE
Charles Bower, Brian Kip Reilly, Julia Richerson, Julia L Hecht
Children who are deaf or hard of hearing (D/HH) are at high risk for permanent deficits in language acquisition and downstream effects such as poor academic performance, personal-social maladjustments, and emotional difficulties. Identification of children born D/HH through newborn hearing screening and subsequent timely early intervention can prevent or reduce many of these adverse consequences. Ongoing surveillance for changes in hearing thresholds after infancy is also important and should be accomplished by subjective assessment for signs of atypical hearing and with objective screening tests...
August 28, 2023: Pediatrics
https://read.qxmd.com/read/37602568/knowledge-of-child-abuse-and-neglect-in-nursing-students-assessment-and-perspectives
#39
JOURNAL ARTICLE
Francesco Lupariello, Giuliana Mattioda, Giancarlo Di Vella
Misdiagnosis of child abuse and neglect can delay early treatment. Some authors have pointed out that nurses can miss child abuse and neglect diagnoses due to a lack of knowledge. It is unclear whether the lack of knowledge is due to students' insufficient preparation in nursing school and/or a deficiency in continuing education. An 18-item questionnaire was administered to final-year nursing students to assess their degree of knowledge on child abuse and neglect and to evaluate if the lack of knowledge was due to insufficient teaching/training during nursing school...
August 21, 2023: Journal of Forensic Sciences
https://read.qxmd.com/read/37573204/a-comparison-of-electronic-health-records-and-the-oregon-state-immunization-registry-for-human-papilloma-virus-vaccine-delivery-2005-2022
#40
JOURNAL ARTICLE
Sarah Bumatay, Caitlin Dickinson, Rex Larsen, Isabel Stock, Michael R Day, Brigit Hatch, Steven Robison, Paul M Darden, Eliana Sullivan, Patricia A Carney
INTRODUCTION: Immunization Information Systems (IIS) play an important information-sharing role at the point of care, and provide vital vaccination data for research studies and policy-makers. Previous validation studies comparing the accuracy of state registry data to health records have had mixed results. METHODS: We conducted a retrospective review of EHR vaccination data for 9-17 year-old patients from 10 Oregon primary care clinics who had at least one ambulatory care visit in the past 3 years from the date of validation data collection...
August 10, 2023: Vaccine
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