keyword
https://read.qxmd.com/read/38512488/predicting-peri-operative-cardiorespiratory-adverse-events-in-children-with-idiopathic-pulmonary-arterial-hypertension-undergoing-cardiac-catheterization-using-echocardiography-a-cohort-study
#21
JOURNAL ARTICLE
Timothy J W Dawes, Valentine Woodham, Emma Sharkey, Angus McEwan, Graham Derrick, Vivek Muthurangu, Shahin Moledina, Lucy Hepburn
General anesthesia in children with idiopathic pulmonary arterial hypertension (PAH) carries an increased risk of peri-operative cardiorespiratory complications though risk stratifying individual children pre-operatively remains difficult. We report the incidence and echocardiographic risk factors for adverse events in children with PAH undergoing general anesthesia for cardiac catheterization. Echocardiographic, hemodynamic, and adverse event data from consecutive PAH patients are reported. A multivariable predictive model was developed from echocardiographic variables identified by Bayesian univariable logistic regression...
March 21, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38512369/a-pediatric-case-of-cogan-s-syndrome-with-tubulointerstitial-nephritis-and-vasculitis-lessons-for-the-clinical-nephrologist
#22
JOURNAL ARTICLE
Naonori Kumagai, Yoshitsugu Oikawa, Makiko Nakayama, Atsuko Kasajima, Kensuke Joh
No abstract text is available yet for this article.
March 21, 2024: Journal of Nephrology
https://read.qxmd.com/read/38512155/postpartum-remote-blood-pressure-monitoring-using-a-mobile-app-in-women-with-a-hypertensive-disorder-of-pregnancy
#23
JOURNAL ARTICLE
Adriane Burgess, Taylor Deannuntis, Julia Wheeling
BACKGROUND: Hypertensive disorders of pregnancy affect approximately 15% of pregnancies in the United States and are a leading cause of postpartum readmissions. Morbidity due to hypertension may be higher in the first several weeks postpartum. The ability to monitor blood pressure and intervene in the postpartum period is critical to reducing morbidity and mortality. LOCAL PROBLEM: At WellSpan Health, hypertensive disorders were increasing and a leading cause of severe maternal morbidity and readmission...
March 21, 2024: MCN. the American Journal of Maternal Child Nursing
https://read.qxmd.com/read/38510082/hyperglycemia-in-pregnancy-did-not-worsen-the-short-term-outcomes-of-very-preterm-infants-a-propensity-score-matching-study
#24
JOURNAL ARTICLE
Ying Li, Wei Shen, Rong Zhang, Jian Mao, Ling Liu, Yan-Mei Chang, Xiu-Zhen Ye, Yin-Ping Qiu, Li Ma, Rui Cheng, Hui Wu, Dong-Mei Chen, Ling Chen, Ping Xu, Hua Mei, San-Nan Wang, Fa-Lin Xu, Rong Ju, Xiao-Mei Tong, Xin-Zhu Lin, Fan Wu
BACKGROUND: Hyperglycemia in pregnancy (HGP) has generally been considered a risk factor associated with adverse outcomes in offspring, but its impact on the short-term outcomes of very preterm infants remains unclear. METHODS: A secondary analysis was performed based on clinical data collected prospectively from 28 hospitals in seven regions of China from September 2019 to December 2020. According to maternal HGP, all infants were divided into the HGP group or the non-HGP group...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38506946/ultrasound-guided-initial-diagnosis-and-follow-up-of-pediatric-idiopathic-intracranial-hypertension
#25
JOURNAL ARTICLE
Susanne Regina Kerscher, Julian Zipfel, Karin Haas-Lude, Andrea Bevot, Martin Ulrich Schuhmann
BACKGROUND: Idiopathic intracranial hypertension in children often presents with non-specific symptoms found in conditions such as hydrocephalus. For definite diagnosis, invasive intracranial pressure measurement is usually required. Ultrasound (US) of the optic nerve sheath diameter provides a non-invasive method to assess intracranial pressure. Transtemporal US allows imaging of the third ventricle and thus assessment for hydrocephalus. OBJECTIVE: To investigate whether the combination of US optic nerve sheath and third ventricle diameter can be used as a screening tool in pediatric idiopathic intracranial hypertension to indicate elevated intracranial pressure and exclude hydrocephalus as an underlying pathology...
March 20, 2024: Pediatric Radiology
https://read.qxmd.com/read/38504759/the-risk-of-prematurity-in-cameroonian-children-born-after-in-vitro-fertilisation
#26
JOURNAL ARTICLE
Aimée-Sandrine F Nzenti, Christopher Aimakhu, Paul N Koki, Teshome Gensa, Massa Sakouvogui
OBJECTIVE: To evaluate the risk of prematurity in Cameroonian children born after in vitro Fertilisation. DESIGN: A retrospective cohort study. SETTING: Conducted at the pediatric department of the Hospital Center for Research and Application in Endoscopic Surgery and Human Reproduction (HCRAESHR) in Yaoundé over eight months. PARTICIPANTS: Every newborn born after in vitro fertilisation (exposed group) and those born after spontaneous conception (non-exposed group) from a singleton pregnancy were included...
June 2023: Ghana Medical Journal
https://read.qxmd.com/read/38504646/new-onset-vision-impairment-in-children-magnetic-resonance-imaging-findings-by-age-groups
#27
JOURNAL ARTICLE
Esra Çıvgın, Semra Duran, Izzet Selçuk Parlak, Başak Gülleroğlu, İnci Elif Erbahçeci Timur, Özge Dedeoğlu, Ayşe Seçil Yücel Ekşioğlu
INTRODUCTION: Non-traumatic visual impairment is rare in the pediatric population, but early diagnosis and treatment of the cause is crucial to prevent long-term consequences affecting children's neurocognitive development. The authors aim to determine the most common causes of non-traumatic visual impairment in pediatric patients according to age groups by magnetic resonance imaging (MRI). METHODS: Images of patients who underwent contrast-enhanced cranial and orbital MRI for new-onset visual impairment between June 2019 and June 2022 were retrospectively reviewed...
March 20, 2024: Journal of Child Neurology
https://read.qxmd.com/read/38503990/use-of-activity-trackers-to-improve-blood-pressure-in-young-people-at-risk-for-cardiovascular-disease-a-pilot-randomized-controlled-trial
#28
JOURNAL ARTICLE
Alexandra C Bicki, Divya Seth, Charles E McCulloch, Feng Lin, Elaine Ku
BACKGROUND: Promoting physical activity among young individuals with cardiovascular disease (CVD) risk factors such as hypertension, diabetes, or chronic kidney disease can lower systolic blood pressure (BP). We sought to determine whether a 6-month intervention using a physical activity tracker was feasible and effective, compared with usual care. METHODS: Participants were recruited at a single academic medical center. Those aged 8-30 years were randomized in a 2:1 ratio to either the intervention (use of a Fitbit physical activity tracker coupled with feedback regarding the participant's step count) or usual care...
March 19, 2024: Pediatric Nephrology
https://read.qxmd.com/read/38501346/extracorporeal-membrane-oxygenation-support-for-balloon-atrial-septostomy-in-a-bmpr2-variant-associated-pulmonary-arterial-hypertension
#29
JOURNAL ARTICLE
Shoji Fukuoka, Noriyuki Kaku, Hazumu Nagata, Yusaku Nagatomo, Kanako Higashi, Daisuke Toyomura, Yuichiro Hirata, Keiichi Hirono, Kenichiro Yamamura, Shouichi Ohga
No abstract text is available yet for this article.
March 19, 2024: Pediatric Pulmonology
https://read.qxmd.com/read/38499268/endovascular-recanalization-for-pediatric-hypertension-secondary-to-total-renal-artery-occlusion
#30
JOURNAL ARTICLE
Pengyu Li, Xinzhi Yang, Guochen Niu, Ziguang Yan, Bihui Zhang, Min Yang
PURPOSE: To assess the feasibility and efficacy of percutaneous transluminal renal angioplasty (PTRA) for pediatric renovascular hypertension (RVH) secondary to total renal artery occlusion (RAO). METHODS: From 2011 to 2021, 13 pediatric patients with RVH confirmed with 14 occluded renal artery lesions were reviewed. The mean age was11.2 years (range 4 to 16). Nine lesions involved main artery occlusion, while five lesions featured branch occlusion. Blood Pressure Ratio (BPR) was defined as the ratio of the actual BP value to the 95th percentile value adjusted for age, gender, and height...
March 16, 2024: Journal of Vascular and Interventional Radiology: JVIR
https://read.qxmd.com/read/38499029/renal-doppler-ultrasound-a-late-diagnosis-of-aortic-coarctation
#31
JOURNAL ARTICLE
Ana Luísa Pinto, Alexandra Mesquita, João Pedro Vieira, Diogo Garrido, Sofia Dutra
Aortic coarctation is characterized by a segmental narrowing of the aortic lumen, usually diagnosed and treated in the neonatal period or early childhood, but can remain undiagnosed until adulthood. It manifests as a broad spectrum of signs and symptoms, ranging from mild to severe, of which arterial hypertension is one of the most common. In this article, the authors describe the clinical case of a 9-year-old child under investigation in the Pediatric Department for secondary causes of arterial hypertension...
October 11, 2023: Port J Card Thorac Vasc Surg
https://read.qxmd.com/read/38498203/pulmonary-vasculature-development-in-congenital-diaphragmatic-hernia-a-novel-automated-quantitative-imaging-analysis
#32
JOURNAL ARTICLE
Emrah Aydın, Furkan Durmuş, Nilhan Torlak, Marc Oria, Nilgün Güler Bayazıt, Esin Öztürk Işık, Birol Aslanyürek, Jose L Peiro
PURPOSE: Impaired fetal lung vasculature determines the degree of pulmonary hypertension in the congenital diaphragmatic hernia (CDH). This study aims to demonstrate the morphometric measurements that differ in pulmonary vessels of fetuses with CDH. METHODS: Nitrofen-induced CDH Sprague-Dawley rat fetuses were scanned with microcomputed tomography. The analysis of the pulmonary vascular tree was performed with artificial intelligence. RESULTS: The number of segments in CDH was significantly lower than that in the control group on the left (U = 2...
March 18, 2024: Pediatric Surgery International
https://read.qxmd.com/read/38485067/dietary-phosphate-educational-materials-for-pediatric-chronic-kidney-disease-are-confused-messages-reducing-their-impact
#33
JOURNAL ARTICLE
Louise McAlister, Vanessa Shaw, Rukshana Shroff
OBJECTIVE: This study aimed to review the quality and content of phosphate educational materials used in pediatric chronic kidney disease. METHODS: The quality of text-based pediatric phosphate educational materials was assessed using validated instruments for health literacy demands (Suitability Assessment of Materials [SAM] and Patient Education Material Assessment Tool [PEMAT-P]) and readability (Flesch Reading Ease [FRE] and Flesch-Kincaid [FK] Grade Level)...
March 12, 2024: Journal of Renal Nutrition
https://read.qxmd.com/read/38481745/treatment-interruption-in-hypertensive-patients-during-the-covid-19-pandemic-an-interrupted-time-series-analysis-using-prescription-data-in-okayama-japan
#34
JOURNAL ARTICLE
Naoko Nakamura, Toshiharu Mitsuhashi, Naomi Matsumoto, Shunsaku Hayase, Takashi Yorifuji
BACKGROUND: The COVID-19 pandemic has impacted healthcare behaviors, leading to fewer pediatric visits in Japan and potentially fewer visits by adult patients. However, existing Japanese studies on treatment interruptions have generally relied on questionnaire-based methods. In this study, we assessed the impact of the pandemic on antihypertensive treatment interruption using real-world prescription data. METHODS: We conducted an interrupted time series analysis using the National Health Insurance Database in Okayama Prefecture, Japan...
March 2024: Journal of General and Family Medicine
https://read.qxmd.com/read/38480108/-ambulatory-blood-pressure-monitoring-adult-and-pediatric-population-a-narrative-review
#35
JOURNAL ARTICLE
A D Sotomayor Julio, L P Montana-Jimenez, W Bernal Torres, J D López Ponce de León, J A Zambrano Franco, A Coca, M Camafort, C Vesga Reyes
Hypertension has become a central risk factor for the development of cardiovascular disease, underscoring the importance of its accurate diagnosis. Numerous studies have established a close relationship between elevated systolic (SBP) and diastolic (DBP) blood pressure and an increased risk of cardiovascular event (CVE). Traditionally, blood pressure (BP) measurements performed in clinical settings have been the main method for diagnosing and assessing hypertension. However, in recent years, it has been recognized that BP measurements obtained outside the clinical setting, using self-monitoring blood pressure (SMBP) and ambulatory blood pressure monitoring (ABPM), offer a more realistic perspective of patients' daily lives and therefore provide more reliable results...
March 12, 2024: Hipertensión y Riesgo Vascular
https://read.qxmd.com/read/38478069/the-diagnostic-value-of-mri-findings-in-pediatric-idiopathic-intracranial-hypertension-a-case-control-study
#36
JOURNAL ARTICLE
Farrokh Seilanian Toosi, Narges Hashemi, Maryam Emadzadeh, Ehsan Hassan Nejad, Asma Payandeh, Nahid Tavakkolizadeh, Javad Akhondian, Farah Ashrafzadeh, Mehran Beiraghi Toosi, Yousef Shahmoradi, MohammadReza Pourzal, Seyed Amirhossein Kazemi, AmirAli Moodi Ghalibaf, Behnam Beizaei
BACKGROUND: Idiopathic intracranial hypertension (IIH) is a rare medical condition in children. Based on the different radiological findings reported in various studies in pediatric IIH, this study was conducted to determine the diagnostic value of MRI findings in diagnosing IIH in children. METHODS: In this retrospective study, the medical records of all children aged 1 to 18 years who visited Ghaem Hospital in Mashhad, Iran, between 2012 and 2022 and were diagnosed with IIH were gathered...
March 13, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38471743/semaglutide-treatment-for-children-with-obesity-an-observational-study
#37
JOURNAL ARTICLE
Elizabeth-Jane van Boxel, Saqib Rahman, Karen Lai, Nabil Boulos, Nikki Davis
OBJECTIVE: To assess efficacy and tolerability of semaglutide as a weight loss treatment for children living with comorbid obesity. DESIGN: Retrospective observational study of the first 50 children from a weight management service treated with semaglutide for at least 6 months. SETTING: A tertiary paediatric multidisciplinary weight management clinic in a UK hospital. PATIENTS: Aged 10-18 years old with a body mass index (BMI) SD score (SDS) >2 with a weight-related comorbidity (including insulin resistance (defined as homeostatic model assessment for insulin resistance >4), type 2 diabetes, metabolic-associated fatty liver disease, obstructive sleep apnoea or hypertension)...
March 12, 2024: Archives of Disease in Childhood
https://read.qxmd.com/read/38470520/occurrence-of-hyperoxia-during-ino-treatment-for-persistent-pulmonary-hypertension-of-the-newborn-a-cohort-study
#38
JOURNAL ARTICLE
Justine de Jager, Fleur Brouwer, Jeroen Reijman, Roel L F van der Palen, Sylke J Steggerda, Remco Visser, Arjan B Te Pas, Janneke Dekker
High concentrations of oxygen are often needed to optimize oxygenation in infants with persistent pulmonary hypertension (PPHN), but this can also increase the risk of hyperoxemia. We determined the occurrence of hyperoxemia in infants treated for PPHN. Medical records of infants ≥ 34 + 0 weeks gestational age (GA) who received inhaled nitric oxide (iNO) were retrospectively reviewed for oxygenation parameters during iNO therapy. Oxygen was manually titrated to target arterial oxygen tension (PaO2 ) 10-13 kPa and peripheral oxygen saturation (SpO2 ) 92-98%...
March 12, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38467312/evolving-role-of-three-dimensional-echocardiography-for-right-ventricle-volume-analysis-in-pediatric-heart-disease-literature-review-and-clinical-applications
#39
JOURNAL ARTICLE
Alessandra M Ferraro, David M Harrild, Andrew J Powell, Philip T Levy, Gerald R Marx
Accurate knowledge of right ventricle (RV) volumes and ejection fraction is fundamental to providing optimal care for pediatric patients with congenital and acquired heart disease, as well as pulmonary hypertension. Traditionally, these volumes have been measured by cardiac magnetic resonance (CMR) because of its accuracy, reproducibility, and freedom from geometric assumptions. More recently, an increasing number of studies have described the measurement of RV volumes by three-dimensional echocardiography (3DE)...
March 9, 2024: Journal of the American Society of Echocardiography
https://read.qxmd.com/read/38465761/pediatric-psoriasis-associated-with-van-wyk-grumbach-syndrome-a-case-report
#40
JOURNAL ARTICLE
Asma Marzouk, Rania Mezzi, Saida Zelfani, Nour Jelaila, Saad Ayeb, Asma Bouaziz
INTRODUCTION: Psoriasis is a common chronic inflammatory condition, often beginning in childhood in approximately one-third of cases. It can be associated with various other autoimmune diseases such as rheumatoid arthritis, celiac disease, and thyroid disorders. However, its co-occurrence with Van Wyk Grumbach syndrome has not been described in the pediatric population. This syndrome, resulting from untreated hypothyroidism, is characterized by early puberty and ovarian cysts. OBSERVATION: A 15-year-old adolescent with a diagnosis of psoriasis since the age of 9 presented with chronic constipation and headaches...
October 5, 2023: La Tunisie Médicale
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