Pediatrics

Letter Pediatrics

Acute Disseminated Encephalomyelitis in a Child with Staphylococcus aureus Bacteremia and Septic Arthritis

Niranjan Kamble, Darshan Rajatadri Rangaswamy

INDIAN JOURNAL OF PEDIATRICS (2023)

Article Dermatology

Features, management, and outcomes of pediatric scalp melanomas

Mia A. Mologousis, Danna Moustafa, Elena B. Hawryluk

Summary: This study describes the diagnosis of scalp melanoma in five pediatric patients, highlighting the various presentations and emphasizing the importance of compiling data to promote recognition and improve patient care.

PEDIATRIC DERMATOLOGY (2023)

Article Cardiac & Cardiovascular Systems

Minimum Supervision Levels Required for Pediatric Cardiology Fellowship Graduation by Pediatric Cardiology Fellowship Program Directors

Ruchika Karnik, Bradley Robinson, Julie Glickstein, Alan Schwartz, Richard Mink, Ashley E. Neal, Lowell H. Frank, Colin J. Mcmahon, Michael E. Kim, David A. Turner, Shubhika Srivastava

Summary: This study aimed to determine the minimum level of supervision required for pediatric cardiology fellows to graduate and compare it with the level expected for safe and effective practice. The majority of fellowship program directors did not require fellows to achieve the highest level of entrustment for any of the six pediatric cardiology EPAs for graduation. The minimum level of supervision required for graduation ranged from 2 to 4 for different EPAs.

PEDIATRIC CARDIOLOGY (2023)

Review Cardiac & Cardiovascular Systems

Enhancing Quality of Congenital Heart Care Within Resource-Limited Settings

Shazia Mohsin, Babar Hasan, Bistra Zheleva, Raman Krishna Kumar

Summary: This review examines the barriers to implementing effective quality improvement processes in low- to middle-income countries (LMICs) and proposes a broad framework to improve outcomes of patients with congenital heart disease (CHD) through cohesive efforts and strong leadership.

PEDIATRIC CARDIOLOGY (2023)

Article Obstetrics & Gynecology

Obstetric pulmonary embolism and long-term cardiovascular symptoms: a cross-sectional study in Western Mexico

America Aime Corona Gutierrez, Elvira Sarahi Michelle Rosas Gomez, Eva Elizabet Camarena Pulido, Luis Javier Lopez Aceves, Mireya Robledo Aceves, Ana Jaqueline Banuelos Avila

Summary: The study revealed a high frequency of long-term cardiovascular symptoms in patients who experienced pulmonary embolism during pregnancy or the puerperium. Further evidence is needed to establish a long-term care pathway for obstetric pulmonary embolism.

JOURNAL OF PERINATAL MEDICINE (2023)

Article Pediatrics

Biomarkers of histologic severity in children with severe or atypical acute post-streptococcal glomerulonephritis

William Wong, Chanel Prestidge, Jonathan Zwi, Dug Yeo Han

Summary: This study reviewed the clinical and laboratory factors of patients with acute post-streptococcal glomerulonephritis (APSGN) to identify high-risk patients. The calculation of eGFR was found to be helpful in determining the need for urgent kidney biopsy.

PEDIATRIC NEPHROLOGY (2023)

Article Cardiac & Cardiovascular Systems

Myocardial Work for Dynamic Monitoring of Myocardial Injury in Neonatal Asphyxia

Xin-Lu Hu, Cui Hou, Hui Wang, Hong Li, Tao Pan, Jun-Cheng Ni, Yue-Yue Ding, Xue-Ying Si, Xiao-Chen Li, Qiu-Qin Xu

Summary: This study aimed to assess the value of myocardial work parameters for dynamic monitoring of myocardial injury after neonatal asphyxia. The study found that GWI and GCW changed significantly during the recovery process of neonatal asphyxia, and their change characteristics were different from traditional indicators of left ventricular function. Myocardial work parameters can be used as valuable supplements to traditional indicators for monitoring the recovery from myocardial injury after neonatal asphyxia.

PEDIATRIC CARDIOLOGY (2023)

Article Pediatrics

Palivizumab prophylaxis in preterm infants and subsequent wheezing/asthma: 10-year follow-up study

Masahiko Kato, Hiroyuki Mochizuki, Yuichi Kama, Satoshi Kusuda, Kenji Okada, Shigemi Yoshihara, Hiroyuki Furuya, Eric A. F. Simoes

Summary: This study investigated whether prophylaxis with the anti-RSV monoclonal antibody palivizumab given to preterm infants reduced the incidence of subsequent recurrent wheezing and/or development of asthma. The results showed that at 10 years of age, there was no significant difference in recurrent wheezing or asthma development between the treated and untreated groups. However, there was a significant correlation between maternal passive smoking with aeroallergen sensitization and development of asthma.

PEDIATRIC PULMONOLOGY (2023)

Article Pediatrics

The impact of family alexithymia on the severity of restrictive eating disorders in adolescent patients

Francesca Marazzi, Marika Orlandi, Valentina De Giorgis, Renato Borgatti, Martina Maria Mensi

Summary: This study investigated the correlation between levels of alexithymia in parents and adolescents affected by Restrictive Eating Disorders (REDs). The findings suggest that mothers' level of alexithymia could influence both fathers and patients' difficulty in identifying and describing their own emotions. However, the severity of the disease and overall functioning do not appear to be affected by patients' levels of alexithymia.

CHILD AND ADOLESCENT PSYCHIATRY AND MENTAL HEALTH (2023)

Article Pediatrics

Protective factors for resilience in adolescence: analysis of a longitudinal dataset using the residuals approach

Jose Marquez, Louis Francis-Hew, Neil Humphrey

Summary: This study uses the residuals approach to examine the impact of adversity exposure on adolescent wellbeing, finding that multiple adversity factors have an impact on later wellbeing. Girls and white adolescents have lower levels of resilience compared to their peers. Internal psychological factors such as self-esteem, emotional regulation, and optimism have the strongest protective effects, while behavioral and activity factors such as physical activity and sleep also contribute to resilience. Among external factors, friendships and peer support are the most important. The protective effects of physical activity are stronger for boys. The effects of protective factors are stronger for those with lower levels of adversity exposure.

CHILD AND ADOLESCENT PSYCHIATRY AND MENTAL HEALTH (2023)

Review Pediatrics

Antenatal and neonatal exposure to SARS-CoV-2 and children's development: a systematic review and meta-analysis

Rebecca Jackson, Kathryn Woodward, Meg Ireland, Conor Larkin, Jennifer J. Kurinczuk, Marian Knight, Chris Gale, Samantha Johnson, Rosie Cornish, Ela Chakkarapani

Summary: The evidence regarding the impact of antenatal and neonatal exposure to SARS-CoV-2 on developmental outcomes in infants is limited and inconsistent. Larger cohorts with outcomes assessed beyond the first year of life are needed to determine the potential longer-term impact of SARS-CoV-2 infection exposure on child development.

PEDIATRIC RESEARCH (2023)

Review Pediatrics

Rescue designs in analgesic trials from 0 to 2 years of age: scoping review

Kyra Haskes, Carolina Donado, Ricardo Carbajal, Charles B. Berde, Joe Kossowsky

Summary: Pediatric analgesic trials in newborns and infants present challenges. This research analyzes pragmatic rescue designs in postoperative trials of various medications for children aged 0-2, providing recommendations based on surgical volumes. The study identifies trends in analgesic trials and highlights the need for age-specific considerations and alternative trial designs.

PEDIATRIC RESEARCH (2023)

Review Pediatrics

Neuroprotective therapies in the NICU in preterm infants: present and future (Neonatal Neurocritical Care Series)

Eleanor J. Molloy, Mohamed El-Dib, Janet Soul, Sandra Juul, Alistair J. Gunn, Manon Bender, Fernando Gonzalez, Cynthia Bearer, Yvonne Wu, Nicola J. Robertson, Mike Cotton, Aoife Branagan, Tim Hurley, Sidhartha Tan, Abbot Laptook, Topun Austin, Khorshid Mohammad, Elizabeth Rogers, Karen Luyt, Pia Wintermark, Sonia Lomeli Bonifacio, Sonia Lomeli Bonifacio, Pia Wintermark, Hany Aly, Vann Chau, Hannah Glass, Monica Lemmon, Courtney Wusthoff, Gabrielle Deveber, Andrea Pardo, Melisa Carrasco, James Boardman, Dawn Gano, Eric Peeples

Summary: The survival of preterm infants has improved due to advances in perinatal and neonatal care, but the focus now is to improve long-term neurological and neurodevelopmental outcomes. This review discusses the multifactorial pathogenesis of preterm brain injury and currently used neuroprotective strategies, as well as potential interventions being evaluated for improving the neurodevelopmental outcomes of premature infants.

PEDIATRIC RESEARCH (2023)

Article Pediatrics

A survey of non-sedate practices when acquiring pediatric magnetic resonance imaging examinations

Mary-Louise C. Greer, Michael S. Gee, Erika Pace, Susan Sotardi, Cara E. Morin, Govind B. Chavhan, Camilo Jaimes

Summary: Improving access to pediatric magnetic resonance imaging (MRI) can be achieved by utilizing non-sedate practices, which reduce the need for sedation or general anesthesia and improve diagnostic quality. A survey-based study assessed the current utilization of non-sedate practices in pediatric MRI, revealing widespread but variable implementation rates across different ages and locations.

PEDIATRIC RADIOLOGY (2023)

Article Pediatrics

Efficacy of Levetiracetam as Add-On Therapy in the Treatment of Seizures in Neonates

Mathies Rondagh, Linda S. De Vries, Cacha M. P. C. D. Peeters-Scholte, Selma C. Tromp, Sylke. J. Steggerda

Summary: This study evaluated the efficacy of add-on therapy with levetiracetam for the treatment of seizures in neonates. The results showed limited effectiveness of levetiracetam, while lidocaine had the best effect.

NEONATOLOGY (2023)

Article Nursing

Mothers' experiences of caring for their children with liver transplantation: From sorrow to new determination

Sooyoung Kim, Sook Jung Kang

Summary: This study used a descriptive phenomenological approach to examine mothers' experiences of caring for children with liver transplant. Through face-to-face interviews with seven mothers, the researchers identified eight themes and nineteen subthemes related to the mothers' experiences. These themes included the difficulties and negative emotions associated with accepting a child's diagnosis, the importance of support systems and trust in healthcare providers, as well as the appreciation and determination for the future that arose from the experience. The study highlights the significance of providing guidance and support for parents and healthcare providers involved in caring for children who undergo liver transplantation.

JOURNAL OF CHILD HEALTH CARE (2023)

Article Pediatrics

Pediatric myocarditis

Ina Michel-Behnke

Summary: Viral infections are the leading cause of myocarditis in childhood, while other infectious agents and myocardial inflammation in systemic diseases play a minor role. Fulminant forms of myocarditis can be life-threatening, with severe arrhythmias and cardiogenic shock. The challenge lies in the nonspecific initial symptoms, which can lead to permanent cardiac functional impairments. A thorough medical history, physical examination, and diagnostic tests such as ECG, echocardiography, MRI, and biopsy are necessary for a timely diagnosis. Treatment options and staged care, including guidance on physical activity and sports, are crucial for pediatricians and pediatric cardiologists.

MONATSSCHRIFT KINDERHEILKUNDE (2023)

Article Pediatrics

Role of ultrasound and inflammatory factors in the management of pediatric hip joint effusion

Seyed Ali Alamdaran, Mohadeseh Taheri-nezhad, Ahmad Nouri, Farzaneh Khoroushi, Mohammad Hasan Aalami, Abdoreza Malek, Arezou Mohtasham, Mohamadreza Alizadeh

Summary: The study compared the use of ultrasound and laboratory findings in the diagnosis of septic arthritis and reactive arthritis. The study found that in patients with fluid volume less than 0.5 cc and normal inflammatory markers, conservative management and close follow-up can be recommended instead of joint fluid aspiration.

PEDIATRIC RHEUMATOLOGY (2023)

Review Clinical Neurology

Evolution of neurosurgical advances and nuances in medulloblastoma therapy

Julian S. Rechberger, Erica A. Power, Michael Decuypere, David J. Daniels

Summary: Medulloblastoma is the most common malignant brain tumor in children, and the extent of surgical resection plays a crucial role in patient prognosis. However, the determination of surgical resection range is a complex and evolving issue due to conflicting findings and challenges posed by critical anatomical structures.

CHILDS NERVOUS SYSTEM (2023)

Article Pediatrics

Comparison of massage and prone position on heart rate and blood oxygen saturation level in preterm neonates hospitalized in neonatal intensive care units

Hanan Mostafa El-sayd, Ghada Mohamed El-Mashad, Mohamed Zakaria Elsaied Mohamed, Zeinab Sabri Abouzouna

Summary: This study evaluated the effectiveness of massage therapy and neonatal prone position on premature neonates, and found that both methods can reduce heart rate and increase blood oxygen saturation level.

EGYPTIAN PEDIATRIC ASSOCIATION GAZETTE (2023)