Section on Uniformed Services Program最新文献

{"title":"Umbilical Cord Blood Use For Admission Blood Tests of VLBW Preterm Neonates: A Randomized Clinical Trial","authors":"Thornton S. Mu, Alicia C. Prescott, G. Haischer-Rollo, J. Aden, J. Shapiro","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1058","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1058","url":null,"abstract":"","PeriodicalId":143776,"journal":{"name":"Section on Uniformed Services Program","volume":"04 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127185713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respiratory Distress in a Newborn: Who Nose?","authors":"K. Sunshein, Matt Nestander, Stephanie Eighmy","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1054-A","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1054-A","url":null,"abstract":"","PeriodicalId":143776,"journal":{"name":"Section on Uniformed Services Program","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123703364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Donor Breastmilk on Blood Glucose Levels, Exclusive Breastfeeding, and NICU Admission for Asymptomatic Hypoglycemia","authors":"A. Ponnapakkam, Donald J. Rees, Cristina Gallup, Ccns, Dena Miller, Angela Fagiana, Nicholas R. Carr","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1039","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1039","url":null,"abstract":"","PeriodicalId":143776,"journal":{"name":"Section on Uniformed Services Program","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115010855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stroke Presentation in an Adolescent with mild Hemoglobin SC disease","authors":"J. Bennett, R. Clark, J. A. Padial","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1056","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1056","url":null,"abstract":"Background: In individuals affected with Hemoglobin SC (HbSC) disease, one β globin gene is affected by thesickle mutation (position 6, a single-base pair change encodes valine instead of glutamine) while the other βglobin gene contains a mutation for hemoglobin C (position 6, lysine is encoded instead of glutamine) In thiscompound heterozygous state individuals typically present with a milder sickle cell disease (SCD) coursecompared to those with homozygous HbS (HbSS) disease Although children with HbSC disease experience asignificant incidence of silent cerebral infarcts, acute stroke presentation is exceptionally rare Herein wedescribe a case of an adolescent male with historically uncomplicated HbSC disease, and otherwiseunremarkable sickle cell surveillance labs on admission presenting with new acute onset stroke CasePresentation: Our patient is a 16 year old male with uncomplicated HbSC disease and no history ofhospitalizations for vasoocclusive crisis He presented with 48 hours of difficulty focusing out of his left eye Physical exam revealed impaired right eye adduction, left eye nystagmus on lateral left gaze, and decreased sensation to touch to the left hemi face and left arm Strength and deep tendon reflexes were normal Normalgait was observed and he had no dysdiadochokinesia STAT MRI orbit and brain with contrast revealedmultiple foci of acute infarct involving the pons and left cerebral peduncle Vessel imaging with MRA wasconcerning for internuclear ophthalmoplegia secondary to stenosis in the posterior cerebral circulation Vitalsigns were normal for age and labs were overall mild and unchanged from his baseline (WBC 8750/mcL,Hemoglobin 13 5g/dL, Platelets 290,000/mcL, Reticulocyte 2 11%, CRP <0 30mg/dL) Initial thrombophilia workup demonstrated no increase in antiphospholipid antibodies, normal homocysteine levels and fibrinogenlevels Fibrin D-dimer was mildly elevated at 0 55mcg/mL Further thrombophilia evaluation is ongoing Arespiratory viral panel and COVID-19 testing were performed and were negative The patient was treated withemergent complete exchange transfusion Discussion: This case highlights the importance recognizing the riskfor acute stroke in patients with HbSC Prior to this acute presentation of stroke, this patient had mild disease with no history of prior transfusions and mild vasooclussive crises managed as an outpatient Earlyrecognition, imaging and management for those who present with focal neurologic deficits is essential inpreventing considerable morbidity and mortality It is imperative that as a general pediatrician, one must bevigilant and not rely on reassuring labs or prior histories of mild disease presentations in patients with SCD Unlike with HbSS, there is limited data and consensus guidelines for secondary stroke prevention in patients with HbSC, thus emphazing clinical judgement in initiation of exchange transfusion We did proceed withexchange transfusion taking into consideration the data that suppor","PeriodicalId":143776,"journal":{"name":"Section on Uniformed Services Program","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128679420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Accurate Alternative Method for Diagnoses of Autism Spectrum Disorder Using Video Telehealth Parent Led Play in the Military Medical System","authors":"Meagan Butsch, Michelle Jardon-Aites, Teodora Cartisano, Bonnie J. Jordan, Eric M. Flake, D. Roy, Daniel Tolson","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1029","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1029","url":null,"abstract":"","PeriodicalId":143776,"journal":{"name":"Section on Uniformed Services Program","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126719314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Life Exposure to Microbiota-Altering Medications Is Associated With Childhood Psychotropic Medication Prescriptions","authors":"C. Stark, Apryl Susi, Cade M. Nylund","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1036","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1036","url":null,"abstract":"","PeriodicalId":143776,"journal":{"name":"Section on Uniformed Services Program","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132690829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long Term Follow Up in the US Department of Defense Pediatric Leukemia Survivor Population","authors":"Richard Zanetti, A. Warwick, N. Sicignano, B. Feldman","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1049-A","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1049-A","url":null,"abstract":"","PeriodicalId":143776,"journal":{"name":"Section on Uniformed Services Program","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130913734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Disparities in the Military Health System: A Focus on Well-Child Care","authors":"Laura Hammon, Lisa Mondzelewski, Edmund Milder, K. Feemster","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1042","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1042","url":null,"abstract":"","PeriodicalId":143776,"journal":{"name":"Section on Uniformed Services Program","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133905982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Everolimus: A Novel Chemotherapeutic Approach for Cardiac Rhabdomyomas","authors":"Emma N. Beer, C. Henderson, Joshua Anchan","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1040","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1040","url":null,"abstract":"","PeriodicalId":143776,"journal":{"name":"Section on Uniformed Services Program","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116759121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Urine Na:K with Renin and Aldosterone at Baseline in Pediatric Hypertension","authors":"E. Perrin, A. South","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1030","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1030","url":null,"abstract":"","PeriodicalId":143776,"journal":{"name":"Section on Uniformed Services Program","volume":"5 38","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120841324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}