Klinische Padiatrie最新文献_第9页

Pediatric Syncope: Is the Diagnostic Guideline Implemented and Adhered to? 小儿晕厥：诊断指南是否得到执行和遵守？

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2024-07-01 DOI: 10.1055/a-2345-3343

Diane Gatamova, Wieland Kiess, Robert DallaPozza, Andreas Merkenschlager

{"title":"Pediatric Syncope: Is the Diagnostic Guideline Implemented and Adhered to?","authors":"Diane Gatamova, Wieland Kiess, Robert DallaPozza, Andreas Merkenschlager","doi":"10.1055/a-2345-3343","DOIUrl":"https://doi.org/10.1055/a-2345-3343","url":null,"abstract":"Background: We sought to investigate adherence to the current pediatric syncope guideline in the emergency department and its impact on the frequency of missed or unnecessary diagnostic measures. For the first time, in 2014 updated guideline defines indispensable basic diagnostic measures and a consecutive algorithm for safe clinical decision making.Patients and method: We analyzed retrospectively 314 pediatric patients, 166 were presented before and 148 after publication of this guideline update.Results: After guideline publication, 54 patients (36.5%) were not treated in accordance with the guideline and 2 (0.63%) cases caused by epileptic seizures were initially misdiagnosed as reflex syncope. Among these 54 patients, 32 (59.3%) inpatient admissions were inappropriate, as well as 11 (20.4%) electroencephalographies, 4 (7.4%) sleep-deprivation EEGs, 2 (3.7%) magnetic resonance imaging, 5 (9.3%) urine diagnostics and 32 (59.3%) blood tests. In 21 cases (38.9%), the medical history was insufficient. ECG was missed in 42 patients (77.8%). There was no significant difference between the pre- and post-guideline groups concerning diagnostic work-up (p=0,12).Discussion: This non-compliance with the guideline did not cause a large number of misdiagnosed epileptic seizures (1.4%) or adverse outcomes but led to waste of resources in healthcare system and undue burdens on patients and their families.Conclusion: In addition to establishment of clinical guidelines, the need for additional measures and strategies to promote their implementation seems obvious.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnosis and Surgical Management of Pulmonary Artery Sling: A Case Report. 肺动脉吊带的诊断和手术治疗：病例报告

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2024-07-01 DOI: 10.1055/a-2348-0443

Ismail Yurtsever, Hafize Otcu Temur, Can Yilmaz Yozgat, Ahmet Berk Erol, Hazar Dogus Kus, Faraz Talebazadeh, Yilmaz Yozgat

引用次数: 0

Ollier Disease with Ovarian Juvenile Granulosa Cell Tumor in a Child. 儿童卵巢幼年颗粒细胞瘤合并奥利尔病（Ollier Disease with Ovarian Juvenile Granulosa Cell Tumor）。

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2024-06-28 DOI: 10.1055/a-2334-3021

Yufei Zhao, Xianmei Jin

引用次数: 0

COVID-19 vaccination among adolescents and young adults with chronic kidney conditions: a single-center experience. 在患有慢性肾病的青少年中接种 COVID-19 疫苗：单中心经验。

IF 1 4区医学

Klinische Padiatrie Pub Date : 2024-05-31 DOI: 10.1055/a-2319-2648

Demet Baltu, Eda Didem Kurt-Sukur, Tugba Tastemel Ozturk, Bora Gulhan, Fatih Ozaltin, Ali Duzova, Rezan Topaloglu

{"title":"COVID-19 vaccination among adolescents and young adults with chronic kidney conditions: a single-center experience.","authors":"Demet Baltu, Eda Didem Kurt-Sukur, Tugba Tastemel Ozturk, Bora Gulhan, Fatih Ozaltin, Ali Duzova, Rezan Topaloglu","doi":"10.1055/a-2319-2648","DOIUrl":"https://doi.org/10.1055/a-2319-2648","url":null,"abstract":"Background: Following the pandemic of COVID-19, the main focus has been on COVID-19 vaccines and herd immunity. Although the safety of the COVID-19 vaccines has been shown in clinical trials, children with chronic diseases were not included. We investigated the side effect profile and safety of the COVID-19 vaccines in adolescents with kidney disease.Methods: A questionnaire including demographic information, history of COVID-19, vaccination status, and vaccine-related side effects was administered to the patients with chronic kidney disease (CKD) stage 2-5, glomerular disease treated with immunosuppression, and kidney transplant recipients.Results: Ninety-eight patients were vaccinated with CoronaVac-inactivated SARS-CoV-2 (n=16) or BNT162b2 messenger RNA (mRNA) COVİD-19 (n=82) vaccine. The mean age was 16.90±2.36 years. The most common side effects were local pain, fatigue, and fever. No serious side effects or renal disease flare were observed. There was no significant difference in the side effects reported after the BNT162b2 mRNA-RNA as compared to the Corona Vac-inactivated SARS-CoV-2 vaccine. No significant relationship was found between the frequency of side effects according to age, glomerular filtration rate, immunosuppressive treatments, CKD stage, and the underlying disease.Conclusion: Although the reported data are subjective because they were obtained through a questionnaire and studies with long-term follow-up are needed, our early experience suggests that the vaccine is safe and adolescents and young adults should be encouraged to be vaccinated.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141184218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Adolscent Boy with Nutcracker-Syndrome and IgA Nephropathy. 一名患有胡桃夹子综合征和 IgA 肾病的新月男孩。

IF 1 4区医学

Klinische Padiatrie Pub Date : 2024-05-06 DOI: 10.1055/a-2296-2377

Cengiz Zeybek, Bedriye Nuray Alpman, Ertuğrul Çelik

引用次数: 0

Evaluation of Peripheral Lymphadenopathies in Children in a Single Center: Predictive Factors for Malignancy. 单个中心对儿童外周淋巴腺疾病的评估：恶性肿瘤的预测因素

IF 1 4区医学

Klinische Padiatrie Pub Date : 2024-05-01 Epub Date: 2024-05-10 DOI: 10.1055/a-2266-0722

Pamir Işık, Fatma Burcu Belen Apak, Tuğba Acer Demir

{"title":"Evaluation of Peripheral Lymphadenopathies in Children in a Single Center: Predictive Factors for Malignancy.","authors":"Pamir Işık, Fatma Burcu Belen Apak, Tuğba Acer Demir","doi":"10.1055/a-2266-0722","DOIUrl":"https://doi.org/10.1055/a-2266-0722","url":null,"abstract":"Background: Lymphadenopathy (LAP) is a common finding in pediatric patients. It was aimed to determine predictive factors in distinguishing cases with malignant or benign lymphadenopathy in this study.Subjects and methods: Between January 2022 and January 2023, 101 patients (1-16 years old) with lymphadenopathy were retrospectively examined.Results: LAP was localized in 80.2% (n=81) cases and generalized in 19.8% (n=20) cases. In 60 cases (59.4%), lymph node sizes were found to be greater than 20×20 mm in width and length. The most common infectious causative agent was Epstein Barr Virus (EBV). Seven (6.9%) patients underwent biopsy and all were diagnosed with malignancy. When the benign and malignant groups were compared, age, lymph node length, and width on physical examination, anteroposterior and longitudinal diameter of the lymph node on ultrasonography (USG) were statistically significantly higher in the malignant group (p<0.05). The presence of supraclavicular lymphadenopathy was found to be an important factor in differentiating the malignant group (p<0.003). The most important factors in distinguishing the groups are respectively were the anteroposterior diameter of the lymph node on ultrasonography and the presence supraclavicular lymph node in multivariate logistic regression analysis.Conclusion: It is not always easy to distinguish benign and malignant etiologies in patients with lymphadenopathy. A detailed history, a careful physical examination, laboratory studies, and excisional biopsy are guiding.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":"236 3","pages":"173-179"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Clinical Journey of a Patient with Familial Mediterranean Fever: One Gene, Three Diseases. 家族性地中海热患者的临床历程：一个基因，三种疾病。

IF 1 4区医学

Klinische Padiatrie Pub Date : 2024-05-01 Epub Date: 2023-03-17 DOI: 10.1055/a-2000-5516

Pinar Ozge Avar-Aydin, Zeynep Birsin Özçakar, Nilgun Cakar, Fatma Aydin, Zarife Kuloglu, Suat Fitöz, Fatos Yalcinkaya

引用次数: 0

Severe Lactic Acidosis, Wernicke's Encephalopathy, and Wet Beriberi Due to Thiamine Deficiency in a Child With Leukemia. 一名白血病患儿因缺乏硫胺素导致严重乳酸酸中毒、韦尼克脑病和湿性脚气病。

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2024-05-01 Epub Date: 2023-12-14 DOI: 10.1055/a-2207-3054

Ebru Azapagasi, Nursima Kunt Baykal, Serap Kirkiz Kayali, Leyla Salimli Mirzayeva, Büşra Topuz Türkcan, Mutlu Uysal Yazici, Esra Serdaroğlu, Zühre Kaya

引用次数: 0

Abdominal Aspergillosis - an Underdiagnosed Disease? Three Cases of Abdominal Aspergillosis in Severely Immunocompromised Infants. 腹腔曲霉菌病--一种诊断不足的疾病？严重免疫力低下婴儿的三例腹腔曲霉菌病。

IF 1 4区医学

Klinische Padiatrie Pub Date : 2024-05-01 Epub Date: 2024-01-30 DOI: 10.1055/a-2233-1021

Richard Hauch, Martin Jankofsky, Stefan Klohs, Uta Herden, Martin Blohm, Beate Winkler

引用次数: 0

The Efficacy of Three Different Oral Hygiene Regimens in Preventing Chemotherapy-Induced Oral Mucositis in Pediatric Patients Receiving Hematopoietic Stem Cell Transplantation. 三种不同口腔卫生方案对预防接受造血干细胞移植的儿科患者因化疗引发口腔黏膜炎的功效

IF 1 4区医学

Klinische Padiatrie Pub Date : 2024-05-01 Epub Date: 2024-05-10 DOI: 10.1055/a-2290-6323

Utku Aygunes, Barbaros Sahin Karagun, Ilgen Sasmaz, Bülent Antmen

{"title":"The Efficacy of Three Different Oral Hygiene Regimens in Preventing Chemotherapy-Induced Oral Mucositis in Pediatric Patients Receiving Hematopoietic Stem Cell Transplantation.","authors":"Utku Aygunes, Barbaros Sahin Karagun, Ilgen Sasmaz, Bülent Antmen","doi":"10.1055/a-2290-6323","DOIUrl":"https://doi.org/10.1055/a-2290-6323","url":null,"abstract":"Background: Oral mucositis is one of the side effects developed post-hematopoietic stem cell transplant. This retrospective study aimed to assess the efficacy of a mouthwash mixture (lidocaine, sodium alginate, sucralfate, pheniramine) versus hyaluronic acid and a solution of sodium bicarbonate in terms of healing time and weight gain in the treatment of oral mucositis in pediatric patients undergoing allogeneic hematopoietic stem cell transplantation with hemato-oncological malignancies.Methods: A total of 171 patients that received chemotherapy for the hematopoietic stem cell transplant were divided into three groups; group 1, treated with a mixed mouthwash of lidocaine, sodium alginate, sucralfate, and pheniramine; group 2, treated with hyaluronic acid; and group 3, treated with an aqueous solution of 5% sodium bicarbonate. Weight and mucositis scale scores derived from medical records of patients.Results: There was a statistically significant difference in the mucositis scale scores between the groups on the transplant day and days 5, 10, 15 and 20 after the transplantation. At these measurement points, Group 2 (receiving hyaluronic acid) had a lower score, and Group 3 (who received sodium bicarbonate) had a higher score, especially on days 5 and 10 after the transplantation.Conclusion: The results suggest that hyaluronic acid is a more effective treatment option than the other oral care solutions that are frequently used for prophylaxis and treatment of oral mucositis.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":"236 3","pages":"180-188"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0