Hiromu Miyake, Koji Kawaguchi, Hiroki Ito, Kenji Shimizu, Kenichiro Watanabe
{"title":"A case of nephroblastoma with inferior vena cava invasion arising in a patient with Smith-Magenis syndrome.","authors":"Hiromu Miyake, Koji Kawaguchi, Hiroki Ito, Kenji Shimizu, Kenichiro Watanabe","doi":"10.1111/ped.70220","DOIUrl":"https://doi.org/10.1111/ped.70220","url":null,"abstract":"","PeriodicalId":20039,"journal":{"name":"Pediatrics International","volume":"67 1","pages":"e70220"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225569","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}
{"title":"Factors influencing the efficacy and self-discontinuation of alarm therapy for Japanese patients with nocturnal enuresis.","authors":"Masaki Fuyama, Hirokazu Ikeda, Yuma Iwanaka, Takahiro Ono, Chisato Oyake, Shota Endo, Yuta Onuki, Yoshitaka Watanabe, Tsuneki Watanabe","doi":"10.1111/ped.70204","DOIUrl":"https://doi.org/10.1111/ped.70204","url":null,"abstract":"<p><strong>Background: </strong>Alarm therapy is the recommended first-line treatment for nocturnal enuresis (NE). This study aimed to investigate the effectiveness of alarm monotherapy, identify predictors of treatment success, and examine factors contributing to self-discontinuation in Japanese patients with NE.</p><p><strong>Methods: </strong>We retrospectively analyzed the treatment course of 112 patients with NE who received alarm monotherapy between January 2017 and September 2024. The primary outcome was the predictors of treatment effectiveness, and the secondary outcome was factors contributing to self-discontinuation of alarm therapy.</p><p><strong>Results: </strong>At 3 months after initiating alarm monotherapy, treatment was effective in 49 patients (≥50% reduction in NE), while 41 showed poor response (<50% reduction in NE), 10 switched to pharmacotherapy, and 4 self-discontinued alarm therapy. By 6 months, only 9 of 41 patients who had shown poor response at 3 months achieved an effective outcome, while 11 self-discontinued alarm therapy. No factors predicting effectiveness were identified in the per-protocol analyses. During the entire study period, 30 patients self-discontinued alarm therapy, with 12 citing reluctance to wear the device. Refusal and self-discontinuation rates were higher among patients with daytime urinary incontinence (DUI) (p = 0.006), developmental disabilities (p = 0.004), no prior NE treatment (p = 0.011), and ineffective treatment at 3 and 6 months (p = 0.001 and 0.045, respectively).</p><p><strong>Conclusions: </strong>Alarm monotherapy can be recommended for any patient as no factors predicting effectiveness were identified. However, patients with no prior treatment, DUI, neurodevelopmental disorders, or ineffective alarm therapy may struggle to continue treatment with alarm monotherapy.</p>","PeriodicalId":20039,"journal":{"name":"Pediatrics International","volume":"67 1","pages":"e70204"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225643","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}
{"title":"Secondary headache in an outpatient headache clinic at a pediatric tertiary care facility.","authors":"Tsukasa Higuchi, Ayako Kanai, Keiko Okita","doi":"10.1111/ped.70226","DOIUrl":"https://doi.org/10.1111/ped.70226","url":null,"abstract":"<p><strong>Background: </strong>Headaches in children are caused by a variety of factors. Despite the numerous reports on secondary headache in the emergency department, details on pediatric headache outpatients are scarce.</p><p><strong>Methods: </strong>We retrospectively reviewed the medical records of patients who first visited our outpatient headache clinic between May 2022 and October 2023 and were considered to have secondary headache.</p><p><strong>Results: </strong>Twenty-seven of 68 patients (39%) were diagnosed as having secondary headache as the main illness. The gender breakdown of 20 boys and 7 girls represented a significant difference. Patient age range was 5-17 years (median: 13 years and 8 months), and a family history of headache was noted in 20 patients (74%). Headache frequency was described as \"almost daily\" in 18 patients (67%). The main diagnosis of secondary headache was psychiatric disorders (social anxiety disorder; SAD) in 13 patients, homeostatic disorders (orthostatic dysregulation; OD) in 9 patients, facial organ-related headache (FORH) in 3 patients, and nonvascular intracranial disease in 2 patients. Comorbidities included autism spectrum disorder (ASD) in 18 patients and school refusal (SR) in 8 patients. Nine of the ASD patients were diagnosed after their headache outpatient visit.</p><p><strong>Conclusion: </strong>Our analysis of secondary headache patients in a tertiary facility revealed that roughly half of the patients had SAD, all of whom harbored ASD as a comorbidity. Many of the patients were adolescents, which coincided with the age of OD onset. When examining pediatric secondary headache patients, extra attention is warranted to developmental characteristics, particularly those of adolescents.</p>","PeriodicalId":20039,"journal":{"name":"Pediatrics International","volume":"67 1","pages":"e70226"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225678","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}
{"title":"A case of pulmonary embolism occurring with cardiopulmonary arrest after catheter ablation.","authors":"Hiroki Ishii, Yu Matsumura, Tadahiro Yoshikawa","doi":"10.1111/ped.15858","DOIUrl":"https://doi.org/10.1111/ped.15858","url":null,"abstract":"","PeriodicalId":20039,"journal":{"name":"Pediatrics International","volume":"67 1","pages":"e15858"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692889","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}