Frontiers in Pediatrics最新文献_第8页

Comparison of the efficacy of thoracolumbosacral and lumbosacral orthosis for adolescent idiopathic scoliosis in patients with major thoracolumbar or lumbar curves: a prospective controlled study 前瞻性对照研究：比较胸腰骶矫形器和腰骶矫形器对有严重胸腰或腰椎弯曲的青少年特发性脊柱侧凸患者的疗效

Frontiers in Pediatrics Pub Date : 2024-04-02 DOI: 10.3389/fped.2024.1368201

Lin Sha, Tianyuan Zhang, Wenyuan Sui, Qing Fan, Jing-fan Yang, Yao-long Deng, Zifang Huang, Jun-lin Yang

{"title":"Comparison of the efficacy of thoracolumbosacral and lumbosacral orthosis for adolescent idiopathic scoliosis in patients with major thoracolumbar or lumbar curves: a prospective controlled study","authors":"Lin Sha, Tianyuan Zhang, Wenyuan Sui, Qing Fan, Jing-fan Yang, Yao-long Deng, Zifang Huang, Jun-lin Yang","doi":"10.3389/fped.2024.1368201","DOIUrl":"https://doi.org/10.3389/fped.2024.1368201","url":null,"abstract":"Introduction Thoracolumbosacral orthosis (TLSO) is the most commonly used type of brace for the conservative treatment of adolescent idiopathic scoliosis (AIS). Although lumbosacral orthosis (LSO) is designed to correct single thoracolumbar or lumbar (TL/L) curves, its effectiveness remains underexplored. This novel article aims to compare the effectiveness of LSO with TLSO in treating AIS with main TL/L curves. Methods This prospective controlled cohort study enrolled patients with AIS with main TL/L curves and minor thoracic curves who were treated with either TLSO or LSO. Demographic and radiographic data were compared between the two groups. Treatment outcomes were also assessed. Risk factors for minor curve progression were identified, and a cut-off value was determined within the LSO group. Results Overall, 82 patients were recruited, including 44 in the TLSO group and 38 in the LSO group. The initial TL/L curves showed no difference between both groups. However, the baseline thoracic curves were significantly larger in the TLSO group compared to the LSO group (25.98° ± 7.47° vs. 18.71° ± 5.95°, P < 0.001). At the last follow-up, LSO demonstrated similar effectiveness to TLSO in treating TL/L curves but was less effective for thoracic curves. The initial magnitude of thoracic curves was identified as a risk factor for minor curve outcomes in the LSO group. The ROC curve analysis determined a cut-off value of 21° for thoracic curves to predict treatment outcomes. Discussion In contrast to TLSO, LSO exhibits comparable effectiveness in treating main TL/L curves, making it a viable clinical option; however, it is less effective for thoracic minor curves. The initial magnitude of the minor thoracic curves may guide the selection of the appropriate brace type for patients with AIS with main TL/L curves.","PeriodicalId":510143,"journal":{"name":"Frontiers in Pediatrics","volume":"23 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140753490","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}

引用次数: 0

Case report of a ruptured right atrial aneurysm in a child and a comprehensive literature review 儿童右心房动脉瘤破裂病例报告及文献综述

Frontiers in Pediatrics Pub Date : 2024-04-02 DOI: 10.3389/fped.2024.1369345

Jie Zhou, Hao Xin, Qiao Li, Mei Zhu

{"title":"Case report of a ruptured right atrial aneurysm in a child and a comprehensive literature review","authors":"Jie Zhou, Hao Xin, Qiao Li, Mei Zhu","doi":"10.3389/fped.2024.1369345","DOIUrl":"https://doi.org/10.3389/fped.2024.1369345","url":null,"abstract":"Background The right atrial aneurysm is a rare cardiac malformation of unknown origin. It is typically asymptomatic but can occasionally lead to life-threatening and serious complications. Case description We present a case of a right atrial aneurysm in an eight-year-old child who experienced complications including rupture of the atrial aneurysm, thrombosis, and recurrent large pericardial effusions over a one-month period. Following surgical treatment, the child had a favorable prognosis. Conclusion A congenital right atrial aneurysm may manifest as either a widespread enlargement of the right atrium or a localized, smaller sac-like protrusion. In the latter case, diagnosis can be challenging to confirm through transthoracic echocardiography alone, and may require a cardiac computed tomography angiography examination for a definitive diagnosis. For patients experiencing recurrent large volumes of bloody pericardial effusion within one month, and exhibiting no atrial enlargement but showing abnormalities of the atrial wall in echocardiography, it is important to be vigilant about the potential for atrial aneurysm rupture in the heart. Timely treatment is essential to prevent the progression of the condition, which could otherwise result in a poor prognosis.","PeriodicalId":510143,"journal":{"name":"Frontiers in Pediatrics","volume":"39 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140752370","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}

引用次数: 0

The construction of a nomogram to predict the prognosis and recurrence risks of UPJO 构建预测 UPJO 预后和复发风险的提名图

Frontiers in Pediatrics Pub Date : 2024-04-02 DOI: 10.3389/fped.2024.1376196

Wenyue Ma, Hongjie Gao, Mengmeng Chang, Zhi-Wu Lu, Ding Li, Chen Ding, Dan Bi, Fengyin Sun

{"title":"The construction of a nomogram to predict the prognosis and recurrence risks of UPJO","authors":"Wenyue Ma, Hongjie Gao, Mengmeng Chang, Zhi-Wu Lu, Ding Li, Chen Ding, Dan Bi, Fengyin Sun","doi":"10.3389/fped.2024.1376196","DOIUrl":"https://doi.org/10.3389/fped.2024.1376196","url":null,"abstract":"Objective This study was conducted to explore the risk factors for the prognosis and recurrence of ureteropelvic junction obstruction (UPJO). Methods The correlation of these variables with the prognosis and recurrence risks was analyzed by binary and multivariate logistic regression. Besides, a nomogram was constructed based on the multivariate logistic regression calculation. After the model was verified by the C-statistic, the ROC curve was plotted to evaluate the sensitivity of the model. Finally, the decision curve analysis (DCA) was conducted to estimate the clinical benefits and losses of intervention measures under a series of risk thresholds. Results Preoperative automated peritoneal dialysis (APD), preoperative urinary tract infection (UTI), preoperative renal parenchymal thickness (RPT), Mayo adhesive probability (MAP) score, and surgeon proficiency were the high-risk factors for the prognosis and recurrence of UPJO. In addition, a nomogram was constructed based on the above 5 variables. The area under the curve (AUC) was 0.8831 after self cross-validation, which validated that the specificity of the model was favorable. Conclusion The column chart constructed by five factors has good predictive ability for the prognosis and recurrence of UPJO, which may provide more reasonable guidance for the clinical diagnosis and treatment of this disease.","PeriodicalId":510143,"journal":{"name":"Frontiers in Pediatrics","volume":"31 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140752604","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}

引用次数: 0

Editorial: Family-centered care in pediatric and neonatal critical care settings 社论：儿科和新生儿重症监护环境中以家庭为中心的护理

Frontiers in Pediatrics Pub Date : 2024-03-28 DOI: 10.3389/fped.2024.1402948

Jos M. Latour, Janet E. Rennick, Agnes van den Hoogen

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Commentary: Risk factors and early markers for echovirus type 11 associated haemorrhage-hepatitis syndrome in neonates, a retrospective cohort study 评论：一项回顾性队列研究：新生儿埃可病毒 11 型相关出血-肝炎综合征的风险因素和早期标志物

Frontiers in Pediatrics Pub Date : 2024-03-25 DOI: 10.3389/fped.2024.1338097

H. al-Hello, S. Blomqvist, C. Savolainen‐Kopra

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Editorial: Pediatric acute lymphoblastic leukemia: what's next? 社论：小儿急性淋巴细胞白血病：下一步该怎么办？

Frontiers in Pediatrics Pub Date : 2024-01-10 DOI: 10.3389/fped.2023.1358139

J. V. Gil, J. Ribera, M. Llop

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Corrigendum: PCRRT Expert Committee ICONIC position paper on prescribing kidney replacement therapy in critically sick children with acute liver failure. 勘误表:PCRRT专家委员会关于急性肝功能衰竭重症患儿肾替代治疗处方的标志性立场文件。

IF 2.6

Frontiers in Pediatrics Pub Date : 2022-08-12 eCollection Date: 2022-01-01 DOI: 10.3389/fped.2022.1002287

Rupesh Raina, Sidharth K Sethi, Guido Filler, Shina Menon, Aliza Mittal, Amrit Khooblall, Prajit Khooblall, Ronith Chakraborty, Harsha Adnani, Nina Vijayvargiya, Sharon Teo, Girish Bhatt, Lee Jin Koh, Chebl Mourani, Marcelo de Sousa Tavares, Khalid Alhasan, Michael Forbes, Maninder Dhaliwal, Veena Raghunathan, Dieter Broering, Azmeri Sultana, Giovanni Montini, Patrick Brophy, Mignon McCulloch, Timothy Bunchman, Hui Kim Yap, Rezan Topalglu, Maria Díaz-González de Ferris

引用次数: 0