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Telemedicine in Pediatric Intensive Care Units: Perspectives From a Brazilian Experience. 儿科重症监护病房的远程医疗:来自巴西经验的观点。
Current pediatrics reports Pub Date : 2021-01-01 Epub Date: 2021-07-12 DOI: 10.1007/s40124-021-00242-z
Vanessa Cristina Jacovas, Maria Eulália Vinadé Chagas, Hilda Maria Rodrigues Moleda Constant, Suelen Stihl Alves, João Ronaldo Mafalda Krauzer, Luciano Remião Guerra, Aristóteles de Almeida Pires, Luciane Gomes da Cunha, Maria Cristina Cotta Matte, Taís de Campos Moreira, Felipe Cezar Cabral
{"title":"Telemedicine in Pediatric Intensive Care Units: Perspectives From a Brazilian Experience.","authors":"Vanessa Cristina Jacovas,&nbsp;Maria Eulália Vinadé Chagas,&nbsp;Hilda Maria Rodrigues Moleda Constant,&nbsp;Suelen Stihl Alves,&nbsp;João Ronaldo Mafalda Krauzer,&nbsp;Luciano Remião Guerra,&nbsp;Aristóteles de Almeida Pires,&nbsp;Luciane Gomes da Cunha,&nbsp;Maria Cristina Cotta Matte,&nbsp;Taís de Campos Moreira,&nbsp;Felipe Cezar Cabral","doi":"10.1007/s40124-021-00242-z","DOIUrl":"https://doi.org/10.1007/s40124-021-00242-z","url":null,"abstract":"<p><strong>Purpose of review: </strong>To present the implementation of a telemedicine project (TeleICU) in pediatric intensive care units (ICU) throughout different Brazilian regions.</p><p><strong>Recent findings: </strong>Although telemedicine in pediatric ICUs has shown evidence of benefit in numerous studies with potential to 18 mitigate existing disparities, in Brazil, its use is still under development. Brazil has several opportunities for implementing this resource since, according to the National Registry of Healthcare 20 Establishments (NRHE), there is a discrepancy in the density of pediatric intensive care physicians per patient and the availability 21 of pediatric ICU beds per number of inhabitants.</p><p><strong>Summary: </strong>Health technologies are being widely used to fill gaps in the healthcare system. Telemedicine has been an important tool to meet demands in intensive care units, especially the demand for specialized assistance. TeleICU is a Brazilian model of telemedicine that performs multidisciplinary telerounds in remote pediatric ICUs and develops continuing education activities for the healthcare teams. The project aims to systematize and to qualify care, as well as to reduce risks for patients admitted to pediatric ICUs engaged in the project. Preliminary results have demonstrated a positive impact regarding this approach, providing medical care to 6640 inpatients-day in two Brazilian pediatric ICUs, for 616 patients during 946 daily telerounds.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s40124-021-00242-z.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"9 3","pages":"65-71"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-021-00242-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39196410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Current Insights Into the Pathophysiology of Multisystem Inflammatory Syndrome in Children. 对儿童多系统炎症综合征病理生理学的最新见解。
IF 3.6
Current pediatrics reports Pub Date : 2021-01-01 Epub Date: 2021-10-19 DOI: 10.1007/s40124-021-00257-6
Laura A Vella, Anne H Rowley
{"title":"Current Insights Into the Pathophysiology of Multisystem Inflammatory Syndrome in Children.","authors":"Laura A Vella, Anne H Rowley","doi":"10.1007/s40124-021-00257-6","DOIUrl":"10.1007/s40124-021-00257-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>We highlight the new clinical entity multisystem inflammatory syndrome in children (MIS-C), the progress in understanding its immunopathogenesis, and compare and contrast the clinical and immunologic features of MIS-C with Kawasaki disease (KD).</p><p><strong>Recent findings: </strong>Studies show immune dysregulation in MIS-C including T lymphocyte depletion and activation, T cell receptor Vbeta skewing, elevated plasmablast frequencies, increased markers of vascular pathology, and decreased numbers and functional profiles of antigen-presenting cells.</p><p><strong>Summary: </strong>MIS-C is a late manifestation of infection with SARS-CoV-2 associated with marked immune activation and many potential mechanisms of immunopathogenesis. MIS-C and KD have clinical similarities but are distinct. Myocardial dysfunction with or without mild coronary artery dilation can occur in MIS-C but generally corrects within weeks. In contrast, the coronary arteries are the primary target in KD, and coronary artery sequelae can be lifelong. Supportive care and anti-inflammatory therapy appear to hasten improvement in children with MIS-C, and there is hope that vaccines will prevent its development.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"9 4","pages":"83-92"},"PeriodicalIF":3.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8524214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Where There Is (No) Smoke, There Is Still Fire: a Review of Trends, Reasons for Use, Preferences and Harm Perceptions of Adolescent and Young Adult Electronic Cigarette Use. 哪里有(没有)烟，哪里仍有火:对青少年和年轻人使用电子烟的趋势、使用原因、偏好和危害认知的回顾。
Current pediatrics reports Pub Date : 2021-01-01 Epub Date: 2021-05-10 DOI: 10.1007/s40124-021-00240-1
Priya Sarin Gupta, Kelly M Kalagher
{"title":"Where There Is (No) Smoke, There Is Still Fire: a Review of Trends, Reasons for Use, Preferences and Harm Perceptions of Adolescent and Young Adult Electronic Cigarette Use.","authors":"Priya Sarin Gupta,&nbsp;Kelly M Kalagher","doi":"10.1007/s40124-021-00240-1","DOIUrl":"https://doi.org/10.1007/s40124-021-00240-1","url":null,"abstract":"<p><strong>Purpose of the review: </strong>To review the current prevalence, trends, perceptions, and effects of e-cigarette or vaping product use associated lung injury (EVALI) on e-cigarette use among US adolescents and young adults.</p><p><strong>Recent findings: </strong>COVID-19 diagnosis was more likely among the current/ever dual cigarette and e-cigarettes users, as well as ever e-cigarette only users. Additionally, the EVALI outbreak may have influenced harm perceptions, as daily nicotine vaping declined significantly from 2019 to 2020, and more youth and young adults perceived vaping as harmful.</p><p><strong>Summary: </strong>The prevalence of e-cigarette use, specifically flavored use, remains high among adolescents and young adults, which is concerning due to the short-term and unknown long-term effects of e-cigarettes and their association with future cigarette and other substance use.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"9 3","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-021-00240-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38988187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Overview of Telemedicine Services in Mongolia. 蒙古远程医疗服务概况。
Current pediatrics reports Pub Date : 2021-01-01 Epub Date: 2021-07-09 DOI: 10.1007/s40124-021-00245-w
D Enkhmaa, B Munkhuu, T Baatar, J Purevsuren, E Minjuur, G Luuzanbadam, R MacKenzie, D Warburton, Sh Enkhtur
{"title":"Overview of Telemedicine Services in Mongolia.","authors":"D Enkhmaa,&nbsp;B Munkhuu,&nbsp;T Baatar,&nbsp;J Purevsuren,&nbsp;E Minjuur,&nbsp;G Luuzanbadam,&nbsp;R MacKenzie,&nbsp;D Warburton,&nbsp;Sh Enkhtur","doi":"10.1007/s40124-021-00245-w","DOIUrl":"https://doi.org/10.1007/s40124-021-00245-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>To highlight some achievements made through usage of telecommunication technologies in Mongolia as an example of a developing country with remote areas.</p><p><strong>Recent findings: </strong>Telemedicine can be implemented not only for remote monitoring, diagnosing, and treating purposes but also can be effectively used for delivering knowledge and consultation services via modern technologies.</p><p><strong>Summary: </strong>Tele-health services can be successfully added to the traditional approach of physicians, especially in the countries with a vast territory with distant areas.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"9 3","pages":"77-82"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-021-00245-w","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39181076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
How Do you Focus on Quality of Life When Kids Cannot Go to School or Outside? 当孩子不能上学或外出时，你如何关注生活质量?
Current pediatrics reports Pub Date : 2021-01-01 Epub Date: 2021-03-12 DOI: 10.1007/s40124-021-00238-9
Teresa Vente
{"title":"How Do you Focus on Quality of Life When Kids Cannot Go to School or Outside?","authors":"Teresa Vente","doi":"10.1007/s40124-021-00238-9","DOIUrl":"https://doi.org/10.1007/s40124-021-00238-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>This paper seeks to explore the definitions of quality of life and its application to pediatric research and clinical practice. This paper also highlights some of the imperfections in evaluating patient-reported outcomes designed to measure quality of life in pediatrics. Additionally, this paper explores some of the unique challenges in promoting quality of life during the COVID-19 pandemic.</p><p><strong>Recent findings: </strong>There are numerous different measurement scales to examine quality of life in children of different ages, and with a variety of disease states.</p><p><strong>Summary: </strong>Despite the number of quality of life measurement tools, not every patient population has a validated measure, including patients with palliative care needs. There is no consensus on how to incorporate findings from patient-reported outcomes into clinical practice recommendations. Professional organizations offer guidance and resources for families to encourage focus on quality of life during the COVID-19 pandemic.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"9 2","pages":"37-45"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-021-00238-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25485651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Impact and Clinical Implications of Prematurity on Adaptive Immune Development. 早产对适应性免疫发育的影响及临床意义。
Current pediatrics reports Pub Date : 2020-12-01 Epub Date: 2020-10-26 DOI: 10.1007/s40124-020-00234-5
Emma Idzikowski, Thomas J Connors
{"title":"Impact and Clinical Implications of Prematurity on Adaptive Immune Development.","authors":"Emma Idzikowski,&nbsp;Thomas J Connors","doi":"10.1007/s40124-020-00234-5","DOIUrl":"https://doi.org/10.1007/s40124-020-00234-5","url":null,"abstract":"<p><strong>Purpose of review: </strong>Detail normal adaptive immune maturation during fetal and neonatal life and review the clinical implications of arrested immune development.</p><p><strong>Recent findings: </strong>Advancements in the field of immunology have enabled investigations of the adaptive immunity starting during fetal life. New insights have drawn important distinctions between the neonatal and adult immune systems. The presence of diverse immunologic responses in the perinatal period suggests the importance of <i>in utero</i> immune development. Disruption of immune maturation due to premature birth may have significant implications for clinical pathology.</p><p><strong>Summary: </strong>Establishing protective adaptive immunity during the perinatal period is critical for effective immune responses later in life. Preterm infants are susceptible to aberrant immune system maturation and inflammatory immune responses have been associated with the development of necrotizing enterocolitis (NEC) and bronchopulmonary dysplasia (BPD). Improving our understanding of how immune responses contribute to the pathogenesis of NEC and BPD may offer new opportunities for future treatment and prevention of these diseases.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"8 4","pages":"194-201"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-020-00234-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25539472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Current Practices and Updates in Neonatal Resuscitation 当前新生儿复苏的实践和更新
Current pediatrics reports Pub Date : 2020-10-23 DOI: 10.1007/s40124-020-00232-7
Evelyne Magali St. John Sutton, Scarlett Mckinsey
{"title":"Current Practices and Updates in Neonatal Resuscitation","authors":"Evelyne Magali St. John Sutton, Scarlett Mckinsey","doi":"10.1007/s40124-020-00232-7","DOIUrl":"https://doi.org/10.1007/s40124-020-00232-7","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"8 1","pages":"209 - 217"},"PeriodicalIF":0.0,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-020-00232-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42689181","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
How Should the Preterm Infant Grow? 早产儿应该如何成长？
Current pediatrics reports Pub Date : 2020-10-17 DOI: 10.1007/s40124-020-00233-6
F. Greer, Sally Norlin, I. Olsen
{"title":"How Should the Preterm Infant Grow?","authors":"F. Greer, Sally Norlin, I. Olsen","doi":"10.1007/s40124-020-00233-6","DOIUrl":"https://doi.org/10.1007/s40124-020-00233-6","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"8 1","pages":"202 - 208"},"PeriodicalIF":0.0,"publicationDate":"2020-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-020-00233-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48382988","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: 1
Pediatric Palliative Care and the PICU: Where We Have Been and Where We Are Going 儿科姑息治疗和PICU：我们去过哪里，我们要去哪里
Current pediatrics reports Pub Date : 2020-09-22 DOI: 10.1007/s40124-020-00230-9
Kathryn Palumbo, Monica L Koncicki
{"title":"Pediatric Palliative Care and the PICU: Where We Have Been and Where We Are Going","authors":"Kathryn Palumbo, Monica L Koncicki","doi":"10.1007/s40124-020-00230-9","DOIUrl":"https://doi.org/10.1007/s40124-020-00230-9","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"8 1","pages":"176 - 183"},"PeriodicalIF":0.0,"publicationDate":"2020-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-020-00230-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43120568","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
Neurodevelopmental Outcomes in Congenital Heart Disease: A Review 先天性心脏病的神经发育结局:综述
Current pediatrics reports Pub Date : 2020-09-21 DOI: 10.1007/s40124-020-00229-2
J. Milillo, Adnan M. Bakar
{"title":"Neurodevelopmental Outcomes in Congenital Heart Disease: A Review","authors":"J. Milillo, Adnan M. Bakar","doi":"10.1007/s40124-020-00229-2","DOIUrl":"https://doi.org/10.1007/s40124-020-00229-2","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"8 1","pages":"170 - 175"},"PeriodicalIF":0.0,"publicationDate":"2020-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-020-00229-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42732202","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: 6
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