Current pediatrics reports最新文献_第8页

Welcoming Healthcare Into Our Virtual Meeting Rooms: Perspective and Perseverance in Pediatric Rheumatology. 欢迎医疗保健进入我们的虚拟会议室:儿科风湿病学的观点和毅力。

Current pediatrics reports Pub Date : 2021-01-01 Epub Date: 2021-10-04 DOI: 10.1007/s40124-021-00252-x

Mary M Eckert, Natalie L Rosenwasser, Stephen C Wong

引用次数: 1

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, 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","doi":"10.1007/s40124-021-00242-z","DOIUrl":"https://doi.org/10.1007/s40124-021-00242-z","url":null,"abstract":"Purpose of review: To present the implementation of a telemedicine project (TeleICU) in pediatric intensive care units (ICU) throughout different Brazilian regions.Recent findings: 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.Summary: 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.Supplementary information: The online version contains supplementary material available at 10.1007/s40124-021-00242-z.","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

The Role of Telemedicine in Child and Adolescent Healthcare in India. 远程医疗在印度儿童和青少年保健中的作用。

Current pediatrics reports Pub Date : 2021-01-01 Epub Date: 2021-10-08 DOI: 10.1007/s40124-021-00253-w

Preeti M Galagali, Sreyoshi Ghosh, Hemant Bhargav

{"title":"The Role of Telemedicine in Child and Adolescent Healthcare in India.","authors":"Preeti M Galagali, Sreyoshi Ghosh, Hemant Bhargav","doi":"10.1007/s40124-021-00253-w","DOIUrl":"https://doi.org/10.1007/s40124-021-00253-w","url":null,"abstract":"Purpose of review: We highlight the evolution and use of telemedicine in child and adolescent healthcare in India, in pre and post pandemic eras.Recent findings: The latest research endorses telemedicine as a successful strategy in resource-limited settings to provide accessible and equitable healthcare.Summary: Telemedicine was initiated in India in 2001. The pandemic restrictions resulted in an increase in its use. The national telemedicine and telepsychiatry guidelines facilitated and enabled its widespread use. Telehealth was used by private and public health establishments, in urban, rural, and remote areas. It was used for triaging cases; managing and monitoring COVID patients in home isolation, in non-COVID medical and psychiatric care, and follow-up; continuing medical education; and health promotion strategies like teleyoga. The shortcomings included inability to provide privacy and confidentiality, perform physical examination, and provide emergency care. Most patients and their caregivers expressed satisfaction with telehealth services. Telemedicine is likely to become an integral part of healthcare services in the post pandemic era.","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":" ","pages":"154-161"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8499609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39512707","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: 10

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":"Purpose of review: 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).Recent findings: 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.Summary: 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.","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

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

引用次数: 2

The Expansion of Pediatric Care Through Digital Technology. 通过数字技术扩展儿科护理。

Current pediatrics reports Pub Date : 2021-01-01 Epub Date: 2021-10-02 DOI: 10.1007/s40124-021-00250-z

Yolanda N Evans, Evelyn Eisenstein

引用次数: 3

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

引用次数: 1

The Basics of Ventilator Waveforms. 通风机波形基础。

Current pediatrics reports Pub Date : 2021-01-01 Epub Date: 2021-01-05 DOI: 10.1007/s40124-020-00235-4

Elizabeth Emrath

引用次数: 6

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, Thomas J Connors","doi":"10.1007/s40124-020-00234-5","DOIUrl":"https://doi.org/10.1007/s40124-020-00234-5","url":null,"abstract":"Purpose of review: Detail normal adaptive immune maturation during fetal and neonatal life and review the clinical implications of arrested immune development.Recent findings: 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 in utero immune development. Disruption of immune maturation due to premature birth may have significant implications for clinical pathology.Summary: 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.","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