American journal of diseases of children (1960)最新文献_第10页

Perinatal acute scrotum: controversies in the management of torsion of the testis. 围产期急性阴囊:睾丸扭转处理的争议。

American journal of diseases of children (1960) Pub Date : 1993-09-01 DOI: 10.1001/archpedi.1993.02160330023008

M S Schimmel, O Prat

引用次数: 1

Radiological case of the month. Malignant ovarian germ cell tumor. 本月放射学病例。恶性卵巢生殖细胞瘤。

American journal of diseases of children (1960) Pub Date : 1993-09-01

B C Jacobs, B P Wood

引用次数: 0

Radiological case of the month. Choledochal cyst. 本月放射学病例。胆总管的囊肿。

American journal of diseases of children (1960) Pub Date : 1993-09-01

J H Clark, K W Megow, B P Wood

引用次数: 0

Thyrotoxicosis presenting with seizures and coma in two children. 两名儿童甲状腺毒症表现为癫痫发作和昏迷。

American journal of diseases of children (1960) Pub Date : 1993-09-01 DOI: 10.1001/archpedi.1993.02160330015002

G Radetti, B Dordi, G Mengarda, I Biscaldi, D Larizza, F Severi

引用次数: 20

Hyponatremia and water intoxication. 低钠血症和水中毒。

American journal of diseases of children (1960) Pub Date : 1993-09-01 DOI: 10.1001/archpedi.1993.02160330022006

S Furth, F A Oski

引用次数: 6

Acquired subglottic cysts in the low-birth-weight infant. Characteristics, treatment, and outcome. 低出生体重儿的获得性声门下囊肿。特点、治疗和结果。

American journal of diseases of children (1960) Pub Date : 1993-09-01 DOI: 10.1001/archpedi.1993.02160330061020

G J Downing, L K Hayen, H W Kilbride

{"title":"Acquired subglottic cysts in the low-birth-weight infant. Characteristics, treatment, and outcome.","authors":"G J Downing, L K Hayen, H W Kilbride","doi":"10.1001/archpedi.1993.02160330061020","DOIUrl":"https://doi.org/10.1001/archpedi.1993.02160330061020","url":null,"abstract":"Objective: To provide a descriptive summary of characteristics, including demographics, symptoms, risk factors, and outcome of acquired subglottic cysts identified in the neonatal period.Design: Patient series.Setting: A tertiary neonatal care unit and referral neonatal follow-up clinic.Participants: One hundred seventy-four preterm infants undergoing flexible bronchoscopy, 21 (12%) referred for airway evaluation because of symptoms and 153 (88%) examined consecutively following 7 days or more of endotracheal intubation.Intervention: None.Measurements/results: Subglottic cysts were identified in 11 (7.2%) of 153 preterm infants examined prospectively at discharge from the neonatal intensive care unit after prolonged intubation and two (10%) of 21 infants referred for airway evaluation. Infants with subglottic cysts were extremely preterm (mean +/- SEM gestation, 26.7 +/- 0.5 weeks) and very low birth weight (894.6 +/- 64.6 g). The mean duration of intubation was 28.5 +/- 5.0 days. Most infants, particularly those with large cysts, were symptomatic with stridor, hoarseness, or obstructive apnea. In two cases, airway symptoms began after discharge from the neonatal intensive care unit. Ten (91%) of the 11 patients were discharged receiving home oxygen. Generally, multiple cysts were present in the subglottic space, most prominently located in the posterior aspect of the trachea. Three of five patients with large cysts received a tracheostomy. Two additional patients had surgical marsupialization of the cysts, and six others experienced resolution without treatment. One patient with large cysts died of viral pneumonia 10 months after surgical intervention. An additional patient with large cysts died before surgical intervention secondary to chronic lung disease and cor pulmonale. All surviving infants had resolution of signs of airway obstruction and 10 of the 11 did not require supplemental oxygen or have symptoms of chronic pulmonary disease at age 1 year.Conclusion: Intubation-acquired subglottic mucous cysts in the neonate may occur more commonly than was previously recognized. Symptoms of this lesion may mimic features of chronic lung disease. Early identification of the cysts with flexible bronchoscopy is important since airway compromise may progress and surgical intervention may be lifesaving.","PeriodicalId":75474,"journal":{"name":"American journal of diseases of children (1960)","volume":"147 9","pages":"971-4"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpedi.1993.02160330061020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19349831","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: 36

Do primary care physicians prefer dictated or computer-generated discharge summaries? 初级保健医生更喜欢听写的出院摘要还是电脑生成的出院摘要?

American journal of diseases of children (1960) Pub Date : 1993-09-01 DOI: 10.1001/archpedi.1993.02160330076024

J E Brazy, D L Langkamp, N D Brazy, R F De Luna

{"title":"Do primary care physicians prefer dictated or computer-generated discharge summaries?","authors":"J E Brazy, D L Langkamp, N D Brazy, R F De Luna","doi":"10.1001/archpedi.1993.02160330076024","DOIUrl":"https://doi.org/10.1001/archpedi.1993.02160330076024","url":null,"abstract":"Objective: To determine the preference of primary care physicians for computer-generated vs dictated discharge summaries from a neonatal intensive care unit.Design: Survey mailed to primary care physicians.Setting: Regional referral area of a level III neonatal intensive care unit.Participants: Pediatricians and family medicine physicians caring for infants discharged from the neonatal intensive care unit.Results: Of 58 questionnaires sent, 45 (78%) were returned. Overall, 33 physicians (73%) either strongly or mildly preferred the computer-generated discharge summary; eight (18%) had no preference; and four (9%) preferred the dictated discharge summary (P < .001). The category of strongest preference was relevance of information for continued patient care. Preference for type of discharge summary was not significantly influenced by time in practice, type of practice, preference to read or scan summaries, or frequency of computer use.Conclusion: Primary care physicians prefer computed-generated discharge summaries to dictated discharge summaries.","PeriodicalId":75474,"journal":{"name":"American journal of diseases of children (1960)","volume":"147 9","pages":"986-8"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpedi.1993.02160330076024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19349835","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: 25

On Tiny Tim, Charles Dickens, and pediatrics. 小提姆，查尔斯·狄更斯，小儿科。

American journal of diseases of children (1960) Pub Date : 1993-08-01 DOI: 10.1001/archpedi.1993.02160320019007

H Markel

引用次数: 0

Food-induced bleeding from lymphonodular hyperplasia of the colon. 由结肠淋巴肿大引起的食物性出血。

American journal of diseases of children (1960) Pub Date : 1993-08-01 DOI: 10.1001/archpedi.1993.02160320023012

F Gottrand, T Erkan, D Turck, J P Farriaux, Y Dejobert, M Lecomte-Houcke

引用次数: 14

Analysis of a large kindred with Blau syndrome for HLA, autoimmunity, and sarcoidosis. HLA、自身免疫和结节病Blau综合征一大亲缘分析。

American journal of diseases of children (1960) Pub Date : 1993-08-01 DOI: 10.1001/archpedi.1993.02160320044017

S A Raphael, E B Blau, W H Zhang, S H Hsu

{"title":"Analysis of a large kindred with Blau syndrome for HLA, autoimmunity, and sarcoidosis.","authors":"S A Raphael, E B Blau, W H Zhang, S H Hsu","doi":"10.1001/archpedi.1993.02160320044017","DOIUrl":"https://doi.org/10.1001/archpedi.1993.02160320044017","url":null,"abstract":"Objective: To determine whether HLA and autoimmunity contribute to the pathogenesis of Blau syndrome (familial granulomatous arthritis, uveitis, and rash) and evaluate whether this condition is related to sarcoidosis.Design: Large family survey.Setting: General community, Green Bay, Wis, and two tertiary care medical centers in Philadelphia, Pa.Participants: Thirty-six family members and spouses from a large kindred with Blau syndrome.Selection procedures: Volunteer and convenience sample.Interventions: None.Measurements and results: Ten affected and many unaffected subjects were personally examined. Medical records and previous biopsy reports and specimens, when available, were reviewed. Two affected subjects had skin biopsies performed and three affected adult subjects were tested with Kveim skin-test reagent. Serologic and genomic class I and class II HLA typing was performed on 27 affected and unaffected subjects. All 13 living affected subjects and the one obligate carrier had the following assays performed; antinuclear antibody titer, rheumatoid factor, serum angiotensin converting enzyme level, quantitative immunoglobulins of the IgG, IgM, and IgA classes, and clinical chemistry profiles. Several had complete blood cell counts and erythrocyte sedimentation rates performed. Four affected subjects, one possibly affected subject, and one obligate carrier were newly identified. Flexion contractures of the fingers and toes (camptodactyly) were found, for the first time, to be a phenotype characteristic. Earlier onset and worsening of symptoms in succeeding generations (anticipation) were observed. Sixteen HLA haplotypes were identified. No conclusive evidence for linkage between these haplotypes and phenotype expression could be demonstrated. All 13 affected subjects, however, carried the DR2 (DR beta 1*1501) and/or DR4 (DR beta 1*0401) allele. There was no evidence of hypercalcemia, hypergammaglobulinemia M, rheumatoid factor production, or abnormal blood cell counts. Two affected subjects had low-titer antinuclear antibody screening tests, five had mild to moderately elevated IgG and/or IgA levels, two had raised serum angiotensin converting enzyme levels, and three had mild elevation of the erythrocyte sedimentation rate. All three subjects tested with Kveim skin-test reagent showed no reactivity by visual inspection. Both subjects who had had skin biopsies performed had evidence of granulomatous inflammation.Conclusions: This family's illness is distinct from both classic and early-onset sarcoidosis. There is minimal evidence for autoimmunity and systemic inflammation. Camptodactyly should be added to the list of syndrome-defining characteristics. Although HLA haplotypes do not appear to segregate with affected subjects, HLA-DR2 and HLA-DR4 subtypes may pl","PeriodicalId":75474,"journal":{"name":"American journal of diseases of children (1960)","volume":"147 8","pages":"842-8"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpedi.1993.02160320044017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19378698","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: 58