Archives of pediatrics & adolescent medicine最新文献

{"title":"Reflections of grand tetons, grand teton national park, wyoming.","authors":"","doi":"10.1001/archpediatrics.2012.1751","DOIUrl":"https://doi.org/10.1001/archpediatrics.2012.1751","url":null,"abstract":"","PeriodicalId":8310,"journal":{"name":"Archives of pediatrics & adolescent medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpediatrics.2012.1751","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31495258","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}

{"title":"Picture of the month: diagnosis: infantile fibrosarcoma.","authors":"Jennifer T Huang","doi":"10.1001/archpedi.166.9.864","DOIUrl":"https://doi.org/10.1001/archpedi.166.9.864","url":null,"abstract":"","PeriodicalId":8310,"journal":{"name":"Archives of pediatrics & adolescent medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpedi.166.9.864","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30878226","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}

{"title":"Is there a \"bright future\" for another screening test in pediatrics?: comment on: \"the parenting responsibility and emotional preparedness (PREP) screening tool\".","authors":"Peter F Belamarich","doi":"10.1001/archpediatrics.2012.762","DOIUrl":"https://doi.org/10.1001/archpediatrics.2012.762","url":null,"abstract":"","PeriodicalId":8310,"journal":{"name":"Archives of pediatrics & adolescent medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpediatrics.2012.762","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30816468","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}

{"title":"Trends in competitive venue beverage availability: findings from US secondary schools.","authors":"Yvonne M Terry-McElrath, Lloyd D Johnston, Patrick M O'Malley","doi":"10.1001/archpediatrics.2012.716","DOIUrl":"https://doi.org/10.1001/archpediatrics.2012.716","url":null,"abstract":"","PeriodicalId":8310,"journal":{"name":"Archives of pediatrics & adolescent medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpediatrics.2012.716","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30816473","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}

{"title":"Mt Adams as seen from the shore of Takhlakh Lake, Randle, Washington. July 2010.","authors":"","doi":"10.1001/archpediatrics.2012.1483","DOIUrl":"https://doi.org/10.1001/archpediatrics.2012.1483","url":null,"abstract":"","PeriodicalId":8310,"journal":{"name":"Archives of pediatrics & adolescent medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpediatrics.2012.1483","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31495523","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}

{"title":"Presentations and outcomes of children with intraventricular hemorrhages after blunt head trauma.","authors":"Richard Lichenstein,&nbsp;Todd F Glass,&nbsp;Kimberly S Quayle,&nbsp;Sandra L Wootton-Gorges,&nbsp;David H Wisner,&nbsp;Michelle Miskin,&nbsp;J Paul Muizelaar,&nbsp;Mohamed Badawy,&nbsp;Shireen Atabaki,&nbsp;James F Holmes,&nbsp;Nathan Kuppermann","doi":"10.1001/archpediatrics.2011.1919","DOIUrl":"https://doi.org/10.1001/archpediatrics.2011.1919","url":null,"abstract":"<p><strong>Objective: </strong>To describe the clinical presentations and outcomes of children with intraventricular hemorrhages (IVHs) after blunt head trauma (BHT).</p><p><strong>Design: </strong>Subanalysis of a large, prospective, observational cohort study performed from June 1, 2004, through September 31, 2006.</p><p><strong>Setting: </strong>Twenty-five emergency departments participating in the Pediatric Emergency Care Applied Research Network. Patients Children presenting with IVH after BHT. Exposure Blunt head trauma.</p><p><strong>Main outcome measures: </strong>Clinical presentations and outcomes, including the Pediatric Overall Performance Category (POPC) and Pediatric Cerebral Performance Category (PCPC) scores at hospital discharge.</p><p><strong>Results: </strong>Of 15 907 patients evaluated with computed tomography, 1156 (7.3%) had intracranial injuries. Forty-three of the 1156 (3.7%; 95% CI, 2.7%-5.0%) had nonisolated IVHs (ie, with intracranial injuries on computed tomography), and 10 of 1156 (0.9%; 95% CI, 0.4%-1.6%) had isolated IVHs. Only 4 of 43 (9.3%) of those with nonisolated IVHs had Glasgow Coma Scale (GCS) scores of 14 to 15, and all 10 (100.0%) with isolated IVHs had GCS scores of 15. No patients with isolated IVHs required neurosurgery or died. One patient had moderate overall disability (by the POPC score), and no patient had moderate or severe disability at discharge (by the PCPC score). Of the 43 patients with nonisolated IVHs, however, 16 (37.2%) died and 18 (41.9%) required neurosurgery. In 27 patients (62.8%), injuries ranged from moderate overall disability to brain death by the POPC score.</p><p><strong>Conclusions: </strong>Children with nonisolated IVHs after BHT typically present with GCS scores of less than 14, frequently require neurosurgery, and have high mortality rates. In contrast, those with isolated IVHs typically present with normal mental status and are at low risk for acute adverse events and poor outcomes.</p>","PeriodicalId":8310,"journal":{"name":"Archives of pediatrics & adolescent medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpediatrics.2011.1919","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30551514","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}

{"title":"Validation and refinement of a prediction rule to identify children at low risk for acute appendicitis.","authors":"Anupam B Kharbanda,&nbsp;Nanette C Dudley,&nbsp;Lalit Bajaj,&nbsp;Michelle D Stevenson,&nbsp;Charles G Macias,&nbsp;Manoj K Mittal,&nbsp;Richard G Bachur,&nbsp;Jonathan E Bennett,&nbsp;Kelly Sinclair,&nbsp;Craig Huang,&nbsp;Peter S Dayan","doi":"10.1001/archpediatrics.2012.490","DOIUrl":"https://doi.org/10.1001/archpediatrics.2012.490","url":null,"abstract":"OBJECTIVE\u0000To validate and refine a clinical prediction rule to identify which children with acute abdominal pain are at low risk for appendicitis (Low-Risk Appendicitis Rule).\u0000\u0000\u0000DESIGN\u0000Prospective, multicenter, cross-sectional study.\u0000\u0000\u0000SETTING\u0000Ten pediatric emergency departments.\u0000\u0000\u0000PARTICIPANTS\u0000Children and adolescents aged 3 to 18 years who presented with suspected appendicitis from March 1, 2009, through April 30, 2010.\u0000\u0000\u0000MAIN OUTCOME MEASURES\u0000The test performance of the Low-Risk Appendicitis Rule.\u0000\u0000\u0000RESULTS\u0000Among 2625 patients enrolled, 1018 (38.8% [95% CI, 36.9%-40.7%]) had appendicitis. Validation of the rule resulted in a sensitivity of 95.5% (95% CI, 93.9%-96.7%), specificity of 36.3% (33.9%-38.9%), and negative predictive value of 92.7% (90.1%-94.6%). Theoretical application would have identified 573 (24.0%) as being at low risk, misclassifying 42 patients (4.5% [95% CI, 3.4%-6.1%]) with appendicitis. We refined the prediction rule, resulting in a model that identified patients at low risk with (1) an absolute neutrophil count of 6.75 × 103/μL or less and no maximal tenderness in the right lower quadrant or (2) an absolute neutrophil count of 6.75 × 103/μL or less with maximal tenderness in the right lower quadrant but no abdominal pain with walking/jumping or coughing. This refined rule had a sensitivity of 98.1% (95% CI, 97.0%-98.9%), specificity of 23.7% (21.7%-25.9%), and negative predictive value of 95.3% (92.3%-97.0%).\u0000\u0000\u0000CONCLUSIONS\u0000We have validated and refined a simple clinical prediction rule for pediatric appendicitis. For patients identified as being at low risk, clinicians should consider alternative strategies, such as observation or ultrasonographic examination, rather than proceeding to immediate computed tomographic imaging.","PeriodicalId":8310,"journal":{"name":"Archives of pediatrics & adolescent medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpediatrics.2012.490","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30814896","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}

{"title":"The parenting responsibility and emotional preparedness (PREP) screening tool: a 3-item screen that identifies teen mothers at high risk for nonoptimal parenting.","authors":"Robin Gaines Lanzi,&nbsp;Sharon Landesman Ramey,&nbsp;Shannon Carothers Bert","doi":"10.1001/archpediatrics.2012.143","DOIUrl":"https://doi.org/10.1001/archpediatrics.2012.143","url":null,"abstract":"<p><p>OBJECTIVE To test the ability of a 3-item screening tool (Parenting Responsibility and Emotional Preparedness [PREP]) to detect adolescent mothers at elevated risk for nonoptimal parenting and poor child development outcomes at 2 years of age. DESIGN A 4-site prospective cohort study conducted from December 2001 to August 2007 of adolescent mothers recruited in the third trimester of pregnancy and followed up at 4, 8, 18, and 24 months post partum. SETTING Community clinics and home settings in Birmingham, Alabama; Kansas City, Kansas and Missouri; South Bend, Indiana; and Washington, DC. PARTICIPANTS A total of 270 first-time adolescent mothers (aged 15-19 years) and their infants (birth to 2 years of age). MAIN EXPOSURES Naturalistic observations of parent-child interactions and quality of home environment during the first 2 years of life. OUTCOME MEASURES Maternal mental health and cognitive indicators, positive mother-child interactions, quality of home environment, child social-emotional development, and child cognitive development (Bayley scales). RESULTS PREP scores identified adolescent mothers with significantly elevated depressive symptoms and childhood trauma and lower scores of knowledge of infant development and maternal IQ. PREP predicted significantly lower quality of home environments and higher levels of nonoptimal mother-child interactions at 4, 8, and 18 months. PREP also predicted significantly lower child outcomes at 2 years of age for cognitive scores and higher levels of depressive and withdrawal symptoms and dysregulation and negative emotionality. CONCLUSIONS PREP is a low-cost, easily administered, nonstigmatizing screening tool that identifies adolescent mothers who self-recognize that they need help to meet their infants' social, emotional, and cognitive needs.</p>","PeriodicalId":8310,"journal":{"name":"Archives of pediatrics & adolescent medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpediatrics.2012.143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30814897","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}

{"title":"Disparities in health care: lack of equity arising from overuse (and vice versa).","authors":"M Denise Dowd","doi":"10.1001/archpediatrics.2012.1039","DOIUrl":"https://doi.org/10.1001/archpediatrics.2012.1039","url":null,"abstract":"","PeriodicalId":8310,"journal":{"name":"Archives of pediatrics & adolescent medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpediatrics.2012.1039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30816471","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}

{"title":"Picture of the month-quiz case. Early congenital syphilis.","authors":"Clara Rodriguez-Caruncho,&nbsp;M Jose Fuente,&nbsp;Isabel Bielsa,&nbsp;M Teresa Fernandez-Figueras,&nbsp;Carlos Rodrigo,&nbsp;Carlos Ferrándiz","doi":"10.1001/archpediatrics.2012.503b","DOIUrl":"https://doi.org/10.1001/archpediatrics.2012.503b","url":null,"abstract":"A 2-MONTH-OLD BOY WAS ADMITTED TO OUR hospital because of a 4-day history of fever, cough, purulent nasal discharge, and skin lesions. The patient had been born via spontaneous vaginal delivery at 39 weeks’ gestation, and he was apparently normal at birth, excluding low weight (2500 kg). However, his mother had not received any prenatal care; therefore, a maternal laboratory evaluation was carried out just before delivery. Her serologic results for hepatitis B and hepatitis C, toxoplasma, and the rapid plasma reagin (RPR) test for syphilis were negative, but serology for human immunodeficiency virus (HIV) was positive. This maternal HIV infection was not previously known. Diagnosis of HIV in the neonate was then confirmed by DNA detection (polymerase chain reaction), and antiretroviral treatment was started. Physical examination revealed a blood-tinged nasal discharge, upper respiratory tract noises, and palpable hepatosplenomegaly. Erythematous to copper-red macules and papules were distributed over the trunk and extremities, including the palms and soles (Figure 1). Many lesions had peripheral or concentric desquamation. Fissures were seen on the lips (Figure 2). Laboratory investigation showed anemia (hemoglobin, 7.1 g/dL [to convert to grams per liter, multiply by 10.0]; reference range, 14-18 g/dL; and hematocrit, 20.7% [to convert to proportion of 1.0, multiply by 0.01]; reference range, 42-52%), and some schistocytes were seen in the peripheral blood smear. Platelet count was normal. Results from a Coombs test were negative. The results from the patient’s liver and renal function tests were normal. A chest radiography showed no alterations. A skin biopsy was taken from a lesion on the leg. What is your diagnosis? Author Affiliations: Departments of Dermatology (Drs Rodriguez-Caruncho, Fuente, Bielsa, and Ferrándiz), Pathology (Dr Fernandez-Figueras), and Pediatrics (Dr Rodrigo), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.","PeriodicalId":8310,"journal":{"name":"Archives of pediatrics & adolescent medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30816470","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}