Ventricular size measurement methods in fetuses considered for prenatal closure of myelomeningocele.

Objective: Prenatal closure of myelomeningocele is associated with a reduced rate of hydrocephalus treatment. This need for hydrocephalus treatment is positively correlated with fetal ventricular width. When ventricular width is 15 mm or greater, the benefits of prenatal closure, as a method to decrease hydrocephalus treatment, are reduced.

Fractures Presumed to Be Low Risk for Abuse in Young Mobile Children: Association With Concomitant Suspicious Injuries.

Objectives: To evaluate the likelihood of abuse for various fractures, we aimed to compare the prevalence of concomitant suspicious injuries (CSIs) in subjects with fractures presumed to be low risk for abuse to those with non-low-risk fractures (aim 1) and to evaluate the prevalence of low-risk and non-low-risk fractures identified on skeletal survey (SS) (aim 2).

Methods: Subjects included toddlers 9 to 23 months of age presenting to a children's hospital system with a fracture and having an SS completed (aim 1) as well as those who had an SS completed for any concern for abuse (aim 2). For aim 1, we performed a 5-year retrospective case-control study.

Imaging of pediatric pelvic neoplasms.

Pediatric pelvic neoplasms, although relatively uncommon, are often difficult to evaluate and characterize with imaging, due to their overlapping appearances. This article discusses key clinical features and imaging findings that help limit the differential diagnosis of pediatric pelvic neoplasms. Testicular, ovarian, uterine, and bladder masses are included in addition to sacrococcygeal teratoma.

Rare combination of frontonasal and bilateral naso-orbital encephaloceles.

Encephaloceles, while a common entity affecting 1:4000 live births, typically occur in the occipital region. Encephaloceles involving the frontal region comprise only 15% of all cases. Naso-orbital encephaloceles are rarely seen.

Reform's new realities.

Health care leaders who embrace reform's changes will be better positioned for success.

Occult cranial injuries found with neuroimaging in clinically asymptomatic young children due to abusive compared to accidental head trauma.

Objective: To compare occult brain injuries on neuroimaging in clinically asymptomatic children under 20 months due to abusive versus accidental head trauma.

Subjects And Methods: A retrospective review of 58 children under 20 months who underwent neuroimaging for possible abusive trauma was performed. The data collected were demographics, neurological signs/symptoms, imaging findings, and disposition (abusive or accidental).

Complying with the 2008 National Patient Safety Goals.

In 2003, the joint commission began publishing National Patient Safety Goals (NPSGs) and requiring accredited health care organizations to comply with these goals in an effort to reduce the number of medical errors. THE NPSGS are updated yearly with new requirements to promote specific improvements in patient safety. This article provides a review of the 2008 NPSGs and suggests ways in which information technology systems can address health care organizations' compliance with some of these goals.

Emerging technologies in the OR and their effect on perioperative professionals.

New and emerging technologies can help increase the quality of health care, but implementing these technologies in a perioperative setting can create many challenges. Practitioners need to be aware of premises underlying future trends in health care and the kinds of technological changes that they can expect. Robots, digital displays, patient tracking systems, artificial organs, and magnetic sensors are some of the emerging technologies that are changing the perioperative landscape.

CEO/supplier dialogue on patient safety. Panel discussion.

Leaders and vendors candidly explore new opportunities for industry standards, work-force training, and patient-focused care.