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The outcomes of treatment between primary closure and staged closure in gastroschisis in the pre and post era of the bedside wound retractor silo placement technique.
Pediatr Surg Int
January 2025
Division of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Purpose: This study aimed to compare the treatment outcomes of the closure methods between pre and post-eras of bedside wound retractor silo placement technique (BSC).
Methods: This retrospective cohort study included infants diagnosed with gastroschisis from 2006-2013, pre-BSC era, and from 2014-2021, BSC era. Infants who had fetal anomalies did not survive before receiving treatment and were treated with the delayed closure method were excluded.
Predictors of outcomes in infants with gastroschisis treated with a preformed silo.
Pediatr Surg Int
December 2024
Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Purpose: To describe the outcomes of infants with gastroschisis treated with a preformed silo (PFS) and determine whether routinely measured early physiological parameters, sepsis (blood culture positive), gastroschisis complexity or location of birth influenced the length of stay (LOS) and duration of parenteral nutrition (PN).
Methods: Infants cared for in a tertiary surgical neonatal intensive care unit during a 10-year period were identified.
Results: Seventy-seven infants were assessed [median gestational age 36 + 6 (IQR 35 + 3 to 38 + 0)] weeks.
Effects of trauma exposure and posttraumatic stress disorder on perceived social support in youth: A longitudinal investigation.
Psychiatry Res
December 2024
Department of Psychiatry and Behavioral Sciences, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Article Synopsis
- - This study explored how trauma exposure, post-traumatic stress disorder (PTSD), and perceived social support relate to each other among a diverse group of 1,829 children and adolescents aged 8-21 who have experienced trauma.
- - It found that higher trauma burden resulted in lower perceived social support from family and peers, especially for those with interpersonal trauma, but this effect was more pronounced in youth without a PTSD diagnosis.
- - The research also revealed that being assigned female at birth correlated with more perceived support from family but less from close friends, emphasizing the complex dynamics between trauma, mental health, and social relationships.
Collaborative dynamics and shared motivation: exploring tobacco control policy development in Zambia.
Health Policy Plan
November 2024
Department of Epidemiology and Global Health, Umeå University, Umeå 901 87, Sweden.
In Zambia, efforts to produce a tobacco control policy have stalled for over a decade, and the country is not yet close to developing one. Limited studies have explored the dynamics in this policy process and how they affect the attainment of policy goals and outcomes. This study explored how collaborative dynamics within tobacco control policy development shaped shared motivation among stakeholders in Zambia.
View Article and Find Full Text PDFAssessment of transfer-time and time-to-surgery as risk factors to survival in Gastroschisis (GS) in a LMIC; an eight-year review.
Pediatr Surg Int
November 2024
Department of Paediatric Surgery, Kasr AlAiny Faculty of Medicine, Cairo University Specialized Paediatric Hospital, Cairo University, Ali Ibrahim Street, Mounira, Cairo, 11241, Egypt.
Background: The management of Gastroschisis in LMICs continues to be a challenge and is associated with very poor outcomes in contrast with HICs where survival rates near 100%. The purpose of this work is to provide an overview of survival over the past 8 years in a high-flow tertiary centre in Africa. It also investigates the effect of transfer-time and time-to-surgery on outcome.
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