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Collateral damage: the overlooked reproductive health crisis in conflict zones.
Reprod Health
December 2024
The George Institute for Global Health, Imperial College London, London, UK.
Conflict-affected regions face severe reproductive health challenges that disproportionately impact adolescent girls and young women (AGYW) and children, who are especially vulnerable due to the breakdown of healthcare systems and limited access to essential services. AGYW are at heightened risk due to restricted access to family planning, prenatal care, and emergency obstetric services, while children face malnutrition, disease outbreaks, and developmental delays. These challenges have profound long-term consequences for both their physical and psychological well-being.
View Article and Find Full Text PDFResponse to the Correspondence by Jean-Marie Jouannic et al. to: Prenatal Diagnosis and Postnatal Outcome of Closed Spinal Dysraphism. Prenat Diagn. 2024 Apr;44(4):499-510.
Prenat Diagn
January 2025
Edward B. Singleton Department of Radiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas, USA.
Facilitators and Barriers of Implementing Expanded Sexually Transmitted Infection Screening in California Family Planning Clinics.
Sex Transm Dis
January 2025
Planned Parenthood, Northern California, Sacramento.
Background: Reportable sexually transmitted infections (STIs) have increased in California, with dramatic rises in prenatal and congenital syphilis. In response, in 2018 Planned Parenthood Northern California implemented 2 opt-out screening protocols: (1) HIV, chlamydia, gonorrhea, and syphilis co-screening for pregnant patients at pregnancy diagnosis and (2) linking HIV and syphilis screening for all patients.
Methods: Using qualitative analyses, we explored implementation barriers and facilitators that can be addressed by clinical leadership and staff to expand uptake of enhanced screening protocols.
New Fetal Sonographic Marker to Rule Out Total Anomalous Pulmonary Venous Return: Color Doppler Drainage From Pulmonary Vein to Atrium to Ventricle (CDDVAV).
Echocardiography
December 2024
Division of Pediatric Cardiology, Department of Pediatrics, Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Article Synopsis
- Total anomalous pulmonary venous return (TAPVR) can cause severe issues shortly after birth, making early detection crucial for better outcomes.
- Despite being a serious congenital heart condition, TAPVR is often not diagnosed before birth, even though there are known ultrasound markers.
- This commentary introduces a new color Doppler fetal sonographic marker that could help identify TAPVR prenatally, potentially preventing life-threatening complications.
PIK3CA-Related Overgrowth Spectrum: Exploring Brain Growth From Fetal to Infant.
Pediatr Neurol
November 2024
Department of Neonatology, Unidade Local de Saúde de Vila Nova de Gaia, Vila Nova de Gaia, Portugal.
Article Synopsis
- MCAP (Megalencephaly-capillary malformation-polymicrogyria syndrome) is a rare neurological disorder caused by mutations in the PIK3CA gene, leading to abnormal brain growth, vascular issues, and body overgrowth.
- A clinical report details an infant diagnosed with MCAP, who showed signs of the disorder from prenatal imaging, which identified megalencephaly and a confirmed PIK3CA mutation postnatally, followed by early medical interventions.
- Despite these interventions, the patient faced ongoing challenges such as macrocrania, hydrocephalus, and neurodevelopmental delays, highlighting the importance of multidisciplinary care and monitoring to manage the complexities of the disorder and emphasizing potential future therapies for better outcomes.
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