549 results match your criteria: "Children's Health Center[Affiliation]"

: We conducted a project to manage a high volume of referrals to pediatric neuropsychology. We aimed to manage referrals for children and adolescents without known medical risk factors. We proposed that a clinical neurodevelopmental interview conducted telehealth would reduce the number of patients on the waitlist and identify those who do not need neuropsychological evaluation.

View Article and Find Full Text PDF

Background: The Pediatric Interagency Registry for Mechanical Circulatory Support (Pedimacs), supported by The Society of Thoracic Surgeons, provides detailed information on pediatric patients supported with ventricular assist devices (VADs).

Methods: From September 19, 2012, to December 31, 2023, there were 1648 devices in 1349 patients (<19 years) from 39 North American Hospitals with 100 patients enrolled in 2023.

Results: Cardiomyopathy was the most common underlying etiology (59%), followed by congenital heart disease (26%) and myocarditis (8%).

View Article and Find Full Text PDF

Objectives: To investigate the correlation of serum levels of bridging integrating factor 1 (BIN1) with acute myocardial infarction (AMI) and Killip class of the patients.

Methods: We retrospectively collected the data from 94 patients with AMI and 30 healthy individuals for analysis of the correlations of serum BIN1 levels with Killip class, TIMI scores, and neutrophil-to-lymphocyte ratio (NLR). We also assessed the diagnostic value of BIN1 combined with NLR for AMI.

View Article and Find Full Text PDF

Parent and Primary Care Clinician Perceptions About Pediatric Hypertension.

JAMA Netw Open

December 2024

Division of Behavioral Health, Nemours Children's Health, Wilmington, Delaware.

Importance: Despite published guidelines and a prevalence of pediatric hypertension of approximately 3%, less than 25% of affected children are identified, with 60% not receiving any intervention despite detection. Understanding the knowledge and perceptions of parents or caregivers and health care teams is crucial to identify factors that may contribute to these unacceptably low detection rates.

Objective: To examine the knowledge and perceptions of parents and health care teams regarding pediatric hypertension to identify common themes contributing to low hypertension detection.

View Article and Find Full Text PDF
Article Synopsis
  • - The study focused on understanding the genetic causes of autism spectrum disorder (ASD) by sequencing the DNA of 754 individuals from 195 families, identifying a total of 38,834 new genetic variants.
  • - Researchers discovered 92 potentially harmful genetic variations in 73 known genes among 68 individuals with ASD, along with 158 likely damaging variants in 120 other candidate genes.
  • - The findings enhance our knowledge of ASD genetics, revealing patterns linked to brain development and cellular signaling, which could aid in diagnosing and developing treatments for the disorder.
View Article and Find Full Text PDF
Article Synopsis
  • Gaucher disease type 3 is a genetic disorder caused by a deficiency in the enzyme β-glucocerebrosidase, leading to a variety of health issues, particularly affecting the cardiac, neurological, and eye systems, with symptoms typically appearing before age 18.
  • Type 3c, a specific form of this disease, is linked to a genetic variant and is unique for its association with heart problems, although few cases have been documented, making its full range of symptoms unclear.
  • The case of a 20-year-old female with an unusual presentation of type 3c that includes eye inflammation and nerve damage—yet normal heart function—highlights the diverse manifestations of the disease and the need for better guidelines in evaluating
View Article and Find Full Text PDF
Article Synopsis
  • Pediatric urgent care centers can enhance immunization efforts by offering vaccinations during emergency visits, but there is limited research on such initiatives.
  • A quality improvement project was conducted at a health center, implementing routine immunizations in their pediatric urgent care starting July 2020, and tracking vaccination rates from March 2021 to February 2023.
  • Although initial provider-focused strategies didn’t significantly change vaccination rates, introducing a dedicated nurse vaccinator led to a notable increase in both immunization screening and administration rates, highlighting the need for further investigation on addressing disparities in vaccine access and effectiveness in other settings.
View Article and Find Full Text PDF

Background: Retardation among children is a persistent global health concern. Vitamin deficiency in childhood may contribute to growth retardation; however, its causal effects are not fully understood.

Objective: Here, we aimed to explore the prediction values of fat-soluble vitamin levels on GR in children aged 1-6 years.

View Article and Find Full Text PDF

Risk-stratified CA125 screening integrating CA125 trajectories, trajectory-specific progression and transvaginal ultrasound for ovarian cancer.

J Ovarian Res

October 2024

Department of Epidemiology and Biostatistics, Key Laboratory of Molecular Cancer Epidemiology, Tianjin's Clinical Research Center for Cancer, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin Medical University, Tianjin, Tianjin, 300060, China.

Article Synopsis
  • CA125 is a commonly used biomarker for ovarian cancer screening, but its effectiveness is questioned due to issues like ineffective cut-off values and not accounting for changes over time in CA125 levels.
  • * This study analyzed data from the PLCO Trial, involving 28,456 women, to determine optimal CA125 cut-off values and examine the relationship between different patterns (trajectories) of CA125 levels and ovarian cancer risk.
  • * Results showed that certain CA125 trajectories significantly increased the risks of ovarian cancer incidence and mortality, with specific cut-off values identified for better screening performance over time.
View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates the link between daily intakes of branched chain amino acids (BCAAs) and obesity risks in women who had gestational diabetes mellitus (GDM) after childbirth.
  • - Researchers analyzed data from 1,263 women 1-5 years postpartum using logistic regression to evaluate the associations between BCAA intake levels and obesity risks.
  • - Findings suggest that lower BCAA consumption is significantly associated with higher risks of both general overweight and abdominal obesity in this population.
View Article and Find Full Text PDF

Aims: This study aims to determine whether postpartum body mass index (BMI) trajectories and its time in target range (TTR) are associated with long-term type 2 diabetes risk in women with a history of gestational diabetes mellitus (GDM).

Materials And Methods: The present study included 1057 women with a history of GDM who participated in the Tianjin Gestational Diabetes Mellitus Prevention Program (TGDMPP). Oral glucose tolerance tests or physician-diagnosed information were used to diagnose type 2 diabetes after a median follow-up period of 8.

View Article and Find Full Text PDF

Diet during pregnancy is crucial to maternal metabolism and fetal development, so exploring the most potent food risk factor could improve maternal and child health. In this study, we investigated the diet and lifestyle of 833 healthy pregnant women in the second trimester from November 2020 to August 2021. Based on the Tianjin Antenatal Care System in China, we followed up with these women and recorded their gestational weight gain (GWG) and newborn birth weight.

View Article and Find Full Text PDF

Gabapentin for Delirium in Infants in the Neonatal Intensive Care Unit.

J Pediatr Pharmacol Ther

October 2024

Department of Pharmacy: Clinical and Administrative Sciences (JLM, SBN, PNJ, AP), College of Pharmacy, University of Oklahoma Health Sciences Center, Oklahoma City, OK.

Objective: A protocol was developed for neonatal intensive care unit (NICU) delirium: Step 1, gabapentin for pain or melatonin for sleep; Step 2, add on other Step 1 agent; Step 3, antipsychotics. The purpose of this study was to describe the utility and dosing of gabapentin for NICU delirium.

Methods: Retrospective evaluation of NICU patients from January 1, 2021-December 31, 2022 who received >1 dose of gabapentin based on the delirium protocol.

View Article and Find Full Text PDF

Exploratory study of short-term treatment with adaptive neurostimulation in children with drug-resistant epilepsy.

Brain Stimul

October 2024

Functional Neurosurgery Department, National Children's Health Center of China, Beijing Children's Hospital, Capital Medical University, Beijing, China; Key Laboratory of Major Diseases in Children, Ministry of Education, Beijing, China. Electronic address:

View Article and Find Full Text PDF
Article Synopsis
  • A study was conducted on ventilator-associated tracheitis or pneumonia in mechanically ventilated children using inhaled tobramycin at specific intervals to assess drug levels and kidney function.
  • The main goal was to find how many patients had tobramycin levels above 0.5 µg/mL, while secondary goals included comparing patient characteristics and tracking any instances of acute kidney injury (AKI).
  • Out of 44 patients studied, 68% had detectable drug levels and 20.5% experienced AKI, but no significant differences were found in demographics or medical details between those with and without detectable levels or AKI.
View Article and Find Full Text PDF

Backgruound: The genetic basis for hyperglycaemia in pregnancy remain unclear. This study aimed to uncover the genetic determinants of gestational diabetes mellitus (GDM) and investigate their applications.

Methods: We performed a meta-analysis of genome-wide association studies (GWAS) for GDM in Chinese women (464 cases and 1,217 controls), followed by de novo replications in an independent Chinese cohort (564 cases and 572 controls) and in silico replication in European (12,332 cases and 131,109 controls) and multi-ethnic populations (5,485 cases and 347,856 controls).

View Article and Find Full Text PDF

Background: Antenatal mental disorders are associated with maternal and fetal adverse events. Previous studies have been focused on the postpartum period, rather than pregnancy, yet the association of risk factors with prenatal depression and anxiety through pregnancy has been rarely reported. This study aimed to identify the risk factors of prenatal depression and anxiety, and access their potential roles in developing mental disorders during pregnancy.

View Article and Find Full Text PDF

TUDCA inhibits EV71 replication by regulating ER stress signaling pathway and suppressing autophagy.

Diagn Microbiol Infect Dis

December 2024

Molecular Diagnostic Laboratory, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210003, PR China; Children's Health Center, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210003, PR China; The Second Clinical College of Nanjing Medical University, Nanjing, Jiangsu 210011, PR China. Electronic address:

Tauroursodeoxycholic acid (TUDCA) is a naturally occurring hydrophilic bile acid that alleviates endoplasmic reticulum (ER) stress and inhibits apoptosis, thereby protecting cells. Previous studies have shown that enterovirus 71 (EV71) infection modulates ER stress and induces autophagy to assist viral replication. This study observed the effects of TUDCA pretreatment on HeLa and Vero cells infected with EV71, finding that TUDCA inhibits EV71 replication in TUDCA pretreated HeLa and Vero cells in a dose-dependent manner.

View Article and Find Full Text PDF
Article Synopsis
  • The systematic review investigates the use of virtual reality (VR) for rehabilitation in individuals with intellectual and developmental disabilities (IDD), analyzing the impact on rehabilitation outcomes and design considerations for VR interventions.
  • VR offers controlled, safe, and adaptable environments that can enhance various rehabilitation goals, making it vital to understand its applications and effectiveness more comprehensively.
  • The review synthesizes findings from 27 studies, highlighting that VR interventions show promise in improving physical, cognitive, emotional, and functional independence for people with IDD, while also providing recommendations for creating effective and safe VR therapeutic environments.
View Article and Find Full Text PDF

Objective: To examine the relationship between body mass index (BMI) growth rates, body composition, and cardiometabolic markers in preschool children.

Methods: Three-year-old children were recruited for this cohort study. BMI and body composition measurements were obtained at enrollment, with multiple BMI measurements spanning ages 1 month to 3 years extracted from medical records.

View Article and Find Full Text PDF

Serum CD44 levels in early pregnancy and its genetic variants for increased risk of gestational diabetes mellitus in Chinese pregnant women.

J Proteomics

September 2024

Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin 300070, China; Tianjin Key Laboratory of Environment, Nutrition and Public Health, Tianjin 300070, China; Tianjin Center for International Collaborative Research on Environment, Nutrition and Public Health, Tianjin 300070, China. Electronic address:

This study aimed to explore associations of serum cluster of differentiation 44 (CD44) levels and its genetic variants in early pregnancy with gestational diabetes mellitus (GDM). We conducted a 1:1 case-control study (n = 414) nested in a prospective cohort of 22,302 pregnant women recruited from 2010 to 2012 in Tianjin, China. Blood samples were collected at the first antenatal care visit (at a median of 10 gestational week).

View Article and Find Full Text PDF

Gestational diabetes mellitus (GDM) presents varied manifestations throughout pregnancy and poses a complex clinical challenge. High-depth cell-free DNA (cfDNA) sequencing analysis holds promise in advancing our understanding of GDM pathogenesis and prediction. In 299 women with GDM and 299 matched healthy pregnant women, distinct cfDNA fragment characteristics associated with GDM are identified throughout pregnancy.

View Article and Find Full Text PDF

Background And Objectives: Conversations about dignity are fundamental to person-centered care in pediatrics, yet practical language strategies to promote and support dignity remain understudied. To address this gap, we aimed to identify and characterize language used by pediatric oncologists to recognize and affirm dignity across advancing illness.

Methods: In this longitudinal prospective study, we audio-recorded serial disease reevaluation encounters between pediatric oncologists, children with cancer, and families across 24 months or until the child's death.

View Article and Find Full Text PDF

Adjectives in the Summary Paragraph of the MSPE: Are They Telling Us Something?

Acad Radiol

July 2024

Department of Radiology, 1905 Children's Health Center, Durham, North Carolina 27705, USA; Department of Radiology, Duke University Medical Center, Box 3808 DUMC, North Carolina 27705, USA.

Rationale And Objectives: Many US medical schools do not provide a summative, comparative assessment of students (class rank), instead utilizing descriptive adjectives in the summary paragraph of the Medical Student Performance Evaluation (MSPE). The objective of this study was to determine whether those adjectives correlate with student performance.

Materials And Methods: Applications from all US allopathic medical schools received by a single diagnostic radiology program in the 2023-24 cycle were reviewed.

View Article and Find Full Text PDF