221 results match your criteria: "Radboudumc Amalia Children's Hospital[Affiliation]"

Objectives: Studies concerning cardiopulmonary outcomes of adults born with congenital diaphragmatic hernia (CDH) are sparse. Moreover, they don't include participants who have been treated with extracorporeal membrane oxygenation (ECMO) during the neonatal period. This study evaluated the cardiopulmonary morbidities in young adults born with CDH.

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Article Synopsis
  • The study investigates congenital solitary functioning kidney (CSFK), a condition linked to hypertension and kidney issues, focusing on the interplay between genetic factors and environmental influences (G×E) that may contribute to its development.* -
  • Utilizing data from the AGORA biobank, researchers analyzed genetic variations among 381 CSFK patients and 598 healthy controls, identifying significant single-nucleotide variants (SNVs) related to environmental factors, particularly maternal overweight.* -
  • One genetic variant (rs3098698) showed a significant interaction with maternal overweight, potentially affecting insulin receptor activity; while other interactions were noted, further large-scale studies are necessary to understand their roles in CSFK.*
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Unlabelled: A cross-sectional study was performed to evaluate health-related quality of life (HRQOL) in children with congenital vascular malformations (CVM) and to investigate factors associated with an impaired HRQOL. Children (2-17 years) with CVMs who visited the HECOVAN expertise center between 2016-2018 were included. The PedsQL 4.

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Background: Transition of care (TOC; from childhood into adulthood) of patients with anorectal malformations (ARM) and Hirschsprung disease (HD) ensures continuation of care for these patients. The aim of this international study was to assess the current status of TOC and adult care (AC) programs for patients with ARM and HD.

Methods: A survey was developed by members of EUPSA, ERN eUROGEN, and ERNICA, including patient representatives (ePAGs), comprising of four domains: general information, general questions about transition to adulthood, and disease-specific questions regarding TOC and AC programs.

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Background: A prediction model for graft survival including donor and recipient characteristics could help clinical decision-making and optimize outcomes. The aim of this study was to develop a risk assessment tool for graft survival based on essential pre-transplantation parameters.

Methods: The data originated from the national Dutch registry (NOTR; Nederlandse OrgaanTransplantatie Registratie).

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Background: To deliver high-quality care for individuals with complex medical conditions, residents need to be trained across the boundaries of their specialties. This study aimed to explore learning activities and influencing factors in intraprofessional workplace learning by residents in complex tertiary care.

Methods: This qualitative study was conducted in a tertiary care children's hospital.

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A white-box model for real-time simulation of acid-base balance in blood plasma.

Adv Simul (Lond)

June 2023

Department of Neonatology, Radboud University Medical Center, Radboud Institute for Health Sciences, Radboudumc Amalia Children's Hospital, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.

Maintaining an optimal acid base is important for the patient. The theory underlying acid-base balance can be challenging for clinicians and educators. These considerations justify creating simulations that include realistic changes to the partial pressure of carbon dioxide, pH, and bicarbonate ion concentration in a range of conditions.

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Background: Registries are important in rare disease research. The Anorectal Malformation Network (ARM-Net) registry is a well-established European patient registry collecting demographic, clinical, and functional outcome data. We assessed the quality of this registry through review of the structure, data elements, collected data, and user experience.

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Article Synopsis
  • Researchers are looking at European kidney transplant registries to see how well they collect patient data for kids with kidney problems.
  • They found 109 kidney transplant centers in 27 EU countries, but 39% of them don't share their data in the available registries.
  • The study shows that while these registries are important, they collect different types of information, making it hard to get a complete picture of kidney health care.
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It is difficult, time consuming and expensive to assess manual skills in open surgery. The aim of this study is to investigate the construct validity of a low-cost, easily accessible tracking technique for basic open suturing tasks. Medical master students, surgical residents, and surgeons at the Radboud University Medical Center were recruited between September 2020 until September 2021.

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Background: The etiology of congenital solitary functioning kidney (CSFK) is largely unknown but likely includes various risk factors. We performed a case-control study to compare exposure to environmental and parental risk factors during embryonic kidney development between children with CSFK and healthy controls.

Methods: We included 434 children with CSFK and 1302 healthy controls from the AGORA data- and biobank matched on year of birth.

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The authors reply.

Kidney Int

February 2023

Radboud Institute for Molecular Life Sciences, Department of Paediatric Nephrology, Radboudumc Amalia Children's Hospital, Nijmegen, the Netherlands.

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A Genome-Wide Association Study into the Aetiology of Congenital Solitary Functioning Kidney.

Biomedicines

November 2022

Radboud Institute for Health Sciences, Department for Health Evidence, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands.

Congenital solitary functioning kidney (CSFK) is a birth defect that occurs in 1:1500 children and predisposes them to kidney injury. Its aetiology is likely multifactorial. In addition to known monogenic causes and environmental risk factors, common genetic variation may contribute to susceptibility to CSFK.

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Success rates of MRSA decolonization and factors associated with failure.

Antimicrob Resist Infect Control

November 2022

Department of Internal Medicine, Radboudumc Center for Infectious Diseases, Radboud University Medical Center, P O Box 9101, 6500 HB, Nijmegen, The Netherlands.

Background: We evaluated the success rate of MRSA decolonization directly after treatment and after one year in patients who were treated at the outpatient MRSA clinic of a large university medical centre to identify potential contributing factors to treatment success and failure.

Methods: Data from November 1, 2013 to August 1, 2020 were used. Only patients who had undergone complete MRSA decolonization were included.

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Children with a solitary functioning kidney (SFK) have an increased risk of kidney injury. The exact risk of and risk factors for kidney injury remain unknown, which impedes personalized care. Here, we recruited a nationwide multicenter cohort of 944 patients with SFK to get more insight into this by consenting patients born in 1993-2020 and diagnosed with congenital or acquired SFK before adulthood.

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Genome-wide association study in patients with posterior urethral valves.

Front Pediatr

September 2022

Institute of Human Genetics, School of Medicine and University Hospital Bonn, University of Bonn, Bonn, Germany.

Congenital lower urinary tract obstructions (LUTO) are most often caused by posterior urethral valves (PUV), a male limited anatomical obstruction of the urethra affecting 1 in 4,000 male live births. Little is known about the genetic background of PUV. Here, we report the largest genome-wide association study (GWAS) for PUV in 4 cohorts of patients and controls.

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Article Synopsis
  • - The study evaluates the effectiveness of a take-home simulator, the LaparoscopyBoxx, for training in minimally invasive surgery (MIS), using a questionnaire to collect feedback from 39 participants, including surgeons and trainees.
  • - Participants reported a positive experience with the box trainer, scoring an average of 4.2 on its usefulness and recommending it to others, particularly for practicing basic tasks like needle transfer.
  • - The findings suggest that at-home training with the simulator enhances confidence and skills, especially useful during times with limited clinical exposure, such as the COVID-19 pandemic.
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Introduction:  Sufficient training is needed to acquire and retain the procedural skills needed for the surgical correction of congenital anatomical malformations. This study aims to assess the opinions of trainees and pediatric surgeons on the use of simulation-based continued at-home training, which can help to acquire these skills.

Methods:  This study consisted of two parts.

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Fetal laser surgery has emerged as the preferred treatment of twin-to-twin transfusion syndrome (TTTS). However, the limited field of view of the fetoscope and the complexity of the procedure make the treatment challenging. Therefore, preoperative planning and intraoperative guidance solutions have been proposed to cope with these challenges.

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Little is known about the impact of age on the processes governing human intestinal drug absorption. The Ussing chamber is a system to study drug transport across tissue barriers, but it has not been used to study drug absorption processes in children. This study aimed to explore the feasibility of the Ussing chamber methodology to assess pediatric intestinal drug absorption.

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Article Synopsis
  • Infants with mild congenital diaphragmatic hernia (CDH) have a high survival rate (90%), and personalized resuscitation methods—such as supporting spontaneous breathing—may improve outcomes compared to standard mechanical ventilation.
  • A resuscitation algorithm was created by discussing initial ideas with local stakeholders and refining them with international expert input to provide a structured approach for managing these infants effectively.
  • The proposed algorithm targets infants with certain criteria, encouraging non-invasive respiratory support during the transition from fetal to neonatal care, showcasing the potential benefits of individualized strategies in CDH management.
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Background: Simulation-based training may be used to acquire MIS skills. While mostly done in a simulation center, it is proposed that this training can be undertaken at-home as well. The aim of this study is to evaluate whether unsupervised at-home training and assessment of MIS skills is feasible and results in increased MIS skills.

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Validated simulation models in pediatric surgery: A review.

J Pediatr Surg

December 2022

Department of Pediatric Surgery, Radboudumc - Amalia Children's Hospital, Geert Grooteplein Zuid 10 Route 618, Nijmegen 6500HB, the Netherlands.

Introduction: This review evaluates the validation and availability of simulation models in the field of pediatric surgery that can be used for training purposes.

Methods: MEDLINE and EMBASE were searched for studies describing a simulation models in pediatric surgery. Articles were included if face, content and/or construct validity was described.

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