13,167 results match your criteria: "UPMC Children’s Hospital[Affiliation]"

Background: The purpose of this study was to systematically review the literature to ascertain the clinical outcomes of the Latarjet procedure in patients with seizure disorders (SD) versus controls.

Methods: Two independent reviewers performed a literature search using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines using PubMed, Embase and Scopus databases. Only studies reporting on outcomes of the Latarjet procedure comparing patients with pre-existing SDs, or those comparing such patients versus controls were considered for inclusion.

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Article Synopsis
  • Cancer is predicted to rise significantly, with 35 million new cases expected by 2050, mainly impacting low- and middle-income countries, particularly in the SAARC region.
  • There is a research investment and output gap in SAARC countries compared to high-income nations, leaving a lack of local studies and clinical trials in crucial areas like targeted therapy and immunotherapy.
  • Addressing the challenges of healthcare access, cultural and economic barriers, and limited funding in SAARC countries requires collaboration, improved research infrastructure, and local studies to develop practical and affordable cancer treatments.
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  • - The South Asian region faces a critical shortage of oncology professionals due to inadequate education and training programs, impacting the quality of cancer care.
  • - Challenges for oncology workers include lack of trained personnel, poor healthcare infrastructure, and limited educational resources.
  • - The paper suggests both short-term strategies to enhance training and long-term goals to create self-sufficient cancer care systems through regional collaboration and innovative education.
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Article Synopsis
  • Cancer care in SAARC countries faces major challenges like poor infrastructure, lack of skilled professionals, and economic issues, leading to delayed diagnoses and worse health outcomes.
  • There are significant disparities in healthcare systems across the region, with some countries providing free public services while others rely heavily on out-of-pocket payments, creating financial inequities for cancer patients.
  • To improve cancer care, coordinated efforts are needed, including better infrastructure, expanded health insurance, and national cancer control programs, along with regional collaboration to ensure equitable access and advance health goals.
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Article Synopsis
  • * In 2022, cancer accounted for about 9.3% of global cases and 12% of deaths in this region, with major cancers including lung, head and neck, gastrointestinal, cervical, and breast cancers.
  • * The text emphasizes the need for regional collaboration to create an effective cancer control plan, stressing the importance of strong political commitment to tackle the growing cancer crisis and align with Sustainable Development Goals for 2030.
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Disparities in completing testing for SARS-CoV-2 prior to otolaryngology procedures.

Am J Otolaryngol

December 2024

Division of Pediatric Otolaryngology, Department of Otolaryngology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, United States. Electronic address:

Article Synopsis
  • The study aimed to identify patient characteristics influencing the completion of asymptomatic pre-operative SARS-CoV-2 testing among children undergoing ambulatory surgery.
  • Out of 216 patients, 40.7% completed the testing, with results indicating that location of surgery and household income significantly affected testing compliance, while other factors like race and insurance type did not.
  • The findings highlight the importance of socioeconomic factors in access to healthcare and adherence to safety measures during public health emergencies.
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Contemporary assessment of short- and functional 90-days outcome in old intensive care patients suffering from COVID-19.

J Crit Care

December 2024

Heinrich-Heine-University Duesseldorf, Medical Faculty, Department of Cardiology, Pulmonology and Vascular Medicine, Duesseldorf, Germany; Heinrich-Heine University, Medical Faculty, Department of Cardiology, Pulmonology and Vascular Medicine, Düsseldorf, Germany; CARID (Cardiovascular Research Institute Düsseldorf), Düsseldorf, Germany. Electronic address:

Purpose: There are limited data about the outcome of old intensive care (ICU) patients suffering from Covid-19 in the post-vaccination era. This study distinguishes the pre- and post-acute illness living conditions of ICU survivors from non-survivors.

Methods: This prospective international multicenter study included 642 old (≥ 70 years) ICU patients, including data ranging from pre-illness condition to functional 90-days follow-up.

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Advanced therapy to cure diabetes: mission impossible is now possible?

Front Cell Dev Biol

November 2024

Department of Surgery, Division of Pediatric General and Thoracic Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA, United States.

Cell and Gene therapy are referred to as advanced therapies that represent overlapping fields of regenerative medicine. They have similar therapeutic goals such as to modify cellular identity, improve cell function, or fight a disease. These two therapeutic avenues, however, possess major differences.

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Mimickers of hydroxychloroquine retinal toxicity.

Clin Exp Ophthalmol

December 2024

UPMC Vision Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Article Synopsis
  • Hydroxychloroquine (HCQ) can cause retinal toxicity, prominently manifesting as bull's eye maculopathy, but can be confused with other conditions.
  • Identifying HCQ-related retinal toxicity is complicated due to similarities with other drug-related toxicities, genetic retinal disorders, and systemic diseases.
  • The review highlights essential clinical and diagnostic differences to aid ophthalmologists and primary care providers in accurately diagnosing HCQ retinopathy.
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Barriers to Adoption of a Child-Abuse Clinical Decision Support System in Emergency Departments.

West J Emerg Med

November 2024

University of Pittsburgh, UPMC Children's Hospital of Pittsburgh, Division of Child Advocacy, Department of Pediatrics, Pittsburgh, Pennsylvania.

Introduction: Child abuse is a leading cause of morbidity and mortality in children. The rate of missed child abuse in general emergency departments (ED), where 85% of children are evaluated, is higher than in pediatric EDs. We sought to evaluate the impact of an electronic health record (EHR)-embedded child-abuse clinical decision support system (CA-CDSS) in the identification and evaluation of child maltreatment in a network of EDs three years after implementation.

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Ataxia telangiectasia.

Semin Pediatr Neurol

December 2024

UPMC Children's Hospital of Pittsburgh, University of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA, 15224, USA. Electronic address:

Article Synopsis
  • Ataxia telangiectasia (AT) is a rare genetic disorder caused by mutations in the ATM gene, leading to early childhood movement issues and skin changes as children grow.
  • Besides neurologic symptoms, AT also affects the immune system, can increase cancer risk, and may impact respiratory and endocrine functions.
  • The article discusses the role of the ATM gene, the diverse complications of AT, conditions that can resemble AT, and ongoing research for potential treatments.
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Hereditary hemorrhagic telangiectasia: A pediatric-focused review.

Semin Pediatr Neurol

December 2024

Department of Pediatrics, University of Pittsburgh Medical Center, Children's Hospital of Pittsburgh, United States. Electronic address:

Article Synopsis
  • Clinical manifestations of hereditary hemorrhagic telangiectasia (HHT) involve vascular malformations affecting various organs, increasing the risk of bleeding and related complications.
  • Diagnosis is based on the Curaçao criteria, which includes symptoms like nosebleeds and family history, and most patients carry pathogenic variants in specific genes.
  • While there is no cure for HHT, treatment options focus on managing complications, including medication and, in some cases, surgical interventions when deemed necessary.
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Background: Although clinical overlap between Kawasaki disease (KD) and multisystem inflammatory syndrome in children (MIS-C) has been evident, information regarding those presenting with shock has been limited. We sought to determine associations with shock within and between diagnosis groups.

Methods: The International KD Registry enrolled contemporaneous patients with either KD or MIS-C from 39 sites in 7 countries from January 1, 2020, to January 1, 2023.

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Is there still a role for cell salvage?

Blood Transfus

November 2024

Department of Anesthesiology, University of Pittsburgh, UPMC Magee Womens Hospital, Pittsburgh, PA, United States of America.

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Background: The impact of disease activity and treatment on fertility outcomes in patients with spondyloarthritis (SpA) has been little explored. This study aimed to describe median time to pregnancy (TTP) in women with SpA and the factors influencing TTP in this population.

Methods: This prospective observational multicentre (63 centres) French cohort (GR2 study-NCT02450396) included consecutive women with a diagnosis of SpA (according to their rheumatologist) who wanted to become pregnant between 2015 and 2021.

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Article Synopsis
  • * In this randomized controlled trial involving 446 patients, the SurVeil PCB showed a primary safety rate of 91.8% and a primary efficacy rate of 82.2%, while the IN.PACT Admiral had rates of 89.8% and 85.9%, respectively.
  • * The results indicate that the SurVeil PCB is a safe and effective treatment option, demonstrating non-inferiority to the IN.PACT Admiral PCB over a 24-month period.
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  • Long-acting injectable antipsychotics (LAIAs) are believed to improve clinical outcomes for adults with psychiatric disorders, but research on their effectiveness in children is limited.
  • This study evaluated pediatric patients under 18 who started LAIAs during an acute psychiatric hospitalization, comparing their psychiatric admissions and emergency service visits one year before and one year after starting treatment.
  • Results showed a decrease in psychiatric admissions (from 47 to 38), psychiatric emergency service visits (from 24 to 16), and total days hospitalized (from 1040 to 774), suggesting that LAIAs may also have positive effects in pediatric patients.
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Objectives: To explore the association between the extent of CT abnormalities by quantitative imaging analysis (QIA) and clinical/physiological disease parameters in patients with antisynthetase syndrome associated interstitial lung disease (ARS-ILD).

Methods: We analysed 20 patients with antisynthetase antibodies and active ILD enrolled in the Abatacept in Myositis-Associated Interstitial Lung Disease study. High-resolution chest CT was obtained at weeks 0, 24 and 48 and QIA scored the extent of ground glass (quantitative score for ground glass), fibrosis (quantitative score for lung fibrosis, QLF) and total ILD (quantitative ILD, QILD).

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Introduction: Type 1 diabetes (T1D) is a chronic condition marked by insulin deficiency and hyperglycemia, with an increasing global incidence, particularly among children. Despite improvements in diabetes management, individuals with T1D continue to experience higher rates of cardiovascular disease (CVD), the leading cause of mortality in this population. Traditional CVD risk factors such as dyslipidemia and poor glycemic control are insufficient to fully explain the elevated risk in T1D, prompting further investigation into additional factors.

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Diabetes is a prevalent chronic disease in school-age children. To keep students with diabetes safe at school, support their long-term health, prevent complications, and ensure full participation in all school activities, proper monitoring of and response to glucose levels must be attended to throughout the school day and during all school-sponsored activities. Care coordination among the family, school, and diabetes health care professionals is critical.

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Article Synopsis
  • The study examines the link between the Child Opportunity Index (COI) and the management and outcomes of pediatric supraventricular tachycardia (SVT), focusing on ablation use over a 5.5-year period.
  • Researchers analyzed data from 306 SVT patients, finding that those with a low COI had significantly higher rates of hospital admissions compared to those with a high COI, but there was no difference in ablation utilization or outcomes across COI categories.
  • The results suggest that while social determinants, indicated by COI, may influence hospital resource use, they have a limited effect on treatment effectiveness for SVT patients.
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Effect of Patient Age on Decisional Regret After Laparoscopic Hysterectomy.

Obstet Gynecol

December 2024

Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois; the Department of Obstetrics, Gynecology & Reproductive Sciences, UPMC Magee-Womens Hospital, and the Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania; and the Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, Providence, Rhode Island.

Article Synopsis
  • The study aimed to compare long-term decision regret in younger patients (30 years or younger) versus older patients (31-49 years) who underwent laparoscopic hysterectomy for benign conditions.
  • Researchers conducted a matched retrospective cohort study from 2009 to 2016, gathering survey responses focused on surgical decision regret and loss-of-fertility regret from 287 participants, with 241 completing the survey.
  • Results showed that younger participants experienced significantly higher rates of regret regarding both surgical decisions and loss of fertility compared to older participants, indicating that age influences feelings of regret post-surgery.
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Objective: To assess patient perspectives on the level of shared decision making (SDM) experienced related to bariatric surgery.

Background: Severe obesity is common and has serious health implications. Yet, few eligible patients pursue bariatric surgery.

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