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[PMID]:28460369
[Au] Autor:Diekroger EA; Reyes C; Myers KM; Li H; Kralovic SK; Roizen N
[Ad] Endereço:*Department of Pediatrics, Division of Developmental-Behavioral Pediatrics and Psychology, UH Rainbow Babies and Children's Hospital and Case Western Reserve University, Cleveland, OH;†Department of Pediatrics, University of Maryland, Baltimore, MD;‡Department of Pediatrics, UH Rainbow Babies and Children's Hospital, Cleveland, OH.
[Ti] Título:Perceived Mentoring Practices in Developmental-Behavioral Pediatrics Fellowship Programs.
[So] Source:J Dev Behav Pediatr;38(4):269-275, 2017 May.
[Is] ISSN:1536-7312
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Junior physicians describe mentoring relationships as integral to their career development and success. Current evidence suggests that mentoring is under-utilized despite interest from trainees. The purpose of this study is to describe the mentoring practices in developmental-behavioral pediatric (DBP) fellowship programs and identify mentoring needs of DBP fellows and recent graduates. METHODS: DBP fellows and recent graduates less than 5 years out of training from US-based DBP fellowship programs were contacted to complete a survey on their mentoring experiences in fellowship and early career. RESULTS: A total of 90 respondents completed the entire survey including 47 current DBP fellows and 43 recent graduates. Only 52% of respondents reported having a formal faculty mentor during their fellowship. Only 45% of recent graduates reported that they currently have a mentor, of those without a current mentor 83% said they would like to have a mentor. Adequate mentoring during fellowship was lowest for career development and research (34% and 27%). Satisfaction with mentoring was associated with having a formal mentor (p < .001) and receiving mentoring in multiple areas (p < .001). Qualitative responses suggested that effective mentoring addresses the mentee's career goals, provides insight into being a developmental-behavioral pediatrician, assists in navigating academics, and involves a personal relationship. CONCLUSION: Results suggest opportunities for improved mentoring in DBP fellowship programs, particularly in the areas of career development and research and that there is a significant need for mentorship among recent graduates. Findings from this study can inform program improvement in mentoring for DBP fellows and recent graduates.
[Mh] Termos MeSH primário: Bolsas de Estudo
Tutoria
Pediatria/educação
Psicologia da Criança/educação
[Mh] Termos MeSH secundário: Criança
Desenvolvimento Infantil
Bolsas de Estudo/métodos
Feminino
Seres Humanos
Masculino
Tutoria/métodos
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1097/DBP.0000000000000438


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[PMID]:29217800
[Au] Autor:Sachdeva A
[Ad] Endereço:National President, Indian Academy of Pediatrics, 2017 anupamace@yahoo.co.in.
[Ti] Título:Dietary Interventions for Rare Metabolic Disorders - Now Available in India!
[So] Source:Indian Pediatr;54(11):909-910, 2017 11 15.
[Is] ISSN:0974-7559
[Cp] País de publicação:India
[La] Idioma:eng
[Mh] Termos MeSH primário: Erros Inatos do Metabolismo/dietoterapia
[Mh] Termos MeSH secundário: Dietoterapia/métodos
Seres Humanos
Índia
Recém-Nascido
Pediatria/organização & administração
Doenças Raras/dietoterapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE


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[PMID]:29429507
[Au] Autor:Léauté-Labrèze C
[Ad] Endereço:Unité de dermatologie pédiatrique et centre de référence des maladies rares de la peau, hôpital Pellegrin-Enfants, CHU de Bordeaux, 33076 Bordeaux Cedex, France. Electronic address: christine.labreze@chu-bordeaux.fr.
[Ti] Título:[What's new in pediatric dermatology?]
[Ti] Título:Quoi de neuf en dermatologie pédiatrique ?.
[So] Source:Ann Dermatol Venereol;143 Suppl 3:S29-S36, 2016 Dec.
[Is] ISSN:0151-9638
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:The association of a birth defect and a segmental hemangioma is well established, a consensus concerning evaluation and monitoring of infants with PHACE or LUMBAR syndromes has been published. The efficacy of propranolol in infantile hemangioma is proven; however there were still unresolved issues concerning the safety in children; after 8 years of use on thousands of children safety data collection did not show any unexpected side effects. Topical treatment of infantile hemangiomas with beta-blockers, such as timolol, is very popular, but recent publications revealed a significant systemic absorption that could be responsible for severe side effects, such as bradycardia, in low birthweight infants. As a consequence, this therapeutic option should be considered with caution. In the last 2 years mTOR inhibitors have been tested in low-flow vascular malformations with varying success, but progress remains to be done in the treatment of vascular abnormalities. Today, genetics has led to advances in the understanding of the pathophysiology and in the future targeted therapies could probably be feasible. Skin barrier deficiency is responsible for the development of allergic phenomena in atopic patients, since it has been shown that sensibilisation, even to food, could probably be induced by skin contact. Unfortunately, the topical treatment with crisaborole, a phosphodiesterase 4 inhibitor, does not look like a revolution in children atopic dermatitis, its efficacy seems equivalent to emollient application. In the field of infectious diseases, changes in viral outbreaks are the most reported. Furthermore epidemic Zika virus, enteroviruses are responsible for expanded dermatological manifestations and also severe meningoencephalitis. Paraviral character of various eruptions, such as gloves and socks syndrome or eruptive pseudoangiomatosis is challenged.
[Mh] Termos MeSH primário: Dermatopatias
[Mh] Termos MeSH secundário: Coartação Aórtica/terapia
Doenças Autoimunes/genética
Criança
Dermatologia
Anormalidades do Olho/terapia
Hipersensibilidade Alimentar/imunologia
Hemangioma/terapia
Seres Humanos
Síndromes Neurocutâneas/terapia
Pediatria
Fator de Transcrição STAT3/genética
Dermatopatias/diagnóstico
Dermatopatias/etiologia
Dermatopatias/terapia
Fenômenos Fisiológicos da Pele
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (STAT3 Transcription Factor); 0 (STAT3 protein, human)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE


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[PMID]:29384193
[Au] Autor:Sibson KR; Biss TT; Furness CL; Grainger JD; Hough RE; Macartney C; Payne JH; Chalmers EA; British Society for Haematology
[Ad] Endereço:Department of Haematology, Great Ormond Street Hospital, London, UK.
[Ti] Título:BSH Guideline: management of thrombotic and haemostatic issues in paediatric malignancy.
[So] Source:Br J Haematol;180(4):511-525, 2018 02.
[Is] ISSN:1365-2141
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtornos Hemostáticos/diagnóstico
Transtornos Hemostáticos/etiologia
Transtornos Hemostáticos/terapia
Neoplasias/complicações
Trombose/diagnóstico
Trombose/etiologia
Trombose/terapia
[Mh] Termos MeSH secundário: Tomada de Decisão Clínica
Gerenciamento Clínico
Seres Humanos
Neoplasias/terapia
Pediatria
Medição de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRACTICE GUIDELINE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1111/bjh.15112


  5 / 42343 MEDLINE  
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[PMID]:29308841
[Au] Autor:Namazova-Barahona LS; Snovskaya MA; Mitushin IL; Kozhevnikova OV; Batyrova AS
[Ti] Título:Peculiarities of Allergy Diagnosis in Children.
[So] Source:Vestn Ross Akad Med Nauk;72(1):33-41, 2017.
[Is] ISSN:0869-6047
[Cp] País de publicação:Russia (Federation)
[La] Idioma:eng
[Ab] Resumo:Allergic disease is a serious problem in practical healthcare. Over the last 40 years there has been exponential growth in the prevalence. According to the world health organization information, allergic diseases are at the 2nd place in prevalence the children, behind the viral infections. Their frequency and severity are increasing. In this regard, the relevance of timely and skilled diagnostic allergopathology is most important. In this study the current state of the question of allergy diagnostics is considered, the international experience is summarized and the approach to the allergy diagnosis based on use of step-by-step identification of a causal and significant factor of allergic reactions is offered. On the basis of the analysis of relevance and the importance for patients of one or the other allergens (taking into account a source of allergens and age of patients) use of a step-by-step allergy diagnostics algorithm is offered. The first step is definition of clinical implications of an allergy. It means direct contact of the phisition with the patient, clarification of its complaints, clinical symptoms, medical history disease. The second step is the confirmation of IgE-dependent mechanism. It involves the using of screening tests that are selected depending on the clinical symptoms and seasonality manifestations (the screening module). The third step is to identify the source of the allergens that are most meaningful for the patient with using test panels (modules). The panels include the most common and clinically relevant triggers of allergic reactions. The fourth step is the search for an individual significant allergens, which were not included in the diagnostic modules. On the fifth step, we plan to conduct component-divided diagnostics and detect the antibodies to unique components of significant allergens. The developed diagnostics algorithm, corresponds to needs of both the adult, and children's population and provides the personalized approach to the patients.
[Mh] Termos MeSH primário: Hipersensibilidade
Pediatria/métodos
[Mh] Termos MeSH secundário: Algoritmos
Alérgenos/análise
Criança
Seres Humanos
Hipersensibilidade/diagnóstico
Hipersensibilidade/imunologia
Imunoglobulina E/análise
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Allergens); 37341-29-0 (Immunoglobulin E)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180109
[St] Status:MEDLINE
[do] DOI:10.15690/vramn799


  6 / 42343 MEDLINE  
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[PMID]:29297628
[Au] Autor:Baybarina EN; Baranov AA; Namazova-Baranova LS; Piskunova SG; Besedina EA; Sadovshikova AN; Yuldashev OR; Mukhortova SA; Artemova IA; Chernikov VV; Kharkin AV; Chistyakova EG; Vologdina EL; Kaputskaya TN; Kiripova RF
[Ti] Título:Pediatric Health Quality Assessment in Different Regions of Russian Federation.
[So] Source:Vestn Ross Akad Med Nauk;71(3):214-23, 2016.
[Is] ISSN:0869-6047
[Cp] País de publicação:Russia (Federation)
[La] Idioma:eng
[Ab] Resumo:Background: The quality of pediatric healthcare is a cornerstone for good maternal and infant health. Aims: To evaluate the quality of healthcare in secondary and tertiary regional pediatric hospitals in the Russian Federation. Methods: Healthcare quality assessment was performed in 21 pediatric hospitals (tertiary, n=5; secondary, n=16) of four regions. The WHO recommendations were used. Results: In all regions, similar traits of inpatient pediatric healthcare determining a poor quality were observed. These included low preparedness for emergent care at admission departments; a high rate of unjustified hospitalization due to lack of clear indications for inpatient care; a widespread polypharmacy and unnecessary painful procedures and treatment; inadequate unjustified antimicrobial and parenteral therapy. Conclusions: The revealed identity of problems in different regions of the country allows to consider a common strategy to overcome them, which, obviously, should primarily involve education of medical personnel, restructuring of hospital beds to increase day care beds, increasing the clinical expert work in hospitals.
[Mh] Termos MeSH primário: Hospitais Pediátricos/normas
[Mh] Termos MeSH secundário: Seres Humanos
Determinação de Necessidades de Cuidados de Saúde
Pediatria/organização & administração
Pediatria/normas
Garantia da Qualidade dos Cuidados de Saúde/métodos
Federação Russa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180104
[St] Status:MEDLINE
[do] DOI:10.15690/vramn688


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[PMID]:29195003
[Au] Autor:Daily JA; Bolin E; Eble BK
[Ad] Endereço:Arkansas Children's Hospital, Little Rock, Arkansas, USA.
[Ti] Título:Teaching pediatric cardiology with meaning and sense.
[So] Source:Congenit Heart Dis;13(1):154-156, 2018 Jan.
[Is] ISSN:1747-0803
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pediatric cardiologists teach complicated concepts to a diverse group of learners that include medical students, nurses, residents, fellows, patients, and parents. Unfortunately, much of what is taught is not retained. In order to increase the likelihood of long-term retention, a cardiologist should teach with both meaning and sense. The authors provide a review of these concepts and give specific examples of how to teach in ways that both make sense and are meaningful to a cardiologist's leaners.
[Mh] Termos MeSH primário: Cardiologia/educação
Competência Clínica
Currículo/normas
Internato e Residência
Pediatria/educação
Estudantes de Medicina
Ensino/normas
[Mh] Termos MeSH secundário: Criança
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.1111/chd.12561


  8 / 42343 MEDLINE  
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[PMID]:29181874
[Au] Autor:Neal AE; Lehto E; Miller KH; Ziegler C; Davis E
[Ad] Endereço:Department of Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky, USA.
[Ti] Título:Using a statewide survey methodology to prioritize pediatric cardiology core content.
[So] Source:Congenit Heart Dis;13(1):147-153, 2018 Jan.
[Is] ISSN:1747-0803
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Although pediatrician-reported relevance of Canadian cardiology-specific objectives has been studied, similar data are not available for the 2016 American Board of Pediatrics (ABP) cardiology-specific objectives. This study asked Kentucky trainees, pediatricians, and pediatric cardiologists to identify "most important" content within these objectives. DESIGN, METHODS, OUTCOME MEASURES: This cross-sectional study used an original, online survey instrument based on the 2016 ABP cardiology-specific objectives. We collected quantitative data (numerical indications of importance) and qualitative data (open-ended replies regarding missing content and difficulty in teaching and learning). Respondents indicated the top two choices of most important items within eight content areas. Descriptive statistics (frequencies and percentages) and chi-square analysis were calculated. Content within categories was organized using naturally occurring "clusters" and "gaps" in scores. Common themes among open-ended qualitative responses were identified using Pandit's version of Glaser and Strauss Grounded theory (constant comparison). RESULTS: Of the 136 respondents, 23 (17%) were residents, 15 (11%) fellows, 85 (62%) pediatricians, and 13 (10%) pediatric cardiologists. Of attendings, 80% reported faculty/gratis faculty status. Naturally occurring clusters in respondent-designated importance resulted in ≤3 "most selected" objectives per content area. Objectives in "most selected" content pertained to initial diagnosis (recognition of abnormality/disease) (n = 16), possible emergent/urgent intervention required (n = 14), building a differential (n = 8), and planning a workup (n = 4). Conversely, themes for "least selected" content included comanagement with subspecialist (n = 15), knowledge useful in patient-family communication (n = 9), knowledge that can be referenced (as needed) (n = 7), and longitudinal/follow-up concerns (n = 5). CONCLUSIONS: This study demonstrated the utility of an online survey methodology to identify pediatric cardiology content perceived most important. Learners and faculty generally provided concordant responses regarding most important content within the cardiology-specific ABP objectives. Medical educators could apply this methodology to inform curriculum revision.
[Mh] Termos MeSH primário: Cardiologia/educação
Currículo
Educação de Pós-Graduação em Medicina/organização & administração
Cardiopatias
Pediatria/educação
Inquéritos e Questionários/utilização
[Mh] Termos MeSH secundário: Adulto
Criança
Estudos Transversais
Feminino
Seres Humanos
Kentucky
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1111/chd.12559


  9 / 42343 MEDLINE  
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[PMID]:27776586
[Au] Autor:Cruz AT; Hersh AL; Starke JR; Beekmann SE; Polgreen PM; Banerjee R
[Ad] Endereço:Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
[Ti] Título:Controversies in tuberculous infection among pediatric infectious disease specialists in North America.
[So] Source:Int J Tuberc Lung Dis;20(11):1463-1468, 2016 Nov.
[Is] ISSN:1815-7920
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the extent to which advancements in the diagnosis and treatment of latent tuberculous infection (LTBI) have been integrated into practice by pediatric infectious disease (PID) specialists. DESIGN: We conducted an online survey of the Infectious Diseases Society of America's Emerging Infections Network (EIN) membership. RESULTS: Of the 323 members, 197 (61%) responded: 7% cared for ⩾5 children with TB disease and 34% for ⩾5 children with LTBI annually. We identified substantial variations in the use of interferon-gamma release assays (IGRAs) based upon age, immune status, and TB risk factors. In addition, tuberculin skin test (TST) use was three times more common in younger children. Variations existed in managing children with discordant TST and IGRA results. Less variation existed in LTBI treatment, with 86% preferring a 9-month course of isoniazid; few other, newer regimens were used routinely. CONCLUSION: Substantial variations exist in LTBI management; uptake of newer diagnostic tools and treatment regimens has been slow. Variations in practice and the lag time to integrating new data into practice may indicate the relative infrequency with which providers encounter LTBI. Our findings reflect the need for increased visibility of existing TB guidelines and resources for expert consultation for scenarios not covered by guidelines.
[Mh] Termos MeSH primário: Doenças Transmissíveis/diagnóstico
Doenças Transmissíveis/epidemiologia
Tuberculose Latente/diagnóstico
Tuberculose Latente/epidemiologia
Pediatria
[Mh] Termos MeSH secundário: Criança
Gerenciamento Clínico
Seres Humanos
Testes de Liberação de Interferon-gama
Internet
América do Norte/epidemiologia
Guias de Prática Clínica como Assunto
Fatores de Risco
Inquéritos e Questionários
Teste Tuberculínico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


  10 / 42343 MEDLINE  
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[PMID]:29172661
[Au] Autor:Kovács G; Kiss C
[Ad] Endereço:II. Gyermekgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Tuzoltó u. 7-9., 1094.
[Ti] Título:[Novelties in the treatment of pediatric immune thrombocytopenia - 2017].
[Ti] Título:Újdonságok a gyermekkori immunthrombocytopenia kezelésében ­ 2017..
[So] Source:Orv Hetil;158(48):1891-1896, 2017 Dec.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:Immune thrombocitopenia in children is a very variable disease. International recommendations give therapeutic possibilities without strong protocols. In 2011, a therapeutic algorithm was published based on Hungarian practice. Recently, new innovative drugs have been available even in Hungary, so there is a need for modification of the therapeutic protocols. In this summary we give an overview about the current up-to-date management. In infancy and in childhood, high-dose immunglobulin treatment is recommended henceforward. In older children an alternative can be steroid therapy (pulses or long-term low-dose treatment). In resistant cases, a new thrombopoetin receptor stimulant, eltrombopag can be administered. This drug is registered in Hungary, and can very effectively influence the prognosis. Splenectomy is very rare nowadays in children. Immune thrombocytopenia is an unpredictable disease. Cure rate is about 70-80% of the cases, but management of the patients needs special care and specialist. Orv Hetil. 2017; 158(48): 1891-1896.
[Mh] Termos MeSH primário: Benzoatos/uso terapêutico
Hidrazinas/uso terapêutico
Imunoglobulinas Intravenosas/uso terapêutico
Conduta do Tratamento Medicamentoso
Púrpura Trombocitopênica Idiopática/tratamento farmacológico
Pirazóis/uso terapêutico
Esteroides/uso terapêutico
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Resistência a Medicamentos
Seres Humanos
Lactente
Recém-Nascido
Pediatria
Prognóstico
Púrpura Trombocitopênica Idiopática/cirurgia
Esplenectomia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Benzoates); 0 (Hydrazines); 0 (Immunoglobulins, Intravenous); 0 (Pyrazoles); 0 (Steroids); S56D65XJ9G (eltrombopag)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.30934



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