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Pediatrics in review最新文献

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Shock and Severe Anemia in a Pediatric Patient. 儿科患者的休克和严重贫血。
IF 1.6 Q3 PEDIATRICS Pub Date : 2026-01-01 DOI: 10.1542/pir.2024-006405
Rohan Akhouri, Vincent J Calleo, Leslie Hueschen
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引用次数: 0
Acute Abdominal Pain and Constipation in 8-Year-Old Girl. 8岁女童急性腹痛与便秘。
IF 1.6 Q3 PEDIATRICS Pub Date : 2026-01-01 DOI: 10.1542/pir.2023-006108
Paige J Sims, Christina Varghese, Joseph Junewick, Kira Sieplinga
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引用次数: 0
Asthma Uncovered: A Comprehensive Look at Epidemiology, Pathophysiology, and Diagnosis. 揭露哮喘:流行病学、病理生理学和诊断的综合观察。
IF 1.6 Q3 PEDIATRICS Pub Date : 2026-01-01 DOI: 10.1542/pir.2024-006583
Stephen K de Waal Malefyt, Kate E Powers, Chloe Krugel, Robert Kaslovsky
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引用次数: 0
Motivational Interviewing: A Tool for Pediatricians. 动机性访谈:儿科医生的工具。
IF 1.6 Q3 PEDIATRICS Pub Date : 2026-01-01 DOI: 10.1542/pir.2024-006685
Nitin Vidyasagar, Karen Bernstein, Maria Alcocer Alkureishi
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引用次数: 0
Pediatric Off-Highway Vehicle Injuries and Fatalities: Exploring Risks, Prevention, and Safety. 儿童非公路车辆伤害和死亡:探索风险,预防和安全。
IF 1.6 Q3 PEDIATRICS Pub Date : 2026-01-01 DOI: 10.1542/pir.2025-006823
John Wong, Victoria Gebert, Andrew Savoia, Monica Kogan

Pediatric off-highway vehicle (OHV) injuries-including those from all-terrain vehicles (ATVs), utility terrain vehicles (UTVs), dirt bikes, golf carts, and snowmobiles-are a preventable public health issue. Between 2018 and 2020, children younger than 16 years of age accounted for 27% of the 500 000 OHV-related injuries reported by the US Consumer Product Safety Commission. In this review, ATVs were the most frequently involved, with head and neck injuries (56%) and fractures (21%) being the most cited. UTV crashes resulted in severe fractures (45%) and amputations (4%), whereas snowmobiles carried a high risk of internal organ injuries (33%). Golf carts, often misperceived as low risk, caused head and neck trauma in 79% of reported cases. Clear evidence supports protective measures, such as helmet mandates, age restrictions, and parental supervision, and their impact on reducing injury and mortality rates. Helmet noncompliance remains alarmingly high, ranging up to 96%, further exacerbating the risk of traumatic brain injuries. Addressing this preventable crisis requires urgent action. Strengthening safety legislation, increasing public awareness, and educating health care providers on risk mitigation are critical steps in reducing pediatric OHV-related injuries and fatalities. Regulations must be made consistent and enforced appropriately. Without decisive intervention, preventable injuries will continue to claim young lives at an unacceptable rate.

儿童越野车(OHV)伤害——包括来自全地形车(atv)、多功能地形车(utv)、越野车、高尔夫球车和雪地摩托的伤害——是一个可预防的公共健康问题。在2018年至2020年期间,美国消费者产品安全委员会报告的50万例ohv相关伤害中,16岁以下儿童占27%。在这篇综述中,atv是最常见的,头颈部损伤(56%)和骨折(21%)是被引用最多的。UTV碰撞导致严重骨折(45%)和截肢(4%),而雪地摩托导致内脏损伤的风险很高(33%)。高尔夫球车,经常被误认为是低风险的,在79%的报告病例中造成了头颈部创伤。明确的证据支持采取保护措施,如要求戴头盔、年龄限制和父母监督,以及这些措施对减少伤害和死亡率的影响。头盔不合规率仍然高得惊人,高达96%,进一步加剧了创伤性脑损伤的风险。应对这一可预防的危机需要采取紧急行动。加强安全立法、提高公众意识和对卫生保健提供者进行风险缓解教育,是减少儿童ohv相关伤害和死亡的关键步骤。必须制定一致的规章制度并适当地加以执行。如果不采取果断的干预措施,可预防的伤害将继续以不可接受的速度夺走年轻人的生命。
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引用次数: 0
A Neonate With Vomiting and Decreased Bowel Sounds. 新生儿呕吐及肠音减少1例。
IF 1.6 Q3 PEDIATRICS Pub Date : 2026-01-01 DOI: 10.1542/pir.2023-006220
Lindsey Ross, Elizabeth Berger
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引用次数: 0
Pediatric Insomnia. 儿科失眠。
IF 1.6 Q3 PEDIATRICS Pub Date : 2026-01-01 DOI: 10.1542/pir.2024-006687
Rayan Kteish, Mathew Ednick, Catherine Kier

Pediatric insomnia is a common condition that can significantly impact a patient's well-being. It typically involves difficulty falling asleep, staying asleep, or both. The prevalence of insomnia is notably higher among children with autism spectrum disorder (ASD) or attention-deficit hyperactivity disorder (ADHD). Two commonly recognized subtypes of pediatric insomnia are behavioral insomnia and psychophysiological insomnia. Because clinical symptoms and physical examination findings are often subtle, pediatricians should be familiar with the diagnosis and management of insomnia. Pediatricians should also consider and rule out underlying disorders such as sleep apnea, anxiety, or other medical conditions that may contribute to or mimic insomnia. Cognitive behavioral therapy for insomnia (CBT-I) is currently regarded as the most effective treatment. While melatonin has shown benefits in children with autism or ADHD, additional research is needed to evaluate the efficacy of other pharmacologic options. Timely intervention is crucial, as pediatric insomnia can become chronic and negatively affect mental health and overall quality of life.

儿童失眠是一种常见的情况,可以显著影响患者的健康。它通常包括入睡困难,保持睡眠,或两者兼而有之。在患有自闭症谱系障碍(ASD)或注意力缺陷多动障碍(ADHD)的儿童中,失眠的患病率明显更高。儿童失眠的两种常见亚型是行为性失眠和心理生理性失眠。由于临床症状和体检结果往往很微妙,儿科医生应熟悉失眠的诊断和处理。儿科医生还应考虑并排除潜在的疾病,如睡眠呼吸暂停、焦虑或其他可能导致或类似失眠的医疗条件。认知行为疗法(CBT-I)被认为是目前最有效的失眠治疗方法。虽然褪黑素对患有自闭症或多动症的儿童有益,但还需要进一步的研究来评估其他药物选择的疗效。及时干预是至关重要的,因为儿童失眠可能成为慢性疾病,并对心理健康和整体生活质量产生负面影响。
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引用次数: 0
In the Brave New World of AI, Why Read Pediatrics in Review? 在人工智能的美丽新世界,为什么要阅读儿科评论?
IF 1.6 Q3 PEDIATRICS Pub Date : 2026-01-01 DOI: 10.1542/pir.2025-007117
Jospeh A Zenel
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引用次数: 0
An Unusual Case of Back Pain in a Healthy Soccer Player. 一个健康足球运动员背部疼痛的不寻常案例。
IF 1.6 Q3 PEDIATRICS Pub Date : 2026-01-01 DOI: 10.1542/pir.2023-006157
Tolulope Fatola, Anthony Spellman, Marquita Genies
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引用次数: 0
Mandated Reporting. 授权报告。
IF 1.6 Q3 PEDIATRICS Pub Date : 2026-01-01 DOI: 10.1542/pir.2024-006457
Linda D Yarbrough
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引用次数: 0
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