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About This Synopsis Book. 关于这本简介书。
IF 6.4 2区 医学 Q1 PEDIATRICS Pub Date : 2025-12-01 DOI: 10.1542/peds.2025-074246A
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引用次数: 0
Diagnosing Paediatric Mild Acute Food Protein-Induced Enterocolitis Syndrome: Proposal of New Criteria. 诊断小儿轻度急性食物蛋白性小肠结肠炎综合征:新标准的建议。
IF 6.4 2区 医学 Q1 PEDIATRICS Pub Date : 2025-12-01 DOI: 10.1542/peds.2025-074246K
Jim Liu, Timothy Chow
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引用次数: 0
Long-Term Outcome of IgE-Mediated Cow's Milk Allergy and Risk Factors for Persistence. ige介导的牛奶过敏的长期结果和持续性的危险因素。
IF 6.4 2区 医学 Q1 PEDIATRICS Pub Date : 2025-12-01 DOI: 10.1542/peds.2025-074246JC
Karla L Davis
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引用次数: 0
NK Cell and Monocyte Dysfunction in Multisystem Inflammatory Syndrome in Children. 儿童多系统炎症综合征的NK细胞和单核细胞功能障碍。
IF 6.4 2区 医学 Q1 PEDIATRICS Pub Date : 2025-12-01 DOI: 10.1542/peds.2025-074246PC
Areli Flores Camargo, Malika Gupta
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引用次数: 0
Dupilumab as an Adjunct to Oral Immunotherapy in Pediatric Patients With Peanut Allergy. Dupilumab作为花生过敏儿童口服免疫治疗的辅助药物。
IF 6.4 2区 医学 Q1 PEDIATRICS Pub Date : 2025-12-01 DOI: 10.1542/peds.2025-074246JJ
Vivian Y Liu, Michael L Pistiner
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引用次数: 0
Genetic Testing in Patients With Autoimmune Lymphoproliferative Syndrome: Experience of 802 Patients at Cincinnati Children's Hospital Medical Center. 自身免疫性淋巴细胞增生性综合征患者的基因检测:辛辛那提儿童医院医学中心802例患者的经验
IF 6.4 2区 医学 Q1 PEDIATRICS Pub Date : 2025-12-01 DOI: 10.1542/peds.2025-074246OG
Caroline Nassab O'Leary, Kelli W Williams
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引用次数: 0
Development and Evaluation of Modified Criteria for Infant and Toddler Anaphylaxis. 婴幼儿过敏反应修订标准的制定和评价。
IF 6.4 2区 医学 Q1 PEDIATRICS Pub Date : 2025-12-01 DOI: 10.1542/peds.2025-074246EB
Sohini Kamdar, Scott H Sicherer
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引用次数: 0
Unhealthy Habits and Comorbidities Associated With Uncontrolled Asthma in Young People. 青少年未控制哮喘的不健康习惯和合并症
IF 6.4 2区 医学 Q1 PEDIATRICS Pub Date : 2025-12-01 DOI: 10.1542/peds.2025-074246LO
Emily S Robbins, Stephanie A Kubala
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引用次数: 0
Managing Competing Interests Between Appointed Surrogates and Extended Family in End-of-Life Care. 在临终关怀中管理指定代理人和大家庭之间的利益竞争。
IF 6.4 2区 医学 Q1 PEDIATRICS Pub Date : 2025-12-01 DOI: 10.1542/peds.2024-069035
Derek R Soled, Elizabeth Lanphier, Ianthe R M Schepel, Maya Scott

This Ethics Rounds article brings together perspectives from a clinical ethicist, 2 resident physicians in pediatrics, and a social worker on a case involving a terminally ill, intubated, and sedated young adult patient whose health care proxy, extended family, and health care team disagree on the course of her care. Although the proxy, the patient's adult sister, seems to agree in principle with the health care team's recommendation to withdraw life-sustaining treatment, she is unwilling to consent to withdrawal due to perceived pressure from her extended family. From an ethics perspective, we discuss the concept of the "marginalized decision-maker" and how to blend the "best interests" approach from pediatric medicine with the "substituted judgment" standard applied in adult medicine when making decisions for incapacitated young adult patients. From a clinical perspective, we explore features of this case that may contribute to feelings of moral distress within the medical team, identify best practices for leading team and family meetings to avoid values imposition and promote shared decision-making, and argue for the importance of training physicians in clinical ethics and reflective skills to improve the quality of patient care and reduce experiences of moral distress in the workplace. Finally, we explore the role that family dynamics, families' culture and values, and past experiences in the health care system can play in shared decision-making conversations.

本文汇集了一位临床伦理学家、两名儿科住院医师和一名社会工作者的观点,讨论了一个终末期、插管和镇静的年轻成年患者的病例,该患者的医疗代理、大家庭和医疗团队对她的护理过程持不同意见。虽然代理人,即病人的成年姐姐,原则上似乎同意医疗小组关于停止维持生命治疗的建议,但由于她感受到来自大家庭的压力,她不愿意同意停止治疗。从伦理学的角度,探讨了“边缘化决策者”的概念,以及如何将儿科医学的“最佳利益”方法与成人医学的“替代判断”标准融合在一起,为无行为能力的青年患者做出决策。从临床角度来看,我们探讨了该病例可能导致医疗团队中道德痛苦感的特征,确定了领导团队和家庭会议的最佳做法,以避免价值观强加和促进共同决策,并论证了培训医生临床伦理和反思技能的重要性,以提高患者护理质量,减少工作场所的道德痛苦体验。最后,我们探讨了家庭动态、家庭文化和价值观以及过去在医疗保健系统中的经验在共同决策对话中所起的作用。
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引用次数: 0
Nemolizumab With Concomitant Topical Therapy in Adolescents and Adults With Moderate-to-Severe Atopic Dermatitis (ARCADIA 1 and ARCADIA 2): Results From Two Replicate, Double-Blind, Randomized Controlled Phase 3 Trials. 奈莫单抗联合局部治疗青少年和成人中重度特应性皮炎(ARCADIA 1和ARCADIA 2):来自两个重复、双盲、随机对照的3期试验的结果
IF 6.4 2区 医学 Q1 PEDIATRICS Pub Date : 2025-12-01 DOI: 10.1542/peds.2025-074246HG
Aadesh Chordia, J Andrew Bird
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引用次数: 0
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Pediatrics
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