Pub Date : 2023-05-15DOI: 10.29011/2575-825x.100261
Liane Kaufmann, M. Aster, Erwin Concepcion, Martin, Schöfl
A
一个
{"title":"Equitable Opportunities for Students with Neurodevelopmental Disorders? A Preliminary Framework for Fostering Academic and Social Participation","authors":"Liane Kaufmann, M. Aster, Erwin Concepcion, Martin, Schöfl","doi":"10.29011/2575-825x.100261","DOIUrl":"https://doi.org/10.29011/2575-825x.100261","url":null,"abstract":"A","PeriodicalId":8302,"journal":{"name":"Archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76159189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-14DOI: 10.29011/2575-825x.100262
D. Primdahl, Megan A. Derrer, Shawn Allen, L. Edwards, F. Tobolowsky, Jessica M. Khouri, A. Waclawik, Lydia Wraight, C. Ikonomidou
nfant botulism is the most common form of human botulism in the United States. Most cases are caused by toxin types A and B, which are treated with Human Botulism Immune Globulin Intravenous (BIG-IV; BabyBIG ® ). We present the case of a 10-day-old male with rapidly progressive paralysis and respiratory failure who was diagnosed with botulism caused by Clostridium baratii toxin type F, a rare form of botulism with poorly defined sources. BIG-IV has no demonstrated efficacy against this serotype of botulism. While the young age, rapid onset of symptoms, and severe presentation are consistent with other reported cases of toxin type F infant botulism, this case is interesting due to improvement with the administration of pyridostigmine and treatment with equine-derived heptavalent botulism antitoxin (HBAT), which has been rarely used in the treatment of infant botulism. This report adds to the literature on the efficacy and safety profile of HBAT administration in infants. Furthermore, this case report suggests that healthcare providers should be aware of the possibility of botulism caused by Clostridium baratii toxin type F in an infant presenting with sudden onset of paralysis and consider early treatment with equine-derived HBAT.
{"title":"A Case of Infant Botulism Caused by Clostridium baratii type F: Evaluation and Experience with Administration of Equine-derived Heptavalent Botulism Antitoxin","authors":"D. Primdahl, Megan A. Derrer, Shawn Allen, L. Edwards, F. Tobolowsky, Jessica M. Khouri, A. Waclawik, Lydia Wraight, C. Ikonomidou","doi":"10.29011/2575-825x.100262","DOIUrl":"https://doi.org/10.29011/2575-825x.100262","url":null,"abstract":"nfant botulism is the most common form of human botulism in the United States. Most cases are caused by toxin types A and B, which are treated with Human Botulism Immune Globulin Intravenous (BIG-IV; BabyBIG ® ). We present the case of a 10-day-old male with rapidly progressive paralysis and respiratory failure who was diagnosed with botulism caused by Clostridium baratii toxin type F, a rare form of botulism with poorly defined sources. BIG-IV has no demonstrated efficacy against this serotype of botulism. While the young age, rapid onset of symptoms, and severe presentation are consistent with other reported cases of toxin type F infant botulism, this case is interesting due to improvement with the administration of pyridostigmine and treatment with equine-derived heptavalent botulism antitoxin (HBAT), which has been rarely used in the treatment of infant botulism. This report adds to the literature on the efficacy and safety profile of HBAT administration in infants. Furthermore, this case report suggests that healthcare providers should be aware of the possibility of botulism caused by Clostridium baratii toxin type F in an infant presenting with sudden onset of paralysis and consider early treatment with equine-derived HBAT.","PeriodicalId":8302,"journal":{"name":"Archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87576427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-10DOI: 10.29011/2575-825x.100259
Ernesto Mejia, M. Midha, Sonal D Shah, Amit Kumar, Mark, Votruba, C. Snyder
Background: Hemangiomas are the most common soft-tissue tumors affecting neonates and rarely lead to complications. Objectives: Assess cost-effectiveness of managing infantile hemangiomas via Telehealth (TH) versus in-person (IP) visits. Methods: Patients with vascular anomalies were assumed to be in 1 of 3 states: infantile hemangioma, nonserious condition, or serious condition. Decision models were constructed for initial and long-term cost of care for patients with infantile hemangiomas. Management was defined as initial visit at 3 months of age with follow-up visits every 3 months until 15 months of age. Reimbursement values were extracted from Medicare data and economic estimates of indirect costs. The expected value of patient visits were calculated in the model, and the lower expected cost was considered optimal. Expected values were calculated under two perspectives: a patient/ payer perspective and a “societal” (patient/payer/provider) perspective, the former assuming TH and IP visits would be equally reimbursed, and the latter incorporating the estimated cost saving arising from lower overhead costs. Deterministic sensitivity analysis was conducted to assess the most salient model inputs. Results: After accounting for increased risk of misdiagnosis and serious conditions, from a patient (payer) perspective, TH was associated with $10.26 cost savings for initial visit, and $51.30 through complete treatment course. From societal perspective TH saved $55.26 initially and $276.30 through complete course. Thus, in comparison to IP, TH is associated with 3.89% and 18.01% cost savings from the payer and societal perspectives, respectively. Conclusion: The use of TH for management infantile hemangioma proved to be cost effective.
{"title":"Cost Analysis of Telehealth for Management of Infantile Hemangioma in the United States","authors":"Ernesto Mejia, M. Midha, Sonal D Shah, Amit Kumar, Mark, Votruba, C. Snyder","doi":"10.29011/2575-825x.100259","DOIUrl":"https://doi.org/10.29011/2575-825x.100259","url":null,"abstract":"Background: Hemangiomas are the most common soft-tissue tumors affecting neonates and rarely lead to complications. Objectives: Assess cost-effectiveness of managing infantile hemangiomas via Telehealth (TH) versus in-person (IP) visits. Methods: Patients with vascular anomalies were assumed to be in 1 of 3 states: infantile hemangioma, nonserious condition, or serious condition. Decision models were constructed for initial and long-term cost of care for patients with infantile hemangiomas. Management was defined as initial visit at 3 months of age with follow-up visits every 3 months until 15 months of age. Reimbursement values were extracted from Medicare data and economic estimates of indirect costs. The expected value of patient visits were calculated in the model, and the lower expected cost was considered optimal. Expected values were calculated under two perspectives: a patient/ payer perspective and a “societal” (patient/payer/provider) perspective, the former assuming TH and IP visits would be equally reimbursed, and the latter incorporating the estimated cost saving arising from lower overhead costs. Deterministic sensitivity analysis was conducted to assess the most salient model inputs. Results: After accounting for increased risk of misdiagnosis and serious conditions, from a patient (payer) perspective, TH was associated with $10.26 cost savings for initial visit, and $51.30 through complete treatment course. From societal perspective TH saved $55.26 initially and $276.30 through complete course. Thus, in comparison to IP, TH is associated with 3.89% and 18.01% cost savings from the payer and societal perspectives, respectively. Conclusion: The use of TH for management infantile hemangioma proved to be cost effective.","PeriodicalId":8302,"journal":{"name":"Archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77698404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-06DOI: 10.29011/2575-825x.100257
Tara Venable
There are many variations in newborn head shape after delivery, some of which are suggestive of underlying abnormalities warranting further evaluation while others are normal variations that will resolve with time. It is imperative that clinicians can distinguish among physical exam findings of the newborn head to guide management and decision making. The focus of this paper is to discuss a rare, but benign, variant of the newborn head shape known as bathrocephaly.
{"title":"A Variation in Newborn Head Shape","authors":"Tara Venable","doi":"10.29011/2575-825x.100257","DOIUrl":"https://doi.org/10.29011/2575-825x.100257","url":null,"abstract":"There are many variations in newborn head shape after delivery, some of which are suggestive of underlying abnormalities warranting further evaluation while others are normal variations that will resolve with time. It is imperative that clinicians can distinguish among physical exam findings of the newborn head to guide management and decision making. The focus of this paper is to discuss a rare, but benign, variant of the newborn head shape known as bathrocephaly.","PeriodicalId":8302,"journal":{"name":"Archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78392754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-08DOI: 10.29011/2575-825x.100250
{"title":"Clinical Outcomes of Orchiopexy for Undescended Testes in Syndromic Patients with Developmental Delay, Genetic Syndromes, and Congenital Anomalies","authors":"","doi":"10.29011/2575-825x.100250","DOIUrl":"https://doi.org/10.29011/2575-825x.100250","url":null,"abstract":"","PeriodicalId":8302,"journal":{"name":"Archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85364574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-24DOI: 10.29011/2575-825x.100240
{"title":"Impact of COVID-19 Pandemic on Health Care System, Education, and Mental Well-being of Children with Cystic Fibrosis and their Parents","authors":"","doi":"10.29011/2575-825x.100240","DOIUrl":"https://doi.org/10.29011/2575-825x.100240","url":null,"abstract":"","PeriodicalId":8302,"journal":{"name":"Archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91049364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-24DOI: 10.29011/2575-825x.100247
{"title":"Changes in Depressive Symptoms and Perceived Stress in Women Coping with Infertility, Following Mind-Body Interventions","authors":"","doi":"10.29011/2575-825x.100247","DOIUrl":"https://doi.org/10.29011/2575-825x.100247","url":null,"abstract":"","PeriodicalId":8302,"journal":{"name":"Archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82890207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-20DOI: 10.29011/2575-825x.100244
{"title":"Bariatric Surgery to Conception Intervals and Breastfeeding Initiation","authors":"","doi":"10.29011/2575-825x.100244","DOIUrl":"https://doi.org/10.29011/2575-825x.100244","url":null,"abstract":"","PeriodicalId":8302,"journal":{"name":"Archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77788530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-09DOI: 10.29011/2575-825x.100241
{"title":"Urinary Creatinine from Multiple, Random Samples for Estimating Diuresis in Children","authors":"","doi":"10.29011/2575-825x.100241","DOIUrl":"https://doi.org/10.29011/2575-825x.100241","url":null,"abstract":"","PeriodicalId":8302,"journal":{"name":"Archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87513686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-06DOI: 10.29011/2575-825x.100239
{"title":"Determining the Breastfeeding Condition of Children Diagnosed with Leukemia","authors":"","doi":"10.29011/2575-825x.100239","DOIUrl":"https://doi.org/10.29011/2575-825x.100239","url":null,"abstract":"","PeriodicalId":8302,"journal":{"name":"Archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85759553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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