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991.
992.
Characterization of MHC Class I and β‐2‐Microglobulin Expression in Pediatric Solid Malignancies to Guide Selection of Immune‐Based Therapeutic Trials 下载免费PDF全文
993.
Patient/parent perspectives on genomic tumor profiling of pediatric solid tumors: The Individualized Cancer Therapy (iCat) experience 下载免费PDF全文
994.
Treatment‐related adverse events associated with a modified UK ALLR3 induction chemotherapy backbone for childhood relapsed/refractory acute lymphoblastic leukemia 下载免费PDF全文
995.
Idiopathic subglottic stenosis is associated with activation of the inflammatory IL‐17A/IL‐23 axis 下载免费PDF全文
Alexander Gelbard MD Nicolas‐George Katsantonis MD Masanobu Mizuta MD Dawn Newcomb PhD Joseph Rotsinger MS Bernard Rousseau PhD CCC‐SLP James J. Daniero MD MS Eric S. Edell MD Dale C. Ekbom MD Jan L. Kasperbauer MD Alexander T. Hillel MD Liying Yang MD MS C. Gaelyn Garrett MD James L. Netterville MD Christopher T. Wootten MD David O. Francis MD MS Charles Stratton MD Kevin Jenkins MD Tracy L. McGregor MD Jennifer A. Gaddy PhD Timothy S. Blackwell MD Wonder P. Drake MD 《The Laryngoscope》2016,126(11):E356-E361
996.
Dilated cardiomyopathy (DCM) inevitably afflicts patients with Duchenne muscular dystrophy (DMD) as a consequence of cell death induced by unguarded calcium influx into cardiomyocytes. This mechanism may also inhibit muscle relaxation in early stages of cardiomyopathy. ACE inhibition (ACEi) is known to delay the onset and slow the progression of DCM in DMD. The objective of this study is to use echocardiography to assess for preclinical cardiac changes consistent with intracellular calcium dysregulation before the onset of overt ventricular dysfunction, and to evaluate how prophylactic ACEi may alter these pre-cardiomyopathic changes in the pediatric DMD population. We examined 263 echocardiograms from 70 pediatric patients with DMD. We defined abnormal tonic contraction (TC) as left ventricular internal dimension in diastole (LVIDd) Z-score < ?1.5. In our cohort, we found that TC is detectable as early as 8 years of age, and most commonly affects patients between 11 and 15 years. This effect was independent of LV mass and systolic function. Prophylactic ACEi decreased the incidence of TC (p = 0.007) and preserved cardiac function (p < 0.0001). Left ventricular TC often precedes DCM in DMD, most commonly affecting the 11- to 15-year-old age range. TC is not related to ventricular hypertrophy, but rather may be a clinical correlate of the “calcium hypothesis” of DMD pathophysiology. LV TC is thus a promising biomarker for early detection of cardiomyopathy in DMD. ACEi prophylaxis suppresses LV TC and delays the development of DCM in DMD. 相似文献
997.
Laura C. Taylor Brendan Burke Janet E. Donohue Sunkyung Yu Jennifer C. Hirsch-Romano Richard G. Ohye Caren S. Goldberg 《Pediatric cardiology》2016,37(1):68-75
Interstage mortality remains significant for patients undergoing staged palliation for hypoplastic left heart syndrome and other related single right ventricle malformations (HLV). The purpose of this study was to identify factors related to demographics, socioeconomic position, and perioperative course associated with post-Norwood hospital discharge, pre-stage 2, interstage mortality (ISM). Medical record review was conducted for patients with HLV, born from 1/2000 to 7/2009 and discharged alive following the Norwood procedure. Sociodemographic and perioperative factors were reviewed. Patients were determined to have ISM if they died between Norwood procedure hospital discharge and stage 2 palliation. Univariable and multivariable logistic regressions were performed to identify risk factors associated with ISM. A total of 273 patients were included in the analysis; ISM occurred in 32 patients (12 %). Multivariable analysis demonstrated that independent risk factors for interstage mortality included teen mothers [adjusted odds ratio (AOR) 6.6, 95 % confidence interval (CI) 1.9–22.5], single adult caregivers (AOR 4.1, 95 % CI 1.2–14.4), postoperative dysrhythmia (AOR 2.7, 95 % CI 1.1–6.4), and longer ICU stay (AOR 2.7, 95 % CI 1.2–6.1). Anatomic and surgical course variables were not associated with ISM in multivariable analysis. Patients with HLV are at increased risk of ISM if born to a teen mother, if they lived in a home with only one adult caregiver, suffered a postoperative dysrhythmia, or experienced a prolonged ICU stay. These risk factors are identifiable, and thus these infants may be targeted for interventions to reduce ISM. 相似文献
998.
Now how do we get them home? Outpatient care of pediatric patients on mechanical circulatory support 下载免费PDF全文
Jennifer Conway Christina VanderPluym Aamir Jeewa Selvi Sinnadurai Amanda Schubert Angela Lorts 《Pediatric transplantation》2016,20(2):194-202
The last five yr have been monumental for the pediatric heart failure community. In the US, the most notable has been the FDA approval of the first pediatric specific device (Berlin Heart EXCOR®; Berlin Heart, Inc., Berlin, Germany). Subsequently, the field of heart failure has gained a great deal of knowledge regarding the nuances of MCS in children. Despite FDA approval in the US, the Berlin EXCOR® is only currently indicated for in‐hospital use. Due to the limitations with discharge and the positive in‐ hospital experiences with the Berlin EXCOR®, there has been an increased interest in the implantation of adult durable devices into children. While many institutions have focused their intial efforts on the first phase of care within the hospital, they are now ready to tackle the challenge of how to safely transition children to the community setting. 相似文献
999.
1000.
Inbal Samuk Akin Tekin Panagiotis Tryphonopoulos Ignacio G. Pinto Jennifer Garcia Debbie Weppler David M. Levi Seigo Nishida Gennaro Selvaggi Phillip Ruiz Andreas G. Tzakis Rodrigo Vianna 《Pediatric surgery international》2016,32(4):337-346