본문 바로가기
HOME> 저널/프로시딩 > 저널/프로시딩 검색상세

저널/프로시딩 상세정보

권호별목차 / 소장처보기

H : 소장처정보

T : 목차정보

Journal of pediatric urology 63건

  1. [해외논문]   Prospective study of enhanced recovery after surgery protocol in children undergoing reconstructive operations   SCIE

    Rove, K.O. (Department of Pediatric Urology, Children's Hospital Colorado, Aurora, CO, USA ) , Brockel, M.A. (Department of Anesthesiology, Children's Hospital Colorado, Aurora, CO, USA ) , Saltzman, A.F. (Department of Pediatric Urology, Children's Hospital Colorado, Aurora, CO, USA ) , Dö (Division of Pediatric Urology, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey ) , nmez, M.İ (Department of Pediatric Urology, Children's Hospital Colorado, Aurora, CO, USA ) , . (Department of Urology, Maine Medical Center, Portland, ME, USA ) , Brodie, K.E. (Department of Pediatric Urology, Children's Hospital Colorado, Aurora, CO, USA ) , Chalmers, D.J. (Department of Pediatric Urology, Children's Hospital Colorado, Aurora, CO, USA ) , Caldwell, B.T. (Department of Pediatric Urology, Children's Hospital Colorado, Aurora, CO, USA) , Vemulakonda, V.M. , Wilcox, D.T.
    Journal of pediatric urology v.14 no.3 ,pp. 252.e1 - 252.e9 , 2018 , 1477-5131 ,

    초록

    Summary Background Enhanced recovery after surgery (ERAS) protocol is a set of peri-operative strategies to increase speed of recovery. ERAS is well established in adults but has not been well studied in children. Objective The purpose of the current study was to establish the safety and efficacy of an ERAS protocol in pediatric urology patients undergoing reconstructive operations. It was hypothesized that ERAS would reduce length of stay and decrease complications when compared with historical controls. Study design Institutional Review Board approval was obtained to prospectively enroll patients aged Results A total of 26 historical and 13 ERAS patients were included. Median ages were 10.4 (IQR 8.0–12.4) and 9.9 years (IQR 9.1–11), respectively ( P = 0.94) (see Summary Table ). There were no significant between-group differences in prior abdominal surgery (38% vs 62%), rate of augmentation (88% vs 92%) or primary diagnosis of spina bifida (both 62%). ERAS significantly improved use of pre-operative liquid load ( P P = 0.046), early discontinuation of IVF ( P P P = 0.520). Complications of any grade per patient decreased from 2.1 to 1.3 (OR 0.71, 95% CI 0.51–0.97). There were fewer complications per patient across all grades with ERAS. No differences were seen in emergency department (ED) visits, re-admissions and re-operations. Discussion Implementation improved consistency of care delivered. Tenets of ERAS that appeared to drive improvements included maintenance of euvolemia through avoidance of excess fluids, multimodal analgesia, and early feeding. Conclusion ERAS decreased length of stay and 90-day complications after pediatric reconstructive surgery without increased re-admissions, re-operations or ED visits. A multicenter study will be required to confirm the potential benefits of adopting ERAS. Summary Table Pertinent findings regarding matched historical controls and patients who received care under an enhanced recovery after surgery protocol. Significant differences between groups with P Matched P -value Historical ERAS Total patients 26 patients 13 patients – Median age, years (IQR) 10.4 (8.0–12.4) 9.9 (9.1–11.0) 0.940 Patients with spina bifida 16 (6

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  2. [해외논문]   Laparoscopic nephrectomy for Wilms' tumor: Can we expand on the current SIOP criteria?   SCIE

    Burnand, Katherine (Department of Paediatric Surgery, Royal Children's Hospital, Melbourne, Australia ) , Roberts, Annie (Department of Paediatric Surgery, Royal Children's Hospital, Melbourne, Australia ) , Bouty, Aurore (Department of Paediatric Urology, Royal Children's Hospital, Melbourne, Australia ) , Nightingale, Michael (Department of Paediatric Surgery, Royal Children's Hospital, Melbourne, Australia ) , Campbell, Martin (Department of Paediatric Oncology, Royal Children's Hospital, Melbourne, Australia ) , Heloury, Yves (Department of Paediatric Urology, Royal Children's Hospital, Melbourne, Australia)
    Journal of pediatric urology v.14 no.3 ,pp. 253.e1 - 253.e8 , 2018 , 1477-5131 ,

    초록

    Summary Introduction Wilms' tumor now has a good overall prognosis with open radical nephrectomy having been the mainstay of surgical treatment. Recently laparoscopic nephrectomy (LN) has been growing in popularity. The aim of our study was to review our indications and outcomes for laparoscopic resections for Wilms' tumor and compare indications with International Society of Paediatric Oncology (SIOP) criteria for LN. Material and methods Patient demographics, preoperative management, surgical data, respect of SIOP criteria, complications, disease outcome, and follow-up were recorded on consecutive children who underwent nephrectomy for Wilms' tumor. Results and discussion Fifty-four consecutive children with Wilms' tumor underwent a nephrectomy; 20 had a LN (Table). Nine of 20 (45%) patients who had LN did not meet SIOP criteria for LN. No patients had an intraoperative tumor rupture and one patient had positive margins because of preoperative rupture. There were two conversions: one caused by difficulty accessing the renal hilum and the other caused by difficulty maintaining oxygen saturations. There was one local recurrence. Conclusion SIOP criteria are conservative and safe. Indications can be extended for teams experienced in surgical oncology and laparoscopy after agreement at a multidisciplinary meeting (MDM). Table Comparison table of open versus laparoscopic nephrectomy. Open nephrectomy Laparoscopic nephrectomy Total 34 20 SIOP criteria for laparoscopic nephrectomy met 0 11 Margins involved 5 1 Lymph nodes harvested (mean) 4.6 4.8 Recurrences 5 1

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Bladder debris on ultrasound as a predictor for positive urine culture in a pediatric population   SCIE

    Stevenson, Scott M. (Correspondence to: Scott M. Stevenson, University of Utah School of Medicine, Division of Urology, 30 North 1900 East, Salt Lake City, UT 84132, USA. Tel.: +1 801 541 4067) , Lau, Glen A. (fax: +1 801 585 2981) , Andolsek, William C. , Presson, Angela P. , Cartwright, Patrick C.
    Journal of pediatric urology v.14 no.3 ,pp. 254.e1 - 254.e5 , 2018 , 1477-5131 ,

    초록

    Summary Introduction Debris within the bladder is commonly seen on ultrasound. The etiology of bladder debris is varied and the likelihood that urinary debris represents positive urine culture is under investigation. We hypothesize that bladder debris will increase the likelihood that a urine culture is positive compared to those without bladder debris. Methods We performed a retrospective review on children aged 0–17 years who had a voiding cystourethrogram with a catheterized urinalysis or urine culture, and who also had a renal and bladder ultrasound up to 1 week prior, the day of, or up to 2 days after their urine studies. Presence of bladder debris and debris severity was recorded. Positive urine culture was defined as a single bacterial strain ≥50,000 cfu/mL. Demographic information, including findings of reflux and hydronephrosis were compared. Sensitivity, specificity, and risk ratios were calculated for predicting positive urine culture in patients with urinary debris on ultrasound. Results A total of 445 patients met inclusion criteria between January and December 2014. The positive urine culture rate was 20%, and the rate of bladder debris was 22%. The mean age for those with and without bladder debris was 6.6 and 5.5 years, respectively ( p = 0.02). 23% of girls had bladder debris, compared to 12% of boys ( p = 0.04, see results table). The sensitivity and specificity for bladder debris in detecting positive urine cultures was 52% and 86%, respectively. Forty-seven percent of those with bladder debris had positive cultures, compared with 12% of those without debris ( p Conclusions Nearly half of pediatric patients undergoing urological evaluation found to have bladder debris on ultrasound will have a positive urine culture. Debris is noted more commonly in girls and at a slightly higher age. The presence of debris is associated with a fourfold increase in detecting a positive urine culture, regardless of debris severity, hydronephrosis, or vesicoureteral reflux. Given this, it is of value to routinely document and look for the presence of any amount of bladder debris seen on ultrasound, as this finding can be used to augment clinical decision-making and warrants strong consideration for obtaining urine culture. Table Overall results. With debris Without debris p n 96 349 Mean age (years) 6.6 5.5 0.02 Positive urine culture 45/96 (47%) 42/349 (12%) Hydronephrosis 32/96 (33%) 155/349 (44%) 0.05 Vesicoureteral reflux 34/96 (35%) 126/349 (36%) 0.90

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  4. [해외논문]   The Double Dutch technique: A new way of creating an ileocystoplasty with a lengthy catheterizable ileal tube   SCIE

    Polm, P.D. (Department of Pediatric Urology, Wilhelmina Children's Hospital Utrecht, Utrecht, The Netherlands ) , Beyerlein, S. (Department of Pediatric Urology, Wilhelmina Children's Hospital Utrecht, Utrecht, The Netherlands ) , Klijn, A.J. (Department of Pediatric Urology, Wilhelmina Children's Hospital Utrecht, Utrecht, The Netherlands ) , de Jong, T.P.V.M. (Department of Pediatric Urology, Wilhelmina Children's Hospital Utrecht, Utrecht, The Netherlands ) , Dik, P. (Department of Pediatric Urology, Wilhelmina Children's Hospital Utrecht, Utrecht, The Netherlands)
    Journal of pediatric urology v.14 no.3 ,pp. 255.e1 - 255.e6 , 2018 , 1477-5131 ,

    초록

    Summary Introduction A tubularized conduit from an open 2-cm vascularized ileal segment is a frequently used technique to create a continent catheterizable channel in cases of an inappropriate or absent appendix. In the long term, many patients experience catheterization problems with the classic ileal segment tube, and even more with spiral or double-segment tubes. Objective The objective of this paper was to introduce an ileocystoplasty modification combined with a long ileal segment tube that has better support by surrounding tissue than other lengthy ileal segment tubes. Briefly summarized, this newly introduced method begins with isolating approximately 30 cm of ileum and dividing it into two parts. Two strips are then created and closed as a double-length tube. The ileal segments are opened antimesenterically and closed over the tube in the middle. The lower part of the tube is implanted with a submucosal tunnel in the bladder wall, and the ileal patch is then anastomosed with the bladder. The tube is anastomosed to the umbilicus in an ordinary way without any traction (see Summary Fig. ). Study design Between May 2005 and November 2012 the new technique was used at the current institution in nine children who needed an ileocystoplasty (mean age: 9 years and 3 months). Underlying etiology was neurogenic bladder in seven cases and epispadias in two. Results All patients ultimately had stomas without leakage or strictures. During follow-up, three of nine tubes developed stenoses that were corrected; four stomas in total had some sort of surgical revision. Median follow-up was 93 months. Intermittent catheterization was uncomplicated in all at this time. Discussion With this modification of the standard technique it seemed to be possible to create a more stable channel. The blood supply of the tube was secured by completely embedding the mesentery of the tube. Limitations included the small number of patients treated so far. Conclusion The lengthy tubes appeared to be straight and well supported by the surrounding tissues, which prevented kinking and sacculation. It is hoped that this technique will have better results and fewer complications at long-term follow-up. Display Omitted

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  5. [해외논문]   Voiding school as a treatment for daytime incontinence or enuresis: Assessing the effectiveness of intervention by measuring changes in wetting episodes   SCIE

    Saarikoski, A. (Children's Hospital, Helsinki University Central Hospital, Finland ) , Koppeli, R. (Children's Hospital, Helsinki University Central Hospital, Finland ) , Taskinen, S. (Children's Hospital, Helsinki University Central Hospital, Finland ) , Axelin, A. (Department of Nursing Science, University of Turku, Finland)
    Journal of pediatric urology v.14 no.3 ,pp. 256.e1 - 256.e7 , 2018 , 1477-5131 ,

    초록

    Summary Background Most urotherapy interventions are planned for children with daytime incontinence or symptoms, and are based on individual education. This study conducted a voiding school (VS) program with groups of 4–6 children with daytime incontinence or enuresis with or without daytime symptoms. Objective The aim of this quasi-experimental study with a one-group pretest–posttest design was to assess the effectiveness of the VS intervention for treating children's daytime incontinence or enuresis. Materials and methods Sixty-nine 6–12-year-old children with incontinence classified as treatment resistant participated in the VS at an outpatient clinic. Based on a power analysis, a sample of 52 participants was required. The VS involved two whole-day group visits 2 months apart. The educational content of the intervention was based on the International Children's Continence Society's standards for urotherapy, and was delivered with child-oriented teaching methods, including group discussions with peers. The primary outcome measure was the number of dry days and nights. The amount of wetting was also estimated, and the frequency of voiding measured. Data were collected with 1-week voiding diaries before and after each visit. Changes in dependent variables between four measurement points was measured by using repeated measures variance analysis. The long-term effectiveness was evaluated from patient records concerning 3-month follow-up phone calls or other contacts 8–18 months after the VS. Results Fifty-eight children, 34 girls and 24 boys, completed the study. Twelve children had daytime incontinence, 18 had enuresis, and 28 had both. The number of dry days increased from a mean of 3.5–5.3 ( P P Conclusions Voiding school (VS) was an effective intervention for treating both daytime incontinence and nocturnal enuresis in children who had not benefited from standard treatment and were classified as treatment resistant. Summary table . Changes in the number of dry days and dry nights in four measurement points. The other measurement points are compared with the first. Dependent variable Measurement point Mean (SD) Significant P -value Dry days of children with daytime incontinence ( n = 40/58) M1*M2**M3***M4**** 3.50 (2.03)4.53 (2.18)4.95 (1.93)5.30 (1.94) 0.003 Dry nights of children with enuresis ( n = 46/58) M1M2M3M4 2.43 (2.34)2.54 (2.13)2.94 (2.63)3.87 (2.78) 0.6370.027 M1* = 1 week before the first VS day. M2** = 2 weeks after the first VS day. M3*** = 1 week before the second VS day.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Effect of vitamin D and omega-3 on nocturnal enuresis of 7–15-year-old children   SCIE

    Rahmani, E. (Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran ) , Eftekhari, M.H. (Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran ) , Fallahzadeh, M.H. (Nemazi Hospital, Nephrology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran ) , Fararouei, M. (HIV/AIDS Research Center, Shiraz University of Medical Sciences, Shiraz, Iran ) , Massoumi, S.J. (Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran)
    Journal of pediatric urology v.14 no.3 ,pp. 257.e1 - 257.e6 , 2018 , 1477-5131 ,

    초록

    Summary Introduction Nocturnal enuresis is known to be a common urinary bladder complication in children. Recent studies have associated vitamin D and omega-3 insufficiency with nocturnal enuresis. Aim This was a 2-month randomized, placebo-controlled, double-blind trial to measure the effects of vitamin D, omega-3 supplements, and their combination on nocturnal enuresis among 7–15-year-old children. Materials and methods Participants (180 children with nocturnal enuresis) were selected from children referred to the Pediatric ward of Imam Reza Clinic in Shiraz, Iran. Demographic information and anthropometric measures were taken. Fasting blood and urine samples were also collected, and serum vitamin D and urine prostaglandin E2 were measured before and after intervention. Enuretic children were randomly assigned to four groups: Group A, vitamin D (1000 IU/day); Group B, omega-3 (1000 mg/day); Group C, both omega-3 (1000 mg/day) and vitamin D (1000 IU/day); and Group D, placebo. Results The results suggested that the study groups were not significantly different regarding demographic and anthropometric measures at baseline. Comparison of different groups revealed that 44.4% of participants in Group A, 28.2% of Group B and 45% of Group C were cured from enuresis ( P = 0.03). Serum 25(OH) D was significantly increased in Group A, but urine prostaglandin E2 was not significantly decreased in response to supplementation. Although supplementation with both Group A and Group B were found to be effective, the combined intervention did not increase the effect of each intervention solely. Conclusions The results showed that supplementation with vitamin D and omega-3 could reduce the number of wet nights among 7–15-year-old children with nocturnal enuresis.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Ureteral tunnel length versus ureteral orifice configuration in the determination of ureterovesical junction competence: A computer simulation model   SCIE

    Villanueva, C.A. (University of Nebraska Medical Center/Children's Hospital and Medical Center, Omaha, USA ) , Tong, J. (Department of Mechanical and Materials Engineering, University of Nebraska-Lincoln, Lincoln, USA ) , Nelson, C. (Department of Mechanical and Materials Engineering, University of Nebraska-Lincoln, Lincoln, USA ) , Gu, L. (Department of Mechanical and Materials Engineering, University of Nebraska-Lincoln, Lincoln, USA)
    Journal of pediatric urology v.14 no.3 ,pp. 258.e1 - 258.e6 , 2018 , 1477-5131 ,

    초록

    Summary Introduction The long-held belief that a ureteral re-implant tunnel should be five times the diameter of the ureter, as proposed by Paquin in 1959, ignores the effect of the orifice on the occurrence of reflux. In 1969, Lyon proposed that the shape of the ureteral orifice (UO) is more important than the intravesical tunnel. However, both theories missed quantitative evidence from principles of physics. The goal of the current study was to test Lyon's theory through numerical models (i.e. to quantify the sensitivity of ureterovesical junction (UVJ) competence to intravesical tunnel length and to the UO). Materials and methods The closure of a three-dimensional spatial configuration of ureter, constrained within a bladder, was simulated. Two common UO shapes (i.e. golf type vs 2-mm volcano type (Summary Fig.)), and two different intravesical ureteral tunnel length/diameter ratios (3:1 and 5:1) were examined. The required closure pressures were then compared. Results The UO was a significant factor in determining closure pressure. Given the same intravesical ureteral tunnel length/diameter ratio, the required closure pressure for the volcanic orifice was 78% less than that for the golf orifice. On the other hand, the intravesical ureteral tunnel length/diameter ratio had minimal effect on the required closure pressure. As the intravesical ureteral tunnel length/diameter ratio changed from 3:1 to 5:1, the required closure pressure was reduced by less than 7%, regardless of the orifice shape. Conclusions The simulation results showed that UVJ competence was more sensitive to a 2-mm protrusion of the UO compared to an increase in the intravesical tunnel length from 3:1 to 5:1. This agrees with Lyon's theory, and at the same time challenges Paquin's 5:1 rule. Researchers could use this information to consider the UO configuration in further animal, human, computer or material models. Display Omitted

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   Characteristics of testicular tumors in prepubertal children (age 5–12 years)   SCIE

    Karmazyn, Boaz (Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, IN, USA ) , Weatherly, David L. (Urologic Consultants, Downtown/Main Office, Grand Rapids, MI, USA ) , Lehnert, Stephen J. (Indiana University School of Medicine, Indianapolis, IN, USA ) , Cain, Mark P. (Department of Urology, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, IN, USA ) , Fan, Rong (Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, IN, USA ) , Jennings, S. Gregory (Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, USA ) , Ouyang, Fangqian (Department of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA ) , Kaefer, Martin (Department of Urology, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, IN, USA)
    Journal of pediatric urology v.14 no.3 ,pp. 259.e1 - 259.e6 , 2018 , 1477-5131 ,

    초록

    Summary Introduction Testicular tumors in children have two peaks with different types of tumors; in the first 4 years of life a third to half are benign with increased risk of malignancy during puberty. The pathology of testicular tumors between these peaks, at the age of 5–12 years, is not known. We hypothesized that because of the low level of testosterone at this time, the incidence of malignant tumors is very low. Objective To compare malignancy risk of primary testicular tumors in children in the prepubertal period (5–12 years) compared with younger (0–4 years) and pubertal (13–18 years) children. Study design We retrospectively (2002–2016) identified patients Results Fifty-two patients (mean age 11.0 years, range 6 days–18 years) were identified. Malignant tumor prevalence significantly differed ( p 4 mL (pubertal surge) significantly ( p 4 mL. Discussion We found that preadolescent children between the ages of 5 and 12 years have distinctive characteristics compared with the other age groups. Most importantly, no malignant testicular tumors were found in this age group. About a third of the children presented with an incidental testicular mass. The testicular tumors were significantly smaller (9.3 ± 6.7 mm) compared with those in children aged 13–18 years (29.8 ± 4.4 mm). There were limitations because of the retrospective nature of the study. Conclusion We found no malignant testicular tumors in children aged 5–12 years with no risk factors and prior to pubertal surge. Our study suggests use of more conservative treatment in this group of patients. Display Omitted

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   Risk factors for postobstructive diuresis in pediatric patients with ureteropelvic junction obstruction, following open pyeloplasty in three high complexity institutions   SCIE

    Pedraza Bermeo, Adriana M. (Pontificia Universidad Javeriana, Bogotá, Colombia ) , Ortiz Zableh, Ana Marí (Pontificia Universidad Javeriana, Bogotá, Colombia ) , a (Hospital Universitario San Ignacio, Colombia ) , Castillo, Mariangel (Hospital Universitario San Ignacio, Colombia) , Pé , rez Niñ , o, Jaime Francisco
    Journal of pediatric urology v.14 no.3 ,pp. 260.e1 - 260.e4 , 2018 , 1477-5131 ,

    초록

    Summary Introduction Postobstructive diuresis (POD) is a polyuric state in which large quantities of salt and water are eliminated after solving a urinary tract obstruction. These patients are at increased risk of severe dehydration, electrolytic disturbances, hypovolemic shock, and death. Ureteropelvic junction obstruction (UPJO) is the most common etiology of collecting system dilatation in the fetal kidney, and a significant number of patients require pyeloplasty. There are limited data regarding prognostic risk factors for POD in this scenario. Objective To describe possible clinical risk factors for POD in the pediatric population after open pyeloplasty. Study design This was a retrospective case series study of consecutive patients diagnosed with UPJO at three high complexity centers, managed with open pyeloplasty from 2006 to 2016. Multiple qualitative and quantitative variables possibly associated with POD were included according to the literature review. They were statistically analyzed with STATA 14 software. Results A total of 88 patients with UPJO following open pyeloplasty were analyzed. Twenty-seven patients (30%) had POD. A tendency to present POD in younger patients was found, with a mean age of 20.2 months vs. 72.3 months. There was also an increased risk of POD in patients with previous diagnosis of tubular acidosis. Conclusions There are no data about prognostic clinical risk factors for POD after open pyeloplasty in the pediatric population. Our study corresponds to one of the larger series reported so far. It suggests that younger patients and patients with a previous diagnosis of tubular acidosis could be at greater risk of POD. Consequently, prospective studies are required for validation of our results, and possible impact on patient follow-up. Summary table . Risk factors for POD: results of the univariate analysis with statistical significance. Variable Patients with no POD Patients with POD p n = 61 n = 27 Median (range) age, months 72.3 (1–192) 20.2 (2–120) 0.005 Previous tubular acidosis, n (%) 1 (2) 3 (11) 0.049

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  10. [해외논문]   Is surgical antibiotic prophylaxis necessary for pediatric orchiopexy?   SCIE

    Rensing, A.J. (Division of Pediatric Urology, Department of Urology, Indiana University School of Medicine, Indianapolis, IN, USA ) , Whittam, B.M. (Division of Pediatric Urology, Department of Urology, Indiana University School of Medicine, Indianapolis, IN, USA ) , Chan, K.H. (Division of Pediatric Urology, Department of Urology, Indiana University School of Medicine, Indianapolis, IN, USA ) , Cain, M.P. (Division of Pediatric Urology, Department of Urology, Indiana University School of Medicine, Indianapolis, IN, USA ) , Carroll, A.E. (Center for Pediatric and Adolescent Comparative Effectiveness Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA ) , Bennett Jr., W.E. (Center for Pediatric and Adolescent Comparative Effectiveness Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA)
    Journal of pediatric urology v.14 no.3 ,pp. 261.e1 - 261.e7 , 2018 , 1477-5131 ,

    초록

    Summary Introduction Surgeons frequently use surgical antibiotic prophylaxis (SAP), despite limited evidence to support its efficacy. Potential adverse events associated with antibiotic use include allergic reaction (including anaphylaxis), Clostridium difficile infection, and selecting for resistant bacteria. Surgical site infections (SSI) are very rare in patients undergoing clean pediatric urologic procedures. Current guidelines are unclear about the efficacy of surgical antibiotic prophylaxis for prevention of SSI in the pediatric population. Objective It was hypothesized that children who received SAP prior to orchiopexy would have no reduction in surgical site infection (SSI) risk but an increased risk of antibiotic-associated adverse events. Methods A retrospective cohort study was conducted of all males aged between 30 days and 18 years who underwent an orchiopexy (ICD-9 CM 62.5) in an ambulatory or observation setting from 2004 to 2015 using the Pediatric Health Information System database. Inpatients and those with concomitant procedures were excluded. Chi-squared or Fisher's exact tests were used to determine the association between SAP and allergic reaction (defined as a charge for epinephrine or ICD-9 diagnosis code for allergic reaction on the date of surgery) and any of the following within 30 days: SSI, hospital readmission or any repeat hospital encounter. Mixed effects logistic regression was performed, controlling for age, race, and insurance, and clustering of similar practice patterns by hospital. Results A total of 71,767 patients were included: median age was 4.6 years, 61.4% were white, and 49.3% had public insurance; 33.5% received SAP. Of these participants, 996/71,767 (1.4%) had a perioperative allergic reaction and P = 0.005). Surgical antibiotic prophylaxis was not associated with decreased rates of SSI, lower hospital readmission, nor a lower chance of a repeat encounter within 30 days. Conclusions In patients undergoing orchiopexy, it was found that SAP did not reduce the risk of postoperative SSI, readmissions, or hospital visits. Patients who received SAP had significantly increased odds of perioperative allergic reaction. This demonstrated that the risks of SAP outweigh the benefits in children undergoing orchiopexy.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지

논문관련 이미지