Browsing by Subject "pediatrics"
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Item ASSESSING THE PREVALENCE OF PSYCHOSOCIAL DISTRESS AMONG PEDIATRIC AND ADOLESCENT PATIENTS WITH LEUKEMIA USING THE DISTRESS THERMOMETER TOOL, AN OBSERVATIONAL STUDY(2023-05) Monteverde, Joaquin D.; Basha, Riyaz; Bailey, Laurie; Olivencia-Yurvati, Albert H.A leukemia diagnosis causes psychosocial distress in a significant number of patients. When this psychosocial need goes unattended, it can negatively affect their course of treatment. To prevent this issue, the Distress Thermometer (DT) allows a quick and valid way for patients/parents to self-report distress on a scale of 0-10, including identification of the distress source. This study descriptively evaluates the differences in distress prevalence from different demographic factors such as ethnicity, gender, leukemia type, and age.Item Blackwell, Deborah, D.O.(1994-03-31) Blackwell, Deborah; Hailey, BlakeDr. Blackwell, a graduate of TCOM, joined as a faculty member for the department of Pediatrics in 1989. She eventually became Assistant Dean for Clinical Affairs and discusses her work with OMCT and the school. Interviewed by Blake Hailey, March 31, 1994Item Broader Implications of Modeling and Simulation (M&S) Tools in Pharmacotherapeutic Decisions: A Cautionary Optimism(Frontiers Media S.A., 2020-04-29) Chaturvedula, Ayyappa; Palasik, Brittany N.; Cho, Hae Jin; Goyal, NavinItem Clinical Lectures on the Diseases of Women and Children(Samuel S. & William Wood, 1856-01-01) Bedford, Gunning M.D.4th ed., carefully rev. and enl. xvi, [5]-602 p. ; 24 cm.Item CONGENITAL POSTERIOR FOSSA POLAR SPONGIOBLASTOMA(2013-04-12) Thompson, JaredPurpose: 'Polar spongioblastoma' is a historical microscopic description of a tumor pattern that can be observed in a variety of high-grade pediatric and adult CNS neoplasms. It is characterized by bipolar neoplastic cells arranged in distinctive palisades. It is not recognized as a diagnostic entity in the current W.H.O. CNS tumor classification, though some argue it is indeed a unique tumor entity. The purpose of this case study is to increase awareness and encourage continued reporting of this rare congenital brain neoplasm. Methods: Following IRB approval, the medical record of an infant classified as having congenital posterior fossa 'polar spongioblastoma' was abstracted for demographic information, diagnostic details, tumor histopathology and overall clinical course. The medical literature pertaining to congenital CNS tumors, young-age medulloblastoma and 'polar spongioblastoma' was surveyed. Results: A 3 month old presented with progressive irritability, back arching and poor feeding since birth. Scans revealed a large rim-enhancing posterior fossa mass. Gross total resection was performed. There were no metastases. The tumor was comprised nearly exclusively of palisading columns of bipolar cells with a brisk MIB-1 index (10%). There were no morphologic features of medulloblastoma or glioma. Atypical teratoid/rhabdoid tumor was excluded by strong INI-1 immunostaining. There was patchy weak synaptophysin (neuronal) and focal GFAP (glial) staining. A diagnosis of malignant 'polar spongioblastoma' was assigned based on the distinctive histology of this embryonic glioneuronal neoplasm. Conclusions: Whether 'polar spongioblastoma' is a unique tumor entity, rather than a description of tumor cell palisading that can be commonly seen in a variety of high-grade CNS tumors, is controversial. We suggest that the unique feature of virtual complete cellular palisading, in the absence of diagnostic features which would otherwise categorize the tumor into a known neuroepithelial tumor class (e.g., medulloblastoma), should prompt ongoing discussions about the nomenclature for this rare condition. The infant discussed here represents the youngest reported case of polar spongioblastoma. We suggest ongoing reporting of this condition.Item DIAGNOSING MULTIPLE SCLEROSIS IN A 9 YEAR OLD BOY – CASE STUDY(2014-03) Shaygan, Lida; Bowman, W. Paul; Wang, ChingDiagnosis of multiple sclerosis (MS) in children, especially those less than 11 years old, can be a challenge for physicians. The disease can be easily not considered in children or misdiagnosed. Most pediatric MS patients who are less than 11 years present with clinical features that are difficult to discern from acute disseminated encephalomyelitis (ADEM). Purpose (a): This case study aims to highlight the clinical features and imaging results of multiple sclerosis seen in a 9 year old boy and to distinguish these from ADEM, which presents with similar clinical features and is usually first diagnosed in pediatric patients. Methods (b): Information and records were obtained on a 9 year old boy diagnosed with MS who presented initially with a history of relapsing and remitting episodes of somnolence, hemiparesis, blurred vision and dizziness at Driscoll Children's Hospital in Corpus Christi. Results (c): Clinical features and MRI data after 3 months confirmed diagnosis of MS, and he was placed on the long-term immuno- modulatory therapy, Copaxon. Conclusions (d): Children, especially those with ADEM, should be monitored closely for other transient neurological symptoms, such as blurry vision or episodes of dizziness that resolve on their own. These symptoms commonly present in kids who may develop multiple sclerosis.Item MITOCHONDRIAL ENCEPHALOMYOPATHY, LACTIC ACIDOSIS, AND STROKE-LIKE SYNDROME: A CASE REPORT(2013-04-12) Quackenbush, DavidPurpose: Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS), is a rare syndrome inherited through mitochondrial DNA, and thus from the female parent. This case study serves to educate health professionals in the diagnosis, care, and prognosis of individuals with MELAS syndrome. Methods: Information for this case report was collected retrospectively from electronic medical records of the patient's clinical encounters at a family medicine clinic. This information was compared to other case reports and research done on MELAS syndrome and compiled for a poster presentation. Results: MELAS syndrome is a multisystem illness, and individuals often have varied presentations. MELAS syndrome is often found during childhood, and there are several key symptoms that should raise a clinician's suspicion. The patient presented in the case report had many of the health issues associated with MELAS syndrome including seizures and a stroke at a young age. Conclusions: This case report demonstrates the effect MELAS syndrome has on an individual. The case serves to educate health professionals in the common presentation of this rare mitochondrial disease and discusses different treatment modalities that have been attempted among other affected individuals.