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儿科症状检查表在休学中小学生的效度和信度
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作者 余粤 彭梓轩 +2 位作者 刘晋 倪士光 丁如一 《中国心理卫生杂志》 CSCD 北大核心 2023年第12期1092-1098,共7页
目的:探讨儿科症状检查表(Pediatric Symptom Checklist,PSC)在中国由家长报告信息的休学学生群体的效度和信度。方法:共纳入184名家长,使用PSC对因心理问题导致休学的10~19岁学生进行评估。使用倾向性评分匹配比较休学学生和正常学生... 目的:探讨儿科症状检查表(Pediatric Symptom Checklist,PSC)在中国由家长报告信息的休学学生群体的效度和信度。方法:共纳入184名家长,使用PSC对因心理问题导致休学的10~19岁学生进行评估。使用倾向性评分匹配比较休学学生和正常学生量表得分差异。结果:在删除原量表的第4个条目(太爱动、不停活动)后,验证性因子分析显示三因素模型的拟合表现良好(χ^(2)/df=1.57,RMSEA=0.06,CFI=0.93,TLI=0.91,SRMR=0.07)。总量表及内化、外化和注意力问题维度的Cronbachα系数分别为0.85、0.80、0.76、0.69。休学组学生PSC子量表和各子维度得分均高于正常组学生(均P<0.05)。结论:在删除第4个条目后,PSC量表有良好的结构效度和信度,可作为评估休学中小学生心理问题的测量工具。 展开更多
关键词 儿科症状检查 休学学生 效度 信度 倾向性评分匹配
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“心理社会问题筛查——儿科症状检查表”在住院患儿中的应用 被引量:3
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作者 张劲松 许积德 李丰 《临床儿科杂志》 CAS CSCD 北大核心 2002年第4期230-231,共2页
引进美国对儿童心理社会问题筛查用的《儿科症状检查表》(PSC) ,对我国儿科住院患儿进行评估。随机选择儿科住院患儿104例 ,由家长填写PSC ,专业医师对儿童的心理问题进行诊断。结果表明 :平均分为13.9分 ,年龄和性别的差异无显著性 ;... 引进美国对儿童心理社会问题筛查用的《儿科症状检查表》(PSC) ,对我国儿科住院患儿进行评估。随机选择儿科住院患儿104例 ,由家长填写PSC ,专业医师对儿童的心理问题进行诊断。结果表明 :平均分为13.9分 ,年龄和性别的差异无显著性 ;重测信度0.74 ,以得分22分为分界 ,≥22分者占19.2 % ,灵敏性为66.7% ,特异性为92.5% ;与Rutter得分的相关性为0.78。提示PSC快捷、方便 ,中度灵敏 ,特异性较高 。 展开更多
关键词 心理社会问题 儿科症状检查 筛查 儿童
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利用蒙特卡罗建模及估算儿童X-CT检查受照剂量 被引量:8
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作者 潘羽晞 邱睿 +2 位作者 郑钧正 高林峰 李君利 《辐射防护》 CAS CSCD 北大核心 2016年第3期129-134,共6页
在儿科X射线-CT检查迅速增加的当下,尤其对电离辐射敏感的儿童,其所致医疗照射剂量的评估是十分重要和迫切的课题。本文结合已建立的1岁儿童体素体模,利用蒙特卡罗技术建立扫描模型,进行CT检查所致儿童受检者的医疗照射剂量估算。建立... 在儿科X射线-CT检查迅速增加的当下,尤其对电离辐射敏感的儿童,其所致医疗照射剂量的评估是十分重要和迫切的课题。本文结合已建立的1岁儿童体素体模,利用蒙特卡罗技术建立扫描模型,进行CT检查所致儿童受检者的医疗照射剂量估算。建立了CT单层轴向扫描时对1岁儿童36个器官或组织所产生医疗照射剂量的数据库,利用该数据库,可快速估算1岁儿童受检者接受CT扫描时的医疗照射剂量。并与同样扫描条件下的实验测量值进行了比较,结果显示二者相对偏差在25%以内。 展开更多
关键词 儿科X-CT检查 CT扫描模型 蒙特卡罗 医疗照射 器官剂量
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儿童支气管镜检查170例患者临床结果分析 被引量:1
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作者 崔晓峰 《中外医疗》 2013年第26期58-59,共2页
目的探讨和分析支气管镜对于儿科呼吸道疾病的具体应用价值和使用的安全性。方法选取该院从2009年10月—2012年9月收治的住院患者共170例,全部患者都在静脉复合麻醉基础下进行支气管镜的检查,经过鼻孔、会厌和声门到达气管与支气管,对... 目的探讨和分析支气管镜对于儿科呼吸道疾病的具体应用价值和使用的安全性。方法选取该院从2009年10月—2012年9月收治的住院患者共170例,全部患者都在静脉复合麻醉基础下进行支气管镜的检查,经过鼻孔、会厌和声门到达气管与支气管,对于病变的部位实施支气管肺泡灌洗术,并针对灌洗液进行细菌培养和检测查以查找病原体进行对症治疗。结果全部患者电子支气管镜检查的过程中,有41%的患者出现一过性紫绀症状,经皮血氧饱和度降到80%以下,在把气管镜退回到气管隆突以上或者退出气道,个别患者给予气囊加压给氧以后均得到恢复。没有出现心率减慢、喉水肿和肺部出血等不良反应,没有死亡的病例。结论在临床上出现的反复咳嗽,咯血和气喘等原因不明和久治不愈呼吸道疾病,通过支气管镜的检查,能够对儿童的呼吸道疾病做出有效的诊断,但是应当注意到支气管镜的最佳适应症,在操作是应当技术熟练,从而提高治疗的安全性和成功率。 展开更多
关键词 支气管镜 儿科检查 呼吸道疾病
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患儿做检查前应用苯巴比妥类药物与应用水合氯醛镇静效果对比
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作者 郭钰 《黑龙江医药》 CAS 2018年第5期1041-1042,共2页
目的:探讨苯巴比妥类药物与应用水合氯醛应用于儿科患儿检查的镇静效果。方法:选取2016年4月到2017年4月需要镇静的患儿共88例,按照患者岁数字抽签法将其分为对照组和观察组各44例。对照组给予苯巴比妥静脉注射,观察组给予水合氯醛灌肠... 目的:探讨苯巴比妥类药物与应用水合氯醛应用于儿科患儿检查的镇静效果。方法:选取2016年4月到2017年4月需要镇静的患儿共88例,按照患者岁数字抽签法将其分为对照组和观察组各44例。对照组给予苯巴比妥静脉注射,观察组给予水合氯醛灌肠镇静。比较患儿的镇静效果。结果:观察组患儿的镇静效果和成功率显著高于对照组(P<0.05),且观察组患儿的药物起效时间显著短于对照组(P<0.05)。结论:在儿科患儿检查时,采用水合氯醛进行镇静的效果显著,药物起效快,具有积极的推广意义。 展开更多
关键词 苯巴比妥 水合氯醛 儿科检查 镇静效果
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MAGNETOM ESSENZA磁共振系统在大型儿童医院的临床应用 被引量:1
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作者 李少蕊(编译) 翁得河(校) 凌晶晶(校) 《磁共振成像》 CAS 2012年第4期282-285,共4页
随着磁共振影像设备的迅速发展,儿科影像得到了很大的进步。为更好地满足儿科扫描的需求,西门子推出的MAGNETOM ESSENZA 1.5T磁共振系统在软硬件的设计上考虑到儿科患者的特殊性,能够很好地满足儿科检查在信噪比和常规、高级临床应用等... 随着磁共振影像设备的迅速发展,儿科影像得到了很大的进步。为更好地满足儿科扫描的需求,西门子推出的MAGNETOM ESSENZA 1.5T磁共振系统在软硬件的设计上考虑到儿科患者的特殊性,能够很好地满足儿科检查在信噪比和常规、高级临床应用等方面的需求,为儿科疾病的诊断评估提供了更有力的参考。该文通过图文展示的方式,分享儿科磁共振扫描的经验,并阐明了MAGNETOM ESSENZA1.5T磁共振系统在儿科检查的适用性和优势。 展开更多
关键词 MAGNETOM ESSENZA 儿科检查 磁共振成像
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Diagnostic and therapeutic role of endoscopic retrograde cholangiopancreatography in biliary rhabdomyosarcoma 被引量:2
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作者 Ryan W Himes Isaac Raijman +2 位作者 Milton J Finegold Heidi V Russell Douglas S Fishman 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第30期4823-4825,共3页
Biliary rhabdomyosarcoma (BRMS) is an uncommon childhood malignancy which has been managed surgically. We present a case of a 3-year-old boy with BRMS, in whom endoscopic retrograde cholangiopancreatography (ERCP) was... Biliary rhabdomyosarcoma (BRMS) is an uncommon childhood malignancy which has been managed surgically. We present a case of a 3-year-old boy with BRMS, in whom endoscopic retrograde cholangiopancreatography (ERCP) was successfully used both diagnostically and therapeutically, thus obviating the need for surgery and its attendant risks of morbidity and mortality. We conclude that ERCP is an effective alternative to surgery for BRMS in some patients. 展开更多
关键词 Pancreaticobiliary MALIGNANCY Pediatric Endoscopic retrograde cholangiopancreatography JAUNDICE
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study to determine guidelines for pediatric colonoscopy 被引量:10
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作者 Shinichiro Yoshioka Hidetoshi Takedatsu +11 位作者 Shuhei Fukunaga Kotaro Kuwaki Hiroshi Yamasaki RyosukeYamauchi Atsushi Mori Hiroshi Kawano Tadahiro Yanagi Tatsuki Mizuochi Kosuke Ushijima Keiichi Mitsuyama Osamu Tsuruta Takuji Torimura 《World Journal of Gastroenterology》 SCIE CAS 2017年第31期5773-5779,共7页
To investigated characteristics, diagnosis, bowel-cleansing preparation, sedation, and colonoscope length and diameter in Japanese pediatric patients receiving total colonoscopy. METHODSThe present study evaluated con... To investigated characteristics, diagnosis, bowel-cleansing preparation, sedation, and colonoscope length and diameter in Japanese pediatric patients receiving total colonoscopy. METHODSThe present study evaluated consecutive patients aged ≤ 15 years who had undergone their first colonoscopy in Kurume University between January 2007 and February 2015. Data were retrospectively analyzed. We identified 110 pediatric patients who had undergone colonoscopy that had reached the cecum, allowing the observation of the total colon. RESULTSHematochezia, abdominal pain, and diarrhea were the most common symptoms. For bowel-cleansing preparation, pediatric patients aged ≤ 12 years were treated with magnesium citrate, and patients aged 13-15 years were treated with polyethylene glycol 4000. For sedation, thiamylal with pentazocine, which has an analgesic effect, was used in patients aged ≤ 6 years, and midazolam with pentazocine was used in patients aged ≥ 7 years. Regarding the choice of endoscope, short and thin endoscopes were selected for younger patients, particularly patients aged ≤ 3 years. Positive diagnoses were made in 78 patients (70.9%). Inflammatory bowel disease (n = 49, 44.5%), including ulcerative colitis (n = 37, 33.6%) and Crohn’s disease (n = 12, 10.9%), was the most common diagnosis. CONCLUSIONColonoscopy offers a high diagnostic capability for pediatric patients with gastrointestinal symptoms. The selection of appropriate management the performance of colonoscopy is important in pediatric patients. 展开更多
关键词 Pediatric endoscopy SEDATION Bowel cleansing preparation Inflammatory bowel disease COMPLICATION
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Capsule endoscopy in pediatric patients 被引量:6
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作者 Raanan Shamir Rami Eliakim 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第26期4152-4155,共4页
Wireless capsule endoscope (WCE) for the investigation of the small bowel is an approved technique both in adults and children (more than 10 years old). The present review provides data on the indications, diagnostic ... Wireless capsule endoscope (WCE) for the investigation of the small bowel is an approved technique both in adults and children (more than 10 years old). The present review provides data on the indications, diagnostic yield, adverse events and limitations of the WCE technique in children and tries to predict the future of WCE usage in this population of patients. 展开更多
关键词 CAPSULE WIRELESS PEDIATRIC CHILDREN
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Mortality associated with gastrointestinal bleeding in children: A retrospective cohort study 被引量:6
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作者 Thomas M Attard Mikaela Miller +2 位作者 Chaitanya Pant Ashwath Kumar Mike Thomson 《World Journal of Gastroenterology》 SCIE CAS 2017年第9期1608-1617,共10页
To determine the clinical characteristics of children with gastrointestinal bleeding (GIB) who died during the course of their admission.METHODSWe interrogated the Pediatric Hospital Information System database, inclu... To determine the clinical characteristics of children with gastrointestinal bleeding (GIB) who died during the course of their admission.METHODSWe interrogated the Pediatric Hospital Information System database, including International Classification of Diseases, Current Procedural Terminology and Clinical Transaction Classification coding from 47 pediatric tertiary centers extracting the population of patients (1-21 years of age) admitted (inpatient or observation) with acute, upper or indeterminate GIB (1/2007-9/2015). Descriptive statistics, unadjusted univariate and adjusted multivariate analysis of the associations between patient characteristics and treatment course with mortality was performed with mortality as primary and endoscopy a secondary outcome of interest. All analyses were performed using the R statistical package, v.3.2.3.RESULTSThe population with GIB was 19528; 54.6% were male, overall mortality was 2.07%; (0.37% in patients with the principal diagnosis of GIB). When considering only the mortalities in which GIB was the principal diagnosis, 48% (12 of 25 principal diagnosis GIB mortalities) died within the first 3 d of admission, whereas 19.8% of secondary diagnosis GIB patients died with 3 d of admission. Patients who died were more likely to have received octreotide (19.8% c.f. 4.04%) but tended to have not received proton pump inhibitor therapy in the first 48 h, and far less likely to have undergone endoscopy during their admission (OR = 0.489, P < 0.0001). Chronic liver disease associated with a greater likelihood of endoscopy. Mortalities were significantly more likely to have multiple complex chronic conditions.CONCLUSIONGIB associated mortality in children is highest within 7 d of admission. Multiple comorbidities are a risk factor whereas early endoscopy during the admission is protective. 展开更多
关键词 PEDIATRICS Gastrointestinal hemorrhage ENDOSCOPY Proton pump inhibitors MORTALITY Liver disease Hospital Information Systems OCTREOTIDE
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Inter-observer variability in histopathological assessment of liver biopsies taken in a pediatric open label therapeutic program for chronic HBV infection treatment
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作者 Marek Woynarowski Joanna Cielecka-Kuszyk +4 位作者 Andrzej Ka■u■y(n|')ski Aleksandra Omulecka Maria Sobaniec-■otowska Julian Stolarczyk Wojciech Szczepa(n|')ski 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第11期1713-1717,共5页
AIM: To our knowledge, the inter-observer variability of the liver biopsy findings in HBV-infected children have not been studied as yet. Hence, we aimed to compare different pathologist's assessment of grading and ... AIM: To our knowledge, the inter-observer variability of the liver biopsy findings in HBV-infected children have not been studied as yet. Hence, we aimed to compare different pathologist's assessment of grading and staging in liver biopsies obtained from children prior to interferon treatment. METHODS: We collected 920 biopsies from 11 medical centers. The biopsies were independently reviewed by 6 pathologists from academic centers who assessed Batts-Ludwig score for grading and staging. Satisfactory agreement among observers was defined as at least 60% of observers having the same opinion. Satisfactory dispersion between maximal and minimal score for the same biopsy specimen was defined as a maximum 1 point. RESULTS: Satisfactory inter-observer agreement for grading was obtained in 51.6% and for staging in 75.7% of biopsies. Satisfactory dispersion for grading scores was observed in 44.5% and for staging in 72.7% of cases. CONCLUSION: Our study demonstrates that: (1) pathologists differ in their assessment of grading and staging of liver biopsies; (2) inter-observer variability for staging is lower than that for grading; and (3) regardless of the inter-observer variability of assessments, the majority of children with chronic HBV infection have mild to moderate inflammation and mild to moderate fibrosis. 展开更多
关键词 GRADING STAGING Type B Hepatitis Children
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