The Teaching of Crisis Counseling Skills to Pediatric Residents: A One-Year Study

Pediatric residents should learn to manage family crises such as informing parents that their child has a potentially life-threatening illness. Unfortunately, few training programs prepare residents to counsel parents of a child with cancer. An experiential parent crisis counseling program has been developed at the Children's Hospital National Medical Center in Washington, DC; this program has demonstrated that pediatric residents, with limited instruction, can be taught to give bad news to parents using effective information-giving and interpersonal skills.

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The VP7 Genes of Two G9 Rotaviruses Isolated in 1980 from Diarrheal Stool Samples Collected in Washington, DC, Are Unique Molecularly and Serotypically

Journal of Virology ◽

10.1128/jvi.02537-07 ◽

2008 ◽

Vol 82 (8) ◽

pp. 4175-4179 ◽

Cited By ~ 14

Author(s):

Dianjun Cao ◽

Norma Santos ◽

Ronald W. Jones ◽

Masatoshi Tatsumi ◽

Jon R. Gentsch ◽

...

Keyword(s):

Retrospective Study ◽

Amino Acid ◽

Amino Acid Sequence ◽

Medical Center ◽

Washington Dc ◽

Sequence Analyses ◽

National Medical ◽

Lineage 2 ◽

Stool Samples ◽

Vp7 Gene

ABSTRACT In a retrospective study of archival diarrheal stool samples collected from 1974 to 1991 at Children's Hospital National Medical Center, Washington, DC, we detected three genotype G9P[8] viruses in specimens collected in 1980, which represented the earliest human G9 viruses ever isolated. The VP7 genes of two culture-adapted 1980 G9 viruses were phylogenetically related closely to the lineage 2 G9 virus VP7 gene. Unexpectedly, however, the VP7s of the 1980 G9 viruses were more closely related serotypically to lineage 3 VP7s than to lineage 2 VP7, which may be supported by amino acid sequence analyses of the VP7 proteins.

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The teaching of crisis counseling skills to pediatric residents: a one-year study

Journal of the American Academy of Child Psychiatry ◽

10.1016/s0002-7138(09)60401-5 ◽

1983 ◽

Vol 22 (3) ◽

pp. 319

Author(s):

L.S. JEWETT ◽

L.W. GREENBERG ◽

L.A.A. CHAMPION ◽

R.S. GLUCK ◽

S.L. LEIKIN ◽

...

Keyword(s):

Counseling Skills ◽

Crisis Counseling ◽

Pediatric Residents ◽

One Year

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The Pediatric Cardiac Rehabilitation Program at Childrenʼs Hospital National Medical Center, Washington, DC

Journal of Cardiopulmonary Rehabilitation ◽

10.1097/00008483-198705000-00006 ◽

1987 ◽

Vol 7 (5) ◽

pp. 259 ◽

Cited By ~ 3

Author(s):

Teresa L. Tomassoni ◽

Frank M. Galioto ◽

Paul Vaccaro ◽

Jane Vaccaro ◽

Robert P. Howard

Keyword(s):

Cardiac Rehabilitation ◽

Medical Center ◽

Rehabilitation Program ◽

Washington Dc ◽

Cardiac Rehabilitation Program ◽

National Medical

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Cervicofacial Necrotizing Fasciitis and Candida spp

10.53902/sojdod.2021.01.000508 ◽

2021 ◽

Vol 1 (2) ◽

Author(s):

Juárez-Rebollar Alejandra Giselle

Keyword(s):

Necrotizing Fasciitis ◽

Candida Species ◽

Bacterial Infections ◽

Medical Center ◽

Bacterial Species ◽

Maxillofacial Surgery ◽

Candida Spp ◽

National Medical ◽

Dental Origin ◽

One Year

Cervicofacial necrotizing fasciitis is a rapidly evolving bacterial infection, which can be associated with multiple complications and poor health. However, there are few reported cases that are associated with Candida species, and the studies that report this indicate that it is found mainly in areas such as the pelvis, thorax and to a lesser degree in the arms and legs. The presence of Necrotizing Fasciitis in the cervicofacial region is very rare, which makes the present study relevant. Material and Method: Descriptive, observational and retrospective study of Odontogenic Cervicofacial Necrotizing Fasciitis and the presence of Candida spp., Carried out during one year, in the Maxillofacial Surgery service of the Specialty Hospital, of the National Medical Center "La Raza" (IMSS). Patients older than 18 years, who were diagnosed with Necrotizing Cervicofacial Fasciitis of dental origin, were included in the study, reporting the presence of Candida. Treatment consisted of debridement of necrotic tissue, culture, dressings, intravenous antibiotics, and secondary surgical scrubs. Results: In one year, 7 cases of Cervicofacial Necrotizing Fasciitis of dental origin were obtained, of which 3 patients had associated Candida species, the rest of the cultures were reported polymicrobial. The most associated comorbidities were uncontrolled diabetes mellitus and arterial hypertension, there was a predilection for the male sex, the median age was 63 years, the ranges (min: 24 and max: 83). In addition, it was found that the 3 patients who presented candida species in their cultures were overweight and their evolution was torpid. Conclusion: It is important to perform cultures and biopsies to report the microbial species found in pathologies such as Necrotizing Fasciitis and to be able to provide better treatment specifically to the patient. Candida species do not usually appear associated with Necrotizing Fasciitis, which is why when other non-bacterial species are present, patients must undergo specific and individualized treatment to treat bacterial infections (necrotizing fasciitis) and in this case also the fungal (candida), remembering that the two act synergistically.

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Pituitary metastasis: a rare condition

Endocrine Connections ◽

10.1530/ec-18-0338 ◽

2018 ◽

Vol 7 (10) ◽

pp. 1049-1057 ◽

Cited By ~ 14

Author(s):

Aida Javanbakht ◽

Massimo D’Apuzzo ◽

Behnam Badie ◽

Behrouz Salehian

Keyword(s):

Breast Cancer ◽

Primary Tumor ◽

Medical Center ◽

Clinical Manifestations ◽

Posterior Part ◽

Rare Condition ◽

National Medical ◽

Threatening Condition ◽

Life Threatening ◽

Pituitary Metastasis

Tumor metastasis to the pituitary gland is a rare, not well-documented and life-threatening condition associated with a shortened life span. A better understanding of its clinical manifestations could lead to earlier diagnosis, appropriate therapy and potentially improving quality of life. Therefore, we retrospectively studied the charts of patients with pituitary metastases who were treated at the City of Hope National Medical Center (Duarte, CA) from 1984 to 2018. We reviewed and analyzed tumor origin, primary pituitary clinical manifestation, duration between primary tumor diagnosis and pituitary metastasis, type of treatment and patient survival. A total of 11 patients were identified with a mean age of 59.2 years and median survival following the diagnosis of metastasis of 10 months. Breast cancer and lymphoma were the most common primary origins in these cases, and diabetes insipidus and panhypopituitarism were the most common clinical manifestations of their metastasis. We also compared our results with reports in the literature published between 1957 and 2018. A total 289 patients with pituitary metastasis have been reported in the literature. Breast cancer was the most frequent primary origin of the metastasis, and visual symptoms were the most common primary manifestation. The posterior part of the pituitary is more susceptible than the anterior to metastasis. Pituitary metastasis may occur as a consequence of successful primary tumor treatment prolonging the chance of seeding. Future studies are needed to determine the molecular mechanism of metastasis to the pituitary.

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A qualidade de vida de jovens portadores de espinha bífida do Children's National Medical Center – Washington DC

Ciência & Saúde Coletiva ◽

10.1590/s1413-81232006000300029 ◽

2006 ◽

Vol 11 (3) ◽

pp. 817-826 ◽

Cited By ~ 3

Author(s):

Ana Helena Rotta Soares ◽

Martha Cristina Nunes Moreira ◽

Lúcia Maria Costa Monteiro ◽

Hans G. Pohl

Keyword(s):

Medical Center ◽

Washington Dc ◽

National Medical

O presente artigo tem como objetivo explorar a qualidade de vida de jovens portadores de espinha bífida atendidos no Children's National Medical Center em Washington DC. A pesquisa baseia-se em uma perspectiva qualitativa que utiliza como referencial teórico central a "Teoria do estigma" e as discussões conceituais sobre as dimensões de qualidade de vida. Foram entrevistados 15 jovens do serviço acima citado, sendo que 8 deles participaram de um grupo focal construído através das questões levantadas durante entrevistas. Os discursos dos jovens em questão refletem a necessidade de categorias mais englobantes que não remetam a uma pulverização da experiência de vida. Evidenciou-se uma estrutura de desigualdade nas interações entre saudáveis e deficientes, e reproduzida pelos próprios jovens. Os resultados demonstram que o estigma se encontra presente em todas as dimensões da vida dos sujeitos, interferindo na inserção social, construção subjetiva do jovem e sua auto-estima, reforçando o papel do portador de deficiência como uma "não-pessoa". Embora a categoria sexualidade não seja priorizada em outros instrumentos para esta população, o tema se faz presente e central na discussão da experiência da vida dos mesmos.

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Family History of Autoimmune Disease in Patients with Aicardi-Goutières Syndrome

Clinical and Developmental Immunology ◽

10.1155/2012/206730 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Johanna L. Schmidt ◽

Ivana Olivieri ◽

Jodie M. Vento ◽

Elisa Fazzi ◽

Heather Gordish-Dressman ◽

...

Keyword(s):

Autoimmune Disease ◽

Medical Center ◽

Family Members ◽

Disease Diagnosis ◽

Washington Dc ◽

Chi Square ◽

National Medical ◽

History Of ◽

Number Of Individuals ◽

Syndrome Association

Purpose. The purpose of this study was to explore anecdotal evidence for an increase in the prevalence of autoimmune diseases in family members of patients with Aicardi-Goutières syndrome (AGS).Methods. Pedigrees of patients and controls were analyzed using chi-square and logistic regression to assess differences in reports of autoimmune disease among family members of cases and controls. Data was collected at Children's National Medical Center in Washington, DC, USA and at the International Aicardi-Goutières Syndrome Association Scientific Headquarters, C. Mondino National Institute of Neurology in Pavia, Italy.Results. The number of individuals with reported autoimmune disease is significantly related to having a family member with AGS (χ2=6.25,P=0.01); 10% (35/320) of relatives of patients with AGS had a reported autoimmune disease diagnosis compared to 5% (18/344) of relatives of controls. There was a greater percent of maternal relatives of patients with AGS reporting autoimmune disease (14.6%), compared to controls (6.8%), with the association being statistically significant. The association was not significant for paternal relatives.Conclusion. The prevalence of autoimmune disease in relatives of children with AGS is significantly increased compared to controls. More research is needed to better understand this association.

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Intracranial Complications of Sinusitis in Childhood

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949510400406 ◽

1995 ◽

Vol 104 (4) ◽

pp. 288-293 ◽

Cited By ~ 69

Author(s):

Don N. Lerner ◽

George H. Zalzal ◽

Sukgi S. Choi ◽

Dennis L. Johnson

Keyword(s):

Medical Center ◽

Abscess Formation ◽

Intracranial Extension ◽

Washington Dc ◽

Surgical Drainage ◽

Intracranial Abscess ◽

National Medical ◽

Management Protocol ◽

Similar Disease ◽

Intracranial Complications

Complications of sinusitis in children, such as intracranial abscess formation, are uncommon and are often clinically unremarkable in comparison to similar disease processes in adults. Between 1983 and 1991, 443 children were admitted to Children's National Medical Center in Washington, DC, for treatment of sinusitis. Fourteen of these children presented with intracranial extension of the infection and abscess formation. A retrospective review of these patients revealed that the risk of developing an intracranial abscess secondary to sinusitis was 3%. The management of these patients included surgical drainage of the infected sinuses and intracranial surgical exploration. Cranialization and exenteration of the frontal sinus proved to be effective single-stage procedures. While not indicated in all patients, these procedures eliminated the sinus as a source of continued or potential infection and obviated the need for a second obliterative procedure. Combined antimicrobial therapy and surgical drainage should be the management protocol.

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