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Electrocardiograms changes in children with functional gastrointestinal disorders on low dose amitriptyline

World Journal of Gastroenterology 2014年第32期20卷 11321-11325页

作者： Ashish Chogle miguel saps Department of Pediatric Gastroenterology Hepatology and Nutrition Ann and Robert Lurie Children’s Hospital of Chicago Feinberg School of MedicineNorthwestern University Chicago IL 60611 United States

AIM: To study the effects of low dose amitriptyline on cardiac conduction in children.

关键词： Amitriptyline Electrocardiogram Children Abdominal pain related-functional gastrointestinal disorders

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X-ray detection of ingested non-metallic foreign bodies

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World Journal of Clinical Pediatrics 2014年第2期3卷 14-18页

作者： miguel saps John M Rosen Jacob Ecanow Division of Pediatric Gastroenterology Hepatology and NutritionAnn and Robert H Lurie Children’s Hospital of ChicagoNorthwestern Feinberg School of MedicineChicagoIL 60611-2605United States Department of Radiology Northshore University Health System University of Chicago Pritzker School of Medicine ChicagoIL 60611-2605United States

AIM: To determine the utility of X-ray in identifying non-metallic foreign body(FB) and assess inter-radiologist agreement in identifying non-metal FB. METHODS: Focus groups of nurses, fellows, and attending physicians were conducted to determine commonly ingested objects suitable for inclusion. Twelve potentially ingested objects(clay, plastic bead, crayon, plastic ring, plastic army figure, glass bead, paperclip, drywall anchor, eraser, Lego?, plastic triangle toy, and barrette) were embedded in a gelatin slab placed on top of a water-equivalent phantom to simulate density of a child's abdomen. The items were selected due to wide availability and appropriate size for accidental pediatric ingestion. Plain radiography of the embedded FBs was obtained. Five experienced radiologists blinded to number and types of objects were asked to identify the FBs. The radiologist was first asked to count thenumber of items that were visible then to identify the shape of each item and describe it to a study investigator who recorded all responses. Overall inter-rater reliability was analyzed using percent agreement and κ coefficient. We calculated P value to assess the probability of error involved in accepting the κ ***: Fourteen objects were radiographed including 12 original objects and 2 duplicates. The model's validity was supported by clear identification of a radiolucent paperclip as a positive control, and lack of identification of plastic beads(negative control) despite repeated inclusion. Each radiologist identified 7-9 of the 14 objects(mean 8, 67%). Six unique objects(50%) were identified by all radiologists and four unique objects(33%) were not identified by any radiologist(plastic bead, LegoTM, plastic triangle toy, and barrette). Identification of objects that were not present, false-positives, occurred 1-2 times per radiologist(mean 1.4). An additional 17% of unique objects were identified by less than half of the radiologists. Agreement between radiologi

关键词： Foreign bodies X-rays Pediatrics Radiographic phantom Diagnostic imaging

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儿童功能性胃肠病罗马Ⅳ标准

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中华儿科杂志 2017年第1期55卷 4-14页

作者： Marc A. Benninga Samuel Nurko Christophe Faure Paul E. Hyman Ian St. James Roberts Neil L. Schechter Jeffrey S. Hyams Carlo Di Lorenzo miguel saps Robert J. Shulman Annamaria Staiano Miranda van Tilburg Pediatric Gastroenterology Emma Children's HospitalAcademic Medical CenterAmsterdamThe Netherlands Center for Motility and Functional Gastrointestinal Disorders Boston Children' s HospitalBostonMassachusetts Pediatric Gastroenterology Sainte-Justine HospitalMontrealQuebecCanada Pediatric Gastroenterology Children' s HospitalNew OrleansLouisiana Thomas Coram Research Unit University College London Institute of EducationUniversity College LondonLondonUK Pediatric Pain Center Boston Children' s HospitalBostonMassachusetts Division of Digestive Diseases Hepatologyand NutritionConnecticut Children's Medical CenterHartfordConnecticut Division of Digestive Diseases Hepatologyand NutritionNationwide Children' s HospitalColumbus Ohio Baylor College ofMedicine Children's Nutrition Research CenterTexas Children's HospitalHoustonTexas Department ofTranslational Science Section of PediatricsUniversity of NaplesFederico IINaplesItaly Department of Gastroenterology and Hepatology University of North Carolina at ChapelHillChapel HillNorth Carolina

罗马标准是目前关于功能性胃肠病（ FGID）分类最全面且不断更新的标准。罗马Ⅰ、Ⅱ标准分别于1994年、1999年发布。罗马Ⅱ标准开始单列儿童FGID分类。2006年，根据年龄不同，婴幼儿（0-36个月）和儿童（〉36个月） FGID的罗马Ⅲ诊断标... 详细信息

罗马标准是目前关于功能性胃肠病（ FGID）分类最全面且不断更新的标准。罗马Ⅰ、Ⅱ标准分别于1994年、1999年发布。罗马Ⅱ标准开始单列儿童FGID分类。2006年，根据年龄不同，婴幼儿（0-36个月）和儿童（〉36个月） FGID的罗马Ⅲ诊断标准发布，但相关的流行病学、病理生理学、诊断检查、治疗策略以及预后等资料都很少。

关键词：功能性胃肠病罗马标准儿童 FGID 罗马Ⅱ标准病理生理学诊断标准流行病学

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