Prevalence of Noonan spectrum disorders in a pediatric population with valvar pulmonary stenosis

2018 ◽  
Vol 14 (2) ◽  
pp. 264-273 ◽  
Author(s):  
Kailyn Anderson ◽  
James Cnota ◽  
Jeanne James ◽  
Erin M. Miller ◽  
Ashley Parrott ◽  
...  
2014 ◽  
Vol 38 (6) ◽  
pp. 940-963 ◽  
Author(s):  
Darren S. Levin ◽  
Valerie M. Volkert ◽  
Cathleen C. Piazza

Despite the high prevalence and potential negative consequences of feeding disorders in children with autism spectrum disorder (ASD), there are surprisingly few studies that examine the efficacy of treatment exclusively with these children. Children with feeding disorders also frequently exhibit packing (holding or pocketing food without swallowing). Investigators have evaluated procedures in the general pediatric population to treat packing, and some have shown that procedures need to be combined to form an effective treatment. Although investigators have evaluated the efficacy of re-distribution, swallow facilitation, and a chaser, these procedures have not been evaluated specifically with children with ASD. Prior to the current investigation, we successfully used nonremoval procedures to increase acceptance of pureed foods and liquids and decrease the inappropriate mealtime behavior of two children diagnosed with ASD and feeding problems; however, in each case, packing emerged during initial treatment. We then used different combinations of re-distribution, swallow facilitation, and chaser treatments to decrease packing for both children.


2012 ◽  
Vol 23 (3) ◽  
pp. 405-408 ◽  
Author(s):  
Hideshi Tomita ◽  
Noriyuki Haneda ◽  
Takashi Higaki ◽  
Koichi Kataoka

AbstractBackgroundProviding care for children with cardiac disease remains a challenge in developing countries.Materials and methodsSince 2001, a team of paediatric cardiologists has been visiting Mongolia to perform children's cardiac catheterisation, as well as screening children for cardiac disease. Considering the limited medical resources, as well as cost, risk, and benefit, we focused our activities on diagnostic consultation by echocardiography, transcatheter closure of persistent arterial duct, balloon dilation of valvar pulmonary stenosis and aortic coarctation, and diagnostic catheterisation.ResultsUp to 2011, we have completed echocardiography in 1200 patients; diagnostic catheterisations in 59 patients; and catheter interventions in 255 patients, including 224 for persistent arterial duct, 23 for valvar pulmonary stenosis, 6 for aortic coarctation, and a few others. We have visited 14 rural areas to screen for children's cardiac diseases. A total of 131 persistent ducts were closed with coils and a further 93 with a duct occluder. Migration of the coil or occluder to the pulmonary artery occurred once for each device. Pulmonary valvuloplasty was successful in 23 patients and a coarctation was effectively dilated in six patients.ConclusionsThe limited healthcare resources in developing countries such as Mongolia make catheter interventional procedures an attractive alternative to surgery in treating children with simple but critical congenital heart diseases. Introduction of the duct occluder extended the application of transcatheter occlusion of persistent arterial duct in Mongolia to larger vessels and avoided the expense of coil occlusion using multiple coils.


1996 ◽  
Vol 17 (6) ◽  
pp. 407-409 ◽  
Author(s):  
A.D. Udwadia ◽  
S. Khambadkone ◽  
B.A. Bharucha ◽  
Y. Lokhandwala ◽  
S.F. Irani

2017 ◽  
Vol 27 (6) ◽  
pp. 1232-1234
Author(s):  
Kalyani R. Trivedi ◽  
Laurence Robinson ◽  
Alain Fraisse

AbstractSome patients with pulmonary valve stenosis do not respond to balloon valvuloplasty and must undergo surgical repair. We report the case of a 12-year-old child with pulmonary valve stenosis and Noonan syndrome in whom we performed transcatheter Melody pulmonary valve implantation after balloon dilation failed. The result was excellent. This technique can be proposed as an alternative to surgery in such cases.


1985 ◽  
Vol 56 (8) ◽  
pp. 527-532 ◽  
Author(s):  
Daniel A. Kveselis ◽  
Albert P. Rocchini ◽  
A.Rebecca Snider ◽  
Amnon Rosenthal ◽  
Dennis C. Crowley ◽  
...  

2008 ◽  
Vol 29 (3) ◽  
pp. 649-652 ◽  
Author(s):  
David M. Drossner ◽  
William T. Mahle

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