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关键词： 精品科技期刊   中华医学会系列杂志   期刊指南   核心期刊   资料管理系统   来源期刊   新乡医学院   儿科学  

摘要： 《中华实用儿科临床杂志》(原《实用儿科临床杂志》)是由中国科学技术协会主管、中华医学会主办、新乡医学院承办的中华医学会系列杂志,是以儿科临床与基础研究为主要报道内容的儿科学类核心期刊。本刊为中国科学引文数据库(CSCD)来源期刊,儿科学类核心期刊,中国科技论文统计源期刊(中国科技核心期刊),RCCSE中国核心学术期刊,中国精品科技期刊,中国科学技术协会精品科技期刊,被中国生物医学文献数据库(CBMdisc)、Quick全文资料管理系统(FTME)、中文科技期刊数据库、万方数据、《中国学术期刊文摘》、美国《化学文摘》、俄罗斯《文摘杂志》、波兰《哥白尼文摘》、WHO西太平洋地区医学索引(WPRIM)、美国《乌利希斯期刊指南》等国内外数十家权威数据库收录。

关键词： Scopus数据库   Elsevier   学术质量   儿科学   显示度   传播力   儿科临床   收录  

摘要： 2020年3月18日接到Elsevier出版集团通知,决定从2020年开始收录《中华实用儿科临床杂志》(Chinese Joural of Applied Clinieal Pediatries)。入选Scopus数据库标志着我刊学术质量和影响力均达到了较高水平,这将使我刊在国际上的显示度,传播力和影响力开启新的篇章。入选Scopus也是一个崭新的起点,在此感谢所有编委、作者、读者对我刊的支持,我刊将继续努力为我国儿科学事业的发展做出更大的贡献。

摘要： Evaluation of the nutritional status of a pediatric population affected by osteosarcoma(OS), rhabdomyosarcoma (RMS) and Ewing's sarcoma (EWS), at diagnosis and during treatment. Consecutive patients (pts) aged 0-18 affected by OS, RMS and EWS, attending the Pediatric Oncology Unit since 01/2013 to 12/2017, were evaluated; medical records were reviewed. Anthropometric data (BMI z-score) were collected at T0 (diagnosis), T1 (4-6 months, during treatment) and T2 (8-12 months, follow-up). The non parametric Wilcoxon-Mann-Whitney test was applied to compare the distribution of the BMI z-score between the three times. Nutritional intervention was recorded. Complete data were available for 120 pts: 43 OSpts, 31 RMSpts and 46 EWSpts. Severe malnutrition (z-score<-2) at diagnosis was recorded in 4% of OSpts, 4.6% of RMSpts, 4% of EWSpts; at baseline, median z-score was -0.71(IQR:-1.25–0.53) in OS, -0.72(IQR:-1.18–0.75) in RMS, -0.05(IQR:-0.92–1) in EWS. A significant worsening was observed at T1 overall (p=0.008) and in OS (p<0.001). T2 shows a significant global improvement (p=0.02). Comparing T0-T2, the worsening is significant only for Ospts (median z-score – 0.98, p=0.036), z-score in the other groups improves during follow-up. Parenteral Nutrition (PN) was applied in 45 pts (37.5%), primarily during high-dose-chemoterapy and autologous transplant in EWSpts. Analysis of the correlation with adverse effects wasn't possible because of missing data. Z-score<-2 at T2 was recorded in 12% of OSpts, 5.3% of RMSpts, 7.3% of EWSpts. A significant deterioration of nutritional status during oncologic treatment was observed, especially in OS patients. PN was applied in limited cases (high-dose-chemoterapy and autologous transplant). Screening and follow-up of patients are advisable since diagnosis, for a better and timely nutritional intervention.

关键词： 附属同济医院   身材矮小   同济医学院   儿科学   矮身材   遗传学诊断   临床医师   医学遗传学  

摘要： 推荐理由:华中科技大学同济医学院附属同济医院儿科学系梁雁教授和罗小平教授在2020年6月出版的《中华儿科杂志》上发表了专家述评《儿童矮身材遗传学诊断与研究的挑战和机遇》。矮小是一种常见的临床表征,矮身材的诊断过程实质上是确定导致身材矮小病因的过程。随着医学遗传学技术在临床的广泛应用,越来越多的矮身材儿童通过基因分析明确了矮小的病因。故临床医师需要积极探寻矮小的原因,从而更加科学规范地进行诊治。该述评详细阐述了矮身材相关基因的研究进展,指出矮身材遗传学分析的意义以及面临的挑战,进而强调需重视和加强对矮身材儿童遗传学分析和研究的力度,规范生长激素合理临床应用。

关键词： 中西医结合医院   重点专科建设   中华中医药学会   浙江省中医   医学重点学科   中医儿科学   儿科专业   儿童肺炎  

摘要： 浙江省中西医结合医院儿科创建于1950年,是杭州市乃至全省具有影响力、中西医结合特色明显的小儿专科。其中中医儿科学已列入"十三五"浙江省中医药(中西医结合)重点学科建设计划和"十三五"浙江省中医药(中西医结合)重点专科建设计划。目前是杭州市医学重点学科,杭州市中西医结合学会、杭州市中医药学会儿科专业委员会主任委员单位,中华中医药学会儿童肺炎联盟成员单位。2019年被确定为"浙江省儿童呼吸病中医药防治中心"。

关键词： 儿科学   示教课   同伴教学  

摘要： 目的探讨同伴教学在儿科学示教课中的应用效果。方法随机抽取新疆医科大学本科临床医学专业四年级的2个班分别作为实验班(n=50人)和对照班(n=51人);实验班采用同伴教学,并将该班学生按照随机数字表法分为施教学生(n=16人)和受教学生(n=34人);对照班采用传统教学,授课内容为儿科学示教课教学大纲内容。通过两独立样本的t检验比较儿科学期末考试成绩;同时利用调查问卷形式评价同伴教学对学生教学能力、专业知识学习、个人素质以及今后事业发展的影响。结果实验班儿科学期末考试平均成绩(82.97±2.59)高于对照班(79.22±8.84),差异有统计学意义(P<0.05);调查问卷结果显示:实验班大多数施教学生和受教学生认为同伴教学促进了学生教学能力、专业知识学习效果以及个人素质等方面的提高。结论同伴教学提高了儿科学示教课的教学效果,同时有利于临床医学生基本教学能力、个人素质的提高,值得推广采用。

关键词： Scopus数据库   Elsevier   学术质量   审稿人   儿科学   显示度   传播力   儿科临床  

摘要： 2020年3月18日接到Elsevier出版集团通知,决定从2020年开始收录《中华实用儿科临床杂志》(Chinese Journal of Applied Clinical Pediatrics)。人选Scopus数据库标志着我刊学术质量和影响力均达到了较高水平,这将使我刊在国际上的显示度,传播力和影响力开启新的篇章。人选Scopus也是一个崭新的起点,在此感谢所有编委审稿人.作者、读者对我刊的支持,我刊将继续努力为我国儿科学事业的发展做出更大的贡献。

关键词： 四磨汤   儿科学   消化不良   中医护理   中医药疗法  

摘要： 目的分析中医护理联合四磨汤治疗小儿消化不良的临床效果。方法选取2018年4月—2019年5月收治的功能性消化不良患儿100例。按随机数字表法分为研究组与参照组,各50例患儿。参照组患儿接受常规护理,研究组患儿接受中医护理联合四磨汤治疗。分析对比2组患儿的治疗有效率及护理满意度。结果参照组中医症状评分为(2.01±0.57)分明显高于研究组的评分(1.09±0.13)分,2组评分相比较(P <0.05);参照组护理满意度评分明显低于研究组的评分(P <0.05),其中,参照组满意度为82.35%,而研究组满意度为94.12%,2组相较差异具有统计学意义。结论采用中医护理联合四磨汤治疗小儿功能性消化不良疗效明显,值得临床推广。

关键词： 微视频   翻转课堂   儿科学  

摘要： 目的:探讨基于微视频的翻转课堂教学模式在儿科教学中的应用效果。方法:选取2018-2019年在儿科实习的临床专业学生82人,随机分为观察组和对照组。观察组采用基于微视频的翻转课堂教学模式,对照组采取传统教学模式。课程结束后,对两组学生进行理论知识测试,自制调查问卷对两组学生教学模式满意度进行评价。制定问卷评估观察组对新教学模式的执行情况。结果:观察组学生在理论知识考核中成绩优于对照组学生,教学模式满意度方面明显优于对照组,差异有统计学意义(P<0.05)。观察组对新教学模式的执行情况良好。结论:基于微视频的翻转课堂教学模式有助于提升学生成绩,增加学生对教学模式的满意度。

关键词： Neuroblastoma   children   proton therapy   pencil beam scanning   volumetric scanning   motion mitigation strategy  

摘要： Aims: More efforts are required to minimise late radiation side-effects for paediatric patients. Pencil beam scanning proton beam therapy (PBS-PT) allows increased sparing of normal tissues while maintaining conformality, but is prone to dose degradation from interplay effects due to respiratory motion. We report our clinical experience of motion mitigation with volumetric rescanning (vRSC) and outcomes of children with neuroblastoma. Materials and methods: Nineteen patients with high-risk (n = 16) and intermediate-risk (n = 3) neuroblastoma received PBS-PT. The median age at PBS-PT was 3.5 years (range 1.2-8.6) and the median PBS-PT dose was 21 Gy (relative biological effectiveness). Most children (89%) were treated under general anaesthesia. Seven patients (37%) underwent four-dimensional computed tomography for motion assessment and were treated with vRSC for motion mitigation. Results: The mean result of maximum organ motion was 2.7 mm (cranial-caudal), 1.2 mm (left-right), 1.0 mm (anterior-posterior). Four anaesthetised children (21%) showing <5 mm motion had four-dimensional dose calculations (4DDC) to guide the number of vRSC. The mean deterioration or improvement to the planning target volume covered by 95% of the prescribed dose compared with static three-dimensional plans were: 4DDC no vRSC, -0.6%;2 vRSC, +0.3%;4 vRSC, +0.3%;and 8 vRSC, +0.1%. With a median follow-up of 14.9 months (range 2.7-49.0) there were no local recurrences. The 2-year overall survival was 94% and distant progression-free survival was 76%. Acute grade 2-4 toxicity was 11%. During the limited follow-up time, no late toxicities were observed. Conclusions: The early outcomes of mainly high-risk patients with neuroblastoma treated with PBS-PT were excellent. With a subset of our cohort undergoing PBS-PT with vRSC we have shown that it is logistically feasible and safe. The clinical relevance of vRSC is debatable in anaesthetised children with small pre-PBS-PT motion of <5 mm. (C) 2020 Th