The K. Hovnanian Children's Hospital (KHCH) at Jersey Shore University Medical Center is a pediatric acute care hospital located in Neptune Township, New Jersey. The hospital has 88 beds and provides comprehensive pediatric specialties and subspecialties to infants, children, teens, and young adults aged 0–21 throughout Coastal New Jersey. It is affiliated with both the Hackensack Meridian School of Medicine at Seton Hall University and Robert Wood Johnson Medical School, and is a member of Hackensack Meridian Health. KHCH features the only pediatric trauma center in the region, and 1 of 3 in the state. KHCH also partners with Ocean Medical Center, Riverview Medical Center, Southern Ocean Medical Center, and Bayshore Medical Center to provide pediatric care to the entire surrounding region of Hackensack Meridian Health hospitals.
OBJECTIVE:Medical adhesive-related skin injury (MARSI) represents a significant clinical challenge affecting patient outcomes and healthcare costs, with a reported prevalence of up to 37.15%. Despite growing awareness of MARSI, gaps persist in standardised prevention and management approaches. To assess healthcare professionals' (HCPs) perspectives on the prevalence, impact and management of MARSI, while identifying gaps in education and the application of clinical protocols. METHODS:A cross-sectional, 39-question global survey was conducted among HCPs between 15 March and 9 April 2026. Data were collected from a global subset of 951 self-identified HCPs involved in wound care across 68 countries. Analysis utilised descriptive statistics to determine frequency and identify trends in clinical practice, product usage and MARSI education and guidance. RESULTS:Clinical recognition of MARSI was almost universal (92.8%), with 45.6% of respondents encountering these injuries at least weekly. The most frequent injury types were skin tears (70.4%) and irritant contact dermatitis (68.1%). While existing literature focuses on device fixation, this survey identified wound dressing applications for hard-to-heal (59.6%) and surgical (53.2%) wounds as drivers of injury. A strong clinical preference for silicone-based adhesives was identified (>70%), with 82.3% of HCPs perceiving them as effective in reducing MARSI risk. Despite high awareness, significant institutional gaps persist: 75.7% of respondents lacked formal MARSI risk-assessment protocols, 65.4% relied on informal skin assessment and 36.3% had received no specific MARSI training. CONCLUSIONS:While clinical awareness of MARSI has improved significantly over the last decade, institutional support remains fragmented. The reliance on informal assessment rather than standardised protocols creates a critical implementation gap between clinical recognition and formal practice. The findings of this survey highlight a clear need for the integration of evidence-based prevention strategies alongside formalised institutional frameworks and enhanced professional education to mitigate the clinical and economic burden of MARSI.
We present an uncharacterized laryngotracheal agenesis variant with esophageal airway continuity, highlight limitations of existing classification systems, and demonstrate the possibility of primary crico-tracheal anastomosis. As awareness of these anomalies increases, careful anatomic description and individualized surgical reconstruction will be essential to advance the field and improve outcomes for these challenging patients.
Introduction Predictors for successful aerosolized surfactant treatment are not well defined. Objective To identify predictors for successful treatment in the AERO-02 trial and the AERO-03 expanded access program. Methods Neonates receiving nasal continuous positive airway pressure (NCPAP) at the time of first aerosolized calfactant administration were included in this analysis. Associations between demographic and clinical predictors to need for intubation were examined using univariate testing and multivariate logistic regression analyses. Results Three hundred and eighty infants were included in the study. Overall, 24% required rescue by intubation. Multivariate modeling revealed that the predictors of successful treatment were a gestational age ≥31 weeks, a respiratory severity score (RSS) of <1.9, and <2 previous aerosol treatments. Conclusion Gestational age, number of aerosols, and RSS are predictive of successful treatment. These criteria will help select patients most likely to benefit from aerosolized surfactant.
Acute abdominal pain with fever is a common presentation in the pediatric age group with a wide variety of differential diagnoses. We report a 9 year-old girl with abdominal pain, nausea, diarrhea and fever with exam findings of generalized abdominal tenderness. Her initial evaluation and imaging studies did not reveal the cause of her abdominal pain. Her worsening symptoms and change in physical examination prompted appropriate additional diagnostic workup which revealed a perforated Meckel's diverticulum with peritonitis as the etiology of her symptoms.
Objective To characterize the demographic and clinical features of pediatric severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) syndromes and identify admission variables predictive of disease severity. Study design We conducted a multicenter, retrospective, and prospective study of pediatric patients hospitalized with acute SARS-CoV-2 infections and multisystem inflammatory syndrome in children (MIS-C) at 8 sites in New York, New Jersey, and Connecticut. Results We identified 281 hospitalized patients with SARS-CoV-2 infections and divided them into 3 groups based on clinical features. Overall, 143 (51%) had respiratory disease, 69 (25%) had MIS-C, and 69 (25%) had other manifestations including gastrointestinal illness or fever. Patients with MIS-C were more likely to identify as nonHispanic black compared with patients with respiratory disease (35% vs 18%, P =.02). Seven patients (2%) died and 114 (41%) were admitted to the intensive care unit. In multivariable analyses, obesity (OR 3.39, 95% CI 1.26-9.10, P =.02) and hypoxia on admission (OR 4.01; 95% CI 1.14-14.15; P =.03) were predictive of severe respiratory disease. Lower absolute lymphocyte count (OR 8.33 per unit decrease in 10(9) cells/L, 95% CI 2.32-33.33, P =.001) and greater C-reactive protein (OR 1.06 per unit increase in mg/dL, 95% CI 1.01-1.12, P =.017) were predictive of severe MIS-C. Race/ethnicity or socioeconomic status were not predictive of disease severity. Conclusions We identified variables at the time of hospitalization that may help predict the development of severe SARS-CoV-2 disease manifestations in children and youth. These variables may have implications for future prognostic tools that inform hospital admission and clinical management.
