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4. Mental Health Implications of the COVID-19 Pandemic Among Children and Adolescents: What Do We Know so Far?

Author

Listernick, Zoe I and Badawy, Sherif M

Subjects
psychosocial, social isolation, ehealth, social media, coronavirus, mental, Review, psychology, stress, children, well-being, parenting, adolescents, racism, mobile health, interventions, COVID, youth, infants, digital, pandemic, COVID-19, parents, anxiety, psychiatry, mhealth, pediatric, depression, mental health
Abstract

The COVID-19 pandemic is an unprecedented time in global history and has many emerging challenges and consequences. While much of the world was focused on the physiological effects and medical interventions or preventions, this article highlights the effects on pediatric mental health. While research is still ongoing, preliminary data suggest a significant impact on the psychosocial wellbeing of the pediatric population. This article hopes to highlight the underlying etiology for this effect and possible mitigations including emphasis on mHealth as well as the future of telemedicine.

Published
2021
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5. Mental Health Implications of the COVID-19 Pandemic Among Children and Adolescents: What Do We Know so Far?

Author

Listernick,Zoe I, Badawy,Sherif M, Listernick,Zoe I, and Badawy,Sherif M

Abstract

Zoe I Listernick,1,2 Sherif M Badawy3,4 1Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA; 2Department of Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; 3Division of Hematology, Oncology, and Stem Cell Transplantation, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA; 4Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USACorrespondence: Sherif M BadawyDivision of Hematology, Oncology, and Stem Cell Transplant, Lurie Ann & Robert H. Children’s Hospital of Chicago, 225 E. Chicago Ave., Chicago, IL, 60611, USATel +1 800-543-7362Email sbadawy@luriechildrens.orgAbstract: The COVID-19 pandemic is an unprecedented time in global history and has many emerging challenges and consequences. While much of the world was focused on the physiological effects and medical interventions or preventions, this article highlights the effects on pediatric mental health. While research is still ongoing, preliminary data suggest a significant impact on the psychosocial wellbeing of the pediatric population. This article hopes to highlight the underlying etiology for this effect and possible mitigations including emphasis on mHealth as well as the future of telemedicine.Keywords: pediatric, children, adolescents, infants, youth, coronavirus, COVID, COVID-19, pandemic, mental, mental health, psychosocial, psychiatry, psychology, stress, well-being, depression, anxiety, social isolation, social media, racism, digital, mhealth, ehealth, mobile health, interventions, parenting, parents

Published
2021

10. High-Resolution Impedance Manometry Metrics of the Esophagogastric Junction for the Assessment of Treatment Response in Achalasia

Author

Carlson, Dustin A, primary, Lin, Zhiyue, additional, Kahrilas, Peter J, additional, Sternbach, Joel, additional, Hungness, Eric S, additional, Soper, Nathaniel J, additional, Balla, Michelle, additional, Listernick, Zoe, additional, Tye, Michael, additional, Ritter, Katherine, additional, Craft, Jenna, additional, Ciolino, Jody D, additional, and Pandolfino, John E, additional

Published
2016
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13. Su1075 Development of a High Resolution Esophageal Manometry (HREM) Training System Identifies Significant Variation in HREM Learning Curves

Author

Yadlapati, Rena, primary, Keswani, Rajesh N., additional, Ciolino, Jody D., additional, Grande, David, additional, Listernick, Zoe, additional, Carlson, Dustin A., additional, Castell, Donald O., additional, Dunbar, Kerry B., additional, Gawron, Andrew J., additional, Gyawali, C. Prakash, additional, Katz, Philip, additional, Lacy, Brian, additional, Spechler, Stuart J., additional, Vela, Marcelo F., additional, Adler, Jeffrey M., additional, Alghamdi, Saad, additional, Ali, Muhammad, additional, Atiq, Omair, additional, Bill, Jason, additional, Brown, Jeffrey W., additional, Guentner, Amanda, additional, Horner, Brian, additional, Horsley-Silva, Jennifer L., additional, Laing, Patrick, additional, Martin, Donald J., additional, Martin, Jason, additional, Pham, Tuan, additional, Platovsky, Anna, additional, Schowalter, Joseph, additional, Silon, Bryan, additional, Singh, Gurshawn, additional, Sleesman, Brett, additional, Sloan, Joshua A., additional, Vance, Ralph, additional, and Pandolfino, John, additional

Published
2016
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19. Evaluation of Esophageal Motility Utilizing the Functional Lumen Imaging Probe

Author

Carlson, Dustin A, Kahrilas, Peter J, Lin, Zhiyue, Hirano, Ikuo, Gonsalves, Nirmala, Listernick, Zoe, Ritter, Katherine, Tye, Michael, Ponds, Fraukje A, Wong, Ian, and Pandolfino, John E

Abstract

Objectives:Esophagogastric junction (EGJ) distensibility and distension-mediated peristalsis can be assessed with the functional lumen imaging probe (FLIP) during a sedated upper endoscopy. We aimed to describe esophageal motility assessment using FLIP topography in patients presenting with dysphagia.Methods:In all, 145 patients (aged 18–85 years, 54% female) with dysphagia that completed upper endoscopy with a 16-cm FLIP assembly and high-resolution manometry (HRM) were included. HRM was analyzed according to the Chicago Classification of esophageal motility disorders; major esophageal motility disorders were considered “abnormal”. FLIP studies were analyzed using a customized program to calculate the EGJ-distensibility index (DI) and generate FLIP topography plots to identify esophageal contractility patterns. FLIP topography was considered “abnormal” if EGJ-DI was <2.8 mm2/mm Hg or contractility pattern demonstrated absent contractility or repetitive, retrograde contractions.Results:HRM was abnormal in 111 (77%) patients: 70 achalasia (19 type I, 39 type II, and 12 type III), 38 EGJ outflow obstruction, and three jackhammer esophagus. FLIP topography was abnormal in 106 (95%) of these patients, including all 70 achalasia patients. HRM was “normal” in 34 (23%) patients: five ineffective esophageal motility and 29 normal motility. In all, 17 (50%) had abnormal FLIP topography including 13 (37%) with abnormal EGJ-DI.Conclusions:FLIP topography provides a well-tolerated method for esophageal motility assessment (especially to identify achalasia) at the time of upper endoscopy. FLIP topography findings that are discordant with HRM may indicate otherwise undetected abnormalities of esophageal function, thus FLIP provides an alternative and complementary method to HRM for evaluation of non-obstructive dysphagia.

Published
2017
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20. High-Resolution Impedance Manometry Metrics of the Esophagogastric Junction for the Assessment of Treatment Response in Achalasia

Author

Carlson, Dustin A, Lin, Zhiyue, Kahrilas, Peter J, Sternbach, Joel, Hungness, Eric S, Soper, Nathaniel J, Balla, Michelle, Listernick, Zoe, Tye, Michael, Ritter, Katherine, Craft, Jenna, Ciolino, Jody D, and Pandolfino, John E

Abstract

OBJECTIVES:We aimed to evaluate the value of novel high-resolution impedance manometry (HRIM) metrics, bolus flow time (BFT), and esophagogastric junction (EGJ) contractile integral (CI), as well as EGJ pressure (EGJP) and the integrated relaxation pressure (IRP), as indicators of treatment response in achalasia.METHODS:We prospectively evaluated 75 patients (ages 19–81, 32 female) with achalasia during follow-up after pneumatic dilation or myotomy with Eckardt score (ES), timed-barium esophagram (TBE), and HRIM. Receiver-operating characteristic (ROC) curves for good symptomatic outcome (ES≤3) and good radiographic outcome (TBE column height at 5 min<5 cm) were generated for each potential predictor of treatment response (EGJP, IRP, BFT, and EGJ-CI).RESULTS:Follow-up occurred at a median (range) 12 (3–291) months following treatment. A total of 49 patients had good symptomatic outcome and 46 had good radiographic outcome. The area-under-the-curves (AUCs) on the ROC curve for symptomatic outcome were 0.55 (EGJP), 0.62 (IRP), 0.77 (BFT) and 0.56 (EGJ-CI). The AUCs for radiographic outcome were 0.64 (EGJP), 0.48 (IRP), 0.73 (BFT), and 0.65 (EGJ-CI). Optimal cut-points were determined as 11 mm Hg (EGJP), 12 mm Hg (IRP), 0 s (BFT), and 30 mm Hg•cm (EGJ-CI) that provided sensitivities/specificities of 57%/46% (EGJP), 65%/58% (IRP), 78%/77% (BFT), and 53%/62% (EGJ-CI) to predict symptomatic outcome and 57%/66% (EGJP), 57%/41% (IRP), 76%/69% (BFT), and 57%/66% (EGJ-CI) to predict radiographic outcome.CONCLUSIONS:BFT, a novel HRIM metric, provided an improved functional assessment over manometric measures of EGJP, IRP, and EGJ-CI at follow-up after achalasia treatment and may help direct clinical management.

Published
2017
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