Agenesis of vena cava inferior (AVCI) is a rare congenital malformation with a prevalence of 0.0005–1% in the general population. High level of suspicion is required in young patients with deep vein thrombosis (DVT), particularly bilateral. We present an 8-year-old girl with AVCI presenting as bilateral lower extremity DVT and a review of the literature in pediatric cases with AVCI and DVT.
Our case underlines the fact that pediatric patients with COVID‐19 could be in risk of developing severe VTE, including PE, especially in the presence of underlying risk factors that enhance the thrombotic mechanisms of SARS‐CoV‐2. Clinical suspicion should be high in specific age groups, like adolescents, and for certain therapies which are used in these populations. Further studies and updated recommendations regarding VTE risk assessment in children and adolescents are needed while COVID‐19 is still on its ride
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Peer-mediated intervention (PMI) includes a range of strategies that are considered a successful aid in social-communication behavior for kids and their peers with autism spectrum disorders (ASD). This study was carried out to improve the social behavior of children with ASD, using peer training through an activity that they have in common. Three ASD students in Greek elementary schools, aged seven to ten years old, two boys and one girl, participated in this study. The peers of ASD students were trained to interact with them during recess in a comprehensive school setting. An ABA reversal design was used on each participant in order to define the effects of the intervention. Through observation probes, the responses and the initiations of all ASD students were noted by trained school staff. The results of the intervention phase showed an increase in both of these two variables. Furthermore, the follow-up phase depicted important results for the academic community, also showing an increase in all ASD students’ responses and initiations. The current study supplements the existing PMI research, which leads to the possible use of this valid tool that could be used in school settings in order to increase the socialization of ASD students.
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