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https://www.readbyqxmd.com/read/29336853/updated-guidelines-on-infection-prevention-in-pediatric-ambulatory-settings
#1
Deborah L McBride
The American Academy of Pediatrics (AAP) recently released updated guidelines on infection control and prevention in pediatric outpatient settings. Key recommendations include mandatory influenza vaccination for all healthcare workers offered free to all staff, expanded guidance on infection control practices for children with cystic fibrosis, guidance on additional prevention procedures during community outbreaks of infectious diseases and recommendations on improving communication between healthcare facilities when referring potentially contagious patients...
January 11, 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29324494/myocardial-protection-by-glucose-insulin-potassium-in-moderate-to-high-risk-patients-undergoing-elective-on-pump-cardiac-surgery-a-randomized-controlled-trial
#2
Christoph Ellenberger, Tornike Sologashvili, Lukas Kreienbühl, Mustafa Cikirikcioglu, John Diaper, Marc Licker
BACKGROUND: Low cardiac output syndrome is a main cause of death after cardiac surgery. We sought to assess the impact of glucose-insulin-potassium (GIK) to enhance myocardial protection in moderate- to high-risk patients undergoing on-pump heart surgery. METHODS: A randomized controlled trial was performed in adult patients (Bernstein-Parsonnet score >7) scheduled for elective aortic valve replacement and/or coronary artery bypass surgery. Patients were randomized to GIK (20 IU of insulin, 10 mEq of potassium chloride in 50 mL of glucose 40%) or saline infusion given over 60 minutes on anesthetic induction...
January 9, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29319744/urinary-incontinence-in-hospital-patients-prevalence-and-associated-factors
#3
Jaqueline Betteloni Junqueira, Vera Lúcia Conceição de Gouveia Santos
OBJECTIVES: to analyze the prevalence of urinary incontinence and its associated factors in hospital patients. METHOD: this is a cross-sectional epidemiological study whose data were collected using the instruments Sociodemographic and Clinical Data, Characteristics of Urinary Leakage and International Consultation on Incontinence Questionnaire - Short Form. Prevalence was surveyed on a single day for four consecutive months. Data were analyzed using Chi-square test, Fisher's exact test, Student t-test, Mann-Whitney test and logistic regression (forward stepwise)...
January 8, 2018: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29318498/collection-and-preservation-of-urinary-proteins-using-a-fluff-pulp-diaper
#4
Weiwei Qin, Zhenhuan Du, Youhe Gao
Change is the most fundamental property of a biomarker. In contrast to the blood, which is under homeostatic controls, urine reflects changes in the body earlier and is more sensitive, thus making it a better biomarker source. Moreover, drawing blood from infants and toddlers is difficult and not tolerated well. For patients limited by language, communicating their chief complaint is difficult. Thus, monitoring biomarkers in urine can provide valuable clues for the diagnosis of diseases, especially pediatric diseases...
January 4, 2018: Science China. Life Sciences
https://www.readbyqxmd.com/read/29315782/exogenous-cushing-syndrome-due-to-misuse-of-potent-topical-steroid
#5
Fatma Özgüç Çömlek, Sevim Örüm, Salih Aydın, Filiz Tütüncüler
We report an infant with exogenous Cushing syndrome after being treated for 2 months with a potent topical corticosteroid via the mother's application of topical clobetasol for diaper rash without a prescription. We emphasize that potent topical steroids should be used with great caution, especially when used under occlusion (e.g., diaper area) and that parents should be warned about potential side effects of these medications, particularly when used in infants.
January 9, 2018: Pediatric Dermatology
https://www.readbyqxmd.com/read/29298826/granuloma-glutaeale-infantum-a-re-emerging-complication-of-diaper-dermatitis
#6
Rita Ramos Pinheiro, Eugénia Matos-Pires, Juliana Baptista, André Lencastre
Granuloma gluteale infantum is a rare nodular complication of irritant diaper dermatitis. The association of this condition with the widespread use of nondisposable cloth diapers has been increasingly recognized. We present the case of an 18-month-old girl with granuloma gluteale infantum. Our aims are to emphasize the importance of clinical recognition of this re-emerging complication of diaper dermatitis and to point out the potential role of topical calcineurin inhibitors as a treatment option.
January 3, 2018: Pediatrics
https://www.readbyqxmd.com/read/29283003/a-particular-case-of-accidental-asphyxiation
#7
Cristian D'Ovidio, Enrica Rosato, Martina Bonelli, Aldo Carnevale, Luigi T Marsella
The case reported involved a 60-year-old man with psychiatric illness who was found dead at his home. He was almost naked and showed signs of death by violent asphyxiation, which led to the suspicion of homicide. Autopsy findings showed foreign material in the trachea and larynx. However, the partially digested content in his stomach, the study of the gastric content and the microscopic analysis the airways made it possible to define this as accidental death due to inhalation of material from a diaper. Toxicological analysis detected the presence of phenytoin, valproic acid, and phenobarbital in his blood, with values within the therapeutic ranges...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/29235668/a-diaper-bank-and-home-visiting-partnership-initial-exploration-of-research-and-policy-questions
#8
Lois S Sadler, Eileen M Condon, Shirley Z Deng, Monica Roosa Ordway, Crista Marchesseault, Andrea Miller, Janet Stolfi Alfano, Alison M Weir
OBJECTIVES: The cost of diapering an infant can place a significant financial strain on families living in poverty. Partnerships between diaper banks and home visiting programs for young families may offer an innovative solution to expanding the reach and impact of diaper banks in low-income communities. The purpose of this pilot study was to uncover preliminary information about the functions of diaper distribution through home visiting programs, and to inform future research and policy questions regarding diaper distribution to families in need...
December 13, 2017: Public Health Nursing
https://www.readbyqxmd.com/read/29181960/a-starch-glycyrretinic-zinc-oxide-and-bisabolol-based-cream-in-the-treatment-of-chronic-mild-to-moderate-atopic-dermatitis-in-children-a-three-center-assessor-blinded-trial
#9
Amelia Licari, Giulia Ruffinazzi, Maria DE Filippo, Riccardo Castagnoli, Alessia Marseglia, Fabio Agostinis, Mario Puviani, Massimo Milani, Gian L Marseglia
BACKGROUND: Atopic dermatitis (AD) is a very common chronic inflammatory and eczematous skin condition characterized by flares and remissions. Skin barrier alteration or dysfunction is the most relevant patogenetic factor. Topical corticosteroids are the mainstay treatment of AD, especially during flare periods. The daily use of emollients and moisturizers is also considered a relevant adjunctive strategy to improve skin barrier function and skin appearance in AD patients. Long-term use of topical corticosteroids is associated with important drawbacks and side effects...
December 2017: Minerva Pediatrica
https://www.readbyqxmd.com/read/29166675/perianal-dermatitis-its-incidence-and-patterns-of-topical-therapies-in-a-level-iv-neonatal-intensive-care-unit
#10
Anuj Malik, Emily Witsberger, Lesley Cottrell, Autumn Kiefer, Panitan Yossuck
Objective To define the incidence of perianal dermatitis (PD) and determine the usage pattern and cost efficacy of diaper products among neonates admitted to a level IV neonatal intensive care unit (NICU) including those with a diagnosis of neonatal abstinence syndrome (NAS). Methods A retrospective cohort study to evaluate neonates with PD based on number of orders for Aquaphor, Bagbalm, Desitin, Flanders, or Nystatin. Various demographic and clinical parameters were recorded. Usage patterns of these five products were analyzed, and their costs estimated...
November 22, 2017: American Journal of Perinatology
https://www.readbyqxmd.com/read/29143471/ethnic-differences-in-stratum-corneum-functions-between-chinese-and-thai-infants-residing-in-bangkok-thailand
#11
Tsutomu Fujimura, Yuki Miyauchi, Kyoko Shima, Mitsuyuki Hotta, Hisashi Tsujimura, Takashi Kitahara, Yoshinori Takema, Pakhawadee Palungwachira, Diane Laohathai, Jetchawa Chanthothai, Thamthiwat Nararatwanchai
BACKGROUND/OBJECTIVES: Ethnic and racial differences in infant skin have not been well characterized. The purpose of this study was to establish whether there are ethnic differences and similarities in the stratum corneum (SC) functions of Thai and Chinese infants. METHODS: Healthy infants 6 to 24 months of age (N = 60; 30 Thai, 30 Chinese) who resided in Bangkok, Thailand, were enrolled. Transepidermal water loss (TEWL) and SC hydration (capacitance) on the thigh, buttock, and upper arm were measured...
November 15, 2017: Pediatric Dermatology
https://www.readbyqxmd.com/read/29102866/concentrations-of-trace-metals-phthalates-bisphenol-a-and-flame-retardants-in-toys-and-other-children-s-products-in-israel
#12
Maya Negev, Tamar Berman, Shay Reicher, Maya Sadeh, Ruti Ardi, Yaniv Shammai
Trace metals and synthetic chemicals including phthalates, bisphenol A and flame retardants, are widely used in toys and childcare products, and may pose acute or chronic adverse health effects in children. In Israel, certain chemicals are regulated in childcare products, but there are still regulatory gaps. We tested regulated and unregulated contaminants in 174 item parts from 70 childcare items with potentially high oral or dermal exposure, including 22 children's jewelry items, 14 toys, 7 diaper-changing mats, 6 baby mattresses, 7 baby textiles and 14 feeding and bathing items...
November 2, 2017: Chemosphere
https://www.readbyqxmd.com/read/29082357/examining-material-hardship-in-mothers-associations-of-diaper-need-and-food-insufficiency-with-maternal-depressive-symptoms
#13
Anna E Austin, Megan V Smith
Objectives: Material hardship represents a potential mechanism by which poverty influences the mental health of mothers. This study examined the association between two forms of material hardship, diaper need and food insufficiency, and maternal depressive symptoms. Methods: Data were from a cross-sectional study of 296 urban, pregnant or parenting, low-income women. A linear regression model was used to examine the association of maternal depressive symptoms, measured by the Center for Epidemiologic Studies Depression (CES-D) score, with diaper need and food insufficiency, after adjustment for demographic factors...
2017: Health Equity
https://www.readbyqxmd.com/read/29065860/assessment-of-haemostasis-in-patients-undergoing-emergent-neurosurgery-by-rotational-elastometry-and-standard-coagulation-tests-a-prospective-observational-study
#14
Christoph Ellenberger, Najia Garofano, Gleicy Barcelos, John Diaper, Gordana Pavlovic, Marc Licker
BACKGROUND: Rotational elastometry (ROTEM) has been shown useful to monitor coagulation in trauma patients and in major elective surgery. In this study, we aimed to evaluate the utility of ROTEM to identify hemostatic disturbances and to predict the need for transfusion, compared with standard coagulation tests (SCTs) in patients undergoing emergent neurosurgery. METHODS: Over a four-year period, adult patients who met criteria for emergent neurosurgery lasting more than 90 min were included in the study...
October 24, 2017: BMC Anesthesiology
https://www.readbyqxmd.com/read/29065646/design-and-fabrication-of-smart-diapers-with-antibacterial-yarn
#15
Jia-Horng Lin, Bing-Chiuan Shiu, Ching-Wen Lou, Yuan-Jen Chang
In this study, intelligent eco-diapers are made by combining antibacterial yarns coated with quaternary ammonium salts with conductive yarns to improve caretaking for urinary incontinence. The combination of conductive yarns and sensors can detect the moisture content in eco-diapers, and an alarm is sent when moisture is significant. A wireless module is used to send detected signals to a smartphone or tablet PC via the Internet. This concept is used for a scenario in which nurses do not randomly check on patients in a long-term care institution...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29061869/infection-prevention-and-control-in-pediatric-ambulatory-settings
#16
REVIEW
Mobeen H Rathore, Mary Anne Jackson
Since the American Academy of Pediatrics published its statement titled "Infection Prevention and Control in Pediatric Ambulatory Settings" in 2007, there have been significant changes that prompted this updated statement. Infection prevention and control is an integral part of pediatric practice in ambulatory medical settings as well as in hospitals. Infection prevention and control practices should begin at the time the ambulatory visit is scheduled. All health care personnel should be educated regarding the routes of transmission and techniques used to prevent the transmission of infectious agents...
November 2017: Pediatrics
https://www.readbyqxmd.com/read/29059841/stability-of-colorimetric-results-in-the-detection-of-urine-biomarkers-using-a-paper-based-analytical-device
#17
Ana Raquel Bertao, Tao Dong
Urinalysis allows obtaining information about many of the body's functions. Normally, urine is a very easily collected specimen, but in some cases, it can be an uncomfortable process. Moreover, standard methods such as microscopic examination or urine culturing represent time-consuming procedures. In this regard, this work explores the design of a device that combines disposable diapers, as a platform for sample collection, with part of the dipsticks method. Even though this is a desirable combination for a faster and comfortable approach, it is also convenient to extend the prescribed time, provided by the dipstick manufacturer, to read the results...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29059840/design-of-a-microfluidic-paper-based-device-for-analysis-of-biomarkers-from-urine-samples-on-diapers
#18
Adriana Couto, Tao Dong
Among all infections, urinary tract infections (UTI) are one of the most common. Nowadays the procedures to analyze urine and consequently detect UTI are often painful and time-consuming. Recent studies about microfluidic paper-based devices have developed the interest of researchers due their outstanding characteristics. In this paper is presented a novel design for a microfluidic paper-based device for screening and analysis of multiple biomarkers from urine samples on diapers. The device consists on a set of eight layers...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29054835/a-strategy-to-reduce-critical-cardiorespiratory-alarms-due-to-intermittent-enteral-feeding-of-preterm-neonates-in-intensive-care
#19
Rohan Joshi, Carola van Pul, Anouk Sanders, Hans Weda, Jan Willem Bikker, Loe Feijs, Peter Andriessen
BACKGROUND: Many preterm infants require enteral feeding as they cannot coordinate sucking, swallowing, and breathing. In enteral feeding, milk feeds are delivered through a small feeding tube passed via the nose or mouth into the stomach. Intermittent milk feeds may either be administered using a syringe to gently push milk into the infant's stomach (push feed) or milk can be poured into a syringe attached to the tube and allowed to drip in by gravity (gravity feed). This practice of enteral feeding is common in neonatal intensive care units...
October 20, 2017: Interactive Journal of Medical Research
https://www.readbyqxmd.com/read/29050653/policy-impact-of-research-findings-on-the-association-of-diaper-need-and-mental-health
#20
Lori R Wallace, Alison M Weir, Megan V Smith
BACKGROUND: Maternal mental illness constitutes one of most significant public health problems facing women of reproductive age and their children. Women who mother in poverty experience additional stressors, pointing to the need for innovative public health promotion efforts to reduce mental illness. Simple innovations, like making diapers more available and affordable, may represent an effective method of addressing this problem. This paper describes the research findings on diaper need reported by the New Haven Mental Health Outreach for Mothers Partnership and the process of translating these findings into broader policy and advocacy efforts...
October 17, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
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