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https://www.readbyqxmd.com/read/28087381/prevalence-risk-factors-and-clinical-outcomes-of-atopic-and-nonatopic-asthma-among-rural-children
#1
Joshua A Lawson, Luan M Chu, Donna C Rennie, Louise Hagel, Chandima P Karunanayake, Punam Pahwa, James A Dosman
BACKGROUND: Because of time and cost constraints, objective classification of atopic and nonatopic asthma has been limited in large epidemiologic studies. However, as we try to better understand exposure-outcome associations and ensure appropriate treatment of asthma, it is important to focus on phenotype-defined asthma classification. OBJECTIVE: To compare atopic and nonatopic asthma in rural children with regard to risk factors and clinical outcomes. METHODS: We conducted a cross-sectional study in rural Saskatchewan, Canada, in 2011...
January 10, 2017: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/28078429/aims-and-tasks-in-parental-caregiving-for-children-receiving-palliative-care-at-home-a-qualitative-study
#2
Lisa M Verberne, Marijke C Kars, Antoinette Y N Schouten-van Meeteren, Diederik K Bosman, Derk A Colenbrander, Martha A Grootenhuis, Johannes J M van Delden
: In paediatric palliative care (PPC), parents are confronted with increasing caregiving demands. More children are cared for at home, and the need for PPC of children is lengthened due to technical and medical improvements. Therefore, a clear understanding of the content of parental caregiving in PPC becomes increasingly important. The objective is to gain insight into parental caregiving based on the lived experience of parents with a child with a life-limiting disease. An interpretative qualitative study using thematic analysis was performed...
January 11, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28077428/reproductive-experiences-of-women-who-cryopreserved-oocytes-for-non-medical-reasons
#3
Karin Hammarberg, Maggie Kirkman, Natasha Pritchard, Martha Hickey, Michelle Peate, John McBain, Franca Agresta, Chris Bayly, Jane Fisher
STUDY QUESTION: What are the reproductive experiences of women who cryopreserve oocytes for non-medical reasons? SUMMARY ANSWER: One in three women had been pregnant at some stage in their lives and while most still wanted to have a child or another child, very few had used their stored oocytes, predominantly because they did not want to be single parents. WHAT IS KNOWN ALREADY: The number of healthy women who freeze oocytes to avoid age-related infertility is increasing...
January 6, 2017: Human Reproduction
https://www.readbyqxmd.com/read/28076893/-pseudo-feeders-on-fetal-mri-predict-outcome-in-vein-of-galen-malformations
#4
Guillaume Saliou, Irène Vraka, Jean-Paul Teglas, Marie-Victoire Senat, Philippe Durand, Claire Colmant, Augustin Ozanne, Jelena Martinovic, Pierre Tissiere, Catherine Adamsbaum
OBJECTIVE: While vein of Galen aneurysmal malformations (VGAM) can be diagnosed in the fetus, the challenge is predicting the occurrence of its two major complications: cardiopulmonary failure and encephalomalacia. This study attempts to determine which fetal brain MRI features might be used to predict the development of these complications at birth. METHODS: The cohort was extracted from a prospectively-assembled database of VGAM cases managed at a single referral centre from 2000 to 2014...
January 11, 2017: Annals of Neurology
https://www.readbyqxmd.com/read/28075619/role-of-ct-in-the-diagnosis-of-nonspecific-abdominal-pain-a-multicenter-analysis
#5
Jonathan D Eisenberg, Andrew T Reisner, William D Binder, Atif Zaheer, Martin L Gunn, Ken F Linnau, Chad M Miller, Angela C Tramontano, Maurice S Herring, Emily C Dowling, Elkan F Halpern, Karen Donelan, G Scott Gazelle, Pari V Pandharipande
OBJECTIVE: The objective of our study was to determine whether specific patient and physician factors-known before CT-are associated with a diagnosis of nonspecific abdominal pain (NSAP) after CT in the emergency department (ED). MATERIALS AND METHODS: We analyzed data originally collected in a prospective multicenter study. In the parent study, we identified ED patients referred to CT for evaluation of abdominal pain. We surveyed their physicians before and after CT to identify changes in leading diagnoses, diagnostic confidence, and admission decisions...
January 11, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28074581/conflating-capacity-authority-why-we-re-asking-the-wrong-question-in-the-adolescent-decision-making-debate
#6
Erica K Salter
Whether adolescents should be allowed to make their own medical decisions has been a topic of discussion in bioethics for at least two decades now. Are adolescents sufficiently capacitated to make their own medical decisions? Is the mature-minor doctrine, an uncommon legal exception to the rule of parental decision-making authority, something we should expand or eliminate? Bioethicists have dealt with the curious liminality of adolescents-their being neither children nor adults-in a variety of ways. However, recently there has been a trend to rely heavily, and often exclusively, on emerging neuroscientific and psychological data to answer these questions...
January 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28069002/unpacking-early-infant-male-circumcision-decision-making-using-qualitative-findings-from-zimbabwe
#7
Webster Mavhu, Karin Hatzold, Getrude Ncube, Shamiso Fernando, Collin Mangenah, Kumbirai Chatora, Roy Dhlamini, Owen Mugurungi, Ismail Ticklay, Frances M Cowan
BACKGROUND: Early infant male circumcision (EIMC) has been identified as a key HIV prevention intervention. Exploring the decision-making process for adoption of EIMC for HIV prevention among parents and other key stakeholders is critical for designing effective demand creation interventions to maximize uptake, roll out and impact in preventing HIV. This paper describes key players, decisions and actions involved in the EIMC decision-making process. METHODS: Two complementary qualitative studies explored hypothetical and actual acceptability of EIMC in Zimbabwe...
January 9, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/28068864/reliability-and-sources-of-variation-of-the-abilhand-kids-questionnaire-in-children-with-cerebral-palsy
#8
Lex D de Jong, Annemiek van Meeteren, Cornelis H Emmelot, Nanne E Land, Pieter U Dijkstra
PURPOSE: To determine reliability of the ABILHAND-Kids, explore sources of variation associated with these measurement results, and generate repeatability coefficients. METHOD: A reliability study with a repeated measures design was performed in an ambulatory rehabilitation care department from a rehabilitation center, and a center for special education. A physician, an occupational therapist, and parents of 27 children with spastic cerebral palsy independently rated the children's manual capacity when performing 21 standardized tasks of the ABILHAND-Kids from video recordings twice with a three week time interval (27 first-, and 25 second video recordings available)...
January 9, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28067420/cost-effectiveness-of-cytogenetic-evaluation-of-products-of-conception-by-chorionic-villous-sampling-in-recurrent-miscarriage
#9
Florencia Petracchi, Cecilia Paez, Laura Igarzabal
OBJECTIVE: To compare the cost-effectiveness of performing chorionic villous sampling (CVS) of products of conception (POC) in the evaluation of recurrent miscarriage versus standard evidence based work-up (EBW) of the couple. MATERIAL AND METHODS: A Decision-analytic model was performed in couples with a third miscarriage. Three strategies were considered: 1)the standard EBW of all the patients: comprising parental karyotype, uterine cavity assessment and antiphospholipid antibodies...
January 9, 2017: Prenatal Diagnosis
https://www.readbyqxmd.com/read/28058853/postpartum-adolescents-contraceptive-counselling-preferences
#10
Stephanie Sober, Judy A Shea, Allison G Shaber, Paul G Whittaker, Courtney A Schreiber
OBJECTIVES: The optimal approach for provision and timing of postpartum contraceptive counselling for adolescents has not been established. To reduce repeat pregnancies from current USA levels of nearly 20%, a better understanding is needed of postpartum adolescent females' preferences regarding contraceptive counselling and delivery. METHODS: Semi-structured interviews with 30 USA postpartum teens (97% Black) explored pregnancy prevention and contraceptive counselling...
January 6, 2017: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/28057832/modification-of-feeding-circuits-in-the-evolution-of-social-behavior
#11
REVIEW
Eva K Fischer, Lauren A O'Connell
Adaptive trade-offs between foraging and social behavior intuitively explain many aspects of individual decision-making. Given the intimate connection between social behavior and feeding/foraging at the behavioral level, we propose that social behaviors are linked to foraging on a mechanistic level, and that modifications of feeding circuits are crucial in the evolution of complex social behaviors. In this Review, we first highlight the overlap between mechanisms underlying foraging and parental care and then expand this argument to consider the manipulation of feeding-related pathways in the evolution of other complex social behaviors...
January 1, 2017: Journal of Experimental Biology
https://www.readbyqxmd.com/read/28057709/when-parents-choose-gender-intersex-children-and-the-law
#12
Melanie Newbould
In England and Wales, it is usually lawful for those with parental responsibility to consent to treatment on children who have not acquired legal capacity, providing that they are acting in the child's best interests. Whilst in most instances this process is unproblematic and the decisions made are non-controversial, there are troubling examples where this is more problematic. The difficulties for a family with a child who has an intersex condition will be considered to illustrate that there may be cases of medical and surgical treatment where even though both parents and doctors agree on a course of action in good faith, the treatment administered may not necessarily be in the best interests of the child...
January 5, 2017: Medical Law Review
https://www.readbyqxmd.com/read/28057255/cardiovascular-medicine-and-society-the-pregnant-cardiologist
#13
REVIEW
Amy A Sarma, Chileshe Nkonde-Price, Martha Gulati, Claire S Duvernoy, Sandra J Lewis, Malissa J Wood
Women are a consistent minority in the field of cardiology, with concerns regarding balancing career and parenting responsibilities often cited as a contributing factor to this under-representation. To investigate the impact that a career in cardiology may have on the family planning decisions of female cardiologists, the Women in Cardiology section of the American College of Cardiology conducted a voluntary anonymous survey. The following perspective highlights lessons learned from the survey, and potential solutions to the issues surrounding maternity leave, radiation exposure during pregnancy, and breastfeeding accommodations raised by these data...
January 3, 2017: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/28054420/parent-offspring-conflict-over-family-size-in-current-china
#14
Jianghua Liu, Chongli Duan, Virpi Lummaa
OBJECTIVES: In China, the recent replacement of the one-child policy with a two-child policy could potentially change family ecology-parents may switch investment from exclusively one child to two. The parent-offspring conflict theory provides testable hypotheses concerning possible firstborn opposition toward further reproduction of their mother, and who wins the conflict. We tested the hypotheses that if there is any opposition, it will differ between sexes, weaken with offspring age and family resource availability, and affect maternal reproductive decision-making...
January 5, 2017: American Journal of Human Biology: the Official Journal of the Human Biology Council
https://www.readbyqxmd.com/read/28051942/parental-care-in-a-stressful-world-experimentally-elevated-cortisol-and-brood-size-manipulation-influence-nest-success-probability-and-nest-tending-behavior-in-a-wild-teleost-fish
#15
Dirk A Algera, Lee F G Gutowsky, Aaron J Zolderdo, Steven J Cooke
Parental care is an advantageous reproductive behavior, as the fitness of the caregiver is increased through improving the chances of its offspring's survival. Parental care occurs in a variety of teleost fishes. The body size of parental fish and the size of their brood can affect nest abandonment decisions, where compared with smaller fish with smaller broods, larger fish with larger broods typically invest more energy into reproductive events because they have less future reproductive potential. Although essential for basal metabolism and body maintenance functions, when glucocorticoid hormones (e...
January 2017: Physiological and Biochemical Zoology: PBZ
https://www.readbyqxmd.com/read/28051335/managing-the-training-load-in-adolescent-athletes
#16
Andrew Murray
While historically adolescents were removed from their parents to prepare to become warriors, this process repeats itself in modern times but with the outcome being athletic performance. This review considers the process of developing athletes and managing load against the backdrop of differing approaches of conserving and maximizing the talent available. It acknowledges the typical training 'dose' that adolescent athletes receive across a number of sports and the typical 'response' when it is excessive or not managed appropriately...
January 4, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/28043737/knowledge-and-recommendation-regarding-routine-childhood-vaccinations-among-pediatric-healthcare-providers-in-israel
#17
Rana Shibli, Rivka Shemer, Liat Lerner-Geva, Shmuel Rishpon
BACKGROUND: A recommendation by pediatric healthcare providers (HCPs) is a major factor influencing parents' decision to vaccinate their children. Consequently, it is important to understand the motives behind the HCPs' recommendations to vaccinate children according to the routine immunization program. OBJECTIVES: To study the association of pediatric HCPs' knowledge about and attitudes towards childhood vaccinations and of their professional and demographic characteristics, with two variables: 1...
December 30, 2016: Vaccine
https://www.readbyqxmd.com/read/28041869/-palliative-care-after-neonatal-intensive-care-contributions-of-leonetti-law-and-remaining-challenges
#18
P Kuhn, L Dillenseger, N Cojean, B Escande, C Zores, D Astruc
The 2005 enactment of the "Patients' rights and end-of-life care" act, known as the Leonetti law, has been accompanied by practical changes in the processes of withdrawal and withholding of active life-sustaining treatments. This law has also promoted the implementation of palliative care in perinatal medicine to avoid unreasonable therapeutic interventions and to preserve the dying patient's quality of life and human dignity. Recently, a new law has been voted by the French National Assembly and new reflections on the ethical aspects of the end of life in neonatal medicine should resume again within the French Society of Neonatology in the working group on ethical issues in neonatology...
December 29, 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28038360/can-the-actions-of-child-welfare-case-managers-predict-case-outcomes
#19
Svetlana Yampolskaya, Mary I Armstrong, Anne Strozier, Jayme Swanke
This study examined the effect of efforts made by child welfare case managers to involve parents in case processes on two divergent case outcomes: reunification and the termination of parental rights (TPR). The sample was comprised of a cohort of children who received child protection services while in out-of-home care during fiscal year 2009-2010 and were randomly selected by the Florida Department of Children and Families (DCF) for their case management quality of practice reviews. Findings revealed that when child welfare case managers made efforts to encourage and support parents in participating in child-related decisions and activities, there were increased chances for timely reunification...
December 27, 2016: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28035593/a-qualitative-study-of-factors-influencing-decision-making-after-prenatal-diagnosis-of-down-syndrome
#20
Amy R Reed, Kathryn L Berrier
Previous research has identified twenty-six factors that may affect pregnancy management decisions following prenatal diagnosis of DS; however, there is no consensus about the relative importance or effects of these factors. In order to better understand patient decision-making, we conducted expansive cognitive interviews with nine former patients who received a prenatal diagnosis of DS. Our results suggest that patients attached unique meanings to factors influencing decision-making regardless of the pregnancy outcome...
December 29, 2016: Journal of Genetic Counseling
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