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Children vacuum

Donald Nuss, Robert J Obermeyer, Robert E Kelly
Historically, pectus excavatum (PE) was reported to be congenital, but in our experience only 22% are noticed in the first decade of life. Thus far, genetic studies support an autosomal recessive heritability, which coincides with only 40% of our patients having some positive family history, but is also contradictory given a constant sex ratio of 4:1 in favor of males. This inconsistency may be explained by the effect of more than one pectus disease-associated allele. Once the deformity is noticed, it tends to progress slowly until puberty, when rapid progression is often seen...
September 2016: Annals of Cardiothoracic Surgery
Sierra Eisen, Angeline S Lillard
Children today regularly interact with touchscreen devices (Rideout, 2013) and thousands of "educational" mobile applications are marketed to them (Shuler, 2012). Understanding children's own ideas about optimal learning has important implications for education, which is being transformed by electronic mobile devices, yet we know little about how children think about such devices, including what children think touchscreens are useful for. Based on a prior result that children prefer a book over a touchscreen for learning about dogs, the present study explored how children view touchscreens versus books for learning an array of different types of information...
2016: Frontiers in Psychology
F Alby-Laurent, N Honoré-Goldman, A Cavau, N Bellon, S Allali, V Abadie
INTRODUCTION: Exposure to metallic mercury can cause severe accidental intoxications in children, whose clinical symptoms can vary depending on the route of administration, the dose, as well as the time and duration of the exposure. It has become unusual in France, yet it must be considered when taking a patient's medical history in cases of multisystemic involvement without a clear explanation. CLINICAL CASE: We report the case of a 12-year-old patient hospitalized because of a cough, poor general condition, chills, night sweats, psychomotor retardation, and skin lesions that had been developing for several weeks...
September 27, 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Sun-Kyoung You, Hyo-Jin Lee, Jeong-Eun Lee, Jongchul Kim, So-Mi Lee, Hyun-Hae Cho
OBJECTIVE: To assess the incidence of the sacroiliac joint vacuum phenomenon (SIJ VP) in paediatric patients and the relationship between the presence of VP and clinical factors such as age, sex and body mass index (BMI). METHODS: We retrospectively reviewed clinical data and imaging findings of 60 patients who underwent abdominopelvic CT (AP CT) between January and June 2015. Patients were divided into VP group and non-VP group based on the presence/absence of VP, and the groups were compared...
November 2016: British Journal of Radiology
L A Favorito, C B M Gallo, W S Costa, F J B Sampaio
OBJECTIVE: To evaluate, by using scanning electron microscopy (SEM), the possible alterations of the foreskin connective tissue in patients with true phimosis submitted to topical treatment with betamethasone and hyaluronidase ointment. MATERIAL AND METHODS: We studied 15 patients (mean 5.3 years-old) submitted or not to topical application of betamethasone 0.2% and hyaluronidase cream. For qualitative analysis of the connective tissue, we studied 5 samples from each foreskin, with 2mm length...
July 18, 2016: Urology
Shelly Wang, James Drake, Abhaya V Kulkarni
OBJECTIVE Spontaneous subaponeurotic fluid collection (SSFC) is an uncommon and newly described entity of unknown etiology, observed in infants less than 1 year of age. The authors report on series of infants who presented to the Hospital for Sick Children (HSC) with SSFC, focusing on the natural history of this condition. METHODS Data from the Hospital for Sick Children were retrospectively reviewed for the period between January 2004 and June 2015. Patient age and sex, birth history, medical history, laboratory findings, and symptoms were reviewed...
July 8, 2016: Journal of Neurosurgery. Pediatrics
Wei Li-You, Zhang Hong-Wei, Zhao Gang, Wang Guo-Qiang, Yi Fan
Reverse flow sural flap (RFSF) and vacuum sealing drainage (VSD) have been used to cover soft tissue defects in the heels of children in medical emergency settings. We report a retrospective case series, including a total of 19 children with soft tissue defects in heels resulting from spokes injury. In six patients, soft tissue defects in the heel were covered with RFSF. Further, in 13 patients, the defects were covered with VSD, in seven patients defects were repaired using free skin, and in six patients defects were repaired using RFSF after VSD...
June 2, 2016: Journal of Pediatric Orthopedics. Part B
Shoji Nakayama
The Japan Ministry of the Environment is conducting a large-scale birth cohort study called the Japan Environment and Children's Study (JECS), which involves 100000 mother-child pairs. Mothers are enrolled during pregnancy, and their children are followed up and studied until they reach the age of 13 years. The JECS started recruiting mothers in January 2011 and completed the registration of more than 103000 mothers in March 2014. The National Institute for Environmental Studies takes the lead in the study programming and implementation in cooperation with the National Centre for Child Health and Development and 15 Regional Centres that reach out to the study participants...
2016: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
Aisling Smith, Nandini Kandamany, Ikechukwu Okafor, Ian Robinson, Adrienne Foran, Roisin McNamara
BACKGROUND: Although subgaleal hemorrhage can present very soon after delivery with catastrophic consequences, subaponeurotic or subgaleal fluid collections are rare and clinically distinct causes of infant scalp swelling that present weeks to months after birth. Their exact etiology remains uncertain; however, they are frequently associated with instrumental and traumatic delivery. AIM & METHODS: To characterize 11 subaponeurotic fluid collections that presented to the Temple Street Children's University Hospital Emergency Department (TSCUHED) from July 2013 to July 2015 by a retrospective chart review...
June 2016: Journal of Emergency Medicine
O Oluwole, S P Kirychuk, J A Lawson, C Karunanayake, D W Cockcroft, P J Willson, A Senthilselvan, D C Rennie
Current knowledge regarding the association between indoor mold exposures and asthma is still limited. The objective of this case-control study was to investigate the relationship between objectively measured indoor mold levels and current asthma among school-aged children. Parents completed a questionnaire survey of health history and home environmental conditions. Asthma cases had a history of doctor diagnosed asthma or current wheeze without a cold in the past 12 months. Controls were age and sex-matched to cases...
April 24, 2016: Indoor Air
X-G Yuan, X Zhang, Y-X Fu, X-F Tian, Y Liu, J Xiao, T-W Li, L Qiu
OBJECTIVE: To evaluate the efficacy of a "vacuum sealing drainage (VSD) - artificial dermis implantation (ADI) - thin partial thickness skin grafting (TSG)" sequential therapy for deep and infected wounds in children. MATERIALS AND METHODS: Fifty-three pediatric patients with deep and infected wounds were treated with sequential VSD-ADI-TSG therapy. The efficacy of this treatment was compared with that of the surgical debridement-change dressings-thin partial thickness skin grafting previously performed on 20 patients...
May 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
Priti G Dalal, Janelle Porath, Uma Parekh, Padmani Dhar, Ming Wang, Michael Hulse, Dennis Mujsce, Patrick M McQuillan
BACKGROUND: Hypothermia prevention strategies during MRI scanning under general anesthesia in infants may pose a challenge due to the MRI scanner's technical constraints. Previous studies have demonstrated conflicting results related to increase or decrease in post-scan temperatures in children. We noted occurrences of post-scan hypothermia in anesthetized infants despite the use of routine passive warming techniques. OBJECTIVE: The aims of our quality improvement project were (a) to identify variables associated with post-scan hypothermia in infants and (b) to develop and implement processes to reduce occurrence of hypothermia in neonatal intensive care unit (NICU) infants undergoing MRI...
July 2016: Pediatric Radiology
Gary L Freed, Lauren M Moran, Kenton D Van, Laurel K Leslie
BACKGROUND AND OBJECTIVES: A near vacuum exists for credible information regarding specialty-specific demography, including gender, years since training completion, current employer, academic affiliation, and hours worked in specific tasks. Understanding the current status and changes to the medical workforce and its work patterns is essential to assessing whether the supply and distribution meets the needs of patients, institutions, society, and educational programs. METHODS: A self-administered electronic survey sent to all pediatricians at the time of their enrollment in the Maintenance of Certification program in 2013-2014...
April 2016: Pediatrics
John Baer
The skills, knowledge, attitudes, motivations, and personality traits that lead to creative thinking and creative behavior do not exist-and do not develop-in a vacuum. They are inextricably tied to content, to domains, in particular, and they therefore vary by domains. The more we learn about creativity, the more we discover how domain specific creativity is. This means we cannot nurture creativity, or any of the skills or attributes that contribute to creativity, without thinking about content. One cannot become physically fit by doing just one kind of exercise that trains a single set of muscles; all-around fitness requires diverse exercises that use and train many different sets of muscles...
2016: New Directions for Child and Adolescent Development
Yu V Aver'yanova, S P Makarov, A E Stepanov, A Yu Razumovsky, K G Vasil'ev
AIM: To present results of VAC application in children with complicated wounds of anterior abdominal wall combined with intestinal and/or biliary fistulas. MATERIAL AND METHODS: For the last 7 years 8 patients aged from 1.5 months to 15 years with infected postoperative wounds of anterior abdominal wall complicated by intestinal fistulas (6), biliary and intestinal fistulas (1) and biliary fistula (1) have been treated at the surgical department №2 of Russian Children's Clinical Hospital...
2016: Khirurgiia
Kate Hoffman, Thomas F Webster, Andreas Sjödin, Heather M Stapleton
Children have higher polybrominated diphenyl ether (PBDE) body burdens than adults, which may be related to hand-to-mouth behavior. We investigate associations between children's behavior, including hand-to-mouth contacts, and markers of PBDE exposure. In addition, we investigate associations between characteristics of the home environment and exposure. Eighty-three children aged 12-36 months were recruited from North Carolina (2009-2010). Children provided blood and handwipes samples, which were analyzed for PBDEs...
March 9, 2016: Journal of Exposure Science & Environmental Epidemiology
Molly L Kile, Richard P Scott, Steven G O'Connell, Shannon Lipscomb, Megan MacDonald, Megan McClelland, Kim A Anderson
Silicone wristbands can be used as passive sampling tools for measuring personal environmental exposure to organic compounds. Due to the lightweight and simple design, the wristband may be a useful technique for measuring children's exposure. In this study, we tested the stability of flame retardant compounds in silicone wristbands and developed an analytical approach for measuring 41 flame retardants in the silicone wristband in order to evaluate exposure to these compounds in preschool-aged children. To evaluate the robustness of using wristbands to measure flame retardants, we evaluated the stability of 3 polybrominated diphenyl ethers (BDEs), and 2 organophosphate flame retardants (OPFRs) in wristbands over 84 days and did not find any evidence of significant loss over time at either 4 or -20°C (p>0...
May 2016: Environmental Research
Gaëlle Raffy, Fabien Mercier, Olivier Blanchard, Mickaël Derbez, Claire Dassonville, Nathalie Bonvallot, Philippe Glorennec, Barbara Le Bot
The contamination of indoor environments with chemical compounds released by materials and furniture, such as semi-volatile organic compounds (SVOCs) is less documented in schools than in dwellings - yet children spend 16% of their time in schools, where they can also be exposed. This study is one of the first to describe the contamination of the air and dust of 90 classrooms from 30 nursery and primary schools by 55 SVOCs, including pesticides, phosphoric esters, musks, polycyclic aromatic hydrocarbons (PAHs), polychlorobiphenyls (PCBs), phthalates and polybromodiphenylethers (PBDEs)...
February 16, 2016: Indoor Air
Miranda M Loh, Anastasia Sugeng, Nathan Lothrop, Walter Klimecki, Melissa Cox, Sarah T Wilkinson, Zhenqiang Lu, Paloma I Beamer
Children living near contaminated mining waste areas may have high exposures to metals from the environment. This study investigates whether exposure to arsenic and lead is higher in children in a community near a legacy mine and smelter site in Arizona compared to children in other parts of the United States and the relationship of that exposure to the site. Arsenic and lead were measured in residential soil, house dust, tap water, urine, and toenail samples from 70 children in 34 households up to 7 miles from the site...
April 2016: Environmental Research
Ekaterina Avershina, Anuradha Ravi, Ola Storrø, Torbjørn Øien, Roar Johnsen, Knut Rudi
BACKGROUND: Westernized lifestyle and hygienic behavior have contributed to dramatic changes in the human-associated microbiota. This particularly relates to indoor activities such as house cleaning. We therefore investigated the associations between washing and vacuum cleaning frequency and the gut microbiota composition in a large longitudinal cohort of mothers and their children. The gut microbiota composition was determined using 16S ribosomal RNA (rRNA) gene Illumina deep sequencing...
2015: Microbiome
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