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https://www.readbyqxmd.com/read/29676679/principles-of-system-design-not-realized-for-pediatric-craniospinal-trauma-care-in-the-united-states
#1
Joseph Piatt
OBJECTIVE An implicit expectation of the pioneers of trauma system design was that high clinical volume at select centers could lead to superior outcomes. There has been little study of the regionalization of pediatric craniospinal trauma care, and whether it continues to trend in the direction of regionalization is unknown. The motivating hypothesis for this study was that trauma system design in the United States is proceeding on a rational basis, producing hospital caseloads that are increasing over time and, because of geographic siting appropriate to the needs of catchment areas, in an increasingly uniform manner...
April 20, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29673391/parenting-resilient-kids-park-an-online-parenting-program-to-prevent-anxiety-and-depression-problems-in-primary-school-aged-children-study-protocol-for-a-randomised-controlled-trial
#2
Luwishennadige Madhawee N Fernando, Wan Hua Sim, Anthony F Jorm, Ron Rapee, Katherine A Lawrence, Marie B H Yap
BACKGROUND: Preventive efforts targeting childhood anxiety and depression symptoms have the potential to alter the developmental trajectory of depression and anxiety disorders across the lifespan. Substantial previous research suggests that modifiable parenting factors such as parental aversiveness and over-involvement are associated with childhood anxiety, depressive and internalising symptoms, indicating that parents can play a critical role in prevention. The Parenting Resilient Kids study is a new evidence-based online parenting program designed to prevent anxiety and depression problems in primary school-aged children by reducing family-based risk factors and enhancing protective factors through increased positive interactions between parent and child...
April 19, 2018: Trials
https://www.readbyqxmd.com/read/29672337/neuropsychological-and-behavioral-outcomes-after-exposure-of-young-children-to-procedures-requiring-general-anesthesia-the-mayo-anesthesia-safety-in-kids-mask-study
#3
David O Warner, Michael J Zaccariello, Slavica K Katusic, Darrell R Schroeder, Andrew C Hanson, Phillip J Schulte, Shonie L Buenvenida, Stephen J Gleich, Robert T Wilder, Juraj Sprung, Danqing Hu, Robert G Voigt, Merle G Paule, John J Chelonis, Randall P Flick
BACKGROUND: Few studies of how exposure of children to anesthesia may affect neurodevelopment employ comprehensive neuropsychological assessments. This study tested the hypothesis that exposure to multiple, but not single, procedures requiring anesthesia before age 3 yr is associated with adverse neurodevelopmental outcomes. METHODS: Unexposed, singly exposed, and multiply exposed children born in Olmsted County, Minnesota, from 1994 to 2007 were sampled using a propensity-guided approach and underwent neuropsychological testing at ages 8 to 12 or 15 to 20 yr...
April 19, 2018: Anesthesiology
https://www.readbyqxmd.com/read/29672335/the-impact-of-surgical-volume-on-outcomes-and-cost-in-cleft-repair-a-kids-inpatient-database-analysis
#4
Alexandra Bucknor, Anmol Chattha, Winona Wu, Sabine Egeler, Klaas Ultee, Salim Afshar, Samuel J Lin
BACKGROUND: Centralization of specialist services, including cleft service delivery, is occurring worldwide with the aim of improving the outcomes. This study examines the relationship between hospital surgical volume in cleft palate repair and outcomes. METHODS: A retrospective analysis of the Kids' Inpatient Database was undertaken. Children 3 years or younger undergoing cleft palate repair in 2012 were identified. Hospital volume was categorized by cases per year as low volume (LV; 0-14), intermediate volume (IV; 15-46), or high volume (HV; 47-99); differences in complications, hospital costs, and length of stay (LOS) were determined by hospital volume...
April 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29672164/trends-in-enteral-access-placement-among-patients-with-oral-clefts-evaluation-of-46-617-patient-admissions
#5
Thanapoom Boonipat, Nicholas S Adams, Allen L Shoemaker, Robert J Mann, John W Polley, John A Girotto
OBJECTIVE: It is well known that patients with oral clefts have challenges with feeding. Enteral feeding access, in the form of gastrostomy, is often utilized to supplement or replace oral intake. Although commonly performed, these procedures have reported complication rates as high as 83%. We intend to discover rates of enteral access in patients with oral clefts and report-related outcomes. DESIGN: The Healthcare Cost Utilization Project Kids' Inpatient Database from 2000 to 2012 was analyzed using patients with oral clefts and enteral access procedures...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29671541/ibuprofen-and-morphine-provide-similar-post-op-pain-relief-in-kids-ibuprofen-has-fewer-harms
#6
Mark H Ebell
No abstract text is available yet for this article.
March 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/29669135/society-of-behavioral-medicine-position-statement-retain-school-meal-standards-and-healthy-school-lunches
#7
Joanna Buscemi, Angela Odoms-Young, Amy L Yaroch, Laura L Hayman, Bernardo Loiacono, Annie Herman, Marian L Fitzgibbon
In 2010, the Healthy, Hunger-Free Kids Act (HHFKA) altered nutrition standards in the U.S. National School Lunch Program in an attempt to promote healthy eating and improve children's overall health. However, it was reported that these nutrition standard changes were leading to lower consumption of meals and an increase in plate waste. Initial research was unable to validate these reports. Despite these unsubstantiated claims, the U.S. Department of Agriculture released a proposal to roll back some of the nutritional standards implemented by the HHFKA in 2017...
April 13, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29668891/maternal-polycystic-ovarian-syndrome-and-early-offspring-development
#8
Griffith A Bell, Rajeshwari Sundaram, Sunni L Mumford, Hyojun Park, James Mills, Erin M Bell, Miranda Broadney, Edwina H Yeung
STUDY QUESTION: Is maternal polycystic ovarian syndrome (PCOS) associated with developmental delays in offspring? SUMMARY ANSWER: Offspring of mothers with PCOS were at higher risk of failure on the Ages and Stages Questionnaire (ASQ). WHAT IS KNOWN ALREADY: There is growing evidence that offspring of mothers with PCOS may be at higher risk for developmental disorders due to potential exposure to hyperandrogenism and insulin resistance. Few studies exist regarding maternal PCOS and early childhood development in the USA...
April 13, 2018: Human Reproduction
https://www.readbyqxmd.com/read/29668820/construction-of-a-biological-rhythm-assessment-scale-for-children
#9
Thierry Berny, Karen Jansen, Taiane de Azevedo Cardoso, Thaíse Campos Mondin, Ricardo Azevedo da Silva, Luciano Dias de Mattos Souza, Cristian Patrick Zeni, Flavio Kapczinski, Vera Figueiredo
Introduction Biological rhythm is associated with the level of alertness, cognitive performance and mood of the individuals. Its regularity is essential to preserve good health and quality of life. Objective To present the steps for the construction of the scale entitled Biological Rhythm Interview of Assessment in Neuropsychiatry - Kids (BRIAN-K), designed to measure biological rhythm disruptions in Brazilian children and adolescents. Methods Items were developed following the adult version of the scale. Analysis of the psychometric characteristics of the scale was based on the responses of 373 parents/caregivers of school age children (7 and 8 years old)...
March 2018: Trends in Psychiatry and Psychotherapy
https://www.readbyqxmd.com/read/29667851/athlete-s-heart-in-kids-a-word-of-caution
#10
Andreas Hoffmann
No abstract text is available yet for this article.
January 1, 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/29665342/age-at-time-of-craniosynostosis-repair-predicts-increased-complication-rate
#11
William J Bruce, Victor Chang, Cara J Joyce, Adrienne N Cobb, Uma I Maduekwe, Parit A Patel
OBJECTIVE: This study uses administrative data to assess the optimal timing for surgical repair of craniosynostosis and to identify factors associated with risk of perioperative complications. DESIGN: Statistical analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database (2006, 2009, 2012). SETTING: KID-participating hospitals in 44 states. PATIENTS: Children 0 to 3 years of age with ICD-9 codes for surgical correction of craniosynostosis (756 and 0124, 0125, 0201, 0203, 0204, or 0206)...
May 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29662458/inhibition-updating-working-memory-and-shifting-predict-reading-disability-symptoms-in-a-hybrid-model-project-kids
#12
Mia C Daucourt, Christopher Schatschneider, Carol M Connor, Stephanie Al Otaiba, Sara A Hart
Recent achievement research suggests that executive function (EF), a set of regulatory processes that control both thought and action necessary for goal-directed behavior, is related to typical and atypical reading performance. This project examines the relation of EF, as measured by its components, Inhibition, Updating Working Memory, and Shifting, with a hybrid model of reading disability (RD). Our sample included 420 children who participated in a broader intervention project when they were in KG-third grade (age M = 6...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29656992/cryptosporidium-species-in-post-weaned-and-adult-sheep-and-goats-from-n-w-spain-public-and-animal-health-significance
#13
P Díaz, E Navarro, A Prieto, A Pérez-Creo, M Viña, J M Díaz-Cao, C M López, R Panadero, G Fernández, P Díez-Baños, P Morrondo
Application of molecular approaches has led to a significant progress on the knowledge of the epidemiology of Cryptosporidium spp. Nevertheless, molecular information on the occurrence of cryptosporidiosis in domestic small ruminants, especially in goats, are limited and restricted to the study of a modest number of isolates, mainly from diarrhoeic neonates. In order to determine the Cryptosporidium species present in healthy post-weaned and adult small ruminants from north-western Spain and to analyse a possible age-related distribution of species, faecal specimens were collected in sheep and goat farms without neonatal diarrhoea outbreaks the year before the sampling...
April 30, 2018: Veterinary Parasitology
https://www.readbyqxmd.com/read/29656912/the-voices-for-healthy-kids-and-state-legislation-to-prevent-childhood-obesity-an-update
#14
Sara N Bleich, Jesse C Jones-Smith, Hannah J Walters, Lainie Rutkow
INTRODUCTION: The purpose of this study is to examine general time trends in childhood obesity legislative activity in all 50 states (overall and by health equity focus) and whether the Voices for Healthy Kids Campaign (Voices) was associated with increased legislative activity. METHODS: LexisNexis State Capital was used to identify bills related to childhood obesity from 2012 to 2016. Linear and linear probability models were used to assess general time trends and regression-based difference-in-difference models to assess whether time trends differed for states that received a Voices grant...
April 9, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29653197/epidemiologic-practice-and-conduct-guidelines-a-new-kid-on-the-block
#15
Henrique Barros
No abstract text is available yet for this article.
April 10, 2018: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/29649701/change-of-heart-dimensions-and-function-during-pregnancy-in-goats
#16
Olga Szaluś-Jordanow, Michał Czopowicz, Lucjan Witkowski, Agata Moroz, Marcin Mickiewicz, Tadeusz Frymus, Iwona Markowska-Daniel, Emilia Bagnicka, Jarosław Kaba
The study aimed to evaluate the effect of pregnancy on heart diameters and function in goats. Transthoracic echocardiography of 12 female dairy goats of two Polish regional breeds was performed. A Mindray M7 diagnostic ultrasound system with Phased Array transducer was used. Simultaneously, electrocardiography was recorded. All animals were examined four times - at mating season, at the end of the first trimester, at the end of the second trimester and just before kidding. Eleven measurements were taken each time: aortic and left atrial diameter (AoD and LAD), right and left ventricular internal diameter in diastole (RVIDd and LVIDd), left ventricular internal diameter in systole (LVIDs), inter-ventricular septum thickness in diastole and systole (IVSd and IVSd) and left ventricular posterior wall in diastole and systole (LVPWd and LVPWs), maximum left and right ventricular outflow tract velocity (RVOT Vmax and LVOT Vmax)...
March 8, 2018: Research in Veterinary Science
https://www.readbyqxmd.com/read/29628740/total-and-soluble-fluoride-concentration-present-in-various-commercial-brands-of-children-toothpastes-available-in-saudi-arabia-a-pilot-study
#17
Imran Farooq, Saqib Ali, Khalifa Sulaiman Al-Khalifa, Khalid Alhooshani
Objective: The aim of this pilot study was to perform chemical analysis and investigate the total and soluble fluoride concentrations in various brands of children toothpastes. Materials and methods: Three samples of five different commercial brands of children toothpastes were collected and divided into five groups; group A - Biorepair Oral Care toothpaste containing no fluoride (control), group B - Signal Kids Strawberry toothpaste having 500 ppm fluoride, group C - Aquafresh Milk Teeth toothpaste having 500 ppm fluoride, group D - Aquafresh Little Teeth toothpaste having 500 ppm fluoride, and group E - Siwak F Junior having 400 ppm F...
April 2018: Saudi Dental Journal
https://www.readbyqxmd.com/read/29626244/weekend-vs-weekday-appendectomy-for-complicated-appendicitis-effects-on-outcomes-and-operative-approach
#18
Rebecca S Lane, Jun Tashiro, Brandon W Burroway, Eduardo A Perez, Juan E Sola
PURPOSE: We hypothesized that laparoscopic (LA) or open appendectomy (OA) outcomes in complicated appendicitis are associated with weekend vs. weekday procedure date. METHODS: We queried the Kids' Inpatient Database (1997-2012) for complicated (540.0, 540.1) appendicitis treated with LA or OA. Propensity score (PS)-matched analysis compared outcomes associated with weekend vs. weekday LA and OA. RESULTS: Overall, 103,501 cases of complicated appendicitis were identified...
April 6, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29621527/transmammary-transfer-of-toxicity-to-nursing-kids-from-isocoma-pluriflora-rayless-goldenrod-dosed-to-lactating-goats
#19
James A Pfister, Bryan L Stegelmeier, Stephen T Lee, T Zane Davis, Ben T Green
Rayless goldenrod (RG; Isocoma pluriflora) poisons livestock in the southwestern U.S., west Texas, and northern Mexico. The putative toxin(s) have historically been thought to be benzofuran ketones. Goats have been used successfully as a model of RG poisoning. The transmammary transfer of toxicity to offspring from lactating goats has not been studied, thus the objective of this study was to determine if nursing kids would become poisoned via mother's milk when the dams were dosed with RG. Twelve lactating goats (6 controls and 6 treated; all with twin kids) were dosed via oral gavage with alfalfa or rayless goldenrod at 2% of BW per day for 14 days...
April 2, 2018: Toxicon: Official Journal of the International Society on Toxinology
https://www.readbyqxmd.com/read/29614788/new-kids-on-the-block-rna-based-influenza-virus-vaccines
#20
REVIEW
Francesco Berlanda Scorza, Norbert Pardi
RNA-based immunization strategies have emerged as promising alternatives to conventional vaccine approaches. A substantial body of published work demonstrates that RNA vaccines can elicit potent, protective immune responses against various pathogens. Consonant with its huge impact on public health, influenza virus is one of the best studied targets of RNA vaccine research. Currently licensed influenza vaccines show variable levels of protection against seasonal influenza virus strains but are inadequate against drifted and pandemic viruses...
April 1, 2018: Vaccines
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