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Pediatrics exercise

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https://www.readbyqxmd.com/read/29049845/impact-of-the-initial-fitness-level-on-the-effects-of-a-structured-exercise-therapy-during-pediatric-stem-cell-transplantation
#1
Susanne Wallek, Anna Senn-Malashonak, Lutz Vogt, Katharina Schmidt, Peter Bader, Winfried Banzer
BACKGROUND: Before and after hematopoietic stem cell transplantation (HSCT), most patients suffer from psychophysical limitations due to the treatment. Exercise interventions demonstrate beneficial effects on, for example, strength, endurance, or health-related quality of life during and after HSCT, but with a great variation among patients concerning the response to exercise. This study examines the influence of the initial fitness on the effects of an exercise therapy in pediatric HSCT...
October 19, 2017: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/29038830/a-distance-blended-learning-program-to-upgrade-the-clinical-competence-of-district-non-doctor-anesthesia-providers-in-nepal
#2
Shristi Shah, Stephen Knoble, Oliver Ross, Stephen Pickering
BACKGROUND: Across Nepal, anesthesia at a district level is provided mostly by non-doctor anesthesia providers (anesthesia assistants-AAs). Nepal's Government recognized the need to sustain competence with continuous professional development and to upgrade 6-month trained working AAs to professional equivalence with the new national standard of 12-month training. As they are essential district health workers and AA clinical training sites are full, an innovative distance blended learning, competency-based, upgrade 1-year course was developed and conducted in 2014-2017 for two batches...
October 16, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29034128/antibiotic-sensitivity-pattern-of-klebsiella-species-in-burn-wounds-at-bai-jerbai-wadia-hospital-for-children-mumbai-india-a-21-year-study
#3
Shankar Srinivasan, Jovita Saldanha, Suhas Abhyankar, Nikunj Modi, Aakanksha Patil, Arvind M Vartak
In our study, we attempt to look at the sensitivity pattern of the most commonly found microorganism in the wound swab of pediatric burn patients at our hospital, 'Klebsiella', to a number of commonly used antibiotics and to determine whether there has been a change in the sensitivities in the 21 year period between 1994 to 2014. The sensitivity was tested in vitro and antibiotics were administered to patients based on laboratory findings. Klebsiella shows a significant change in sensitivity pattern over last 21 years...
2017: International Journal of Burns and Trauma
https://www.readbyqxmd.com/read/29027608/ivabradine-in-postural-orthostatic-tachycardia-syndrome-preliminary-experience-in-children
#4
Grazia Delle Donne, Ferran Rosés Noguer, Jan Till, Tushar Salukhe, Sanjay K Prasad, Piers E F Daubeney
OBJECTIVE: Ivabradine is a selective and specific inhibitor of the I(f) current in the sinoatrial and atrioventricular nodes. It decreases heart rate and myocardial oxygen consumption at rest and during exercise. It is used in adults for management of heart failure and angina, but promising results have been obtained in postural orthostatic tachycardia syndrome (POTS). There is little experience of ivabradine in childhood, although it is used on a compassionate basis. Our aim was to review our experience of ivabradine in a retrospective evaluation of pediatric patients with POTS...
October 13, 2017: American Journal of Cardiovascular Drugs: Drugs, Devices, and Other Interventions
https://www.readbyqxmd.com/read/29017015/a-twelve-week-lifestyle-program-to-improve-cardiometabolic-behavioral-and-psychological-health-in-hispanic-children-and-adolescents
#5
Sami Yli-Piipari, Alison Berg, Emma M Laing, Diane L Hartzell, Kenneth O Parris, Jon Udwadia, Richard D Lewis
OBJECTIVES: To examine the effectiveness of a 12-week lifestyle program on cardiometabolic, behavioral, and psychological outcomes among overweight Hispanic children and adolescents. DESIGN: A case series study with pre- and post-test analyses. Subjects/Settings/Location: A convenience sample of high-risk pediatric primary care patients (n = 22; 6 girls, 16 boys; M age = 11.73 ± 1.39 years) and their guardians in the Southeast United States. INTERVENTION: Twice per week 60 min (total of 24 h) of moderate-to-vigorous intensity boxing exercise training, 12 h of nutrition education for guardians, and a 30-min pediatrician appointment...
October 10, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29016364/burnout-and-psychological-distress-among-pediatric-critical-care-physicians-in-the-united-states
#6
Asha N Shenoi, Meena Kalyanaraman, Aravind Pillai, Preethi S Raghava, Scottie Day
OBJECTIVES: To estimate the prevalence of physician burnout, psychological distress, and its association with selected personal and practice characteristics among pediatric critical care physicians and to evaluate the relationship between burnout and psychological distress. DESIGN: Cross-sectional, online survey. SETTING: Pediatric critical care practices in the United States. SUBJECTS: Pediatric critical care physicians...
October 7, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28989074/safety-of-active-rehabilitation-for-persistent-symptoms-after-pediatric-sport-related-concussion-a-randomized-controlled-trial
#7
Catherine Chan, Grant L Iverson, Jacqueline Purtzki, Kathy Wong, Vivian Kwan, Isabelle Gagnon, Noah D Silverberg
OBJECTIVE: To examine the safety and tolerability of an active rehabilitation program for adolescents who are slow to recover from a sport-related concussion. A secondary objective was to estimate the treatment effect for this intervention. DESIGN: Single-site parallel open-label randomized controlled trial (RCT) comparing treatment as usual (TAU) to TAU plus active rehabilitation. SETTING: Outpatient concussion clinic. PARTICIPANTS: Adolescents aged 12-18 with postconcussion symptoms lasting >1 month after a sports-related concussion...
October 5, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28967843/children-s-aerobic-trainability-and-related-questions
#8
Raffy Dotan
In response to Armstrong's recent Special Topics review of "Top 10 Research Questions Related to Youth Aerobic Fitness," this commentary revisits some of the points raised, particularly in relation to the question of whether a child‒adult trainability difference does indeed exist. Discussed are the validity of much of the existing pediatric maximal oxygen consumption data upon which trainability conclusions are drawn, why differential trainability is likely a fact rather than a doubt, a reasoned novel approach to explaining the phenomenon, and how that explanation can bear upon and answer several of the other raised questions...
October 2, 2017: Research Quarterly for Exercise and Sport
https://www.readbyqxmd.com/read/28962552/protocol-and-baseline-data-for-a-multi-year-cohort-study-of-the-effects-of-different-mass-drug-treatment-approaches-on-functional-morbidities-from-schistosomiasis-in-four-african-countries
#9
Ye Shen, Charles H King, Sue Binder, Feng Zhang, Christopher C Whalen, W Evan Secor, Susan P Montgomery, Pauline N M Mwinzi, Annette Olsen, Pascal Magnussen, Safari Kinung'hi, Anna E Phillips, Rassul Nalá, Josefo Ferro, H Osvaldo Aurelio, Fiona Fleming, Amadou Garba, Amina Hamidou, Alan Fenwick, Carl H Campbell, Daniel G Colley
BACKGROUND: The Schistosomiasis Consortium for Operational Research and Evaluation (SCORE) focus is on randomized trials of different approaches to mass drug administration (MDA) in endemic countries in Africa. Because their studies provided an opportunity to evaluate the effects of mass treatment on Schistosoma-associated morbidity, nested cohort studies were developed within SCORE's intervention trials to monitor changes in a suite of schistosomiasis disease outcomes. This paper describes the process SCORE used to select markers for prospective monitoring and the baseline prevalence of these morbidities in four parallel cohort studies...
September 29, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28952402/evaluation-diagnosis-and-treatment-of-chronic-exertional-compartment-syndrome-a-review-of-current-literature
#10
Sravya Vajapey, Timothy L Miller
Chronic exertional compartment syndrome (CECS) is a rare condition that usually affects distance runners and other running athletes. It is characterized by pain and pressure in one or multiple muscle compartments with repetitive physical activity. Reduction in pain typically occurs with cessation of activity. Evaluation of CECS consists of a thorough history of patient symptoms and ruling out of other causes of symptoms. Post-exercise pressure measurements can help confirm the diagnosis when symptoms are consistent and imaging evaluation negative for other causes...
September 27, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28949265/reference-values-for-blood-pressure-response-to-cycle-ergometry-in-the-first-two-decades-of-life-comparison-with-patients-with-a-repaired-coarctation-of-the-aorta
#11
Mirna Kaafarani, Christian Schroer, Tim Takken
BACKGROUND: It is now common practice to use hemodynamic responses to exercise as markers of diagnosis for cardiac diseases in children, systolic blood pressure especially. However, the reference values for SBP in children at peak exertion level are outdated, and, without a current definition of normal, clinicians cannot determine the physiologically impaired. OBJECTIVE: This study aimed to establish current reference values for peak systolic blood pressure (SBP), rate pressure product (RPP), and circulatory power (CircP)...
September 26, 2017: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/28947906/oral-food-challenge-outcomes-in-a-pediatric-tertiary-care-center
#12
Elissa M Abrams, Allan B Becker
BACKGROUND: Oral food challenges are the clinical standard for diagnosis of food allergy. Little data exist on predictors of oral challenge failure and reaction severity. METHODS: A retrospective chart review was done on all pediatric patients who had oral food challenges in a tertiary care pediatric allergy clinic from 2008 to 2010. RESULTS: 313 oral challenges were performed, of which the majority were to peanut (105), egg (71), milk (41) and tree nuts (29)...
2017: Allergy, Asthma, and Clinical Immunology
https://www.readbyqxmd.com/read/28947242/increasing-incidence-of-fracture-and-its-sex-difference-in-school-children-20-year-longitudinal-study-based-on-school-health-statistic-in-japan
#13
Hiroshi Koga, Go Omori, Yoshio Koga, Osamu Tanifuji, Tomoharu Mochizuki, Naoto Endo
BACKGROUND: Studies on the epidemiology of pediatric fractures have been scarce in recent years although fractures are very common in childhood. Boys have a higher incidence of fractures than girls. Currently, societal trends have seemed to influence the difference in activity patterns between boys and girls, but the sex difference regarding longitudinal changes in fracture incidence is not well known. METHODS: We analyzed the school accident report in Niigata city, Japan and compared the incidence of fractures in elementary and junior high school students and the sex-related risk ratio between two 9-year periods separated by 20 years from their start and end points (1999-2007 and 1979-1987)...
September 22, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28945640/-ballistic-six-upper-extremity-plyometric-training-for-the-pediatric-volleyball-players
#14
Elif Turgut, Ozge Cinar-Medeni, Filiz F Colakoglu, Gul Baltaci
The Ballistic Six exercise program includes commonly used upper-body exercises, and the program is recommended for overhead throwing athletes. The purpose of the current study was to investigate the effects of a 12-week the Ballistic Six upper-extremity plyometric training program on upper-body explosive power, endurance, and reaction time in pediatric overhead athletes. Twenty-eight female pediatric volleyball players participated in the study. The participants were randomly divided into 2 study groups: an intervention group (upper-extremity plyometric training in addition to the volleyball training; n = 14) and a control group (the volleyball training only; n = 14)...
September 19, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/28944584/resource-reduction-in-pediatric-chest-pain-standardized-clinical-assessment-and-management-plan
#15
Susan F Saleeb, Sarah R McLaughlin, Dionne A Graham, Kevin G Friedman, David R Fulton
OBJECTIVE: Using a Standardized Clinical Assessment and Management Plan (SCAMP) for pediatric patients presenting to clinic with chest pain, we evaluated the cost impact associated with implementation of the care algorithm. Prior to introduction of the SCAMP, we analyzed charges for 406 patients with chest pain, seen in 2009, and predicted 21% reduction of overall charges had the SCAMP methodology been used. The SCAMP recommended an echocardiogram for history, examination, or ECG findings suggestive of a cardiac etiology for chest pain...
September 24, 2017: Congenital Heart Disease
https://www.readbyqxmd.com/read/28942910/improving-functional-mobility-in-children-and-adolescents-undergoing-treatment-for-non-central-nervous-system-cancers-a-systematic-review
#16
REVIEW
Katherine Wacker, Lynn Tanner, Jessica Ovans, Jeffrey Mason, Laura Gilchrist
BACKGROUND: Childhood cancers and subsequent treatments can leave survivors with impairments that may lead to decreased physical performance. Rehabilitation can be an important component of promoting improved physical function in children and adolescents undergoing treatment for cancer. OBJECTIVE: To review and synthesize evidence for nonsurgical, nonpharmacologic, rehabilitation interventions for children and adolescents undergoing treatment for non-central nervous system cancers aimed at improving their physical impairments and functional mobility limitations...
September 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28942909/a-systematic-review-of-exercise-systematic-reviews-in-the-cancer-literature-2005-2017
#17
REVIEW
Nicole L Stout, Jennifer Baima, Anne K Swisher, Kerri M Winters-Stone, Judith Welsh
BACKGROUND: Evidence supports the benefits of exercise for patients with cancer; however, specific guidance for clinical decision making regarding exercise timing, frequency, duration, and intensity is lacking. Efforts are needed to optimize clinical recommendations for exercise in the cancer population. OBJECTIVES: To aggregate information regarding the benefit of exercise through a systematic review of existing systematic reviews in the cancer exercise literature...
September 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28941390/severe-forms-of-food-allergy
#18
REVIEW
Emanuel Sarinho, Maria das Graças Moura Lins
OBJECTIVES: To guide the diagnostic and therapeutic management of severe forms of food allergy. DATA SOURCES: Search in the Medline database using the terms "severe food allergy," "anaphylaxis and food allergy," "generalized urticaria and food allergy," and "food protein-induced enterocolitis syndrome" in the last ten years, searching in the title, abstract, or keyword fields. SUMMARY OF DATA: Food allergy can be serious and life-threatening...
September 21, 2017: Jornal de Pediatria
https://www.readbyqxmd.com/read/28926482/is-there-an-optimal-time-to-initiate-an-active-rehabilitation-protocol-for-concussion-management-in-children-a-case-series
#19
Danielle M Dobney, Lisa Grilli, Helen Kocilowicz, Christine Beaulieu, Meghan Straub, Debbie Friedman, Isabelle J Gagnon
OBJECTIVE: To estimate the time frame during which initiating an active rehabilitation intervention (aerobic exercise, balance, and sport specific skills) after concussion contributed to improvement in symptoms at follow-up in children and adolescents who are slow to recover (symptoms persisting beyond 2 weeks) from concussion. SETTING: Concussion clinic at a tertiary care pediatric teaching hospital. PARTICIPANTS: A total of 677 children and adolescents with concussion aged 7 to 18 years...
September 18, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28923457/blood-flow-regulation-and-oxidative-stress-during-submaximal-cycling-exercise-in-patients-with-cystic-fibrosis
#20
Matthew A Tucker, Breana Berry, Nichole Seigler, Gareth W Davison, John C Quindry, Dabney Eidson, Kathleen T McKie, Ryan A Harris
BACKGROUND: The impact of blood flow regulation and oxidative stress during exercise in cystic fibrosis (CF) has yet to be investigated. METHODS: A maximal graded exercise test was conducted to determine exercise capacity (VO2 peak) and peak workload in 14 pediatric patients with mild CF (age 14±3y, FEV1 93±16 % predicted) and 14 demographically-matched controls. On a separate visit, participants performed submaximal cycling up to 60% of peak workload where brachial artery blood velocity was determined using Doppler ultrasound...
September 8, 2017: Journal of Cystic Fibrosis: Official Journal of the European Cystic Fibrosis Society
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