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Pediatrics body awareness

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https://www.readbyqxmd.com/read/29275265/anesthetic-and-pharmacologic-considerations-in-perioperative-care-of-obese-children
#1
REVIEW
Vidya Chidambaran, Anurag Tewari, Mohamed Mahmoud
PURPOSE: Anesthetic management of obese pediatric patients is challenging. With increasing prevalence of childhood obesity, more severely obese children with comorbidities present for surgery every day. The purpose of this review is to provide an up-to-date comprehensive narrative review on the impact of pathophysiological changes imposed by pediatric obesity on the perioperative management of obese children, especially drug dosing. This knowledge is necessary to provide safe delivery of anesthesia for severely obese children...
December 21, 2017: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29273181/effectiveness-of-implementing-initial-education-strategies-to-promote-awareness-and-healthy-habits-in-childhood-obesity-a-quality-improvement-project
#2
Anastacia Jester, Kathryn Evans Kreider, Richard Ochberg, Judith Meek
BACKGROUND: Rising incidence and prevalence of childhood obesity and related costly health consequences suggest the need for an effective training tool at the primary care level. Evidence-based studies show how a healthy diet and physical activity help reduce the incidence of obesity. METHODS: The objective for this quality improvement project was to evaluate the effectiveness of an evidence-based educational tool in improving healthy eating and physical activity habits among overweight and obese children in a primary care setting over 3 months...
December 20, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29218435/educational-review-measurement-of-gfr-in-special-populations
#3
Guido Filler, Misan Lee
IMPORTANCE: Changes in kidney function are typically followed by the sequential estimation of glomerular filtration rate (eGFR). Formulae for eGFR work well on a population basis, but there are well-known conditions where they do not work. OBJECTIVE: The purpose of this review is to summarize the existing literature on special populations in the pediatric age range and provide recommendations on how to estimate GFR in these populations. FINDINGS: The reliability of creatinine depends on muscle mass, while cystatin C (not widely available) is limited by inflammation and changes in protein catabolism...
December 7, 2017: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/29163969/ercp-in-infants-children-and-adolescents-is-feasible-and-safe-results-from-a-tertiary-care-center
#4
Jasmin Felux, Ekkehard Sturm, Andreas Busch, Emanuel Zerabruck, Florian Graepler, Dietmar St√ľker, Andreas Manger, Hans-Joachim Kirschner, Gunnar Blumenstock, Nisar P Malek, Martin Goetz
Background: Indications for endoscopic retrograde cholangiopancreatography (ERCP) in children differ from adults. Paucity of data and concerns about potential lower effectiveness and more side effects limit its use even in high volume centers. We retrospectively analyzed indications, success rates, limitations, and side effects of ERCPs in children <18 years. Methods: From January 2012 to March 2015, 54 ERCPs were performed in 31 children (median age 11 (0-17) years; median weight 22 (3...
November 2017: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/28976995/knowledge-of-congenital-cytomegalovirus-ccmv-among-physical-and-occupational-therapists-in-the-united-states
#5
Kathleen M Muldoon, Amy Armstrong-Heimsoth, Jodi Thomas
Congenital cytomegalovirus (cCMV) infections cause more children to have permanent disabilities than Down Syndrome, Fetal Alcohol Syndrome, Spina Bifida, and pediatric HIV/AIDS combined. The risk of infection during pregnancy can be significantly decreased using universal precautions, such as thorough handwashing and cleansing of surfaces and objects that have come into contact with infected body fluids. Children under 3 years of age are commonly asymptomatic excretors of CMV, with the highest viral loads present in saliva...
2017: PloS One
https://www.readbyqxmd.com/read/28953022/pa-student-assessment-of-body-mass-index-in-children-using-visual-cues
#6
Gina M Berg, Paul Casper, Evan Ohlman, Justin Schulte, Carolyn R Ahlers-Schmidt, Sue Nyberg, Francie Ekengren
OBJECTIVE: Pediatric weight or body mass index often is underestimated by providers when relying solely upon visual cues. This study sought to determine physician assistant (PA) students' and recent graduates' ability to accurately assess BMI for age in patients ages 3 to 5 years using visual cues. METHODS: PA students and recent graduates visually assessed pictures of three children ages 3 to 5 years-one obese, one overweight, and one with healthy weight-for BMI categorization via online survey...
October 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/28888509/tummy-time-for-latinos-with-limited-english-proficiency-evaluating-the-feasibility-of-a-cultural-and-linguistically-adapted-parent-education-intervention
#7
Alexandra Nitsos, Robin Dawson Estrada, DeAnne K Hilfinger Messias
PURPOSE: Tummy Time is preventive positioning designed to strengthen an infant's neck and upper body muscles and minimize musculoskeletal disorders, including positional plagiocephaly. Latino parents with limited English proficiency (LEP) may experience barriers to receiving instruction on this important health-promotion strategy. Study aims included 1) adaptation and implementation of a Spanish-language version of Tummy Time; 2) evaluation of participant Tummy Time knowledge; and 3) assessment of efficacy and acceptability of the Spanish language intervention...
September 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28758942/child-supervision-and-burn-outcome-among-admitted-patients-at-major-trauma-hospitals-in-the-gambia
#8
Edrisa Sanyang, Corinne Peek-Asa, Tracy Young, Laurence Fuortes
Burn-related injuries are a significant burden in children, particularly in low- and middle-income countries (LMICs), where more than 90% of burn-related pediatric deaths occur. Lack of adult supervision of children is a major risk for pediatric burn injuries. The goal of this paper was to examine the general characteristics of burns and identify burn injury outcomes among adult-supervised children compared to those who were not supervised. The study examined burn injury and clinical characteristics among all burn patients admitted to two trauma hospitals in The Gambia, West Africa...
July 30, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28735119/a-case-series-of-pediatric-seymour-fractures-related-to-hoverboards-increasing-trend-with-changing-lifestyle
#9
A E Kattan, F AlShomer, A K Alhujayri, M Alfowzan, K A Murrad, H Alsajjan
BACKGROUND: Several recreational activities such as roller skating, skateboarding, and scooter riding create the risk for hand injuries, which are the fourth most commonly injured body part in relation to their use. Seymour first identified a specific pattern of digit injury as an open fracture affecting the distal phalangeal physis associated with nail avulsion from the eponychial fold. In this article, we report a series of Seymour fractures associated with misuse of the newly emerging recreational/transportation vehicle, the hoverboard...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28697264/early-adversity-toxic-stress-and-resilience-pediatrics-for-today
#10
M Denise Dowd
Never before in the history of science have we had better insight into the factors that determine the health and well-being of a person from infancy to adulthood. An expanding body of knowledge is converging from numerous disciplines including neuroscience, education, behavioral science, public health, the social sciences, and medicine. Awareness of the impact of early childhood adversity and toxic stress is growing rapidly among both professionals and the lay public. This calls for a reevaluation of how and what we, as child health care providers, should deliver to maximize our impact on individual health and well-being across the lifespan...
July 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28620004/cancer-and-central-nervous-system-tumor-surveillance-in-pediatric-neurofibromatosis-1
#11
REVIEW
D Gareth R Evans, Hector Salvador, Vivian Y Chang, Ayelet Erez, Stephan D Voss, Kami Wolfe Schneider, Hamish S Scott, Sharon E Plon, Uri Tabori
Although the neurofibromatoses consist of at least three autosomal dominantly inherited disorders, neurofibromatosis 1 (NF1), neurofibromatosis 2 (NF2), and schwannomatosis, NF1 represents a multisystem pleiotropic condition very different from the other two. NF1 is a genetic syndrome first manifesting in childhood; affecting multiple organs, childhood development, and neurocognitive status; and presenting the clinician with often complex management decisions that require a multidisciplinary approach. Molecular genetic testing (see article for detailed discussion) is recommended to confirm NF1, particularly in children fulfilling only pigmentary features of the diagnostic criteria...
June 15, 2017: Clinical Cancer Research: An Official Journal of the American Association for Cancer Research
https://www.readbyqxmd.com/read/28589109/laryngo-tracheo-bronchial-foreign-bodies-in-children-clinical-presentations-and-complications
#12
Hazem-Saeed Amer, Mohammad-Waheed El-Anwar, Ashraf Raafat, Mohamed AlShawadfy, Ehab Sobhy, Samir-Attia Ahmed, Ahmed-Ma Maaty
INTRODUCTION: Foreign-body (FB) aspiration in the airway of children is a life-threatening clinical situation responsible for many deaths each year. The aim of this study was to evaluate the different clinical presentations, methods of diagnosis, types and complications of FB inhalation in the pediatric age group. MATERIALS AND METHODS: The study included patients who presented with a definitive or suspicious history of FB aspiration. Detailed data for each patient were recorded concerning the age, sex, nature and site of the FB, presenting symptoms and signs, and radiological findings...
May 2017: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28582329/update-in-the-management-of-pediatric-psoriasis
#13
Jennifer Aileen Ang Tangtatco, Irene Lara-Corrales
PURPOSE OF REVIEW: Psoriasis is a multifactorial, chronic, inflammatory skin disease that may represent a therapeutic challenge in children. This review aims to provide a framework for the management of pediatric psoriasis, emphasizing in new insights and considerations for management. It will focus on new disease associations and innovative treatment modalities that challenge current approach of psoriasis in children. RECENT FINDINGS: There is an increasing body of literature both in adults and in children linking psoriasis with different comorbidities...
August 2017: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/28489221/addressing-eating-disorders-and-weight-control-in-children-and-adolescents
#14
Rachel S Dawson
How often do we look at a patient's body mass index (BMI) and only make a comment if the BMI is above normal in the overweight or obese category? As pediatricians, we often do not give it a second thought when the BMI is normal, and we generally do not counsel on healthy eating practices in these cases. However, when people are overweight, obese, and sometimes even normal weight they are told by family, friends, as well as physicians that they need to either not gain any more weight, or that they need to lose weight...
May 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28463948/emergency-management-of-the-ingested-magnet-an-algorithmic-approach
#15
Brent Bauman, Kendall McEachron, Deborah Goldman, Amanda Louiselle, Eugene Zheng, David Mills, Jeffrey Louie, Bradley Segura
INTRODUCTION: Accidental ingestion of foreign bodies is an increasing problem in the pediatric population. Symptoms are often nonspecific and may lead to a missed diagnosis because the ingestion event often goes unwitnessed. CASE: We present a case of a missed diagnosis of a multiple magnet ingestion event in a pediatric patient leading to operative management. A 2-year-old boy with a 4-week history of nonspecific abdominal pain presented to the emergency department (ED) with vomiting and worsening abdominal pain...
May 1, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28441071/efficacy-and-safety-of-23-gauge-pars-plana-vitrectomy-silicone-oil-tamponade-combination-for-treatment-of-pediatric-post-traumatic-endophthalmitis
#16
Wei Jin, Yaopeng Xu, Wenjun Wang, Yiqiao Xing, Anhuai Yang
PURPOSE: To determine (i) the etiology, epidemiology, mechanism of injury, and risk factors associated with open globe injuries (OGIs) in children and (ii) visual outcomes of pediatric patients with post-traumatic endophthalmitis following 23-gauge pars plana vitrectomy (PPV) combined with silicone oil tamponade (SOT). METHODS: A total of 107 consecutive patients, <15 years of age, who had been diagnosed with post-traumatic endophthalmitis between September 2009 and October 2015, were included in this 6-year retrospective study...
August 2017: Current Eye Research
https://www.readbyqxmd.com/read/28435375/knowledge-attitude-and-practice-of-pediatricians-regarding-pediatric-liquid-medicaments
#17
K L Girish Babu, Geeta Maruti Doddamani, L R Kumaraswamy Naik
OBJECTIVE: To assess the knowledge, attitude, and practice of pediatricians regarding pediatric liquid medicaments (PLMs) and its effect on dental health. MATERIALS AND METHODS: A convenience sample of 103 pediatricians was asked to answer a questionnaire. RESULTS: A total number of 87 pediatricians completed the questionnaires. They considered age and body weight of the child (58%), cost of the medicine (40%), and pharmaceutical company (37%) to be relevant while prescribing...
January 2017: European Journal of Dentistry
https://www.readbyqxmd.com/read/28395531/a-transactional-framework-for-pediatric-rehabilitation-shifting-the-focus-to-situated-contexts-transactional-processes-and-adaptive-developmental-outcomes
#18
Gillian King, Christine Imms, Debra Stewart, Matt Freeman, Tram Nguyen
PURPOSE: A paradigm shift is taking place in pediatric rehabilitation research, practice, and policy - a shift towards the real-life contexts of clients rather than requiring clients to navigate the world of pediatric rehabilitation. This article proposes a conceptual framework to bring about a broader awareness of clients' lives and transactional processes of change over the life course. METHOD: The framework draws attention to transactional processes by which individuals, situated in life contexts, change and adapt over the life course and, in turn, influence their contextual settings and broader environments...
April 11, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28328699/a-mindfulness-program-adapted-for-adolescents-with-chronic-pain-feasibility-acceptability-and-initial-outcomes
#19
Danielle A Ruskin, Michelle M Gagnon, Sara A Kohut, Jennifer N Stinson, Kathryn S Walker
OBJECTIVES: Pediatric chronic pain is a major health issue which can lead to significant interference in daily functioning. Mindfulness-based interventions (MBI's), which emphasize acceptance rather than control of pain, have gained increasing attention as a viable treatment option among adults with chronic pain. The effectiveness of MBIs for chronic pain in pediatric populations remains largely unknown. This prospective pre-post interventional study was conducted to examine the feasibility, acceptability, and initial effectiveness of an 8-week group MBI for adolescents (MBI-A) with chronic pain...
March 21, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28165873/overuse-physeal-injuries-in-youth-athletes
#20
REVIEW
Amanda Arnold, Charles A Thigpen, Paul F Beattie, Michael J Kissenberth, Ellen Shanley
CONTEXT: Despite rising awareness of the risks associated with sports participation, overuse injuries continue to increase in youth athlete populations. Physeal injuries are one type of overuse injury exclusive to pediatric populations that are often sustained during athletic practice or competition. Overuse physeal injuries are, in theory, preventable; however, little consensus has been reached surrounding the risk factors, prevention, and treatment strategies. OBJECTIVE: This systematic review summarizes the best available evidence concerning overuse physeal injuries in youth and adolescent athletes...
March 2017: Sports Health
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