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Enuresis

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https://www.readbyqxmd.com/read/29666130/does-dexmedetomidine-given-as-a-premedication-or-intraoperatively-reduce-post-hospitalisation-behaviour-change-in-children-a-study-protocol-for-a-randomised-controlled-trial-in-a-tertiary-paediatric-hospital
#1
Paul Lee-Archer, Craig McBride, Rebecca Paterson, Michael Reade, Britta Regli-von Ungern-Sternberg, Deborah Long
INTRODUCTION: It has been reported that post-hospitalisation behaviour change (PHBC) occurs in over 50% of children undergoing a general anaesthetic and manifests as behaviours such as sleep and eating disorders, defiance of authority, nightmares, enuresis and temper tantrums. The effect is usually short-lived (2-4 weeks); however, in 5-10% of children, these behaviours can last up to 12 months. The risk factors for developing PHBC include underlying anxiety in the child or parent, a previous bad hospital experience, emergence delirium and preschool age...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29652207/a-consecutive-case-series-analysis-of-a-behavioral-intervention-for-enuresis-in-children-with-developmental-disabilities
#2
Joanna Lomas Mevers, Colin Muething, Nathan A Call, Mindy Scheithauer, Shannon Hewett
Children with developmental disabilities (DD) are more likely than typically developing peers to have issues with enuresis. Past research has shown the success of behavioral treatments consisting of scheduled sits and reinforcement for continent voids. However, this research has included small sample sizes, while studies with larger numbers have lacked key information (i.e., baseline rates and follow-up data to evaluate maintenance and generalization). The current study conducted a consecutive case series analysis of 44 individuals with developmental disabilities who completed a 2-week program for enuresis...
April 13, 2018: Developmental Neurorehabilitation
https://www.readbyqxmd.com/read/29598883/effect-of-vitamin-d-and-omega-3-on-nocturnal-enuresis-of-7-15-year-old-children
#3
E Rahmani, M H Eftekhari, M H Fallahzadeh, M Fararouei, S J Massoumi
INTRODUCTION: Nocturnal enuresis is known to be a common urinary bladder complication in children. Recent studies have associated vitamin D and omega-3 insufficiency with nocturnal enuresis. AIM: This was a 2-month randomized, placebo-controlled, double-blind trial to measure the effects of vitamin D, omega-3 supplements, and their combination on nocturnal enuresis among 7-15-year-old children. MATERIALS AND METHODS: Participants (180 children with nocturnal enuresis) were selected from children referred to the Pediatric ward of Imam Reza Clinic in Shiraz, Iran...
February 5, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29527732/nigerian-sleep-study-found-that-children-slept-less-and-had-more-problems-than-children-in-other-countries
#4
Idowu O Senbanjo, Mohammed A Salisu, Kazeem A Oshikoya, Uchechukwu O Adediji, Ayodeji O Akinola
AIM: We studied sleep patterns, sleep problems and associated socio-demographic factors among children aged 1-12 years in Lagos, Nigeria. METHODS: This prospective hospital-based study involved 432 children (55% males) who came for routine paediatric care at the Lagos State University Teaching Hospital. Information on socio-demographics, sleeping patterns and specific sleep disorders were obtained. RESULTS: The mean age of the subjects was 5...
March 12, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29487248/association-of-pediatric-obstructive-sleep-apnea-with-poor-academic-performance-a-school-based-study-from-india
#5
Abhishek Goyal, Abhijit P Pakhare, Girish C Bhatt, Bharat Choudhary, Rajesh Patil
Background: Pediatric obstructive sleep apnea (OSA) is a highly prevalent but often neglected disorder. There is paucity of reports on the prevalence of pediatric OSA from India. This study was done to estimate the prevalence of OSA in school children aged 5-10 years and its association with academic performance. Methodology: This school-based cross-sectional epidemiological study was conducted from July 2015 to November 2015. A questionnaire seeking information on sociodemographic variables, school performance, sleeping pattern, and a validated 22-item pediatrics sleep-related breathing disorder (SRBD) scale was distributed to 1820 pupils in three primary schools...
March 2018: Lung India: Official Organ of Indian Chest Society
https://www.readbyqxmd.com/read/29484228/the-adverse-effects-of-oral-desmopressin-lyophilisate-melt-personal-experience-on-enuretic-children
#6
Pietro Ferrara, Giulia Franceschini, Serena Mercurio, Ester Del Vescovo, Francesca Ianniello, Tommasangelo Petitti
Objective: The aim of this study was to evaluate adverse effects of oral desmopressin lyophilisate (MELT) in enuretic children. Material and methods: We enrolled 260 children with nocturnal enuresis (NE) referred to the Pediatric Service, 'Campus Bio-Medico' University of Rome, from April 2014 to April 2017 in the study, of these 23 were excluded. The study was characterized by 2 phases. During Phase 1 a careful patient's medical history was obtained and physical examination was performed...
January 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29456117/extraordinary-daytime-only-urinary-frequency-in-childhood-prevalence-diagnosis-and-management
#7
Pierluigi Marzuillo, Mario Diplomatico, Rosaria Marotta, Laura Perrone, Emanuele Miraglia Del Giudice, Cesare Polito, Angela La Manna, Stefano Guarino
INTRODUCTION: Since standardization of the ICCS terminology, only two small case series of children with extraordinary daytime only urinary frequency (EDOUF) have been published. The aims of the present study were i) to describe a large cohort of children affected by EDOUF, to evaluate its rate among the main micturition pediatric disturbances, and to determine if there is different EDOUF onset among seasons; ii) to investigate possible associations with urodynamic abnormalities by non-invasive techniques; iii) to evaluate whether postponing micturition exercise (PME) can objectively verify the anamnestic data hinting at the EDOUF diagnosis; and iv) to determine the effect of postponing micturition at home...
February 9, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29452905/voiding-school-as-a-treatment-for-daytime-incontinence-or-enuresis-assessing-the-effectiveness-of-intervention-by-measuring-changes-in-wetting-episodes
#8
A Saarikoski, R Koppeli, S Taskinen, A Axelin
BACKGROUND: Most urotherapy interventions are planned for children with daytime incontinence or symptoms, and are based on individual education. This study conducted a voiding school (VS) program with groups of 4-6 children with daytime incontinence or enuresis with or without daytime symptoms. OBJECTIVE: The aim of this quasi-experimental study with a one-group pretest-posttest design was to assess the effectiveness of the VS intervention for treating children's daytime incontinence or enuresis...
February 5, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29447815/pre-and-post-operative-evaluation-of-the-frequency-of-nocturnal-enuresis-and-modified-pediatric-epworth-scale-in-pediatric-obstructive-sleep-apnea-patients
#9
Kerem Sami Kaya, Bilge Türk, Zeynep Nur Erol, Pınar Akova, Berna Uslu Coşkun
OBJECTIVE: To investigate the beneficial effect of adenotonsillectomy (AT) on nocturnal enuresis (NE) in children with adenotonsillar hypertrophy and evaluate the Modified Pediatric Epworth Scale (MPES). METHODS: This was a prospective study comparing preoperative and postoperative evaluation of the frequency of NE and MPES in pediatric obstructive sleep apnea (OSA). A questionnaire on NE history was prepared based on the Turkish Enuresis Guidelines. NE histories were evaluated pre- and postoperatively on the first month and third month, respectively...
February 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29445339/population-pharmacokinetic-modeling-of-a-desmopressin-oral-lyophilisate-in-growing-piglets-as-a-model-for-the-pediatric-population
#10
Elke Gasthuys, An Vermeulen, Siska Croubels, Joske Millecam, Stijn Schauvliege, Thomas van Bergen, Pauline De Bruyne, Johan Vande Walle, Mathias Devreese
Desmopressin is used to treat primary nocturnal enuresis in children. Over the years, various formulations of desmopressin were commercialized of which the sublingual melt tablet is preferred in the pediatric population, despite the lack of full PK studies in this population. A full PK study was performed in growing conventional piglets to evaluate if this juvenile animal model can provide supplementary information to complement the information gap in the pediatric population. A desmopressin sublingual melt tablet (120 μg) was administered to 32 male piglets aged 8 days, 4 weeks, 7 weeks, and 6 months (each group n = 8)...
2018: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/29428322/study-of-the-profile-of-behavioral-problems-and-quality-of-life-indexes-in-a-pediatric-cohort-of-monosymptomatic-enuresis
#11
Guilherme Jorge Sousa E Silva, Simone Nascimento Fagundes Sammour, Alexandre Archanjo Ferraro, Vera Hermina Kalika Koch
OBJECTIVE: To evaluate and correlate, before and after the therapeutic intervention, the behavioral problem scores evaluated by the CBCL/6-18 questionnaire and the quality of life indexes evaluated by the PedsQL™ 4.0 in patients with monosymptomatic nocturnal enuresis. METHOD: After the initial evaluation and completion of the CBCL/6-18 questionnaire, a multidisciplinary evaluation and completion of the PedsQL™ 4.0 questionnaire was performed. Of the initially evaluated 140 children and adolescents aged 6-16 years, 58 were excluded due to non-monosymptomatic enuresis or associated comorbidities...
February 8, 2018: Jornal de Pediatria
https://www.readbyqxmd.com/read/29388934/-the-application-of-the-physical-factors-for-the-medical-rehabilitation-of-the-children-presenting-with-neurogenic-dysfunction-of-the-bladder
#12
I V Pogonchenkova, M A Khan, N B Korchazhkina, E V Novikova, I A Bokova, N A Lyan
This article describes the modern technologies for the medical rehabilitation of the children presenting with neurogenic dysfunction of the bladder aimed at improving the act of urination at all levels of innervation. The most frequent variant of neurogenic dysfunction of the bladder in the children is the hyper-reflexive one; it is this variant in which the most pronounced disorders of urodynamics due to intravesical hypertension and detrusor hypoxia are observed. The urodynamic disorders are known to contribute to the formation of the characteristic clinical picture associated with the hyper-reflexive urinary bladder dysfunction in the children characterized by the mandatory urination syndrome, pollakiuria, imperative urges, and mandatory urinary incontinence in the combination with enuresis...
December 28, 2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29376448/desmopressin-and-nocturnal-voiding-dysfunction-clinical-evidence-and-safety-profile-in-the-treatment-of-nocturia
#13
Eric Chung
Nocturia is a common urinary condition experienced by both men and women. While desmopressin has historically been utilized to treat conditions such as central diabetes insipidus and primary nocturnal enuresis, there is an increased interest in the use of desmopressin in the management of adult nocturia. Areas covered: This article provides a review on the pathophysiology of nocturia and the clinical outcomes and safety profile of desmopressin in the management of adult nocturnal voiding dysfunction. Expert opinion: To date, desmopressin is the only anti-diuretic hormone that is approved for nocturia...
January 29, 2018: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/29368878/risk-factors-for-urinary-tract-infection-in-children-with-urinary-urgency
#14
Rhaiana Gondim, Roberta Azevedo, Ana Aparecida Nascimento Martinelli Braga, Maria Luiza Veiga, Ubirajara Barroso
PURPOSE: To identify which independent variable would be strong predictor of febrile urinary tract infection (UTI) in children and adolescents with overactive bladder. MATERIALS AND METHODS: A search was made of the institute's database for all patients diagnosed with overactive bladder over the preceding four years. Children and adolescents under 18 years of age with overactive bladder and no neurological or anatomical alterations of the lower urinary tract were included in the study...
January 26, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29362836/urinary-incontinence-in-nulliparous-women-before-and-during-pregnancy-prevalence-incidence-type-and-risk-factors
#15
Deirdre Daly, Mike Clarke, Cecily Begley
INTRODUCTION: While many women report urinary incontinence (UI) during pregnancy, associations with pre-pregnancy urinary leakage remain under-explained. METHODS: We performed a multi-strand prospective cohort study with 860 nulliparous women recruited during pregnancy. RESULTS: Prevalence of any urinary leakage was 34.8% before and 38.7% during pregnancy. Prevalence of UI, leaking urine at least once per month, was 7.2% and 17.7% respectively...
March 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29357099/treatment-of-selective-mutism-a-5-year-follow-up-study
#16
Beate Oerbeck, Kristin Romvig Overgaard, Murray B Stein, Are Hugo Pripp, Hanne Kristensen
Selective mutism (SM) has been defined as an anxiety disorder in the diagnostic and statistical manual of mental disorders (DSM-5). Cognitive behavioral therapy (CBT) is the recommended approach for SM, but prospective long-term outcome studies are lacking. Reports from the children themselves, and the use of more global quality of life measures, are also missing in the literature. We have developed a school-based CBT intervention previously found to increase speech in a pilot efficacy study and a randomized controlled treatment study...
January 22, 2018: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/29324571/physical-activity-patterns-and-sedentary-behavior-in-older-women-with-urinary-incontinence-an-accelerometer-based-study
#17
Christine M Chu, Kavita D Khanijow, Kathryn H Schmitz, Diane K Newman, Lily A Arya, Heidi S Harvie
PURPOSE: Objective physical activity data for women with urinary incontinence are lacking. We investigated the relationship between physical activity, sedentary behavior, and the severity of urinary symptoms in older community-dwelling women with urinary incontinence using accelerometers. MATERIALS AND METHODS: This is a secondary analysis of a study that measured physical activity (step count, moderate-to-vigorous physical activity time) and sedentary behavior (percentage of sedentary time, number of sedentary bouts per day) using a triaxial accelerometer in older community-dwelling adult women not actively seeking treatment of their urinary symptoms...
January 10, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29308577/the-prevalence-of-diurnal-urinary-incontinence-and-enuresis-and-quality-of-life-sample-of-school
#18
Sevim Savaser, Nezihe Kizilkaya Beji, Ergul Aslan, Duygu Gozen
PURPOSE: Enuresis can cause loss of self-esteem in children, change relations with family and friends, and decrease the school success. This study was conducted to determine the prevalence of urinary incontinence (UI) in school children aged between 11-14 years and identify the emotions and social problems of enuretic children. MATERIALS AND METHODS: A mixed methods approach was used on a group of students who reported UI by combining quantitative data from school population-based cross-sectional design with qualitative data using in-depth interview techniques...
January 8, 2018: Urology Journal
https://www.readbyqxmd.com/read/29308396/enuresis-in-early-adolescents
#19
Sevim Savaser, Nezihe Kizilkaya Beji, Ergul Aslan, Duygu Gozen
No abstract text is available yet for this article.
October 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29260376/desmopressin-use-in-pediatric-nocturnal-enuresis-patients-is-there-a-sex-difference-in-prescription-patterns
#20
Marie Krarup Schroeder, K V Juul, B Mahler, J P Nørgaard, S Rittig
Desmopressin is a long-established treatment for nocturnal enuresis with clear guidelines regarding its usage. A sex difference in renal sensitivity has recently been reported in adults. The objective of this study was to investigate real-life desmopressin prescription in the Danish pediatric population, and prescription patterns which may reflect a sex difference in pediatric usage. Formulation, dose, treatment duration, and safety (hyponatremia) were investigated. 40,596 children received 214,220 desmopressin prescriptions between 2004 and 2011 in the Danish National Prescription Registry...
March 2018: European Journal of Pediatrics
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