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https://www.readbyqxmd.com/read/28631527/buprenorphine-naloxone-versus-methadone-and-lofexidine-in-community-stabilisation-and-detoxification-a-randomised-controlled-trial-of-low-dose-short-term-opiate-dependent-individuals
#1
Fergus D Law, Alison M Diaper, Jan K Melichar, Simon Coulton, David J Nutt, Judy S Myles
Buprenorphine/naloxone, methadone and lofexidine are medications with utility in the treatment of opiate withdrawal. We report the first randomised controlled trial to compare the effects of these two medications on withdrawal symptoms and outcome during opiate induction/stabilisation and detoxification. A double-blind randomised controlled trial was conducted in an outpatient satellite clinic of a specialist drug service. Eighty opiate dependent individuals meeting DSM-IV criteria for opiate dependence, using ⩽ ½ g heroin smoked/chased or ¼ g heroin injected or ⩽ 30mg methadone, with ⩽ 3 years of opioid dependency, underwent a short-term opiate treatment programme involving induction/stabilisation on methadone 30mg or buprenorphine/naloxone 4mg/1mg, followed by detoxification (where the methadone group was assisted by lofexidine)...
June 1, 2017: Journal of Psychopharmacology
https://www.readbyqxmd.com/read/28628972/urinary-sexual-steroids-associated-with-bisphenol-a-bpa-exposure-in-the-early-infant-stage-preliminary-results-from-a-daishan-birth-cohort
#2
Heng Wang, Liangpo Liu, Jianyue Wang, Zhendong Tong, Jianbo Yan, Tongjie Zhang, Ying Qin, Tingting Jiang, Jianwen She, Heqing Shen
BACKGROUND: Many surveys have shown that older children are ubiquitously exposed to bisphenol A (BPA), and many laboratory studies have shown that BPA exposure has adverse effects related to estrogenic disruption, whereas the evidence in infants has not yet been observed. METHODS: Women in early pregnancy were recruited by the Maternal and Child Health and Family Planning Service Center, Daishan, China, from March 2012 to December 2014. After delivery, urine samples were collected from the diapers of 59 infants (0 to 6months of age)...
June 13, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28626535/assessment-effect-of-breast-milk-on-diaper-dermatitis
#3
Bahar Seifi, Sheida Jalali, Mohammad Heidari
Diaper dermatitis is the most common dermatological disease of infancy, which occurs and caused by the combined effect of irritants such as diaper, urine and faces. In this study, we intend to evaluate the effect of breast milk on the healing of diaper dermatitis. This study was a clinical trial of 30 infants between 0-12 months of age that were suffering from diaper dermatitis and referred to the Health Centers in Tehran, Iran. The subjects were selected by open study. Infants were divided into two matched groups: case and control...
March 13, 2017: Dermatology Reports
https://www.readbyqxmd.com/read/28623142/complication-of-newborn-circumcision-meatal-stenosis-or-meatal-web
#4
Mehmet Ali Özen, Gökhan Gündoğdu, Mehmet Taşdemir, Egemen Eroğlu
INTRODUCTION: Meatal stenosis (MS) is a known complication of newborn circumcision. Symptoms are usually masked in young kids with a diaper. Deflation of urinary stream, dysuria, urinary frequency, and incontinence are the most common reported symptoms. Diagnosis of MS is still controversial. A narrow pinpoint urethral meatus is the current accepted diagnostic criteria. OBJECTIVE: In our practice, we observed that our cases do not overlap to the classic definition and presentation of MS...
June 2, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28605271/partner-knowledge-and-involvement-in-adult-baby-diaper-lover-behavior
#5
Brian D Zamboni
Reported partner knowledge of and involvement in Adult Baby/Diaper Lover (ABDL) behavior were examined based on responses from 1,795 male and 139 female members of the ABDL community. Individuals in a relationship often divulge their ABDL interests early in dating. Some partners may have tried ABDL activity initially, but most are not involved. Involved nonpartners may be sanctioned ABDL friends. Nonpartners are usually not involved in ABDL practices because it is viewed as infidelity. Individuals who have never been in a relationship may be working to reconcile their ABDL interests with building a romantic relationship...
June 12, 2017: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/28592288/stool-frequency-recording-in-severe-acute-malnutrition-stoolsam-an-agreement-study-comparing-maternal-recall-versus-direct-observation-using-diapers
#6
Wieger Voskuijl, Isabel Potani, Robert Bandsma, Anne Baan, Sarah White, Celine Bourdon, Marko Kerac
BACKGROUND: Approximately 50% of the deaths of children under the age of 5 can be attributed to undernutrition, which also encompasses severe acute malnutrition (SAM). Diarrhoea is strongly associated with these deaths and is commonly diagnosed solely based on stool frequency and consistency obtained through maternal recall. This trial aims to determine whether this approach is equivalent to a 'directly observed method' in which a health care worker directly observed stool frequency using diapers in hospitalised children with complicated SAM...
June 7, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28523895/skin-ph-and-transepidermal-water-loss-values-in-children-with-diaper-dermatitis-in-ibadan-nigeria
#7
Adewale Owa, Regina Oladokun, Kikelomo Osinusi
BACKGROUND/OBJECTIVES: Diaper dermatitis (DD) is one of the most common skin conditions in infants and young children. Among the factors associated with greater frequency of DD are high skin pH and transepidermal water loss (TEWL). This study examined the prevalence of DD in healthy black children in Nigeria and evaluated the association between skin surface pH, TEWL, and DD in this population. METHODS: The study was cross-sectional in design and involved children younger than 2 years attending eight immunization clinics in Ibadan, Nigeria (N = 424)...
May 2017: Pediatric Dermatology
https://www.readbyqxmd.com/read/28506258/health-care-waste-management-in-community-based-care-experiences-of-community-health-workers-in-low-resource-communities-in-south-africa
#8
Lydia Hangulu, Olagoke Akintola
BACKGROUND: In South Africa, community health workers (CHWs) working in community-based care (CBC) programmes provide care to patients most of whom are living with HIV/AIDS and tuberculosis (TB). Although studies have shown that the caregiving activities provided by the CHWs generate health care waste (HCW), there is limited information about the experiences of CHWs on health care waste management (HCWM) in CBC. This study explored HCWM in CBC in Durban, South Africa from the perspectives CHWs...
May 15, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28499798/pilot-trial-on-separation-conditions-for-diaper-recycling
#9
Kyung-Shin Kim, Hee-Sun Cho
By utilizing laboratory-scale tests, the optimal separation conditions for diaper recycling were identified, and then, these conditions were validated by a pilot trial. In this research, we determined the mass balances derived during various processing steps and identified the most feasible procedures to use for separating each material in the output flow. The results showed that drum screening was not able to remove all the fiber and super absorbent particles (SAP) in the plastic-rich fraction and that cellulose enzyme treatment can be a good solution...
May 9, 2017: Waste Management
https://www.readbyqxmd.com/read/28481819/the-effects-of-kangaroo-care-on-the-sleep-and-wake-states-of-preterm-infants
#10
Farideh Bastani, Nahid Rajai, Zahra Farsi, Heidelise Als
BACKGROUND: Developing interventions that improve deep sleep and quit awake is important to improve the quality of care that is provided to preterm infants. PURPOSE: The aim of this study was to compare the effects of kangaroo care and in-arms-holding on the sleep and wake states of preterm infants. METHODS: A randomized controlled trial design was employed in 2011-2012. Seventy-two stable preterm infants with gestational ages of 32-37 weeks and their mothers were recruited from the neonatal intensive care unit of Valiasr Hospital in Tehran, Iran...
June 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28471866/newborn-congenital-cytomegalovirus-screening-based-on-clinical-manifestations-and-evaluation-of-dna-based-assays-for-in-vitro-diagnostics
#11
Tomoyuki Fujii, Akira Oka, Ichiro Morioka, Hiroyuki Moriuchi, Shin Koyano, Hideto Yamada, Shigeru Saito, Hiroshi Sameshima, Takeshi Nagamatsu, Shinya Tsuchida, Naoki Inoue
OBJECTIVES: To establish a strategy for congenital cytomegalovirus (cCMV) screening and to establish confirmatory assays approved as In Vitro diagnostics (IVD) by the regulatory authorities, we evaluated the clinical risks and performance of diagnostic assays developed by commercial companies, since cCMV infection has significant clinical consequences. STUDY DESIGN: Newborns with clinical manifestations considered to be consequences of cCMV infection (n=575) were screened for the presence of CMV DNA in urine specimens collected onto filter paper placed in their diapers using the PCR-based assay reported previously...
May 3, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28463943/diaper-slit-perineal-bag-urine-sampling
#12
Sody A Naimer
OBJECTIVE: Many indications justifiably drive the pediatrician to request a urine sample in order to assess the health status of the incontinent baby or infant. Urine collection by means of an adhesive perineal bag is the most widely used in children who do not control urine emission, despite its inaccurate reflection of bacteriuria. We suggest a novel technique to immediately visualize the micturition event upon occurrence, in attempt to shorten waiting times and exhausting checking and rechecking opaque diapers in order to determine whether the desired sample has finally been delivered...
June 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28438923/reduced-concentration-clavulanate-for-young-children-with-acute-otitis-media
#13
Alejandro Hoberman, Jack L Paradise, Howard E Rockette, Jong-Hyeon Jeong, Diana H Kearney, Sonika Bhatnagar, Timothy R Shope, Gysella Muñiz, Judith M Martin, Marcia Kurs-Lasky, Mary Ann Haralam, Marcia A Pope, Jennifer P Nagg, Wenchen Zhao, Mohammad Kowser Miah, Jan Beumer, Raman Venkataramanan, Nader Shaikh
Amoxicillin/clavulanate (A/C), is currently the most effective oral antimicrobial in treating children with acute otitis media (AOM), but standard dosage of 90/6.4 mg/kg/day commonly causes diarrhea. We examined whether an A/C formulation containing lower concentrations of clavulanate would result in less diarrhea, while maintaining plasma levels of amoxicillin and clavulanate adequate to eradicate middle-ear pathogens and achieve clinical success. We conducted an open-label study in children aged 6 to 23 months with AOM...
April 24, 2017: Antimicrobial Agents and Chemotherapy
https://www.readbyqxmd.com/read/28422664/diaper-embedded-urinary-tract-infection-monitoring-sensor-module-powered-by-urine-activated-batteries
#14
Weeseong Seo, Wuyang Yu, Tianlin Tan, Babak Ziaie, Byunghoo Jung
Urinary tract infection (UTI) is one of the most common infections in humans. UTI is easily treatable using antibiotics if identified in early stage. However, without early identification and treatment, UTI can be a major source of serious complications in geriatric patients, in particular, those suffering from neurodegenerative diseases. Also, for infants who have difficulty in describing their symptoms, UTI may lead to serious development of the disease making early identification of UTI crucial. In this paper, we present a diaper-embedded, wireless, self-powered, and autonomous UTI monitoring sensor module that allows an early detection of UTI with minimal effort...
June 2017: IEEE Transactions on Biomedical Circuits and Systems
https://www.readbyqxmd.com/read/28420254/common-diaper-ingredient-questions-modern-disposable-diaper-materials-are-safe-and-extensively-tested
#15
Jennifer Counts, Annie Weisbrod, Shan Yin
Today's disposable diapers are high-performance and well-tested products, designed to keep skin dry and healthy. They are primarily made of biologically inert polymers, commonly used in fabrics and other materials that are in contact with skin, and in foods and cosmetics. Still, product safety and ingredients in everyday products can be a source of anxiety for new parents. This article provides the facts behind some commonly asked questions from consumers about diaper ingredients and safety, including myths and facts related to chlorine, latex, dyes, and chemical additives...
May 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28420253/myths-on-chemical-burns-in-the-diaper-area
#16
Kara Shah
Over the past several years, a number of articles and online posts have circulated on the Internet associating use of disposable and cloth diapers with chemical burns on babies' skin. Because both mild chemical burns and diaper dermatitis (diaper rash) can cause skin redness and peeling, it is not surprising that some confusion has arisen regarding the association between these two conditions. However, diapers cannot cause chemical burns because they are made of inert materials. Diaper rash and chemical burns are distinct conditions that require different evaluation and treatment, which is why it is important for pediatricians to help parents understand the difference...
May 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28420252/diaper-dermatitis-facts-and-misinformation
#17
Russell W Steele
No abstract text is available yet for this article.
May 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28420251/differential-diagnosis-of-diaper-dermatitis
#18
Bernard Cohen
Mild diaper dermatitis often occurs in children before toilet training is complete, particularly from 9 to 12 months of age, and the most common presentation is an irritant contact dermatitis. Diaper dermatitis may account for up to 25% of dermatology visits to health care providers during the first year of life. Fortunately, since the introduction of hypoallergenic, superabsorbent modern disposable diapers, the incidence and severity of irritant and allergic contact dermatitis has decreased dramatically. Diaper dermatitis broadly refers to skin disorders that occur in the diaper area, such as skin eruptions triggered by diapers, rashes exacerbated by the diaper, and other events that occur in the diaper area...
May 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28419206/short-term-preoperative-exercise-therapy-does-not-improve-long-term-outcome-after-lung-cancer-surgery-a-randomized-controlled-study%C3%A2
#19
Wolfram Karenovics, Marc Licker, Christoph Ellenberger, Michel Christodoulou, John Diaper, Chetna Bhatia, John Robert, Pierre-Olivier Bridevaux, Frédéric Triponez
OBJECTIVES: Poor aerobic fitness is a potential modifiable risk factor for long-term survival and quality of life in patients with lung cancer. This randomized trial evaluates the impact of adding rehabilitation (Rehab) with high-intensity interval training (HIIT) before lung cancer surgery to enhance cardiorespiratory fitness and improve long-term postoperative outcome. METHODS: Patients with operable lung cancer were randomly assigned to usual care (UC, n  = 77) or to intervention group (Rehab, n  = 74) that entailed HIIT that was implemented only preoperatively...
April 17, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28380151/hammock-position-and-nesting-comparison-of-physiological-and-behavioral-effects-in-preterm-infants
#20
Kassandra Silva Falcão Costa, Ludmylla de Oliveira Beleza, Lissandra Martins Souza, Laiane Medeiros Ribeiro
Objective: To compare the effects of the use of hammocks versus nesting in preterm infants, after diaper changing. Methods: quasi-experimental study, a cross-over trial with 30 preterm newborns in an intermediate care nursery (ICN) in a public hospital in Brasilia-DF, conducted from November 2011 to March 2012. The effects of the two interventions (nesting and hammock) after diaper changing were assessed. Student's t test with a confidence level of 95% (p <0...
March 30, 2017: Revista Gaúcha de Enfermagem
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