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https://www.readbyqxmd.com/read/28432185/exogenous-cushing-s-syndrome-due-to-a-chinese-herbalist-s-prescription-of-ointment-containing-dexamethasone
#1
Viola Franke, Winnie Francien Scholtens, Ines Alexandra von Rosenstiel, Marie Jose Walenkamp
Eczema in children is a chronic disabling condition. The impact of this condition on the lives of families is often underestimated by conventional physicians. As a consequence parents may investigate complementary treatment options. Close monitoring by a paediatrician is essential, considering that a variety of adverse effects can occur during the use of complementary treatment. We present a 5-year-old girl with eczema. She visited a Chinese herbalist who prescribed an ointment. The parents noticed that the eczema resolved fast, itching decreased and she was finally sleeping well...
April 20, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28423145/brief-behavioral-therapy-for-pediatric-anxiety-and-depression-in-primary-care-a-randomized-clinical-trial
#2
V Robin Weersing, David A Brent, Michelle S Rozenman, Araceli Gonzalez, Megan Jeffreys, John F Dickerson, Frances L Lynch, Giovanna Porta, Satish Iyengar
Importance: Anxiety and depression affect 30% of youth but are markedly undertreated compared with other mental disorders, especially in Hispanic populations. Objective: To examine whether a pediatrics-based behavioral intervention targeting anxiety and depression improves clinical outcome compared with referral to outpatient community mental health care. Design, Setting, and Participants: This 2-center randomized clinical trial with masked outcome assessment conducted between brief behavioral therapy (BBT) and assisted referral to care (ARC) studied 185 youths (aged 8...
April 19, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28414938/violence-against-children-perpetrated-by-peers-a-cross-sectional-school-based-survey-in-uganda
#3
Stephen Ojiambo Wandera, Kelly Clarke, Louise Knight, Elizabeth Allen, Eddy Walakira, Sophie Namy, Dipak Naker, Karen Devries
Violence against children by peers is a global public health problem. We aimed to assess factors associated with peer violence victimization among primary school children in Uganda. We conducted multilevel multivariable logistic regression analyses of cross-sectional data from 3706 primary students in 42 Ugandan primary schools. Among primary school students, 29% and 34% had ever experienced physical and emotional violence perpetrated by their peers, respectively. Factors strongly associated with both physical and emotional violence were similar and overlapping, and included exposure to interparental violence, having an attitude supportive of violence against children from school staff, not living with biological parents, working for payment, and higher SDQ score...
April 14, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28414397/childhood-headache-a-brief-review
#4
Heidi K Blume
Headaches are common in childhood and adolescence and can cause significant distress and disability for a child and their family. Providers need to be able to identify "red flags" for worrisome causes of secondary headaches and recognize typical primary headache characteristics to provide each patient with the best possible care to improve their quality of life and minimize disability. This article reviews the epidemiology of headaches in children, signs and symptoms of secondary headaches, definitions of some primary childhood headaches, and options for management of both acute and chronic pediatric migraine...
April 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28409406/using-compensating-variation-to-measure-the-costs-of-child-disability-in-the-uk
#5
Mariya Melnychuk, Francesca Solmi, Stephen Morris
The objective of disability policy is to create a society where people with disabilities and their families enjoy an equal standard of living to those without disabilities, though evidence to underpin policy is sparse. We defined the compensating variation (CV) of child disability as the amount of additional income a family with a disabled child would require to achieve the same living standards as a similar family without a disabled child. The aims of this study were to estimate the CV for child disability and to explore how this varied for different levels of disability and reference levels of living standards...
April 13, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/28408725/screening-for-developmental-delay-in-preschool-aged-children-using-parent-completed-ages-and-stages-questionnaires-additional-insights-into-child-development
#6
Soheir S Abo El Elella, Maha A M Tawfik, Wafaa Moustafa M Abo El Fotoh, Naglaa Fathy Barseem
BACKGROUND: Developmental delay is a delay in areas of speech, language, motor, social and cognitive development. Because of the negative impact of intellectual and learning disabilities, early identification of children with developmental and behavioral problems using appropriate screening tests is crucial. OBJECTIVES: Utilization of parent-completed Ages and Stages Questionnaires (ASQs) for detecting the developmental delay in preschool age children and clarification of possible associated risk factors...
April 13, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28405185/motor-stereotypies-a-pathophysiological-review
#7
REVIEW
Zsanett Péter, Melody E Oliphant, Thomas V Fernandez
Motor stereotypies are common, repetitive, rhythmic movements with typical onset in early childhood. While most often described in children with autism spectrum disorder (ASD) and intellectual disability (ID), stereotypies can also present without developmental delay and persist into adulthood. Stereotypies are often disruptive and harmful, both physically and socially, and effective evidence-based treatments are lacking. This can be attributed, in part, to our incomplete knowledge of the underlying biological and environmental risk...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28401698/whoever-shouts-the-loudest-listening-to-parents-of-children-with-disabilities
#8
Christian Ryan, Elizabeth Quinlan
BACKGROUND: Elevated stress is common among parents of children with disabilities. The parents' perspective and evaluation of services have a significant impact on their well-being and adaptation to their child's disability and is a source of information for service improvements. This study explores parental perceptions of communication and collaboration between parents and health and education staff in the context of an imminent reconfiguration of disability services. METHODS: A qualitative study was conducted using four focus groups with parents (n = 24) of children with disabilities who attend various educational and health services...
April 12, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/28400640/a-pilot-study-evaluating-therapeutic-response-of-different-dosage-of-oral-glucocorticoid-in-two-children-with-familial-glucocorticoid-deficiency-presenting-with-diffuse-mucocutaneous-hyperpigmentation
#9
Uttam Kumar Sarkar, Nilendu Sarma, Sambreeta Debbarma, Asok Kumar Mandal, Ashok Kumar Bala
INTRODUCTION: Familial glucocorticoid deficiency (FGD) is a rare autosomal recessive potentially life-threatening condition, characterized by glucocorticoid deficiency, preserved aldosterone/renin secretion, and secondary rise in plasma adrenocorticotropic hormone level. This occurs due to either mutation in adrenocorticotropic receptor (25%, FGD Type-1) or in the MC2 receptor accessory protein (15%-20%). However, in about 50% patients, no identifiable mutations have been identified. Clinically, it manifests with weakness, fatigue, weight loss, anorexia, nausea, vomiting, diarrhea, abdominal pain, hypoglycemia, and hypothermia...
March 2017: Indian Journal of Dermatology
https://www.readbyqxmd.com/read/28398695/social-disadvantage-and-developmental-diagnosis-in-pre-schoolers
#10
Norma Kayrouz, Susan L Milne, Jenny L McDonald
AIM: To explore the association between social disadvantage and developmental diagnoses in pre-school children. METHODS: Between 2012 and 2015, 845 pre-school children were assessed by the Child Assessment Team at Campbelltown Hospital. A social worker interviewed 469 families and these children were eligible for inclusion in the study. Autism spectrum disorder (ASD) was confirmed in 290 children. Of those without ASD, 72 did not have global developmental delay (GDD) and were excluded from the study...
April 11, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28397395/the-role-of-formal-support-in-the-lives-of-children-of-mothers-with-intellectual-disability
#11
Susan Collings, Rebekah Grace, Gwynnyth Llewellyn
BACKGROUND: Mothers with intellectual disability face socioeconomic disadvantage and social isolation, which is associated with poorer child outcomes. Social services feature prominently in the lives of mothers with intellectual disability especially those without informal support; however, the role of formal support in the lives of their children has not been explored. METHODS: Seven children aged 7-11 years took part in semi-structured interviews to explore their social experiences...
May 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/28389231/using-a-flipped-classroom-and-the-perspective-of-families-to-teach-medical-students-about-children-with-disabilities-and-special-education
#12
Mary E Sheppard, Nancy Vitalone-Raccaro, Jacqueline M Kaari, Taiwo T Ajumobi
BACKGROUND: The need to teach medical students to care for children with disabilities, work effectively with these patients' families, and collaborate with schools has been well established. Yet, what is not clear is the exact nature of the content to be taught and how medical schools develop the systems and enabling structures required to ensure medical education responds to the needs of children with disabilities and their families. OBJECTIVE: The aim of this study was to develop and assess the efficacy of an educational intervention designed to introduce the topics of special education law and practices and working with parents of children with disabilities into an undergraduate medical education pediatrics course...
March 27, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/28388945/a-qualitative-study-protocol-of-ageing-carers-caregiving-experiences-and-their-planning-for-continuation-of-care-for-their-immediate-family-members-with-intellectual-disability
#13
Lisa Pau Le Low, Wai Tong Chien, Lai Wah Lam, Kayla Ka Yin Wong
BACKGROUND: Understanding the difficulties and needs of the family carers in taking care of a person with ID can facilitate the development of appropriate intervention programmes and services to strengthen their caring capacity and empower them to continue with their caring roles. This study aims to explore ageing family carers' caregiving experiences and the plans they have to provide care for themselves and their ageing children with mild or moderate intellectual disability (ID). METHOD: A constructivist grounded theory will be used to interview around 60 carers who have a family member with mild or moderate ID and attending sheltered workshops in Hong Kong...
April 7, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28378271/brief-report-examining-the-association-of-autism-and-adverse-childhood-experiences-in-the-national-survey-of-children-s-health-the-important-role-of-income-and-co-occurring-mental-health-conditions
#14
Connor Morrow Kerns, Craig J Newschaffer, Steven Berkowitz, Brian K Lee
Adverse childhood experiences (ACEs) are risk factors for mental and physical illness and more likely to occur for children with autism spectrum disorder (ASD). The present study aimed to clarify the contribution of poverty, intellectual disability and mental health conditions to this disparity. Data on child and family characteristics, mental health conditions and ACEs were analyzed in 67,067 youth from the 2011-2012 National Survey of Children's Health. In an income-stratified sample, the association of ASD and ACEs was greater for lower income children and significantly diminished after controlling for child mental health conditions, but not intellectual disability...
April 4, 2017: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/28375798/confirmatory-factor-analysis-of-a-family-quality-of-life-scale-for-taiwanese-families-of-children-with-intellectual-disability-developmental-delay
#15
Chun-Yu Chiu, Hyojeong Seo, Ann P Turnbull, Jean Ann Summers
The Beach Center Family Quality of Life Scale is an internationally validated instrument for measuring family outcomes. To revise the scale for better alignment with the Family Quality of Life theory, the authors excluded non-outcome items in this revision. In this study, we examined reliability and validity of the revised scale (i.e., the FQoL Scale-21) and its scores for Taiwanese families of children and youth with intellectual disability and developmental delay (age 0-18). Results from 400 Taiwanese respondents suggested that the FQoL Scale-21 has the potential to be used as an indicator of positive outcomes in intervention evaluation, policy making, and service delivery...
April 2017: Intellectual and Developmental Disabilities
https://www.readbyqxmd.com/read/28374210/family-quality-of-life-of-south-african-families-raising-children-with-autism-spectrum-disorder
#16
Liezl Schlebusch, Shakila Dada, Alecia E Samuels
This article describes the family quality of life among families who are raising a young child with autism spectrum disorder. Survey research was conducted with 180 families of children with autism spectrum disorder who were receiving disability-related services in the Gauteng province of South Africa. The principle measure used was the Beach Center Family Quality of Life Scale to assess five subdomains: family interaction, parenting, emotional well-being, material/physical well-being, and disability-related support...
April 3, 2017: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/28368363/links-between-autism-spectrum-disorder-diagnostic-status-and-family-quality-of-life
#17
Andrew G McKechanie, Vivien J Moffat, Eve C Johnstone, Sue Fletcher-Watson
Quality of life is often relatively lowered in families of children with additional needs, and this may be particularly the case where additional needs are accompanied by an autism spectrum disorder (ASD). Here we explore the effects of diagnostic status specifically, comparing families with children with an ASD diagnosis with others who a) have additional needs but no signs of ASD; and b) have additional needs and signs of ASD but no diagnosis. Mothers (n = 76) of children with additional needs completed standardised questionnaires about quality of life, stress, service provision, child behaviour and presence and severity of ASD traits...
April 3, 2017: Children
https://www.readbyqxmd.com/read/28368271/consensus-statement-of-the-indian-academy-of-pediatrics-on-evaluation-and-management-of-attention-deficit-hyperactivity-disorder
#18
Samir Dalwai, Jeeson Unni, Veena Kalra, Pratibha Singhi, Leena Shrivastava, M K C Nair
JUSTIFICATION: Attention-Deficit/Hyperactivity Disorder (ADHD) is a highly prevalent in children worldwide. Management of ADHD requires a systematic, multidisciplinary approach and thereby, evidence-based, standardized national guidelines are essential. PROCESS: A meeting for formulation of national consensus guidelines on neurodevelopmental disorders was organized by Indian Academy of Pediatrics in Mumbai, on 18th and 19th December, 2015. The invited experts included Pediatricians, Developmental Pediatricians, Pediatric Neurologists, Psychiatrists, Remedial Educators and Clinical Psychologists...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28366898/as-long-as-parents-can-accept-them-medical-disclosure-risk-and-disability-in-twentieth-century-american-adoption-practice
#19
Sandra Sufian
This article reviews adoption debates about the disclosure of children's medical history in the twentieth century, noting shifts in the prescription of how much and what to tell adoptive applicants. I look at how adoption professional debates throughout the twentieth century around the disclosure of a child's medical history reveal the ways in which these professionals tried to deal with issues of predictability, risk, adoptability, and acceptability when it came to the persistent question of disability in adoptive family making...
2017: Bulletin of the History of Medicine
https://www.readbyqxmd.com/read/28359435/the-trauma-of-birth-or-parenting-a-child-effect-on-parents-negative-emotion-in-china
#20
Yanhui Xiang, Xinli Chi, Hao Wu, Tianyu Zeng, Xiaomei Chao, Peichao Zhang, Lei Mo
The present study assessed negative emotions associated with the traumas of infertility and child rearing (child's disability or death) and the correlates of duration of trauma. The widely used Chinese Mental Health Scale was used to assess negative emotions in 294 individuals who experienced the aforementioned traumas and 124 who did not (control group). Results showed that individuals with infertility exhibited greater anxiety, depression, and solitude than the control group; bereaved parents and had greater solitude and fear than control group; and parents of children with disabilities had greater solitude than the control group...
April 2017: Archives of Psychiatric Nursing
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