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https://www.readbyqxmd.com/read/27891787/evaluation-of-the-western-australian-register-of-developmental-anomalies-thirty-five-years-of-surveillance
#1
Wendy N Nembhard, Carol Bower
BACKGROUND: The birth defects component of the Western Australian Register for Developmental Anomalies (WARDA-BD) was evaluated to assess its efficiency, effectiveness, and data quality. METHODS: WARDA-BD was evaluated using the Centers for Disease Control and Prevention Guidelines for Evaluating Public Health Surveillance Systems and Data Quality Standards from the National Birth Defects Prevention Network. The evaluation included interviews with Register staff, local community organizations, parents, clinicians, and researchers; process observation; and secondary data analyses...
November 2016: Birth Defects Research. Part A, Clinical and Molecular Teratology
https://www.readbyqxmd.com/read/27854194/prevention-and-treatment-of-constipation-in-children-from-the-perspective-of-iranian-traditional-medicine
#2
REVIEW
Monireh Sadat Motaharifard, Zahra Jafari, Maryam Sadat Paknejad, Laleh Oveidzadeh, Mehrdad Karimi
Constipation is one of the most common complaints of children and a common cause of referrals to pediatricians. Numerous reasons for this disease have been mentioned in the Iranian traditional medicine (ITM). It is believed that this disorder is mostly due to the lack of consideration of the six essential principles (Setteh-ye-Zarurieah), which are necessary to maintain health and prevent disease. In this descriptive study we collected and classified the concepts related to the topic by reviewing reliable ITM text books...
November 2016: Journal of Integrative Medicine
https://www.readbyqxmd.com/read/27845779/brain-responses-to-biological-motion-predict-treatment-outcome-in-young-children-with-autism
#3
D Yang, K A Pelphrey, D G Sukhodolsky, M J Crowley, E Dayan, N C Dvornek, A Venkataraman, J Duncan, L Staib, P Ventola
Autism spectrum disorders (ASDs) are common yet complex neurodevelopmental disorders, characterized by social, communication and behavioral deficits. Behavioral interventions have shown favorable results-however, the promise of precision medicine in ASD is hampered by a lack of sensitive, objective neurobiological markers (neurobiomarkers) to identify subgroups of young children likely to respond to specific treatments. Such neurobiomarkers are essential because early childhood provides a sensitive window of opportunity for intervention, while unsuccessful intervention is costly to children, families and society...
November 15, 2016: Translational Psychiatry
https://www.readbyqxmd.com/read/27843107/pediatric-medication-use-experiences-and-patient-counseling-in-community-pharmacies-perspectives-of-children-and-parents
#4
Olufunmilola Abraham, Amanda Brothers, Dayna S Alexander, Delesha M Carpenter
OBJECTIVES: This study aimed to explore the perspectives of children and parents regarding: 1) pediatric patients' knowledge and medication use experiences for chronic conditions; 2) how they want to learn about medicines; and 3) perceptions of community pharmacist-provided counseling. DESIGN: Qualitative study using semistructured interviews and thematic analyses. SETTING: Three community pharmacies in 2 eastern states: one in rural western North Carolina, and 2 in an urban region of western Pennsylvania...
November 11, 2016: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/27836999/quality-of-child-healthcare-at-primary-healthcare-facilities-a-national-assessment-of-the-integrated-management-of-childhood-illnesses-in-afghanistan
#5
Ghulam Farooq Mansoor, Paata Chikvaidze, Sherin Varkey, Ariel Higgins-Steele, Najibullah Safi, Adela Mubasher, Khaksar Yusufi, Sayed Alisha Alawi
OBJECTIVE: To assess quality of the national Integrated Management of Childhood Illness (IMCI) program services provided for sick children at primary health facilities in Afghanistan. DESIGN: Mixed methods including cross-sectional study. SETTING: Thirteen (of thirty-four) provinces in Afghanistan. PARTICIPANTS: Observation of case management and re-examination of 177 sick children, exit interviews with caretakers and review of equipment/supplies at 44 health facilities...
November 10, 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27811534/performance-in-trauma-resuscitation-at-an-urban-tertiary-level-i-pediatric-trauma-center
#6
Payal Kadia Gala, Kevin Osterhoudt, Sage R Myers, Mariel Colella, Aaron Donoghue
BACKGROUND: The role of the surveyor in trauma resuscitations is to identify life-threatening injuries and is meant to be conducted by a set protocol for every patient. Optimal performance of the trauma survey is known to be a challenge in pediatric trauma resuscitation. A postulated reason for this observation is that many trainees, such as pediatric residents, who perform the trauma survey have minimal experience and do not have formal advanced trauma life support training. The assessment of factors that may be obstacles in performing the trauma survey has not been studied robustly...
November 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27808057/-mountain-medicine-ii
#7
Bjørn Bay, Kasper Fjellhaugen Hjuler
Travelling to high altitudes is an increasingly popular form of recreational holiday. Individual medical advice may be essential for certain groups of individuals such as patients with chronic disorders, pregnant women or children. This is the second part in a series of two articles on mountain medicine. The first part covered high-altitude physiology and medical aspects of objective alpine dangers and the increased exposure to ultraviolet radiation. This part covers altitude sickness, fluid balance, nutrition, and precautions for patients with pre-existing medical conditions, pregnant women and children...
October 31, 2016: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/27792444/in-line-pressure-monitoring-in-iv-infusions-benefits-for-patients-and-nurses
#8
Scott M Gouveia
Intravenous (IV) infusions are an essential part of hospital patient care, but occlusions in peripheral cannulae are common. One of the most dangerous consequences of occlusion (blockage) is extravasation-the non-intentional leakage of infused vesicant fluid into the tissue surrounding the vein-as it can lead to long-term, or even permanent, tissue damage. Adults and children are affected, with preterm neonates being particularly vulnerable. In-line pressure monitoring (ILPM) can help identify occlusions early and help prevent complications such as extravasation and infiltration...
October 27, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27761679/improved-adherence-to-antiretroviral-therapy-observed-among-hiv-infected-children-whose-caregivers-had-positive-beliefs-in-medicine-in-sub-saharan-africa
#9
G Abongomera, A Cook, V Musiime, C Chabala, M Lamorde, J Abach, M Thomason, V Mulenga, A Kekitiinwa, R Colebunders, C Kityo, A S Walker, D M Gibb
A high level of adherence to antiretroviral treatment is essential for optimal clinical outcomes in HIV infection, but measuring adherence is difficult. We investigated whether responses to a questionnaire eliciting caregiver beliefs in medicines were associated with adherence of their child (median age 2.8 years), and whether this in turn was associated with viral suppression. We used the validated beliefs in medicine questionnaire (BMQ) to measure caregiver beliefs, and medication event monitoring system caps to measure adherence...
October 19, 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/27707694/infantile-wheeze-rethinking-dogma
#10
REVIEW
Fernando Maria de Benedictis, Andrew Bush
Wheeze is a common symptom in young children and is usually associated with viral illnesses. It is a major source of morbidity and is responsible for a high consumption of healthcare and economic resources worldwide. A few children have a condition resembling classical asthma. Rarer specific conditions may have a wheezy component and should be considered in the differential diagnosis. Over the last half century, there have been many circular discussions about the best way of managing preschool wheeze. In general, intermittent wheezing should be treated with intermittent bronchodilator therapy, and a controller therapy should be prescribed for a young child with recurrent wheezing only if positively indicated, and only then if carefully monitored for efficacy...
October 4, 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27659872/what-causes-trainees-to-leave-oral-and-maxillofacial-surgery-a-questionnaire-survey
#11
C Herbert, S Kent, P Magennis, J Cleland
Understanding what causes trainees to leave OMFS is essential if we are to retain them within the specialty. Although these factors have been defined for medicine, we know of no previous study for OMFS. An online survey was distributed to roughly 1500 people who had registered an interest in OMFS during the past seven years. Personal information and details of education and employment were gathered along with personal factors that attracted them to OMFS. Of 251 trainees who responded, 50 (30%) were no longer interested...
September 19, 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27615586/undertaking-safe-medicine-administration-with-children-part-2-essential-numeracy
#12
Jayne Pentin, Michelle Green, Joanna Smith
This is the second of two articles which aim to provide children's nurses with an opportunity to develop their knowledge and skills of medicines management when caring for children and young people. The first article considered the processes associated with effective medicines management, including the concept of human error. This article addresses essential numeracy and calculation skills that have been identified as an important risk factor associated with medication errors in children. The range of activities throughout the article will help you develop and practise numeracy skills, with the answers for each activity at the end of the article...
September 12, 2016: Nursing Children and Young People
https://www.readbyqxmd.com/read/27605953/non-communicable-diseases-among-children-in-ghana-health-and-social-concerns-of-parent-caregivers
#13
Alfred E Yawson, Aaron A Abuosi, Delali M Badasu, Deborah Atobra, Francis A Adzei, John K Anarfi
BACKGROUND: Globally, there is a progressive rise in the burden of non-communicable diseases (NCDs). This paper examined the health and social concerns of parents/caregivers on in-patient care for children with NCDs in Ghana. METHODS: This was a cross-sectional study in three large health facilities in Ghana (the largest in the South, the largest in the North and the largest in the Eastern part of Ghana. Data was collected with a structured questionnaire among 225 caregivers (≥18 years) of 149 children with NCDs in health facilities in the three regions...
June 2016: African Health Sciences
https://www.readbyqxmd.com/read/27602190/profile-of-mental-and-behavioral-disorders-among-preschoolers-in-a-tertiary-care-hospital-in-oman-a-retrospective-study
#14
Marwan M Al-Sharbati, Yahya M Al-Farsi, Zena M Al-Sharbati, Fatima Al-Sulaimani, Allal Ouhtit, Samir Al-Adawi
OBJECTIVES: Early diagnosis and prompt treatment of mental and behavioral disorders in preschoolers is critical for a better prognosis, ultimately leading to improved quality of life for both the child and the family. Our study investigated the clinical profile of mental and behavioral disorders in children < 7 years of age, seeking consultation at Sultan Qaboos University Hospital, Muscat, Oman, between 1 June 2006 and 31 December 2010. The objective was to explore demographic variables, intervention types, and annual trends...
September 2016: Oman Medical Journal
https://www.readbyqxmd.com/read/27591129/access-to-age-appropriate-essential-medicines-a-retrospective-survey-of-compounding-of-medicines-for-children-in-hospitals-in-nigeria-and-implications-for-policy-development
#15
Ebiowei Samuel F Orubu, Chinyere Okwelogu, Olabisi Opanuga, Tony Nunn, Catherine Tuleu
Policies to improve access to medicines for children in Nigeria do not include compounding as a source of medicines. Compounding is often applied as a last resort in health institutions to provide age-appropriate formulations usually for oral use in young children; but it bears some risk. Some countries have adopted policies aimed at reducing the risk based on available data. There is not much data for Nigeria. This retrospective study examined compounding records from January to December 2011 in a sample of seven hospitals to describe what medicines for oral use were commonly compounded in Nigeria...
September 1, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27559728/target-product-profile-for-a-diagnostic-assay-to-differentiate-between-bacterial-and-non-bacterial-infections-and-reduce-antimicrobial-overuse-in-resource-limited-settings-an-expert-consensus
#16
Sabine Dittrich, Birkneh Tilahun Tadesse, Francis Moussy, Arlene Chua, Anna Zorzet, Thomas Tängdén, David L Dolinger, Anne-Laure Page, John A Crump, Valerie D'Acremont, Quique Bassat, Yoel Lubell, Paul N Newton, Norbert Heinrich, Timothy J Rodwell, Iveth J González
Acute fever is one of the most common presenting symptoms globally. In order to reduce the empiric use of antimicrobial drugs and improve outcomes, it is essential to improve diagnostic capabilities. In the absence of microbiology facilities in low-income settings, an assay to distinguish bacterial from non-bacterial causes would be a critical first step. To ensure that patient and market needs are met, the requirements of such a test should be specified in a target product profile (TPP). To identify minimal/optimal characteristics for a bacterial vs...
2016: PloS One
https://www.readbyqxmd.com/read/27542836/healthcare-seeking-practices-and-barriers-to-accessing-under-five-child-health-services-in-urban-slums-in-malawi-a-qualitative-study
#17
Edgar Arnold Lungu, Regien Biesma, Maureen Chirwa, Catherine Darker
BACKGROUND: Access to child health services is an important determinant of child health. Whereas, child health indicators are generally better in urban than rural areas, some population groups in urban areas, such as children residing in urban slums do not enjoy this urban health advantage. In the context of increasing urbanisation and urban poverty manifesting with proliferation of urban slums, the health of under-five children in slum areas remains a public health imperative in Malawi...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27540245/opinions-of-users-of-pharmacy-service-provided-to-picu
#18
Rhian Isaac, Astrid Gerrard, Kevin Bazaz
BACKGROUND: Pressures to open pharmacy services 7 days a week, with no financial input for these extra resources, has knock on effects that may dilute accessibility to clinical pharmacists in specialist areas. AIMS: The aim of this survey was to assess opinions of the users of the current pharmacy services to PICU and the planned extended hours provision. METHOD: An e-survey was sent to PIC Consultants, Advanced Nurse Practitioners, and Senior Nursing Staff following a six month period of increased clinical pharmacists time allocation to PIC...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27540234/assessing-the-benefits-that-community-pharmacies-can-have-on-childhood-asthma-outcomes
#19
Andrew Lilley
INTRODUCTION: The local Clinical Commissioning Group has funded an innovative one-year pilot project to assess the value of providing specialist paediatric pharmacist and physiotherapist support direct to families and health care professionals (GP's, community pharmacists, practice nurses etc.) regarding asthma in the primary care setting. Community pharmacies are the one service that asthmatic children come in contact with in order to pick up their medications it was decided to encourage staff to provide interventions at the point of collection...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27540198/changing-prescribing-culture-a-focus-on-codeine-postpartum
#20
Noor Al-Adhami, Karen Whitfield, Angela North
AIM: To eliminate the prescribing of codeine and codeine combination products postpartum to improve safety in breast fed infants.Concerns have been raised over the use of codeine and codeine combination products during breast feeding after the death of a neonate whose mother had been prescribed codeine postpartum. High concentrations of morphine were found in the infant's blood and this was attributed to the mother being a CYP2D6 ultrafast metaboliser.1 METHODS: The evidence surrounding the safety of codeine and codeine combination products in children, during the postpartum period and specifically for breast fed infants was collated...
September 2016: Archives of Disease in Childhood
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