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https://www.readbyqxmd.com/read/29406373/creating-a-high-frequency-electronic-database-in-the-picu-the-perpetual-patient
#1
David Brossier, Redha El Taani, Michael Sauthier, Nadia Roumeliotis, Guillaume Emeriaud, Philippe Jouvet
OBJECTIVE: Our objective was to construct a prospective high-quality and high-frequency database combining patient therapeutics and clinical variables in real time, automatically fed by the information system and network architecture available through fully electronic charting in our PICU. The purpose of this article is to describe the data acquisition process from bedside to the research electronic database. DESIGN: Descriptive report and analysis of a prospective database...
February 5, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29388933/-the-application-of-the-modern-phototherapeutic-technologies-for-the-medical-rehabilitation-of-the-children
#2
M A Khan, А I Chubarova, I V Pogonchenkova, M A Rassulova, E Y Sergeenko, E L Vakhova, N A Lyan, N A Mikitchenko
This literature review is focused on the application of polychromatic and monochromatic polarized light for the treatment of various diseases of the childhood including those in the newborns and the premature babies. The analysis of the data of scientific research gives evidence of the beneficial effect of polychromatic polarized light on the clinical course of various skin diseases in the newborn children. Moreover, the improved immunological and reparative processes were revealed after the surgical interventions for congenital heart defects in the newborns...
December 28, 2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29369067/evidence-establishing-a-link-between-prenatal-and-early-life-stress-and-asthma-development
#3
Maria José Rosa, Alison G Lee, Rosalind J Wright
PURPOSE OF REVIEW: The objective of this review is to provide an update on our evolving understanding of the effects of stress in pregnancy and during early development on the onset of asthma-related phenotypes across childhood, adolescence, and into early adulthood. RECENT FINDINGS: Accumulating evidence over the past 2 decades has established that prenatal and early-life psychological stress and stress correlates (e.g., maternal anxiety or depression) increase the risk for childhood respiratory disorders...
January 23, 2018: Current Opinion in Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/29344945/cumulative-risk-exposure-moderates-the-association-between-parasympathetic-reactivity-and-inhibitory-control-in-preschool-age-children
#4
Ryan J Giuliano, Leslie E Roos, Jessica D Farrar, Elizabeth A Skowron
A child's cumulative risk for early exposure to stress has been linked to alterations of self-regulation outcomes, including neurobiological correlates of inhibitory control (IC). We examined whether children's ability to engage the parasympathetic nervous system impacts how risk affects IC. Children ages 3-5 years completed two laboratory measures of IC while respiratory sinus arrhythmia (RSA) was measured, indexing parasympathetic activity. Children with greater risk demonstrated lower IC; risk also moderated associations between RSA reactivity and IC...
January 18, 2018: Developmental Psychobiology
https://www.readbyqxmd.com/read/29279597/severe-asymptomatic-hypophosphataemia-in-a-child-with-t-acute-lymphoblastic-leukaemia
#5
N H Zakaria, P Sthaneshwar, H Shanmugam
Hypophosphataemia is a metabolic disorder that is commonly encountered in critically ill patients. Phosphate has many roles in physiological functions, thus the depletion of serum phosphate could lead to impairment in multiple organ systems, which include the respiratory, cardiovascular, neurological and muscular systems and haematological and metabolic functions. Hypophosphataemia is defined as plasma phosphate level below 0.80 mmol per litre (mmol/L) and can be further divided into subgroups of mild (plasma phosphate of 0...
December 2017: Malaysian Journal of Pathology
https://www.readbyqxmd.com/read/29154592/college-females-with-maltreatment-histories-have-atypical-autonomic-regulation-and-poor-psychological-wellbeing
#6
Lourdes P Dale, Samia K Shaikh, Laura C Fasciano, Vanessa D Watorek, Keri J Heilman, Stephen W Porges
OBJECTIVES: This study uniquely examined the impact of maltreatment (without a diagnosis of posttraumatic stress disorder [PTSD]) on physiological responses to a physical and an emotional stressor. The study sample was composed exclusively of women, because men may differ in maltreatment experience and neural regulation of physiological reactivity. METHOD: Participants were 60 female college students. A significant proportion of the participants reported experiencing childhood maltreatment without a history of PTSD...
November 20, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/29138031/mortality-and-pulmonary-outcomes-of-extremely-preterm-infants-exposed-to-antenatal-corticosteroids
#7
Colm P Travers, Waldemar A Carlo, Scott A Mcdonald, Abhik Das, Edward F Bell, Namasivayam Ambalavanan, Alan H Jobe, Ronald N Goldberg, Carl T D'Angio, Barbara J Stoll, Seetha Shankaran, Abbot R Laptook, Barbara Schmidt, Michele C Walsh, Pablo J Sanchez, M Bethany Ball, Ellen C Hale, Nancy S Newman, Rosemary D Higgins
BACKGROUND: Antenatal corticosteroids are given primarily to induce fetal lung maturation but results from meta-analyses of randomized controlled trials have not shown mortality or pulmonary benefits for extremely preterm infants although these are the infants most at risk of mortality and pulmonary disease. OBJECTIVE: To determine if exposure to antenatal corticosteroids is associated with a lower rate of death and pulmonary morbidities by 36 weeks' postmenstrual age...
November 11, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29104853/physiological-and-relational-predictors-of-mother-infant-behavioral-coordination
#8
Sara F Waters, Wendy Berry Mendes
Coordinated social behavior and positive affect shared between parent and child in early life provide a foundation for healthy social and emotional development. We examined physiological (cardiac vagal responses) and relational (attachment security) predictors of dyadic behavioral coordination in a sample of 13-month-old infants and their mothers (N = 64). We tested whether cardiac vagal responses moderated the association between attachment security and behavioral coordination. The main effect of attachment on coordination was moderated by infant cardiac vagal tone (i...
December 2016: Adaptive Human Behavior and Physiology
https://www.readbyqxmd.com/read/29100865/clinical-phenotypes-of-nasal-polyps-and-comorbid-asthma-based-on-cluster-analysis-of-disease-history
#9
Dawei Wu, Benjamin S Bleier, Lun Li, Xiaojun Zhan, Lichuan Zhang, Qianwen Lv, Jianting Wang, Yongxiang Wei
BACKGROUND: Nasal polyps and comorbid asthma (NPcA) is a common united airway disease and is highly heterogeneous with respect to clinical, physiologic, and pathologic parameters. The clinical phenotypes of NPcA are poorly understood. OBJECTIVE: We sought to explore clinical phenotypes in patients with NPcA. METHODS: Patients first diagnosed with NPcA were recruited from Rhinological Clinics and Respiratory Clinics. We clustered patients with NPcA based on parameters regarding natural courses and demographic characteristics...
October 31, 2017: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/29066588/effect-of-high-flow-nasal-cannula-on-expiratory-pressure-and-ventilation-in-infant-pediatric-and-adult-models
#10
Katie R Nielsen, Laura E Ellington, Alan J Gray, Larissa I Stanberry, Lincoln S Smith, Robert M DiBlasi
BACKGROUND: Heated and humidified high-flow nasal cannula (HFNC) is a widely used form of respiratory support; however, data regarding optimal flows for a given patient size or disease state are lacking. A comprehensive study of the physiologic effects of HFNC is needed to better understand the mechanisms of action. The objective of the current study was to quantify the effect of HFNC settings in age-specific, anatomically correct nasal airways and spontaneously breathing lung models...
October 24, 2017: Respiratory Care
https://www.readbyqxmd.com/read/29034462/a-model-based-cluster-analysis-of-maternal-emotion-regulation-and-relations-to-parenting-behavior
#11
Anne Shaffer, Monica Whitehead, Molly Davis, Diana Morelen, Cynthia Suveg
In a diverse community sample of mothers (N = 108) and their preschool-aged children (Mage  = 3.50 years), this study conducted person-oriented analyses of maternal emotion regulation (ER) based on a multimethod assessment incorporating physiological, observational, and self-report indicators. A model-based cluster analysis was applied to five indicators of maternal ER: maternal self-report, observed negative affect in a parent-child interaction, baseline respiratory sinus arrhythmia (RSA), and RSA suppression across two laboratory tasks...
October 15, 2017: Family Process
https://www.readbyqxmd.com/read/28845519/parent-child-coregulation-of-parasympathetic-processes-varies-by-social-context-and-risk-for-psychopathology
#12
Erika Lunkenheimer, Stacey S Tiberio, Amanda M Skoranski, Kristin A Buss, Pamela M Cole
The parasympathetic nervous system supports social interaction and varies in relation to psychopathology. However, we know little about parasympathetic processes from a dyadic framework, nor in early childhood when parent-child social interactions become more complex and child psychopathology first emerges. We hypothesized that higher risk for psychopathology (maternal psychopathology symptoms and child problem behavior) would be related to weaker concordance of respiratory sinus arrhythmia (RSA) between mothers and children (M = 3½ years old; N = 47) and that these relations could vary by social contextual demands, comparing unstructured free play, semistructured cleanup, and structured teaching tasks...
August 28, 2017: Psychophysiology
https://www.readbyqxmd.com/read/28710531/longitudinal-associations-of-parental-emotion-socialization-and-children-s-emotion-regulation-the-moderating-role-of-adhd-symptomatology
#13
Rosanna P Breaux, Julia D McQuade, Elizabeth A Harvey, Rebecca J Zakarian
Theory and research suggest that parents' reactions to children's emotions play a critical role in teaching children effective emotion regulation (ER) skills, but no studies have directly examined the role that parent emotion socialization plays in the development of ER in children with ADHD. Gaining insight into the causes of impaired ER, particularly in youth with ADHD who are known to have poor ER, has important theoretical and translational significance. The present study is the first to longitudinally examine whether emotion socialization predicts later physiological and adult-reported measures of ER in children with and without ADHD...
July 14, 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28681149/young-children-s-physiological-reactivity-during-memory-recall-associations-with-posttraumatic-stress-and-parent-physiological-synchrony
#14
Sarah A O Gray, Rebecca S Lipschutz, Mike S Scheeringa
Autonomic reactivity is implicated in stress response and social engagement - both key components of posttraumatic stress disorder (PTSD) - but few studies have examined autonomic reactivity in pediatric samples, and no known studies have examined physiological synchrony among children with PTSD and caregivers. In a sample of 247 young children (94 girls, 153 boys), most (85%) of whom had exposure to trauma and 40% who met criteria for PTSD, we examined children's patterns of respiratory sinus arrhythmia (RSA) at baseline and in response to a memory recall task, as well as correspondence between parents' and children's RSA...
July 6, 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28678352/the-effects-of-maternal-respiratory-sinus-arrhythmia-and-behavioral-engagement-on-mother-child-physiological-coregulation
#15
Amanda M Skoranski, Erika Lunkenheimer, Rachel G Lucas-Thompson
Parent-child coregulation is thought to be an important precursor for children's developing self-regulation, but we know little about how individual parent factors shape parent-child physiological coregulation. We examined whether maternal baseline respiratory sinus arrhythmia (RSA), teaching, and disengagement were associated with stronger or weaker coregulation of RSA between mothers and their 3-year-old children (N = 47), modeled across 18 min of observed dyadic interaction using multilevel coupled autoregressive models...
July 5, 2017: Developmental Psychobiology
https://www.readbyqxmd.com/read/28573761/sex-differences-in-the-associations-between-vagal-reactivity-and-oppositional-defiant-disorder-symptoms
#16
Pablo Vidal-Ribas, Andrew Pickles, Florin Tibu, Helen Sharp, Jonathan Hill
BACKGROUND: Vagal reactivity to stress in children has been associated with future psychiatric outcomes. However, results have been mixed possibly because these effects are in opposite direction in boys and girls. These sex differences are relevant in the context of development of psychopathology, whereby the rates of psychiatric disorders differ by sex. In this study, we aimed to examine the association between vagal reactivity, assessed as a reduction in respiratory sinus arrhythmia (RSA) in response to a challenge, and the development of future oppositional defiant disorder (ODD) symptoms in boys and girls...
September 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/28555956/physiological-functioning-moderates-infants-sensory-sensitivity-in-higher-conflict-families
#17
Micah A Mammen, Alex Busuito, Ginger A Moore, Kelsey M Quigley, Kim Kopenhaver Doheny
Children exposed to parent conflict may be at risk for emotional and behavioral disorders by becoming sensitized to conflict cues in their environments. This study explored possible precursors to negative child outcomes associated with parent conflict by examining the relation between parent conflict and infants' (N = 36; 23-42 weeks; 44% female) behavioral sensitivity to general sensory stimuli (e.g., loud noises, physical touch). To determine whether infants' characteristic autonomic arousal and regulation moderated this association, infant baseline skin conductance (SC) and respiratory sinus arrhythmia (RSA) were measured...
May 26, 2017: Developmental Psychobiology
https://www.readbyqxmd.com/read/28545417/community-level-characteristics-and-environmental-factors-of-child-respiratory-illnesses-in-southern-arizona
#18
Nathan Lothrop, Khaleel Hussaini, Dean Billheimer, Paloma Beamer
BACKGROUND: Lower respiratory illnesses (LRIs) and asthma are common diseases in children <5 years of age. Few studies have investigated the relationships between multiple, home-based social and environmental risk factors and asthma and LRIs in children. Of those that have, none have focused exclusively on children <5 years of age, who are more physiologically vulnerable and spend more time at home compared to older children. Further, no studies have done so at the community level...
May 25, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28500423/physiological-self-regulation-buffers-the-relationship-between-impulsivity-and-externalizing-behaviors-among-nonclinical-adolescents
#19
Michelle A Kuhn, Joshua J Ahles, Jaclyn T Aldrich, Madeline D Wielgus, Amy H Mezulis
Trait impulsivity is a risk factor for rule breaking and aggressive (externalizing) behaviors among nonclinical youth. Buffers of trait-based risk are of practical interest to preventing externalizing behaviors. One such buffer may be the capacity and efforts of a child to self-regulate their physiology. Youth who possess baseline physiological self-regulatory capacities are more likely to maintain adaptive engagement with their environment and may be less prone to impulsively rule break or be aggressive. Similarly, youth who are able to use self-regulatory skills to calm their physiology in times of stress may be less likely to externalize distress...
May 12, 2017: Journal of Youth and Adolescence
https://www.readbyqxmd.com/read/28479668/sex-differences-in-the-contribution-of-respiratory-sinus-arrhythmia-and-trauma-to-children-s-psychopathology
#20
Sarah A O Gray, Katherine Theall, Rebecca Lipschutz, Stacy Drury
Respiratory sinus arrhythmia (RSA), a marker of parasympathetic activity, has been shown to moderate the relation between adversity and child behavioral outcomes; however, this work has been conducted in primarily Caucasian samples and limited in focus to family-level adversity. The current analysis extends the previous literature to examine the co-contribution of exposure to potentially traumatic events (PTEs), baseline RSA, and RSA withdrawal to internalizing and externalizing behavior in a sample of primarily African American youth (n = 92) recruited using neighborhood mapping techniques from communities high in epidemiological indicators of adversity...
March 2017: Journal of Psychopathology and Behavioral Assessment
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