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https://www.readbyqxmd.com/read/28830030/multivariate-trajectories-across-multiple-domains-of-health-related-quality-of-life-in-children-with-new-onset-epilepsy
#1
Tolulope T Sajobi, Meng Wang, Mark A Ferro, Anita Brobbey, Shane Goodwin, Kathy N Speechley, Samuel Wiebe
The diagnosis of epilepsy in children is known to impact the trajectory of their health-related quality of life (HRQOL) over time. However, there is limited knowledge about variations in longitudinal trajectories across multiple domains of HRQOL. This study aims to characterize the heterogeneity in HRQOL trajectories across multiple HRQOL domains and to evaluate predictors of differences among the identified trajectory groups in children with new-onset epilepsy. Data were obtained from the Health Related Quality of Life in Children with Epilepsy Study (HERQULES), a prospective multi-center study of 373 children newly diagnosed with new-onset epilepsy who were followed up over 2years...
August 19, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28830029/persistent-uncrossed-corticospinal-connections-in-patients-with-intractable-focal-epilepsy
#2
Harper L Kaye, Roman Gersner, Aaron D Boes, Alvaro Pascual-Leone, Alexander Rotenberg
Corticospinal connections may be bilateral at birth, but a predominantly unilateral and crossed pattern develops by the toddler years. Acquired injury can alter the normal development of laterality such that uncrossed corticospinal connections persist, particularly if the injury is early in life and involves the motor system. Whether other developmental insults, such as childhood epilepsy, affect the development of crossed laterality in the motor system is unknown, although this topic has relevance for understanding the broader impact of epilepsy on brain development...
August 19, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28829950/analysis-of-gait-patterns-pre-and-post-single-event-multilevel-surgery-in-children-with-cerebral-palsy-by-means-of-offset-wise-movement-analysis-profile-and-linear-fit-method
#3
Andrea Ancillao, Marjolein M van der Krogt, Annemieke I Buizer, Melinda M Witbreuk, Paolo Cappa, Jaap Harlaar
Gait analysis is used for the assessment of walking ability of children with cerebral palsy (CP), to inform clinical decision making and to quantify changes after treatment. To simplify gait analysis interpretation and to quantify deviations from normality, some quantitative synthetic descriptors were developed over the years, such as the Movement Analysis Profile (MAP) and the Linear Fit Method (LFM), but their interpretation is not always straightforward. The aims of this work were to: (i) study gait changes, by means of synthetic descriptors, in children with CP that underwent Single Event Multilevel Surgery; (ii) compare the MAP and the LFM on these patients; (iii) design a new index that may overcome the limitations of the previous methods, i...
August 19, 2017: Human Movement Science
https://www.readbyqxmd.com/read/28829775/novel-subgroups-of-attention-deficit-hyperactivity-disorder-identified-by-topological-data-analysis-and-their-functional-network-modular-organizations
#4
Sunghyon Kyeong, Jae-Jin Kim, Eunjoo Kim
Attention-deficit/hyperactivity disorder (ADHD) is a clinically heterogeneous condition and identification of clinically meaningful subgroups would open up a new window for personalized medicine. Thus, we aimed to identify new clinical phenotypes in children and adolescents with ADHD and to investigate whether neuroimaging findings validate the identified phenotypes. Neuroimaging and clinical data from 67 children with ADHD and 62 typically developing controls (TDCs) from the ADHD-200 database were selected...
2017: PloS One
https://www.readbyqxmd.com/read/28829731/high-prevalence-of-anemia-but-low-level-of-iron-deficiency-in-preschool-children-during-a-low-transmission-period-of-malaria-in-rural-kivu-democratic-republic-of-the-congo
#5
Esto Bahizire, Paluku Bahwere, Philippe Donnen, P Lundimu Tugirimana, Serge Balol'ebwami, Michèle Dramaix, Chouchou Nfundiko, Raphaël Chirimwami, Kanigula Mubagwa
Anemia is a worldwide public health concern especially in preschool children in developing countries and iron deficiency (ID) is generally assumed to cause at least 50% of the cases. However, data on this contribution are scarce. To close this gap, we determined in 2013 the contribution of ID in the etiology of anemia and measured others factors associated to noniron deficiency anemia (NIDA) in 900 preschool children randomly selected during a two-stage cluster nutritional survey in the Miti-Murhesa health zone, in eastern Democratic Republic of the Congo...
August 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28829692/end-of-life-intensity-for-adolescents-and-young-adults-with-cancer-a-californian-population-based-study-that-shows-disparities
#6
Emily E Johnston, Elysia Alvarez, Olga Saynina, Lee Sanders, Smita Bhatia, Lisa J Chamberlain
PURPOSE: Cancer is the leading cause of nonaccidental death among adolescents and young adults (AYAs). High-intensity end-of-life care is expensive and may not be consistent with patient goals. However, the intensity of end-of-life care for AYA decedents with cancer-especially the effect of care received at specialty versus nonspecialty centers-remains understudied. METHODS: We conducted a retrospective, population-based analysis with the California administrative discharge database that is linked to death certificates...
August 22, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28829494/pneumopericardium-pneumomediastinum-and-pneumorrachis-complicating-acute-respiratory-syncytial-virus-bronchiolitis-in-children
#7
C Fantacci, P Ferrara, F Franceschi, A Chiaretti
OBJECTIVE: We report 2 children with Respiratory Syncytial Virus (RSV) infection complicated with spontaneous pneumopericardium (PP) and pneumomediastinum (PM), one also associated with pneumorrhachis (PR). PATIENTS AND METHODS: Two previously healthy children presented with fever, violent dry cough, dyspnea, and tachypnea. Chest X-ray and CT scans showed sizeable PP and PM in both patients. One of them also presented PR. Children were initially treated with intravenous antibiotics, antipyretics, and a cough sedative...
August 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28829396/the-genetic-architecture-of-type-1-diabetes
#8
REVIEW
Samuel T Jerram, Richard David Leslie
Type 1 diabetes (T1D) is classically characterised by the clinical need for insulin, the presence of disease-associated serum autoantibodies, and an onset in childhood. The disease, as with other autoimmune diseases, is due to the interaction of genetic and non-genetic effects, which induce a destructive process damaging insulin-secreting cells. In this review, we focus on the nature of this interaction, and how our understanding of that gene-environment interaction has changed our understanding of the nature of the disease...
August 22, 2017: Genes
https://www.readbyqxmd.com/read/28829352/a-review-of-salmonella-and-squamates-lizards-snakes-and-amphisbians-implications-for-public-health
#9
REVIEW
Harriet Whiley, Michael G Gardner, Kirstin Ross
Globally, there has been an increase in squamates (particularly lizards and snakes) being kept as pets. Additionally, urban spread has resulted in greater human encroachment and interaction with the natural habitat of wild squamates. A potential consequence of increasing human interaction with squamates is the increased potential for disease transfer. This review collates the literature describing clinical salmonellosis cases that were definitively linked to a squamate through testing of the animal and population-based studies which investigate the risk of salmonellosis linked to pet squamates...
August 22, 2017: Pathogens
https://www.readbyqxmd.com/read/28829204/adalimumab-for-treating-childhood-plaque-psoriasis-a-clinical-trial-evaluation
#10
Vito Di Lernia
Most systemic therapies have not been systematically investigated in moderate to severe childhood plaque psoriasis. Evidence on the efficacy and safety of systemic treatments is limited and therapeutic guidelines are lacking. Recently adalimumab, a fully human monoclonal antibody that binds tumor necrosis factor (TNF)- alpha, was investigated in childhood psoriasis. Adalimumab is licensed for many inflammatory conditions including chronic plaque psoriasis in adults. Areas covered: A randomized phase III study published provided favourable efficacy and safety data of adalimumab in childhood psoriasis...
August 22, 2017: Expert Opinion on Biological Therapy
https://www.readbyqxmd.com/read/28829199/the-preclinical-discovery-and-development-of-brivaracetam-for-the-treatment-of-focal-epilepsy
#11
Emilio Russo, Rita Citraro, Marco Mula
Brivaracetam (BRV) is a new AED currently licensed for the adjunctive treatment of adult patients with focal epilepsies. It is a ligand of the ubiquitous synaptic vesicle glycoprotein 2A (SV2A). Areas covered: This paper covers the preclinical and subsequent clinical development of BRV focusing on the discovery of the SV2A protein as the main target for levetiracetam (LEV) and the main similarities and differences between LEV and BRV in terms of pharmacodynamic and pharmacokinetic properties. Phase II and Phase III studies are also presented and data from post-marketing phase IV studies are discussed...
August 22, 2017: Expert Opinion on Drug Discovery
https://www.readbyqxmd.com/read/28829159/early-onset-bipolar-disorder-characteristics-and-outcomes-in-the-clinic
#12
Daniel F Connor, Julian D Ford, Geraldine S Pearson, Victoria L Scranton, Asha Dusad
OBJECTIVE: To assess patient characteristics and clinician-rated outcomes for children diagnosed with early-onset bipolar disorder in comparison to a depressive disorders cohort from a single clinic site. To assess predictors of bipolar treatment response. METHODS: Medical records from 714 consecutive pediatric patients evaluated and treated at an academic tertiary child and adolescent psychiatry clinic between 2006 and 2012 were reviewed. Charts of bipolar children (n = 49) and children with depressive disorders (n = 58) meeting study inclusion/exclusion criteria were compared on variables assessing clinical characteristics, treatments, and outcomes...
August 22, 2017: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/28828916/magnetoencephalographic-identification-of-epileptic-focus-in-children-with-generalized-electroencephalographic-eeg-features-but-focal-imaging-abnormalities
#13
Garima Shukla, Jin Kazutaka, Ajay Gupta, John Mosher, Stephen Jones, Andreas Alexopoulos, Richard C Burgess
PURPOSE: Children with generalized seizures are often excluded as epilepsy surgery candidates. This prospective study was conducted to evaluate the utility of magnetoencephalography (MEG) to refine the location of the "irritative zone" in children with single lesions on magnetic resonance imaging (MRI) but with generalized ictal electroencephalographic (EEG) findings. METHODS: Patients admitted with refractory epilepsy with imaging studies showing focal or hemispheric abnormalities but scalp video EEG showing generalized or multiregional epileptiform abnormalities were included...
January 1, 2017: Journal of Child Neurology
https://www.readbyqxmd.com/read/28828870/epidemiological-profile-of-patients-utilising-public-oral-health-services-in-limpopo-province-south-africa
#14
Lawrence K Thema, Shenuka Singh
BACKGROUND: Despite the impact of oral diseases on the quality of life, there is limited updated evidence on oral health status in Limpopo province. OBJECTIVES: To determine the epidemiological profile of patients utilising public oral health services in Limpopo province. METHOD: This was a descriptive retrospective clinical chart review conducted in five purposively selected district hospitals in Limpopo province. The collected data included the patient's sociodemographic information, reasons for dental consultation, information on the dental or oral diseases and the treatment received...
July 12, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28828866/facilitating-pragmatic-skills-through-role-play-in-learners-with-language-learning-disability
#15
Fareeaa Abdoola, Penelope S Flack, Saira B Karrim
BACKGROUND: Role-based learning involves the process whereby learners acquire skills, knowledge and understanding through the assumption of roles within real-life settings. Role-play holds potential as an effective learning strategy for children; however, there is limited research on the use of role-play as a therapy method within the field of speech-language pathology. Children with language learning disability (LLD) typically present with difficulties in social communication, which can negatively affect their social and academic achievement...
July 26, 2017: South African Journal of Communication Disorders. die Suid-Afrikaanse Tydskrif Vir Kommunikasieafwykings
https://www.readbyqxmd.com/read/28828761/coblation-versus-other-surgical-techniques-for-tonsillectomy
#16
REVIEW
Melissa Pynnonen, Jennifer V Brinkmeier, Marc C Thorne, Lee Yee Chong, Martin J Burton
BACKGROUND: Tonsillectomy is a very common operation and is performed using various surgical methods. Coblation is a popular method because it purportedly causes less pain than other surgical methods. However, the superiority of coblation is unproven. OBJECTIVES: To compare the effects of coblation tonsillectomy for chronic tonsillitis or tonsillar hypertrophy with other surgical techniques, both hot and cold, on intraoperative morbidity, postoperative morbidity and procedural cost...
August 22, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28828759/antibiotics-for-persistent-cough-or-wheeze-following-acute-bronchiolitis-in-children
#17
REVIEW
Gabrielle B McCallum, Erin J Plumb, Peter S Morris, Anne B Chang
BACKGROUND: Bronchiolitis is a common acute respiratory condition with high prevalence worldwide. This clinically diagnosed syndrome is manifested by tachypnoea (rapid breathing), with crackles or wheeze in young children. In the acute phase of bronchiolitis (≤ 14 days), antibiotics are not routinely prescribed unless the illness is severe or a secondary bacterial infection is suspected. Although bronchiolitis is usually self-limiting, some young children continue to have protracted symptoms (e...
August 22, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28828715/treatment-of-childhood-astrocytomas-with-irinotecan-and-cisplatin
#18
J Mora, S Perez-Jaume, O Cruz
BACKGROUND: Previously we described the outcome of children with spinal cord astrocytoma treated with irinotecan and cisplatin (I/C). We here report the review of the initial institutional experience using this combination for children with low-grade glioma (LGG). PROCEDURE: I/C chemotherapy consisted of weekly cisplatin (30 mg/m(2)) and irinotecan (50-65 mg/m(2)) for a total maximum of 16 doses, administered in an outpatient basis. RESULTS: Between November 2002 and December 2009, 46 children (median age 6...
August 21, 2017: Clinical & Translational Oncology
https://www.readbyqxmd.com/read/28828684/transcatheter-closure-of-patent-ductus-arteriosus-in-children-with-the-occlutech-duct-occluder
#19
Meki Bilici, Fikri Demir, Alper Akın, Mehmet Türe, Hasan Balık, Mahir Kuyumcu
The aim of this study was to evaluate the feasibility, efficacy and safety of transcatheter closure of patent ductus arteriosus (PDA) with the Occlutech duct occluder (ODO) in children. We reviewed the clinical records of 71 patients who underwent percutaneous closure of PDA with an ODO between September 2014 and August 2016. The Occlutech duct occluder was applied to 71 patients during the study period (September 2014-August 2016), and the results were analyzed in this study. Forty-two of the patients were female and 29 male...
August 21, 2017: Pediatric Cardiology
https://www.readbyqxmd.com/read/28828621/familial-mediterranean-fever-in-childhood-a-single-center-experience
#20
Kenan Barut, Sezgin Sahin, Amra Adrovic, Ada Bulut Sinoplu, Gozde Yucel, Gizem Pamuk, Aslı Kirectepe Aydın, Selcuk Dasdemir, Eda Tahir Turanlı, Nur Buyru, Ozgur Kasapcopur
The aim of this study is to present demographic and clinical features, MEFV mutation variations, and treatment response of a large number of pediatric familial Mediterranean fever (FMF) patients from a single tertiary centre. Moreover, we aimed to investigate the current outcome of FMF, namely frequency of amyloidosis in children with FMF. We evaluated 708 FMF patients who were followed up in our clinic and who were under colchicine treatment for at least 6 months. The data were recorded from patient records and also verified by negotiations with patients and parents...
August 21, 2017: Rheumatology International
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