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https://www.readbyqxmd.com/read/29045351/awareness-and-implementation-of-the-2014%C3%A2-espghan-naspghan-guideline-for-childhood-functional-constipation
#1
Ilan J N Koppen, M H Vriesman, M M Tabbers, C Di Lorenzo, M A Benninga
OBJECTIVE: To assess if physicians approach children with functional constipation according to the 2014 ESPGHAN/NASPGHAN guideline. METHODS: We invited pediatricians and pediatric gastroenterologists in the Netherlands and the U.S. to participate in this anonymous survey using a self-developed questionnaire containing 19 multiple-choice questions concerning evaluation and treatment of children with constipation. RESULTS: We included 328 physicians (67% from the U...
October 17, 2017: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29045260/encopresis-plus
#2
DePorres Cormier, Marie Reilly, Amy Young, Marilyn Augustyn
Dexter is a 12-year-old boy who presents with his maternal grandmother for follow-up to primary care for secondary encopresis. Dexter presented, 18 months ago, with a 3-month history of secondary encopresis. At that time, a comprehensive assessment revealed functional constipation resulting in encopresis. Dexter's symptoms resolved with a combination of medication management and behavioral strategies; laxatives were discontinued 12 months ago.Dexter's grandmother reports that for the past 6 months, her grandson developed encopresis once again...
November 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/29035523/current-stormwater-harvesting-guidelines-are-inadequate-for-mitigating-risk-from-campylobacter-during-nonpotable-reuse-activities
#3
Heather M Murphy, Ze Meng, Rebekah Henry, Ana Deletic, David T McCarthy
Campylobacter is a pathogen frequently detected in urban stormwater worldwide. It is one of the leading causes of enteric disease in many developed countries and is the leading cause of enteric disease in Australia. Prior to harvesting stormwater, adequate treatment is necessary to mitigate risks derived from such harmful pathogens. The goal of this research was to estimate the health risks associated with the exposure to Campylobacter when harvesting urban stormwater for toilet flushing and irrigation activities, and the role treatment options play in limiting risks...
November 7, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28957970/a-randomized-controlled-trial-examining-the-effects-of-reflexology-on-children-with-functional-constipation
#4
Nejla Canbulat Sahiner, Meltem Demirgoz Bal
Functional constipation is a common problem in Turkey that affects up to 10% of children. Reflexologists claim that reflexology can be beneficial in the treatment of constipation. The aim of this randomized controlled study was to determine the effectiveness of reflexology in treating functional constipation in children. Thirty-seven children who were referred to a pediatrician with functional constipation as defined by the Rome III criteria were recruited to the study. After the physician's diagnosis, two groups (intervention/control) were created...
September 2017: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
https://www.readbyqxmd.com/read/28956279/prevalence-risk-factors-and-prognosis-of-postoperative-complications-after-surgery-for-hirschsprung-disease
#5
Wen-Kai Huang, Xue-Li Li, Jin Zhang, Shu-Cheng Zhang
BACKGROUND: Although most of patients do well after surgery for Hirschsprung disease (HSCR), there are complications in some instances that impact social aspects and quality of life. The aim of this study was to explore the prevalence, risk factors, and prognosis of these complications, providing guidance for surgeons and healthcare personnel. METHODS: A cohort of patients (N = 229) was retrospectively reviewed in the aftermath of surgery for HSCR. All medical data and operative notes were assessed...
September 27, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28942057/psychosocial-symptoms-in-very-young-children-assessed-for-sexual-abuse-a-qualitative-analysis-from-the-asac-study
#6
T F Vrolijk-Bosschaart, S N Brilleslijper-Kater, G A M Widdershoven, A H Teeuw, E Verlinden, Y Voskes, E M van Duin, A P Verhoeff, M de Leeuw, M J Roskam, M A Benninga, R J L Lindauer
Child sexual abuse (CSA) is a worldwide problem with serious consequences. No recognizable symptom pattern for suspected CSA has yet been identified in very young children. We aim to investigate psychosocial symptoms in a sample of children with confirmed or strongly suspected CSA and the interpretations given to such symptoms by independent clinical experts. Secondly we examined whether experts were able to identify confirmed victims of severe CSA. A qualitative study including inductive content analysis of medical files and focus group discussions with independent experts on the interpretation of psychosocial symptoms was conducted...
November 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28910716/understanding-sustained-use-of-ecological-sanitation-in-rural-burkina-faso
#7
Sarah Dickin, Linus Dagerskog, Alejandro Jiménez, Kim Andersson, Karim Savadogo
Access to safe sanitation services is fundamental for healthy and productive lives, but in rural Burkina Faso only around 7% of the population uses improved sanitation. Ecological sanitation (ecosan) systems that allow safe agricultural reuse of nutrients in human waste have been promoted in these areas, as a way to meet sanitation needs while contributing to food security. However, little is known about the success of these interventions in terms of both sustained use of the toilet and safe excreta reuse practices...
February 1, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/28869807/prolonged-toilet-training-in-children-with-down-syndrome-a-case-control-study
#8
Flávia Cristina de Carvalho Mrad, André Avarese de Figueiredo, José de Bessa, José Murillo Bastos Netto
OBJECTIVES: Children with Down syndrome have delayed psychomotor development, which is a factor that influences the level of difficulty in toilet training. The current study aims to estimate the age toilet training starts and completes in children with DS compared to children with normal psychomotor development and to evaluate the method and type of toilet training most frequently used, as well as its association with lower urinary tract symptoms and functional constipation. METHODS: A case-control study was carried out from 2010 to 2015...
September 1, 2017: Jornal de Pediatria
https://www.readbyqxmd.com/read/28655526/agreement-between-electronic-medical-records-and-self-reported-urologic-domains-in-the-national-spina-bifida-patient-registry-nsbpr-implications-for-future-research
#9
Christopher G Halline, Theresa Meyer, Ilina Rosoklija, Elizabeth B Yerkes
BACKGROUND: Self-report (SR) is an efficient data collection method. However, SR data have been shown to be discrepant with medical record (MR) documentation, which raises questions about using SR to supplement retrospective chart review in research. In this study, pediatric spina bifida (SB) patients who completed SR interviews about continence status and personal bladder/bowel management were identified. We examined agreement between SR data and Urology provider notes in MRs. OBJECTIVE: This study aimed to (1) identify demographic, medical, or methodological factors that might contribute to SR/MR disagreement; (2) postulate how these findings might be significant clinically; and (3) recommend improvements to SR data collection and MR documentation...
August 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28625592/a-critical-analysis-of-stented-and-unstented-tubularized-incised-plate-urethroplasty-through-a-prospective-randomized-study-and-assessment-of-factors-influencing-the-functional-and-cosmetic-outcomes
#10
Tarek M El-Karamany, Ahmed M Al-Adl, Rabea G Omar, Ashraf M Abdel Aal, Amr S Eldakhakhny, Shabieb A Abdelbaki
OBJECTIVE: To compare, functionally and aesthetically, stented and unstented tubularized incised plate urethroplasty (TIPU). In addition, predictors of repair success were investigated. MATERIALS AND METHODS: One hundred ten children with distal hypospadias were included in this study. The length and width of the urethral plate (UP) and transverse glans diameter (TGD) were measured. Patients were randomized into two groups: stented and unstented TIPU. Postoperative assessment of pain was done using Face, Legs, Activity, Cry, Consolability (FLACC) scale, and cosmetic outcome was evaluated using hypospadias objective scoring evaluation...
June 15, 2017: Urology
https://www.readbyqxmd.com/read/28583853/lipomyelomeningocele-for-the-urologist-should-we-view-it-the-same-as-myelomeningocele
#11
E B Yerkes, C Halline, G Yoshiba, T A Meyer, I Rosoklija, R Bowman, D McLone, E Y Cheng
INTRODUCTION: The primary urologic objectives for lipomyelomeningocele (LMM) and myelomeningocele (MM) are preserving renal integrity and achieving continence. Due to this common ground, LMM and MM are urologically treated the same. However, unlike MM, LMM may present with no evident functional concerns. Indications for and timing of tethered cord release (TCR) in LMM are therefore controversial. Long-term urologic outcomes are not well defined. OBJECTIVE: Expectations for continence and potential for intermittent catheterization (CIC) following TCR in LMM are important for realistically counseling families regarding future needs...
August 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28434632/obesity-and-lower-urinary-tract-dysfunction-in-children-and-adolescents-further-research-into-new-relationships
#12
L G A Fraga, A Sampaio, N Boa-Sorte, M L Veiga, A A Nascimento Martinelli Braga, U Barroso
INTRODUCTION: Lower urinary tract dysfunction (LUTD) involves faults in the filling and emptying phases of bladder function in toilet-trained children with no previous infection or any other obvious pathology. Lower urinary tract dysfunction is associated with conditions such as vesicoureteral reflux, recurrent urinary infection, behavioral alterations and decreased quality of life. The literature suggests an association between LUTD and obesity; however, the association between each individual symptom and obesity has yet to be evaluated...
August 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28420251/differential-diagnosis-of-diaper-dermatitis
#13
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/28386646/the-role-of-upper-airway-obstruction-and-snoring-in-the-etiology-of-monosymptomatic-nocturnal-enuresis-in-children
#14
Huseyin Bugra Karakas, Muhammet Recai Mazlumoglu, Eda Simsek
This study evaluated the necessity of examining the upper airway in children with nocturnal enuresis. 225 children (aged 5-16 years), who were referred from the urology outpatient clinic between May 2015 and May 2016 and who had completed toilet training, were included in this study. Participants were separated into monosymptomatic nocturnal enuresis (MNE) (group 1) and without MNE (group 2) groups. Tonsil hypertrophy, adenoid vegetation, septal deviation, turbinate hypertrophy, allergic rhinitis, upper airway obstruction, and snoring etiology were assessed...
July 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28378675/student-life-student-to-newly-qualified-nurse-make-a-checklist
#15
Jessica Ross
It is natural to feel nervous and apprehensive on your first day in uniform, but hopefully you will also feel excited. Your first day is a celebration of all the hard-won achievements throughout your training, so here are a few tips to help you make the most of it: » Organise a ward induction beforehand, or have a look around. Knowing where you are going and what your workplace looks like can help quell your nerves. » Running around trying to find a pair of scrubs to wear during handover is not ideal, so see if you can get your uniform in advance...
April 5, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28374929/age-related-differences-in-prevalence-of-autism-spectrum-disorder-symptoms-in-children-and-adolescents-with-costello-syndrome
#16
David D Schwartz, Jennifer M Katzenstein, Eric J Highley, Deborah L Stabley, Katia Sol-Church, Karen W Gripp, Marni E Axelrad
Dysregulation of the mitogen activated protein kinase (MAPK) pathway in Costello syndrome (CS) may contribute to increased risk for autism-spectrum disorder (ASD). We examined prevalence of ASD symptoms in 14 individuals (six females) age 1-18 years with molecularly confirmed CS. Caregivers completed the Modified Checklist for Autism in Toddlers (M-CHAT) for ages 0-4 years (n = 7), and the Social Communication Questionnaire (SCQ) for ages 4 and older (n = 7). Age was associated with meeting ASD criteria: 5/7 (71...
May 2017: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/28374081/bacterial-contamination-of-ultrasound-probes-in-different-radiological-institutions-before-and-after-specific-hygiene-training-do-we-have-a-general-hygienical-problem
#17
Thomas Sartoretti, Elisabeth Sartoretti, Candid Bucher, Aleksis Doert, Christoph Binkert, Klaus Hergan, Matthias Meissnitzer, Johannes Froehlich, Orpheus Kolokythas, Simon Matoori, Christina Orasch, Sebastian Kos, Sabine Sartoretti-Schefer, Andreas Gutzeit
OBJECTIVES: Aim was to investigate hygienic conditions of ultrasound probes before and after hygiene training in radiology institutions in comparison to bacterial contamination in public places. METHODS: In three radiology departments, bacterial contamination was evaluated using baseline agar plates for cultures taken from 36 ultrasound probes. Afterwards teams were trained by a hygiene service centre and 36 ultrasound probes were routinely disinfected with regular disinfecting wipes and then evaluated...
April 3, 2017: European Radiology
https://www.readbyqxmd.com/read/28267126/psychological-and-physical-environmental-factors-in-the-development-of-incontinence-in-adults-and-children-a-comprehensive-review
#18
REVIEW
Alexander von Gontard, Tom P V M de Jong, Jasmin Katrin Badawi, Kathleen A OʼConnell, Ann T Hanna-Mitchell, Anka Nieuwhof-Leppink, Linda Cardozo
The aim of this review was to identify etiological environmental factors related to incontinence in children and adults. A variety of etiological environmental factors for the development of incontinence were identified. In children, these encompass stressful life events and trauma, family dysfunction, parental psychopathology, school-related stressors, toilet or "potty" training, fluid consumption habits, housing conditions, and the availability of toilets. In adults, physical exercise, obesity, working conditions, fluid intake, and the availability of toilets play a role...
March 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28248418/defeating-urinary-incontinence-with-exercise-training-results-of-a-pilot-study-in-frail-older-women
#19
RANDOMIZED CONTROLLED TRIAL
Kristine M C Talley, Jean F Wyman, Ulf Bronas, Becky J Olson-Kellogg, Teresa C McCarthy
OBJECTIVES: To determine whether combining behavioral urinary incontinence (UI) treatments with physical activity improves UI in frail older women. DESIGN: Single-blind, two-arm pilot randomized controlled trial. SETTING: Senior apartments. PARTICIPANTS: Frail women (mean age 84.9 ± 6.4) without dementia (n = 42). INTERVENTION: Twelve-week program of customized behavioral UI treatments: 150 minutes of weekly walking and twice weekly strength training classes...
June 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28236604/using-prompted-voiding-to-manage-urinary-incontinence-in-nursing-homes-can-it-be-sustained
#20
Claudia K Y Lai, Xiaojuan Wan
OBJECTIVES: Studies reporting prompted voiding (PV) interventions were of short duration and were delivered by research personnel rather than nursing home staff. This study examined the effectiveness of the use of PV by nursing home staff in managing urinary incontinence among residents over a 6-month period. DESIGN: A randomized controlled trial. SETTING: Five nursing homes in Hong Kong. PARTICIPANTS: Data were collected from 52 nursing home residents who had been admitted to the facility for at least 6 months prior to the initiation of the study and whose incontinence had been stable over the 6-month period...
February 21, 2017: Journal of the American Medical Directors Association
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