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https://www.readbyqxmd.com/read/27899001/drug-interventions-for-the-treatment-of-obesity-in-children-and-adolescents
#1
REVIEW
Emma Mead, Greg Atkinson, Bernd Richter, Maria-Inti Metzendorf, Louise Baur, Nicholas Finer, Eva Corpeleijn, Claire O'Malley, Louisa J Ells
BACKGROUND: Child and adolescent obesity has increased globally, and can be associated with significant short- and long-term health consequences. OBJECTIVES: To assess the efficacy of drug interventions for the treatment of obesity in children and adolescents. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase, PubMed (subsets not available on Ovid), LILACS as well as the trial registers ICTRP (WHO) and ClinicalTrials.gov. Searches were undertaken from inception to March 2016...
November 29, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27869425/isolated-omental-panniculitis-in-a-child-with-abdominal-pain-case-report
#2
Mustafa O Oztan, Tunc Ozdemir, Melek Uncel, Gulden Diniz, Gokhan Koyluoglu
Isolated omental panniculitis is a rare entity mostly seen in adults. It presents with the inflammation of the fatty tissue of the omentum. The symptoms may vary from local (e.g. abdominal tenderness or palpable mass) to systemic manifestations including abdominal pain, back pain, fever, weight loss and bowel disturbances. We presented this case as a first awareness of omental panniculitis in a child which must be kept in mind at the differential diagnosis of ileus so that unnecessary surgeries might be avoided...
December 1, 2016: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/27868432/a-criterion-referenced-assessment-is-needed-for-measuring-child-obesity
#3
Elise C Brown, J Lon Kilgore, Duncan S Buchan, Julien S Baker
Body Mass Index (BMI), as an adiposity indicator, assumes that for any given height a change in weight is attributed to a change in fat. This seems problematic in growing youth as great divergence is evident in bone, muscle, and adipose tissue development. Secondly, use of reference populations in categorizing children based on BMI, frequently use arbitrary percentile cut-offs for obesity and do not meet all of the assumptions that cut-offs imply. Lastly, BMI does not control for maturation status. Criterion-referenced assessments of child obesity that account for abdominal adiposity and permit international comparisons, such as waist-to-height ratio (WtHR), must be considered...
November 19, 2016: Research in Sports Medicine
https://www.readbyqxmd.com/read/27862091/predictors-of-adequate-ultrasound-quality-for-hepatocellular-carcinoma-surveillance-in-patients-with-cirrhosis
#4
O Simmons, D T Fetzer, T Yokoo, J A Marrero, A Yopp, Y Kono, N D Parikh, T Browning, A G Singal
BACKGROUND: Abdominal ultrasound fails to detect over one-fourth of hepatocellular carcinoma (HCC) at an early stage in patients with cirrhosis. Identifying patients in whom ultrasound is of inadequate quality can inform interventions to improve surveillance effectiveness. AIM: To evaluate and identify predictors of ultrasound quality in patients with cirrhosis. METHODS: We performed a retrospective cohort study among patients who underwent ultrasound examination for a cirrhosis-related indication between April 2015 and October 2015...
January 2017: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27855755/sleep-duration-and-adiposity-in-early-childhood-evidence-for-bidirectional-associations-from-the-born-in-bradford-study
#5
Paul J Collings, Helen L Ball, Gillian Santorelli, Jane West, Sally E Barber, Rosemary R C McEachan, John Wright
STUDY OBJECTIVES: To examine independent associations of sleep duration with total and abdominal adiposity, and the bidirectionality of these associations, in a young bi-ethnic sample of children from a disadvantaged location. METHODS: Child sleep duration (h/day) was parent-reported by questionnaire and indices of total (body weight, body mass index, percent body fat (%BF), sum of skinfolds) and abdominal adiposity (waist circumference) were measured using standard anthropometric procedures at approximately 12, 18, 24, and 36 months of age in 1,338 children (58% South Asian; 42% White)...
November 14, 2016: Sleep
https://www.readbyqxmd.com/read/27820132/renal-tumors-in-children-younger-than-12-months-of-age-a-65-year-single-institution-review
#6
Margaret G Lamb, Jennifer H Aldrink, Sarah H O'Brien, Han Yin, Michael A Arnold, Mark A Ranalli
Wilms tumor (WT) is the most prevalent pediatric renal tumor and most commonly occurs between ages 1 and 5 years. Data are lacking on children younger than 12 months with renal tumors. The cancer registry at the authors' institution was queried to identify patients 12 months and younger with renal masses. Demographics, clinical presentation, histopathology, stage, and survival outcomes were reviewed. The most common presenting symptoms included an asymptomatic abdominal mass (73%) and hematuria (9%). Histopathology revealed WT in 73% of patients, mesoblastic nephroma in 20%...
November 4, 2016: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/27818823/intraluminal-meckel-s-duplication-cyst-causing-bowel-obstruction-in-an-infant-a-role-for-laparotomy
#7
Mitchell R Ladd, Alejandro V Garcia, Derek B Allison, Jeffrey R Lukish
This report describes a two-month-old girl who presented with signs and symptoms of a distal small bowel obstruction. She underwent an abdominal ultrasound that revealed a right lower quadrant cystic mass. A Technetium-99 scan revealed increased activity in the right lower quadrant consistent with a Meckel's diverticulum. Following a nondiagnostic laparoscopic evaluation, a laparotomy was performed to allow direct palpation of the small bowel and colon. Direct palpation of the ileum revealed a soft intraluminal mass at the ileocecal valve...
2016: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/27795803/-volvulus-of-the-small-bowel-due-to-ascaris-lumbricoides-package-about-a-case
#8
Cheikh Diouf, Ahmed Kane, Ndeye Aby Ndoye, Oumar Ndour, Aimé Lakh Faye-Fall, Mbaye Fall, Désiré Munyali Alumeti, Gabriel Ngom
We report an exceptional case of a 7 year-old patient with necrotic small bowel volvulus due to adult ascaris lumbricoides. At the admission, the child had intestinal obstruction evolving since two days with alteration of general state. Abdominal radiography without preparation showed small bowel air-fluid levels and tiger-stripe appearance evoking the diagnosis of acute intestinal obstruction associated with abdominal mass. After resuscitation, the surgical treatment consisted of laparotomy which showed necrotic volvulus of the terminal ileum containing adult ascaris lumbricoides...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27775308/-appendicular-actinomycosis-as-a-cause-of-ileocecal-mass-in-children-case-report
#9
M Fernández Castilla, A Salazar Villacorta, A Martín Nalda, J C Ferreres Piñas, A Coma Muñoz, G Guillén Burrieza
INTRODUCTION: Appendicular actinomycosis is a rare disease produced by cecal appendix invasion by Actinomyces gender bacteria after a predisposing cause that disrupts mucosal barrier, such as acute appendicitis. The highest frequency appears in adults; however, there are cases in paediatric age described in literature. The aim of this article is to introduce a case of appendicular actinomycosis in a child with atypical presentation and to review the literature. CLINICAL CASE: 10-year-old boy transferred to our hospital due to intraoperative finding at a different centre of a right flank tumor, without identification of cecal appendix...
July 20, 2015: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/27774766/abdominal-paraganglioma-in-a-young-woman-with-1p36-deletion-syndrome
#10
Miki Murakoshi, Kei Takasawa, Masato Nishioka, Masahiro Asakawa, Kenichi Kashimada, Takanobu Yoshimoto, Toshiyuki Yamamoto, Kazuhiro Takekoshi, Yoshihiro Ogawa, Masayuki Shimohira
1p36 deletion syndrome is the most common terminal deletion syndrome, and the genomic regions that contribute to specific 1p36 deletion syndrome-related phenotypes were recently identified. Deletions in the 1p36 region have been documented in various tumor tissues, which indicates correlation between loss of heterozygosity of 1p36 and tumor development, and the existence of tumor suppressors in this region. Therefore, it was suspected that patients with 1p36 deletion syndrome have a higher risk of tumor development; however, only a few child cases of neuroblastoma with 1p36 deletion syndrome have been reported...
October 24, 2016: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/27769689/fetiform-teratoma-in-the-ovary-of-a-7-year-old-a-case-report
#11
Hanna R Goldberg, Lisa Allen, Sari Kives
BACKGROUND: Fetiform teratoma, a highly differentiated mature cystic teratoma resembling a fetus, is rare and typically found in the ovaries of women of reproductive age. This report describes the youngest case of ovarian fetiform teratoma. CASE: A 7-year-old female presented with acute abdominal pain. Radiological examinations revealed a 5.2 cm ovarian complex cystic mass with fetal-like components in favour of fetus-in-fetu (FIF) and teratoma. Following surgical removal, the mass resembled a fetus consisting of a head, two eye slits, two small upper limb projections, and hair...
October 18, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27738401/a-rare-cause-of-acute-abdomen-tumor-rupture-of-nonpalpable-testis
#12
Turan Yıldız, Zekeriya İlçe, Yasemin Gündüz, Gözde Çakar Çakırsoy
Undescended testicle is the most common congenital anomaly among males. Testicular tumor develops in 3-5% of the boys with a complaint of undescended testicle. The clinical presentation of malignant intra-abdominal testicular tumors ranges from asymptomatic cases to acute abdomen. In this study, we present a child with testicular tumor rupture which is observed very rarely. A 16-year-old boy presented 24 hours after the sudden onset of right lower quadrant pain, nausea, vomiting and fever. On physical examination, extensive tenderness in the abdomen and abdominal guarding were found...
September 2016: Türk Pediatri Arşivi
https://www.readbyqxmd.com/read/27567898/maternal-and-fetal-outcomes-in-pregnancies-complicated-by-overweight-and-obesity
#13
Joice Monaliza Vernini, Jusciele Brogin Moreli, Claudia Garcia Magalhães, Roberto Antônio Araújo Costa, Marilza Vieira Cunha Rudge, Iracema Mattos Paranhos Calderon
BACKGROUND: Overweight and obesity are associated with pregnancy complications and adverse perinatal outcomes, posing short and long-term risks for maternal and child health. This study evaluated maternal, delivery and neonatal outcomes in pregnancies complicated by overweight and obesity. METHODS: This prospective cross-sectional study included 258 pregnant women. According to prepregnancy body mass index (BMI), participants were classified as normal weight, overweight, or obese...
2016: Reproductive Health
https://www.readbyqxmd.com/read/27403396/benign-cystic-mesothelioma-in-a-child-case-report-and-review-of-the-literature
#14
Ahmet Ali Tuncer, Adnan Narcı, Fatma Hüsniye Dilek, Didem Baskın Embleton, Salih Çetinkurşun
BACKGROUND: Benign cystic mesothelioma (BCM) is a rare tumor with benign characteristic. There are only 8 child cases reported in the English literature. In this report, we present this rare entity a brief review of the literature. CASE REPORT: A two year-old boy presenting with abdominal swelling was hospitalized. Physical examination revealed a mass filling the abdomen. Laboratory findings were not specific. Abdominal computerized tomography showed a 15×13×11 cm cystic mass extending from the bladder to the liver with no solid components and no infiltration to adjacent organs...
March 2016: Balkan Medical Journal
https://www.readbyqxmd.com/read/27388196/case-report-xanthogranulomutous-pyelonephritis-presenting-as-wilms-tumor
#15
Shakilu Iumanne, Aika Shoo, Larry Akoko, Patricia Scanlan
BACKGROUND: Xanthogranulomatous pyelonephritis (XGP) is a rare renal tumor that arises as a complication of chronic obstructive pyelonephritis of uncertain etiology. It is primarily an adult tumor seen occasionally in children associated with urinary tract obstruction due to congenital urological anomalies, nephrolithiasis, and recurrent urinary tract infections. Radiologically, it may show neoplastic features such as those seen in common pediatric renal malignancies like wilms' tumor and renal cell carcinoma...
July 7, 2016: BMC Urology
https://www.readbyqxmd.com/read/27371343/neonatal-outcomes-according-to-different-therapies-for-gestational-diabetes-mellitus
#16
Amanda L da Silva, Augusto R do Amaral, Daniela S de Oliveira, Lisiane Martins, Mariana R E Silva, Jean Carl Silva
OBJECTIVES: To compare different neonatal outcomes according to the different types of treatments used in the management of gestational diabetes mellitus (GDM). METHODS: This was a retrospective cohort study. The study population comprised pregnant women with GDM treated at a public maternity hospital from July 2010 to August 2014. The study included women aged at least 18 years, with a singleton pregnancy, who met the criteria for GDM. Blood glucose levels, fetal abdominal circumference, body mass index and gestational age were considered for treatment decision-making...
June 28, 2016: Jornal de Pediatria
https://www.readbyqxmd.com/read/27353072/ultrasound-quality-assurance-for-singletons-in-the-national-institute-of-child-health-and-human-development-fetal-growth-studies
#17
Mary L Hediger, Karin M Fuchs, Katherine L Grantz, Jagteshwar Grewal, Sungduk Kim, Robert E Gore-Langton, Germaine M Buck Louis, Mary E D'Alton, Paul S Albert
OBJECTIVES: To report on the ultrasound quality assurance program for the National Institute of Child Health and Human Development Fetal Growth Studies and describe both its advantages and generalizability. METHODS: After training on an ultrasound system and software, research sonographers were expected to capture blank (unmeasured) images in triplicate for crown-rump length, biparietal diameter, head circumference, abdominal circumference, and femur length. A primary expert sonographer was designated and validated...
August 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27350733/comprehensive-risk-assessment-for-early-neurologic-complications-after-liver-transplantation
#18
Si-Yuan Wu, Teng-Wei Chen, An-Chieh Feng, Hsiu-Lung Fan, Chung-Bao Hsieh, Kuo-Piao Chung
AIM: To determine risk factors for early neurologic complications (NCs) after liver transplantation from perspective of recipient, donor, and surgeon. METHODS: In all, 295 adult recipients were enrolled consecutively between August 2001 and February 2014 from a single medical center in Taiwan. Any NC in the first 30 d post-liver transplantation, and perioperative variables from multiple perspectives were collected and analyzed. The main outcome was a 30-d NC. Generalized additive models were used to detect the non-linear effect of continuous variables on outcome, and to determine cut-off values for categorizing risk...
June 28, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27258516/modified-thoracoscopic-hepatectomy-for-segment-viii-a-case-report
#19
Hongyu Li, Yonggang Wei, Bo Li, Bing Peng
Although previous studies have reported the use of total thoracoscopic hepatectomy (TH) for malignant liver tumors, it is technically impossible to perform intraoperative ultrasonography (IUSO) to exclude intrahepatic metastasis for the whole liver via a thoracic approach. Therefore, total TH may be inappropriate for these patients. We here report the first case of modified TH for a malignant liver tumor in China.The patient was a 26-year-old man with a 10-year HBV infection. Preoperative CT showed a 1.2 cm × 0...
May 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27135441/maternal-weight-prior-and-during-pregnancy-and-offspring-s-bmi-and-adiposity-at-5-6%C3%A2-years-in-the-eden-mother-child-cohort
#20
M Jacota, A Forhan, C Saldanha-Gomes, M A Charles, B Heude
BACKGROUND: Beyond pre-pregnancy BMI, maternal weight change before and during pregnancy may also affect offspring adiposity. OBJECTIVE: To investigate the relationship between maternal weight history before and during pregnancy with children's adiposity at 5-6 years. METHODS: In 1069 mother-child dyads from the EDEN Cohort, we examined by linear regression the associations of children's BMI, fat mass and abdominal adiposity at 5-6 years with maternal pre-pregnancy BMI, pre-pregnancy average yearly weight change from age 20 and gestational weight gain...
May 2, 2016: Pediatric Obesity
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