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https://www.readbyqxmd.com/read/29775112/attitudes-towards-severe-mental-illness-and-social-distance-a-survey-of-volunteer-befrienders-in-austria
#1
Sarah Toner, Karin Fabisch, Stefan Priebe, Gϋnter Klug
BACKGROUND: Research suggests there is a propensity for people in the general population to distance themselves from people with severe mental illness (SMI), which reportedly decreases with increased contact with individuals with SMI. Volunteer befrienders in the mental health sector have ongoing contact with this population, yet little data exist to reflect their attitudes towards people with SMI. METHOD: A questionnaire was distributed to all volunteer befrienders for people with SMI within volunteering programmes organised in five Austrian regions...
May 1, 2018: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/29754879/congenital-pyloric-atresia-nine-new-cases-single-center-experience-of-the-long-term-follow-up-and-the-lessons-learnt-over-a-decade
#2
Monal Kansra, V Shankar Raman, Kamal Kishore, Sanat Khanna, Bipin Puri, Abhishek Sharma
BACKGROUND: Congenital pyloric atresia (CPA) is a rare anomaly with an incidence of 1 in 100,000 live births. Depending on the type of anomaly patients can either present in the neonatal period or later in life with subtle nonspecific signs and symptoms. We present our institute's experience in handling these cases over the last decade and highlight lessons learnt. MATERIALS AND METHODS: We retrospectively reviewed records of patients diagnosed with CPA and managed at our centre between Jan 2006 to June 2016...
April 14, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29703801/successful-management-of-chylothorax-with-etilefrine-case-report-in-2-pediatric-patients
#3
Gysella Muniz, Jennifer Hidalgo-Campos, Maria Del Carmen Valdivia-Tapia, Nader Shaikh, Nilton Yhuri Carreazo
Chylothorax is defined as the accumulation of chyle within the pleural space. Originally described in 1917 by Pisek, it is the most common cause of pleural effusion in the neonatal period. The leading cause of chylothorax is laceration of the thoracic duct during surgery, which occurs in 0.85% to 6.6% of children undergoing cardiothoracic surgery. Few authors of reports in the literature have looked at etilefrine, a relatively unknown sympathomimetic, as an option for the medical treatment of chylothorax. In this case report, we review the clinical course of 2 infants with type III esophageal atresia who developed chylothorax after thoracic surgery and were successfully treated with intravenous etilefrine after failing initial dietary and pharmacological management...
April 27, 2018: Pediatrics
https://www.readbyqxmd.com/read/29698335/pediatric-veno-veno-extracorporeal-membrane-oxygenation-rescue-from-carbon-monoxide-poisoning
#4
David A Baran, Kelly Stelling, Derrick McQueen, Mark Pearson, Vaishali Shah
BACKGROUND: Carbon monoxide poisoning affects approximately 5000 children per year and can be challenging to diagnose and treat (Pediatr Emerg Med Pract. 2016;13:1-24). It is in the differential diagnosis of a patient presented with altered consciousness. Patients may look quite "pink" and well perfused, but are often in serious distress. We present the first case in the literature of carbon monoxide poisoning treated with the use of veno-veno extracorporeal membrane oxygenation (ECMO)...
April 25, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29666130/does-dexmedetomidine-given-as-a-premedication-or-intraoperatively-reduce-post-hospitalisation-behaviour-change-in-children-a-study-protocol-for-a-randomised-controlled-trial-in-a-tertiary-paediatric-hospital
#5
Paul Lee-Archer, Craig McBride, Rebecca Paterson, Michael Reade, Britta Regli-von Ungern-Sternberg, Deborah Long
INTRODUCTION: It has been reported that post-hospitalisation behaviour change (PHBC) occurs in over 50% of children undergoing a general anaesthetic and manifests as behaviours such as sleep and eating disorders, defiance of authority, nightmares, enuresis and temper tantrums. The effect is usually short-lived (2-4 weeks); however, in 5-10% of children, these behaviours can last up to 12 months. The risk factors for developing PHBC include underlying anxiety in the child or parent, a previous bad hospital experience, emergence delirium and preschool age...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29663574/gesture-helps-learners-learn-but-not-merely-by-guiding-their-visual-attention
#6
Elizabeth Wakefield, Miriam A Novack, Eliza L Congdon, Steven Franconeri, Susan Goldin-Meadow
Teaching a new concept through gestures-hand movements that accompany speech-facilitates learning above-and-beyond instruction through speech alone (e.g., Singer & Goldin-Meadow, ). However, the mechanisms underlying this phenomenon are still under investigation. Here, we use eye tracking to explore one often proposed mechanism-gesture's ability to direct visual attention. Behaviorally, we replicate previous findings: Children perform significantly better on a posttest after learning through Speech+Gesture instruction than through Speech Alone instruction...
April 16, 2018: Developmental Science
https://www.readbyqxmd.com/read/29624147/risk-factors-for-surgical-site-infection-after-intracranial-electroencephalography-monitoring-for-epilepsy-in-the-pediatric-population
#7
Ying Meng, Mathew R Voisin, Suganth Suppiah, Zamir Merali, Ali Moghaddamjou, Naif M Alotaibi, Arbelle Manicat-Emo, Shelly Weiss, Cristina Go, Blathnaid McCoy, Elizabeth J Donner, James T Rutka
OBJECTIVE Intracranial electroencephalography (iEEG) monitoring is an important method of identifying the seizure focus in patients with medically refractory epilepsy. While previous studies have demonstrated low rates of surgical complications, reported rates of surgical site infection (SSI) are highly variable. To date, no studies have specifically evaluated the patient or operative risk factors contributing to SSI. The goals of this study were to examine the rate of SSI after iEEG monitoring for epilepsy workup in pediatric patients and to determine the variables that might contribute to the development of SSI...
April 6, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29619077/risk-factors-for-vitamin-a-and-d-deficiencies-among-children-under-five-in-the-state-of-palestine
#8
Aeysha Bushra Chaudhry, Shakoor Hajat, Najwa Rizkallah, Ala'a Abu-Rub
Background: Vitamin A and D are essential for the proper growth and development of a child. Due to the complex political circumstances in the state of Palestine, research on micronutrient deficiency is scarce. Methods: The Palestinian Ministry of Health (MOH) and UNICEF conducted a national cross-sectional survey in 2013 after the implementation of various micronutrient supplementation and fortification programs. Risk factors for levels of vitamin A ( n  = 1054) and vitamin D ( n  = 150) were assessed among children aged 6 to 59 months using chi-square tests and logistic regression with each of the outcome variables, vitamin A and D deficiencies...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29617794/reproductive-intentions-and-use-of-reproductive-health-care-among-female-survivors-of-childhood-cancer
#9
M van Dijk, M H van den Berg, A Overbeek, C B Lambalk, M M van den Heuvel-Eibrink, W J Tissing, L C Kremer, H J van der Pal, J J Loonen, B Versluys, D Bresters, G J L Kaspers, F E van Leeuwen, E van Dulmen-den Broeder
STUDY QUESTION: Do female childhood cancer survivors (CCSs) express a decreased desire to have children and do they use reproductive health care more often compared to women without a history of cancer? SUMMARY ANSWER: Overall, no difference was found in the desire to have children between CCSs and controls, whereas CCSs consult a fertility specialist more often, at a younger age, and sooner after their first attempt at conceiving. WHAT IS KNOWN ALREADY: Female CCSs may face a shorter than anticipated reproductive window as a result of their cancer treatment...
March 30, 2018: Human Reproduction
https://www.readbyqxmd.com/read/29605654/a-closer-look-at-children-s-metacognitive-skills-the-case-of-the-distinctiveness-heuristic
#10
Marie Geurten, Thierry Meulemans, Sylvie Willems
The primary aim of this study was to document the developmental course of distinctiveness effects throughout childhood. Specifically, we examined whether the reduction in false recognition rates that is traditionally observed in children after distinctive encoding could be explained not only by enhanced discrimination between studied and new items but also by the implementation of a conservative response criterion resulting from the use of metacognitive expectations about the quality of memories (i.e., distinctiveness heuristic)...
March 29, 2018: Journal of Experimental Child Psychology
https://www.readbyqxmd.com/read/29598907/upstream-stimulating-factor-1-usf-1-gene-polymorphisms-and-the-risk-symptoms-and-outcome-of-pediatric-ischemic-stroke
#11
Anna Balcerzyk, Paweł Niemiec, Tomasz Iwanicki, Tomasz Nowak, Ilona Kopyta, Ewa Emich-Widera, Ewa Pilarska, Karolina Pienczk-Ręcławowicz, Marek Kaciński, Janusz Wendorff, Sylwia Górczyńska-Kosiorz, Władyslaw Grzeszczak, Iwona Żak
BACKGROUND: Pediatric ischemic stroke is an important cause of morbidity and mortality. As previous studies of children after stroke showed, dyslipidemias were very common in Polish and other European populations. Thus, looking for genetic factors predisposing to pediatric stroke, its symptoms, and outcome, we have analyzed 2 polymorphisms of the upstream stimulating factor 1 (USF-1) gene. MATERIALS AND METHODS: The study group consisted of 82 children with stroke, 156 parents, and 146 controls...
March 26, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29580731/active-surveillance-for-antenatally-detected-ureteroceles-predictors-of-success
#12
V Andrioli, L Guerra, M Keays, D T Keefe, K Tang, K J Sullivan, K Garland, M Rafikov, M P Leonard
INTRODUCTION: Historically, ureteroceles were surgically treated, as patients were diagnosed after developing symptoms. However, with the advance of fetal medicine, antenatal detection has provided an opportunity to look at the natural history of ureteroceles. OBJECTIVES: With data derived from a retrospective chart review of patients with ureteroceles that were detected antenatally, the current study aimed to determine which group of children would be at risk for failure on active surveillance...
March 13, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29577848/survival-signaling-and-security-foster-carers-and-residential-carers-accounts-of-self-harming-practices-among-children-and-young-people-in-care
#13
Rhiannon E Evans
Research on clinicians' interpretations of self-harming practices has shown that they can often be negative. To date there has been limited consideration of other professionals' narratives, notably those working in social care. This article presents focus group and interview data generated with foster carers ( n = 15) and residential carers ( n = 15) to explore the symbolic meanings ascribed to self-harm among the children and young people they care for. Three repertoires of interpretation are presented: survival, which conceives self-harm as a mechanism for redefining the identity of "looked-after"; signaling, which understands self-harm as a communicative tool for the expression of emotion; and security, which sees self-harming practices as testing the authenticity and safety of the caring relationship...
March 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29574420/fifteen-minute-consultation-developing-an-advance-care-plan-in-partnership-with-the-child-and-family
#14
Emily Jane Harrop, Katherine Boyce, Tania Beale, Karen Brombley
An advance care plan (ACP) is the record of a discussion between an individual (where possible), their professional care givers and those close to them about their future care. When performed well, the process provides all those involved with the opportunity to talk honestly about the future allowing children and their families to retain autonomy and to influence how they are looked after. While this may represent a difficult area of practice for healthcare professionals, both staff and families appear to benefit when the process is fully informed and the child and family are actively involved...
March 24, 2018: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/29567664/acceptability-of-a-parental-early-warning-tool-for-parents-of-infants-with-complex-congenital-heart-disease-a-qualitative-feasibility-study
#15
Kerry Louise Gaskin, Jo Wray, David J Barron
AIM: To explore the acceptability and feasibility of a parental early warning tool, called the Congenital Heart Assessment Tool (CHAT), for parents going home with their infant between first and second stage of surgery for complex congenital heart disease. BACKGROUND: Home monitoring programmes were developed to aid early recognition of deterioration in fragile infants between first and second surgical stage. However, this necessitates good discharge preparation to enable parents to develop appropriate knowledge and understanding of signs of deterioration to look for and who to contact...
March 22, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29567289/construction-and-validation-of-educational-material-for-children-with-hydrocephalus-and-their-informal-caregivers
#16
Paloma de Aro J Tavares, Pedro Tadao Hamamoto Filho, Ana Sílvia S Ferreira, Marla Andréia G Ávila
OBJECTIVE: To build and validate a journal-type digital and printed educational material for the informal caregivers of children with hydrocephalus (herein, informal caregivers are defined as the parents who look after the children). METHODS: This is a methodological study conducted in the material unit of the children's neurosurgery outpatient clinic of a university hospital. The content validity index (CVI) with a concordance of 0.78 or greater was used for validation...
March 19, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29513089/an-empirical-assessment-of-the-short-term-impacts-of-a-reading-of-deborah-zoe-laufer-s-drama-informed-consent-on-attitudes-and-intentions-to-participate-in-genetic-research
#17
Erin Rothwell, Jeffrey R Botkin, Sydney Cheek-O'Donnell, Bob Wong, Gretchen A Case, Erin Johnson, Trent Matheson, Alena Wilson, Nicole R Robinson, Jared Rawlings, Brooke Horejsi, Ana Maria Lopez, Carrie L Byington
OBJECTIVE: This study assessed the short-term impact of the play "Informed Consent" by Deborah Zoe Laufer (a fictionalized look at the controversy over specimens collected from the Havasupai Tribe for diabetes research in 1989) on perceptions of trust, willingness to donate biospecimens, and attitudes toward harm and privacy among the medical and undergraduate students, faculty, and the public in the Intermountain West. METHODS: Surveys were administered before and after a staged reading of the play by professional actors...
March 7, 2018: AJOB Empirical Bioethics
https://www.readbyqxmd.com/read/29504506/the-role-of-children-in-their-hiv-positive-parents-management-of-antiretroviral-therapy-in-uganda
#18
Ruth Nalugya, Steven Russell, Flavia Zalwango, Janet Seeley
Adjustment to life on antiretroviral therapy (ART) and living with HIV as a long-term chronic condition, pose significant medical, social and economic challenges. We investigated children's role in supporting HIV-positive parents to self-manage life on ART. Between 2010 and 2012, we conducted a qualitative study using semi-structured interviews with 38 HIV-positive parents who had been on ART for over a year. They were randomly selected from people accessing ART from three delivery sites in Wakiso district, Uganda...
March 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29500084/imaging-biomarkers-of-outcome-after-radiotherapy-for-pediatric-ependymoma
#19
Fatima Tensaouti, Anne Ducassou, Léonor Chaltiel, Annick Sevely, Stéphanie Bolle, Laetitia Padovani, Anais Jouin, Claire Alapetite, Stéphane Supiot, Aymeri Huchet, Valérie Bernier, Line Claude, Christine Kerr, Elisabeth Le Prisé, Anne-Isabelle Bertozzi-Salamon, Samuel Liceaga, Jean Albert Lotterie, Patrice Péran, Anne Laprie
BACKGROUND AND PURPOSE: Ependymoma is the third most common brain tumor in children. Radiation therapy (RT) is systematically administered after maximum surgical resection, utilizing recent advances in radiation delivery. Imaging can make a significant contribution to improving treatment outcome. This prompted us to look for significant preoperative and postoperative imaging markers for survival. MATERIAL AND METHODS: We undertook a national retrospective review of 121 patients who had undergone resection followed by RT...
April 2018: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/29481522/three-dimensional-multiple-object-tracking-in-the-pediatric-population-the-neurotracker-and-its-promising-role-in-the-management-of-mild-traumatic-brain-injury
#20
Laurie-Ann Corbin-Berrigan, Kristina Kowalski, Jocelyn Faubert, Brian Christie, Isabelle Gagnon
As mild traumatic brain injury (mTBI) affects hundreds of thousands of children and their families each year, investigation of potential mTBI assessments and treatments is an important research target. Three-dimensional multiple object tracking (3D-MOT), where an individual must allocate attention to moving objects within 3D space, is one potentially promising assessment and treatment tool. To date, no research has looked at 3D-MOT in a pediatric mTBI population. Thus, the aim of this study was to examine 3D-MOT learning in children and youth with and without mTBI...
May 2, 2018: Neuroreport
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