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https://www.readbyqxmd.com/read/29912084/ibuprofen-for-pain-control-in-children-new-value-for-an-old-molecule
#1
Dimitri Poddighe, Ilaria Brambilla, Amelia Licari, Gian Luigi Marseglia
BACKGROUND: Acute pain is one of the major complaints reported in pediatric emergency departments and general wards. Recently, both the US Food and Drug Administration and European Medicine Agency emitted some warnings regarding the use of opioids, including codeine, in children. OBJECTIVE: The aims of this study were summarizing the main pharmacological aspects of ibuprofen, discussing the current evidence about the use of ibuprofen in different and specific clinical settings, and providing a comparison with acetaminophen and/or codeine, according to available studies...
June 14, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29912070/the-impact-of-massage-and-reading-on-children-s-pain-and-anxiety-after-cardiovascular-surgery-a-pilot-study
#2
Sandra L Staveski, Karen Boulanger, Lee Erman, Li Lin, Christina Almgren, Chloe Journel, Stephen J Roth, Brenda Golianu
OBJECTIVES: The purpose of this pilot study was three-fold: 1) to evaluate the safety and feasibility of instituting massage therapy in the immediate postoperative period after congenital heart surgery, 2) to examine the preliminary results on effects of massage therapy versus standard of care plus three reading visits on postoperative pain and anxiety, and 3) to evaluate preliminary effects of opioid and benzodiazepine exposure in patients receiving massage therapy compared with reading controls...
June 14, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29911919/innovative-treatment-for-pes-cavovarus-a-pilot-study-of-13-children
#3
Ignacio Sanpera, Guillem Frontera-Juan, Julia Sanpera-Iglesias, Laura Corominas-Frances
Background and purpose - Pes cavovarus (PCV) is a complex deformity, frequently related to neurological conditions and associated with foot pain, callosities, and walking instability. The deformity has the tendency to increase during growth. Orthotic treatment is ineffective and surgery may be troublesome. We present the preliminary results of a new mini-invasive surgical technique for correction of this foot deformity. Patients and methods - We operated on 13 children (24 feet), age 7-13 years. In 7 children the deformity was neurological in origin...
June 18, 2018: Acta Orthopaedica
https://www.readbyqxmd.com/read/29911641/assessment-of-pain-in-children-with-cerebral-palsy-focused-on-translation-and-clinical-feasibility-of-the-revised-flacc-score
#4
Line Kjeldgaard Pedersen, Ole Rahbek, Lone Nikolajsen, Bjarne Møller-Madsen
Graphical Abstract.
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29911640/the-revised-flacc-score-reliability-and-validation-for-pain-assessment-in-children-with-cerebral-palsy
#5
Line Kjeldgaard Pedersen, Ole Rahbek, Lone Nikolajsen, Bjarne Møller-Madsen
Graphical Abstract.
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29911639/evaluation-of-pain-in-children-with-communication-difficulties-r-flacc-translated-and-validated-in-nordic-languages
#6
Harald Breivik, Kari Sørensen, Øyvind Tavi
No abstract text is available yet for this article.
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29910859/intussusception-of-the-rectum-in-children-a-rare-case-report
#7
Pantea Tajik, Amir Hossein Goudarzian
A 28-month-old boy with hematochezia for 10 hours was admitted into our hospital. Colonoscopy was performed for the patient in which a mass-like lesion was seen with marron color. The mass suspected intussusception; thus, colonoscopy was interrupted and patient was sent to operation room. After 1 month the patient was good with no abdominal pain or defecation difficulty.
2018: Gastroenterology and Hepatology From Bed to Bench
https://www.readbyqxmd.com/read/29910493/a-study-to-compare-caudal-levobupivacaine-tramadol-and-a-combination-of-both-in-paediatric-inguinal-hernia-surgeries
#8
Neelam Dogra, Rajat Dadheech, Mahipal Dhaka, Anupama Gupta
Background and Aims: Caudal block is a safe and simple method of pain relief in young children with the drawback of a short duration of analgesia which can be overcome by adding various adjuvants to the injected local anaesthetic. We compared the effects of caudal levobupivacaine, tramadol and a combination of both in paediatric patients undergoing inguinal herniotomy. Methods: A total of 78 children aged 1-7 years, planned for inguinal herniotomy were randomly allocated into three groups...
May 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29909229/functional-evaluation-of-bilateral-subtalar-arthroereisis-for-the-correction-of-flexible-flatfoot-in-children-1-year-follow-up
#9
Paolo Caravaggi, Giada Lullini, Lisa Berti, Sandro Giannini, Alberto Leardini
BACKGROUND: Flexible flatfoot (FFF) is a common alteration of the foot diagnosed in the pediatric population causing pain and decreased quality of life. Surgical treatment via arthroereisis of the subtalar joint can be recommended when non-invasive options do not result in sufficient pain relief. While clinical outcome of subtalar joint arthroereisis is generally positive, no functional evaluation has thus far been reported following surgery. RESEARCH QUESTION: The aim of this study was to assess the effects of two arthroereisis implants for the correction of bilateral FFF on foot and lower limb biomechanics during gait...
June 11, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29906005/adult-onset-papular-purpuric-gloves-and-socks-syndrome
#10
Monica Rosales Santillan, Jessica B Dietert, Richard Jahan-Tigh
Papular purpuric gloves and socks syndrome (PPGSS) is a self-limited exanthem that presents as painful or pruritic edema, erythema, petechiae, and purpura of the palms and soles with occasional extension to the dorsal hands and feet. The majority of PPGSS cases reported in the literature are associated with parvovirus B19 and occur in children and young adults. In a recent literature search, there were 11 PPGSS cases in adults with none reporting Epstein-Barr virus (EBV) as a viral etiology. However, there have been PPGSS cases related to EBV in children...
April 15, 2018: Dermatology Online Journal
https://www.readbyqxmd.com/read/29905842/opioid-prescribing-and-polypharmacy-in-children-with-chronic-musculoskeletal-pain
#11
Sabrina Gmuca, Rui Xiao, Pamela F Weiss, David D Sherry, Andrea M Knight, Jeffrey S Gerber
Objective: Thirty percent of adults with fibromyalgia receive an opioid, but the prevalence of opioid prescribing in pediatric chronic musculoskeletal pain is unknown. The aims of this study were to determine the prevalence of and factors associated with opioid exposure and polypharmacy among children with chronic musculoskeletal pain. Methods: In this retrospective cohort study using health care claims data from 2000 to 2013, the index date was the first ICD-9 code 729...
June 13, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29905654/cultural-influences-on-parental-responses-to-children-s-pain
#12
Olof Kristjansdottir, Patrick J McGrath, G Allen Finley, Gudrun Kristjansdottir, Pulsuk Siripul, Sean P Mackinnon, Yoko Yoshida
There is a scarcity of work examining the relationship between culture and pain-related caregiver behaviors. Moreover, no pediatric pain studies have examined the relationship between caregiver cultural values and pain-related caregiver behaviors, specifically, if this process is mediated by caregiver parenting styles and moderated by eco-social context. Based on cross-cultural developmental theories, this study hypothesized that eco-social context would moderate the relationship between cultural values, parenting styles, and pain-related caregiver behaviors; and that parenting styles mediate the effect of cultural values on pain-related caregiver behaviors...
June 12, 2018: Pain
https://www.readbyqxmd.com/read/29905617/impact-of-clinical-guidelines-on-revisits-after-ambulatory-pediatric-adenotonsillectomy
#13
Helen H Lee, Nicholas M Dalesio, Anthony T Lo Sasso, William C Van Cleve
BACKGROUND: Pediatric adenotonsillectomies are common and carry known risks of potentially severe complications. Complications that require a revisit, to either the emergency department or hospital readmission, increase costs and may be tied to lower reimbursements by federal programs. In 2011 and 2012, recommendations by pediatric and surgical organizations regarding selection of candidates for ambulatory procedures were issued. We hypothesized that guideline-associated changes in practice patterns would lower the odds of revisits...
June 12, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29905130/is-it-ethical-to-treat-pain-differently-in-children-and-adults-with-burns
#14
Sharmila Dissanaike
This commentary discusses ethical implications of the common practice of treating children's and adults' burn pain differently. Physicians have obligations to ensure that (1) their own discomfort with children's pain doesn't lead them to make pain management decisions that could place a patient at greater risk and (2) to engage in thoughtful, individualized pain management strategies. Long-term consequences of overzealous pain medication administration, for example, could include delayed recovery and integration or opioid dependence...
June 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29903794/child-and-adolescent-musculoskeletal-pain-cam-pain-feasibility-study-testing-a-method-of-identifying-recruiting-and-collecting-data-from-children-and-adolescents-who-consult-about-a-musculoskeletal-condition-in-uk-general-practice
#15
Zoe A Michaleff, Paul Campbell, Alastair D Hay, Louise Warburton, Kate M Dunn
OBJECTIVES: Test a method of identifying, recruiting and collecting data from children and adolescents who consult their general practitioner about a musculoskeletal condition. DESIGN: Prospective cohort feasibility study. SETTING: 13 general practices in West Midlands of England. PARTICIPANTS: Patients aged 8-19 years who consult their general practice about a musculoskeletal condition. Patients were identified via a relevant musculoskeletal Read code entered at the point of consultation...
June 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29903753/what-dose-of-paracetamol-for-older-people
#16
(no author information available yet)
Paracetamol, on its own or in combination with other analgesics, is widely used to treat pain associated with acute and chronic conditions. It is considered safe enough to have a general sales licence (GSL) for use by "adults, elderly and children over 16 years" and has few listed cautions or contraindications.1,2 However, recently the effectiveness and safety of paracetamol for some conditions have been challenged, 3,4 and there are published case reports of liver failure associated with therapeutic doses...
June 2018: Drug and Therapeutics Bulletin
https://www.readbyqxmd.com/read/29901829/the-relationship-of-type-1-diabetes-self-management-barriers-to-child-and-parent-quality-of-life-a-us-cross-sectional-study
#17
N Saoji, M Palta, H N Young, M A Moreno, V Rajamanickam, E D Cox
AIM: Families of children and adolescents with Type 1 diabetes experience self-management challenges that negatively impact diabetes control. This study assesses whether self-management challenges are also associated with quality of life (QOL) for children and adolescents with Type 1 diabetes and their parents. METHODS: Children aged 8-12 years (n = 135), adolescents aged 13-16 years (n = 132) and their parents completed QOL assessments (diabetes-specific QOL from the PedsQL Diabetes Module or the Family Impact Module, both scaled 0-100) and a validated survey of up to six self-management barriers [PRISM; scaled 1 (low) to 5 (high)]...
June 14, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29900588/a-multicenter-cohort-analysis-of-post-endoscopy-complications-in-children-undergoing-elective-outpatient-diagnostic-procedures
#18
Thomas M Attard, Mikaela Miller, Brian Lee, Thomas W Champion, Mike Thomson
BACKGROUND: Increased access to endoscopic procedures have entrenched these investigative tools in routine pediatric gastroenterology practice. Patient outcomes following endoscopy therefore are topical in the decision toward endoscopy. We studied the likelihood and patient characteristics of children admitted following ambulatory endoscopy. METHODS: Hospitalization data was obtained from the Pediatric Hospital Information System including 49 tertiary children's hospitals in the US...
June 13, 2018: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29899299/parent-attributions-of-ambiguous-symptoms-in-their-children-a-preliminary-measure-validation-in-parents-of-children-with-chronic-pain
#19
Lauren C Heathcote, Sara E Williams, Allison M Smith, Christine B Sieberg, Laura E Simons
How parents attribute cause to their child’s physical symptoms is likely important in understanding how the parent responds to the child, as well as the child’s health outcomes, especially within the context of chronic illness. Here, we adapt the Symptom Interpretation Questionnaire for parent report (SIQ-PR) and provide preliminary validation in a sample of parents of children with chronic pain ( N = 311). Confirmatory factor analysis revealed that the SIQ-PR structure is consistent with the original measure, with three distinct attribution types: psychological (emotional/affective), somatic (illness/disease), and environmental (situational/transient) causes...
June 13, 2018: Children
https://www.readbyqxmd.com/read/29898933/pulled-elbow-in-children
#20
Syunsuke Yamanaka, Ran D Goldman
Question Our practice is seeing children with relatively minor injuries to their elbows, with a history of "swinging" them when their hands are being held to cross the road. Nothing is usually found on a physical examination. I know that this is likely a "pulled elbow." Can we manage this in the clinic setting rather than sending the family to the emergency department? What would be the best course of action in the clinic setting? Answer Pulled elbow, also called nursemaid's elbow , is a radial head subluxation caused by axial traction or a sudden pull of the extended pronated arm, and it is a very common phenomenon...
June 2018: Canadian Family Physician Médecin de Famille Canadien
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