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and adolescents. 1 Injury to the kidney from blunt trauma is the most common urinary tract injury. In children, blunt trauma is responsible for 90% of renal injuries, and the kidney is injured in approximately 10% of all pediatric blunt abdominal trauma. 2 Children are at higher risk of renal injury fromblunttraumathanadultsduetoseveralanatomicfactorsin- cludingdecreasedperirenalfat,weakerabdominalmusculature, andalessossifiedthoraciccage—allofwhichofferlessprotec- tiontothe kidney. 3 Severalsurgical (...) , Revised: November 20, 2018, Accepted: December 24, 2018, Published online: Febuary 7, 2019. FromtheDepartmentofUrology(J.C.H.),UniversityofWashington,Seattle,Washington; Division of Pediatric Surgery, Department of Surgery (N.F.), Cooper University, Camden, New Jersey; Children's Hospital of Wisconsin and Medical College of Wisconsin (J.S.E.), Milwaukee, Wisconsin; Department of Surgery (R.R.), Children'sHospitalofAlabama,UniversityofAlabamaatBirmingham,Birmingham, Alabama; Department of Surgery
2019 American Heart Association Focused Update on Pediatric Advanced Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care This 2019 focused update to the American Heart Association pediatric advanced life support guidelines follows the 2018 and 2019 systematic reviews performed by the Pediatric Life Support Task Force of the International Liaison Committee on Resuscitation. It aligns with the continuous evidence (...) review process of the International Liaison Committee on Resuscitation, with updates published when the International Liaison Committee on Resuscitation completes a literature review based on new published evidence. This update provides the evidence review and treatment recommendations for advanced airway management in pediatric cardiac arrest, extracorporeal cardiopulmonary resuscitation in pediatric cardiac arrest, and pediatric targeted temperature management during post-cardiac arrest care
2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, I The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the third annual summary of the International Liaison Committee (...) on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. It addresses the most recent published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. This summary addresses the role of cardiac arrest centers and dispatcher-assisted cardiopulmonary resuscitation, the role of extracorporeal cardiopulmonary resuscitation in adults and children, vasopressors in adults
-affirming care. This is not only harmful to the mental and physical health of these youth, but opposes current standard of care recommendations. The American Academy of Pediatrics (AAP), the largest academic organization for pediatricians in the US, has released a Policy Statement supporting the approach to gender- affirming care: “Ensuring Comprehensive Care and Support for Transgender and Gender- Diverse Children and Adolescents”, consistent with the “Endocrine Treatment of Gender- Dysphoric/Gender (...) -Incongruent Persons: An Endocrine Society Clinical Practice Guideline”, co- sponsored by the Pediatric Endocrine Society, the US academic organization of pediatric endocrinologists , and also consistent with the Standards of Care from the World Professional Association for Transgender Health. Support of gender-affirming care derives from scientific evidence showing that such care improves the well-being and mental health of transgender youth and may include: 1. Supporting a child or adolescent to explore
,inrelationtoserumbilirubinconcentration.J Pediatr 1997;131:700–6. 32. Socha P, Koletzko B, Swiatkowska E, et al. Essential fatty acid metabolism in infants with cholestasis. Acta Paediatr 1998;87: 278–83. 33. Pettei MJ, Daftary S, Levine JJ. Essential fatty acid de?ciency associated with the use of a medium-chain-triglyceride infant formula in pediatric hepatobiliary disease. Am J Clin Nutr 1991; 53:1217–21. 34. Abdel-Ghaffar YT, Amin E, Abdel-Rasheed M, et al. Essential fatty acid status in infants and children with chronic liver (...) with cholestasis. Clin Res Hepatol Gastroenterol 2018;42:368–77. 68. Loomes KM, Spino C, Goodrich NP, et al. Bone density in children with chronic liver disease correlates with growth and cholestasis. Hepatology 2019;69:245–57. 69. Shneider BL, Magee JC, Bezerra JA, et al. Ef?cacy of fat-soluble vitamin supplementation in infants with biliary atresia. Pediatrics 2012;130:e607–14. 70. Socha P, Skorupa E, Pawlowska J, et al. beta-Carotene de?ciency in cholestatic liver disease of childhood is caused by beta
] OR ("dental"[All Fields] AND "caries"[All Fields]) OR "dental caries"[All Fields] OR "caries"[All Fields]) AND removal[All Fields] AND ("child"[MeSH Terms] OR "child"[All Fields] OR "children"[All Fields]) Comments on The Evidence Validity: In both Montedori’s systemic review and Li’s meta analysis there “were a limited number of studies that met the inclusion criteria." In Valerio/2016 originally 42 subjects were used with a total of 84 primary molars, but only 29 children were evaluated 1 year after (...) preparation when the goal is to reduce pain levels and anesthesia use. Specialty/Discipline (Pediatric Dentistry) (Restorative Dentistry) Keywords Laser, Caries Removal, Children, Pain ID# 3398 Date of submission: 11/22/2019 E-mail KohlerD@livemail.uthscsa.edu Author Dorothy Kohler Co-author(s) Co-author(s) e-mail Faculty mentor/Co-author Dr. Liu Faculty mentor/Co-author e-mail LiuJA@uthscsa.edu Basic Science Rationale (Mechanisms that may account for and/or explain the clinical question, i.e
weight children compared to pregnant women who do not have periodontal disease? Clinical Bottom Line Pregnant women who have periodontal disease are at an increased risk for having a pre-term birth (PB) and/or low birth weight (LBW) child. This association is supported by several systematic reviews looking at pregnant women with periodontal disease and the occurrence of PB and LWB. Educating women of childbearing years and preventing periodontal disease could help reduce the amount of women (...) Pregnant Women Who Have Periodontal Disease Are at an Increased Risk for Pre-Term Birth and/or a Low Birth Weight Child UTCAT3410, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Pregnant Women Who Have Periodontal Disease Are at an Increased Risk for Pre-Term Birth and/or a Low Birth Weight Child Clinical Question Are pregnant women who have periodontal disease at a higher risk for having pre-term birth or low birth
support guidelines follows the 2019 systematic review of the effects of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) on survival of infants and children with out-of-hospital cardiac arrest. This systematic review and the primary studies identified were analyzed by the Pediatric Task Force of the International Liaison Committee on Resuscitation. It aligns with the International Liaison Committee on Resuscitation’s continuous evidence review process, with updates published when (...) if the child received bystander CPR with or without dispatcher assistance. Children between 1 and 8 years of age had improved outcomes with unassisted bystander CPR but not with DA-CPR. In infants (<12 months of age), there was no difference in outcome between the bystander CPR and no bystander CPR groups. In a more recent study (between 2012 and 2015) of 2020 children with OHCA from the same Korean database, Chang and colleagues examined the association of DA-CPR with survival to hospital discharge
patients who received CPR. According to information from the AHA Get With The Guidelines–Resuscitation IHCA registry and the Kids’ Inpatient Database, an estimated 6000 infants and children develop IHCA annually. Risk-adjusted rates of ROSC increased from 42.9% in 2000 to 81.2% in 2009, and risk-adjusted rates of survival to discharge improved from 14.3% in 2000 to 43.4% in 2009 without an increase in unfavorable neurological outcome. Notably, with an emphasis on detection and treatment of prearrest (...) that if there were limited or no available pediatric post–cardiac arrest data, the group would summarize data from studies of adult cardiac arrest and, if available, data derived from critically ill or injured children. Editorials, letters, and case reports were excluded. Large prospective trials and randomized controlled trials were highlighted, and case series and low-quality evidence were summarized. The draft sections were edited by the chair and 2 senior writing group members (A.d.C. and M.F.H.). A draft
): 335-43. 13. Wood JN, Fakeye O, Feudtner C, et al. Development of guidelines for skeletal survey in young children with fractures. Pediatrics. 2014; 134(1): 45-53. 14. Rangel EL, Cook BS, Bennett BL, et al. Eliminating disparity in evaluation for abuse in infants with head injury: Use of a screening guideline. J Pediatr Surg. 2009; 44(6):1229-34; discussion 34-5. 15. Higginbotham N, Lawson KA, Gettig K, et al. Utility of a child abuse screening guideline in an urban pediatric emergency department (...) without a clear history of trauma is an important sentinel injury, and the infant requires a careful evaluation for abuse. 18-20 References 1. Taitz J, Moran K, O’Meara M. Long bone fractures in children under 3 years of age: Is abuse being missed in Emergency Department presentations? Journal of Paediatrics and Child Health. 2004;40(4):170-4. 2. Pierce MC, Kaczor K, Acker D, Webb T, Brenzel A, Lorenz DJ, et al. History, injury, and psychosocial risk factor commonalities among cases of fatal and near
Diamorphine hydrochloride (Ayendi) - acute severe nociceptive pain in children and adolescents Final Appraisal Recommendation Advice No: 1719 – November 2019 Diamorphine hydrochloride (Ayendi ® ) 720 microgram/actuation and 1600 microgram/actuation Nasal Spray Limited submission by Wockhardt UK Ltd In reaching the above recommendation AWMSG has taken account of the appraisal documentation prepared by the AWMSG Secretariat (reference number 2406), which includes the AWMSG Secretariat Assessment (...) nociceptive pain in children and adolescents 2 to 15 years of age in a hospital setting. Ayendi ® nasal spray should be administered in the emergency setting by practitioners experienced in the administration of opioids in children and with the appropriate monitoring. Statement of use: No part of this recommendation may be reproduced without the whole recommendation being quoted in full and cited as: All Wales Medicines Strategy Group Final Appraisal Recommendation – 1719: Diamorphine hydrochloride
. This is based on high strength evidence. The ratings for this outcome are taken from because this review had a higher rating for strength of evidence. This meta-analysis included 18 studies (6 randomised controlled trials and 12 controlled studies), with 30,283 child participants. Of these children, 2,938 were allocated to intervention groups and 27,345 were in comparison or control groups. IFPS led to children having a reduced risk of entering care: By 43% three months later By 49% six months later By 40 (...) out in the USA, three were from the UK and one was from Canada. Who does it work for? Review 2 found that IFPS have been used with families with a variety of characteristics and circumstances. They are usually targeted at families where at least one child is at risk of entering care. The range of concerns may include: Family substance misuse Abuse (including physical, sexual or emotional abuse) Neglect Threat of harm to one or more children in the families. The ages of children participating
in children. J Pediatr Orthop B 2005;14(1):42-45. 8. Potulska-Chromik A, Lipowska M, Gawel M, Ryniewicz B, Maj E, Kostera-Pruszczyk A. Carpal tunnel syndrome in children. J Child Neurol 2014;29(2):227-231. 9. Cruz Martinez A, Arpa J. Carpal tunnel syndrome in childhood: study of 6 cases. Electroencephalogr Clin Neurophysiol 1998;109(4):304-308. 10. Davis L, Vedanarayanan VV. Carpal tunnel syndrome in children. Pediatr Neurol 2014;50(1):57-59. 11. Deymeer F, Jones HR, Jr. Pediatric median mononeuropathies (...) yield of these tests in infants, children, and adolescents. This article is protected by copyright. All rights reserved.Pediatric EDX Statement, page Keywords Electromyography; Electrodiagnostic medicine; Neuromuscular disorders; Pediatric; Infants; Children; Adolescents Introduction Electrodiagnostic (EDX) testing has been used to evaluate children with suspected neuromuscular disorders for decades. With the widespread adoption of genetic testing in the 1990s and 2000s, questions arose regarding
Evaluation of Long-term Risk of Epilepsy, Psychiatric Disorders, and Mortality Among Children With Recurrent Febrile Seizures: A National Cohort Study in Denmark Febrile seizures occur in 2% to 5% of children between the ages of 3 months and 5 years. Many affected children experience recurrent febrile seizures. However, little is known about the association between recurrent febrile seizures and subsequent prognosis.To estimate the risk of recurrent febrile seizures and whether (...) there is an association over long-term follow-up between recurrent febrile seizures and epilepsy, psychiatric disorders, and death in a large, nationwide, population-based cohort in Denmark.This population-based cohort study evaluated data from all singleton children born in Denmark between January 1, 1977, and December 31, 2011, who were identified through the Danish Civil Registration System. Children born in Denmark who were alive and residing in Denmark at age 3 months were included (N = 2 103 232). The study
A New Recalibrated Four-Category Child-Pugh Score Performs Better than the Original Child-Pugh and MELD Scores in Predicting In-Hospital Mortality in Decompensated Alcoholic Cirrhotic Patients with Acute Variceal Bleeding: a Real-World Cohort Analysis There currently is no consensus on how to accurately predict early rebleeding and death after a major variceal bleed. This study investigated the relative predictive performances of the original Child-Pugh (CP), model for end-stage liver disease (...) (MELD) and a four-category recalibrated Child-Pugh (rCP).This prospective study included all adult patients admitted to Groote Schuur Hospital with acute esophageal variceal bleeding secondary to alcoholic cirrhosis, between January 2000 and December 2017. CP and rCP grades and MELD score were calculated on admission, and the predictive ability in discriminating in-hospital rebleeding and death was compared by area under receiver-operating characteristic (AUROC) curves.During the study period, 403
Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents Attention-deficit/hyperactivity disorder (ADHD) is 1 of the most common neurobehavioral disorders of childhood and can profoundly affect children's academic achievement, well-being, and social interactions. The American Academy of Pediatrics first published clinical recommendations for evaluation and diagnosis of pediatric ADHD in 2000; recommendations (...) recommendations. Therefore, only incremental updates have been made in this guideline revision, including the addition of a key action statement related to diagnosis and treatment of comorbid conditions in children and adolescents with ADHD. The accompanying process of care algorithm has also been updated to assist in implementing the guideline recommendations. Throughout the process of revising the guideline and algorithm, numerous systemic barriers were identified that restrict and/or hamper pediatric