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Latest & greatest articles for children
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on children or other clinical topics then use Trip today.
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Psychometric Characteristics of Non-instrumental Swallowing and Feeding Assessments in Pediatrics: A Systematic Review Using COSMIN. As early diagnosis of swallowing and feeding difficulties in infants and children is of utmost importance, there is a need to evaluate the quality of the psychometric properties of pediatric assessments of swallowing and feeding. A systematic review was performed summarizing the psychometric properties of non-instrumental assessments for swallowing and feeding (...) difficulties in pediatrics; no data were identified for the remaining twelve assessments. The COSMIN taxonomy and checklist were used to evaluate the methodological quality of 23 publications on psychometric properties. For each assessment, an overall quality score for each measurement property was determined. As psychometric data proved incomplete, conflicting or indeterminate for all assessments, only preliminary conclusions could be drawn; the most robust assessment based on current data
Qingkailing Injection () for treatment of children pneumonia induced by respiratory syncytial virus: A meta-analysis of randomized controlled trials. To evaluate the efficacy and safety of Qingkailing Injection (, QKL) for treatment of children pneumonia caused by respiratory syncytial virus (RSV).Randomized clinical trials (RCTs) comparing QKL with ribavirin injection in the treatment of children pneumonia induced by RSV were searched in PubMed, Science Direct, Cochrane Library, Chinese VIP (...) % CI (1.17, 1.50), P<0.01], total effective rate [RR=1.07, 95% CI (1.02, 1.13), P=0.009] and less fever clearance time [mean difference=-0.73, 95% CI (-1.22,-0.23), P=0.004], compared with ribavirin injection in the treatment of RSV-induced children pneumonia. No dead case was reported in all trials. There were 3 trials mentioned adverse events, 2 reported no obvious adverse event occurred while 1 reported adverse events described as skin hypersensitivity, elevation of ALT, a mild abnormal
Estimates of burden and consequences of infants born small for gestational age in low and middle income countries with INTERGROWTH-21st standard: analysis of CHERG datasets. Objectives To estimate small for gestational age birth prevalence and attributable neonatal mortality in low and middle income countries with the INTERGROWTH-21st birth weight standard.Design Secondary analysis of data from the Child Health Epidemiology Reference Group (CHERG), including 14 birth cohorts (...) with gestational age, birth weight, and neonatal follow-up. Small for gestational age was defined as infants weighing less than the 10th centile birth weight for gestational age and sex with the multiethnic, INTERGROWTH-21st birth weight standard. Prevalence of small for gestational age and neonatal mortality risk ratios were calculated and pooled among these datasets at the regional level. With available national level data, prevalence of small for gestational age and population attributable fractions
A case of real spinal cord injury without radiologic abnormality in a pediatric patient with spinal cord concussion Real spinal cord injury without radiologic abnormality (SCIWORA) is a rare clinical entity.The patient was a 13-year-old girl whose body was overturned anteriorly after crashing her bicycle into a curb. Following the accident, in which her neck and upper back hit the ground, she could not move due to paralysis. On arrival, she had paresis of the bilateral upper extremities
The typically developing paediatric foot: how flat should it be? A systematic review. All typically developing children are born with flexible flat feet, progressively developing a medial longitudinal arch during the first decade of their lives. Whilst the child's foot is expected to be flat, there is currently no consensus as to how flat this foot should be. Furthermore, whilst feet are observed to decrease in flatness with increasing age, it is not known how flat they should be at each age (...) different foot posture assessments were identified of which footprint based measures were the most reported outcome.Firstly, the use of the term normal in relation to foot posture is misleading in the categorisation of the paediatric foot, as indeed a flat foot posture is a normal finding at specific ages. Secondly, the foot posture of the developing child is indeed age dependent and has been shown to change over time. Thirdly, no firm conclusion could be reached as to which age the foot posture
The Efficacy of Telehealth-Delivered Speech and Language Intervention for Primary School-Age Children: A Systematic Review. The purpose of this article is to determine if telehealth-delivered speech-language pathology interventions are as effective as traditional in-person delivery for primary school-age children with speech and/or language difficulties. A systematic review was conducted (in accordance with PRISMA guidelines) using five databases, two journals and reference lists. Titles (...) pathology intervention services to school-age children. Whilst this is encouraging, particularly for rural children where in-person services are limited, more rigorous study designs are required to support the efficacy of telehealth for this population.
Systematic review with meta-analysis: enteral nutrition therapy for the induction of remission in paediatric Crohn's disease. Despite potential adverse-events in a paediatric population, corticosteroids are used to induce remission in paediatric Crohn's disease. Exclusive enteral nutrition also induces remission, but is infrequently used in the USA because corticosteroids are considered the superior therapy. New data have become available since the publication of the most recent meta-analysis (...) in 2007.To see if current literature supports the use of EEN versus CS in paediatric populations.All studies with comparator arms of exclusive enteral nutrition and an exclusive corticosteroids, with remission clearly defined were identified by searching eight online databases.Of 2795 identified sources, nine studies met our inclusion criteria. Eight of these (n = 451), had data that could be abstracted into our meta-analysis. Exclusive enteral nutrition was as effective as corticosteroids in inducing
Do adult mental health services identify child abuse and neglect? A systematic review. Child abuse and neglect play a causal role in many mental health problems. Knowing whether users of mental health services were abused or neglected as children could be considered essential for developing comprehensive formulations and effective treatment plans. In the present study we report the findings of a systematic review, using independent searches of three databases designed to discover how often (...) mental health staff find out whether their clients were abused or neglected as children. Twenty-one relevant studies were identified. Most people who use mental health services are never asked about child abuse or neglect. The majority of cases of child abuse or neglect are not identified by mental health services. Only 28% of abuse or neglect cases identified by researchers are found in the clients' files: emotional abuse, 44%; physical abuse, 33%; sexual abuse, 30%; emotional neglect, 17
Performance of MRI for suspected appendicitis in pediatric patients and negative appendectomy rate: A systematic review and meta-analysis. To evaluate in pediatric patients the diagnostic performance of magnetic resonance imaging (MRI) for suspected appendicitis and its negative appendectomy rate.The study involved diagnostic accuracy studies that used MRI for pediatric patients with suspected appendicitis. Various field strengths and sequences were used in each included study. The diagnostic (...) accuracy of MRI in pediatric patients with suspected appendicitis and negative appendectomy rate were assessed. A search of MEDLINE and EMBASE databases was performed until January 10, 2017. Two reviewers assessed the methodological quality of the articles using the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool. Pooled sensitivity and specificity for appendicitis diagnosis were calculated using hierarchical logistic regression modeling. Meta-regression was performed to explore
The Role for Osmotic Agents in Children with Acute Encephalopathies: A Systematic Review. Raised intracranial pressure (ICP) is a common complication in children with acute encephalopathies. It compromises cerebral perfusion leading to ischaemia and may cause death when the brainstem is compressed during trans-tentorial herniation. Osmotic agents are widely used to control raised ICP. Their use in children is mainly guided by studies in adults.We carried out this review to determine the best (...) available evidence of the effectiveness of various osmotic agents and their effect on resolution of coma and outcome (neurological sequelae and mortality) in children with acute encephalopathies.We searched literature published between January 1966 and January 2008 on the use of osmotic agents in children aged between 0 and 16 years with acute encephalopathies.We searched Medline, Cochrane Library, EMBASE, Cumulative Index to Nursing and Allied Health Literature and other databases for both published
Positioning of Preterm Infants for Optimal Physiological Development: a systematic review. Positioning of preterm infants is a basic task of neonatal nursing care. A variety of outcomes are affected by different body positioning of preterm infants. This review evaluates the clinical evidence of the effects of positioning of preterm infants with regard to physiological outcomes and sleep states.To conduct a systematic review to determine the best available evidence related to the positioning (...) of preterm infants. The specific review questions addressed were: the physiological outcomes affected by different positioning, and the best position for promoting sleep.This review considered all studies that included infants born before 37 weeks of gestational age in any hospital setting. Outcomes included measures for physiologic effects and sleep state. The review primarily considered any randomized clinical trails (RCTs) that explored different positions in preterm infant but also included quasi
The Impact of Hospital Visiting Hour Policies on Pediatric and Adult Patients and their Visitors. Policies concerning restricted or open visiting hours are being challenged in health care institutions internationally, with no apparent consensus on the appropriateness of the visiting hour policies for pediatric and adult patients. The rules that govern practice are often based on the institutional precedent and assumptions of staff, and may have little or no evidence to support them. Policy (...) objective of this review was to appraise and synthesize the best available evidence on the impact of hospital visiting hours on patients and their visitors.Types of participants This review considered studies that included both pediatric and adult hospital patients and their visitors. Participants were either patients, visitors, or health care providers in the following hospital settings: medical/surgical units, critical care (ICU, CCU, NICU), pediatrics, maternity, or general hospital wards.Articles
Adverse drug reactions of oral dexamethasone in children and adolescents with childhood acute lymphoblastic leukemia: a systematic review. 27820314 2019 11 20 1838-2142 7 34 Suppl 2009 JBI library of systematic reviews JBI Libr Syst Rev Adverse drug reactions of oral dexamethasone in children and adolescents with childhood acute lymphoblastic leukemia: a systematic review. 1-23 eng Journal Article Australia JBI Libr Syst Rev 101688957 1838-2142 2016 11 8 6 0 2009 1 1 0 0 2009 1 1 0 1 ppublish
Factors determining diabetes care outcomes in patients with type 1 diabetes after transition from paediatric to adult health care: a systematic review - Protocol. 27820323 2019 11 20 1838-2142 7 34 Suppl 2009 JBI library of systematic reviews JBI Libr Syst Rev Factors determining diabetes care outcomes in patients with type 1 diabetes after transition from paediatric to adult health care: a systematic review - Protocol. 1-17 eng Journal Article Australia JBI Libr Syst Rev 101688957 1838-2142
The Effectiveness of Integrated Care Pathways for Adults and Children in Health Care Settings: A Systematic Review. Integrated Care Pathways (ICPs) are management technologies which formalise multi-disciplinary team-working and enable professionals to examine and address how they articulate their respective roles, responsibilities and activities. They map out a patient's journey and aim to have: 'the right people, doing the right things, in the right order, at the right time, in the right place (...) and in what contexts;To produce recommendations on how ICPs should be used in the full range of health care settings.Types of participants - The review focused on adults and children that accessed health care settings in which ICPs are used.Types of intervention(s)/phenomena of interest - For the purposes of the review, the ICP had to meet the defining characteristics set by the European Pathway Association (EPA):An explicit statement of the goals and key elements of care based on evidence, best practice
Feasibility of Home Management of Malaria among under-five children in developing countries: A Systematic Review. 27819901 2019 11 20 1838-2142 6 Suppl 8S 2008 JBI library of systematic reviews JBI Libr Syst Rev Feasibility of Home Management of Malaria among under-five children in developing countries: A Systematic Review. 1-9 Sudhakar Morankar M 1Department of Health Education and Behavioural Sciences, Jimma University, Ethiopia, Email: firstname.lastname@example.org 2Department of Epidemiology
Evidence for the effectiveness of different school-based programs in the management of childhood obesity: a systematic review. 27819931 2019 11 20 1838-2142 6 4 Suppl 2008 JBI library of systematic reviews JBI Libr Syst Rev Evidence for the effectiveness of different school-based programs in the management of childhood obesity: a systematic review. 1-9 Gonzalez-Suarez Consuelo B CB University of Santo Tomas, Philippines ESG (linked to the Centre for Allied Health Evidence, University of South
Prophylactic steroids for paediatric open-heart surgery: a systematic review. The immune response to cardiopulmonary bypass in infants and children can lead to a series of post-operative morbidities and mortality, that is, hemodynamic instability, increased infection and tachyarrhythmias. Administration of prophylactic doses of corticosteroids is sometimes used to try and ameliorate this pro-inflammatory response. However, the clinical benefits and harms of this type of intervention (...) in the paediatric patient remain unclear.To systematically review the beneficial and harmful effects of the prophylactic administration of corticosteroids, compared with placebo, in paediatric open-heart surgery.The trials registry of the Cochrane Heart Group, the Cochrane Central Register of Controlled Trials in The Cochrane Library (Issue 4, 2006), MEDLINE (1966 to January 2007), EMBASE (1980 to January 2007) were searched. An additional hand-search of the EMRO database for Arabic literature was performed
Suctioning children with an artificial airway in a healthcare setting - a systematic review. 27820088 2019 11 20 1838-2142 6 17 Suppl 2008 JBI library of systematic reviews JBI Libr Syst Rev Suctioning children with an artificial airway in a healthcare setting - a systematic review. 1-12 Trueman Melody M 1 CEBHA, Auckland District Health Board, Po Box 92189, Auckland 1. Contact: email@example.com 2 CEBHA, Auckland District Health Board, Po Box 92189, Auckland 1. Contact: firstname.lastname@example.org
Responses of care givers to children under the age of five with fever living in areas where malaria is endemic: a systematic review of qualitative studies. 27820471 2019 11 20 1838-2142 6 12 Suppl 2008 JBI library of systematic reviews JBI Libr Syst Rev Responses of care givers to children under the age of five with fever living in areas where malaria is endemic: a systematic review of qualitative studies. 1-8 Chinkhumba Jobiba J 1Malaria Alert Centre, College of Medicine, Private Bag 360