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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.
This page lists the very latest high quality evidence on children and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.
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Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.
Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.
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on personal protective equipment (PPE). Check their webpage for the newest guidance. Q: Should I encourage families to keep their well-child appointments? A: Families should contact their child’s doctor’s office. The AAP released ; it is recommended for children to have well-child visits through the first 24 months, because of the importance of early childhood immunizations and developmental screening. Individual primary care providers may have developed different processes and may be using telehealth. Q (...) : How can I prepare families for telehealth appointments? A: Families should contact their child’s doctor’s office. Pediatric providers are rapidly learning new telehealth technologies, and government regulations and insurance payments have rapidly changed to make this a great strategy for families to stay connected with their doctor. Q: How do I keep myself safe while caring for children? A: T he smaller the group, the better , as staffing allows. Infection control and prevention measures are your
and email@example.com. 2 Centre of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan. 3 Ontario Child Health Support Unit, SickKids Research Institute, Toronto, Ontario, Canada; and. 4 Section of Pediatric Emergency Medicine, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. 5 Centre for Global Child Health, The Hospital for Sick Children, Toronto, Ontario, Canada. PMID: 31694979 DOI: Item in Clipboard Oral Ondansetron (...) Administration to Dehydrated Children in Pakistan: A Randomized Clinical Trial Stephen B Freedman et al. Pediatrics . Dec 2019 Show details Pediatrics Actions , 144 (6) Authors , , , , , , , Affiliations 1 Sections of Pediatric Emergency Medicine and Gastroenterology, Department of Pediatrics, Alberta Children's Hospital and Alberta Children's Hospital Research Institute and firstname.lastname@example.org. 2 Centre of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan. 3 Ontario Child
[Effect of an intervention based on child-care centers to reduce risk behaviors for obesity in preschoolchildren]. Preschool age is a critical stage for health promotion and prevention of obesity, which is an emerging public health problem in children. The aim of this study was to design and evaluate the effect of a multifaceted intervention based on child-care centers to reduce risk behaviors for obesity among preschool children.A 12-month cluster-randomized community trial was conducted (...) in 16 Mexican Institute of Social Security child-care centers in Mexico City. Children between 2 and 4 years of age enrolled in the selected child-care centers participated in the study. Intervention comprised 12 weekly curriculum sessions for the children, and six family workshops. Changes in children's dietary and physical activity, food availability at home, and maternal feeding styles were determined after 6 and 12 months. Changes within groups among stages, and between groups by stage were
[Comparative study of the conventional scheme and prolonged treatment with steroids on primary steroid-sensitive nephrotic syndrome in children]. In the steroid-sensitive nephrotic syndrome (SSNS) the prolonged treatment with steroids could decrease the frequency of relapses. We conducted a comparative study of prolonged steroid scheme and the usual treatment of primary SSNS to assess: the number of patients with relapses, mean time to treatment initiation, to remission and to first relapse
Affiliations Department of Pediatric Cardiology, University of Münster, Münster, Germany , MD, MD(Res) m , x Heiner Latus Affiliations Department of Paediatric Cardiology and Congenital Heart Defects, German Heart Centre, Munich, Germany , MD n , x Ina Michel-Behnke Affiliations Pediatric Heart Center, Division of Pediatric Cardiology, University Hospital for Children and Adolescents, Medical University Vienna, Vienna, Austria , MD, PhD o , x Oliver Miera Affiliations Department of Congenital Heart Disease (...) , Gothenburg University, Gothenburg, Sweden , MD, PhD y , x Sven C. Weber Affiliations Department of Pediatric Cardiology, Charité – Universitätsmedizin Berlin, Berlin, Germany , MD t , x Peter Zartner Affiliations Department of Paediatric Cardiology, German Pediatric Heart Centre, Sankt Augustin, Germany , MD z DOI: | Publication History Published online: June 21, 2019 | ---- Figure 1 Diagnostic algorithm for a child or young adult with suspected PH. Screening for pediatric PH is performed by ECG
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