Latest & greatest articles for children

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Top results for children

162. Feasibility and Accuracy of Fast MRI Versus CT for Traumatic Brain Injury in Young Children (Abstract)

86.3-96.8), missing 6 participants with isolated skull fractures and 2 with subarachnoid hemorrhage.Fast MRI is feasible and accurate relative to CT in clinically stable children with concern for TBI.Copyright © 2019 by the American Academy of Pediatrics. (...) Feasibility and Accuracy of Fast MRI Versus CT for Traumatic Brain Injury in Young Children Computed tomography (CT) is commonly used for children when there is concern for traumatic brain injury (TBI) and is a significant source of ionizing radiation. Our objective was to determine the feasibility and accuracy of fast MRI (motion-tolerant MRI sequences performed without sedation) in young children.In this prospective cohort study, we attempted fast MRI in children <6 years old who had head CT

2019 EvidenceUpdates

163. Perioperative Gabapentin in Pediatric Thoracic Surgery Patients-Randomized, Placebo-Controlled, Phase 4 Trial (Abstract)

Perioperative Gabapentin in Pediatric Thoracic Surgery Patients-Randomized, Placebo-Controlled, Phase 4 Trial To determine whether the use of perioperative gabapentin reduces postoperative pain and anxiety, decreases ropivacaine consumption and side effects, and improves patient satisfaction.Randomized, placebo-controlled, phase 4 trial.Participants, care providers, investigators, data analysts.Department of Thoracic Surgery of the Institute of Tuberculosis and Lung Disease, Rabka Zdrój Branch (...) [5-6] vs 7 [6-9], P = 0.02). A significant negative association was found between patient satisfaction and postoperative state anxiety in the gabapentin group (R = -0.51, P = 0.02).Perioperative administration of gabapentin resulted in a decrease of postoperative anxiety in pediatric patients undergoing the Ravitch procedure.© 2019 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

2019 EvidenceUpdates

164. Text messaging for maternal and infant retention in prevention of mother-to-child HIV transmission services: A pragmatic stepped-wedge cluster-randomized trial in Kenya Full Text available with Trip Pro

Text messaging for maternal and infant retention in prevention of mother-to-child HIV transmission services: A pragmatic stepped-wedge cluster-randomized trial in Kenya Timely diagnosis of infant HIV infection is essential for antiretroviral therapy (ART) initiation. In a randomized controlled trial, we found the Texting Improves Testing (TextIT) intervention (a theory-based text messaging system) to be efficacious for improving infant HIV testing rates and maternal retention in prevention (...) of mother-to-child HIV transmission (PMTCT) programs. Using an implementation science approach, we aimed to evaluate real-world effectiveness of the intervention.In a pragmatic, cluster-randomized, stepped-wedge trial with 2 time periods of observation, we randomly allocated 10 clinics to begin implementing the intervention immediately and 10 clinics to begin implementing 6 months later. To approximate real-world conditions, inclusion criteria were broad. Women at clinics implementing the intervention

2019 EvidenceUpdates

165. During Conscious Sedation the Risk of Adverse Events Is Likely Increased in Obese Children Compared to Those of Healthy Weight

compared to children who are at healthy weight? Clinical Bottom Line For children with childhood obesity, conscious sedation may lead to more adverse events including oxyhemoglobin desaturation, nausea and true apnea. However, additional evidence is needed to know if there is any clinical and statistical difference between obese children and healthy weight children during conscious sedation. This is supported by both a cross-sectional retrospective study and a review of literature on the relationship (...) 1 or more adverse events and the remaining 86% experienced no adverse event. The patients who experienced adverse events had higher mean weight and higher BMI, although not a statistically significant difference was observed. Adverse events include oxyhemoglobin desaturation, nausea/vomiting, and true apnea. #2) Baker/2006 N/A Literature Review Key results The purpose of this literature review is to explain the effect childhood obesity has on sedation of patients in pediatric dentistry and offer

2019 UTHSCSA Dental School CAT Library

166. Safeguarding children and vulnerable adults: general practice reporting: supporting documents

Safeguarding children and vulnerable adults: general practice reporting: supporting documents NHS England » Safeguarding children and vulnerable adults: general practice reporting: supporting documents Search Search Menu Safeguarding children and vulnerable adults: general practice reporting: supporting documents Document first published: 11 July 2019 Page updated: 11 July 2019 Topic: , , , Publication type: Documents in support of . Document PDF 166 KB 6 pages Summary Providing further context

2019 NHS England

167. Early detection for autism spectrum disorder in young children

Early detection for autism spectrum disorder in young children Autism spectrum disorder (ASD) is a life-long neurodevelopmental disorder, characterized by impairments in social communication, repetitive, restricted patterns of behaviour, and unusual sensory sensitivities or interests. ASD significantly impacts the lives of children and their families. Currently, the estimated prevalence of ASD is 1 in 66 Canadians aged 5 to 17 years. General paediatricians, family physicians, and other health (...) care professionals are, therefore, seeing more children with ASD in their practices. The timely diagnosis of ASD, and referral for intensive behavioural and educational interventions at the earliest age possible, may lead to better long-term outcomes by capitalizing on the brain’s neuroplasticity at younger ages. This statement provides clear, comprehensive, evidence-informed recommendations and tools to help community paediatricians and other primary care providers monitor for the earliest

2019 Canadian Paediatric Society

168. Managing pain and distress in children undergoing brief diagnostic and therapeutic procedures

Managing pain and distress in children undergoing brief diagnostic and therapeutic procedures Common medical procedures to assess and treat patients can cause significant pain and distress. Clinicians should have a basic approach for minimizing pain and distress in children, particularly for frequently used diagnostic and therapeutic procedures. This statement focuses on infants (excluding care provided in the NICU), children, and youth who are undergoing common, minor but painful medical (...) , improve education and access to guidelines, create child- and youth-friendly environments, ensure availability of appropriate staff, equipment and pharmacological agents, and perform quality audits to ensure pain management is optimal. Keywords: Distress; Paediatrics; Pain; Procedures; Treatment

2019 Canadian Paediatric Society

169. Randomized Phase II Trial of Bevacizumab or Temsirolimus in Combination With Chemotherapy for First Relapse Rhabdomyosarcoma: A Report From the Children's Oncology Group (Abstract)

Randomized Phase II Trial of Bevacizumab or Temsirolimus in Combination With Chemotherapy for First Relapse Rhabdomyosarcoma: A Report From the Children's Oncology Group The primary aim of this clinical trial was to prioritize bevacizumab or temsirolimus for additional investigation in rhabdomyosarcoma (RMS) when administered in combination with cytotoxic chemotherapy to patients with RMS in first relapse with unfavorable prognosis.Patients were randomly assigned to receive bevacizumab on day 1

2019 EvidenceUpdates

170. Acoustic Shadowing Facilitates Ultrasound-guided Radial Artery Cannulation in Young Children (Abstract)

Acoustic Shadowing Facilitates Ultrasound-guided Radial Artery Cannulation in Young Children Arterial cannulation in young children can be challenging. Ultrasound guidance using focused acoustic shadowing may be suitable for guiding radial artery puncture in young children. The present research tested the hypothesis that ultrasound guidance using focused acoustic shadowing helps increase the success rate of radial artery cannulation in this population.In a double-blinded, parallel-group trial (...) , 79 young children undergoing surgery under general anesthesia were randomly assigned to two groups (1:1 ratio): the traditional ultrasound group and the novel ultrasound group. Young children in the traditional group underwent conventional ultrasound-guided radial artery puncture, whereas those in the novel ultrasound group underwent radial artery puncture guided by acoustic shadowing ultrasound with double developing lines. All radial artery punctures were performed using the short-axis out

2019 EvidenceUpdates

171. Botulinum toxin A for focal spasticity of the upper or lower limbs in children with cerebral palsy

Botulinum toxin A for focal spasticity of the upper or lower limbs in children with cerebral palsy '); } else { document.write(' '); } ACE | Botulinum toxin A for treating focal spasticity of the upper or lower limbs in children with cerebral palsy Search > > Botulinum toxin A for treating focal spasticity of the upper or lower limbs in children with cerebral palsy - Botulinum toxin A for treating focal spasticity of the upper or lower limbs in children with cerebral palsy Published on 2 (...) September 2019 Guidance Recommendations The Ministry of Health's Drug Advisory Committee has recommended: Clostridium botulinum toxin type A neurotoxin complex (Botox) 50 U and 100 U injection vials for treating children, aged 2 years or older, with focal spasticity of the upper or lower limbs (including dynamic equinus foot deformity) due to cerebral palsy, and who: do not have significant joint contractures, i.e. the affected joint is not permanently fixed in position due to shortening of the target

2019 Appropriate Care Guides, Agency for Care Effectiveness (Singapore)

172. ASCIA Checklist - Transitioning patients from paediatric to adult services

ASCIA Checklist - Transitioning patients from paediatric to adult services Anaphylaxis Checklist Transitioning from paediatric to adult care for young adults with severe allergies. Understanding your allergies and learning how to look after your health independently makes the transition from paediatric to adult medical care easier. It is important for you to: ? Have a GP and clinical immunology/allergy specialist whom you see regularly. ? Attend appointments with your GP or clinical immunology

2019 Australasian Society of Clinical Immunology and Allergy

173. Controlled Trial of Two Incremental Milk-Feeding Rates in Preterm Infants. (Abstract)

Controlled Trial of Two Incremental Milk-Feeding Rates in Preterm Infants. Observational data have shown that slow advancement of enteral feeding volumes in preterm infants is associated with a reduced risk of necrotizing enterocolitis but an increased risk of late-onset sepsis. However, data from randomized trials are limited.We randomly assigned very preterm or very-low-birth-weight infants to daily milk increments of 30 ml per kilogram of body weight (faster increment) or 18 ml per kilogram (...) (slower increment) until reaching full feeding volumes. The primary outcome was survival without moderate or severe neurodevelopmental disability at 24 months. Secondary outcomes included components of the primary outcome, confirmed or suspected late-onset sepsis, necrotizing enterocolitis, and cerebral palsy.Among 2804 infants who underwent randomization, the primary outcome could be assessed in 1224 (87.4%) assigned to the faster increment and 1246 (88.7%) assigned to the slower increment. Survival

2019 NEJM

174. Medical and surgical interventions for the treatment of urinary stones in children. (Abstract)

Medical and surgical interventions for the treatment of urinary stones in children. Urolithiasis is a condition where crystalline mineral deposits (stones) form within the urinary tract. Urinary stones can be located in any part of the urinary tract. Affected children may present with abdominal pain, blood in the urine or signs of infection. Radiological evaluation is used to confirm the diagnosis, to assess the size of the stone, its location, and the degree of possible urinary obstruction.To (...) . The date of the last search of all electronic databases was 31 December 2017 and we applied no language restrictions.We included all randomised controlled trials (RCTs) and quasi-RCTs looking at interventions for upper urinary tract stones in children. These included shock wave lithotripsy, percutaneous nephrolithotripsy, ureterorenoscopy, open surgery and medical expulsion therapy for upper urinary tract stones in children aged 0 to 18 years.We used standard methodological procedures according

2019 Cochrane

175. Botulinum toxin type A in the treatment of lower limb spasticity in children with cerebral palsy. (Abstract)

Botulinum toxin type A in the treatment of lower limb spasticity in children with cerebral palsy. Cerebral palsy (CP) is the most common cause of physical disabilities in children in high-income countries. Spasticity is the most common motor disturbance in CP. Botulinum toxin type A (BoNT-A) is considered the first-line treatment for focal spasticity in people with CP.To evaluate the effectiveness and safety of BoNT-A compared to other treatments used in the management of lower limb spasticity (...) in children with CP.We searched CENTRAL, PubMed, four other databases, and two trial registers in October 2018. We also searched the reference lists of relevant studies and reviews and contacted experts in the field. We did not apply any date or language restrictions.Randomised controlled trials of children with CP, aged between birth and 19 years, treated with BoNT-A injections in the lower limb muscles compared to other interventions. The primary outcomes were gait analysis and function. The secondary

2019 Cochrane

176. Effect of community-initiated kangaroo mother care on survival of infants with low birthweight: a randomised controlled trial. (Abstract)

Effect of community-initiated kangaroo mother care on survival of infants with low birthweight: a randomised controlled trial. Coverage of kangaroo mother care remains very low despite WHO recommendations for its use for babies with low birthweight in health facilities for over a decade. Initiating kangaroo mother care at the community level is a promising strategy to increase coverage. However, knowledge of the efficacy of community-initiated kangaroo mother care is still lacking. We aimed (...) to assess the effect of community-initiated kangaroo mother care provided to babies weighing 1500-2250 g on neonatal and infant survival.In this randomised controlled, superiority trial, undertaken in Haryana, India, we enrolled babies weighing 1500-2250 g at home within 72 h of birth, if not already initiated in kangaroo mother care, irrespective of place of birth (ie, home or health facility) and who were stable and feeding. The first eligible infants in households were randomly assigned (1:1

2019 Lancet

177. Weighted Blankets for Self-Regulation in Pediatrics: Clinical Effectiveness and Guidelines

Weighted Blankets for Self-Regulation in Pediatrics: Clinical Effectiveness and Guidelines Weighted Blankets for Self-Regulation in Pediatrics: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Weighted Blankets for Self-Regulation in Pediatrics: Clinical Effectiveness and Guidelines Weighted Blankets for Self-Regulation in Pediatrics: Clinical Effectiveness and Guidelines Last updated: March 19, 2019 Project Number: RB1318-000 Product Line: Research Type: Devices (...) and Systems Report Type: Summary of Abstracts Result type: Report Question What is the evidence regarding clinical effectiveness of weighted blankets for pediatric patients for self-regulation? What are the evidence-based guidelines regarding the use of weighted blankets in pediatric patients for self-regulation? Key Message One systematic review and one randomized controlled trial were identified regarding weighted blankets for self-regulation in pediatric patients. No relevant evidence based-guidelines

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

178. Probiotics for Antibiotic-Associated Diarrhea in Pediatrics: A Review of Clinical Effectiveness and Guidelines

Probiotics for Antibiotic-Associated Diarrhea in Pediatrics: A Review of Clinical Effectiveness and Guidelines Probiotics for Antibiotic-Associated Diarrhea in Pediatrics: A Review of Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Probiotics for Antibiotic-Associated Diarrhea in Pediatrics: A Review of Clinical Effectiveness and Guidelines Probiotics for Antibiotic-Associated Diarrhea in Pediatrics: A Review of Clinical Effectiveness and Guidelines Last updated (...) : March 25, 2019 Project Number: RC1086-000 Product Line: Research Type: Drug Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of probiotics (with or without concurrent antibiotics) for preventing and treating antibiotic-associated diarrhea in the pediatric population? What are the evidence-based guidelines regarding the use of probiotics (with or without concurrent antibiotics) for the prevention and treatment of antibiotic-associated

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

179. Infrared Tympanic Thermometers for Measurement of Temperature in Adults and Children: Clinical Effectiveness, Diagnostic Accuracy, and Guidelines

Infrared Tympanic Thermometers for Measurement of Temperature in Adults and Children: Clinical Effectiveness, Diagnostic Accuracy, and Guidelines Infrared Tympanic Thermometers for Measurement of Temperature in Adults and Children: Clinical Effectiveness, Diagnostic Accuracy, and Guidelines | CADTH.ca Find the information you need Infrared Tympanic Thermometers for Measurement of Temperature in Adults and Children: Clinical Effectiveness, Diagnostic Accuracy, and Guidelines Infrared Tympanic (...) Thermometers for Measurement of Temperature in Adults and Children: Clinical Effectiveness, Diagnostic Accuracy, and Guidelines Last updated: April 10, 2019 Project Number: RB1321-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the comparative clinical effectiveness of infrared tympanic thermometers compared with electronic oral or temporal thermometers? What is the diagnostic accuracy of infrared tympanic thermometers compared

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

180. Exercises and Massage Post-Frenectomy for Infants with Tongue and Lip Tie: Clinical Effectivenes

Exercises and Massage Post-Frenectomy for Infants with Tongue and Lip Tie: Clinical Effectivenes Exercises and Massage Post-Frenectomy for Infants with Tongue and Lip Tie: Clinical Effectivenes | CADTH.ca Find the information you need Exercises and Massage Post-Frenectomy for Infants with Tongue and Lip Tie: Clinical Effectivenes Exercises and Massage Post-Frenectomy for Infants with Tongue and Lip Tie: Clinical Effectivenes Last updated: May 14, 2019 Project Number: RB1341-000 Product Line (...) : Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of exercises and/or massage of the wound bed in preventing re-adhesion following tongue tie or lip tie release? Key Message No relevant literature was identified regarding the clinical effectiveness of exercises and massage post-frenectomy for infants with tongue and lip tie. Files Rapid Response Summary of Abstracts Published : May 14, 2019 Related Content Follow us: ©

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review