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. Secondary malnutrition can then further contribute to the GI motility disorder. This guide, produced by the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN), provides recommendations and a systematic approach for the care of paediatric patients with NI and should be read in conjunction with the ESPGHAN Clinical Advice Guides on: Methods and Recommendations for Nutritional Management and Requirements for Children with Neurological Impairments Dietetic Management (...) this guide can be found within the following paper, which this guide is based upon: Romano, Claudio, et al. "Evaluation and Treatment of Gastrointestinal and Nutritional Complications in Children With Neurological Impairment." (Journal of Pediatric Gastroenterology and Nutrition 2017;65: 242–264). 1. Del Giudice E. et al. Gastrointestinal manifestations in children with cerebral palsy. Brain and Development 21(5):307-11 · August 1999 Constipation Constipation is significantly more common among children
Resuscitation Council UK Statement on COVID-19 in relation to CPR and resuscitation in Paediatrics Guidance for the resuscitation of COVID-19 patients in hospital. Guidance Decision making The conversations and decision-making processes around resuscitation must continue and must be individualised unless directives state otherwise. Conversations, and treatment escalation planning must be a priority. Ensure “do not attempt cardiopulmonary resuscitation” (DNACPR) decisions are well documented
involve children. We have found seven such re- search articles. Cai et al. (6): The authors reported the clinical picture of the first 10 children with a registered COVID-19 infection in Beijing. It is suspected that one of the children, an infant, may have infected the parents. Park et al. (7): Provides a description of the probable route of infection for the first child registered to have been infected with COVID-19 in South Korea. The child was probably infected by an adult family member (...) reported nothing about the role of the child, or other children, in the spread of the infection. Pung et al. (12): This report described three clusters of infected cases, all of which were comprised of only adults with the exception of one infant in one of the clusters. The article told us little or nothing about the chain of infection. As far as we can see, very few, if any, reported cases of virus transmission from chil- dren have been published, but the material is too scarce to be used as a basis
’t Jong, Connie Yang, Canadian Paediatric Society, , , COVID-19 is a predominantly respiratory infection, and there are concerns regarding the effects of this virus on children and youth with asthma. No evidence to date suggests that young people with asthma are at increased risk for COVID-19 infection [ ] [ ] . However, there is a theoretical possibility that a child or youth with asthma infected with COVID-19 could experience an asthma exacerbation and serious morbidity due to combined effects (...) Paediatric asthma and COVID-19 Paediatric asthma and COVID-19Paediatric asthma and COVID-19 | Canadian Paediatric Society A home for paediatricians. A voice for children and youth. Current: Paediatric asthma and… Practice Point Paediatric asthma and COVID-19 Posted: Apr 1 2020 The Canadian Paediatric Society gives permission to print single copies of this document from our website. For permission to reprint or reproduce multiple copies, please see our . Principal author(s) Elissa Abrams, Geert
Chloroquine and COVID-19 in children Chloroquine and COVID-19 in children | Canadian Paediatric Society A home for paediatricians. A voice for children and youth. Current: Chloroquine and COVID-19 in children Chloroquine and COVID-19 in children Posted on Mar 27 2020 by the Canadian Paediatric Society | Topic(s): , By Dr. Michael J. Rieder, Dr. Geert ‘t Jong, Dr. Nicole Le Saux Drug Therapy & Harardous Substances Committee; Infectious Diseases and Immunization Committee Canadian Paediatric (...) on pharmaceutical supply chains. Clinicians should not use chloroquine or hydroxychloroquine for treatment of suspected or confirmed COVID-19 in children unless under the direction of infectious diseases specialist or in the context of a trial approved by research ethics boards and by Health Canada. Children and youth already receiving chloroquine or hydroxychloroquine for therapy of chronic conditions such as lupus should continue on therapy under the guidance of their physicians. Reference 1. Xueting Yao, Fei
if pharynx is red or if there is any exudate. Kids can have lots of rashes, whether they are viral-induced, eczema or a drug reaction; these can be seen on video too. Who to still see in person in your clinic , because any delay or omission in scheduled vaccines puts children at risk for common and serious childhood infections such as pneumococcal disease, measles, and pertussis. Reserving times for this group may be a priority. Maintaining accurate, up-to-date health records and ensuring follow-up (...) Covid-19: Providing virtual care during a pandemic, a guide to telemedicine in the paediatric office Providing virtual care during a pandemic: A guide to telemedicine in the paediatric office | Canadian Paediatric Society A home for paediatricians. A voice for children and youth. Current: Providing virtual care during a pandemic: A guide to telemedicine in the… Providing virtual care during a pandemic: A guide to telemedicine in the paediatric office Posted on Mar 26 2020 by the Canadian
global pandemic affecting persons of all ages. Severe respiratory disease can occur in adults, particularly the elderly and those with underlying health conditions. Limited data are available for pregnant women and newborns with COVID-19. A few small case series suggest that congenital and perinatal transmission to newborns from infected women may occur, likely infrequently. Pediatric data demonstrate that children of all ages are susceptible to SARS- CoV-2, and that infants under 1 year of age (...) Management of Infants Born to Mothers with COVID-19 INITIAL GUIDANCE: Management of Infants Born to Mothers with COVID-19 Date of Document: April 2, 2020 Karen M. Puopolo, M.D. Ph.D., Mark L. Hudak, M.D., David W. Kimberlin, M.D., James Cummings, M.D. American Academy of Pediatrics Committee on Fetus and Newborn, Section on Neonatal Perinatal Medicine, and Committee on Infectious Diseases ABSTRACT COVID-19, the disease caused by the novel coronavirus SARS-CoV-2, has led to an unprecedented
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 firstname.lastname@example.org. 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 email@example.com. 2 Centre of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan. 3 Ontario Child
Protocol (CCP-UK) led by Professor Calum Semple. NHS England have developed a clinical dashboard which can feed information about admission rates in children on a twice-weekly basis to hospital trusts. The British Paediatric Surveillance Unit is running a data collection programme for infants 10 were associated with pneumonia.11 Additional diagnostic tests for severely unwell children The majority of children are expected to have asymptomatic or mild disease only. No additional blood tests are required (...) , including district general hospitals, and now including children down to those just born. If you are considering entering a child to RECOVERY, we suggest you check with your Regional Infectious Disease team as well as watch the relevant video(s) and view the FAQs on the study website. Note there are separate training videos in respect to children and infants of less than 29 days of age. If you are still uncertain about eligibility, you can contact an "on-call" member of the study team to discuss further
), only with viral illnesses, but no symptoms in the interval between—give a trial of ICS for a minimum of eight weeks. If there is a positive response, these children should then be labelled as ‘preschool asthma’, if not, the treatment should be stopped and the child should remain labelled as ‘frequent preschool wheeze’. An alternative term sometimes used is ‘frequent episodic (viral) wheeze’. Preschool asthma Those with frequent symptoms typical for asthma during and in the interval between viral (...) . • Inhaler technique should be routinely assessed wherever possible and training provided as part of self-man- agement education. Asthma action plans Goal: All children with asthma are provided with an asthma action plan • To assist in self-management of childhood asthma, consider all of the child’s regular caregivers and environ- ments in preparing and distributing the action plan. • Asthma action plans that are symp- tom-based, rather than PEF-based, are preferred in children, although some older
[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
Impact of Feed the Future initiative on nutrition in children aged less than 5 years in sub-Saharan Africa: difference-in-differences analysis. To evaluate the impact of the US government's Feed the Future initiative on nutrition outcomes in children younger than 5 years in sub-Saharan Africa.Difference-in-differences quasi-experimental approach.Households in 33 low and lower middle income countries in sub-Saharan Africa.883 309 children aged less than 5 years with weight, height, and age (...) recorded in 118 surveys conducted in 33 countries between 2000 and 2017: 388 052 children were from Feed the Future countries and 495 257 were from non-Feed the Future countries.A difference-in-differences approach was used to compare outcomes among children in intervention countries after implementation of the initiative with children before its introduction and children in non-intervention countries, controlling for relevant covariates, time invariant national differences, and time trends
red blood cells in critically ill children.The Age of Transfused Blood in Critically-Ill Children trial was an international, multicenter, blinded, randomized clinical trial, performed between February 2014 and November 2018 in 50 tertiary care centers. Pediatric patients between the ages of 3 days and 16 years were eligible if the first red blood cell transfusion was administered within 7 days of intensive care unit admission. A total of 15 568 patients were screened, and 13 308 were (...) Effect of Fresh vs Standard-issue Red Blood Cell Transfusions on Multiple Organ Dysfunction Syndrome in Critically Ill Pediatric Patients: A Randomized Clinical Trial. The clinical consequences of red blood cell storage age for critically ill pediatric patients have not been examined in a large, randomized clinical trial.To determine if the transfusion of fresh red blood cells (stored ≤7 days) reduced new or progressive multiple organ dysfunction syndrome compared with the use of standard-issue
Association Between Fertility Treatment and Cancer Risk in Children. An increasing number of children worldwide are born after the use of fertility treatment, although it remains unclear whether the treatment affects the risk of childhood cancer and whether any associations observed are due to the use of specific drugs, the use of specific procedures, or the underlying infertility.To examine the association between different types of fertility treatments and cancer risk in children.A (...) ], gonadotropin-releasing hormone analogs [n = 38 653], human chorionic gonadotropin [n = 68 181], progesterone [n = 41 628], and estrogen [n = 16 948]) and assisted reproductive technology (in vitro fertilization [n = 19 448], intracytoplasmic sperm injection [n = 13 417], and frozen embryo transfer [n = 3356]). Each exposure was examined separately and compared with children born to fertile women.Hazard ratios and incidence rate differences for childhood cancer.After 12.2 million person-years of follow-up
Does general anesthesia affect neurodevelopment in infants and children? General anesthesia has been unequivocally linked to abnormal development of the central nervous system, leading to neurocognitive impairments in laboratory models. In vitro and in vivo studies have consistently shown that exposure to GABA agonists (eg, volatile anesthetics, midazolam, and propofol) or NMDA antagonists (eg, ketamine, isoflurane, and nitrous oxide) produces dose dependent and developmental age dependent (...) effects on various neuronal transmission systems. Exposure to these drugs increases neuronal cell death in juvenile animals including rats, mice, and non-human primates. The possibility of anesthetic induced neurotoxicity occurring in children has led to concerns about the safety of pediatric anesthesia. A spectrum of behavioral changes has been documented after general anesthetic exposure in young children, including emergence delirium, which may be evidence of toxicity. Most clinical studies
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