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Fifteen minute consultation: Approach to a school age child with suspected learning disability.

Authors:

Arch Dis Child Educ Pract Ed 2022 Aug 8. Epub 2022 Aug 8.

There are an estimated 1.5 million people in the UK with a learning disability, of which 351 000 are children (2.5% of total childhood population). Read More

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Incidental splenomegaly in a teenager.

Arch Dis Child Educ Pract Ed 2022 Aug 8. Epub 2022 Aug 8.

Division of Immunology, University Children's Hospital Zurich, University of Zurich (UZH), Zurich, Switzerland

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Not so fun at the funfair….

Arch Dis Child Educ Pract Ed 2022 Aug 8. Epub 2022 Aug 8.

Royal Belfast Hospital for Sick Children, Belfast, UK.

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Pulse oximetry respiratory monitoring for assessment of acute childhood wheeze.

Arch Dis Child 2022 Aug 8. Epub 2022 Aug 8.

Respiratory Care, Royal Alexandra Children's Hospital, University Hospitals Sussex NHS Foundation Trust, Brighton, UK

Objective: There is a lack of objective measures to assess children with acute wheezing episodes. Increased respiratory rate (RR) and pulsus paradoxus (PP) are recognised markers, but poorly recorded in practice. We examined whether they can be reliably assessed from a pulse oximeter plethysmogram ('pleth') trace and predict clinical outcome. Read More

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Type 2 diabetes and hypertension in Vietnam: a systematic review and meta-analysis of studies between 2000 and 2020.

BMJ Open 2022 Aug 8;12(8):e052725. Epub 2022 Aug 8.

Institute for Social Science Research, The University of Queensland, Brisbane, Queensland, Australia.

Objectives: The objective of this study was to determine the level of type 2 diabetes (T2DM) and hypertension (HTN) in Vietnam and to assess the trend and recommend the future direction of prevention research efforts.

Design: We searched scientific literature, databases including PubMed, EMBASE, CINHAL and Google Scholar; grey literature and reference lists for primary research published, nation database websites between 1 January 2000 and 30 September 2020. We adapted the modified Newcastle Ottawa Scale for assessing the quality of the study, as recommended by the Cochrane Collaboration. Read More

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Interventions for and experiences of shared decision-making underpinning reproductive health, family planning options and pregnancy for women with or at high risk of kidney disease: a systematic review and qualitative framework synthesis.

BMJ Open 2022 Aug 8;12(8):e062392. Epub 2022 Aug 8.

School of Medical and Health Sciences, Bangor University, Bangor, UK.

Objective: To determine intervention effects and synthesise qualitative research that explored women with or at high risk of kidney disease experiences of shared decision-making in relation to their reproductive health, family planning options and pregnancy.

Design: A systematic review of interventions and a qualitative evidence synthesis.

Data Sources: We searched Cochrane, CINAHL, MEDLINE, Scopus, ProQuest, Elsevier, PubMed, ScienceDirect and Web of Science. Read More

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Impact of COVID-19 on outpatient appointments in children and young people in England: an observational study.

BMJ Open 2022 Aug 8;12(8):e060961. Epub 2022 Aug 8.

Department of Primary Care and Public Health, Imperial College London, London, UK.

Objectives: To describe the impact of the COVID-19 pandemic on outpatient appointments for children and young people.

Setting: All National Health Service (public) hospitals in England.

Participants: All people in England aged <25 years. Read More

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Long-term outcomes following antenatal exposure to low-dose aspirin: study protocol for the 4-year follow-up of the APRIL randomised controlled trial.

BMJ Open 2022 Aug 8;12(8):e060632. Epub 2022 Aug 8.

Amsterdam UMC location Vrije Universiteit Amsterdam, Department of Obstetrics and Gynaecology, De Boelelaan 1117, Amsterdam, The Netherlands.

Introduction: The use of low-dose aspirin by pregnant women to prevent preterm pre-eclampsia is gradually increasing. The administration of aspirin during pregnancy improves perinatal outcome, which could translate into improved child outcome in the long term. However, antenatal exposure to aspirin could have adverse effects on child development that may manifest later in life. Read More

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Is in-utero exposure to cannabis associated with the risk of attention deficit with or without hyperactivity disorder? A cohort study within the Quebec Pregnancy Cohort.

BMJ Open 2022 Aug 8;12(8):e052220. Epub 2022 Aug 8.

Research Centre, CHU Sainte-Justine, Montreal, Quebec, Canada

Importance And Objective: Prenatal cannabis effect on attention deficit with or without hyperactivity disorder (ADHD) remains to be determined. Our aim is to quantify the impact of in-utero exposure to cannabis on the risk of ADHD.

Design: Cohort study. Read More

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A Young Child With Recurrent Pneumonia and Hemoptysis During the COVID-19 Pandemic.

Chest 2022 Aug;162(2):e77-e80

Department of Surgery, Division of Pediatric Surgery, Stony Brook University, Stony Brook, NY. Electronic address:

Case Presentation: In July 2020, a previously healthy 6-year-old boy was evaluated in a pulmonary clinic in New York after two episodes of pneumonia in the previous 3 months. For each episode, the patient presented with cough, fever, and hemoptysis, all of which resolved with antibiotic therapy and supportive care. The patient never experienced dyspnea during these episodes of pneumonia. Read More

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Optimising the reach of mobile health messaging programmes: an analysis of system generated data for the Kilkari programme across 13 states in India.

BMJ Glob Health 2022 Aug;6(Suppl 5)

Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.

Kilkari is an outbound service that makes weekly, stage-based, prerecorded calls about reproductive, maternal, neonatal and child health directly to families' mobile phones, starting from the second trimester of pregnancy and until the child is 1 year old. Since its initiation in 2012-2013, Kilkari has scaled to 13 states across India. In this analysis article, we explored the subscriber's journey from entry to programme to engagement with calls. Read More

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Advancing Curriculum Development and Design in Health Professions Education: A Health Equity and Inclusion Framework for Education Programs.

J Contin Educ Health Prof 2022 Aug 4. Epub 2022 Aug 4.

Dr. Agic: Independent Scientist, Centre for Addiction and Mental Health, Toronto, Ontario, Canada, and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. Fruitman: Instructional Designer, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Maharaj: Director, Community and Continuing Education, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Taylor: Editor, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Ashraf: Manager, Health Equity, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Dr. Henderson: Professor and Director, Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health; Senior Scientist, Centre for Addiction and Mental Health, Toronto, Ontario, Canada, and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Ronda: Chair, School of Workforce Development, Continuing Education and Online Learning, CAMH, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Dr. McKenzie: Professor, CEO of Wellesley Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada, and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Dr. Soklaridis: Associated Professor, Senior Scientist, Centre for Addiction and Mental Health, Toronto, Ontario, Canada, and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Dr. Sockalingam: Professor, Vice-President Education & Clinician Scientist, Centre for Addiction and Mental Health, Toronto, Ontario, Canada, and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.

Abstract: The COVID-19 pandemic has exacerbated pre-existing health inequities in vulnerable and marginalized patient populations. Continuing professional development (CPD) can be a critical driver of change to improve quality of care, health inequities, and system change. In order for CPD to address these disparities in care for patient populations most affected in the health care system, CPD programs must first address issues of equity and inclusion in their education development and delivery. Read More

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Clusters of Activity-Related Social and Physical Home Environmental Factors and Their Association With Children's Home-Based Physical Activity and Sitting.

Pediatr Exerc Sci 2022 Aug 8:1-12. Epub 2022 Aug 8.

Research Centre in Applied Sports, Technology, Exercise and Medicine (A-STEM), Swansea University, Swansea,United Kingdom.

Purpose: Understanding which physical activity (PA) and sedentary behavior correlates cluster in children is important, particularly in the home, where children spend significant time. Therefore, this study aimed to assess clustering of physical and social activity-related factors at home, and whether these clusters are related to home-based sitting and PA in children. A secondary aim was to explore whether the clusters were associated with child, parent, and family characteristics. Read More

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Post-Discharge Remote Patient Monitoring for Children Hospitalized for Failure to Thrive.

Acad Pediatr 2022 Aug 5. Epub 2022 Aug 5.

Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229; Department of Pediatrics, College of Medicine, University of Cincinnati, 3230 Eden Ave, Cincinnati, OH 45267.

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Social risks and healthcare utilization among a national sample of children with asthma.

Acad Pediatr 2022 Aug 5. Epub 2022 Aug 5.

Division of Hospital Medicine, Children's National Hospital, Washington, DC; Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC.

Objectives: Prior studies using single-center populations have established associations between social risks and healthcare utilization among children with asthma. We aimed to evaluate associations between social risks and healthcare utilization among a nationally representative sample of children with asthma.

Study Design: In this cross-sectional study, we utilized the 2018-2019 National Survey of Children's Health to identify children 2-17 years old with asthma. Read More

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Geographic Variation in Acute Pediatric Mental Health Utilization.

Acad Pediatr 2022 Aug 5. Epub 2022 Aug 5.

Division of Pediatric Hospital Medicine, Rady Children's Hospital/University of California San Diego.

Objective: To identify locations with higher need for acute pediatric mental health (MH) interventions or services and describe these communities' socio-demographic characteristics.

Methods: This single-center retrospective study included patients 5-18 years old with an Emergency Department (ED) or hospital admission between 2017-2019 for a primary known MH diagnosis or symptoms. We extracted visit data from the electronic medical record, mapped patients to their home census tract, calculated normalized visit rates by census tract, and performed spatial analysis to identify non-random geographic clusters and outliers of high utilization. Read More

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From Descriptive to Predictive: Linking Early Childhood Developmental and Behavioral Screening Results with Educational Outcomes in Kindergarten.

Acad Pediatr 2022 Aug 5. Epub 2022 Aug 5.

From the Hassenfeld Child Health Innovation Institute, (LE Schlichting and PM Vivier), Brown University, Providence, Rhode Island; Rhode Island Department of Health (B Berger), Providence, Rhode Island; Providence Public School District, (D Parrillo), Providence, Rhode Island; and Department of Health Law, Policy, and Management, School of Public Health, (RC Sheldrick), Boston University, Boston, Massachusetts.

Objective: To assess the predictive value of a pediatric screening tool by linking two independent databases: an educational database that includes data from standardized academic assessments administered during kindergarten and a pediatric database that includes screening results.

Methods: A database that includes results of the Survey of Well-being of Young Children (SWYC) completed during pediatric visits were linked to an educational database that includes STAR Early Literacy examinations in kindergarten. Linear multilevel regression modeling was used to examine if screening results on the developmental and behavioral sections of the most recently completed SWYC form predicted trends in the percentile rank on the STAR exam over the school year, adjusting for potential confounders. Read More

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Transcultural validation and adaptation of the Pedi-IKDC scale for the functional assessment of children that undergo knee surgery.

Rev Esp Cir Ortop Traumatol 2022 Aug 5. Epub 2022 Aug 5.

Residente de tercer año de Ortopedia y Traumatología. Universidad Nacional de Colombia, Colombia.

Introduction: In the last decades sports practice in children has increased, thus increasing the number of musculoskeletal injuries. There are no validated scales in spanish for the functional evaluation of knee aspects in children. The validation and cross-cultural adaptation of the PEDI IKDC scale to spanish, used for this purpose, was carried out. Read More

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Pediatric traumatic brain injury in a geographically dispersed population: relationship between distance to definitive neurosurgical treatment and outcome.

World Neurosurg 2022 Aug 5. Epub 2022 Aug 5.

Department of Neurosurgery, Division of Pediatric Neurosurgery, Primary Children's Hospital, University of Utah, Salt Lake City, Utah, USA. Electronic address:

Background: There are limited data on the association between transport distance and outcomes in pediatric patients with severe traumatic brain injuries (sTBIs), despite children having to travel further to pediatric trauma centers (PTCs).

Objective: To assess whether distance from a PTC is associated with outcomes in children who undergo cranial surgery after sTBI.

Methods: Children with sTBI who underwent craniectomy/craniotomy at our PTC between 2010 and 2019 were identified retrospectively. Read More

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Extreme risk protection orders, race/ethnicity, and equity: Evidence from California.

Prev Med 2022 Aug 5:107181. Epub 2022 Aug 5.

Department of Emergency Medicine, Violence Prevention Research Program, UC Davis School of Medicine, Sacramento, CA, USA; California Firearm Violence Research Center, Sacramento, CA, USA.

Extreme risk protection orders (ERPOs) provide a civil mechanism to temporarily remove firearm access from individuals at high risk of harming themselves or others. Evidence and theory suggest that ERPOs can prevent firearm-related harm, but the policy's impact on racial/ethnic equity is largely unknown. To examine potential inequities by race/ethnicity in public perceptions and use of California's ERPO law, we drew on two complementary data sources: 1) a 2020 state-representative survey of California adults, and 2) ERPO court documents for the first 3 years of policy implementation (2016-2018). Read More

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Comparison of pre- and postnatally diagnosed coronary artery fistulae: Echocardiographic features and clinical outcomes.

J Am Soc Echocardiogr 2022 Aug 5. Epub 2022 Aug 5.

Fetal and Neonatal Cardiology Program, Division of Cardiology, Department of Pediatrics, Stollery Children's Hospital. 8440 112 St NW, Edmonton, AB. Canada. T6G 2B7; Department of Obstetrics & Gynecology, University of Alberta. 8440 112 St NW, Edmonton, AB. Canada. T6G 2B7.

Background: Coronary artery fistulae (CAF) are abnormal connections of a coronary artery to a cardiac chamber or vessel. There is a paucity of data regarding clinical outcomes, especially when detected prenatally.

Methods: This was a multi-center retrospective cohort study of all CAF cases from 2002-2016. Read More

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The pathogenesis of Nipah virus: A review.

Microb Pathog 2022 Aug 5:105693. Epub 2022 Aug 5.

Department of Microbiology, Faculty of Biological Sciences, University of Chittagong, Chattogram, 4331, Bangladesh. Electronic address:

Nipah virus (NiV), an emerging zoonotic virus, has been associated with several outbreaks with high death rates, mainly in South and Southeast Asia. NiV is responsible for Encephalitis and systemic vasculitis, and occasionally respiratory diseases accompanied by it. Though fruit bats are the natural source of NiV, it can be transmitted in a zoonotic manner directly or via an intermediate host (e. Read More

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Potentially harmful elements in urban surface deposited sediment of Ekaterinburg, Russia: Occurrence, source appointment and risk assessment.

Chemosphere 2022 Aug 5:135898. Epub 2022 Aug 5.

Nuclear Materials Authority, Maadi 520, Egypt.

In this study, the human health risks of potentially harmful elements (PHEs) in urban surface deposited sediments (USDS) were examined by collecting urban dust samples, measuring their PHE concentrations, and using index evaluation. About 35, 12 and 16 samples are represented a green zones, roads, driveways and sidewalks in residential areas of Ekaterinburg, respectively. The dust fraction (0. Read More

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Interaction between manganese and SLC6A3 genetic polymorphisms in relation to dyslexia.

Neurotoxicology 2022 Aug 5. Epub 2022 Aug 5.

Department of Maternal and Child Health and MOE (Ministry of Education) Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address:

Background: Excessive exposure to manganese is harmful for neurodevelopment, causing intellectual disability, decreased cognitive ability and diminished language quotients. However, little is known about the link between manganese, genetic susceptibility and the risk of dyslexia. We aim to examine the association between manganese exposure and dyslexia and to test whether the SLC6A3 gene would modify this relationship. Read More

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Interdisciplinary Collaboration in a Pediatric Urology Outpatient Clinic at a Tertiary Children's Hospital: A Case Series.

Urology 2022 Aug 5. Epub 2022 Aug 5.

Boston Children's Hospital; Harvard Medical School.

Objectives: To increase awareness and understanding of how psychology, social work, and child life specialties can integrate into interdisciplinary pediatric urology care. To advocate for increased access to psychology, social work, and child life specialty care in other pediatric urology care centers.

Methods: Authors participated in a series of discussion groups to develop the aim and goals for this study and identify patients that would best exemplify the interdisciplinary nature of care provided. Read More

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Gestational Age at Term and Teacher-Reported ADHD Symptom Patterns.

J Pediatr 2022 Aug 5. Epub 2022 Aug 5.

Department of Pediatrics, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ; Child Health Institute of New Jersey, Rutgers University, New Brunswick, NJ. Electronic address:

Objective: To estimate associations between gestational age (GA) and teacher-reported ADHD- related symptom patterns at age 9 among children born at term (37-41 weeks).

Study Design: A secondary data analysis of approximately 1,400 children in the Fragile Families and Child Wellbeing study, a U.S. Read More

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Sleep Patterns and School Readiness of Pre-Kindergarteners from Racially and Ethnically Diverse, Low-Income Backgrounds.

J Pediatr 2022 Aug 5. Epub 2022 Aug 5.

School of Education and Human Development, Center for Advanced Study of Teaching and Learning, University of Virginia.

Objective: To explore patterns in parent-reported child sleep health and to investigate connections between such patterns and school readiness for newly enrolled Pre-Kindergarten (PreK) attendees from racially and ethnically diverse, low-income backgrounds.

Study Design: In a secondary analysis from a larger multiple-cohort longitudinal observational study of prekindergartners in low-income families, parental reports of sleep health for 351 children (mean age, 52.8 + 3. Read More

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