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Mashup Score: 22Towards system redesign: An exploratory analysis of neurodivergent traits in a childhood population referred for autism assessment - 3 month(s) ago
Background Children’s health services in many countries are moving from single condition diagnostic silo assessments to considering neurodevelopment in a more holistic sense. There has been increasing recognition of the importance of clinical overlap and co-occurrence of different neurotypes when assessing neurodivergent children. Using a cross-sectional service evaluation design, we investigated the overlap of neurodivergences in a cohort of children referred for autism assessment, focusing on motor, learning, and attention/activity level domains. We aimed to determine what proportion of children in a cohort referred for an autism assessment showed traits of additional neurodivergences, and what proportion were further investigated. Methods We evaluated anonymised medical records of children aged between two and 17 years referred for autism assessment. We used validated questionnaires to assess for neurodivergent traits. A weighted scoring system was developed to determine traits in e
Source: journals.plos.orgCategories: General Medicine News, General HCPsTweet
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Mashup Score: 22Towards system redesign: An exploratory analysis of neurodivergent traits in a childhood population referred for autism assessment - 3 month(s) ago
Background Children’s health services in many countries are moving from single condition diagnostic silo assessments to considering neurodevelopment in a more holistic sense. There has been increasing recognition of the importance of clinical overlap and co-occurrence of different neurotypes when assessing neurodivergent children. Using a cross-sectional service evaluation design, we investigated the overlap of neurodivergences in a cohort of children referred for autism assessment, focusing on motor, learning, and attention/activity level domains. We aimed to determine what proportion of children in a cohort referred for an autism assessment showed traits of additional neurodivergences, and what proportion were further investigated. Methods We evaluated anonymised medical records of children aged between two and 17 years referred for autism assessment. We used validated questionnaires to assess for neurodivergent traits. A weighted scoring system was developed to determine traits in e
Source: journals.plos.orgCategories: General Medicine News, General HCPsTweet-
Three-quarters of autistic #children also have other types of neurodivergence, finds study @PLOSONE https://t.co/gysb3CIz7l https://t.co/P5zi1a0wXX
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Mashup Score: 5Shared decision-making instead of physician-led end-of-life decision-making for children with life-limiting conditions - 4 month(s) ago
Commentary on: Vemuri S, Hynson J, Williams K, Gillam L. Navigating two ‘truths’: a qualitative study of physician-led end-of-life decision-making for children with life-limiting conditions. Arch Dis Child. 2023 Sep;108(9):725-729. doi: 10.1136/archdischild-2022-324963. Epub 2023 May 15. ### Implications for practice and research End-of-life decision-making in children is a complex process because three parties are involved: the child, their parents and the physician.1 There is lack of clarity in the literature as to whether decisions are shared between child and physician, parent and physician, or between all. But in children with life-limiting conditions (LLCs) who are unable to …
Source: ebn.bmj.comCategories: General Medicine News, NursingTweet-
📚 New commentary article alert! Explore the importance of shared decision-making in lieu of physician-led end-of-life decisions for #children with life-limiting conditions. Seyed Qasem Mousavi and Salman Barasteh shares their insights here ⤵️ https://t.co/M9bZkHIKnG https://t.co/uBWZ4ZdZp4
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Mashup Score: 5Shared decision-making instead of physician-led end-of-life decision-making for children with life-limiting conditions - 4 month(s) ago
Commentary on: Vemuri S, Hynson J, Williams K, Gillam L. Navigating two ‘truths’: a qualitative study of physician-led end-of-life decision-making for children with life-limiting conditions. Arch Dis Child. 2023 Sep;108(9):725-729. doi: 10.1136/archdischild-2022-324963. Epub 2023 May 15. ### Implications for practice and research End-of-life decision-making in children is a complex process because three parties are involved: the child, their parents and the physician.1 There is lack of clarity in the literature as to whether decisions are shared between child and physician, parent and physician, or between all. But in children with life-limiting conditions (LLCs) who are unable to …
Source: ebn.bmj.comCategories: General Medicine News, NursingTweet-
📚 New commentary article alert! Explore the importance of shared decision-making in lieu of physician-led end-of-life decisions for #children with life-limiting conditions. Seyed Qasem Mousavi and Salman Barasteh shares their insights here ⤵️ https://t.co/M9bZkHIKnG https://t.co/uBWZ4ZdZp4
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Mashup Score: 0
Race-correction for Black patients is standard practice in spirometry testing. History suggests that these corrections are at least partially a result of racist assumptions regarding lung anatomy among Black individuals, which can potentially lead to less frequent diagnoses of pulmonary diseases in this population.
Source: www.jaci-inpractice.orgCategories: Allergy-Immunology, Latest HeadlinesTweet-
In Current Issue! #Impact of #Spirometry #Race- #Correction on #Preadolescent #Black and #White #Children https://t.co/xrL7PuPgIk https://t.co/WpmDNfvEyj
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Mashup Score: 0Jejunal Feeding by Gastrojejunal Tube in Pediatric... : Journal of Pediatric Gastroenterology and Nutrition - 6 month(s) ago
for all children <18 years who underwent GJT placement to treat GERD. We collected data at the first GJT placement, 5 months after last GJT withdrawal, and at the end of the follow-up (June 2021). Results: Among 46 GERD patients with 86 GJT, 32 (69.6%) and 30 (65.2%) avoided antireflux surgery 5 and 28 months, respectively, after the definitive GJT removal. Five months after GJT removal, discharge from hospital, transition to gastric nutrition, GERD complications, and treatment were significantly improved. Median age and weight at the first GJT placement were 7 months and 6.8 kg. Patients had digestive comorbidities or complicated GERD in 69.6% and 76.1% patients, respectively. The median duration of jejunal nutrition using GJT was 64.5 days. GJT had to be removed in 63 (75.9%) cases for technical problems. Conclusions: Jejunal nutrition by GJT could be an alternative to antireflux surgery avoiding sustainably antireflux surgery in most of complicated GERD patients. The high frequency
Source: journals.lww.comCategories: Latest Headlines, PediatricsTweet-
Faccioli et al retrospectively reviewed the impact of gastrojejunal tube (GJT) feeding in #children with refractory #GERD. 👉 65% avoided anti-reflux surgery 👉 duration of jejunal feeding was short with only 1-2 GJT placements for most https://t.co/1AMxdn0AcP https://t.co/fq5K178gr6
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Mashup Score: 0Physical Training and Healthy Diet Improved Bowel Symptoms, ... : Journal of Pediatric Gastroenterology and Nutrition - 6 month(s) ago
stigating a 12-week lifestyle program (3 physical training sessions per week plus personalized healthy dietary advice) in children with IBD. Endpoints were physical fitness (maximal and submaximal exercise capacity, strength, and core stability), patient-reported outcomes (quality of life, fatigue, and fears for exercise), clinical disease activity (fecal calprotectin and disease activity scores), and nutritional status (energy balance and body composition). Change in maximal exercise capacity (peak VO2) was the primary endpoint; all others were secondary endpoints. Results: Fifteen patients (median age 15 [IQR: 12–16]) completed the program. At baseline, peak VO2 was reduced (median 73.3% [58.8–100.9] of predicted). After the 12-week program, compared to the control period, peak VO2 did not change significantly; exercise capacity measured by 6-minute walking test and core-stability did. While medical treatment remained unchanged, Pediatric Crohn’s Disease Activity Index decreased sign
Source: journals.lww.comCategories: Latest Headlines, PediatricsTweet-
Scheffers et al studied the impact of physical training and dietary advice on #IBD symptoms, quality of life and fatigue in #children with IBD. #openaccess https://t.co/PHgu5sKyTL https://t.co/NPOlCvlywW
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Mashup Score: 1Understanding the association between COVID-19 and new-onset diabetes in children, including diabetic ketoacidosis (DKA) - 6 month(s) ago
Commentary on: Ponmani C, Nijman RG, Roland D, Barrett M, Hulse T, Whittle V, Lyttle MD. Paediatric Emergency Research United Kingdom and Ireland (PERUKI). Children presenting with diabetes and diabetic ketoacidosis to emergency departments during the COVID-19 pandemic in the UK and Ireland: an international retrospective observational study. Arch Dis Child. 2023 Oct;108(10):799–807. doi: 10.1136/archdischild-2022-325280. Epub 2023 May 17. There is a need for a better understanding of the association between new-onset diabetes mellitus and SARS-CoV-2 in children, including DKA in the newly diagnosed and DKA in …
Source: ebn.bmj.comCategories: Latest Headlines, NursingTweet-
What is the link between #COVID-19 and new-onset #diabetes in #children? Read our newly published commentary article by @Dr_mazwaite @katiehards70 👧🚸 🔍 Find more here ➡️ https://t.co/J53dq7vpsb #DiabeticKetoacidosis #DKA https://t.co/shgj2Ic4UD
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Mashup Score: 2Lipoprotein(a) and carotid intima-media thickness in children with familial hypercholesterolaemia in the Netherlands: a 20-year follow-up study - 6 month(s) ago
Our findings suggest that lipoprotein(a) concentrations contribute significantly to arterial wall thickening in children with familial hypercholesterolaemia who were followed-up until adulthood, suggesting that lipoprotein(a) is an independent and additional risk factor for early atherosclerosis in those already at increased risk. Lipoprotein(a) measurement in young patients with familial hypercholesterolaemia is crucial to identify those at potentially highest risk for cardiovascular disease.
Source: www.thelancet.comCategories: Endocrinology, Latest HeadlinesTweet-
#Lipoprotein(a) and carotid intima-media thickness in #children with #familial #hypercholesterolaemia in the Netherlands: a 20-year follow-up study https://t.co/MQXprcAelC #CVD
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Mashup Score: 0Lipoprotein(a) and subclinical vascular disease progression in children with familial hypercholesterolaemia - 6 month(s) ago
Lipoprotein(a) is a cholesterol-rich particle, high concentrations of which are associated with a greater risk of atherosclerosis and occurrence of aortic valve calcification in the general population.1 This might also be the case for adults affected by familial hypercholesterolaemia,2 a disease in which autosomal dominant genetic defects cause elevated LDL-cholesterol.3–5
Source: www.thelancet.comCategories: Endocrinology, Latest HeadlinesTweet-
Raul D Santos comments on: #Lipoprotein(a) and subclinical #vascular disease progression in #children with #familial #hypercholesterolaemia https://t.co/swSXefq4JA #CVD
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Three-quarters of autistic #children also have other types of neurodivergence, finds study @PLOSONE https://t.co/gysb3CIz7l https://t.co/P5zi1a0wXX