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Functional electrical stimulation (FES) for children and young people with cerebral palsy

Paediatrics and Child Health - Fri, 09/13/2019 - 00:00
Evidence for functional electrical stimulation (FES) as a treatment option in adult neurological conditions has grown over the last 25 years. Children and young people with neurological conditions can also benefit from FES treatments but there are gaps in clinical knowledge, awareness and evidence which need addressing. Some of the known benefits of FES include safe walking with facilitation and exercise of ‘normal’ movement, muscle strengthening, joint range and proprioceptive improvements as well as spasticity reduction.
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The genetics of developmental disorders

Paediatrics and Child Health - Fri, 09/13/2019 - 00:00
Children with developmental disorders often have complex health needs and require frequent input from many different paediatric services. Genomic technologies have revolutionised how these disorders are diagnosed and have real potential to transform the management of previously intractable paediatric conditions. For paediatricians to fully harness these benefits for their patients, and to work productively with their clinical genetics colleagues within the multi-disciplinary team, they must be genomically literate and aware of the technical and ethical challenges.
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Society Page

Journal of Pediatric Health Care - Sun, 09/01/2019 - 00:00
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Practice Guideline Department Redesign

Journal of Pediatric Health Care - Sun, 09/01/2019 - 00:00
After serving for more than 20 years as the Department Editors for the Practice Guideline Department, Polly Cromwell (term started 2003) and Robert Yetman (term started 1996) have retired from their service to the journal. The papers published in this column have been highly used with papers presenting summaries of existing guidelines or practice recommendations from review papers. With a transition of Department Editors, a new look for the Practice Guideline Department can be expected.
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The Relationship Between Body Mass Index in Children and Insurance Type, Parental Eating Concern, Asthma, and Allergies

Journal of Pediatric Health Care - Sun, 09/01/2019 - 00:00
Trust for America's Health reported rising levels of obesity contributed to increased disease rates and health care costs (Levi et al., 2013). Factors associated with overweight and obesity rates include lower socioeconomic status, public insurance, and increased chronic disease rates.
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Attachment Disorders

Journal of Pediatric Health Care - Sun, 09/01/2019 - 00:00
The ability to form attachments with other human beings is an essential skill that typically begins early in life. The parent/caregiver–child relationship is the first crucial relationship that an infant forms, and the health of this relationship has a profound effect on the child's social and emotional development. Children who form secure relationships with their parent or other primary caregiver have fewer internalizing and externalizing behaviors, are more socially competent, and have better-quality friendships.
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Editorial Board

Paediatrics and Child Health - Sun, 09/01/2019 - 00:00
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Unintentional Gun Violence in the Home: A Survey of Pediatric Advanced Practice Nurses’ Preventive Measures

Journal of Pediatric Health Care - Sat, 08/31/2019 - 00:00
Across the United States, unintentional shootings involving toddlers are on the rise. Pediatric nurses and nurse practitioners encounter families with toddlers regularly, allowing them the opportunity to make assessments and implement safety measures. The purpose of this study was to assess gun safety knowledge levels, health promotion strategies, and preventive interventions of advanced practice registered nurses (APRNs)
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Implementing Pediatric Fluoride Varnish Application in a Rural Primary Care Medical Office: A Feasibility Study

Journal of Pediatric Health Care - Sat, 08/31/2019 - 00:00
The objective of this study was to determine if the application of fluoride varnish (FV) to children 5 years and under was acceptable and practical for health care providers in a rural primary care office.
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Parent Perspectives on Sleep and Sleep Habits Among Young Children Living With Economic Adversity

Journal of Pediatric Health Care - Sat, 08/31/2019 - 00:00
To examine the perspectives of ethnically diverse, low-income parents of young children regarding sleep, sleep habits, and preferences for sleep promotion for themselves and their children.
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CPIPS: musculoskeletal and hip surveillance for children with cerebral palsy

Paediatrics and Child Health - Thu, 08/29/2019 - 00:00
CPIPS (Cerebral Palsy Integrated Pathway Scotland) provides access for all children with cerebral palsy (CP) aged between 2 and 16 years in Scotland for a standardized musculoskeletal examination of the spine and lower limbs by paediatric physiotherapists. Children with more severe CP are at risk of developing a displaced hip joint which can become painful and interfere with seating and daily activities. Therefore all children also receive regular X-rays of their hips based on their age and severity of CP.
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Therapeutic advances in spinal muscular atrophy

Paediatrics and Child Health - Mon, 08/26/2019 - 00:00
Spinal muscular atrophy (SMA) is a rare neuromuscular condition, characterized by loss of motor neurons as a result of a mutation in the survival motor neuron gene. This results in muscle wasting and in the most common and severe type, death before 24 months. Over the recent years there has been a dynamic shift in the therapeutic options for these patients involving both clinical trials in genetic modifying therapies to indirectly improve the survival motor neuron protein level and hence strength, muscle promotor therapies, up/down regulation of modifier genes and more recently gene therapy to replace the mutated survival motor neuron gene.
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Guillain-Barre syndrome: a review

Paediatrics and Child Health - Mon, 08/26/2019 - 00:00
Guillain-Barre syndrome (GBS) is a rare acute paralytic polyneuropathy, with an incidence of about 1 in 100,000. It occurs in adults and children. It is an autoimmune disorder of the peripheral nervous system often triggered by acute infections – the most common being gastrointestinal or respiratory – leading to an immune mediated response of producing antibodies to antigens which react with the myelin sheath of the peripheral nerves, resulting in demyelination and/or axonal injury. In severe cases, GBS may lead to respiratory failure, and even death.
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Symptomatic palliative care for children with neurodisability

Paediatrics and Child Health - Fri, 08/23/2019 - 00:00
Paediatric palliative care and neurodisability are two relatively new, evolving paediatric sub-specialities that have increasing relevance in the current paediatric landscape. For many people palliative care has been synonymous with end of life care, but in paediatrics it encompasses much more and is for all children with life-threatening or life-limiting conditions, from the point of diagnosis. This breadth of focus is demonstrated well through the interface between paediatric palliative care and paediatric neurodisability.
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Headache in children and young people

Paediatrics and Child Health - Tue, 08/20/2019 - 00:00
This article aims to provide a practical guide to the common causes of headache and their assessment in children. Contrary to popular belief, headaches are very common in children. The primary headache disorders, which include migraine and tension-type headache, account for the majority of headaches, while secondary headache, that is those with underlying pathology, are much less common. A thorough history and examination is the key to determining the cause and should be the most important means of reassuring the child and family that there is no serious cause for the headaches.
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