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Do children just outgrow Irritable Bowel Syndrome (IBS)?
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A study of 83 newly diagnosed children (mean age:11 years) with IBS evaluated symptom evolution after twenty four months with the children receiving a range of medical advice and treatments.
24 months after diagnosis 58.8% of IBS children have spontaneous improvement of symptoms (with 62.5% receiving reassurance only), independent of sex, age, impact of symptoms on daily activity or IBS subtype.
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Mindfulness-based stress reduction (MBSR) for adolescents with Functional Somatic Syndromes (FSS)
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Mindfulness is the psychological process of bringing ones' attention to the internal and external experience occurring in the present moment"; it is a learned technique acquired through training, often within a curriculum instructor led group.
"FSS are characterized more by symptoms, suffering and disability" than by the presence of a demonstrable organic disease process (e.g. recurrent abdominal pain, fibromyalgia, etc.). They are difficult to manage with conventional treatments.
From a study of a group of children (12-18 yrs.of age ) who presented with symptoms consistent with a diagnosis of FSS and perceived cognitive impairment, and who completed an 8-week MBSR program, results indicate that MBSR lessens presenting symptoms, functional disability and improves anxiety states.
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Outcomes of adenotonsillectomy (AT) in children with Down Syndrome (DS) and Obstructive Sleep Apnoea (OSA)
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From a retrospective, cross-sectional study of 34 DS children (median age: 4 years) with severe OSA evaluated prior to and after AT, it appears that post operatively significant improvement occurs in the obstructive apnea-hypopnea index (measures severity of sleep apnea) and oxygen saturations, however almost half the children continue to have OSA and poorer sleep.
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INFORMATION BONUS! Newly Updated...
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Download, print and pin this information on your office wall.
-This is a "Must Have" (Ed.)
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Closed head injuries (CHI) - outcomes in neurologically intact children
A retrospective chart review cohort study of 202 children (median age: 14 years) from an Emergency Department's observation unit (EDOU) who had sustained an acute CHI only, with a Glasgow Coma Scale score (GCS) >14 and whose head computed tomography (CT) was abnormal, examined outcomes (death, intensive care unit admission or rate intracranial pressure requiring treatment).
While neurologically intact children (with GCS >14) following an acute CHI only, may have skull fractures and/subdural hematomas on CT, they nevertheless have a very low likelihood of requiring further interventions (89% are discharged within 24 hours and only 3% require transient inpatient admission).
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Outcome of conservative vs. surgical treatment of humeral shaft fractures in children and adolescents
Humeral fractures in children (> 3 years of age)/adolescents are typically caused by direct, high-energy trauma. A number of treatment modalities are available.
A retrospective analysis of 36 consecutive children with displaced humeral shaft fractures who were divided into three treatment groups (Dassault's' Bandage) (DB); a bandage system that binds and immobilizes the flexed elbow to a person's side), external fixation (EF) and elastic stable intramedullary nailing (ESIN), and evaluated one year later, indicates that surgical treatments give a preferred radiological outcome, less post-operative pain and faster mobilization, though non-operative management (DB) is equally efficacious.
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Preschool neurodevelopmental outcomes in children with complex Congenital Heart Disease (CHD)
As part of a longitudinal cardiac neurodevelopmental follow up program, 102 children with CHD at high risk for neurodevelopmental delay were extensively evaluated at 4-5 years of age.
Neurodevelopmental deficits in children with severe CHD (independent of cardiac anatomy) without genetic abnormalities are mild at 4-5 years of age and may not be picked up without formal longitudinal testing.
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Camp-based family treatment of childhood obesity; a randomized control trial
Obesity in children continues to be an ongoing challenge to manage. Many treatment options are available with mostly modest results.
This study compared body mass indexes (BMIs) in 90 obese children/randomly selected families with at least one child (7-12 years of age) and one parent with obesity in a 2-year camp-based family emersion treatment program against an outpatient lifestyle school program of family education.
It appears that a high-cost, two-year family camp-based obesity treatment program has only a small long-term effect on reducing BMI in children with severe obesity.
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