The Effects of the Rome IV Criteria on Pediatric Gastrointestinal Practice
AbstractPurpose of ReviewTo evaluate the impact of the implementation of the Rome IV criteria on pediatric gastrointestinal practice.Recent FindingsIn 2016, the Rome IV criteria were published, providing an update of symptom-based criteria to diagnose children with functional gastrointestinal disorders (FGIDs).SummaryFor neonates and toddlers, Wessel ’s criteria for diagnosing infant colic were abandoned, and a differentiation was made between toilet-trained and non-toilet-trained children in the diagnosis of functional constipation. For children and adolescents, two new disorders (functional nausea and functional vomiting) are described, and in the diagnosis of functional dyspepsia, pain does not have to be the chief complaint anymore. This change has made functional dyspepsia the most common functional abdominal pain disorder, exceeding the prevalence of irritable bowel syndrome (IBS). Lastly, the diagnosis of abdominal migraine was na rrowed, causing an appropriate drop in its prevalence.
OBJECTIVE: The purpose of this study is to summarize the evidence for the association between exposure to a motor vehicle collision (MVC) and future low back pain (LBP). LITERATURE SURVEY: Persistent low back pain (LBP) is a relatively common complaint...
CONCLUSIONS: Hepatoblastoma is the most common primary liver tumor in children and has an increased incidence in children with a history of prematurity and very low birth weight. Providers who frequently care for the very low birth weight and premature children with CP should be aware of this correlation and include hepatoblastoma in the differential when managing patients with suddenly worsening constipation or abdominal distension. Pediatric physiatrists and other providers for these patients could be a source of referrals and diagnosis leading to timely treatment. PMID: 32444576 [PubMed - as supplied by publisher]
CONCLUSION: Radiological imaging is essential for the management of patients affected by lung cancer. PMID: 32445458 [PubMed - as supplied by publisher]
Condition: Post-operative Pain Control Intervention: Drug: acetaminophen/codeine vs acetaminophen/oxycodone Sponsor: 59th Medical Wing Completed
Condition: Pain Intervention: Other: Hypnosis group Sponsor: Assistance Publique - Hôpitaux de Paris Not yet recruiting
Condition: Chronic Low-back Pain Interventions: Behavioral: Cognitive Functional Therapy+; Behavioral: Interdisciplinary pain management Sponsors: Odense University Hospital; University of Southern Denmark; Curtin University; Manchester Metropolitan University Not yet recruiting
Conditions: Transcutaneous Electric Nerve Stimulation; Analgesia; Cesarean Section Interventions: Device: Transcutaneous electrical nerve stimulation (TENS) unit; Device: Placebo transcutaneous electrical nerve stimulation (TENS) unit Sponsor: Hawaii Pacific Health Recruiting
Condition: Low Back Pain Intervention: Behavioral: Pain Neuroscience Education (PNE) Sponsor: University of Utah Not yet recruiting
Authors: Umehara T, Tanaka R, Nagao S, Tomiyama D, Kawabata Y, Nagano Y, Takeuchi Y, Kakehashi M Abstract BACKGROUND: Previous studies have examined when activities of daily living (ADL) recovery more than six months after surgery can be predicted, and how much accuracy the predictors have. OBJECTIVE: The purpose of this study was to determine the predictors of ADL decline and evaluate their accuracies one year post-operation for hip-fracture patients. METHODS: We studied patients who underwent hip fracture surgery and were able to walk independently pre-operatively. The predictors of ADL declined one year ...
AbstractBackgroundFunctional gastrointestinal diseases (FGIDs) are emerging as an important cause of morbidity in adolescents globally. The prevalence of FGIDs among Indian children or adolescents is not clear.MethodsA cross-sectional school-based survey conducted in 1115 children aged 10 –17 years attending four semi urban government schools of National capital territory (NCT) of Delhi. Rome III questionnaire was translated into Hindi and was filled by the students under supervision. Prevalence of FGIDs was calculated.ResultsTen percent (112) adolescents had FGIDs. Out of 112, 52 % (58) were boys, and 48&...