When Can A Child Return to Learning?

Discussion Head injury whether because of athletics or other trauma is a common problem in pediatrics. Fortunately most are benign because they are low impact that may not even result in edema or bruising. However, others cause concussion or traumatic brain injuries. There are an estimated 1.7 million traumatic brain injuries in the US yearly. Concussion can be very difficult to diagnose because there may not be external signs and the symptoms are highly subjective. For example, difficulties with concentration and thought processing speed are concepts that can be difficult for patients to understand, can be variable, and highly individualized. It can be even more difficult with younger children who really may not understand what a provider or parent is trying to ask them. There are symptoms scales available that can help with initial diagnosis and monitoring that were developed for concussion after athletic injury. These are the SCAT 3 for patients 13 years and older and the Child SCAT 3 for patients 5-12 years. The American Academy of Pediatrics Clinical Report also has symptom checklists available. The school setting itself can provide challenges to student after a concussion. Schools are often noisy, visually stimulating, and require differentiated attention and behavioral standards which may be difficult for a concussed student to manage without adjustments being made. Fortunately most students with concussions recover within 1-3 weeks and adjustments in the classroom a...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news

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In conclusion, HlMeOHe damaged the liver with an oral dose of 200 mg/kg, and at 1000 mg/kg injured the kidneys and pancreas of the CD-1 male mice. PMID: 29923593 [PubMed - as supplied by publisher]
Source: Histology and Histopathology - Category: Cytology Tags: Histol Histopathol Source Type: research
Effects of soybean isoflavones on Wnt/β-catenin and the TGF-β1 signaling pathway in renal tissue of type 2 diabetic rats. J Biol Regul Homeost Agents. 2018 May-Jun;32(3):455-464 Authors: Liu CL, Yan L, Cai KR, Sun K, Qi Y, Han YL, Zhang XD, Sun XD Abstract To observe the effect of Soyisoflavones (SI) on the expression of Wnt/β-catenin signaling pathway elements, transforming growth factor-β (THGF-β) and its related proteins in the renal interstitia of diabetic nephropathic (DN) rats, 48 DN rats were randomly divided into 4 groups: DN model group (group DN), soybean isoflavone t...
Source: Journal of Biological Regulators and Homeostatic Agents - Category: Biomedical Science Tags: J Biol Regul Homeost Agents Source Type: research
Source: Primary Care Diabetes - Category: Primary Care Source Type: research
Source: Primary Care Diabetes - Category: Primary Care Source Type: research
In this volume of The Journal, Chen et  al present some intriguing observations from the Kobe Offspring Study, comprising 71 069 children. The authors present analyses which may demonstrate an association between bedtime at 18 months and incidence of dental caries at 3 years, with increasing adjusted odds ratios for later bedtimes. Th is may have some biologic plausibility, since sleep and circadian rhythm may influence salivary flow, immune function, salivary amylase, and oral flora. On balance, though, this study raises as many questions as it seeks to answer.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: The Editors' Perspectives Source Type: research
Prevention of neonatal hypoglycemia and the associated neonatal intensive care unit (NICU) admissions in asymptomatic newborn infants is important in order to limit the separation of mothers and infants after birth, to promote breastfeeding, and to limit potential complications of hypoglycemia. After the success of clinical trials of dextrose gel for infants with asymptomatic hypoglycemia (Cochrane Database Syst Rev 2016:CD011027), a logical next step would be to administer prophylactic treatment to infants with perinatal risk factors such as maternal diabetes.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: The Editors' Perspectives Source Type: research
Gender transitioning has always been a topic that makes many people uncomfortable. And ever since Bruce became Kaitlin, it’s been a frequent topic of conversation. Most of the discomfort comes from unfamiliarity, from presumptions, and (of course) from bigotry. In this episode, two transgender women explain what it means to be transgender, both generally and personally. They talk about their experiences going back more than twenty years. They discuss how transitioning, and the science of it, changed over the decades. And they offer their views on what they believe are the most important things for society to know abo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Mental Health and Wellness Stigma The Psych Central Show Gabe Howard LGBTQ Psych Central Show Podcast Transgender Vincent M. Wales Source Type: blogs
The diagnosis of type 2 diabetes mellitus is often preceded by prediabetes, a stage during which blood glucose levels are greater than normal but not yet high enough to be diagnostic of diabetes.1 About 84 million people in the United States have prediabetes; a number equivalent to approximately one in three adults.1 Without intervention, an unknown, but likely significant proportion of these people will develop type 2 diabetes. However, the progression from prediabetes to type 2 diabetes is not inevitable and can be interrupted with diabetes prevention programs (DPPs) comprising low-cost, structured lifestyle change inter...
Source: Journal of the American Dietetic Association - Category: Nutrition Authors: Tags: Research Source Type: research
Source: BMJ News - Category: General Medicine Source Type: research
We congratulate the authors of the Summary of the NIDDK Diseases Workshop, entitled “EUS and related technologies for the diagnosis and treatment of pancreatic disease: research gaps and opportunities.”1,2 The brief history of EUS summarized in the first sentence, however, contains inaccuracies that cloud this history detailed in our recent reviews.3,4
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Letter to the Editor Source Type: research
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