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Total 29 results found since Jan 2013.

What Causes Facial Nerve Palsy?
Discussion Facial nerve palsy has been known for centuries, but in 1821 unilateral facial nerve paralysis was described by Sir Charles Bell. Bell’s palsy (BP) is a unilateral, acute facial paralysis that is clinically diagnosed after other etiologies have been excluded by appropriate history, physical examination and/or laboratory testing or imaging. Symptoms include abnormal movement of facial nerve. It can be associated with changes in facial sensation, hearing, taste or excessive tearing. The right and left sides are equally affected but bilateral BP is rare (0.3%). Paralysis can be complete or incomplete at prese...
Source: PediatricEducation.org - June 3, 2019 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Hypoglycaemia and neonatal brain injury
Background The level of blood glucose (BG) concentration that leads to cerebral injury in newborns and adverse neurodevelopmental outcome is unknown: low BG is observed during postnatal adaptation of healthy term infants without apparent adverse consequence, and the capacity to mobilise and use alternative cerebral fuels when BG is low varies between patient groups.1 Because of this uncertainty an ‘operational threshold’ approach to the management of neonates with hypoglycaemia has been proposed, which defines ‘the concentration of plasma or whole BG at which clinicians should intervene based on evidence ...
Source: Archives of Disease in Childhood - Education and Practice - January 16, 2013 Category: Pediatrics Authors: Boardman, J. P., Wusthoff, C. J., Cowan, F. M. Tags: Neurological injury, Stroke, Child health, Radiology, Sexual health, Clinical diagnostic tests, Radiology (diagnostics), Trauma, Diabetes, Metabolic disorders, Injury Review Source Type: research

Negative behaviors and events during pregnancy impact neonates’ birth characteristics
A growing body of literature identifies the negative impact of certain maternal behaviors (eg, smoking, substance abuse) on neonatal health (eg, preterm birth, low birth rate, smallness for gestational age). Smallness for gestational age is in turn associated with childhood developmental and behavioral problems, as well as excessive rates in adults of cardiovascular disease, stroke, non-insulin dependent diabetes mellitus, adiposity, and metabolic syndrome.
Source: The Journal of Pediatrics - August 1, 2013 Category: Pediatrics Authors: Sarah S. Long Tags: The Editors' Perspectives Source Type: research

As preschool obesity rates dip, Boston Children’s expert suggests feds step to the plate
The scales may not be tipping quite so precipitously for some low-income preschoolers. So says a new report from the Centers for Disease Control and Prevention (CDC). Nineteen states saw small decreases in obesity rates among preschoolers between 2008 and 2011, while rates held steady in another 20 states. Is this cause for celebration, cautious optimism or concern? Perhaps all of the above, says David Ludwig, MD, PhD, director of the New Balance Foundation Obesity Prevention Center Boston Children’s Hospital. “The report is a small, but encouraging, sign after nearly half a century of bad news.” The latest data...
Source: Thrive, Children's Hospital Boston - September 11, 2013 Category: Pediatrics Authors: Lisa Fratt Tags: All posts Childhood obesity Children's in the news Health & wellness Healthful eating Research David Ludwig New Balance Foundation Obesity Prevention Center Source Type: news

Subconcussive blows and soccer: what’s the headache?
As the fall sports ramps up, teen athletes across the country are donning shin guards and cleats, prepping to return to their beloved sport—soccer. A handful, however, are foregoing the ritual. One child sitting on the sidelines is the 13-year old daughter of Ken Reed, sports policy director of the League of Fans. Reed and his wife decided the risk of short- and long-term brain damage from subconcussive blows to the head outweighed the benefits of the sport. They pulled their daughter from the field, a decision Reed shared on this recent Huffington Post blog. Thriving checked with William Meehan, MD, director of Boston C...
Source: Thrive, Children's Hospital Boston - September 25, 2013 Category: Pediatrics Authors: Lisa Fratt Tags: All posts Concussions Orthopedics Sports & exercise athlete and concussion Bill Meehan soccer injuries Sports Concussion Clinic Source Type: news

When Can A Child Start Strength Training?
Discussion Exercise is an important part of health and daily life. A review of recommendations for general exercise for children and adults can be found here. Many people use pedometers as a marker of their activity and a list of activities and their equivalent steps can be found here. The benefits of strength training includes improved performance, injury prevention and rehabilitation, improved cardiovascular fitness, improved bone mineral density, improved blood lipid profiles and mental health. Improvements in strength can be found in properly structured programs of at least 8 weeks duration occurring at least 1-2 time...
Source: PediatricEducation.org - May 12, 2014 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Make Halloween healthy: If you dare!
Meaghan O’Keeffe, RN, BSN, is a mother, writer and nurse. She worked at Boston Children’s Hospital for nearly a decade, in both the Cardiac Intensive Care Unit and the Pre-op Clinic.  She is a regular contributor to Thriving. Happy Halloween! This is a festive time of year when kids get excited to dress up in fantastical costumes and enjoy some light-hearted scares. But let’s be honest. Most kids dream about one thing and one thing only: the enormous bounty of candy that awaits them. Didn’t you? Besides tasting great, sugar intake heightens the pleasure and reward centers of the brain. Feel-good hormones like dopa...
Source: Thrive, Children's Hospital Boston - October 21, 2014 Category: Pediatrics Authors: Meaghan O'Keeffe Tags: All posts Source Type: news

Neighborhood Poverty and Allostatic Load in African American Youth
Allostatic load (AL), a biomarker of cardiometabolic risk, predicts the onset of the chronic diseases of aging including cardiac disease, diabetes, hypertension, and stroke. Socioeconomic-related stressors, such as low family income, are associated with AL. African American youth who grow up in neighborhoods in which poverty levels increase across adolescence evince high AL. The study also highlights the benefits of emotional support in ameliorating this association. (Read the full article)
Source: PEDIATRICS - October 31, 2014 Category: Pediatrics Tags: Pediatrics Digest Summary Source Type: research

What is the Remission Rate for Antithyroid Drug Treatment for Hyperthyroidism in Children?
Discussion The thyroid gland secrets two hormones – T4 which is a prohormone and T3 which is the biologically active hormone. Receptors for T3 are found in nearly all body tissues. T3 regulates metabolism and energy production. Organs most affected are the heart, liver and central nervous system as well as growth of the fetus and child. Hyperthyroidism is common with a prevalence rate of about 1-2% for women and 0.2% for men. The most common cause of thyrotoxicosis is Grave’s disease where autoantibodies to thyroid stimulating hormone (TSH) exist. These autoantibodies attach to thyroid tissue TSH receptors and...
Source: PediatricEducation.org - January 26, 2015 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Low prevalence of patients with mitochondrial disease in the German/Austrian DPV diabetes registry
Conclusion: Primary mitochondrial disorders are a rare cause of juvenile diabetes and likely to be underdiagnosed. As there is clinical overlap with T1D and T2D, dyslipidemia and low body weight may help to identify further DMO cases. What is Known: • In adults diabetes of mitochondrial origin (DMO) is a rare cause of non-autoimmune diabetes, affecting about 0.8 % of diabetes cases. • Common features are a maternal family history of diabetes, hearing loss and neurological abnorma...
Source: European Journal of Pediatrics - December 15, 2015 Category: Pediatrics Source Type: research

Familial Hypercholesterolemia: The Reason to Screen Children for Cholesterol Abnormalities
It is now well established that atherosclerosis begins in childhood and is progressive through adolescence and young adulthood, ultimately resulting in myocardial infarction and stroke in adults.1,2 It is also clear that the well-known risk factors for cardiovascular disease in adults, such as diabetes, hypertension, and dyslipidemia, are important in children and adolescents.3 The key issue with dyslipidemia appears to be elevated low-density lipoprotein (LDL)-C, which is clearly involved in the development and evolution of atherosclerotic plaque in arteries.
Source: The Journal of Pediatrics - December 27, 2015 Category: Pediatrics Authors: Stephen R. Daniels Tags: Editorial Source Type: research

5 tips to help teens stay heart healthy
As parents, we want our kids to stay healthy throughout their lives. The teen years are an important time to build healthy cardiovascular habits. In 2010, the American Heart Association set the bold goal of improving the cardiovascular health of all Americans by 20 percent. In setting this goal, they created a paradigm shift from the treatment of cardiovascular disease to the promotion of cardiovascular health. Their recommendation was based on more than a decade of data showing adults who reach middle age without any major cardiovascular disease risk factors have a high chance of staying healthy well into old age. They do...
Source: Thrive, Children's Hospital Boston - February 8, 2016 Category: Pediatrics Authors: Holly Gooding Tags: Health & Wellness Research Teen Health heart health Holly Gooding Source Type: news

What Genetics are Associated with Multiple Sclerosis?
Discussion Multiple sclerosis (MS) is “a chronic degenerative, often episodic disease of the central nervous system marked by patchy destruction of the myelin that surrounds and insulates nerve fibers, usually appearing in young adulthood and manifested by one or more mild to severe neural and muscular impairments, as spastic weakness in one or more limbs, local sensory losses, bladder dysfunction, or visual disturbances.” It is a chronic disease and therefore symptoms must occur more than once. The first episode is called an acute demyelinating attack. Fifteen to forty-five percent of children with their first...
Source: PediatricEducation.org - April 4, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Help! My daughter has become a vegetarian!
Q: My daughter has decided to follow a vegetarian diet. Do I need to worry about protein deficiency? ~ Worried Mom This is one of the most common questions that pediatricians are asked. A vegetarian diet, and especially one that includes fish, can be a very healthy option. Learn more about nutrition for vegetarians and ways your family can shift to a vegetarian diet. Q: Does my child need to eat meat to get enough protein? Complete nutrition, including adequate protein, can easily be obtained without eating meat. Meat is completely unnecessary if a diet is high in fruits, vegetables, nuts, beans, fish, whole grains, eggs...
Source: Thrive, Children's Hospital Boston - April 6, 2016 Category: Pediatrics Authors: Carolyn Sax Tags: Parenting Teen Health Dr. Carolyn Sax vegetarian Source Type: news

What Genetics are Associated with Multiple Sclerosis?
Discussion Multiple sclerosis (MS) is “a chronic degenerative, often episodic disease of the central nervous system marked by patchy destruction of the myelin that surrounds and insulates nerve fibers, usually appearing in young adulthood and manifested by one or more mild to severe neural and muscular impairments, as spastic weakness in one or more limbs, local sensory losses, bladder dysfunction, or visual disturbances.” It is a chronic disease and therefore symptoms must occur more than once. The first episode is called an acute demyelinating attack. Fifteen to forty-five percent of children with their first...
Source: PediatricEducation.org - April 4, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news