scholarly journals Service evaluation of laceration risk using trainer adrenaline auto-injectors

2020 ◽  
Vol 106 (1) ◽  
pp. 54-57
Author(s):  
Louise Charlotte Pike ◽  
David Tuthill
Keyword(s):  
Young Children ◽  
Allergic Reaction ◽  
Prior Knowledge ◽  
Service Evaluation ◽  
Mean Difference ◽  
Children's Hospital ◽  
Withdrawal Reaction ◽  
Waiting Area ◽  
Noah's Ark ◽  
Administration Methods

ObjectiveAnaphylaxis is a severe, potentially fatal allergic reaction best treated with intramuscular epinephrine via epinephrine auto-injectors (AAIs). Our published concerns over laceration injuries to young children associated with AAIs led to this service evaluation of the two administration methods: swing and jab (S&J) and place and press (P&P), to determine potential laceration risk.DesignA trainer EpiPen was used with facepaint placed in the needle indentation which would record the length of movement of the AAI. The two different methods ‘administered’ were alternated. Children were asked to move their leg to simulate a withdrawal reaction. Age, whether they moved, and length of paint mark were recorded.SettingOutpatients waiting area in Noah’s Ark Children’s Hospital, Cardiff.ParticipantsChildren aged 5–11 with no prior knowledge of AAI use.InterventionNo intervention was implemented.Results135 children (mean age 8 years; range 5–11 years) were asked to participate; measurements were taken from 100 children. 50 children moved for one or both methods. For those that moved, S&J mean paint length=8.3 mm (SD 17.4, 95% CI 3.4 to 13.3), P&P mean=3.5 mm (SD 11.0, 95% CI 0.4 to 6.6). Mean difference between methods was 4.8 mm (SD 10.1, 95% CI 1.9 to 7.7). Slightly more children moved for S&J (44) compared with 38 for P&P.ConclusionsS&J produces more movement and longer paint marks than P&P. The risk of laceration when administering an EpiPen to young children may be lower by using the more controlled P&P. We feel it is advisable to teach P&P instead in children below 11 years of age.

scholarly journals A multicenter, double-blind, randomized, placebo-controlled trial to evaluate the effect of consuming Growing Up Milk “Lite” on body composition in children aged 12–23 mo

2019 ◽  
Vol 109 (3) ◽  
pp. 576-585 ◽  
Author(s):  
Clare R Wall ◽  
Rebecca J Hill ◽  
Amy L Lovell ◽  
Misa Matsuyama ◽  
Tania Milne ◽  
...  
Keyword(s):  
Body Composition ◽  
Young Children ◽  
Body Fat ◽  
Fat Mass ◽  
Controlled Trial ◽  
Mean Difference ◽  
Cow Milk ◽  
Growing Up ◽  
Double Blind ◽  
Percentage Body Fat

ABSTRACT Background Growing Up Milk (GUM) was developed to assist young children in meeting their nutritional requirements during the second year of life. However, there is limited evidence that GUM improves nutritional status and growth in young children. Objectives To evaluate the effect of consuming Growing Up Milk “Lite” (GUMLi) (reduced protein with synbiotics and micronutrients added) compared with standard cow milk as part of a whole diet for 1 y on body composition at 2 y of age. Methods GUMLi Trial was a multicenter, double-blind, randomized placebo-controlled trial conducted in Auckland and Brisbane. Healthy 1-y-olds were recruited and randomly assigned to receive either GUMLi or standard cow milk for 12 mo as part of a whole diet. The primary outcome was percentage body fat at 2 y of age measured by bioelectrical impedance. All regression models adjusted for baseline outcome and study center. Results 160 children (80 per arm) were randomly assigned, and 134 (67 per arm) were included in the modified intention-to-treat analyses. The mean percentage body fat at 12 mo was 23.3% (SD 7.9) in the GUMLi group and 25.7% (SD 7.2) in the cow milk group. After adjusting for baseline outcome and study location, the estimated mean difference in percentage body fat between the intervention and control at 12 mo was −2.19% (95% CI: −4.24, −0.15; P = 0.036). Per-protocol analysis showed a similar effect (mean difference: −2.09%; 95% CI: −4.16, −0.03; P = 0.047). Both fat mass and the fat mass index were significantly lower in the GUMLi group at 12 mo than in the cow milk group. Conclusions At 2 y of age, children who consumed a GUM with a lower protein content than cow milk over 12 mo had a lower percentage of body fat. This trial was registered at the Australian New Zealand Clinical Trials Registry as ACTRN12614000918628.

scholarly journals Nutrient intakes and sources of fiber among children with low and high dietary fiber intake: the 2016 feeding infants and toddlers study (FITS), a cross-sectional survey

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kristen Finn ◽  
Emma Jacquier ◽  
Brian Kineman ◽  
Heidi Storm ◽  
Ryan Carvalho
Keyword(s):  
Young Children ◽  
Dietary Fiber ◽  
Diet Quality ◽  
Whole Grains ◽  
Mean Difference ◽  
Fiber Intake ◽  
Nutrient Intakes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dietary Fiber Intake

Abstract Background Increasing dietary fiber intake in children may improve overall diet quality. The purpose of this study was to compare nutrient intakes and sources of fiber between young children with low and high fiber intakes utilizing data from the Feeding Infants and Toddlers Study (FITS) 2016. Methods The FITS 2016 was a nationwide, cross sectional survey of caregivers designed to assess food and nutrient intakes, feeding behaviors, and dietary patterns among infants and young children living in the U.S. Energy adjusted macro and micronutrient intakes (nutrients/1000 kcals) of children with energy adjusted fiber intakes (g/1000 kcals) in the highest quartile were compared to those in the lowest quartile with paired t-tests. Sources of fiber for each quartile were ranked according to percent of total fiber intake. Results Children with fiber intakes in the highest quartile had significantly lower intakes of total fat (mean difference ranged from 7.4–9.6 g, p < 0.0005) and saturated fat (mean difference ranged from 4 to 5.8 g, p < 0.0005), and significantly higher intakes of vitamin B-6 (mean difference ranged from 0.3–0.4 mg, p < 0.0005), magnesium (mean difference ranged from 57.2–61.8 mg, p < 0.0005), iron (mean difference ranged from 2.2–3.7 mg, p < 0.0005), and potassium (mean difference ranged from 318.2 mg to 446.1 mg, p < 0.0005) compared to children in the lowest quartile across all age groups. Children in the highest quartile had higher intakes of nut butters, legumes, fruits, and vegetables and consumed a greater percentage of grains as whole grains than those in the lowest quartile. Conclusion Encouraging intake of fruits, vegetables, legumes, nut butters, and at least 75% of grains as whole grains may help young children improve dietary fiber intake and overall diet quality.

The Pediatric Adjustable Table

1984 ◽  
Vol 51 (3) ◽  
pp. 135-136
Author(s):  
Yvonne Rousseau
Keyword(s):  
Young Children ◽  
Hospital Staff ◽  
Children's Hospital ◽  
Children’S Hospital

Out of a need for a table which could accommodate both young children and adults, an adjustable table was designed and built by our Alberta Children's Hospital staff. The table height adjusts from 18½″ to 32½″ and can be adjusted by one person. The design is described and illustrated with recommendations for further modification.

Spondylolysis of C-2 in children 3 years of age or younger: clinical presentation, radiographic findings, management, and outcomes with a minimum 12-month follow-up

2014 ◽  
Vol 13 (2) ◽  
pp. 196-203 ◽  
Author(s):  
Loyola V. Gressot ◽  
Sudhakar Vadivelu ◽  
Steven W. Hwang ◽  
Daniel H. Fulkerson ◽  
Thomas G. Luerssen ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Young Children ◽  
Neurological Deficits ◽  
Radiographic Findings ◽  
Children's Hospital ◽  
Very Young Children ◽  
The Mean ◽  
Neurologically Intact

Object Cervical spondylolysis is a rare condition that results from a pars interarticularis defect. The C-6 level is the most frequently involved site in the cervical spine. Its clinical presentations range from incidental radiographic findings to neck pain and, rarely, neurological deficits. Although 150 patients with subaxial cervical spondylolysis have been reported, a mere 24 adult and pediatric patients with C-2 spondylolysis have been described. The long-term outcomes of very young children with bilateral C-2 spondylolysis are of great interest, yet only a few longitudinal studies exist. Methods The authors retrospectively reviewed 5 cases of bilateral C-2 spondylolysis at Texas Children's Hospital and Riley Children's Hospital; these were combined with 5 other cases in the literature, yielding a total of 10 patients. Data regarding the patients' age, sex, C2–3 angulation and displacement, associated spine anomalies, neurological deficits, treatment, and most recent follow-up were recorded. Results The patients' ages ranged from 3 to 36 months (mean 12.9 months). There were 6 boys and 4 girls. The C2–3 angulation, displacement, and width of pars defect were measured when available. The mean C2–3 angulation was 9.5° (range 1–34°), the mean C2–3 displacement was 4.78 mm (range 1.1–10.8 mm), and the mean width of the pars defect was 4.16 mm (range 0.9–7 mm). One patient developed myelopathy and spinal cord injury. All 10 of the patients were treated initially with conservative therapy: 3 with close observation alone, 1 with a rigid cervical collar, 4 with a Minerva jacket, 1 with a sternal-occipital-mandibular immobilizer, and 1 with a halo vest. Three patients ultimately underwent surgery for internal fixation due to progressive instability or development of neurological symptoms. All patients were neurologically intact at the last follow-up (mean 44.3 months, range 14–120 months). Conclusions Based on the literature and the authors' own experience, they conclude that most very young children with C-2 spondylolysis remain neurologically intact and maintain stability in long-term follow-up despite the bony defect. This defect is often an asymptomatic incidental finding and may be managed conservatively. More aggressive therapy including surgery is indicated for those patients with a neurological deficit from spinal cord compromise secondary to stenosis and local C-2 kyphosis, progressive deformity, or worsening C2–3 instability.

TechCheck

2021 ◽  
pp. 250-264
Author(s):  
Emily Relkin
Keyword(s):  
Young Children ◽  
Psychometric Properties ◽  
Prior Knowledge ◽  
Developmentally Appropriate ◽  
Computational Thinking ◽  
Control Structures ◽  
Development And Validation

This chapter describes the development and validation of TechCheck, a novel instrument for rapidly assessing computational thinking (CT) skills in 5-9 years old children. TechCheck assessments can be administered in classroom or online settings regardless of whether students have prior knowledge of coding. This assessment probes six domains of CT described by Bers (2018) as developmentally appropriate for young children including algorithms, modularity, control structures, representation, hardware/software, and debugging. TechCheck demonstrates good psychometric properties and can readily distinguish among young children with different CT abilities.

Dog Bites in Urban Children

PEDIATRICS ◽  
1991 ◽  
Vol 88 (1) ◽  
pp. 55-57
Author(s):  
Jeffrey R. Avner ◽  
M. Douglas Baker
Keyword(s):  
Young Children ◽  
Early Identification ◽  
Urban Children ◽  
Safety Education ◽  
Dog Bite ◽  
Older Children ◽  
Dog Bites ◽  
Children's Hospital ◽  
The Mean ◽  
Bite Injuries

As a result of a perceived increase in pit bull injuries, all children who presented to The Children's Hospital of Philadelphia during 1989 for evaluation of dog bite injuries were prospectively studied. Epidemiologic information was collected from parents, either at the time of visit or by phone on the following day. A total of 168 children were enrolled; the mean age was 8 years. Males outnumbered females 1.5:1. Most (61%) injuries occurred in or around the home and involved dogs known to the patient (77%). Types of injuries included abrasions (33%), punctures (29%), and lacerations (38%). Thirteen bites had associated complications; nine developed infection. Twelve (7%) children required admission to the hospital. More than 12 different purebreeds or crossbreeds were identified as perpetrators, including German shepherds (n = 35), pit bulls (n = 33), rottweilers (n = 9), and Dobermans (n = 7). Most (54%) animals were contained (ie, leashed, fenced, in-house) at the time of injury. Fewer (46%) were provoked prior to biting. Significantly more pit bull injuries (94% vs 43%, P &lt; .001) were the consequence of unprovoked attacks and involved freely roaming animals (67% vs 41%, P &lt; .01). Children aged 5 or younger were more likely to provoke animals prior to injury than were older children (69% vs 36%, P &lt; .001). It is recommended that families with young children be the target of pet safety education and that measures be sought that would lead to early identification of a potentially dangerous dog and restrict ownership.

Periarteritis nodosa in a child

1986 ◽  
Vol 67 (4) ◽  
pp. 298-299
Author(s):  
Yu. V. Volkova ◽  
K. Sh. Nizamutdinova ◽  
V. T. Ubasev
Keyword(s):  
Young Children ◽  
Severe Form ◽  
Periarteritis Nodosa ◽  
Children's Hospital ◽  
Children’S Hospital

Periarteritis nodosa in young children is rare, so we present our observation. Sh., 1 year 8 months old, was admitted to Kazan Children's Hospital No.7 with referral diagnosis: small focal pneumonia, severe form, DN3, neutrotoxicosis.

Drawing as a Unique Mental Development Tool for Young Children: Interpersonal and Intrapersonal Dialogues

2005 ◽  
Vol 6 (1) ◽  
pp. 80-91 ◽  
Author(s):  
Margaret Brooks
Keyword(s):  
Young Children ◽  
Learning Community ◽  
Detailed Analysis ◽  
Prior Knowledge ◽  
Mental Development ◽  
Social Constructionist ◽  
Development Tool ◽  
Construct Meaning

Using examples from children drawing in a year one classroom, this article examines firstly, how drawing operates as a unique mental tool, and secondly, the role of drawing in the construction and development of knowledge. Young children utilize prior knowledge and experience to negotiate and construct meaning through their interactions with people and artifacts in the learning community. Using a Vygotskian, social constructionist framework, a detailed analysis of interpersonal drawing dialogues is extended to include children's intrapersonal dialogic engagement with their drawing. When these children were encouraged to revisit, revise and dialogue through and with their drawing, they were able to explore and represent increasingly complex ideas.

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