Proteinuria

Key Points Proteinuria on routine screening of children without symptoms most often is either orthostatic or transient, not pathological. Orthostatic (postural) proteinuria is most common. Transient proteinuria can result from stressors such as fever or vigorous exercise. Persistent (fixed) proteinuria can be asymptomatic, signaling underlying glomerular or tubular renal disease.

Key Points The goal of screening is to identify children with hearing loss as early as possible to prevent language and speech impairment and its detriment to educational and social development. Routine screening for newborns is justified, given how common congenital hearing loss is. All children should be tested in the first month after birth, and any child identified as having hearing loss should be receiving intervention before 6 months of age. Routine screening should continue throughout childhood and adolescence to identify patients with acquired or progressive hearing loss.


Key Points Bagged specimens are adequate for dipstick urinalysis but not urine culture. Routine screening urinalysis for asymptomatic patients is not recommended. Proteinuria, hematuria, glucosuria, and positive nitrites and/or leukocyte esterase on dip urinalysis requires further workup.


2016 ◽  
Vol 62 (6) ◽  
pp. 368-373 ◽  
Author(s):  
Tracy Vaillancourt ◽  
Robert Faris ◽  
Faye Mishna

We review the recent literature on cyberbullying and its effects on victimised youth, identifying key points. We conclude that cyberbullying, while following many of the underlying dynamics of more traditional forms of bullying, features some unique qualities that can both magnify the damage caused and make it more difficult to detect. These features include the pervasive, never-ending nature of cyberbullying and the ability to quickly reach large audiences. The potential for anonymity and the related distance afforded by screens and devices compared to in-person interaction allow the cruelty of cyberbullying to go unchecked. Despite the perceived anonymity of cyberbullying, cyberbullying can be perpetrated by friends, who often have intimate knowledge about the victimised youth that can be devastating when made public. Given the difficulty schools face in preventing or even detecting cyberbullying, health care providers are an important ally, due to their knowledge of the youth, the sense of trust they bring to youth, and their independence from the school setting. We conclude by calling for routine screening of bullying by health care providers who deal with paediatric populations.


Blood ◽  
2017 ◽  
Vol 130 (5) ◽  
pp. 632-642 ◽  
Author(s):  
Tobias Dittrich ◽  
Tilmann Bochtler ◽  
Christoph Kimmich ◽  
Natalia Becker ◽  
Anna Jauch ◽  
...  

Key PointsAL patients with an initial dFLC <50 mg/L represent a distinct clinical subgroup with mostly renal disease and a favorable prognosis. These patients are evaluable for hematologic response including a novel low-dFLC partial response, which predict renal and overall survival.


Key Points Treatment Insufficiency or deficiency: 2,000 to 5,000 IU/d, adjusted for ageIf adherence is an issue: 50,000 IU/wk or onetime dose of 200,000 to 400,000 IUPrevention: 400 to 600 IU/d Differential Diagnosis Phosphate or calcium deficiency, disorders of vitamin D metabolism, renal disease Epidemiology Increasing incidence of vitamin D inadequacy


Author(s):  
Laura S. DeThorne ◽  
Kelly Searsmith

Purpose The purpose of this article is to address some common concerns associated with the neurodiversity paradigm and to offer related implications for service provision to school-age autistic students. In particular, we highlight the need to (a) view first-person autistic perspectives as an integral component of evidence-based practice, (b) use the individualized education plan as a means to actively address environmental contributions to communicative competence, and (c) center intervention around respect for autistic sociality and self-expression. We support these points with cross-disciplinary scholarship and writings from autistic individuals. Conclusions We recognize that school-based speech-language pathologists are bound by institutional constraints, such as eligibility determination and Individualized Education Program processes that are not inherently consistent with the neurodiversity paradigm. Consequently, we offer examples for implementing the neurodiversity paradigm while working within these existing structures. In sum, this article addresses key points of tension related to the neurodiversity paradigm in a way that we hope will directly translate into improved service provision for autistic students. Supplemental Material https://doi.org/10.23641/asha.13345727


Nephrology ◽  
2000 ◽  
Vol 5 (3) ◽  
pp. A93-A93
Author(s):  
Sj Chadban ◽  
P Kerr ◽  
E Briganti ◽  
D Dunstan ◽  
M De Courten ◽  
...  

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