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141. Pediatric Blunt Renal Trauma

and adolescents. 1 Injury to the kidney from blunt trauma is the most common urinary tract injury. In children, blunt trauma is responsible for 90% of renal injuries, and the kidney is injured in approximately 10% of all pediatric blunt abdominal trauma. 2 Children are at higher risk of renal injury fromblunttraumathanadultsduetoseveralanatomicfactorsin- cludingdecreasedperirenalfat,weakerabdominalmusculature, andalessossifiedthoraciccage—allofwhichofferlessprotec- tiontothe kidney. 3 Severalsurgical (...) , Revised: November 20, 2018, Accepted: December 24, 2018, Published online: Febuary 7, 2019. FromtheDepartmentofUrology(J.C.H.),UniversityofWashington,Seattle,Washington; Division of Pediatric Surgery, Department of Surgery (N.F.), Cooper University, Camden, New Jersey; Children's Hospital of Wisconsin and Medical College of Wisconsin (J.S.E.), Milwaukee, Wisconsin; Department of Surgery (R.R.), Children'sHospitalofAlabama,UniversityofAlabamaatBirmingham,Birmingham, Alabama; Department of Surgery

2019 Eastern Association for the Surgery of Trauma

142. Vaccination of HIV infected children

on immunisation can be found: - “Guidance on vaccination of HIV-infected children in Europe”. Paediatric European Network for Treatment of AIDS (PENTA) Vaccines Group. HIV Med. 2012. - Immunisation against infectious diseases GOV.UK, The Green Book. Routine Childhood Immunisations, Autumn 2018. Table 2. Indicators of severe immunosupression (CDC, 1994) Age CD4 count CD4% 100 IU/L. If 10 but <100 IU/L after primary course, offer one booster vaccine and recheck serology after 6-8 weeks) Notes. 1. If boosters (...) should follow the UK primary childhood immunization schedule. The primary immunization should NOT be delayed. 2. Children should not receive BCG. 3. If HAART is indicated for the older children with absent or non-protective antibody levels – vaccination should be delayed until ~ 6 months of VL 15%. 4. MMR*, VZV* or LAIV*should be postponed if there is severe immunosuppression (see Table 2 below). Also, avoid live vaccines if there is a severely immunocompromised household member, however consider

2018 The Children's HIV Association

143. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

of the prescription or a note describing the content of the prescription should be in the patient’s chart along with a description of the instructions that were given to the responsible person. Prescription medications intended to accomplish procedural sedation must not be administered without the safety net of direct supervision by trained medical/dental personnel. The administration of sedating medications at home poses an unacceptable risk, particularly for infants and preschool-aged children traveling in car (...) for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact on clinical care. From the American Academy of Pediatrics Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures Charles J. Coté , Stephen Wilson , AMERICAN ACADEMY OF PEDIATRICS , AMERICAN ACADEMY OF PEDIATRIC DENTISTRY Abstract The safe sedation of children for procedures requires a systematic approach

2019 American Academy of Pediatrics

144. Depression and anxiety programs for children and young people

). Families and Schools Together: (FAST: ? ?) was identified as addressing internalising problems through the Australian Research Alliance for Children and Young People (ARACY) What Works for Kids (WW4K) and WSIPP searches. This is a selective group parenting program that addresses secure attachment and emotional competence protective factors by encouraging effective parenting in the childhood years. It is run as an after school program targeting selected parents and managed by trained facilitators (...) services) that are implemented in childhood and adolescence with the aim of preventing anxiety and depression disorders and symptoms. The report was commissioned for Beyond Blue by the Sax Institute. Review question What programs or services for children and young people have been shown to be effective in the prevention of, and early intervention for, mild depression and anxiety? Summary of methods Evaluations of interventions implemented in the 0 to 18 age period were included based on rigourous

2018 Sax Institute Evidence Check

145. Identifying Effective Approaches to Support Parents and Caregivers of Children with Fetal Alcohol Spectrum Disorder

in pediatric rehabilitation: A scoping review and framework to promote parent and family wellness. Child: Care, Health and Development 2017; 43(3): 334-347. 8. Shu BC, Lung FW. The effect of support group on the mental health and quality of life for mothers with autistic children. Journal of Intellectual Disability Research 2005; 49(Pt 1): 47-53. 9. Mohd Roffeei SH, Abdullah N, Basar SK. Seeking social support on Facebook for children with Autism Spectrum Disorders (ASDs). International Journal of Medical (...) and supports for those with FASD, explaining that parents and caregivers are best able to manage when their child is understood, well supported and has consistency from programs and from their interactions with health and social-service professionals. Identifying Effective Approaches to Support Parents and Caregivers of Children with Fetal Alcohol Spectrum Disorder 4 Evidence >> Insight >> Action QUESTIONS • What approaches have been found to be effective for parent support groups of children with fetal

2018 McMaster Health Forum

146. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice

at establishing, improving, and maintaining programs to train professionals to screen and treat for maternal perinatal depression. The most recent update of the AAP’s Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, Fourth Edition includes a recommendation for pediatric providers to screen for postpartum depression at 4 well-child visits in the first 6 months of life and refer to appropriate evaluation and treatment services for the mother and infant when indicated (...) between toxic stress states in early childhood and impaired language, cognitive and socioemotional development, and even lifelong disease has been independently validated. – There is growing evidence that perinatal depression in parents contributes to elevated stress hormone levels in infants, suggesting that it is likely a contributing factor to toxic stress states. In 1 study, children exposed to mothers with postpartum depression had elevated levels of salivary cortisol levels during infancy

2019 American Academy of Pediatrics

147. Pediatric ICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance

Pediatric ICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance Criteria for Critical Care Infants and Children: PICU Admiss... : Pediatric Critical Care Medicine ')} You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer or Register for a free account (...) Journal Info > > Criteria for Critical Care Infants and Children: PICU Admiss... Email to Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Pediatric Critical Care Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Article Tools Share

2019 Society of Critical Care Medicine

148. Management of Infants at Risk for Group B Streptococcal Disease

Management of Infants at Risk for Group B Streptococcal Disease Management of Infants at Risk for Group B Streptococcal Disease | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact on clinical care. Management (...) information regarding the epidemiology of GBS disease as well current recommendations for the evaluation of newborn infants at risk for GBS disease and for treatment of those with confirmed GBS infection. This clinical report is endorsed by the American College of Obstetricians and Gynecologists (ACOG), July 2019, and should be construed as ACOG clinical guidance. Abbreviations: AAP — American Academy of Pediatrics ABCs — Active Bacterial Core surveillance ACOG — American College of Obstetricians

2019 American Academy of Pediatrics

149. Identifying Child Abuse Fatalities During Infancy

childhood deaths from all causes. Many child fatality review teams routinely review sudden unexpected infant deaths. Ideally, a multidisciplinary child death review team should include child welfare or child protective services, law enforcement, public health, the medical examiner or coroner, a pediatrician with expertise in child maltreatment, a forensic pathologist, a representative of the emergency medical services system, a pediatric pathologist, public health and school officials, a local (...) in young children following abuse allegations: evidence from a prospective, population-based study . Christian CW , Block R ; Committee on Child Abuse and Neglect ; American Academy of Pediatrics . Abusive head trauma in infants and children . Choudhary AK , Servaes S , Slovis TL , et al . Consensus statement on abusive head trauma in infants and young children . Chadwick DL , Kirschner RH , Reece RM , et al . Shaken baby syndrome–a forensic pediatric response . Meadow R . Suffocation, recurrent apnea

2019 American Academy of Pediatrics

150. Recommendations for Prevention and Control of Influenza in Children, 2019–2020

Recommendations for Prevention and Control of Influenza in Children, 2019–2020 Recommendations for Prevention and Control of Influenza in Children, 2019–2020 | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact (...) on clinical care. Recommendations for Prevention and Control of Influenza in Children, 2019–2020 COMMITTEE ON INFECTIOUS DISEASES Abstract This statement updates the recommendations of the American Academy of Pediatrics for the routine use of influenza vaccines and antiviral medications in the prevention and treatment of influenza in children during the 2019–2020 season. The American Academy of Pediatrics continues to recommend routine influenza immunization of all children without medical

2019 American Academy of Pediatrics

151. Clinical Handover in Acute and Children’s Hospital Services

of Primary Care Quality Improvement and Assistant Professor of Pediatrics at Boston Children’s Hospital and Harvard Medical School, USA. Internatonal expert review feedback is included in Appendix 9. National feedback is included in Appendix 10. 1.9 Procedure for update of National Clinical Guideline This National Clinical Guideline is due for review in November 2018 or sooner, should compelling evidence arise. At that time a systematic search of the literature for new evidence will be conducted (...) Clinical Handover in Acute and Children’s Hospital Services Communication (Clinical Handover) in Acute and Children’s Hospital Services National Clinical Guideline No. 11 November 2015Guideline Development Group The National Communication (Clinical Handover) Guideline Development Group (GDG) was a work stream of the National Implementation Group – HSE/HIQA Maternity Services Investigations (HSE) under the governance of the Acute Hospitals Division, HSE. This group will be referred to as the GDG

2019 National Clinical Guidelines (Ireland)

152. Safe Delivery of paediatric ENT surgery in the UK- a national strategy

of critical incidents relevant to pediatric anesthesia reported to the UK National Reporting and Learning System, 2006-2008. Paediatr Anaesth. 2011;21(8):841-7. 10. Paterson N, Waterhouse P. Risk in pediatric anesthesia. Paediatr Anaesth. 2011;21(8):848-57. 11. Weiss M, Hansen TG, Engelhardt T. Ensuring safe anaesthesia for neonates, infants and young children: what really matters. Arch Dis Child. 2016;101(7):650-2. 12. Davidson AJ, Disma N, de Graaff JC, Withington DE, Dorris L, Bell G, et al (...) AM, et al. Tonsillectomy and adenoidectomy in children with sleep related breathing disorders: consensus statement of a UK multidisciplinary working party. Clin Otolaryngol. 2009;34(1):61-3. 5. Royal College of Paediatrics and Child Health: UK-WHO growth charts - 0-4 years. 2013. 6. Saur JS, Brietzke SE. Polysomnography results versus clinical factors to predict post-operative respiratory complications following pediatric adenotonsillectomy. Int J Pediatr Otorhinolaryngol. 2017;98:136-42. 7

2019 Association of Paediatric Anaesthetists of Great Britain and Ireland

153. Immunizations - childhood: Scenario: Childhood immunizations - over 10 years of age (including adults)

collection on the (available at www.gov.uk) for up-to-date information on eligibility. Basis for recommendation These recommendations are based on Routine childhood immunisations [ ], and the chapter The UK immunisation schedule in the Public Health England (PHE) document Immunisation against infectious disease ('Green Book') [ ] to include HPV vaccination in all children aged 12-13 years and flu vaccination in children aged 2–10 years. The childhood immunization schedule provides early protection (...) for very young infants against potentially dangerous infections. Booster doses are necessary for most diseases to ensure an adequate antibody response and protection throughout childhood and into adulthood [ ]. Meningococcal groups A,C,W, and Y catch-up programme This recommendation is based on the PHE document Introduction of a meningococcal ACWY immunisation programme for adolescents [ ]. What advice should I give to children and young people from 10 years to 25 years of age? Explain the benefits

2019 NICE Clinical Knowledge Summaries

154. Immunizations - pneumococcal: Scenario: Children diagnosed at increased risk aged 2-5 years

months later. If the child has asplenia, splenic dysfunction, or is immunocompromised (including bone marrow transplant recipients, children with acute and chronic leukaemia, or genetic disorders affecting the immune system): Offer one dose of PCV13 followed by PPV23 at least 2 months later if the child is fully vaccinated. Offer two doses of PCV13 at least two months apart, followed by PPV23 at least 2 months later if the child is unvaccinated or partially vaccinated. At-risk children who (...) are eligible for one or two doses of PCV13 but who have already received PPV23 should wait at least 6 months between PPV23 and PCV13 doses. If there is no reliable immunization history, it should be assumed that the child has not been vaccinated. Basis for recommendation The recommendations on pneumococcal immunization are based government policy as discussed in Chapter 25 of Immunisation against infectious disease (the 'Green Book'), published by the Department of Health [ ]. How to administer the vaccine

2019 NICE Clinical Knowledge Summaries

155. Immunizations - pneumococcal: Scenario: Children at diagnosed at increased risk under 2 years of age

(including bone marrow transplant recipients, children with acute and chronic leukaemia, or genetic disorders affecting the immune system) should be given a second dose of PCV13 two months after the first dose. Offer all at-risk children a dose of pneumococcal polysaccharide vaccine (PPV23)(Pneumovax ® ) after their second birthday and at least 2 months after the last PCV13 dose. If there is no reliable immunization history, it should be assumed that the infant/child has not been vaccinated. Basis (...) reason to postpone immunization. Pneumococcal vaccines are usually given by intramuscular (IM) injection, into the upper arm in children, or the anterolateral thigh in infants under 1 year of age. However, if the infant/child has a bleeding disorder, the vaccine should be given by deep subcutaneous (SC) injection to reduce the risk of bleeding. Use a 25mm 23-gauge (blue) or 25-gauge (orange) needle for IM administration in most infants and children. In pre-term or very small infants, use a 16mm

2019 NICE Clinical Knowledge Summaries

156. Immunizations - childhood: Scenario: Childhood immunizations 2-10 years of age

Immunizations - childhood: Scenario: Childhood immunizations 2-10 years of age Scenario: Children 2-10 years of age | Management | Immunizations - childhood | CKS | NICE Search CKS… Menu Scenario: Children 2-10 years of age Immunizations - childhood: Scenario: Childhood immunizations 2-10 years of age Last revised in July 2020 Scenario: Childhood immunizations 2-10 years of age What is the immunization schedule for children from 2 years up to 10 years of age? At two to 10 years old (...) , and rubella vaccine (MMR — VaxPRO ® or Priorix ® ). Check that the first dose has been given. Basis for recommendation These recommendations are based on Routine childhood immunisations [ ], The routine immunisation schedule [ ], published by Public Health England (PHE) and the NHS England letter The national flu immunisation programme 2019/20 [ ]. The childhood immunization schedule provides early protection for very young infants against potentially dangerous infections. Booster doses are also necessary

2019 NICE Clinical Knowledge Summaries

157. Immunizations - childhood: Scenario: Childhood immunizations - up to 1 year of age

if the primary course is started close to the child's first birthday). For an algorithm outlining the requirements for children who have not been immunized or have an unknown immunization status, see the Public Health England document . Basis for recommendation These recommendations are based on the chapter on the UK immunization schedule in Immunisation against infectious disease (the 'Green Book') [ ]; the guideline Vaccination of individuals with uncertain or incomplete immunisation status (...) Immunizations - childhood: Scenario: Childhood immunizations - up to 1 year of age Scenario: Children up to 1 year of age | Management | Immunizations - childhood | CKS | NICE Search CKS… Menu Scenario: Children up to 1 year of age Immunizations - childhood: Scenario: Childhood immunizations - up to 1 year of age Last revised in July 2020 Scenario: Childhood immunizations - up to 1 year of age What is the immunization schedule for children younger than 1 year of age? At 8 weeks of age — one

2019 NICE Clinical Knowledge Summaries

158. Preparing HIV-infected children and adolescents for travel

for patients to access themselves: http://www.fitfortravel.nhs.uk Once the trip is planned, advise on following: • Road traffic accidents are the leading cause of death for all travellers, use car seats and seat belts for children as you would in the UK, be vigilant of vehicles whilst walking near the roadside. • Drowning is the second leading cause of death in paediatric travellers. Children must be supervised when swimming in pools and must not dive until depth is established. • Waterborne infections can (...) they should retire to a screened room at dusk. Permethrin treated clothing is safe for children. Bed nets and cot covers Bed nets reduce malaria risk by approximately 50% (3). They should be well maintained without holes and tucked into the mattress. Insecticide treated nets are preferable and they need to be retreated every 6 months. Carrycot and pram net covers should be utilised for infants. Chemoprophylaxis Consideration must be given to possible drug-drug interactions in patients receiving

2018 The Children's HIV Association

159. Good practice guide for paediatric radiotherapy, second edition

Child, teenager and family-friendly environment 41 Radiotherapy equipment and techniques 42 Human and financial resources 42 Education and training 43 Research and development 43 6. Glossary 44 References 46 Appendix 1. Membership of working party and acknowledgements 48 Appendix 2. Example of a CCLG radiotherapy information sheet 493 Good practice guide for paediatric radiotherapy Second edition www.rcr.ac.uk Foreword Around 1,800 children under the age of 16 develop cancer in the UK and over 80 (...) support for these procedures. This will enable more continuity and consistency in support when the child is home. Box 5. The play specialist in paediatric radiotherapy Specified time for the role of play specialist for children’s radiotherapy in the department should be included in the job description of a named play specialist or specialists. Box 6. The value of play 10,11 Play is an integral part of the child’s healthcare experience and should empower the child, help the child understand

2018 Royal College of Radiologists

160. PROTOCOL: Parenting interventions to support parent/child attachment and psychosocial adjustment in foster and adoptive parents and children: A systematic review Full Text available with Trip Pro

of the original patterns. Main and Solomon ( ) proposed that this category was characterised by breakdowns of attachment organisation following trauma. A number of studies support the associations between disorganised‐disoriented attachment in early childhood and the subsequent development of adverse child outcome (Alpern & Repacholi, ; Carlson, ; Groh et al., ; Moss et al., ). Adopted children and children placed in foster care share experiences of early separation from caregivers, leaving them at elevated (...) early disorganised‐disoriented attachment and subsequent adverse child outcomes, a number of interventions and programs are aimed at supporting the development of a secure attachment relationship between parents and children (Dozier & Rutter, ; Dozier et al., ). In a meta‐analysis on the effectiveness of preventative attachment interventions on parental sensitivity and infant attachment for at risk populations ( k = 70), results suggest that interventions are rather effective at increasing parental

2020 Campbell Systematic Reviews

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