Video discharge instructions as an aid to standard written orders?
Previous studies have indicated that many patients (and caregivers) have difficulty understanding physician given discharge instructions. Focused topic videos may mitigate against language difficulties, illiteracy and limited physician communication skills and time.
A study was undertaken of 436 caregivers of patients aged 29 days-18 years in an ED with a diagnosis of fever, vomiting or diarrhea and wheezing or asthma, who were either given written standard discharge instructions or who watched a three minute video based on their child's diagnosis. They were questioned immediately thereafter regarding information covered and 2-5 days later a follow-up questionnaire was administered.
Caregivers rate video discharge instructions as significantly better to understand, remember and find helpful compared to written orders. (Whether this improves compliance to treatment regimens requires further study. Ed)
Pediatric Emergency Care
Management of feeding disorders in normal children
Feeding difficulties in the developing child may relate to problems with oral motor skills (e.g. opening, closing or rotary mouth chewing functions plus tongue motions); sensory issues (aversion to having any food touching their lips, mouth, face or body); behavioral problems (with, without or a combination of the above) which are frequently related to the child's emotional experiences from his/her feeding as an infant. These may require a variety of different strategies to be resolved.
A report of a study of 96 families with normal children aged 1.5-6 years with feeding difficulties utilizing a group-behavioral parenting program ("Hassle Free Mealtimes Triple P") indicates that with this form of therapy improvements occur in the mealtime and general behavior of the children, with significant benefits documented in parental mealtime practices confidence and cognition.
Journal of Developmental and Behavioral Pediatrics
|Dangers Of Magnetic Toys|
NBC 5 via YouTube
Neonatal respiratory problems & genetically mediated surfactant dysfunction
Pulmonary surfactant is a mixture of lipids and proteins that decrease the surface tension in the alveolus on expiration. The proteins are important for the organization and packaging of the surfactant phospholipid and its adsorption onto the alveolar surface.
Mutations in the genes encoding surfactant proteins B and C (SP-B and SP-C) and the phospholipid transporter ABCA3 are rare and are associated with respiratory distress and interstitial lung disease in children.
27 new (of 427 - 7.5%) cases from 15 different Pediatric Centers (between 2006-2011) referred to a Genetics Molecular Laboratory for surfactant mutation analysis were identified. The majority are neonates born >37 weeks gestation and present with respiratory distress at birth. Prognosis appears variable with some survivors (best for ABCA3 and SP-C mutations).
Archives of Diseases in Childhood
Timolol 5% gel for the treatment of superficial infantile hemangiomas (IH)
Timolol maleate is non-selective beta-adrenergic antagonist frequently utilized for the treatment of glaucoma, heart attacks and hypertension.
Superficial Infantile hemangiomas (strawberry hemangiomas) are benign, superficial, red colored vascular cutaneous growths that usually appear (60% on head and neck) shortly after birth, grow rapidly during the first year of life and frequently resolve on their own over the next few years. (50% completely involuted by 5 years of age).
A prospective trial investigating the use of Timolol maleate 0.5% gel on 41 infants with superficial IH's (without ulceration or near mucosal surfaces) indicates that blinded size and volume measurements taken over a 24 week period decrease significantly more in a treated group, with no apparent adverse incidence.