November 19, 2014   Vol. V, Issue 47
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Widening of the palate & therapy resistant enuresis! 

It appears from a small case series of 33 children who had therapy-resistant nocturnal enuresis, that (following polysomnography and nasal airway examination), the placement of an orthodontic maxillary expander for 6 months, (which opens the nasal passages and improves nasal breathing), significantly reduces wet-nights per week.

Acta Paediatrica

Rise of electronic cigarette (e-cigarette) use in adolescents.

A study of Polish students 15-19 years of age during 2010-2011 and 2013-2014, indicates that the prevalence of both e-cigarette and cigarette use has significantly increased over time. E-cigarettes in this population have not displaced tobacco smoking (e-cigarettes are a source of nicotine initiation with unknown potential long-term health effects, Ed.)


Journal of Adolescent Health 

Probiotics in the prevention of excema

A randomized, double-blind, placebo-control, parallel group trial of daily high-dose probiotics (with a number of different Lactobacilli) or placebo given to pregnant women from 36 weeks gestation and to their subsequent infants (to age 6 months) indicates that over a 2 year period probiotics neither prevents clinical eczema nor reduces its severity.


Archives of Disease in Childhood 

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-This is a "Must Have" (Ed.) 

What is the best material for molding casts in children?


Casts are used to address a variety of orthopedic problems in children. "The ability of a cast to maintain a desired shape is termed moldability". Plaster, fiberglass and soft casts are three materials frequently utilized.


A study of the biomechanical molding characteristics of a 12.7cm wide cast piece of either plaster, fiberglass or soft cast used appropriately over foam cylinders (to simulate casts) indicates that the best material for a cast used for clubfoot, developmental dysplasia of the hip and forearm and femur fractures appears to be plaster. This has the best moldability for precise molding (for situations requiring less precision the other materials have other advantages, e.g. light weight, water-proof and children friendly colors).


Journal of Pediatric Orthopedics 

Irritable bowel syndrome (IBS) & Functional abdominal pain syndrome (FAPS) - clinical & psychological characteristics.


It appears that IBS, functional abdominal pain (FAP) and FAPS may be subcategories of a similar disorder.


A clinical and psychological evaluation of hypnotherapy for IBS, FAP and FAPS in 259 children (ages 8-18 years) indicates that patients with IBF and FAPS have similar psychological profiles and responses to psychological therapies. They may well be different expressions of a single underlying functional disorder.


Journal of Pediatric Gastroenterology & Nutrition 

Video Feature (via YouTube) 

Irritable Bowel Syndrome in Children
Irritable Bowel Syndrome
in Children
Constipation in Children is Increasing
Constipation in Children
is Increasing

Independence & the treatment of neurogenic bowel dysfunction in children with myelomeningocele (MMC)


Transanal irrigation (TAI) of the rectum and colon refers to the introduction of water through the anus to regularly empty the bowel and to assist in re-establishing bowel control, following neurogenic bowel dysfunction (e.g. MMC and spinal cord injury, etc.)


"Antegrade colonic enema" (ACE) is a procedure which utilizes an abdominal ostomy connected to the appendix (or small bowel) to facilitate the flushing of a saline solution through the patient's colon.


A health related quality of life questionnaire was utilized in 172 children aged 7-16 years with MMC to compare the two different bowel regimens with regard to "patient satisfaction", "fecal incontinence" and "independence".


"TIA and ACE are both effective treatments, but time-consuming and difficult to perform independently". Children report no significant differences between the two methods. Parents appear to prefer ACE (children who can use a toilet independently to empty their bowel report a higher quality of life).


Acta Paediatrica 

Adolescents' aggression to parents. 


Previous physical aggression by a parent (mother to adolescent, father to adolescent, mother to father or father to mother) appears to be a significant indication (even following minor forms) of adolescents' parent-directed physical aggression.


Journal of Adolescent Health 

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