HealthFusion June 2014 B  

September 10, 2014   Vol. V, Issue 37
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Extra intestinal manifestations (EIM) in children with gastrointestinal food allergy (GIFA). 

EIM of 436 children with GIFA include:

  • Fatigue (53%)
  • "Allergic shiners" (49%)
  • Mouth ulcers (39%)
  • Joint pain/hypermobility (35%)
  • Poor sleep &/or night sweats (34%)
  • Headache (22%)
  • Bed wetting (17%)

Journal of Pediatric Gastroenterology & Nutrition 

Avoidant/Restrictive Food Intake Disorder (ARFID) in children & Adolescents. 

ARFID designation is designed to capture individuals who have a persistence of disturbed eating habits that lead to clinical symptoms (e.g. weight loss, inadequate growth, nutritional deficiencies, and/or impaired psychosocial functioning, etc.). These children do not have a substantially irrational dissatisfaction with their body weight or shape e.g. as found in anorexia nervosa (AN), or bulimic nervosa (BN) patients.


A study of 98 children with ARFID outlines the differences between this condition and AN or BN (usually younger males, a longer duration of illness - 33 months, and a body weight between AN and BN children).


Journal of Adolescent Health

CMS' Final Rule for Meaningful Use in 2014 Offers Providers Flexibility

Guest Blog by Kathy McCoy


CMS approved the proposed rule to ease the Meaningful Use obstacles faced by many providers on August 29, giving providers assurance that they can use EHRs that have been certified under the 2011 Edition, a combination of the 2011 and 2014 Editions, or the 2014 Edition of certified electronic health record technology (CEHRT) for 2014.


The following is an Overview of the September 2014 Meaningful Use Final Rule...


Read More>>

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Effect of Strabismus surgery on reading ability of school age children.


Strabismus ("Crossed Eyes") is a condition where the eyes appear to look in different directions, ("divergent" or "convergent" strabismus). The danger with strabismus is that the brain over time, may only rely on input from one eye and the non-favored eye may fail to develop properly leading to weakened vision in that eye.


A study of 15 children with Strabismus between the ages of 5 and 14 years were evaluated pre- and post-surgery for visual acuity, ocular alignment and stereo acuity.


Strabismus treated operatively results in significant improvement in reading speed, accuracy and fluency.


Clinical Pediatrics

Video Feature
Nursing Care of Children: Neurosensory - Strabismus
Nursing Care of Children: Neurosensory - Strabismus
via YouTube

The effect of utilizing an inclined "step stool" for cardiopulmonary resuscitation (CPR). 


In-hospital cardiac arrest (only 12% of total) still carries a high mortality (children: 60%, adults: 77% - AHA 2013) in spite of current CPR recommendations and training of medical personnel. A "step stool" may be used to improve the quality of operator chest compressions.


A randomized crossover simulation study of the depth and rate of chest compressions during CPR, for two different step stools - a "flat topped one" and one with a "20� slanted surface" was undertaken to compare efficacy of resuscitation.  


Using an "inclined step stool" during CPR significantly enhances depth and rate of cardiac compression without increasing incomplete cycles.


Click HERE to view related video. 


The American Journal of Emergency Medicine 

10 year review of trends & severity of allergic reactions to nuts & other foods.


It appears that over the past 10 years the incidence of food allergies has risen. Ingestion/exposure to peanut and exotic nuts (like cashew nuts) in allergic patients are most frequently associated with the severe allergic reactions (anaphylaxis) seen in Emergency Departments (ED's) & that require hospitalization (nuts make up 50% of food allergies seen in Swedish ED's). 


Acta Paediatrica 

Effects of sleep restriction on Executive inhibitory control & affect in young adults.


"Executive function" is an umbrella term for the management of cognitive function, e.g. working memory, reasoning, problem solving, planning and execution, etc., mostly (but not completely) controlled by the prefrontal areas of the brain.


Young adults frequently have less sleep than normally required due to educational, vocation and social commitments.


A study of 19 young adults who regularly had late bed (after 10:30 pm) and wake up times (after 6:30 am) was undertaken to assess sleep deprivation on a range of objective and subjective measures, indicates that sleep restriction may cause slower performance responses, significant deficits in expression of emotions and/or feelings, and increased potentially high-risk behavior.


Journal of Adolescent Health

Pearl of the Week 


Whatever our dreams, ideas or projects, we plant a seed, culture it and then reap the fruits of our labors. 

-Oprah Winfrey




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