Archives of disease in childhood
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Constipation is a common complaint in children and early intervention with oral laxatives may improve complete resolution of functional constipation. However, most treatment guidelines are based on reviews of the literature that do not incorporate a quality assessment of the studies. ⋯ Insufficient evidence exists supporting that laxative treatment is better than placebo in children with constipation. Compared to all other laxatives, PEG achieved more treatment success, but results on defecation frequency were conflicting. Based on the results of this review, we can give no recommendations to support one laxative over the other for childhood constipation.
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The combined impact of maternal depression and in-home violence, and how their relationship with physical punishment varies with child behaviour are unknown. ⋯ Maternal depression and violence exposure are associated with smacking, particularly when depression and violence co-exist, when they are also associated with smacking frequency. Child self-control and externalising behaviour do not substantially impact the association between maternal depressive symptoms, violence exposure and smacking.
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To examine the emotional, behavioural and social correlates of missing values for body mass index (BMI) in a nationally representative sample of Portuguese youth. ⋯ Our findings suggest that those with missing values for BMI tend to have poorer body image, poorer health behaviours and poorer social networks. These results have implications for potential bias in the results of studies that do not account for missing BMI.
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600,000 deaths worldwide are estimated to be directly or indirectly attributable to respiratory syncytial virus (RSV). ⋯ Pre-existing disease/comorbidity, in particular multiple pre-existing diseases and cardiac anomaly, is associated with a significantly higher risk of death from severe RSV infection. Nosocomial/hospital-acquired RSV infection is an additional major risk factor for death in children with severe RSV infection.
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Comment Letter
Isotonic maintenance fluids do not produce hypernatraemia.