Children in US military families share common experiences and unique challenges, including parental deployment and frequent relocation. Although some of the stressors of military life have been associated with higher rates of mental health disorders and increased health care use among family members, there are various factors and interventions that have been found to promote resilience. Military children often live on or near military installations, where they may attend Department of Defense-sponsored child care programs and schools and receive medical care through military treatment facilities. However, many families live in remote communities without access to these services. Because of this wide geographic distribution, military children are cared for in both military and civilian medical practices. This clinical report provides a background to military culture and offers practical guidance to assist civilian and military pediatricians caring for military children.
AimIncreasing evidence exists with respect to the relation between stressful life events and functional constipation (FC). We aimed to investigate the prevalence of FC in Palestinian refugee preschool children and to determine if stress and trauma exposure are risk factors of FC in these children.MethodsFrom November 2013 until May 2014, a cross-sectional survey was conducted in West Bank, Gaza and Jordan. Mothers of 862 Palestinian refugee children aged 7–48 months were interviewed on defecation pattern, socio-economic factors and the child’s exposure to traumatic events.ResultsTwelve percent of the Palestinian refugee children fulfilled the criteria for FC. The prevalence of constipation was significantly lower in Gaza compared to Jordan (2% vs. 17%, p <0,001). Living in Gaza was associated with lower odds of FC (OR 0,08, 95% CI 0,03–0,20). Trauma exposure was associated with higher odds of FC (OR 1,19, 95% CI 1,06–1,35), however only a small number of children had been exposed to traumatic events.ConclusionThe overall prevalence of FC in Palestinian preschool children is comparable to prevalence rates among older children worldwide. In this age group stressful life events and trauma exposure seem not to play an important role in the development of FC.
Unique eyelid manifestations in type 1 pseudohypoaldosteronism Physical examination was normal except for the eyelid fi ndings as evident in fi gure 1. Prominent white projections on the margin of all four eyelids represent abnormal sebum collection resulting from the sodium channel defect in PHA1. Also noted was dry, rough and a parchment-like skin texture.To summarise, autosomal-recessive PHA 1 is a condition that results in a life-threatening electrolyte and acidbase imbalance during the immediate neonatal period. The noted association of this condition with the characteristic physical sign visible at birth might facilitate a lifesaving early diagnosis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.