A standard of multidisciplinary programmes should be internationally established to guarantee generally good outcomes in the treatment of chronic pain. Our results highlight the lack of quality of design, execution or reporting of many of the RCTs included in this article. Future studies should more specifically focus on differential effects of treatment components and patient variables, allowing the identification of subgroups, which most probably would profit from multidisciplinary pain programmes.
Children with Autism Spectrum Disorder (ASD) demonstrate marked deficits in the ability to initiate, maintain and sustain meaningful social interaction. While the social-emotional deficits represent a core set of problems, persons with ASD also demonstrate significant problems in initiating, sustaining and maintaining appropriate goal directed behaviors. Emotional Intelligence (EI) is a construct that has been successfully applied to a range of skills that allow for the prediction of competent human social behavior. Executive Functions (EF) refer to constructs involving cognitive abilities necessary for initiating, sustaining and maintaining purposeful goal-oriented behavior. While both children and adults with ASD have previously shown to have atypical patterns of EF skills, little is known about EI in either children or adults with ASD. Moreover, there is no study examining the relationship between EI and EF that has been reported in individuals with ASD. The current study examined the relationship between EF and EI in children with ASD. Twenty children with ASD were compared to twenty neurotypical children on self-report and clinical assessments of EI and EF. Although the relationship between EF and EI was not statistically significant, results showed that children with ASD have deficits in interpersonal skills, intrapersonal skills and overall EI when compared to their neurotypical peers. These results suggest that EF and EI are relatively independent domains of development that show compromise in persons with ASD and each may be necessary to support typical socially directed behaviors.
Background and aimsFebrile seizures are the most common form of seizures in children. They occur in 2%–5% of children aged 6 months to 5 years. They are classically associated with a positive familial history of febrile seizures and high fever occurring during various acute infections.The aim of this study is to establish if febrile seizures are significant correlated with certain acute febrile diseases.MethodsA retrospective study was initiated including all the children admitted in ‘Dr.Victor Gomoiu’ Children’s Hospital for an acute febrile infection from January 2016 till January 2017; we have found a total of 4577 children.Among them those admitted for upper respiratory infection, lower respiratory infection, urinary tract infection, viral gingivostomatitis and viral enterocolitis were counted individually.Further in each category mentioned above those who also had a febrile seizure during the present acute febrile disease were counted.Finally the statistically significance of the correlation between each category of acute febrile disease listed above and the occurrence of febrile seizures was assessed (statistically significant: p<0,05).ResultsAmong those 4577 children admitted in our clinic 841 (18.37%) had upper respiratory infection, 2695 (58.88%) had lower respiratory infection, 160 (3.49%) had urinary tract infection, 75 (1.63%) had viral gingivostomatitis and 806 (17.6%) had viral enterocolitis.A total of 125 (2.73%) children had a febrile seizure; 70 (56%) of them had upper respiratory infection (p<0,01), 22 (17.6%) had lower respiratory infection (p<0,01), 5 (4%) had urinary tract infection (p=0,903), 6 (4.8%) had viral gingivostomatitis (p<0,05) and 22 (17.6%) had viral enterocolitis (p=0,99).ConclusionsRespiratory tract infections are the most frequent causes of fever in children admitted in our clinic for febrile seizures with a rate of 73.6%, followed by viral enterocolitis (17.6%),viral gingivostomatitis (4.8%), and urinary tract infection (4%).These results are in concordance with those from the most recent studies published in medical literature.
IntroductionControlled asthma is associated with a decreased risk of asthma exacerbation. A normal score in asthma control test (>19) indicate controlled asthma and low risk of exacerbation. Low FEV1 (<80%) is also a predictor of asthma exacerbations.Aimto asses the correlation between ACT score and FEV1 value and by that to determine if ACT score is predictive for FEV1 value.MethodThe prospective study was conducted in ‘Dr. Victor Gomoiu’ Children’s Hospital from January till December 2016. This study included 65 children aged 5 to 18 diagnosed with atopic asthma. In each patient asthma control test (ACT) was applied and FEV1 was measured using spirometry.Results32 of the patients had normal FEV1; out of these 23 were had ACT score>19 and 9 had ACT score≤19.33 patients had low FEV1; out of these 15 had ACT score>19 and 18 had ACT score≤19.Using Pearson Chi Square test to evaluate the correlation between ACT score and FEV1 we have obtained a p value<0.0307 (statistically significant).ConclusionAsthma control test (ACT) is a subjective tool easy to apply in children with asthma and is correlated with FEV1 value. ACT score is predictive for FEV1 value.
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