nocturnal enuresis/vômito

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Desmopressin toxicity due to prolonged half-life in 18 patients with nocturnal enuresis.

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OBJECTIVE Desmopressin has been used extensively for primary nocturnal enuresis and it is associated with a low incidence of adverse effects. The only reported serious side effect is seizure or altered levels of consciousness resulting from water intoxication, which has been reported for the nasal

The comparative safety of oral versus intranasal desmopressin for the treatment of children with nocturnal enuresis.

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OBJECTIVE Desmopressin is a well established and effective therapy for nocturnal enuresis. Water intoxication leading to hyponatremia is an infrequent but serious adverse event associated with desmopressin. We assessed the safety of desmopressin in children 18 years or younger with nocturnal

Desmopressin associated symptomatic hyponatremic hypervolemia in children. Are there predictive factors?

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OBJECTIVE Desmopressin is widely used in primary nocturnal enuresis, bleeding disorders, central diabetes insipidus and diagnostic urine concentration testing. Hyponatremic hypervolemia leading to seizures has been reported as a rare but potentially life threatening side effect of desmopressin

Diurnal and twenty-four hour patterning of human diseases: acute and chronic common and uncommon medical conditions.

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The symptom intensity and mortality of human diseases, conditions, and syndromes exhibit diurnal or 24 h patterning, e.g., skin: atopic dermatitis, urticaria, psoriasis, and palmar hyperhidrosis; gastrointestinal: esophageal reflux, peptic ulcer (including perforation and hemorrhage), cyclic

Medical audit in general practice. I: Effects on doctors' clinical behaviour for common childhood conditions. North of England Study of Standards and Performance in General Practice.

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OBJECTIVE To estimate the effects of medical audit, particularly setting clinical standards, on general practitioners' clinical behaviour. METHODS Before and after study strengthened by a replicated Latin square. METHODS 62 training general practices in the north of England. METHODS 92 general

Intranasal desmopressin-induced hyponatremia.

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Desmopressin is a commonly used, well-tolerated agent for the treatment of primary nocturnal enuresis and central diabetes insipidus. Intranasal desmopressin provides symptomatic relief with few serious complications. A 29-year-old woman with a long history of primary nocturnal enuresis began

Long-term outcome in inherited nephrogenic diabetes insipidus.

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Inherited nephrogenic diabetes insipidus (NDI) is a rare disorder characterized by impaired urinary concentrating ability. Little clinical data on long-term outcome exists.This was a single-centre retrospective medical record review of patients with a

Efficacy and safety of acupuncture in children: an overview of systematic reviews.

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In recent years, acupuncture has increasingly being integrated into pediatric health care. It was used on ~150,000 children (0.2%). We aim to update the evidence for the efficacy and safety of acupuncture for children and evaluate the methodological qualities of these studies to improve future

Medical audit in general practice. II: Effects on health of patients with common childhood conditions. North of England Study of Standards and Performance in General Practice.

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OBJECTIVE To estimate the effects of medical audit, particularly setting clinical standards, on patients' health. METHODS Before and after study strengthened by a replicated Latin square. METHODS 62 training general practices in the north of England. METHODS Random sample of 9000 children with any

Efficacy of acupuncture for health conditions in children: a review.

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Acupuncture has been used to treat a variety of childhood problems; however, the efficacy and safety of pediatric acupuncture remains unclear. This article reviews the existing empirical literature relating to the use of acupuncture for medical conditions in children. A systematic search of the

Reducing health disparities for low decile children and families: a nurse-led response.

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BACKGROUND Reducing health disparities for children living in deprived areas has been difficult to achieve. This paper describes the implementation of a nurse-led, child-specific clinic within a general practice setting to improve health outcomes for high needs Maori/Pacific Island and NZDep96

Delayed diagnosis and issues with pump usage are the leading causes of diabetic ketoacidosis in children with diabetes living in Newfoundland and Labrador, Canada.

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BACKGROUND Newfoundland and Labrador (NL) has a very high incidence of type 1 diabetes (T1DM) and admission rate for diabetic ketoacidosis (DKA). The purpose of this study was to identify characteristics and precipitating factors associated with pediatric DKA in this population. METHODS This was a

Renal complications in anorexia nervosa.

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OBJECTIVE Anorexia nervosa is a malady with possible long-lasting physiological consequences. Among these, little is known about the renal effects, which remain rarely investigated. METHODS A literature review was conducted using electronic databases and manual search of relevant articles,

Safety and efficacy of acupuncture in children: a review of the evidence.

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Acupuncture has been used therapeutically in China for thousands of years and is growing in prominence in Europe and the United States. In a recent review of complementary and alternative medicine use in the US population, an estimated 2.1 million people or 1.1% of the population sought acupuncture

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