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[PMID]: 26998577 [Au] Autor: Yip WK; Mordiffi SZ; Wong HC; Ang EN [Ad] Endereço: Evidence Based Nursing Unit, Department of Nursing, National University Hospital, National University Health System, Singapore (Ms Yip and Dr Mordiffi); Biostatistics Unit, Yong Loo Lin School of Medicine Dean's Office, National University of Singapore, National University Health System, Singapore (Ms Wong); and Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, and National University Cancer Institute, National University Health System, Singapore (Dr Ang). [Ti] Título: Development and Validation of a Simplified Falls Assessment Tool in an Acute Care Setting. [So] Source: J Nurs Care Qual;31(4):310-7, 2016 Oct-Dec. [Is] ISSN: 1550-5065 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: An easy-to-use assessment tool, which contains reversible risk factors, might influence the success of a falls prevention program. A 2-phase study was undertaken to develop and validate a simplified falls assessment tool. Risk factors of confusion, dizziness, altered elimination, and difficulty with mobility were found to be significantly associated with fall status. The simplified falls assessment tool that contains these 4 risk factors yielded a comparable predictive value to Hendrich II Falls Risk Model. [Mh] Termos MeSH primário: Acidentes por Quedas/prevenção & controle Técnicas de Apoio para a Decisão Reprodutibilidade dos Testes Medição de Risco/métodos [Mh] Termos MeSH secundário: Idoso Idoso de 80 Anos ou mais Confusão/complicações Tontura/complicações Transtornos da Excreção/complicações Feminino Seres Humanos Modelos Logísticos Masculino Meia-Idade Limitação da Mobilidade [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1705 [Cu] Atualização por classe: 170522 [Lr] Data última revisão: 170522 [Sb] Subgrupo de revista: IM; N [Da] Data de entrada para processamento: 160322 [St] Status: MEDLINE [do] DOI: 10.1097/NCQ.0000000000000183

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[PMID]: 26974876 [Au] Autor: Alpaslan AH; Koçak U; Avci K; Güzel HI [Ad] Endereço: Afyon Kocatepe University, Faculty of Medicine, Department of Child and Adolescent Psychiatry, Afyonkarahisar, Turkey. Electronic address: ahmethamdialpaslan@yahoo.com. [Ti] Título: Association between elimination disorders and abusive maternal attitudes. [So] Source: J Forensic Leg Med;40:22-7, 2016 May. [Is] ISSN: 1878-7487 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: OBJECTIVE: Enuresis and encopresis, both conditions are very distressful to children and their family members and it is responsible for significant social and psychological consequences in children and adolescents. The present study aims to determine the rate of abusive maternal attitudes towards children and adolescents with elimination disorders (EDs) and to investigate the maternal psychological and socio-cultural factors associated with abusive parenting attitudes. METHOD: N = 180 children with ED were included in the study. Family Assessment Device (FAD), and Symptom Check List (SCL-90-R) were administered to mothers. RESULTS: Our results indicated that prevalence of abusive maternal attitudes in our sample was 73.8%. Children and adolescents with ED who live with low-educated parents (p = 0.008), low socio economic status (p = 0.014), and in cases with living in a large or divorced family (p = 0.014), disorganized or chaotic families can be considered a population at risk (p < 0.05), since it is more likely that they suffer more severe abusive maternal attitudes. CONCLUSION: Present study showed high rates of abusive parenting attitudes in cases of EDs in a sample of Turkish children and adolescents. Further research on the etiological and therapeutic importance of the family in the case of ED referred to a psychiatry clinic should be carried out. [Mh] Termos MeSH primário: Maus-Tratos Infantis/psicologia Transtornos da Excreção/psicologia Relações Mãe-Filho Poder Familiar [Mh] Termos MeSH secundário: Adolescente Adulto Criança Pré-Escolar Estudos Transversais Divórcio Escolaridade Conflito Familiar Feminino Seres Humanos Entrevista Psicológica Comportamento Materno Meia-Idade Classe Social Turquia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1703 [Cu] Atualização por classe: 170817 [Lr] Data última revisão: 170817 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160315 [St] Status: MEDLINE

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[PMID]: 25444961 [Au] Autor: Brownrigg N; Pemberton J; Jegatheeswaran K; DeMaria J; Braga LH [Ad] Endereço: Department of Pediatric Urology, McMaster Children's Hospital, Hamilton, Ontario, Canada. [Ti] Título: A pilot randomized controlled trial evaluating the effectiveness of group vs individual urotherapy in decreasing symptoms associated with bladder-bowel dysfunction. [So] Source: J Urol;193(4):1347-52, 2015 Apr. [Is] ISSN: 1527-3792 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: We determined the feasibility of a definitive trial comparing the effectiveness of group vs individual urotherapy for children with bladder-bowel dysfunction. MATERIALS AND METHODS: Children 6 to 10 years old with bladder-bowel dysfunction were recruited during the course of 1 year. Feasibility data on screening, eligibility, recruitment and protocol compliance rates were collected. Patients with high grade hydronephrosis, vesicoureteral reflux or learning disabilities and those who had previously undergone urotherapy were excluded. Patients were randomized to 1-hour group urotherapy or 15-minute individual urotherapy. Symptoms and quality of life were measured using the Vancouver Nonneurogenic Lower Urinary Tract Dysfunction/Dysfunctional Elimination Syndrome Questionnaire and the Pediatric Incontinence Questionnaire at baseline and at 3 to 6 months of followup. Within/between group comparisons were conducted using t-tests. RESULTS: Of 455 screened children 79 were eligible and 60 were recruited to participate. A total of 24 patients randomized to group urotherapy and 25 randomized to individual urotherapy completed the pilot trial (6 undergoing group and 5 undergoing individual urotherapy withdrew from the study). Symptomology scores between group and individual urotherapy were not different at followup (mean ± SD 14.7 ± 7.9 vs 13.4 ± 6.3, p = 0.54, 95% CI -5.4-2.8). Quality of life scores between patients undergoing group and individual urotherapy at baseline differed (mean ± SD 21.1 ± 10.8 vs 31.0 ± 14.3, p < 0.01, 95% CI 2.7-7.3) but became similar at followup (21.0 ± 14.2 vs 20.1 ± 15.3, p = 0.84, 95% CI -9.4-7.6). Within group analyses demonstrated improvement in symptomology from baseline to followup in patients undergoing group (mean ± SD 3.6 ± 7.6, p = 0.03, 95% CI 0.4-6.8) and individual urotherapy (6.0 ± 5.4, p < 0.01, 95% CI 3.8-8.3). Within group quality of life analyses revealed improvement in Pediatric Incontinence Questionnaire scores from baseline to followup in patients undergoing individual urotherapy (p < 0.01, 95% CI 5.0-16.9) only. CONCLUSIONS: Urotherapy, regardless of modality, effectively improved bladder-bowel dysfunction symptoms. A definitive randomized controlled trial is feasible, considering that a high recruitment rate (76%) for this population has been established. [Mh] Termos MeSH primário: Terapia Comportamental/métodos Constipação Intestinal/terapia Transtornos da Excreção/terapia Incontinência Urinária/terapia [Mh] Termos MeSH secundário: Criança Estudos de Viabilidade Feminino Seres Humanos Masculino Projetos Piloto Qualidade de Vida Método Simples-Cego Inquéritos e Questionários Síndrome [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL [Em] Mês de entrada: 1506 [Cu] Atualização por classe: 151119 [Lr] Data última revisão: 151119 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 141203 [St] Status: MEDLINE

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[PMID]: 24733375 [Au] Autor: Hillen T; Gafson L [Ad] Endereço: Child and Family Department, The Tavistock and Portman NHS Foundation Trust, Tavistock Centre, UK thillen2@tavi-port.nhs.uk. [Ti] Título: Why good placements matter: Pre-placement and placement risk factors associated with mental health disorders in pre-school children in foster care. [So] Source: Clin Child Psychol Psychiatry;20(3):486-99, 2015 Jul. [Is] ISSN: 1461-7021 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Pre-school children placed in local authority care show elevated rates of mental health disorders when compared to the general population. This study investigated risk factors for mental health disorders relating to the period prior to entering care and while in care. A representative sample of 43 children in care aged 0-72 months in an inner London borough underwent comprehensive multidimensional assessments. Presence of emotional, behavioural, attachment and adaptive disorders was ascertained. Exposure to two pre-placement risk factors and six placement risk factors was compared between children with and without a disorder. A total of 26 children (60.5%) had at least one mental health disorder. The two pre-placement risk factors, multiple types of maltreatment and entry into care after the age of 6 months, were both significantly associated with mental health disorders. The three placement risk factors of sudden placement moves, multiple placement moves and child-carer alienation showed a significant association with mental health disorders. There was a strong correlation between the number of risk factors and the number of co-morbid mental health disorders per child (r = .67, p < .001). In conclusion, this study identified five modifiable risk factors related to the quality of safeguarding and fostering services which showed a significant association with pre-school mental health. [Mh] Termos MeSH primário: Cuidadores Maus-Tratos Infantis/estatística & dados numéricos Cuidados no Lar de Adoção Relações Interpessoais Transtornos Mentais/epidemiologia Alienação Social [Mh] Termos MeSH secundário: Sintomas Afetivos/epidemiologia Fatores Etários Criança Transtornos do Comportamento Infantil/epidemiologia Pré-Escolar Estudos de Coortes Estudos Transversais Transtornos da Excreção/epidemiologia Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia Feminino Hábitos Seres Humanos Lactente Londres/epidemiologia Masculino Transtorno Reativo de Vinculação na Infância/epidemiologia Fatores de Risco Transtornos do Sono-Vigília/epidemiologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1604 [Cu] Atualização por classe: 150710 [Lr] Data última revisão: 150710 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 140416 [St] Status: MEDLINE [do] DOI: 10.1177/1359104514530733

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[PMID]: 26298927 [Au] Autor: Jabaji R; Palazzi K; Finley AM; Nguyen Q; Kaplan G; Chiang G [Ti] Título: Two Sessions of Behavioral Urotherapy for Bowel and Bladder Dysfunction: Does It Get Any Better? [So] Source: Urol Nurs;34(6):312-7, 2014 Nov-Dec. [Is] ISSN: 1053-816X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: This study sets to determine the optimal duration of behavioral urotherapy necessary to achieve maximal improvement in the management of pediatric bowel and bladder dysfunction. [Mh] Termos MeSH primário: Terapia Comportamental/métodos Transtornos da Excreção/terapia Doenças Urológicas/terapia [Mh] Termos MeSH secundário: Adolescente Criança Pré-Escolar Transtornos da Excreção/psicologia Feminino Seres Humanos Masculino Resultado do Tratamento Doenças Urológicas/psicologia [Pt] Tipo de publicação: JOURNAL ARTICLE; OBSERVATIONAL STUDY [Em] Mês de entrada: 1509 [Cu] Atualização por classe: 150824 [Lr] Data última revisão: 150824 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 150825 [St] Status: MEDLINE

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[PMID]: 25005511 [Au] Autor: Pollock MR; Metz AE; Barabash T [Ad] Endereço: Mary R. Pollock, OTD, CLT, OTR/L, is Pediatric Therapist, Wood County Hospital, Toledo, OH. [Ti] Título: Association between dysfunctional elimination syndrome and sensory processing disorder. [So] Source: Am J Occup Ther;68(4):472-7, 2014 Jul-Aug. [Is] ISSN: 0272-9490 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE. We explored whether sensory processing disorder (SPD) is related to dysfunctional elimination syndrome (DES). METHOD. We used the Vancouver Nonneurogenic Lower Urinary Tract Dysfunction/Dysfunctional Elimination Syndrome Questionnaire and the Short Sensory Profile with participants who sought treatment of DES (n = 19) and healthy control participants (n = 55). RESULTS. Significantly more children with DES (53%) had SPD than was reported for the general population (p < .001; Ahn, Miller, Milberger, & McIntosh, 2004). Control participants did not have a greater rate of SPD (p = .333). We found a significant association between the occurrence of DES and SPD, χ²(1) = 20.869, p < .001, and a significant correlation between test scores (Spearman's ρ = -.493, Rs² = .243, p < .001). CONCLUSION. Many children with DES may also have SPD, suggesting that a child's sensory processing pattern would be an important aspect that could influence the plan of care. [Mh] Termos MeSH primário: Transtornos da Excreção/etiologia Transtornos das Sensações/complicações [Mh] Termos MeSH secundário: Criança Pré-Escolar Estudos Transversais Feminino Seres Humanos Masculino Inquéritos e Questionários [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1601 [Cu] Atualização por classe: 140709 [Lr] Data última revisão: 140709 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 140710 [St] Status: MEDLINE [do] DOI: 10.5014/ajot.2014.011411

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[PMID]: 23999731 [Au] Autor: Equit M; Klein AM; Braun-Bither K; Gräber S; von Gontard A [Ad] Endereço: Department of Child and Adolescent Psychiatry, Saarland University Hospital, 66421, Homburg, Germany, monika.equit@uks.eu. [Ti] Título: Elimination disorders and anxious-depressed symptoms in preschool children: a population-based study. [So] Source: Eur Child Adolesc Psychiatry;23(6):417-23, 2014 Jun. [Is] ISSN: 1435-165X [Cp] País de publicação: Germany [La] Idioma: eng [Ab] Resumo: The prevalence rates of elimination disorders and anxious/depressed symptoms of a representative sample of young children and their associations were assessed. 2,079 children in a defined geographical area were examined at school-entry. A parental questionnaire with 4 questions referring to symptoms of incontinence and 14 items of the anxious/depressed scale of the Child Behavior Checklist (CBCL) was administered. 9.5 % of 6-year-old children wet at night, 2.7 % wet during day and 1.2 % had faecal incontinence. Significantly more boys wet at night (11.7 %) than girls (7.2 %; OR 0.58, 95 % CI 0.43-0.78). 12.7 % had clinically relevant anxious/depressed symptoms. Children with at least one elimination disorder had significantly higher T values of the 'anxious/depressed' CBCL than continent controls. Children with faecal incontinence had highest T values of the 'anxious/depressed' CBCL syndrome scale, significantly higher than those of children with other elimination disorders and controls. Elimination disorders, as well as anxious/depressed symptoms are common at a young age. Boys are more affected by elimination disorders than girls, but not by anxious/depressed symptoms. Children with faecal incontinence have the highest rate of anxious/depressed symptoms. [Mh] Termos MeSH primário: Ansiedade/diagnóstico Depressão/diagnóstico Transtornos da Excreção/psicologia [Mh] Termos MeSH secundário: Ansiedade/epidemiologia Pré-Escolar Estudos Transversais Depressão/epidemiologia Transtornos da Excreção/epidemiologia Feminino Seres Humanos Masculino Escalas de Graduação Psiquiátrica Inquéritos e Questionários [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1411 [Cu] Atualização por classe: 171013 [Lr] Data última revisão: 171013 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 130904 [St] Status: MEDLINE [do] DOI: 10.1007/s00787-013-0468-9

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[PMID]: 23368903 [Au] Autor: Borch L; Hagstroem S; Bower WF; Siggaard Rittig C; Rittig S [Ad] Endereço: Department of Pediatrics, Aarhus University Hospital, Skejby, Aarhus, Denmark. lborch@live.dk [Ti] Título: Bladder and bowel dysfunction and the resolution of urinary incontinence with successful management of bowel symptoms in children. [So] Source: Acta Paediatr;102(5):e215-20, 2013 May. [Is] ISSN: 1651-2227 [Cp] País de publicação: Norway [La] Idioma: eng [Ab] Resumo: AIM: To investigate the effect of treating defecation problems on urinary incontinence in children suffering from combined urinary bladder and bowel dysfunction (BBD). METHODS: We established a clinical database from medical records of all children referred to the urinary incontinence and gastroenterology outpatient clinics with BBD. The following variables were extracted: symptoms of constipation, faecal incontinence, urinary incontinence, age at onset of symptoms, treatment, including duration and response. All children went through the same treatment protocol. Faecal disorders were treated primarily and once relieved, the daytime incontinence was managed and followed by intervention for nocturnal enuresis. RESULTS: In total, 73 children were included in the study. The treatment regimen resulted in resolution of the defecation disorder in 96% of the patients. Of the children with daytime urinary incontinence, 68% had at least a 50% reduction in number of daytime incontinence episodes by successful relief of bowel dysfunction and 27% became completely continent during daytime. Only 17% of the children suffering from enuresis had a significant reduction in number of wet nights after relief of their faecal problem. CONCLUSION: The empirical treatment approach of managing bowel symptoms before intervening for bladder dysfunction in children with BBD is found to be appropriate. [Mh] Termos MeSH primário: Defecação Transtornos da Excreção/terapia Incontinência Fecal/terapia Incontinência Urinária/terapia [Mh] Termos MeSH secundário: Criança Pré-Escolar Incontinência Fecal/complicações Feminino Seres Humanos Masculino Incontinência Urinária/complicações [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1401 [Cu] Atualização por classe: 130409 [Lr] Data última revisão: 130409 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 130202 [St] Status: MEDLINE [do] DOI: 10.1111/apa.12158

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[PMID]: 23247389 [Au] Autor: von Gontard A [Ad] Endereço: Department of Child and Adolescent Psychiatry, Saarland University Hospital, 66421 Homburg, Germany. alexander.von.gontard@uks.eu [Ti] Título: The impact of DSM-5 and guidelines for assessment and treatment of elimination disorders. [So] Source: Eur Child Adolesc Psychiatry;22 Suppl 1:S61-7, 2013 Feb. [Is] ISSN: 1435-165X [Cp] País de publicação: Germany [La] Idioma: eng [Ab] Resumo: Elimination disorders are very common in children: 10 % of 7-year-olds wet at night (nocturnal enuresis), 2-3 % during daytime (diurnal urinary incontinence) and 1-3 % soil (faecal incontinence). In the past decades, many subtypes of elimination disorders have been identified with different symptoms, aetiologies, comorbid disorders and specific treatment options. The aim of the paper is to present a short overview of the proposed DSM-5, the ICCS and the Rome-III classification systems, of assessment and of treatment. The DSM-5 criteria no longer reflect current research data and a revision is needed. Classification systems of the International Children's Incontinence Society (ICCS) for enuresis and urinary incontinence and the ROME-III criteria for functional gastrointestinal disorders offer new and relevant suggestions for both clinical and research purposes. Assessment of most elimination disorders can be performed in paediatric and child psychiatric primary care settings. The standard assessment consists of a thorough history, frequency/volume charts, specific questionnaires, a full physical examination, sonography and urinalysis. If possible, a child psychiatric assessment is performed. In all other settings, screening with a validated behavioural questionnaire and referral if indicated is recommended. All other investigations are indicated only in complicated cases and if an organic cause is to be ruled out. Treatment is symptom oriented and based on the exact diagnosis of the type of elimination disorder. Counselling is recommended in every case. Most elimination disorders can be treated by specific treatment programmes integrating cognitive-behavioural elements. Nocturnal enuresis is best treated with alarms. Medication can be indicated in nocturnal enuresis (desmopressin), urge incontinence (anticholinergics such as oxybutynin, propiverine, etc.) and faecal incontinence with constipation (polyethylene glycol). Comorbid behavioural and emotional disorders require additional treatment. [Mh] Termos MeSH primário: Manual Diagnóstico e Estatístico de Transtornos Mentais Transtornos da Excreção/diagnóstico [Mh] Termos MeSH secundário: Adolescente Psiquiatria do Adolescente Terapia Comportamental Criança Psiquiatria Infantil Aconselhamento Transtornos da Excreção/terapia Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1307 [Cu] Atualização por classe: 171013 [Lr] Data última revisão: 171013 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 121219 [St] Status: MEDLINE [do] DOI: 10.1007/s00787-012-0363-9

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[PMID]: 22748727 [Au] Autor: Navarro-Pardo E; Meléndez Moral JC; Sales Galán A; Sancerni Beitia MD [Ad] Endereço: Facultad de Psicología, Universidad de Valencia. esperanza.navarro@uv.es [Ti] Título: [Child and adolescent development: common mental disorders according to age and gender]. [Ti] Título: Desarrollo infantil y adolescente: trastornos mentales más frecuentesen función de la edad y el género.. [So] Source: Psicothema;24(3):377-83, 2012. [Is] ISSN: 1886-144X [Cp] País de publicação: Spain [La] Idioma: spa [Ab] Resumo: Despite the increase in the incidence and prevalence rates of children and adolescents' mental disorders, there are few works performed with large and representative samples of children and adolescents with psychopathological symptoms. The present work analyses 588 participants referred by first care pediatricians to a specialized unit for children and adolescents' mental health. As a result of the study, a statistically significant relation was found between age and diagnosis: a larger incidence of behavioral disorders, communication disorders, elimination disorders, pervasive developmental disorders, impulse-control disorders from 0 to 5 years; behavioral disorders and attention deficit hyperactivity disorder (ADHD) were more common from 6 to 11 years, behavioral and anxiety disorders were more likely at 12 to 15 years; and, lastly, behavioral disorders were more prevalent from 16 to 18 years. With respect to gender, there was a significant relationship with diagnosis: boys had more behavioral disorders, whereas girl had more anxiety disorders. To conclude, a relationship between mental disorders and developmental achievements could be indicated in the younger group. Additionally, externalizing disorders in boys and internalizing ones n girls were more prevalent across all ages. [Mh] Termos MeSH primário: Desenvolvimento do Adolescente Desenvolvimento Infantil Transtornos Mentais/epidemiologia [Mh] Termos MeSH secundário: Adolescente Distribuição por Idade Idade de Início Transtornos de Ansiedade/epidemiologia Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia Criança Transtornos do Comportamento Infantil/epidemiologia Transtornos Globais do Desenvolvimento Infantil/epidemiologia Serviços de Saúde da Criança/estatística & dados numéricos Pré-Escolar Transtornos da Comunicação/epidemiologia Transtornos Disruptivos, de Controle do Impulso e da Conduta/epidemiologia Transtornos da Excreção/epidemiologia Feminino Seres Humanos Lactente Deficiência Intelectual/epidemiologia Masculino Transtornos do Humor/epidemiologia Prevalência Estudos Retrospectivos Distribuição por Sexo Transtornos do Sono-Vigília/epidemiologia Espanha/epidemiologia [Pt] Tipo de publicação: ENGLISH ABSTRACT; JOURNAL ARTICLE [Em] Mês de entrada: 1212 [Cu] Atualização por classe: 151119 [Lr] Data última revisão: 151119 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 120704 [St] Status: MEDLINE

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