Children and adults treated with oral antibiotics may have a higher risk of developing kidney stones, according to a new study.
The findings, published in Journal of the American Society of Nephrology, suggested that the strongest risks appeared at younger ages and among patients most recently exposed to antibiotics.
“The overall prevalence of kidney stones has risen by 70 per cent over the past 30 years, with particularly sharp increases among adolescents and young women,” said lead author Gregory E. Tasian from the Children’s Hospital of Philadelphia (CHOP).
According to the researchers, kidney stones were previously rare in children.
“The reasons for the increase are unknown, but our findings suggest that oral antibiotics play a role, especially given that children are prescribed antibiotics at higher rates than adults,” said co-author Michelle Denburg from CHOP.
For the study, the team analysed prior antibiotic exposure for nearly 26,000 patients with kidney stones, compared to nearly 260,000 control subjects.
They found that five classes of oral antibiotics — oral sulfas, cephalosporins, fluoroquinolones, nitrofurantoin, and broad-spectrum penicillins — were associated with a diagnosis of kidney stone disease.
After adjustments for age, sex, race, urinary tract infection, other medications and medical conditions, patients who received sulfa drugs were more than twice as likely as those not exposed to antibiotics to have kidney stones, the researchers said.
For broad-spectrum penicillins, the increased risk was 27 per cent higher, the researchers added.
They also mentioned that the risk of kidney stones decreased over time but remained elevated several years after antibiotic use.
“Our findings suggest that antibiotic prescription practices represent a modifiable risk factor, a change in prescribing patterns might decrease the current epidemic of kidney stones in children,” Tasian noted. (IANS)
Strict parenting may not always yield the best results, especially when it comes to making your kids take time off the screen and do some exercise, suggests new research Lifestyle news.
Rather, parents who know a child’s preferences and participate in the activities become more successful in keeping him/her motivated to do exercise, showed the findings published in International Journal of Environmental Research and Public Health.
Parental control, meaning varying degrees of coercion and disregarding the child’s role in exercise-related decision-making, was perceived as undesirable and reduced enthusiasm for exercise.
“For example, strong, public and overt encouragement in tournaments and games was perceived in some cases as embarrassing and even shameful,” explained postdoctoral researcher Arto Laukkanen from University of Jyvaskyla in Finland.
“In addition, underestimating and ignoring the temporary cessation of exercise motivation, for example, was perceived as controlling and reducing enthusiasm for exercise.”
The study involved interviews with 79 first-, second-, and third-grade students.
The researchers found that children aged 7 to 10 years had a clear distinction between parenting that increases and reduces exercise motivation.
A very typical unpleasant exercise experience for children was related to limiting screen time and the associated command that the child should go out to exercise.
“This is very contradictory, as parents try to take care of the children’s screen time and adequate level of exercise, but at the same time they may be contributing to alienation from exercise,” Laukkanen said.
“Perhaps exercise should not be set in opposition to screen time, but one should strive to organize independent space for both of them in everyday life.”
However, the researchers said that further research on this topic was urgently needed from the perspectives of both children and parents. (IANS)
We are certainly aware of the medical and economic consequences of COVID 19; but what is also critical is the psychological aspect of this fight, especially for children — in their families, isolation facilities, child care institutions as well as NGO run shelter facilities. There is a need to educate parents and caregivers to support children in these difficult times and build their social and psychological resilience. It is an essential lifestyle news that children need support from parents and caregivers in the pandemic.
It is natural for the children to feel stress, anxiety, grief, and worry during an ongoing pandemic like COVID-19. Fear and anxiety about their own health and the health of loved ones can be overwhelming and cause strong emotions. In today’s digital world, children also access different kinds of information and news through social media and digital platforms, some of them may not be factually true, causing further stress and anxiety. It is enhanced when children are not able to go out, play, attend school or interact freely. Here are some tips by by Deepika Gandhi, Coordinator-Mental Health Initiatives, Miracle Foundation India to protect your child mentally and emotionally in isolation:
Understand that reactions to the pandemic may vary
Children’s responses to stressful events are unique and varied. Some children may be irritable or clingy, and some may regress, demand extra attention, or have difficulty with self-care, sleeping, and eating. New and challenging behaviors are natural responses, and adults can help by showing empathy and patience and by calmly setting limits when needed.
Ensure the presence of a responsive and sensitive caregiver
The primary factor in recovery from a traumatic event is the presence of a supportive, caring adult in a child’s life. Even when a parent is not available, children can benefit greatly from care provided by other adults (e.g., caretaker, relatives, friends) who can offer them consistent, sensitive care that helps protect them from a pandemic’s harmful effects.
Social distancing should not mean social isolation
Children, especially young children — need quality time with their caregivers and other important people in their lives. Social connectedness improves children’s chances of showing resilience to adversity. Creative approaches to staying connected are important (e.g., writing letters, online video chats).
Provide age-appropriate information
Children tend to rely on their imaginations when they lack adequate information.. Adults’ decisions to withhold information are usually more stressful for children than telling the truth in age-appropriate ways. Adults should instead make themselves available for children to ask questions and talk about their concerns. In addition, adults’ should limit children’s exposure to media coverage, social media and adult conversations about the pandemic, as these channels may be less age-appropriate.
Create a safe physical and emotional environment
Reassurance, routines and regulation- first, adults should reassure children about their safety and the safety of loved ones, and tell them that it is adults’ job to ensure their safety. Second, adults should maintain routines to provide children with a sense of safety and predictability (e.g., regular bedtimes and meals, daily schedules for learning and play). And third, adults should support children’s development of regulation. To help them manage these reactions, it is important to both validate their feelings (e.g., “I know that this might feel scary or overwhelming”) and encourage them to engage in activities that help them self-regulate (e.g., exercise, deep breathing, mindfulness or meditation activities, regular routines for sleeping and eating).
Children need to feel safe, secure, and positive about their present and future. Adults can help by focusing children’s attention on stories about how people come together, find creative solutions to difficult problems, and overcome adversity during the epidemic. Talking about these stories can be healing and reassuring to children and adults alike. (IANS)
Researchers, including one of Indian-origin, have revealed that children, teenagers and young adults are at greater risk for severe complications from COVID-19 and those with underlying health conditions are at even greater risk of death.
“This study provides a baseline understanding of the early disease burden of COVID-19 in pediatric patients,” said study researcher Hariprem Rajasekhar from Robert Wood Johnson Medical School Department of Pediatrics in the US. “The findings confirm that this emerging disease was already widespread in March and that it is not universally benign among children,” Rajasekhar added.
Published in the journal JAMA Pediatrics, the study followed 48 children and young adults – from newborns to 21 years old — who were admitted to pediatric intensive care units (PICUs) in the US and Canada for COVID-19 in March and April.
More than 80 per cent had chronic underlying conditions, such as immune suppression, obesity, diabetes, seizures or chronic lung disease. Of those, 40 per cent depended on technological support due to developmental delays or genetic anomalies. More than 20 per cent experienced failure of two or more organ systems due to COVID-19, and nearly 40 per cent required a breathing tube and ventilator.
At the end of the follow-up period, nearly 33 percent of the children were still hospitalised due to COVID-19, with three still requiring ventilator support and one on life support. Two of the children admitted during the three-week study period died.
The researchers said they were “cautiously encouraged” by hospital outcomes for the children studied, citing the 4.2 per cent mortality rate for PICU patients compared with published mortality rates of up to 62 per cent among adults admitted to ICUs, as well as lower incidences of respiratory failure.
The study noted that doctors in the New York metropolitan area are seeing what appears to be a new COVID-related syndrome in children. “The idea that COVID-19 is sparing of young people is just false,” said study co-author Lawrence C Kleinman from Rutgers University in the US.
“While children are more likely to get very sick if they have other chronic conditions, including obesity, it is important to note that children without chronic illness are also at risk. Parents need to continue to take the virus seriously,” Kleinman added.
Recently, another study, published in the journal Frontiers in Pediatrics, also revealed that gastrointestinal symptoms such as diarrhoea, coupled with a fever or history of exposure to COVID-19, could indicate coronavirus infection in children.