Abdominal pain is a frequent complaint in pediatric emergency departments, with a broad differential diagnosis. The impact of demographic and clinical characteristics of patients on the evaluation and management of these children is not well known.

The most common cause of abdominal pain is constipation, which rarely requires hospital admission. Demographic factors, in particular race, do not seem to affect evaluation and management. (Read the full article)

Children with chronic pain complaints seem to represent an increasing portion of general pediatric inpatient services. Few data exist, however, on the characteristics of this population, their length of stay, or the best approach to their evaluation and management.

This study defines the demographic, diagnostic, procedural, and episode of care characteristics for children admitted to the acute care setting with chronic pain syndromes. Admission rates are rising, lengths of stay are substantial, and comorbid diagnoses are common. (Read the full article)

Pain in children with cerebral palsy is underrecognized and undertreated and negatively affects quality of life. Communication challenges and multiple pain etiologies complicate management. There is a wide range of pain prevalence reported in the literature (14% to 73%).

The impact of pain on activities in children with cerebral palsy across a wide age range and motor abilities is investigated. Physician-identified causes of pain are systematically assessed and reported. Concordance of physician and caregiver identification of pain is evaluated. (Read the full article)

At the time of their pediatric medical evaluation, patients with functional abdominal pain (FAP) have higher levels of emotional symptoms compared with youth without FAP. No controlled prospective study has evaluated psychiatric outcomes for FAP patients in adulthood.

This prospective study showed that pediatric FAP was associated with high risk of anxiety disorders in adolescence and young adulthood. Risk was highest if abdominal pain persisted, but was significantly higher than in controls even if pain resolved. (Read the full article)

The Faces Pain Scale–Revised and Color Analog Scale are self-report pain scales that are commonly used for children in the clinical and research settings.

The Faces Pain Scale–Revised and Color Analog Scale overall demonstrate strong psychometric properties in children 4 to 17 years of age, including within subgroups of age, sex, and ethnicity. Convergent validity, however, is questionable in children <7 years old. (Read the full article)

Racial/ethnic differences in care for adult and pediatric patients in the emergency department have been documented.

This study reveals racial/ethnic differences in analgesic administration and prolonged length of stay for pediatric emergency department visits for abdominal pain. Documenting such disparities is an important first step needed to improve the equity of care for this and other conditions. (Read the full article)

Pediatric functional abdominal pain is common and costly. Cognitive behavior therapy (CBT) is a promising treatment for these complaints, but solid evidence for its effectiveness is lacking.

This randomized controlled trial shows that CBT reduces abdominal pain in 60% of children 1 year after treatment. Six sessions of CBT delivered by trained master’s students in psychology were equally effective as 6 visits to an experienced pediatrician. (Read the full article)

Patients with sickle cell disease frequently express dissatisfaction with emergency department treatment of painful crises. Time to opioid administration has been suggested as a quality of care measure for painful crises.

Although not associated with hospital admission, time to opioid administration in sickle cell disease painful crises was associated with secondary outcomes including improvement between the first 2 pain scores, decreased pain score area under the curve at 4 hours, decreased emergency department length of stay, and increased total opioids. (Read the full article)

Clinical pain assessment methods in youth are vulnerable to underestimation bias and underrecognition. Facial expressions are sensitive, specific biomarkers of the presence and severity of pain. Computer vision–based pattern recognition enables measurement of pain-related facial expressions from video.

This study demonstrates initial validity for developing computer vision algorithms for automated pain assessment in children. The system developed and tested in this study could provide standardized, continuous, and valid patient monitoring that is potentially scalable. (Read the full article)

The two-day event, now in its third year, offers workshops on mental health and burnout, time-management and goal-setting, and strategies for navigating toxic workplace environments.

Spain ended Germany's two-year reign as champions to claim their fourth title.

Italy, Azerbaijan, Ukraine, Portugal, Spain, Kazakhstan and Russia joined hosts Slovenia in the finals by winning their main round groups while the eight play-off contenders are confirmed.

Holders Spain face neighbours Portugal for the second time in a UEFA Futsal EURO final, putting their title on the line in Ljubljana on Saturday: read the full lowdown, including where to watch.

Spain beat holders Portugal to claim their eighth U19 title, five more than anyone else.

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Spain are a familiar presence in the U21 semi-finals, while France have not featured in the last four since 2006.

Spain take on France in a heavyweight semi-final – here's all you need to know.

Holders Germany face Spain in Udine, Italy in a repeat of the 2017 final.

"This is the moment of truth," says the Spain midfielder ahead of his second U21 EURO final against Germany.

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Fabián Ruiz and Dani Olmo got the goals as Spain overcame Germany 2-1 in the 2019 UEFA Under 21 EURO final.

• La Liga clubs rally to help their local communities
• Atlético Madrid women's player and medical graduate Silvia Meseguer volunteers for local hospital
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All the results and highights from Switzerland as Spain won the Women's U19 title for the second year in a row.

Spain retained the Women's U19 title with a 1-0 win against Germany: the story of their victory in Switzerland.

Spain and Italy will meet in Friday's FIFA Futsal World Cup semi-finals after winning their last-eight encounters, though Ukraine missed out following a defeat by Colombia.

Spain won the all-European semi-final in Bangkok 4-1 against Italy to advance to Sunday's FIFA Futsal World Cup final against holders Brazil, the conquerors of Colombia.

A Neto double, including the extra-time winner 19 seconds from time, secured back-to-back FIFA Futsal World Cup triumphs for Brazil at the expense of regular rivals Spain.

"The moment has finally arrived," said Spain captain Kike as he ended an international career that brought two FIFA Futsal World Cup triumphs and five UEFA Futsal EUROs.

Slovenia's 1-0 first-leg defeat of Spain ended a string of streaks held by the European champions, including 27 straight wins and unbeaten runs of more than a decade.

Azerbaijan have earned a FIFA Futsal World Cup debut after they, Italy, Kazakhstan, Portugal, Russia, Spain and Ukraine came through their play-offs to reach the finals.

Ukraine will take on holders Brazil while European champions Spain have again been matched with Iran in the draw for the 2016 FIFA Futsal World Cup final tournament.

Russia and Portugal are through to the FIFA Futsal World Cup semi-finals but Spain and Italy, along with holders Brazil, are among the casualties in the knockouts so far.

THE MEZZANINE GALLERY TO EXHIBIT TERRANCE VANN’S “EDGE OF DESTINY” PAINTINGS Wilmington, Del. (February 23, 2018) – Edge of Destiny will be on view in the Mezzanine Gallery from March 2-29, 2018. A free opening reception to meet the artist will be held on Friday, March 2 from 5-7 p.m. Live music will be provided by […]

THE MEZZANINE GALLERY TO EXHIBIT JEAN DIVER’S “LIVING IN MYTHOLOGY” PAINTINGS AND WORKS ON PAPER Wilmington, Del. (April 2, 2018) – Jean Diver’s Living in Mythology will be on view in the Mezzanine Gallery from April 6-27, 2018. A free opening reception to meet the artist will be held on Friday, April 6 from 5-7 p.m. […]

  On view from September 7-28, 2018 Free opening reception on Friday, September 7 at 5 p.m. Wilmington, Del. (August 28, 2018) – Established Color, an exhibition of paintings by Thomas Del Porte, will be on view in the Mezzanine Gallery from September 7-28, 2018. Del Porte received a 2018 Fellowship Visual Arts: Painting. The artist […]

On view from April 5-26, 2019 Free opening reception on Friday, April 5 at 5 p.m. Wilmington, Del. (April 1, 2019) – Painting with Wood, an exhibition of “wood veneer paintings” by Robert Bruce Weston, will be on view in the Mezzanine Gallery from April 5-26, 2019. The artist will host a free opening reception […]

Spain's daily death count from the coronavirus fell to 179 on Saturday, down from 229 on the previous day, the health ministry reported.

The Delaware Department of Agriculture and landscape artist Mark S. Reeve are partnering on a year-long project to preserve the images of historic First State farms.

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CPC used a web-based survey to reach out to 1,252 respondents in 31 cities and towns of Maharashtra.

Saudi shares tumbled Sunday, a day after the finance minister announced "painful" measures to tackle the economic impacts of the coronavirus pandemic.

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This is the first postponement of an EPL game, after UEFA Champion's League and Europa League games were played behind closed doors and Italy, Spain and France league fixtures have gone haywire.

A sensuous Paul Gauguin painting of two Tahitian girls has been sold from a Swiss private...

Over 40 countries, including the US, which had been one of the last holdouts, grounded airliner’s newest version after a second fatal crash proved one too many.

The Yes Bank crisis, coupled with the coronavirus outbreak, may have some dire impact on India’s smaller private sector banks.

Among the ten of millions of people left idle or thrown out of work by the COVID-19 crisis, garment workers have been among the hardest hit, as orders dry up and shutdowns leave factories shuttered, giving workers plenty to protest at a time when lockdowns are keeping them at home

BRIDGE PAINTING, NEW CASTLE COUNTY, FY20

AMTRAK BRIDGE PAINTING, NEW CASTLE COUNTY, FY20

A massive sandstorm swept over the capital of Niger, Niamey, on Monday.