Conclusions: Genitourinary injuries in children result in approximately 28,000 emergency department visits yearly. Efforts should be made to decrease the risk of genitourinary injuries in children by promoting

the use of protective selleck chemicals gear and safer product selection for those at greatest risk for injury.”
“Do the gestures that speakers produce while talking significantly benefit listeners’ comprehension of the message? This question has been the topic of many research studies over the previous 35 years, and there has been little consensus. The present meta-analysis examined the effect sizes from 63 samples in which listeners’ understanding of a message was compared when speech was presented alone with when speech was presented with gestures. It was found that across samples, gestures do provide a significant, moderate benefit to communication. Furthermore, the magnitude of this effect is moderated by 3 factors. First, effects

of gesture differ as a function of gesture topic, such that gestures that depict motor actions are more communicative than those that depict abstract topics. Second, effects of gesture on communication are larger when the gestures are not completely redundant with the accompanying speech; effects are smaller when there is more overlap between the information conveyed in the 2 modalities. Third, the KU-60019 purchase size of the effect of gesture is dependent on the age of the listeners, such that children benefit more from gestures than do adults. Remaining questions for future research are highlighted.”
“Purpose: A duplex collecting system is a common congenital renal tract abnormality associated with different clinical problems. We describe our experience with ureteral reimplantations of a complete duplex collecting system where 1 megaureter needing recalibration

and 3-mercaptopyruvate sulfurtransferase 1 normal-sized ureter coexisted. Recalibration of the megaureter was done by wrap plication around the normal-sized ureter.

Materials and Methods: Operative logs and case notes were reviewed of consecutive children with a complete duplex collecting system treated with wrap plication of the megaureter around the normal-sized ureter and reimplantation between 1997 and 2010. Reoperation, vesicoureteral reflux and obstruction rates were assessed.

Results: A total of 25 children underwent wrap plication and ureteral reimplantation. Of the cases 19 (76%) were completely successful and 6 (24%) needed reoperation. Three children (12%) had persistent high grade vesicoureteral reflux, 2 (8%) underwent endoscopic correction and 1 (4%) underwent repeat reimplantation of the duplex system. Three children (12%) had postoperative obstruction and 2 (8%) underwent endoscopic incision of the ureteral orifice. In 1 child (4%) a nonfunctioning lower moiety of the kidney developed, which was managed by heminephrectomy.