MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Clinical Pediatrics' source. Thu, 09 Feb 2012 01:09:29 +0100 http://www.medworm.com/index.php?rid=5669222&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F200%3Frss%3D1 In the article by Patricia A. Cluss, Linda J. Ewing, Kristin A. Long, William G. Krieger, and John Lovelace, Adapting Pediatric Obesity Treatment Delivery for Low-Income Families: A Public-Private Partnership, CLIN PEDIATR February 2010; 49: 123 129. (DOI:10.1177/0009922809346572) (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669222 Mon, 06 Feb 2012 05:00:00 +0100 5669222 http://www.medworm.com/index.php?rid=5669221&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F2%2F197%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669221 Mon, 06 Feb 2012 05:00:00 +0100 5669221 http://www.medworm.com/index.php?rid=5669220&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F2%2F193%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669220 Mon, 06 Feb 2012 05:00:00 +0100 5669220 http://www.medworm.com/index.php?rid=5669219&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F2%2F191%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669219 Mon, 06 Feb 2012 05:00:00 +0100 5669219 http://www.medworm.com/index.php?rid=5669218&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F2%2F188%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669218 Mon, 06 Feb 2012 05:00:00 +0100 5669218 http://www.medworm.com/index.php?rid=5669217&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F2%2F186%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669217 Mon, 06 Feb 2012 05:00:00 +0100 5669217 http://www.medworm.com/index.php?rid=5669216&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F181%3Frss%3D1 The problem of tooth discoloration is emerging in our society because of the poor oral hygiene, physical agents, environmental chemicals, mouth rinses, some dental procedures, general systemic conditions, and drugs. Other common causes of tooth discoloration include excessive use of tea, coffee, tobacco smoking and chewing, chewing of betel morsel (piper betel, paan), and so on. Drug-induced tooth discoloration can be prevented by avoiding prescriptions of well-known offender drugs known to cause tooth discoloration during pregnancy and in young children. This review describes some important groups of drugs that cause tooth discoloration. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669216 Mon, 06 Feb 2012 05:00:00 +0100 5669216 http://www.medworm.com/index.php?rid=5669215&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F175%3Frss%3D1 This article provides guidelines for pediatricians in managing difficult headache patients typically seen in our practice. The 3 categories we typically evaluates and treats include (a) "It’s medical, not psychological"; (b) "You’re the only doctor who can help me"; and (c) "My child is perfect." A brief case presentation illustrates each of these categories of patients. Specific recommendations for treatment, as well as guidelines for parents, are provided. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669215 Mon, 06 Feb 2012 05:00:00 +0100 5669215 http://www.medworm.com/index.php?rid=5669214&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F165%3Frss%3D1 Conclusion. The noninteractive module was more effective in promoting knowledge acquisition. Residents successfully demonstrated knowledge retention with completion of either module. The modules were insufficient to change clinical practice. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669214 Mon, 06 Feb 2012 05:00:00 +0100 5669214 http://www.medworm.com/index.php?rid=5669213&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F160%3Frss%3D1 Conclusions. Evaluation and treatment for presumed other disorders are common in children with GD. A high index of suspicion for hyperthyroidism by primary care providers may help to avoid clinical detours that may be costly and delay diagnosis. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669213 Mon, 06 Feb 2012 05:00:00 +0100 5669213 http://www.medworm.com/index.php?rid=5669212&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F154%3Frss%3D1 Many physicians use surveillance questions to assess development; the American Academy of Pediatrics recommends screening at 9-, 18-, and 24-month health supervision visits (HSVs). There are no studies directly comparing surveillance with screening. The authors directly compared systematic surveillance with standardized screening using a cross-sectional observational study of children with no known delays. Surveillance questions were completed at each HSV. The Ages and Stages Questionnaire (ASQ) was administered following the 9-, 18-, or 24-month HSV. The authors compared detection of delays by surveillance with ASQ screening. Using surveillance, 11/95 subjects were identified as delayed. Using the ASQ, 15/95 subjects scored fail; 28/95 scored monitor. Among the 11 delayed surveillance sub... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669212 Mon, 06 Feb 2012 05:00:00 +0100 5669212 http://www.medworm.com/index.php?rid=5669211&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F146%3Frss%3D1 Conclusions/Interpretation. Vitamin D insufficiency was nearly universal in this cohort of NA children and was associated with diabetes and vascular risk markers. Whether vitamin D supplementation can improve insulin resistance must be studied further. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669211 Mon, 06 Feb 2012 05:00:00 +0100 5669211 http://www.medworm.com/index.php?rid=5669210&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F140%3Frss%3D1 This study describes 3 adolescent females with severe PIGP, who each underwent extensive workup prior to referral to a pediatric gastroenterologist. PIGP may be an underrecognized disorder in pediatrics, particularly in adolescents, and if untreated, can lead to significant morbidity. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669210 Mon, 06 Feb 2012 05:00:00 +0100 5669210 http://www.medworm.com/index.php?rid=5669209&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F134%3Frss%3D1 Discussion. The authors’ continuity clinic had success implementing group visits, and families were recommended the visits. Group visits offer a natural environment to observe residents while exposing them to another way to deliver well child care. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669209 Mon, 06 Feb 2012 05:00:00 +0100 5669209 http://www.medworm.com/index.php?rid=5669208&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F130%3Frss%3D1 Conclusions. There is a wide variation in the evaluation and management of ALTE among emergency medicine physicians in Michigan. These children with ALTE are very likely to be seen by pediatric subspecialists subsequently. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669208 Mon, 06 Feb 2012 05:00:00 +0100 5669208 http://www.medworm.com/index.php?rid=5669207&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F122%3Frss%3D1 Objective. To examine objectively measured physical activity levels by age, sex, and BMI for children and adolescents in a nationally representative sample. Methods. Data were from the 2003-2004 and 2005-2006 National Health and Nutrition Examination Surveys, which included physical activity assessment by accelerometer and measured height and weight. The authors calculated minutes of moderate and vigorous activity. Results. Boys were more active than girls, and activity levels were lower at older ages. Younger children met daily recommendations for physical activity, whereas older children, especially girls, did not. Typically, weight status was inversely related to activity, though differences were less apparent among boys. Underweight children were not always more active than heavier pee... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669207 Mon, 06 Feb 2012 05:00:00 +0100 5669207 http://www.medworm.com/index.php?rid=5669206&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F114%3Frss%3D1 Conclusions. Allowing teens to control the timing and content of reminder text messages may support self-management of chronic disease. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669206 Mon, 06 Feb 2012 05:00:00 +0100 5669206 http://www.medworm.com/index.php?rid=5669205&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F2%2F109%3Frss%3D1 Conclusion. Human intrahepatic biliary epithelial cell is the target cell of HCMV. The etiology of biliary atresia is probably multifactorial. The perinatal infection of HCMV is one of the important etiologies for biliary atresia in China. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669205 Mon, 06 Feb 2012 05:00:00 +0100 5669205 http://www.medworm.com/index.php?rid=5669204&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F2%2F107%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5669204 Mon, 06 Feb 2012 05:00:00 +0100 5669204 http://www.medworm.com/index.php?rid=5553789&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F1%2F96%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553789 Fri, 30 Dec 2011 05:00:00 +0100 5553789 http://www.medworm.com/index.php?rid=5553788&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F1%2F93%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553788 Fri, 30 Dec 2011 05:00:00 +0100 5553788 http://www.medworm.com/index.php?rid=5553787&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F1%2F91%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553787 Fri, 30 Dec 2011 05:00:00 +0100 5553787 http://www.medworm.com/index.php?rid=5553786&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F1%2F88%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553786 Fri, 30 Dec 2011 05:00:00 +0100 5553786 http://www.medworm.com/index.php?rid=5553785&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F1%2F86%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553785 Fri, 30 Dec 2011 05:00:00 +0100 5553785 http://www.medworm.com/index.php?rid=5553784&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F1%2F77%3Frss%3D1 Conclusion. The findings make a strong case for pediatricians to take responsibility for engaging and educating parents on fostering optimal oral health and helping to access early childhood dental care. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553784 Fri, 30 Dec 2011 05:00:00 +0100 5553784 http://www.medworm.com/index.php?rid=5553783&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F1%2F65%3Frss%3D1 Conclusions. The results of this study highlight the importance of addressing medication concerns, when referring minority children to mental health services or offering treatments. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553783 Fri, 30 Dec 2011 05:00:00 +0100 5553783 http://www.medworm.com/index.php?rid=5553782&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F1%2F58%3Frss%3D1 This study compared family functioning and coping styles within and between 2 different medical groups: families of children with cancer (n = 44) and HIV disease (n = 65). Most caregivers reported healthy family functioning, and no between-group differences in functioning emerged. However, with regard to coping, more reliance on social support was indicated among the cancer group. Also, the HIV group largely sought support from family, whereas both family and nonfamily support were sought among the cancer group. Better functioning was related to reframing, an active coping style, within the cancer group and passive coping within the HIV group. Thus, coping strategies and their implications for family functioning vary by condition. Researchers should avoid combining various illness groups i... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553782 Fri, 30 Dec 2011 05:00:00 +0100 5553782 http://www.medworm.com/index.php?rid=5553781&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F1%2F51%3Frss%3D1 Conclusions. In a cohort of febrile children 2 to 36 months of age, only 14% had a confirmed pathogen. New rapid viral diagnostic techniques may provide an opportunity to improve diagnostic certainty in young children presenting with fever. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553781 Fri, 30 Dec 2011 05:00:00 +0100 5553781 http://www.medworm.com/index.php?rid=5553780&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F1%2F46%3Frss%3D1 Conclusion. Partial IgA deficiency appears to be associated with rheumatic diseases and complaints of joint pain, joint swelling, and morning stiffness. A larger study is needed to confirm these results. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553780 Fri, 30 Dec 2011 05:00:00 +0100 5553780 http://www.medworm.com/index.php?rid=5553779&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F1%2F39%3Frss%3D1 Conclusions. The issues of time, reimbursement, billing, and coding are perceived as significant barriers to the care CYSHCN. There is substantial variation in PCPs’ comfort in the care of CYSHCN who require the assistance of medical technologies. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553779 Fri, 30 Dec 2011 05:00:00 +0100 5553779 http://www.medworm.com/index.php?rid=5553778&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F1%2F31%3Frss%3D1 Conclusions: We found an increase in documentation and management of overweight children following an EMR upgrade that calculates BMI percentiles for age and gender. Physician education was an important adjunct. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553778 Fri, 30 Dec 2011 05:00:00 +0100 5553778 http://www.medworm.com/index.php?rid=5553777&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F1%2F23%3Frss%3D1 Conclusions. Routine use of nuclear renal scans in children following initial urinary tract infection diagnosis would result in increased imaging costs and radiation doses as compared to initial cystogram and ultrasound. Further data are required to clarify the long-term clinical implications of this increase. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553777 Fri, 30 Dec 2011 05:00:00 +0100 5553777 http://www.medworm.com/index.php?rid=5553776&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F51%2F1%2F17%3Frss%3D1 Conclusions. Postural tachycardia syndrome was common in this large pediatric population, whereas orthostatic hypotension was infrequent. The symptomatic improvement in the majority bears an unclear relationship to treatment. Prospective studies are needed. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553776 Fri, 30 Dec 2011 05:00:00 +0100 5553776 http://www.medworm.com/index.php?rid=5553775&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F51%2F1%2F7%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5553775 Fri, 30 Dec 2011 05:00:00 +0100 5553775 http://www.medworm.com/index.php?rid=5443593&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F12%2F1164%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443593 Fri, 25 Nov 2011 05:00:00 +0100 5443593 http://www.medworm.com/index.php?rid=5443592&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F12%2F1161%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443592 Fri, 25 Nov 2011 05:00:00 +0100 5443592 http://www.medworm.com/index.php?rid=5443591&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F12%2F1156%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443591 Fri, 25 Nov 2011 05:00:00 +0100 5443591 http://www.medworm.com/index.php?rid=5443590&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F12%2F1153%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443590 Fri, 25 Nov 2011 05:00:00 +0100 5443590 http://www.medworm.com/index.php?rid=5443589&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F12%2F1150%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443589 Fri, 25 Nov 2011 05:00:00 +0100 5443589 http://www.medworm.com/index.php?rid=5443588&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F12%2F1144%3Frss%3D1 Conclusions. TcB screening in the outpatient environment may not be safe and efficient. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443588 Fri, 25 Nov 2011 05:00:00 +0100 5443588 http://www.medworm.com/index.php?rid=5443587&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F12%2F1140%3Frss%3D1 This study describes a case resulting from Mycoplasma pneumoniae infection in an adolescent male and reviews the literature. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443587 Fri, 25 Nov 2011 05:00:00 +0100 5443587 http://www.medworm.com/index.php?rid=5443586&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F12%2F1134%3Frss%3D1 The aim of this study was to evaluate the frequency of abnormal findings in magnetic resonance imaging (MRI) in children with headache, the clinical relevance of these findings, and whether more sophisticated technologies also result in more relevant abnormal findings. The MRIs of 1004 children with age ranging from 1 to 17 years were retrospectively analyzed. Children who were investigated with established sequences (n = 419) were compared with those examined with state-of-the-art MRI acquisition technology (n = 585). In 216/1004 investigations, MRI was performed because of headache (74/216 with established sequences, 142/216 with state-of-the-art acquisition technology). In 114/216 (52.8%) patients with headache, the MRI was abnormal with relevant findings in 23/114 patients and findings... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443586 Fri, 25 Nov 2011 05:00:00 +0100 5443586 http://www.medworm.com/index.php?rid=5443585&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F12%2F1125%3Frss%3D1 This study sought to determine the relationship between maternal controlling feeding styles and maternal perception of their infant’s ability to regulate feeding and infant weight. A cross-sectional survey of 208 mothers with infants between 2 weeks and 6 months old was performed in a private pediatric office. The authors assessed the relationship between restrictive and pressuring feeding styles with (a) maternal perception of the infant’s ability to regulate feeding and (b) infant weight (both actual and perceived). Restrictive feeding style was associated with the perception that infants could not recognize their own hunger or satiety and with concern that the infant would become overweight in the future. Pressuring feeding style was associated with the perception that the b... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443585 Fri, 25 Nov 2011 05:00:00 +0100 5443585 http://www.medworm.com/index.php?rid=5443584&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F12%2F1116%3Frss%3D1 Conclusions: Non-receipt of provider recommendations was a main parent-reported reason for not getting vaccinated. Increasing parental knowledge and vaccination coverage through increased provider-parent communication about disease risk and vaccine benefits is needed. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443584 Fri, 25 Nov 2011 05:00:00 +0100 5443584 http://www.medworm.com/index.php?rid=5443583&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F12%2F1110%3Frss%3D1 Conclusion. The extra-esophageal symptoms commonly attributed to gastroesophageal reflux in infants are most often not associated with a reflux event. Even though causality cannot be definitively proven, in the minority in whom a symptom association is observed, nonacid events are as likely as acid events to cause symptoms. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443583 Fri, 25 Nov 2011 05:00:00 +0100 5443583 http://www.medworm.com/index.php?rid=5443582&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F12%2F1103%3Frss%3D1 This study estimates the prevalence of HTG and SHTG, evaluates factors that may be associated with these conditions, and describes the use of dyslipidemic agents in children. The sample included children 12 to 19 years old who participated in National Health and Nutrition Examination Survey (NHANES) 2001-2008 (n = 3248) and children 5 to 19 years of age who were part of a large managed-care claims database in the United States (n = 65 258). Results from NHANES confirm the rarity of SHTG in the US pediatric population (ie, 0.2%). Factors statistically significantly associated with having HTG or SHTG in the claims database were being male, 12 to 19 years old, having high low-density lipoprotein (LDL), having low high-density lipoprotein (HDL), diabetes, and psychological disorders. Fibrates ... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443582 Fri, 25 Nov 2011 05:00:00 +0100 5443582 http://www.medworm.com/index.php?rid=5443581&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F12%2F1096%3Frss%3D1 This retrospective study sought to assess whether gastroesophageal reflux (GER) is associated with recurrent infant apneic episodes (AEs) and whether its treatment prevents AEs. Symptoms, diagnostic measures, and treatment of GER in 87 infants admitted for AEs were recorded. The effect of GER on recurrent AEs and survival were assessed. Esophageal pH monitoring was done to 58/87 (67%) patients, of whom 53/58 (91%) had a pathological finding; 48 patients had treatment for GER (medical 43%/49%; surgical 5%/6%) with continuing AEs during hospitalization (25%/29% patients) as the main indication. Follow-up (65 patients) disclosed recurrent AEs in 12 (18%) patients (no treatment 4/21, medical 8/39, surgical 0/5, P = NS). All 87 patients survived. Recurrent AEs after discharge was predicted by A... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443581 Fri, 25 Nov 2011 05:00:00 +0100 5443581 http://www.medworm.com/index.php?rid=5443580&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F12%2F1091%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5443580 Fri, 25 Nov 2011 05:00:00 +0100 5443580 http://www.medworm.com/index.php?rid=5325967&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F11%2F1078%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325967 Tue, 18 Oct 2011 04:00:00 +0100 5325967 http://www.medworm.com/index.php?rid=5325966&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F11%2F1076%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325966 Tue, 18 Oct 2011 04:00:00 +0100 5325966 http://www.medworm.com/index.php?rid=5325965&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F11%2F1071%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325965 Tue, 18 Oct 2011 04:00:00 +0100 5325965 http://www.medworm.com/index.php?rid=5325964&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F11%2F1068%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325964 Tue, 18 Oct 2011 04:00:00 +0100 5325964 http://www.medworm.com/index.php?rid=5325963&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F11%2F1064%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325963 Tue, 18 Oct 2011 04:00:00 +0100 5325963 http://www.medworm.com/index.php?rid=5325962&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F11%2F1062%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325962 Tue, 18 Oct 2011 04:00:00 +0100 5325962 http://www.medworm.com/index.php?rid=5325961&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F11%2F1057%3Frss%3D1 The accuracy of acanthosis nigrcans (AN) as a dermatological clinical marker to predict insulin resistance (IR) has not been well established in children. A cohort of obese Caucasian children was prospectively recruited. Demographic data, body mass index values, and laboratory data were compared for the presence or absence of AN. A total of 76 children participated. In all, 46 (60.5%) children had AN, and 34 (44.7%) children were positive for IR (>3.16); 25 (32.9%) children were positive for both AN and IR. Sensitivity, specificity, positive and negative predictive values, and accuracy level for AN to detect IR in the obese children who participated in this study were 73.5%, 50%, 54.3%, 70%, and 49%, respectively. The correlation between insulin and fasting glucose levels in AN-negative... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325961 Tue, 18 Oct 2011 04:00:00 +0100 5325961 http://www.medworm.com/index.php?rid=5325960&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F11%2F1052%3Frss%3D1 Conclusion. The risk of SBI among febrile infants with bronchiolitis is significantly lower compared with febrile infants without bronchiolitis, but only after the neonatal period in which the risk for urinary tract infection was relatively high (9.7%). (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325960 Tue, 18 Oct 2011 04:00:00 +0100 5325960 http://www.medworm.com/index.php?rid=5325959&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F11%2F1045%3Frss%3D1 This study examined relationships between health-related quality of life, child anxiety, and parental stress in children with peanut allergy. A total of 51 families completed questionnaires regarding child anxiety, parenting stress, and quality of life. Child anxiety and parenting stress were found to significantly predict parent proxy report of their child’s health-related quality of life. Child anxiety, parenting stress, length of diagnosis, and experiencing an epinephrine shot predicted self-report of health-related quality of life. Although many children with peanut allergy function well, a certain subset of children and families appear to experience high levels of parenting stress and high levels of child anxiety that can affect health-related quality of life and these children ... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325959 Tue, 18 Oct 2011 04:00:00 +0100 5325959 http://www.medworm.com/index.php?rid=5325958&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F11%2F1040%3Frss%3D1 Two children presented with autoimmune alternating hypo- and hyperthyroidism related to the presence of blocking and stimulating thyroid antibodies. It was difficult to control their thyroid function adequately with an appropriate single drug regimen, and both children underwent total thyroidectomy with subsequent stable management with levothyroxine replacement therapy postsurgically. Although this phenomenon is well described in adults, this report is the first of such occurrence in children. The possible mechanism for the variation in the type of clinical presentation and options for management are discussed. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325958 Tue, 18 Oct 2011 04:00:00 +0100 5325958 http://www.medworm.com/index.php?rid=5325957&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F11%2F1031%3Frss%3D1 Conclusions. Mailing the CDC’s "Heads Up" toolkit appears to affect physicians’ recommendations regarding returning to play after a concussion. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325957 Tue, 18 Oct 2011 04:00:00 +0100 5325957 http://www.medworm.com/index.php?rid=5325956&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F11%2F1024%3Frss%3D1 Participants enrolled in a randomized control trial (RCT) were eligible for this cross-sectional study to determine if children born via cesarean (C)-section had higher rates of common infectious diseases and change in normal daily activities due to illness than children born vaginally. The RCT collected parent-reported health information and mode of delivery was assessed during follow-up calls. Parent-reported rates of infectious sequelae and changes in daily activities were compared between C-section and vaginally delivered children. In total, 72.4% of the 522 children were delivered vaginally. After accounting for age, siblings, breast-feeding as an infant, and clustering within families, C-section delivered children had significantly higher rates of cumulative infectious diseases, lowe... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325956 Tue, 18 Oct 2011 04:00:00 +0100 5325956 http://www.medworm.com/index.php?rid=5325955&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F11%2F1018%3Frss%3D1 Conclusion. Preoperative assessments for pediatric dental treatment frequently identify medical problems resulting in treatment plan alterations. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325955 Tue, 18 Oct 2011 04:00:00 +0100 5325955 http://www.medworm.com/index.php?rid=5325954&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F11%2F1010%3Frss%3D1 The objective of this prospective, cohort study was to assess an intervention for obese children (9-12 years of age) and their families delivered in primary care. A family-based, behavioral weight management program consisted of 11 sessions. The treatment consisted of a calorie goal, self-monitoring of daily food intake, physical activity and sedentary behavior, and other behavior change skills. A total of 78 children and families entered treatment; 23 children served as quasi-controls. The mean weight loss at 15 weeks among 55 children (71%) who completed the program was 2.4 lbs (SD = 5.24, range of –16.7 to +8.4 lbs) compared with a mean weight gain of 3.45 lbs (SD = 4.31, range of –5.0 to +12.0 lbs) among 23 control children. The mean change in body mass index z score from b... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325954 Tue, 18 Oct 2011 04:00:00 +0100 5325954 http://www.medworm.com/index.php?rid=5325953&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F11%2F1005%3Frss%3D1 The objective of this study was to establish the incidence of traumatic or unsuccessful lumbar punctures (LPs) in the authors’ institution. This is a prospective study. Traumatic LP was defined as >400 red blood cells (RBCs) and unsuccessful LP as failure to obtain cerebrospinal fluid (CSF) after the first LP attempt. A total of 127 CSF were recorded over 1 year. The incidence of a traumatic LP was 27/103 (26.2%) using the sitting position and 3/24 (12.5%) in infants and children using the lying position. In total, 33 (26%) CSF samples had 0 RBCs. The incidence of traumatic LP was 24% when the procedure involved one LP and 50% when more than one attempt was required. RBC count was significantly lower in cases requiring only one attempt (P = .0074). Incidence of traumatic LP was in... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325953 Tue, 18 Oct 2011 04:00:00 +0100 5325953 http://www.medworm.com/index.php?rid=5325952&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F11%2F1001%3Frss%3D1 This study examined whether biases concerning age and/or disability status influenced resuscitation decisions. Medical students were randomly chosen to read 1 of 4 vignettes, organized in a 2 (age: infant vs school-age) x 2 (disability: preexisting vs no preexisting) between-subjects design. The vignettes described a pediatric patient experiencing an acute episode who required resuscitation. Following resuscitation, patients with existing disability would continue to have disability, whereas those without would develop disability. Participants indicated whether they would resuscitate, given a 10% chance of success. There was a significant main effect of disability: Medical students displayed a preference for resuscitating previously disabled children compared with previously healthy childr... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325952 Tue, 18 Oct 2011 04:00:00 +0100 5325952 http://www.medworm.com/index.php?rid=5325951&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F11%2F995%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5325951 Tue, 18 Oct 2011 04:00:00 +0100 5325951 http://www.medworm.com/index.php?rid=5263459&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F10%2F983%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263459 Mon, 26 Sep 2011 04:00:00 +0100 5263459 http://www.medworm.com/index.php?rid=5263458&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F10%2F981%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263458 Mon, 26 Sep 2011 04:00:00 +0100 5263458 http://www.medworm.com/index.php?rid=5263457&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F10%2F978%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263457 Mon, 26 Sep 2011 04:00:00 +0100 5263457 http://www.medworm.com/index.php?rid=5263456&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F10%2F974%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263456 Mon, 26 Sep 2011 04:00:00 +0100 5263456 http://www.medworm.com/index.php?rid=5263455&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F10%2F963%3Frss%3D1 Conclusions: Hospitalizations and ED visits for ACSCs are rare and do not decrease with additional years of coverage. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263455 Mon, 26 Sep 2011 04:00:00 +0100 5263455 http://www.medworm.com/index.php?rid=5263454&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F10%2F957%3Frss%3D1 Conclusion. Pediatricians should screen all preterm infants for feeding dysfunction during the first year. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263454 Mon, 26 Sep 2011 04:00:00 +0100 5263454 http://www.medworm.com/index.php?rid=5263453&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F10%2F952%3Frss%3D1 Conclusion: For some reasons, KD in older children was difficult in early diagnosis and treatment. Also, older children may have a more marked inflammatory response and those treated with IVIG were more likely to require repeated IVIG treatment. And probably because of all these, older patients with KD had a higher prevalence of coronary artery abnormalities than the younger patients. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263453 Mon, 26 Sep 2011 04:00:00 +0100 5263453 http://www.medworm.com/index.php?rid=5263452&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F10%2F943%3Frss%3D1 Conclusions. These findings suggest the potential benefit of short-dwell ELT combined with systemic antimicrobials in CLABSI treatment. Randomized controlled trials are needed. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263452 Mon, 26 Sep 2011 04:00:00 +0100 5263452 http://www.medworm.com/index.php?rid=5263451&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F10%2F936%3Frss%3D1 The objective of the study was to identify risk factors for the development of HTN in children born preterm or at a LBW and to assess pediatricians’ awareness of the problem. A retrospective review of 160 cases was conducted. In total, 22% of babies born preterm/LBW developed HTN by age 15 years. The odds of developing HTN were 1.6 times greater for every one standard deviation increase in body mass index. Higher risk posses for those born small for gestational age and under 1000 g. Of the 35 cases of HTN identified, only 31% were recognized as abnormal by the primary care providers. The development of obesity and HTN appear related in preterm/LBW children. Awareness of prematurity or LBW as a risk factor for HTN should be raised among pediatric primary care providers. (Source: Clini... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263451 Mon, 26 Sep 2011 04:00:00 +0100 5263451 http://www.medworm.com/index.php?rid=5263450&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F10%2F929%3Frss%3D1 Children with Staphylococcus aureus bacteremia (SAB) generally presented with nonsevere signs and symptoms in sharp contrast to reports of adults with SAB. Despite incomplete adherence to current management guidelines, children with SAB did not experience mortality or relapse. Molecular characteristics of strains responsible for SAB in children were not significantly different than those described in adults. Improved outcomes in pediatric SAB compared with adults may most likely be attributed to less severe comorbidities in children. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263450 Mon, 26 Sep 2011 04:00:00 +0100 5263450 http://www.medworm.com/index.php?rid=5263449&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F10%2F923%3Frss%3D1 To determine the preferences for and satisfaction with communication between pediatric primary care physicians (PCPs) and hospitalists, 2 surveys (PCP and hospitalist versions with matching questions) were developed. Overall, PCPs were less satisfied than hospitalists with communication (P < .01). The 2 provider types had differing opinions on responsibility for care after hospital discharge, with hospitalists more likely than PCPs to assign responsibility to the PCP for pending labs (65% vs 49%; P < .01), adverse events (85% vs 67%; P < .01), or status changes (85% vs 69%; P < .01). Whereas satisfaction with and preferences for patient-related communication differed between hospitalists and PCPs, the incongruent views on the responsibility for care after patient discharge have... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263449 Mon, 26 Sep 2011 04:00:00 +0100 5263449 http://www.medworm.com/index.php?rid=5263448&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F10%2F916%3Frss%3D1 Measles remains a leading vaccine-preventable cause of child mortality worldwide. The incidence has increased recently in some areas. The authors retrospectively analyzed the epidemiological and clinical characteristics of 2473 measles patients in Shanghai from 2000 to 2009. There were 1909 measles cases during 2005-2009 (group II), whereas only 564 cases were reported during 2000-2004 (group I). In total, 60.87% patients in group II were younger than 9 months, which was significantly higher than that in group I (35.28%; P < .001). More complications, death cases, and less atypical rashes were found in recent years. In addition, 2181 of all the 2473 patients (88.19%) and 1112 of 1328 hospitalized children (83.73%) had not been vaccinated; most of them were immigrants. The results indica... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263448 Mon, 26 Sep 2011 04:00:00 +0100 5263448 http://www.medworm.com/index.php?rid=5263447&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F10%2F910%3Frss%3D1 Conclusion. Clinical and endoscopic findings differ between SJP, MJP, and JPS. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263447 Mon, 26 Sep 2011 04:00:00 +0100 5263447 http://www.medworm.com/index.php?rid=5263446&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F10%2F904%3Frss%3D1 A group of children, aged 8 to 13 years, presenting to their pediatricians with multiple medically unexplained physical symptoms (MUPS) were compared with a control group of children from the identical age range who were, according to their pediatricians, free of unexplained physical symptoms. The groups were compared on both self-reported and parented-rated scales assessing physical symptoms and psychosocial functioning. The multiple MUPS group, relative to controls, exhibited significantly higher levels of parent-reported emotional/behavioral symptoms and a trend toward higher patient-reported anxiety than controls. Parents’ and child’s reports of symptomatology were modestly correlated. Symptom patterns characteristic of pediatric somatization differed as a function of wheth... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263446 Mon, 26 Sep 2011 04:00:00 +0100 5263446 http://www.medworm.com/index.php?rid=5263445&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F10%2F897%3Frss%3D1 Benign external hydrocephalus (BEH) is considered a self-limiting condition in infants. Subdural hematoma (SDH) in infants without a history of trauma indicates nonaccidental injury (NAI). The authors studied whether SDH can complicate BEH without apparent trauma. Out of 45 children younger than 3 years with nontraumatic SDH, 9 (7 boys) with mean age 6 months had BEH as risk factor. Symptoms included increasing head size (8), fussiness, and irritability (3). Three had up-gaze restriction, 1 axial hypotonia, and 6 normal examination. Neuroimaging showed prominent extra-axial spaces; SDH was bilateral (6), subacute (5). Other etiological workup for SDH was negative except NAI in 1. Two required evacuation of SDH and subdural–peritoneal shunt; others managed conservatively. Development ... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263445 Mon, 26 Sep 2011 04:00:00 +0100 5263445 http://www.medworm.com/index.php?rid=5263444&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F10%2F891%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5263444 Mon, 26 Sep 2011 04:00:00 +0100 5263444 http://www.medworm.com/index.php?rid=5186388&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F9%2F882%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186388 Wed, 31 Aug 2011 23:00:00 +0100 5186388 http://www.medworm.com/index.php?rid=5186387&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F9%2F879%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186387 Wed, 31 Aug 2011 23:00:00 +0100 5186387 http://www.medworm.com/index.php?rid=5186386&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F9%2F876%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186386 Wed, 31 Aug 2011 23:00:00 +0100 5186386 http://www.medworm.com/index.php?rid=5186385&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F9%2F872%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186385 Wed, 31 Aug 2011 23:00:00 +0100 5186385 http://www.medworm.com/index.php?rid=5186384&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F9%2F869%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186384 Wed, 31 Aug 2011 23:00:00 +0100 5186384 http://www.medworm.com/index.php?rid=5186383&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F9%2F853%3Frss%3D1 Conclusion: Revisions are needed to optimize early detection, prevention, and monitoring. Greater emphasis is needed on developmental—behavioral promotion and referral care coordination. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186383 Wed, 31 Aug 2011 23:00:00 +0100 5186383 http://www.medworm.com/index.php?rid=5186382&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F9%2F844%3Frss%3D1 This study describes the epidemiology of pediatric volleyball-related injuries treated in US hospital emergency departments. Data for children younger than 18 years obtained from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission from 1990 through 2009 were analyzed. An estimated 692 024 volleyball-related injuries to children younger than 18 years occurred during the study period. The annual number of injuries declined significantly by 23% during the study period; however, the annual injury rate remained unchanged, and the number of volleyball-related concussions/closed head injuries increased significantly. Upper (48%) and lower (39%) extremity injuries occurred most frequently, as did strains/sprains (54%). Contact with the net/pole was assoc... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186382 Wed, 31 Aug 2011 23:00:00 +0100 5186382 http://www.medworm.com/index.php?rid=5186381&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F9%2F834%3Frss%3D1 The aim was to systematically review genetic testing guidelines in the evaluation of children with autism spectrum disorders (ASDs). The Clinical Report published by the American Academy of Pediatrics (AAP)1 recommended individualizing the workup, including karyotype and specific DNA testing for fragile X syndrome. A recent publication reported higher rates of abnormalities on CGH microarray (CMA) testing on children with ASD.2 The medical records of 507 children seen through the Kirch Developmental Services Center were abstracted for genetic testing and factors associated with this testing. Abnormalities were found on karyotype in 2.3% and in DNA for fragile X in 0.04%. The author concludes that the diagnostic yield of the genetic testing was low in this population. Furthermore, their fin... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186381 Wed, 31 Aug 2011 23:00:00 +0100 5186381 http://www.medworm.com/index.php?rid=5186380&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F9%2F827%3Frss%3D1 Conclusion. IPA is associated with a trend toward increased antibiotic resistance in late-onset SBIs. This should be taken into consideration in the selection of empirical therapy for febrile infants. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186380 Wed, 31 Aug 2011 23:00:00 +0100 5186380 http://www.medworm.com/index.php?rid=5186379&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F9%2F816%3Frss%3D1 Based on chart review for a representative cluster sample of North Carolina Medicaid enrollees aged 3 to 5 years (n = 1951) and 13 to 16 years (n = 1922) years, this study describes prevalence, practice patterns, and comorbidities related to overweight/obese immediately prior to 2007 Expert Recommendations. In total, 16% of children in both age groups were overweight, and 20% (ages 3-5 years) and 25% (ages 13-16 years) were obese. For 3- to 5-year-olds, body mass index percentile was infrequently recorded (22%) or plotted on growth charts (24%), and weight status category was rarely documented (10%). Results were similar for adolescents (21%, 20%, and 12%, respectively). In both groups, documentation of counseling in nutrition or physical activity was rare (16% for ages 3-5 years; 7% for a... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186379 Wed, 31 Aug 2011 23:00:00 +0100 5186379 http://www.medworm.com/index.php?rid=5186378&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F9%2F807%3Frss%3D1 Conclusions. A collaborative approach to design and implementation of interprofessional team training can lead to a sustainable program that serves both patient safety and training requirements set forth by professional organizations. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186378 Wed, 31 Aug 2011 23:00:00 +0100 5186378 http://www.medworm.com/index.php?rid=5186377&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F9%2F803%3Frss%3D1 Conclusion. A clinical pathway for pediatric appendicitis may address the challenges of the process of pre-ER, ER to OR, and OR care to maintain an acceptable perforation rate. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186377 Wed, 31 Aug 2011 23:00:00 +0100 5186377 http://www.medworm.com/index.php?rid=5186376&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F9%2F797%3Frss%3D1 Conclusions. Recurrence after the first episode of PSP in children is frequent and is difficult to predict by CT findings. VATS is safe and effective in preventing recurrences. Surgical intervention may be an attractive alternative in patients who require chest tube drainage for the first episode of PSP. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186376 Wed, 31 Aug 2011 23:00:00 +0100 5186376 http://www.medworm.com/index.php?rid=5186375&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F9%2F791%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=5186375 Wed, 31 Aug 2011 23:00:00 +0100 5186375 http://www.medworm.com/index.php?rid=4994960&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F8%2F779%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994960 Sat, 02 Jul 2011 23:00:00 +0100 4994960 http://www.medworm.com/index.php?rid=4994959&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F8%2F777%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994959 Sat, 02 Jul 2011 23:00:00 +0100 4994959 http://www.medworm.com/index.php?rid=4994958&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F8%2F772%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994958 Sat, 02 Jul 2011 23:00:00 +0100 4994958 http://www.medworm.com/index.php?rid=4994957&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F8%2F767%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994957 Sat, 02 Jul 2011 23:00:00 +0100 4994957 http://www.medworm.com/index.php?rid=4994956&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F8%2F764%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994956 Sat, 02 Jul 2011 23:00:00 +0100 4994956 http://www.medworm.com/index.php?rid=4994955&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F8%2F757%3Frss%3D1 Propranolol has become first-line therapy for the treatment of infantile hemangiomas in many centers. Of 302 children with hemangiomas seen at the University of North Carolina from 2008 through 2010, 15.6% were treated with oral propranolol alone, 5.6% with topical timolol (a propranolol derivative) alone, and 2.3% with both. The use of these agents increased over time from 7% of patients seen in 2008 to 54% of patients first seen in 2010. Starting doses of propranolol ranged from 0.25 to 1 mg/kg/d, with target doses of 1 to 4 mg/kg/d. Serious side effects, noted in 6/54 (10.9%) patients, included somnolence, bradycardia, hypotension, hypoglycemia, and mottling of extremities.The authors confirm the variation in use of propranolol for vascular lesions and extend experience with timolol. Th... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994955 Sat, 02 Jul 2011 23:00:00 +0100 4994955 http://www.medworm.com/index.php?rid=4994954&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F8%2F753%3Frss%3D1 Conclusion. Newborn infants cry less and mothers were more satisfied with NSEs when shown simple support and comfort techniques for their babies. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994954 Sat, 02 Jul 2011 23:00:00 +0100 4994954 http://www.medworm.com/index.php?rid=4994953&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F8%2F747%3Frss%3D1 Conclusion. AN can be easily identified by trained health care professionals even in busy school-based clinic settings. Checking for AN and appropriate education and counseling should become a routine part of electronic documentation in overweight youth. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994953 Sat, 02 Jul 2011 23:00:00 +0100 4994953 http://www.medworm.com/index.php?rid=4994952&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F8%2F738%3Frss%3D1 Conclusions. Bowling injuries vary by age and gender. Further research on such differences is needed to drive the development of targeted, evidence-based injury prevention strategies. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994952 Sat, 02 Jul 2011 23:00:00 +0100 4994952 http://www.medworm.com/index.php?rid=4994951&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F8%2F729%3Frss%3D1 This study surveyed 373 parents (88% mothers) of infants in waiting rooms of diverse pediatric practices in Memphis,Tennessee, about their recall of anticipatory guidance received, unmet needs for anticipatory guidance, preferences for sources of information, and activities to promote healthy development. Most parents recalled specific guidance received (diet, communication, and discipline being the most common), and unmet needs (discipline and development being among the most common). Disadvantaged parents reported the fewest unmet needs. Most parents readily named specific activities they engage in to promote development, including reading, educational toys, and nurturing. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994951 Sat, 02 Jul 2011 23:00:00 +0100 4994951 http://www.medworm.com/index.php?rid=4994950&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F8%2F720%3Frss%3D1 Conclusion. This research suggests that pediatric primary care presents many opportunities to collect and discuss FHH and that providers are optimistic about the clinical use of a parent-generated FHH collection tool. Future research should assess parent perspectives about the use of MFHP. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994950 Sat, 02 Jul 2011 23:00:00 +0100 4994950 http://www.medworm.com/index.php?rid=4994949&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F8%2F712%3Frss%3D1 Consecutive English- or Spanish-speaking caregivers of 1- to 5-year-old children were randomized to view a multimedia program (approximately 5-10 minutes) in a pediatric primary care clinic. After the clinic visit, 258/259 caregivers participated in a brief personal interview. In the multivariate logistic model, caregivers were more likely to have been assisted in their plans to discipline if they had had a discussion about discipline with their physician (odds ratio [OR] = 4.93; 95% confidence interval [CI] = 1.08-22.46), viewed the multimedia program (OR = 259.29; 95% CI = 56.56-1188.61), or viewed the multimedia program and had had a discussion with their physician (OR = 507.05; 95% CI = 86.81-2961.45) than if they had had no discussion and had not viewed the multimedia program. In addi... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994949 Sat, 02 Jul 2011 23:00:00 +0100 4994949 http://www.medworm.com/index.php?rid=4994948&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F8%2F704%3Frss%3D1 Conclusion. Future studies should examine characteristics of smaller practices that drive implementation of recommended care practices. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994948 Sat, 02 Jul 2011 23:00:00 +0100 4994948 http://www.medworm.com/index.php?rid=4994947&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F8%2F698%3Frss%3D1 To examine how urban parents’ perceptions of healthy infant size and growth relate to objective weight-for-length percentiles of their children, parents of 222 (69% minority) 6- to 27-month-old infants were surveyed. In all, 41% of parents said growth charts had never been explained to them, and 31% were not confident they understood the meaning of chart percentiles. A total of 20% of parents preferred their child weigh ≥75th percentile, and these children had higher mean weight-for-length percentiles than their peers (P = .05). Similarly, 37% of parents agreed that "a chubby baby is a healthy baby," and these children had higher mean weight-for-length percentiles than others in the cohort ( P = .02). Additionally, 58% of parents ranked a growth curve with consistent growth at the... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994947 Sat, 02 Jul 2011 23:00:00 +0100 4994947 http://www.medworm.com/index.php?rid=4994946&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F8%2F688%3Frss%3D1 A behavior therapy approach for obtaining cooperation during needle sticks was provided to 8 pediatric patients with intellectual and developmental disabilities. Therapy was provided during mock needle sticks. Hand lotion was applied to simulate topical anesthetic. Distracting activities established relaxation while needle stick materials were gradually introduced. Positive reinforcement was provided for cooperation. Behavioral distress was ignored, blocked, or redirected. After cooperating with mock needle sticks, needle sites were prepared with topical anesthetic (EMLA), then therapists and medical staff implemented the behavioral protocol while completing the actual needle stick(s). Observational measures of cooperation and interfering were obtained. Results were replicated across 8 chi... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994946 Sat, 02 Jul 2011 23:00:00 +0100 4994946 http://www.medworm.com/index.php?rid=4994945&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F8%2F683%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4994945 Sat, 02 Jul 2011 23:00:00 +0100 4994945 http://www.medworm.com/index.php?rid=4979044&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F7%2F672%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979044 Sun, 26 Jun 2011 23:00:00 +0100 4979044 http://www.medworm.com/index.php?rid=4979043&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F7%2F669%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979043 Sun, 26 Jun 2011 23:00:00 +0100 4979043 http://www.medworm.com/index.php?rid=4979042&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F7%2F666%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979042 Sun, 26 Jun 2011 23:00:00 +0100 4979042 http://www.medworm.com/index.php?rid=4979041&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F7%2F662%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979041 Sun, 26 Jun 2011 23:00:00 +0100 4979041 http://www.medworm.com/index.php?rid=4979040&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F7%2F657%3Frss%3D1 Conclusions. The study suggests that patients with uncomplicated VOC are more likely to experience a larger decline in platelets. The predictive value is limited by the need to have preexisting steady-state data and relatively small decline. Ongoing studies are needed to identify useful laboratory data to help predict severity of VOC. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979040 Sun, 26 Jun 2011 23:00:00 +0100 4979040 http://www.medworm.com/index.php?rid=4979039&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F7%2F648%3Frss%3D1 Recent routine screening revealed multiple cases of unexplained lead poisoning among children of Burmese refugees living in Fort Wayne, Indiana. A cross-sectional study was conducted to determine (a) the prevalence of elevated blood lead levels (BLLs) among Burmese children and (b) potential sources of lead exposure. A case was defined as an elevated venous BLL (≥10 µg/dL); prevalence was compared with all Indiana children screened during 2008. Environmental and product samples were tested for lead. In all, 14 of 197 (7.1%) children had elevated BLLs (prevalence ratio: 10.7) that ranged from 10.2 to 29.0 µg/dL. Six cases were newly identified; 4 were among US-born children. Laboratory testing identified a traditional ethnic digestive remedy, Daw Tway, containing a median 520... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979039 Sun, 26 Jun 2011 23:00:00 +0100 4979039 http://www.medworm.com/index.php?rid=4979038&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F7%2F636%3Frss%3D1 The aim of this study was to determine the French norms and examine the validity of a parent-report inventory: the Child Development Inventory (CDI), called "Inventaire du Développement de l’Enfant (IDE)" in French. This assesses the general level of a child’s development in 8 developmental domains. The norms were determined for a community sample of 1287 children, aged 15 to 72 months. The score for the CDI general development scale correlates closely with chronological age (r = .89). The intra- and interobserver (mother vs teacher) agreements were .97 and .76. The 1-year stability coefficient between the developmental quotient (DQ) values was .81. Correlation between the DQ (CDI) and the IQ of psychometric individual test was high (r = .84). The sensitivity and specifi... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979038 Sun, 26 Jun 2011 23:00:00 +0100 4979038 http://www.medworm.com/index.php?rid=4979037&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F7%2F630%3Frss%3D1 This pilot study is an innovative approach to addressing the issue of childhood obesity that starts with the primary care physician and involves group education with peers. The primary care physician assesses the child’s well-being at each interaction, whether for a scheduled well-child visit or for an acute illness. At each office visit the vital signs are taken, including the height, weight, and the calculated body mass index (BMI). The BMI is a tool that helps the provider identify children who are overweight or obese. Using the patient empowerment readiness model, the provider addresses obesity with the patient and the parent to determine if they are ready to implement behavioral changes. During a 10-month period, 68 patients were enrolled in the pilot program. The initial result... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979037 Sun, 26 Jun 2011 23:00:00 +0100 4979037 http://www.medworm.com/index.php?rid=4979036&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F7%2F623%3Frss%3D1 Conclusion. A simple, easy-to-use 10-point AOM scoring system was shown to discriminate AOM cure and failure at TOC. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979036 Sun, 26 Jun 2011 23:00:00 +0100 4979036 http://www.medworm.com/index.php?rid=4979035&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F7%2F615%3Frss%3D1 Conclusion. This randomized control trial provides preliminary evidence of the effectiveness of computer-based interventions for ADHD and supports the feasibility of offering them in a school setting. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979035 Sun, 26 Jun 2011 23:00:00 +0100 4979035 http://www.medworm.com/index.php?rid=4979034&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F7%2F604%3Frss%3D1 Juvenile scleroderma is a rare connective tissue disease that involves the skin and subcutaneous tissue. Among all presentations of juvenile scleroderma, localized scleroderma (JLSc) is the most frequent, followed by systemic disease (JSSc) and eosinophilic fasciitis (EF). In posttransplantation chronic graft-versus-host disease (GvHD), scleroderma-like skin involvement can occur. Systemic forms of juvenile scleroderma and GvHD can affect the internal organs, such as the lungs, the gastrointestinal tract, the heart, and kidneys and cause disability and severe, sometimes lethal, complications. Here, the authors give an overview of different presentations of juvenile scleroderma. They report their experience with the different forms and presentations of scleroderma, diagnostic workups, treat... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979034 Sun, 26 Jun 2011 23:00:00 +0100 4979034 http://www.medworm.com/index.php?rid=4979033&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F7%2F594%3Frss%3D1 Conclusions: Player—player contact is the most common mechanism of injury among high school athletes. The epidemiology of such injuries varies by gender and sport. Developing effective preventive measures depends on increasing our knowledge of player—player contact injury rates, patterns, and risk factors. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979033 Sun, 26 Jun 2011 23:00:00 +0100 4979033 http://www.medworm.com/index.php?rid=4979032&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F7%2F591%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979032 Sun, 26 Jun 2011 23:00:00 +0100 4979032 http://www.medworm.com/index.php?rid=4979031&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F7%2F587%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979031 Sun, 26 Jun 2011 23:00:00 +0100 4979031 http://www.medworm.com/index.php?rid=4979030&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F7%2F584%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979030 Sun, 26 Jun 2011 23:00:00 +0100 4979030 http://www.medworm.com/index.php?rid=4979029&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F7%2F583%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4979029 Sun, 26 Jun 2011 23:00:00 +0100 4979029 http://www.medworm.com/index.php?rid=4816123&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F6%2F575%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816123 Wed, 11 May 2011 23:00:00 +0100 4816123 http://www.medworm.com/index.php?rid=4816122&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F6%2F573%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816122 Wed, 11 May 2011 23:00:00 +0100 4816122 http://www.medworm.com/index.php?rid=4816121&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F6%2F570%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816121 Wed, 11 May 2011 23:00:00 +0100 4816121 http://www.medworm.com/index.php?rid=4816120&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F6%2F567%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816120 Wed, 11 May 2011 23:00:00 +0100 4816120 http://www.medworm.com/index.php?rid=4816119&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F6%2F562%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816119 Wed, 11 May 2011 23:00:00 +0100 4816119 http://www.medworm.com/index.php?rid=4816118&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F6%2F559%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816118 Wed, 11 May 2011 23:00:00 +0100 4816118 http://www.medworm.com/index.php?rid=4816117&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F6%2F553%3Frss%3D1 This study investigated home exercise equipment—related injuries to children in the United States. Data from the National Electronic Injury Surveillance System were analyzed for children 18 years old and younger. An estimated 241 573 children with home exercise equipment—related injuries were treated in US hospital emergency departments from 1990 through 2008, averaging 12 714 children per year. There was a statistically significant increase in the annual number (41.9%) and rate of home exercise equipment—related injuries during the study period. Children younger than 10 years accounted for 71.4% of these injuries. Laceration (37.2%) was the leading injury diagnosis, and the most commonly injured body regions were the head (28.6%), finger/hand (22.0%), and foot (10.9%). T... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816117 Wed, 11 May 2011 23:00:00 +0100 4816117 http://www.medworm.com/index.php?rid=4816116&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F6%2F550%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816116 Wed, 11 May 2011 23:00:00 +0100 4816116 http://www.medworm.com/index.php?rid=4816115&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F6%2F543%3Frss%3D1 The purpose of this study was to examine pediatricians’ familiarity with expert committee recommendations on the management of childhood obesity and their use of health information technology for obesity-related care. The authors interviewed 35 pediatricians from 17 primary care practices using an electronic health record; immersion crystallization facilitated analysis of the qualitative data. Nearly all pediatricians were unfamiliar with expert recommendations; however, all participants reported using growth charts and providing nutrition and physical activity counseling. Most participants wanted easy access to educational materials they could print for patients. The majority of participants were in favor of an electronic alert to identify obese patients, remind clinicians of curren... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816115 Wed, 11 May 2011 23:00:00 +0100 4816115 http://www.medworm.com/index.php?rid=4816114&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F6%2F535%3Frss%3D1 Conclusion: If compliance is a major issue, a single dose of IM BPG may be preferable for treatment of GAS pharyngitis. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816114 Wed, 11 May 2011 23:00:00 +0100 4816114 http://www.medworm.com/index.php?rid=4816113&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F6%2F529%3Frss%3D1 In conclusion, CAS aids in identifying severe asthma exacerbations. Lack of response to aggressive therapy or hypoxia on initial presentation should prompt the emergency department physician to arrange for admission. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816113 Wed, 11 May 2011 23:00:00 +0100 4816113 http://www.medworm.com/index.php?rid=4816112&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F6%2F525%3Frss%3D1 Conclusion: Although most primary care pediatric practices are prepared to manage uncomplicated abscesses, more than half were interested in further training in the management of this condition. A comprehensive training program of skin infections could not only improve abscess management but also decrease barriers related to such care. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816112 Wed, 11 May 2011 23:00:00 +0100 4816112 http://www.medworm.com/index.php?rid=4816111&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F6%2F518%3Frss%3D1 This article employs a resilience framework to organize the research on factors that promote favorable outcomes in ADHD. A PubMed search was conducted using key words: resilience and ADHD. Of particular interest were articles focusing on modifiable protective factors, such as parenting and pharmacotherapy. There is consensus that genetics strongly contributes to the etiology of ADHD. Parental, peer, and environmental factors may interact with genes to moderate the developmental expression of ADHD. Pharmacotherapy research reveals that medications exert positive effects of modest magnitude in academic achievement, social functioning and quality of life. However, there is insufficient evidence to determine whether treatment can modify developmental outcomes. Efforts to strengthen family supp... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816111 Wed, 11 May 2011 23:00:00 +0100 4816111 http://www.medworm.com/index.php?rid=4816110&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F6%2F513%3Frss%3D1 Conclusion: Virus co-infection in young children hospitalized with an acute febrile respiratory infection is common but does not appear to be associated with illness severity. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816110 Wed, 11 May 2011 23:00:00 +0100 4816110 http://www.medworm.com/index.php?rid=4816109&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F6%2F508%3Frss%3D1 Conclusion . This study showed promising results on the value of an NIR vascular imaging system in facilitating venipunctures. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816109 Wed, 11 May 2011 23:00:00 +0100 4816109 http://www.medworm.com/index.php?rid=4816108&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F6%2F503%3Frss%3D1 Conclusions: Although needle aspiration of cellulitis was of low yield, the only pathogens isolated in this study were CA-MRSA. Empiric antibiotics for cellulitis should include coverage for MRSA. In circumstances in which bacterial etiology and antibiotic susceptibility knowledge would be critical, needle aspiration should be considered. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816108 Wed, 11 May 2011 23:00:00 +0100 4816108 http://www.medworm.com/index.php?rid=4816107&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F6%2F493%3Frss%3D1 Seasonal variation of vitamin D status and adequacy of dietary vitamin D and impact of race on maintaining vitamin D sufficiency was assessed in 140 healthy 6- to 12-year-old African American (AA) and Caucasian (C) children residing in Pittsburgh, Pennsylvania during summer and winter. Vitamin D insufficiency was not rare in either group (AA vs C, summer, 17.2% vs 14.3%, nonsignificant; winter, 34.1% vs 32.5%, nonsignificant) despite a mean dietary intake of vitamin D above the American Academy of Pediatrics (AAP) recommended intake (400 IU/d; AA vs C, summer, 421 vs 456 IU/d, nonsignificant; winter, 507 vs 432 IU/d, nonsignificant). Race/season and dietary vitamin D were predictors of serum 25-hydroxyvitamin D [25(OH)D] concentrations. However, dietary vitamin D influenced 25(OH)D only in... Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816107 Wed, 11 May 2011 23:00:00 +0100 4816107 http://www.medworm.com/index.php?rid=4816106&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F50%2F6%2F488%3Frss%3D1 Conclusions. In newly diagnosed children with IBD, serum zinc levels are significantly lower compared with children without IBD. (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816106 Wed, 11 May 2011 23:00:00 +0100 4816106 http://www.medworm.com/index.php?rid=4816105&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F6%2F483%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816105 Wed, 11 May 2011 23:00:00 +0100 4816105 http://www.medworm.com/index.php?rid=4755853&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F5%2F475%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4755853 Tue, 26 Apr 2011 23:00:00 +0100 4755853 http://www.medworm.com/index.php?rid=4755852&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F5%2F474%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4755852 Tue, 26 Apr 2011 23:00:00 +0100 4755852 http://www.medworm.com/index.php?rid=4755851&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F5%2F470%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4755851 Tue, 26 Apr 2011 23:00:00 +0100 4755851 http://www.medworm.com/index.php?rid=4755850&cid=s_32760_33_f&fid=32760&url=http%3A%2F%2Fcpj.sagepub.com%2Fcgi%2Freprint%2F50%2F5%2F467%3Frss%3D1 (Source: Clinical Pediatrics) Clinical Pediatrics journals http://www.medworm.com/rss/comments.php?id=4755850 Tue, 26 Apr 2011 23:00:00 +0100 4755850