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 'PEDIATRICS' source. Fri, 19 Mar 2010 16:12:53 +0100 http://www.medworm.com/index.php?rid=3320286&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F3%2Fe709-a%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320286 Mon, 01 Mar 2010 16:02:29 +0100 3320286 http://www.medworm.com/index.php?rid=3320285&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F3%2Fe709%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320285 Mon, 01 Mar 2010 16:02:29 +0100 3320285 http://www.medworm.com/index.php?rid=3320284&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe704%3Frss%3D1 Infection by human herpesvirus 8 (HHV-8) in childhood is common in the Mediterranean basin; however, classic Kaposi sarcoma (KS) is exceedingly rare in children not infected with HIV and not receiving immunosuppression, with only 30 cases having been reported since 1960. We recently reported 2 children with autosomal and X-linked recessive primary immunodeficiencies underlying KS in a context of multiple clinical manifestations. These reports suggested that classic KS in otherwise healthy children might also result from inborn errors of immunity more specific to HHV-8. In this article, we describe 3 unrelated Turkish children with classic KS born to first-cousin parents. The first patient, a girl, developed KS at 2 years of age with disseminated cutaneous and mucosal lesions. The clinical ... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320284 Mon, 01 Mar 2010 16:02:29 +0100 3320284 http://www.medworm.com/index.php?rid=3320283&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe699%3Frss%3D1 Balamuthia mandrillaris infections are rare and almost always fatal. This ameba is a naturally occurring soil inhabitant that can cause disease in immunocompetent hosts, with early diagnosis typically proving difficult. We recently cared for a previously healthy 2-year-old boy who was diagnosed with meningoencephalitis secondary to B mandrillaris relatively early in his presentation, which enabled us to initiate targeted antimicrobial therapy. Since discharge from the hospital the child has shown slow, steady improvement with dramatic improvements seen on follow-up brain imaging. Our observations suggest that early diagnosis and treatment may significantly reduce mortality and morbidity rates from this highly virulent organism. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320283 Mon, 01 Mar 2010 16:02:29 +0100 3320283 http://www.medworm.com/index.php?rid=3320282&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe693%3Frss%3D1 We report here a multiply affected kindred with recurrent familial ANE. These affected male siblings (a set of twins and their older brother) all presented with prodromal fever and upper respiratory tract infection that progressed within 72 hours to seizures, coma, and ultimately death, a course that is typical of ANE. It should be noted that 1 brother was treated with early aggressive management, including corticosteroids, and he survived for an additional 5 years. This represents the second reported case of familial ANE in the United States and the only case of male siblings with consanguineous parents. We hope that early recognition and growing awareness can lead to more effective treatment and better outcomes in the future. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320282 Mon, 01 Mar 2010 16:02:29 +0100 3320282 http://www.medworm.com/index.php?rid=3320281&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe687%3Frss%3D1 We report here an unusual case of an 8-year-old boy with multiple episodes of SCLS since the age of 5 months and an exceptional presentation characterized by substantial neurologic involvement with cerebellar edema and autonomic dysfunction. The patient's family history was remarkable for 8 more relatives with the disorder, including his sister who died during a similar episode in infancy and a first-degree cousin of his father who was diagnosed as suffering from recurrent episodes of SCLS. Our patient is, to our knowledge, the first patient with SCLS with a family history of the disorder. Additional genetic studies in the extended family might shed light on the pathogenesis of this rare disorder. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320281 Mon, 01 Mar 2010 16:02:29 +0100 3320281 http://www.medworm.com/index.php?rid=3320280&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe683%3Frss%3D1 We present here the case report of an 8-month girl with PFAPA who developed autoimmune hepatitis type 2 at the age of 18 months. We suppose that the dysregulation in innate immunity that is typical of patients with PFAPA could trigger autoimmune disorders such as autoimmune hepatitis in susceptible subjects. The possible relationships between immune-system dysfunction peculiar to this syndrome and autoimmune hepatitis are discussed. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320280 Mon, 01 Mar 2010 16:02:29 +0100 3320280 http://www.medworm.com/index.php?rid=3320279&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe679%3Frss%3D1 We report the case of a 15-year old boy who grew Pasteurella multocida from blood cultures with Kikuchi disease confirmed by histopathologic lymph node examination. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320279 Mon, 01 Mar 2010 16:02:29 +0100 3320279 http://www.medworm.com/index.php?rid=3320278&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe670%3Frss%3D1 CONCLUSIONS: Important effects on LBMD have been observed in small and diverse cohorts of children with CP. It is unclear whether small sample sizes or variable treatment responses account for nonsignificant findings. Additional large RCTs are needed of both physical and medical approaches. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320278 Mon, 01 Mar 2010 16:02:29 +0100 3320278 http://www.medworm.com/index.php?rid=3320277&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe651%3Frss%3D1 CONCLUSIONS: We found no association between RAP and H pylori infection in children and conflicting evidence for an association between epigastric pain and H pylori infection. We found evidence for an association between UAP but could not confirm this finding in children seen in primary care. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320277 Mon, 01 Mar 2010 16:02:29 +0100 3320277 http://www.medworm.com/index.php?rid=3320276&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe645%3Frss%3D1 CONCLUSIONS: The RIDT had relatively poor sensitivity but excellent specificity in this consecutive series of respiratory specimens obtained from pediatric patients. Although a positive RIDT result was highly accurate in predicting infection with influenza type A H1N1 2009 in children, a negative RIDT result did not preclude a child having H1N1. Therefore, for children at high risk with influenza-like illnesses during high-prevalence periods of influenza, empiric initiation of antiviral therapy should be considered for patients with a negative RIDT result. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320276 Mon, 01 Mar 2010 16:02:29 +0100 3320276 http://www.medworm.com/index.php?rid=3320275&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe639%3Frss%3D1 CONCLUSIONS: The sensitivity of RIDT for detection of S-OIV is higher than recently reported in mixed adult-pediatric populations but remains suboptimal. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320275 Mon, 01 Mar 2010 16:02:29 +0100 3320275 http://www.medworm.com/index.php?rid=3320274&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe631%3Frss%3D1 CONCLUSIONS: Both telephonic and in-person interpretation resulted in similar concordance in understanding of discharge diagnosis compared with bilingual providers. In general, noninferiority was also seen on qualitative measures, although there was a trend favoring telephonic over in-person interpretation. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320274 Mon, 01 Mar 2010 16:02:29 +0100 3320274 http://www.medworm.com/index.php?rid=3320273&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe625%3Frss%3D1 CONCLUSIONS: Virtually all North American pediatric cardiologists and cardiac surgeons surveyed discuss a surgical intervention when counseling parents about the care of their child or fetus with HLHS. However, only a minority discuss all options. Most physicians recommend staged palliative surgery for management of HLHS. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320273 Mon, 01 Mar 2010 16:02:29 +0100 3320273 http://www.medworm.com/index.php?rid=3320272&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe618%3Frss%3D1 CONCLUSIONS: Skin and soft-tissue abscesses in the current epidemic of community-associated staphylococcal disease are strongly associated with rectal colonization by PFT USA300. Nasal colonization in children does not seem to be a risk factor. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320272 Mon, 01 Mar 2010 16:02:29 +0100 3320272 http://www.medworm.com/index.php?rid=3320271&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe609%3Frss%3D1 CONCLUSIONS: Large proportions of low-income, urban mothers attending WCC visits experience MDD or MnDD during the postpartum year. The EPDS, BDI-II, and PDSS have high accuracy in identifying depression, but cutoff scores may need to be altered to identify depression more accurately among urban, low-income mothers. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320271 Mon, 01 Mar 2010 16:02:29 +0100 3320271 http://www.medworm.com/index.php?rid=3320268&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe600%3Frss%3D1 CONCLUSION: The results of this study suggest a permanent or reversible effect of antidepressant exposure on fetal brain development, which may depend on the timing of exposure during pregnancy. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320268 Mon, 01 Mar 2010 16:02:29 +0100 3320268 http://www.medworm.com/index.php?rid=3320270&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F608%3Frss%3D1 Endotracheal intubation is a common procedure in newborn care. The purpose of this clinical report is to review currently available evidence on use of premedication for intubation, identify gaps in knowledge, and provide guidance for making decisions about the use of premedication. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320270 Mon, 01 Mar 2010 16:02:28 +0100 3320270 http://www.medworm.com/index.php?rid=3320269&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F601%3Frss%3D1 Choking is a leading cause of morbidity and mortality among children, especially those aged 3 years or younger. Food, coins, and toys are the primary causes of choking-related injury and death. Certain characteristics, including shape, size, and consistency, of certain toys and foods increase their potential to cause choking among children. Childhood choking hazards should be addressed through comprehensive and coordinated prevention activities. The US Consumer Product Safety Commission (CPSC) should increase efforts to ensure that toys that are sold in retail store bins, vending machines, or on the Internet have appropriate choking-hazard warnings; work with manufacturers to improve the effectiveness of recalls of products that pose a choking risk to children; and increase efforts to prev... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320269 Mon, 01 Mar 2010 16:02:28 +0100 3320269 http://www.medworm.com/index.php?rid=3320264&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe592%3Frss%3D1 CONCLUSIONS: To our knowledge, this is the first study to reveal that prenatal smoking exposure does not directly modify baseline ventilatory parameters in the neonate but has a negative impact on peripheral chemoreceptor tonic activity. These alterations may increase the risk of sleep respiratory disorders, especially via apnea with desaturation. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320264 Mon, 01 Mar 2010 16:02:28 +0100 3320264 http://www.medworm.com/index.php?rid=3320263&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe584%3Frss%3D1 CONCLUSION: In this population-based cohort of EPT infants, hyperglycemia on the first day of life was associated with increased mortality rates and brain damage, as reflected by WM reduction at term age. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320263 Mon, 01 Mar 2010 16:02:28 +0100 3320263 http://www.medworm.com/index.php?rid=3320262&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe577%3Frss%3D1 CONCLUSIONS: Our study indicates that TTN is strongly related to elective cesarean section and low GA. Furthermore, the absence of exposure to labor contractions is associated with increased risk and severe course of TTN at term, with longer duration of oxygen supplementation. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320262 Mon, 01 Mar 2010 16:02:28 +0100 3320262 http://www.medworm.com/index.php?rid=3320260&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe570%3Frss%3D1 CONCLUSIONS: The diagnostic accuracy of nonexperts was clearly enhanced by interaction in small-group discussions and subsequent listening to a think-aloud procedure with a content expert. Learning through PVCs in clinical settings thus is improved through the interactive participation of junior and senior clinicians. Such an environment (a "virtual examination room") may be introduced at grand rounds, case conferences, or morning rounds, to stimulate the development of diagnostic accuracy in nonexperts. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320260 Mon, 01 Mar 2010 16:02:28 +0100 3320260 http://www.medworm.com/index.php?rid=3320258&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe565%3Frss%3D1 CONCLUSIONS: Corneal abrasions are extremely common among 1- to 12-week-old infants and have unclear clinical significance. Primary care physicians should be careful about attributing unexplained persistent crying to corneal abrasions, potentially missing a more-serious problem. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320258 Mon, 01 Mar 2010 16:02:28 +0100 3320258 http://www.medworm.com/index.php?rid=3320257&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe559%3Frss%3D1 CONCLUSION: Neonatologists' reliance on initial appearance and early response to resuscitation in predicting survival for extremely premature infants is misplaced. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320257 Mon, 01 Mar 2010 16:02:28 +0100 3320257 http://www.medworm.com/index.php?rid=3320255&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe550%3Frss%3D1 CONCLUSIONS: Survival after intestinal transplant was associated with the underlying disease state. The explanation for these findings requires additional investigation into the differences in characteristics of the population of children with intestinal failure. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320255 Mon, 01 Mar 2010 16:02:28 +0100 3320255 http://www.medworm.com/index.php?rid=3320253&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe543%3Frss%3D1 CONCLUSIONS: In this population, there were weight and length decreases during the first year of life, which were not clinically significant and were followed by statistically significant recovery. Recovery seemed to be related to successful education and feeding interventions. Head circumference and weight for length started at lower percentiles but showed consistent gain over time. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320253 Mon, 01 Mar 2010 16:02:28 +0100 3320253 http://www.medworm.com/index.php?rid=3320251&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe537%3Frss%3D1 CONCLUSIONS: DP seems to be associated with early neurodevelopmental disadvantage, which is most evident in motor functions. After follow-up evaluations of this cohort at 18 and 36 months, we will assess the stability of this finding. These data do not necessarily imply that DP causes neurodevelopmental delay; they indicate only that DP is a marker of elevated risk for delays. Pediatricians should monitor closely the development of infants with this condition. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320251 Mon, 01 Mar 2010 16:02:28 +0100 3320251 http://www.medworm.com/index.php?rid=3320249&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe530%3Frss%3D1 CONCLUSION: These results indicate that parent-reported infection at the time of gluten introduction is not a major risk factor for CD. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320249 Mon, 01 Mar 2010 16:02:28 +0100 3320249 http://www.medworm.com/index.php?rid=3320247&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe525%3Frss%3D1 CONCLUSIONS: Children who had CD and attended a week-long gluten-free camp demonstrated improvement in well-being, self-perception, and emotional outlook. The positive effects of camp were more apparent among campers who had been on a GFD for <4 years compared with those who had been on a GFD for ≥4 years, suggesting an adaptation to CD with time. A gluten-free camp that provides an environment of unrestricted foods can at least temporarily alleviate stress and anxiety around food and social interactions. Durability of these observations on return to daily life requires additional study. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320247 Mon, 01 Mar 2010 16:02:28 +0100 3320247 http://www.medworm.com/index.php?rid=3320246&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe518%3Frss%3D1 CONCLUSION: A number of preclinical and low-grade symptomatic patients with CD may be identified by their responses to a mailed questionnaire. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320246 Mon, 01 Mar 2010 16:02:28 +0100 3320246 http://www.medworm.com/index.php?rid=3320244&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe513%3Frss%3D1 CONCLUSIONS: Age-appropriate fiction, particularly if it addresses health-oriented behaviors, shows potential for augmenting weight loss in girls who participate in a weight-management program. Future research is needed to determine if the novel is effective for healthy lifestyle promotion among all overweight and obese adolescents. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320244 Mon, 01 Mar 2010 16:02:28 +0100 3320244 http://www.medworm.com/index.php?rid=3320242&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe508%3Frss%3D1 CONCLUSIONS: This finding supports the hypothesis that needle length accounts for a significant portion of the discrepancy in immune response to HBV vaccine that is seen among those with obesity. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320242 Mon, 01 Mar 2010 16:02:28 +0100 3320242 http://www.medworm.com/index.php?rid=3320240&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe499%3Frss%3D1 CONCLUSIONS: These findings suggest that experience of poverty at various times in early childhood increases the risk of asthma attacks and chronic illness in the fourth year of life; however, they also indicate that poverty at different stages of the early childhood life course may have different effects on chronic illness in different country settings. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320240 Mon, 01 Mar 2010 16:02:28 +0100 3320240 http://www.medworm.com/index.php?rid=3320237&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe489%3Frss%3D1 CONCLUSION: Findings point to the clinical usefulness of attending to the parenting quality and placement stability as malleable factors affecting symptom reduction subsequent to placement. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320237 Mon, 01 Mar 2010 16:02:28 +0100 3320237 http://www.medworm.com/index.php?rid=3320235&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe481%3Frss%3D1 CONCLUSIONS: Childhood obesity is associated with a lower rate of survival to hospital discharge after in-hospital, pediatric CPR. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320235 Mon, 01 Mar 2010 16:02:28 +0100 3320235 http://www.medworm.com/index.php?rid=3320233&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe473%3Frss%3D1 CONCLUSIONS: Comparison of child growth patterns in 54 countries with WHO standards shows that growth faltering in early childhood is even more pronounced than suggested by previous analyses based on the National Center for Health Statistics reference. These findings confirm the need to scale up interventions during the window of opportunity defined by pregnancy and the first 2 years of life, including prevention of low birth weight and appropriate infant feeding practices. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320233 Mon, 01 Mar 2010 16:02:28 +0100 3320233 http://www.medworm.com/index.php?rid=3320231&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe467%3Frss%3D1 CONCLUSIONS: Use of patient-held vaccination records is an easily implemented strategy that is associated with increased immunization rates. A greater effect was seen in groups at risk for underimmunization. Methods to incorporate and to ensure effective use of these records should be implemented. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320231 Mon, 01 Mar 2010 16:02:28 +0100 3320231 http://www.medworm.com/index.php?rid=3320229&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe459%3Frss%3D1 CONCLUSION: Effective literacy-promoting interventions provided by pediatric primary care providers should target both children and parents. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320229 Mon, 01 Mar 2010 16:02:28 +0100 3320229 http://www.medworm.com/index.php?rid=3320227&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe452%3Frss%3D1 Conclusions: Nearly 3 in 10 overweight adolescents do not consider themselves overweight. Those with an accurate weight perception reported some healthy weight-related behaviors but not higher levels of unhealthy weight-related behaviors. With the substantial prevalence of weight misperception, clinicians should consider their patients' perceived weight status when pursuing patient-centered counseling of overweight adolescents. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320227 Mon, 01 Mar 2010 16:02:28 +0100 3320227 http://www.medworm.com/index.php?rid=3320225&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2Fe446%3Frss%3D1 CONCLUSIONS: The hospital at which a patient receives treatment is the single most important feature that drove procedure choice for children with primary VUR. The patient's age, gender, insurance status, and disease severity played a smaller, although significant, role. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320225 Mon, 01 Mar 2010 16:02:28 +0100 3320225 http://www.medworm.com/index.php?rid=3320267&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F3%2F599%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320267 Mon, 01 Mar 2010 16:02:27 +0100 3320267 http://www.medworm.com/index.php?rid=3320266&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F3%2F597%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320266 Mon, 01 Mar 2010 16:02:27 +0100 3320266 http://www.medworm.com/index.php?rid=3320265&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F3%2F596%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320265 Mon, 01 Mar 2010 16:02:27 +0100 3320265 http://www.medworm.com/index.php?rid=3320261&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F574%3Frss%3D1 Historically, the specialties classified as "primary care" have been pediatrics, internal medicine, and family medicine. Often, primary care disciplines are aggregated in workforce or career-preference studies, and any differences among them are not assessed or reported. However, such aggregation is likely unwarranted and may actually lead to false or misguided policy direction in the name of "primary care disciplines" when, in fact, there may be substantive differences among these specialties. We examine here the data available to assess whether the physicians who make up 2 of the primary care specialties are necessarily the same with regard to their perspectives on the economic aspects of medicine in general, or their own personal economic preferences regarding career choice in particula... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320261 Mon, 01 Mar 2010 16:02:27 +0100 3320261 http://www.medworm.com/index.php?rid=3320259&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F566%3Frss%3D1 Transition of young adults with cystic fibrosis (CF) from pediatric to adult medical care is an important priority, because many patients are living well into their fourth decade, and by 2010 more than half of all people living with CF will be older than 18 years. Transition to adulthood, a developmental process of skill-building in self-management supported by the health system, is important for the successful transfer to adult CF care. The US Cystic Fibrosis Foundation has been proactive in preparing for increasing numbers of young adults in need of specialized adult-oriented care by creating specialized clinical fellowships for physician providers and mandating establishment of adult CF programs. Despite these initiatives, how to best facilitate transition and to define and measure succ... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320259 Mon, 01 Mar 2010 16:02:27 +0100 3320259 http://www.medworm.com/index.php?rid=3320256&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F554%3Frss%3D1 CONCLUSIONS: Consistent with findings among preschool-aged children, environmental variables play a key role in moderating and explaining the effects of PCE on school-aged children's functioning. After controlling for these effects, PCE-related impairments are reliably reported in sustained attention and behavioral self-regulation among school-aged children. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320256 Mon, 01 Mar 2010 16:02:27 +0100 3320256 http://www.medworm.com/index.php?rid=3320254&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F547%3Frss%3D1 CONCLUSIONS: Both instructional methods resulted in increases in knowledge, efficacy, and practice of preventive oral health. The addition of hands-on training by a dental provider increased the overall skills of oral examination, but this increase was largely a result of the provision of follow-up instruction. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320254 Mon, 01 Mar 2010 16:02:27 +0100 3320254 http://www.medworm.com/index.php?rid=3320252&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F539%3Frss%3D1 CONCLUSIONS: Trained participants exhibited more frequent teamwork behaviors (especially the HFT group) and better workload management and completed the resuscitation more quickly than did control subjects. The impact on team behaviors persisted for at least 6 months. Incorporating team training into the NRP curriculum is a feasible and effective way to teach interns teamwork skills. It also improves simulated resuscitation quality by shortening the duration. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320252 Mon, 01 Mar 2010 16:02:27 +0100 3320252 http://www.medworm.com/index.php?rid=3320250&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F532%3Frss%3D1 CONCLUSIONS: Nationally representative hospital data indicate that ovarian torsion is uncommon but occurs in all ages and is typically associated with normal ovaries or benign lesions. Improved awareness of the epidemiology may help to guide management. Ongoing analysis to identify factors that are associated with successful conservative management is warranted. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320250 Mon, 01 Mar 2010 16:02:27 +0100 3320250 http://www.medworm.com/index.php?rid=3320248&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F526%3Frss%3D1 CONCLUSIONS: This study suggests that ICSC screenings remain the safest method for transitioning preterm infants from a car bed to a car seat. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320248 Mon, 01 Mar 2010 16:02:27 +0100 3320248 http://www.medworm.com/index.php?rid=3320245&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F518%3Frss%3D1 CONCLUSIONS: Enrolling mothers and fathers into tobacco treatment services during the immediate postpartum hospital stay is feasible and seems to stimulate quit attempts. The birth of an infant presents a teachable moment to reach both parents and to provide cessation assistance. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320245 Mon, 01 Mar 2010 16:02:27 +0100 3320245 http://www.medworm.com/index.php?rid=3320243&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F509%3Frss%3D1 CONCLUSIONS: The number of barriers to adopting preventive dental procedures in primary care medical practices is associated with implementation. A large proportion of these barriers can be overcome, leading to high adoption rates in a short amount of time. The barriers to adoption are similar to those identified in the literature on changing patient care, with the unique aspects of fluoride application to teeth. Interventions to promote preventive dental care in medical settings should rely heavily on empirical literature. Training physicians in preventive dentistry should identify and target potential barriers with information and options for introducing office-based systems to improve the chances of adoption. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320243 Mon, 01 Mar 2010 16:02:27 +0100 3320243 http://www.medworm.com/index.php?rid=3320241&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F502%3Frss%3D1 CONCLUSIONS: Parental oral health–seeking behaviors for themselves may have an important effect on oral health–seeking behaviors on behalf of their children, regardless of the child's insurance status. Comprehensive strategies to eliminate barriers that target parents and not just children may help to address children's underuse of oral health services. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320241 Mon, 01 Mar 2010 16:02:27 +0100 3320241 http://www.medworm.com/index.php?rid=3320239&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F497%3Frss%3D1 CONCLUSIONS: Although rates and patterns of shoulder injuries are similar between baseball and softball players, injury rates and patterns differ between field positions within each sport, as well as by injury severity and the athletes' year in school. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320239 Mon, 01 Mar 2010 16:02:27 +0100 3320239 http://www.medworm.com/index.php?rid=3320238&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F491%3Frss%3D1 CONCLUSIONS: Pediatric interns overestimated the effectiveness of their hand-off communication. Theories from communication psychology suggest that miscommunication is caused by egocentric thought processes and a tendency for the speaker to overestimate the receiver's understanding. This study demonstrates that systematic causes of miscommunication may play a role in hand-off quality. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320238 Mon, 01 Mar 2010 16:02:27 +0100 3320238 http://www.medworm.com/index.php?rid=3320236&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F483%3Frss%3D1 CONCLUSIONS: Along with their siblings, children who receive treatment for injury are at short-term risk for additional injury. Children in single-parent households, in families who receive public assistance, and those with posttraumatic stress disorder arousal symptoms 1 month after injury to themselves or a sibling are at highest risk. These associations could be used to develop interventions to identify and support families through periods of high injury risk. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320236 Mon, 01 Mar 2010 16:02:27 +0100 3320236 http://www.medworm.com/index.php?rid=3320234&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F475%3Frss%3D1 CONCLUSIONS: During the period when ziprasidone had no approved pediatric usages, a small percentage of patients who were prescribed ziprasidone showed evidence of treatment resistance, the primary expected indication. Some prescribing for ziprasidone in the first year in this population could be considered inappropriate considering what was known about the safety and efficacy of ziprasidone in children and adolescents at the time. "Fail first" and prior authorization policies may be appropriate in the first year a medication is available so as to protect children from potential serious harm. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320234 Mon, 01 Mar 2010 16:02:27 +0100 3320234 http://www.medworm.com/index.php?rid=3320232&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F468%3Frss%3D1 CONCLUSIONS: Food, beverage, and food retail establishment brands are frequently portrayed in movies, and most of the brand placements are for energy-dense, nutrient-poor foods or product lines. Movies are a potent source of advertising to children, which has been largely overlooked. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320232 Mon, 01 Mar 2010 16:02:27 +0100 3320232 http://www.medworm.com/index.php?rid=3320230&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F460%3Frss%3D1 CONCLUSIONS: Over the last 14 years, URM pediatricians were more likely than their non-URM peers to care for minority children and publicly insured or uninsured patients. This relationship has not appeared to attenuate over time, and these data support ongoing and enhanced efforts to recruit qualified URMs into pediatric careers to meet the growing needs of the expanding minority child population. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320230 Mon, 01 Mar 2010 16:02:27 +0100 3320230 http://www.medworm.com/index.php?rid=3320228&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F454%3Frss%3D1 CONCLUSION: Children's sociodemographic characteristics were predictors of nonemergent use of ED services. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320228 Mon, 01 Mar 2010 16:02:27 +0100 3320228 http://www.medworm.com/index.php?rid=3320226&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F447%3Frss%3D1 CONCLUSIONS: Risk-free and single-risk SIDS cases are rare, and most contain multiple risks. Parent education should be comprehensive and address compensatory strategies for nonmodifiable risks. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320226 Mon, 01 Mar 2010 16:02:27 +0100 3320226 http://www.medworm.com/index.php?rid=3320224&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F437%3Frss%3D1 CONCLUSIONS: Participation in VON–sponsored QICs was associated with sustained implementation of potentially better respiratory practices, increased survival, and reduced nosocomial infections. The BPD-free survival rate did not change, and the BPD rate increased. Implemented changes endured for at least 5 years after the QIC. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320224 Mon, 01 Mar 2010 16:02:26 +0100 3320224 http://www.medworm.com/index.php?rid=3320223&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F429%3Frss%3D1 CONCLUSIONS: Since 2005, the number of invasive pneumococcal infections in children has increased at 8 children's hospitals, primarily as a result of serotype 19A isolates, one third of which were resistant to multiple antibiotics in 2007 and 2008. Continued surveillance is necessary to detect emerging serotypes after the planned introduction of 13-valent or other pneumococcal vaccines. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320223 Mon, 01 Mar 2010 16:02:26 +0100 3320223 http://www.medworm.com/index.php?rid=3320222&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F3%2F420%3Frss%3D1 CONCLUSIONS: US preschool-aged children exposed to the 3 household routines of regularly eating the evening meal as a family, obtaining adequate nighttime sleep, and having limited screen-viewing time had an ~40% lower prevalence of obesity than those exposed to none of these routines. These household routines may be promising targets for obesity-prevention efforts in early childhood. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320222 Mon, 01 Mar 2010 16:02:26 +0100 3320222 http://www.medworm.com/index.php?rid=3320221&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F3%2F417%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3320221 Mon, 01 Mar 2010 16:02:26 +0100 3320221 http://www.medworm.com/index.php?rid=3229749&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F2%2Fe444%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229749 Mon, 01 Feb 2010 16:03:21 +0100 3229749 http://www.medworm.com/index.php?rid=3229748&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F2%2Fe442%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229748 Mon, 01 Feb 2010 16:03:21 +0100 3229748 http://www.medworm.com/index.php?rid=3229747&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe438%3Frss%3D1 Although rotavirus vaccines are known to be shed in stools, transmission of vaccine-derived virus to unvaccinated contacts resulting in symptomatic rotavirus gastroenteritis has not been reported to our knowledge. We document here the occurrence of vaccine-derived rotavirus (RotaTeq [Merck and Co, Whitehouse Station, NJ]) transmission from a vaccinated infant to an older, unvaccinated sibling, resulting in symptomatic rotavirus gastroenteritis that required emergency department care. Results of our investigation suggest that reassortment between vaccine component strains of genotypes P7[5]G1 and P1A[8]G6 occurred during replication either in the vaccinated infant or in the older sibling, raising the possibility that this reassortment may have increased the virulence of the vaccine-derived ... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229747 Mon, 01 Feb 2010 16:03:21 +0100 3229747 http://www.medworm.com/index.php?rid=3229746&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe433%3Frss%3D1 We present here the case of a child with Graves disease and significant thymic hyperplasia. L. K. was a 15-year-old girl evaluated for cough and dyspnea on exertion. A chest radiograph was obtained, and it revealed a widened superior mediastinum. A computed-tomography scan of her chest identified a mass in the anterior mediastinum without associated lymphadenopathy. Because of these radiologic findings and her weight loss, she was referred to the oncology service; a biopsy of the mediastinal mass was obtained and revealed thymic reactive hyperplasia. Because of persistent tachycardia, thyroid studies were obtained, and the diagnosis of Graves disease was established. The child's physical examination revealed a minimally enlarged thyroid gland and no exophthalmos. One month after medical tr... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229746 Mon, 01 Feb 2010 16:03:21 +0100 3229746 http://www.medworm.com/index.php?rid=3229745&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe426%3Frss%3D1 We report here a case of infantile PLE that presented with continuous diarrhea at the onset of LCH. She was initially diagnosed as having allergic gastroenteropathy and, thus, received intravenous prednisolone, which was thought to have induced immunodeficiency and consequently resulted in life-threatening cytomegalovirus-associated hemophagocytic syndrome and disseminated intravascular coagulation. Because chemotherapy for hemophagocytic syndrome was transiently effective for underlying LCH as well, the diagnosis of LCH was delayed until its recurrence. Gastrointestinal tract–involved LCH, a rare but highly fatal disease, should be considered for infants with refractory gastrointestinal symptoms, especially for those with PLE; endoscopic biopsy is strongly recommended for immediate ... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229745 Mon, 01 Feb 2010 16:03:21 +0100 3229745 http://www.medworm.com/index.php?rid=3229744&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe423%3Frss%3D1 We report a case of vertically transmitted molluscum contagiosum viral infection in which the maternal infection was clinically documented before vaginal delivery. The aim of this report is to make practitioners aware that molluscum infections in neonates are likely vertically transmitted. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229744 Mon, 01 Feb 2010 16:03:21 +0100 3229744 http://www.medworm.com/index.php?rid=3229743&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe419%3Frss%3D1 We present 5 cases of toilet-seat dermatitis in children from the United States and India and review the history, presentation, and clinical course of the disease. Our findings suggest that toilet-seat dermatitis is more common than previously recognized and should be considered in any child with a dermatitis that involves the buttocks and posterior thighs. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229743 Mon, 01 Feb 2010 16:03:21 +0100 3229743 http://www.medworm.com/index.php?rid=3229738&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe396%3Frss%3D1 CONCLUSIONS: Over the past several years, research into weight management in obese children and adolescents has improved in quality and quantity. Despite important gaps, available research supports at least short-term benefits of comprehensive medium- to high-intensity behavioral interventions in obese children and adolescents. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229738 Mon, 01 Feb 2010 16:03:21 +0100 3229738 http://www.medworm.com/index.php?rid=3229733&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe382%3Frss%3D1 CONCLUSIONS: Deep gray matter Lac/NAA is the most accurate quantitative MR biomarker within the neonatal period for prediction of neurodevelopmental outcome after NE. Lac/NAA may be useful in early clinical management decisions and counseling parents and as a surrogate end point in clinical trials that evaluate novel neuroprotective therapies. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229733 Mon, 01 Feb 2010 16:03:21 +0100 3229733 http://www.medworm.com/index.php?rid=3229732&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe374%3Frss%3D1 CONCLUSIONS: The results confirm the presence of reduced cognitive ability in classical galactosemia and present evidence for an absence of substantial galactosemia-induced aggravation of this impairment with increasing age, at least in patients from 4 to 40 years of age. It remains to be clarified whether a reduction of cognitive function in galactosemia may be initiated by an in utero toxicity of endogenously formed galactose and which role such a process may play in the development of intellectual deficiencies that are later maintained throughout life. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229732 Mon, 01 Feb 2010 16:03:21 +0100 3229732 http://www.medworm.com/index.php?rid=3229731&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe367%3Frss%3D1 CONCLUSIONS: The results of this study suggest that the cough trick can be an effective strategy for the reduction of pain for some children undergoing routine immunizations. However, additional research is needed to clarify the observed moderation by self-identified race. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229731 Mon, 01 Feb 2010 16:03:21 +0100 3229731 http://www.medworm.com/index.php?rid=3229729&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe358%3Frss%3D1 CONCLUSIONS: In this small group of infants with neonatal HIE and seizures, there was a trend for a reduction in seizure duration when clinical and subclinical seizures were treated. The severity of brain injury seen on MRI scans was associated with a longer duration of seizure patterns. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229729 Mon, 01 Feb 2010 16:03:21 +0100 3229729 http://www.medworm.com/index.php?rid=3229727&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe349%3Frss%3D1 CONCLUSIONS: Children with mild to moderate CKD, in comparison with healthy children, reported poorer overall HRQoL and poorer physical, school, emotional, and social functioning. Early intervention to improve linear growth and to address school functioning difficulties is recommended. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229727 Mon, 01 Feb 2010 16:03:21 +0100 3229727 http://www.medworm.com/index.php?rid=3229725&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe340%3Frss%3D1 CONCLUSIONS: The results indicate that mixed-handed children have a greater likelihood of having language, scholastic, and mental health problems in childhood and that these persist into adolescence. Thus, these results suggest that mixed-handedness, particularly in the presence of difficulties, could aid in the recognition of children who are at risk for stable problems. Additional research is needed to understand the connections between neural substrates related to atypical cerebral asymmetry, mixed-handedness, and mental health problems including ADHD symptoms. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229725 Mon, 01 Feb 2010 16:03:21 +0100 3229725 http://www.medworm.com/index.php?rid=3229723&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe333%3Frss%3D1 CONCLUSIONS: Compared with girls, VLBW male newborns are at greater risk to develop IVH and severe IVH but not PVL. The association of male gender with IVH or severe IVH is stronger with higher BWs. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229723 Mon, 01 Feb 2010 16:03:21 +0100 3229723 http://www.medworm.com/index.php?rid=3229721&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe324%3Frss%3D1 CONCLUSIONS: These findings extend earlier research, detailing healthy births among most immigrant Hispanic women. Robust birth outcomes contribute to the early health and cognitive growth of Hispanic infants, but risk factors linked to maternal and home practices overtake these early protective factors by late infancy. Robust births and early health indicators displayed by Hispanic infants should not distract pediatricians from attending to uneven cognitive growth. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229721 Mon, 01 Feb 2010 16:03:21 +0100 3229721 http://www.medworm.com/index.php?rid=3229719&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe318%3Frss%3D1 CONCLUSIONS: Gali-col Baby is associated with an ALTE in some infants. There are no published controlled trials on the efficacy or safety of its use; therefore, better control and supervision of Gali-col Baby and probably other homeopathic medications are needed to prevent possible serious adverse effects. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229719 Mon, 01 Feb 2010 16:03:21 +0100 3229719 http://www.medworm.com/index.php?rid=3229717&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe309%3Frss%3D1 CONCLUSIONS: Behavior problems are common in children who have constipation and are referred to gastrointestinal outpatient clinics, suggesting that a behavioral screening should be incorporated into the diagnostic workup of children with constipation. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229717 Mon, 01 Feb 2010 16:03:21 +0100 3229717 http://www.medworm.com/index.php?rid=3229715&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe300%3Frss%3D1 CONCLUSIONS: Mild hypothermia for 48 hours in preterm neonates with severe NEC seems both feasible and safe. Additional investigation of the efficacy of this therapeutic intervention in this population is warranted. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229715 Mon, 01 Feb 2010 16:03:21 +0100 3229715 http://www.medworm.com/index.php?rid=3229714&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe295%3Frss%3D1 CONCLUSION: The rate of fractures in children who present with burns and concerns regarding physical abuse is sufficient to support the recommendation for routinely performing skeletal surveys for children <2 years of age. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229714 Mon, 01 Feb 2010 16:03:21 +0100 3229714 http://www.medworm.com/index.php?rid=3229711&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe286%3Frss%3D1 CONCLUSIONS: Expanded newborn screening for MCADD is cost-effective compared with well-accepted pediatric health interventions. Losses in quality of life associated with dietary treatment for MCADD, however, may offset some of the gains in QALYs from newborn screening. Consideration of new disorders for expanded newborn screening panels should include the potential reduction in quality of life associated with treatments. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229711 Mon, 01 Feb 2010 16:03:21 +0100 3229711 http://www.medworm.com/index.php?rid=3229709&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe278%3Frss%3D1 CONCLUSIONS: Providing facilities for parents to stay in the neonatal unit from admission to discharge may reduce the total length of stay for infants born prematurely. The reduced risk of moderate-to-severe bronchopulmonary dysplasia needs additional investigation. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229709 Mon, 01 Feb 2010 16:03:21 +0100 3229709 http://www.medworm.com/index.php?rid=3229707&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe269%3Frss%3D1 CONCLUSIONS: Internalizing mental health symptoms are common among CSHCN. Findings may help caregivers focus screening and prevention efforts for high-risk groups in this heterogeneous population. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229707 Mon, 01 Feb 2010 16:03:21 +0100 3229707 http://www.medworm.com/index.php?rid=3229742&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F2%2F415-a%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229742 Mon, 01 Feb 2010 16:03:20 +0100 3229742 http://www.medworm.com/index.php?rid=3229741&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F2%2F415%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229741 Mon, 01 Feb 2010 16:03:20 +0100 3229741 http://www.medworm.com/index.php?rid=3229740&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F410%3Frss%3D1 This report serves as a basis for encouraging safe participation in soccer for children and adolescents. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229740 Mon, 01 Feb 2010 16:03:20 +0100 3229740 http://www.medworm.com/index.php?rid=3229739&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F405%3Frss%3D1 The hospital stay of the mother and her healthy term newborn infant should be long enough to allow identification of early problems and to ensure that the family is able and prepared to care for the infant at home. The length of stay should also accommodate the unique characteristics of each mother-infant dyad, including the health of the mother, the health and stability of the infant, the ability and confidence of the mother to care for her infant, the adequacy of support systems at home, and access to appropriate follow-up care. Input from the mother and her obstetrician should be considered before a decision to discharge a newborn is made, and all efforts should be made to keep mothers and infants together to promote simultaneous discharge. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229739 Mon, 01 Feb 2010 16:03:20 +0100 3229739 http://www.medworm.com/index.php?rid=3229737&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F392%3Frss%3D1 In the past half-century, hematopoietic stem cell transplantation has become standard treatment for a variety of diseases in children and adults, including selected hematologic malignancies, immunodeficiencies, hemoglobinopathies, bone marrow failure syndromes, and congenital metabolic disorders. There are 3 sources of allogeneic hematopoietic stem cells: bone marrow, peripheral blood, and umbilical cord blood; each has its own benefits and risks. Children often serve as hematopoietic stem cell donors, most commonly for their siblings. HLA-matched biological siblings are generally preferred as donors because of reduced risks of transplant-related complications as compared with unrelated donors. This statement includes a discussion of the ethical considerations regarding minors serving as s... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229737 Mon, 01 Feb 2010 16:03:20 +0100 3229737 http://www.medworm.com/index.php?rid=3229736&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F2%2F389%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229736 Mon, 01 Feb 2010 16:03:20 +0100 3229736 http://www.medworm.com/index.php?rid=3229735&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F2%2F387%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229735 Mon, 01 Feb 2010 16:03:20 +0100 3229735 http://www.medworm.com/index.php?rid=3229734&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F2%2F384%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229734 Mon, 01 Feb 2010 16:03:20 +0100 3229734 http://www.medworm.com/index.php?rid=3229730&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F361%3Frss%3D1 DESCRIPTION: Update of the 2005 US Preventive Services Task Force (USPSTF) statement about screening for overweight in children and adolescents. METHODS: The USPSTF examined the evidence for the effectiveness of interventions that are primary care feasible or referable. It also examined the evidence for the magnitude of potential harms of treatment in children and adolescents. RECOMMENDATION. The USPSTF recommends that clinicians screen children aged 6 years and older for obesity and offer them or refer them to intensive counseling and behavioral interventions to promote improvements in weight status (grade B recommendation). (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229730 Mon, 01 Feb 2010 16:03:20 +0100 3229730 http://www.medworm.com/index.php?rid=3229728&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F350%3Frss%3D1 CONCLUSIONS: A diverse sample of practices successfully implemented developmental screening as recommended by the AAP. Practices were less successful in placing referrals and tracking those referrals. More attention needs to be paid to the referral process, and many practices may require separate implementation systems for screening and referrals. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229728 Mon, 01 Feb 2010 16:03:20 +0100 3229728 http://www.medworm.com/index.php?rid=3229726&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F342%3Frss%3D1 Viral bronchiolitis is a leading cause of acute illness and hospitalization of young children. Research into the variation in treatment and outcomes for bronchiolitis across different settings has led to evidence-based clinical practice guidelines. Ongoing investigation continues to expand this body of evidence. Authors of recent surveillance studies have defined the presence of coinfections with multiple viruses in some cases of bronchiolitis. Underlying comorbidities and young age remain the most important predictors for severe bronchiolitis. Pulse oximetry plays an important role in driving use of health care resources. Evidence-based reviews have suggested a limited role for diagnostic laboratory or radiographic tests in typical cases of bronchiolitis. Several large, recent trials have... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229726 Mon, 01 Feb 2010 16:03:20 +0100 3229726 http://www.medworm.com/index.php?rid=3229724&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F335%3Frss%3D1 CONCLUSION: The minimum urinary bacterial concentration that is used to diagnose a urine infection should be increased from ≥105 to ≥106 colony-forming units/mL, because that would reduce the false-positive rate from 7.2% to 4.8% if 1 sample was cultured and from 3.6% to 0.6% if 2 samples were cultured. Urine samples with heavy mixed growths should be considered contaminated. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229724 Mon, 01 Feb 2010 16:03:20 +0100 3229724 http://www.medworm.com/index.php?rid=3229722&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F327%3Frss%3D1 CONCLUSIONS: Children with mild traumatic brain injuries have an increased frequency of receiving the concussion label, although the label may also be applied to children with more-severe injuries. The concussion diagnosis is associated with important clinical outcomes. Its typical use in hospital settings likely refers to an impact-related mild brain injury, in the absence of indicators other than a loss of consciousness. Clinicians may use the concussion label because it is less alarming to parents than the term mild brain injury, with the intent of implying that the injury is transient with no significant long-term health consequences. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229722 Mon, 01 Feb 2010 16:03:20 +0100 3229722 http://www.medworm.com/index.php?rid=3229720&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F320%3Frss%3D1 CONCLUSIONS: In this population of moderately preterm infants, the PNR was associated with a decrease in daily weight gain, but was not associated with other measures of quality. In contrast with findings in the adult intensive care literature, measured clinical outcomes were similar across the range of nurse-staffing arrangements among participating NICUs. We conclude that the PNR is not useful for profiling hospitals' quality of care delivery to moderately preterm infants. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229720 Mon, 01 Feb 2010 16:03:20 +0100 3229720 http://www.medworm.com/index.php?rid=3229718&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F313%3Frss%3D1 CONCLUSIONS: A dearth of positive parenting behaviors plus negative perceptions of children, with or without psychosocial risk factors, negatively affect child development, which is apparent as early as 6 months of age. The older the child is, the greater the performance gaps are. Language development is particularly at risk when parenting is problematic. Findings underscore the importance of early development promotion with parents, focusing on their talking, playing, and reading with children, and the need for interventions regarding psychosocial risk factors. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229718 Mon, 01 Feb 2010 16:03:20 +0100 3229718 http://www.medworm.com/index.php?rid=3229705&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe261%3Frss%3D1 CONCLUSIONS: We conclude that exposure to SHS is associated with increased sleep problems among children with asthma. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229705 Mon, 01 Feb 2010 16:03:20 +0100 3229705 http://www.medworm.com/index.php?rid=3229703&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe250%3Frss%3D1 CONCLUSIONS: Mental and motor functioning scores were not lower for infants with in utero ARV exposure compared with no exposure. Although these results are reassuring, continued evaluation of uninfected children with in utero ARV exposure for long-term adverse outcomes is important. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229703 Mon, 01 Feb 2010 16:03:20 +0100 3229703 http://www.medworm.com/index.php?rid=3229700&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe242%3Frss%3D1 CONCLUSIONS: A brief, required, primary care intervention helps English- and Spanish-speaking caregivers develop appropriate methods of discipline. The findings have implications for violence prevention, child abuse prevention, and how to incorporate counseling about childhood aggression and discipline into the well-child care visit. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229700 Mon, 01 Feb 2010 16:03:20 +0100 3229700 http://www.medworm.com/index.php?rid=3229699&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe234%3Frss%3D1 CONCLUSIONS: Application of the 2004 AHA recommendations, compared with the classic criteria alone, improves the rate of IVIG treatment for patients with KD who develop CAAs. Future multicenter prospective studies are needed to assess the performance characteristics of the AHA algorithm in febrile children with incomplete criterion findings and to refine the algorithm further. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229699 Mon, 01 Feb 2010 16:03:20 +0100 3229699 http://www.medworm.com/index.php?rid=3229696&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe225%3Frss%3D1 CONCLUSIONS: NW LDH levels in young children with bronchiolitis varied according to viral etiology and disease severity. Values in the upper quartile were associated with ~80% risk reduction in hospitalization, likely reflecting a robust antiviral response. NW LDH may be a useful biomarker to assist the clinician in the decision to hospitalize a child with bronchiolitis. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229696 Mon, 01 Feb 2010 16:03:20 +0100 3229696 http://www.medworm.com/index.php?rid=3229694&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe214%3Frss%3D1 CONCLUSIONS: The Lubchenco curves may not represent the current US population. The new intrauterine growth curves created and validated in this study, based on a contemporary, large, racially diverse US sample, provide clinicians with an updated tool for growth assessment in US NICUs. Research into the ability of the new definitions of small-for-gestational-age and large-for-gestational-age to identify high-risk infants in terms of short-term and long-term health outcomes is needed. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229694 Mon, 01 Feb 2010 16:03:20 +0100 3229694 http://www.medworm.com/index.php?rid=3229692&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe208%3Frss%3D1 CONCLUSIONS: In this first nationwide study evaluating VE under conditions of routine use, RV5 was highly effective in preventing RGE and AGE and in reducing health care resource utilization. Further research is needed to assess VE with an incomplete rotavirus vaccination regimen. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229692 Mon, 01 Feb 2010 16:03:20 +0100 3229692 http://www.medworm.com/index.php?rid=3229689&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe199%3Frss%3D1 CONCLUSIONS: In this setting, a complete series of RV5 was highly effective against severe rotavirus AGE. Partial immunization also conferred substantial protection. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229689 Mon, 01 Feb 2010 16:03:20 +0100 3229689 http://www.medworm.com/index.php?rid=3229688&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2Fe191%3Frss%3D1 CONCLUSIONS: Before the rotavirus vaccine, rotavirus seemed to be associated with a large number of outpatient and ED visits among young children. Rotavirus vaccine has the potential to reduce many outpatient and ED visits. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229688 Mon, 01 Feb 2010 16:03:20 +0100 3229688 http://www.medworm.com/index.php?rid=3229716&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F304%3Frss%3D1 CONCLUSIONS: Interventions that target child passenger-restraint practices offer population-level benefits in terms of reduction in fatalities and injuries. These tangible benefits call for action internationally, not only to promote restraint use but correct age-appropriate restraint use for child car passengers. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229716 Mon, 01 Feb 2010 16:03:19 +0100 3229716 http://www.medworm.com/index.php?rid=3229713&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F295%3Frss%3D1 CONCLUSIONS: Reduced N-acetylaspartate levels (ie, neuronal loss/dysfunction) and elevated lactate levels (altered energy metabolism) correlated with poor neurologic outcomes for infants with NAT. Elevated lactate levels may reflect primary or secondary hypoxic-ischemic injury, which may occur with NAT. Our data suggest that MRSI performed early after injury can be used for long-term prognosis. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229713 Mon, 01 Feb 2010 16:03:19 +0100 3229713 http://www.medworm.com/index.php?rid=3229712&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F290%3Frss%3D1 CONCLUSIONS: The entertainment industry has improved the depiction of selected safety practices in G- and PG-rated movies. However, approximately one half of scenes still depict unsafe practices, and the consequences of these behaviors are rarely shown. The industry should continue to improve how it depicts safety practices in children's movies. Parents should highlight the depiction of unsafe behaviors and educate children in following safe practices. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229712 Mon, 01 Feb 2010 16:03:19 +0100 3229712 http://www.medworm.com/index.php?rid=3229710&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F282%3Frss%3D1 CONCLUSION: Systematic screening for DD using the ASQ was feasible and seemed to double the detection of DDs. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229710 Mon, 01 Feb 2010 16:03:19 +0100 3229710 http://www.medworm.com/index.php?rid=3229708&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F273%3Frss%3D1 CONCLUSIONS: A sizable minority of children investigated by CPS subsequently live in homes with mentally or physically ill caregivers and with developmentally inadequate nurturing and stimulation. Foster homes are indistinguishable from investigated homes on the HOME-SF. Clinicians should assess the mental and physical health of caregivers and should facilitate access to appropriate resources, including parent/caregiver training programs. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229708 Mon, 01 Feb 2010 16:03:19 +0100 3229708 http://www.medworm.com/index.php?rid=3229706&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F265%3Frss%3D1 CONCLUSIONS: BMI-percentile screening in primary pediatric practice is underused. Most pediatricians believe that they can and should try to prevent overweight and obesity, yet few believe there are good treatments once a child is obese. Training, time, and resource limitations affect BMI-percentile use. Awareness of national guidelines may improve rates of BMI-percentile use and recognition of opportunities to prevent childhood and adolescent obesity. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229706 Mon, 01 Feb 2010 16:03:19 +0100 3229706 http://www.medworm.com/index.php?rid=3229704&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F257%3Frss%3D1 CONCLUSIONS: We determined age-specific CSF WBC reference values in a large cohort of neonates and young infants that can be used to interpret accurately the results of lumbar punctures in this population. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229704 Mon, 01 Feb 2010 16:03:19 +0100 3229704 http://www.medworm.com/index.php?rid=3229702&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F249%3Frss%3D1 CONCLUSIONS: In 2007, pediatric CAM users were more likely to take prescription medications, have a parent who used CAM, and have chronic conditions such as anxiety or stress, musculoskeletal conditions, dermatologic conditions, or sinusitis. Research is required to guide pediatricians in making recommendations on CAM modalities for children including potential risks and/or benefits and interactions with conventional therapies. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229702 Mon, 01 Feb 2010 16:03:19 +0100 3229702 http://www.medworm.com/index.php?rid=3229701&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F244%3Frss%3D1 CONCLUSION: This study is the first to suggest that labeled menus may lead to significantly lower calorie content in restaurant meals purchased for children. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229701 Mon, 01 Feb 2010 16:03:19 +0100 3229701 http://www.medworm.com/index.php?rid=3229698&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F234%3Frss%3D1 CONCLUSIONS: IRHs are substantially more common among children with SCD than among those without the disease, which supports the potential importance of vigorous influenza vaccination efforts that target children with SCD. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229698 Mon, 01 Feb 2010 16:03:19 +0100 3229698 http://www.medworm.com/index.php?rid=3229697&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F228%3Frss%3D1 CONCLUSIONS: Low-risk criteria perform well in prospective studies in which empiric antibiotic treatment is withheld. These criteria allow ~30% of young febrile infants to be observed without antibiotic treatment, thus avoiding unnecessary hospitalization, nosocomial infection, injudicious use of antibiotics, and adverse effects of antibiotics. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229697 Mon, 01 Feb 2010 16:03:19 +0100 3229697 http://www.medworm.com/index.php?rid=3229695&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F221%3Frss%3D1 CONCLUSIONS: Adolescents and parents need help understanding that suicide is an underidentified problem in their own communities. Both adolescents and parents are interested in learning more about how to identify and to intervene with a suicidal adolescent. Pediatricians are well positioned to provide this information in the office and in the community. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229695 Mon, 01 Feb 2010 16:03:19 +0100 3229695 http://www.medworm.com/index.php?rid=3229693&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F214%3Frss%3D1 CONCLUSIONS: Although management of AOM without antibiotics has not increased after the publication of the 2004 American Academy of Pediatrics and American Academy of Family Physicians clinical practice guideline, children who did not receive antibiotics were more likely to have mild infections. In accordance with the guideline, the prescribing of amoxicillin and analgesics has increased. Contrary to the guideline, the prescribing of amoxicillin/clavulanate has decreased, whereas the prescribing of cefdinir has increased. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229693 Mon, 01 Feb 2010 16:03:19 +0100 3229693 http://www.medworm.com/index.php?rid=3229691&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F206%3Frss%3D1 CONCLUSIONS: In contrast with adult ICU care, maximizing insertion-bundle compliance alone cannot help PICUs to eliminate CA-BSIs. The main drivers for additional reductions in pediatric CA-BSI rates are issues that surround daily maintenance care for central lines, as defined in our maintenance bundle. Additional research is needed to define the optimal maintenance bundle that will facilitate elimination of CA-BSIs for children. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229691 Mon, 01 Feb 2010 16:03:19 +0100 3229691 http://www.medworm.com/index.php?rid=3229690&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F2%2F203%3Frss%3D1 The reader may wonder, "What is COMSEP, and how does an article from COMSEP affect me?" COMSEP, the Council on Medical Student Education in Pediatrics, is a community of pediatric clerkship directors and other educators whose mission is to improve the health of children and their families by advancing the art and science of medical student education in pediatrics.1 This is the first in what is envisioned to be a quarterly report from the COMSEP to the readership of Pediatrics. In writing these articles, we hope to accomplish 3 key objectives. First, we want to keep the readership updated on trends that could affect both practice and pediatric education, whether they involve the rise of the pediatric hospitalist service or use of electronic medical records. Second, we hope to share educatio... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3229690 Mon, 01 Feb 2010 16:03:19 +0100 3229690 http://www.medworm.com/index.php?rid=3140887&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Ffull%2F125%2F1%2Fe188%3Frss%3D1 (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140887 Mon, 04 Jan 2010 18:03:02 +0100 3140887 http://www.medworm.com/index.php?rid=3140886&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe183%3Frss%3D1 Mucopolysaccharidosis type I (MPS I) is a progressive and multisystemic disease, even in its attenuated Hurler-Scheie and Scheie forms. Clinical trials of enzyme-replacement therapy in MPS I have shown clinical benefit in patients with considerable preexisting disease, but no data exist on the effect of beginning enzyme replacement before the onset of significant clinical signs of disease. Here we present the 5-year follow-up of a boy with attenuated MPS I who had laronidase therapy initiated at the age of 5 months and compare his clinical course to that of his older sister, who began treatment at 5 years of age after she had developed typical signs of MPS I. After 5 years of treatment, the younger sibling has not developed any clinical manifestations of MPS I except for mild corneal cloud... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140886 Mon, 04 Jan 2010 18:03:02 +0100 3140886 http://www.medworm.com/index.php?rid=3140885&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe174%3Frss%3D1 Streptococcus pneumoniae–associated hemolytic uremic syndrome (HUS) is an underrecognized condition that mainly occurs in young children. Early diagnosis is important because of the potential to improve morbidity and mortality rates. The purposes of this report are to review the clinical and laboratory features of 14 patients with pneumococcal HUS and present a modified classification to capture cases that may not have been documented with a diagnosis of pneumococcal HUS. We thereby provide a rationale for including patients with concurrent disseminated intravascular coagulopathy and/or those whose culture results were negative, and we highlight the emergence of serotype 19A subsequent to the introduction of 7-valent pneumococcal protein conjugate vaccine (Prevnar). This is the large... PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140885 Mon, 04 Jan 2010 18:03:02 +0100 3140885 http://www.medworm.com/index.php?rid=3140883&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe169%3Frss%3D1 This report of polyarteritis nodosa associated with human ALPS supports previous findings in Fas-deficient mouse models that frequently develop vasculitic manifestations and suggests that apoptotic defects of lymphocytes may play a role in the pathophysiology of systemic vasculitis. Thus, patients with ALPS might be more susceptible to autoimmune vessel inflammation. This case furthermore emphasizes that even rare autoimmune manifestations should be considered and investigated in patients with immunodeficiencies, because that might help in planning treatment strategies for these patients. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140883 Mon, 04 Jan 2010 18:03:02 +0100 3140883 http://www.medworm.com/index.php?rid=3140881&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe162%3Frss%3D1 CONCLUSIONS: Among children who are referred to a sleep laboratory, the OSA-18 does not accurately detect which children will have an abnormal MOS and cannot be used to exclude moderate-to-severe OSA. The OSA-18 should not be used in the place of objective testing to identify moderate-to-severe OSA in children. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140881 Mon, 04 Jan 2010 18:03:02 +0100 3140881 http://www.medworm.com/index.php?rid=3140879&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe155%3Frss%3D1 CONCLUSIONS: FGIDs can be diagnosed and managed in primary care. Prospective studies in primary care allow assessment of compliance of pediatricians and implementation of what is learned in courses developed in continuing medical education. Informed reassurance and availability of FPs are more useful than over-the-counter drugs, which are often used for FGIDs. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140879 Mon, 04 Jan 2010 18:03:02 +0100 3140879 http://www.medworm.com/index.php?rid=3140877&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe146%3Frss%3D1 CONCLUSIONS: Prediction of early or late discharge is poor if only perinatal factors are considered, but it improves substantially with knowledge of later-occurring morbidities. Predictive models that use a few key risk factors are comparable to the full models and may offer a clinically applicable strategy. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140877 Mon, 04 Jan 2010 18:03:02 +0100 3140877 http://www.medworm.com/index.php?rid=3140874&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe137%3Frss%3D1 CONCLUSIONS: Use of a humidified hybrid incubator improved care for ELBW infants by making it possible to decrease fluid intake, improve electrolyte balance, and enhance GV without a disturbance of BT compared with conventional care. By adjusting fluid intake when using these devices, benefits may be enhanced and the risk of BPD and severe BPD may be reduced. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140874 Mon, 04 Jan 2010 18:03:02 +0100 3140874 http://www.medworm.com/index.php?rid=3140872&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe130%3Frss%3D1 CONCLUSIONS: Random assignment to the Fast Track prevention program is associated with reduced use of general health and outpatient mental health services in adolescents. Future studies should examine the mechanism of this impact and service use patterns as subjects reach young adulthood. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140872 Mon, 04 Jan 2010 18:03:02 +0100 3140872 http://www.medworm.com/index.php?rid=3140870&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe122%3Frss%3D1 CONCLUSIONS: DEHP, which has antiandrogenic or estrogenic effects, may be an etiologic factor in pubertal gynecomastia. These results may pioneer larger-scale studies on the etiologic role of DEHP in pubertal gynecomastia. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140870 Mon, 04 Jan 2010 18:03:02 +0100 3140870 http://www.medworm.com/index.php?rid=3140868&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe115%3Frss%3D1 CONCLUSIONS: These preliminary results suggest that use of longer averaging time reduces the detection of brief periodic desaturation events and of greater severity. It may also interpret a cluster of shorter events as a single, prolonged episode and, thus, potentially overestimate the frequency of long events. The significance of these findings lies in the potential impact on neurodevelopmental outcomes and growth, which will need additional study. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140868 Mon, 04 Jan 2010 18:03:02 +0100 3140868 http://www.medworm.com/index.php?rid=3140866&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe107%3Frss%3D1 CONCLUSION: Domperidone increases the volume of breast milk of preterm mothers experiencing lactation failure, without substantially altering the nutrient composition. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140866 Mon, 04 Jan 2010 18:03:02 +0100 3140866 http://www.medworm.com/index.php?rid=3140864&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe99%3Frss%3D1 CONCLUSIONS: Prospective parents in the Dutch population seem interested in newborn screening for untreatable childhood-onset disorders; therefore, we argue that additional debate of pros and cons is needed among policy makers, health care professionals, and consumers. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140864 Mon, 04 Jan 2010 18:03:02 +0100 3140864 http://www.medworm.com/index.php?rid=3140862&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe90%3Frss%3D1 CONCLUSIONS: The NNNS may be useful to identify infant behavioral needs to be targeted in well-infant pediatric care, as well as for referrals to community-based early intervention services. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140862 Mon, 04 Jan 2010 18:03:02 +0100 3140862 http://www.medworm.com/index.php?rid=3140860&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe83%3Frss%3D1 CONCLUSIONS: Negative behavioral sequelae of preterm birth remain significant in middle childhood and adolescence, although the contribution of multiple factors to neurobehavioral outcome is complex. Research to assess these relationships, integrated with anatomic and functional neuroimaging, is needed to advance knowledge and improve outcomes for children who are born preterm. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140860 Mon, 04 Jan 2010 18:03:02 +0100 3140860 http://www.medworm.com/index.php?rid=3140857&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe74%3Frss%3D1 CONCLUSIONS: Nonimpaired VLBW individuals exhibited slower psychomotor speed and lower accuracy on the associated learning task. These results indicate that very preterm birth, even when obvious neurosensory deficits are absent, may have long-term consequences on core neurocognitive abilities. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140857 Mon, 04 Jan 2010 18:03:02 +0100 3140857 http://www.medworm.com/index.php?rid=3140856&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe67%3Frss%3D1 CONCLUSIONS: This study confirms previous claims of an incremental association of cognitive competence with GA. Socioeconomic indicators in childhood modified this effect at all levels of preterm birth. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140856 Mon, 04 Jan 2010 18:03:02 +0100 3140856 http://www.medworm.com/index.php?rid=3140853&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe58%3Frss%3D1 CONCLUSIONS: Resective epilepsy surgery should be considered for children with LGS, despite abundant generalized and multiregional electroencephalogram abnormalities. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140853 Mon, 04 Jan 2010 18:03:02 +0100 3140853 http://www.medworm.com/index.php?rid=3140852&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe52%3Frss%3D1 CONCLUSIONS: We provide data on TcB levels for the first 120 postnatal hours from a large population of white, healthy, term and near-term neonates. We also present a percentile-based TcB nomogram designated for noninvasive and hour-specific evaluation of neonatal hyperbilirubinemia. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140852 Mon, 04 Jan 2010 18:03:02 +0100 3140852 http://www.medworm.com/index.php?rid=3140849&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe35%3Frss%3D1 CONCLUSIONS: Children receiving prophylaxis with motavizumab or palivizumab had low rates of RSV hospitalization; motavizumab recipients experienced 50% fewer RSV MALRIs than palivizumab recipients. AEs were similar in both groups, although cutaneous AEs were higher for motavizumab recipients. Motavizumab may offer an improved alternative in prophylaxis for serious RSV disease in infants and children at high risk. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140849 Mon, 04 Jan 2010 18:03:02 +0100 3140849 http://www.medworm.com/index.php?rid=3140847&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe29%3Frss%3D1 CONCLUSIONS: LDA was not associated with adverse neonatal or long-term outcomes. Moreover, the results suggest that LDA may be associated with a reduction in neurobehavioral difficulties. More research is needed to assess the effects of aspirin alone or combined with other neuroprotective agents. (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140847 Mon, 04 Jan 2010 18:03:02 +0100 3140847 http://www.medworm.com/index.php?rid=3140845&cid=s_32770_33_f&fid=32770&url=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fcontent%2Fabstract%2F125%2F1%2Fe24%3Frss%3D1 CONCLUSIONS: Exposure to Mozart music significantly lowers REE in healthy preterm infants. We speculate that this effect of music on REE might explain, in part, the improved weight gain that results from this "Mozart effect." (Source: PEDIATRICS) PEDIATRICS journals http://www.medworm.com/rss/comments.php?id=3140845 Mon, 04 Jan 2010 18:03:02 +0100 3140845