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Pediatrics

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https://www.readbyqxmd.com/read/29150460/ring-block-of-the-penis-a-proven-addition-to-multimodal-pain-relief-for-newborn-circumcision
#1
David A Rosen, Lynn M Broadman
No abstract text is available yet for this article.
November 17, 2017: Pediatrics
https://www.readbyqxmd.com/read/29150459/lessons-from-history-parents-anonymous-and-child-abuse-prevention-policy
#2
REVIEW
Mical Raz
No abstract text is available yet for this article.
November 17, 2017: Pediatrics
https://www.readbyqxmd.com/read/29150458/diagnostic-accuracy-of-neonatal-assessment-for-gestational-age-determination-a-systematic-review
#3
REVIEW
Anne Cc Lee, Pratik Panchal, Lian Folger, Hilary Whelan, Rachel Whelan, Bernard Rosner, Hannah Blencowe, Joy E Lawn
CONTEXT: An estimated 15 million neonates are born preterm annually. However, in low- and middle-income countries, the dating of pregnancy is frequently unreliable or unknown. OBJECTIVE: To conduct a systematic literature review and meta-analysis to determine the diagnostic accuracy of neonatal assessments to estimate gestational age (GA). DATA SOURCES: PubMed, Embase, Cochrane, Web of Science, POPLINE, and World Health Organization library databases...
November 17, 2017: Pediatrics
https://www.readbyqxmd.com/read/29150457/combination-analgesia-for-neonatal-circumcision-a-randomized-controlled-trial
#4
Rana Sharara-Chami, Zavi Lakissian, Lama Charafeddine, Nadine Milad, Yaser El-Hout
OBJECTIVES: There is no consensus on the most effective pain management for neonatal circumcision. We sought to compare different modalities. METHODS: This is a double-blinded randomized controlled trial comparing 3 combination analgesics used during circumcision (EMLA + sucrose; EMLA + sucrose + dorsal penile nerve block [DPNB]; EMLA + sucrose + ring block [RB]) with the traditional topical analgesic cream EMLA alone. The trial was set in the normal nursery of a teaching hospital...
November 17, 2017: Pediatrics
https://www.readbyqxmd.com/read/29146622/refusal-of-treatment-of-childhood-cancer-a-systematic-review
#5
REVIEW
Amy E Caruso Brown, Amy R Slutzky
CONTEXT: Refusal of treatment for childhood cancer engenders much discussion. No systematic study of this phenomenon exists in countries where access to treatment is readily available. OBJECTIVE: To identify and describe all published cases of treatment refusal for childhood cancer in the contemporary era. DATA SOURCES: We searched PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, LexisNexis Academic, personal database, and secondary bibliographies...
November 16, 2017: Pediatrics
https://www.readbyqxmd.com/read/29146621/effect-of-fda-investigation-on-opioid-prescribing-to-children-after-tonsillectomy-adenoidectomy
#6
Kao-Ping Chua, Mark G Shrime, Rena M Conti
BACKGROUND: In August 2012, the Food and Drug Administration investigated the safety of codeine use by children after tonsillectomy and/or adenoidectomy, culminating in a black box warning in February 2013. The objective of this study was to evaluate the association between the investigation and opioid prescribing to children undergoing these surgeries. METHODS: We identified 362 992 privately insured children in the 2010-2015 Truven MarketScan Commercial Claims and Encounters database who underwent tonsillectomy and/or adenoidectomy...
November 16, 2017: Pediatrics
https://www.readbyqxmd.com/read/29146620/diagnosing-infection-in-a-neonate-using-whole-body-screening-magnetic-resonance-imaging
#7
Ting Ting Fu, Paul S Kingma
The location of invasive infections is difficult to detect in infants, in part due to their inability to localize signs and symptoms. However, identifying the location often significantly alters clinical management by extending the duration of antibiotic therapy or revealing a source requiring surgical intervention. Compared with commonly used first-line imaging techniques such as radiographs and ultrasounds, MRI has higher sensitivity for identifying invasive infections and allows for simultaneous evaluation of multiple foci...
November 16, 2017: Pediatrics
https://www.readbyqxmd.com/read/29146619/urinary-neutrophil-gelatinase-associated-lipocalin-for-the-diagnosis-of-urinary-tract-infections
#8
Tamar R Lubell, Jonathan M Barasch, Katherine Xu, Maria Ieni, Keven I Cabrera, Peter S Dayan
OBJECTIVES: To determine the accuracy of the novel biomarker urinary neutrophil gelatinase-associated lipocalin (uNGAL) to diagnose urinary tract infections (UTIs) in febrile infants and young children. METHODS: Prospective cross-sectional study of febrile infants <3 months ( ≥ 38.0°C) and children 3 to 24 months (≥ 39.0°C) evaluated for UTIs. uNGAL levels, urinalysis, Gram-stain and culture were obtained. UTI was defined by colony counts. RESULTS: Of 260 patients, 35 (13...
November 16, 2017: Pediatrics
https://www.readbyqxmd.com/read/29141917/issues-related-to-laboratory-screening-for-children-and-adolescents-entering-foster-care
#9
Moira Szilagyi, Elaine Schulte
No abstract text is available yet for this article.
November 15, 2017: Pediatrics
https://www.readbyqxmd.com/read/29141916/bone-age-a-handy-tool-for-pediatric-providers
#10
REVIEW
Ana L Creo, W Frederick Schwenk
Pediatricians have relied on methods for determining skeletal maturation for >75 years. Bone age continues to be a valuable tool in assessing children's health. New technology for bone age determination includes computer-automated readings and assessments obtained from alternative imaging modalities. In addition, new nonclinical bone age applications are evolving, particularly pertaining to immigration and children's rights to asylum. Given the significant implications when bone ages are used in high-stake decisions, it is necessary to recognize recently described limitations in predicting accurate age in various ethnicities and diseases...
November 15, 2017: Pediatrics
https://www.readbyqxmd.com/read/29141915/laboratory-screening-for-children-entering-foster-care
#11
Mary V Greiner, Sarah J Beal, Katie Nause, Mary Allen Staat, Judith W Dexheimer, Philip V Scribano
OBJECTIVES: To determine the prevalence of medical illness detected by laboratory screening in children entering foster care in a single, urban county. METHODS: All children entering foster care in a single county in Ohio were seen at a consultation foster care clinic and had laboratory screening, including testing for infectious diseases such as HIV, hepatitis B, hepatitis C, syphilis, and tuberculosis as well as for hemoglobin and lead levels. RESULTS: Over a 3-year period (2012-2015), laboratory screening was performed on 1977 subjects entering foster care in a consultative foster care clinic...
November 15, 2017: Pediatrics
https://www.readbyqxmd.com/read/29138363/primary-care-interventions-for-early-childhood-development-a-systematic-review
#12
REVIEW
Elizabeth Peacock-Chambers, Kathryn Ivy, Megan Bair-Merritt
CONTEXT: The pediatric primary care setting offers a platform to promote positive parenting behaviors and the optimal development of young children. Many new interventions have been developed and tested in this setting over the past 2 decades. OBJECTIVE: To summarize the recent published evidence regarding the impact of primary care-based interventions on parenting behaviors and child development outcomes; to provide recommendations for incorporation of effective interventions into pediatric clinics...
November 14, 2017: Pediatrics
https://www.readbyqxmd.com/read/29138362/infant-neuromotor-development-and-childhood-problem-behavior
#13
Fadila Serdarevic, Akhgar Ghassabian, Tamara van Batenburg-Eddes, Emin Tahirovic, Tonya White, Vincent W V Jaddoe, Frank C Verhulst, Henning Tiemeier
BACKGROUND: Research of adults and school-aged children suggest a neurodevelopmental basis for psychiatric disorders. We examined whether infant neuromotor development predicted internalizing and externalizing problems in young children. METHODS: In Generation R, a population-based cohort in the Netherlands (2002-2006), trained research assistants evaluated the neuromotor development of 4006 infants aged 2 to 5 months by using an adapted version of Touwen's Neurodevelopmental Examination (tone, responses, and senses and other observations)...
November 14, 2017: Pediatrics
https://www.readbyqxmd.com/read/29138361/rethinking-the-definition-of-evidence-based-interventions-to-promote-early-childhood-development
#14
Jack P Shonkoff
No abstract text is available yet for this article.
November 14, 2017: Pediatrics
https://www.readbyqxmd.com/read/29138360/defang-aces-end-toxic-stress-by-developing-resilience-through-physician-community-partnerships
#15
REVIEW
Amanda Jichlinski
No abstract text is available yet for this article.
November 14, 2017: Pediatrics
https://www.readbyqxmd.com/read/29133577/evidence-for-a-uniform-medicaid-eligibility-threshold-for-children-and-parents
#16
Matthew M Davis
No abstract text is available yet for this article.
November 13, 2017: Pediatrics
https://www.readbyqxmd.com/read/29133576/spillover-effects-of-adult-medicaid-expansions-on-children-s-use-of-preventive-services
#17
Maya Venkataramani, Craig Evan Pollack, Eric T Roberts
BACKGROUND: Since the passage of the Affordable Care Act, Medicaid enrollment has increased by ∼17 million adults, including many low-income parents. One potentially important, but little studied, consequence of expanding health insurance for parents is its effect on children's receipt of preventive services. METHODS: By using state Medicaid eligibility thresholds linked to the 2001-2013 Medical Expenditure Panel Surveys, we assessed the relationship between changes in adult Medicaid eligibility and children's likelihood of receiving annual well-child visits (WCVs)...
November 13, 2017: Pediatrics
https://www.readbyqxmd.com/read/29133575/childhood-sports-participation-and-adolescent-sport-profile
#18
François Gallant, Jennifer L O'Loughlin, Jennifer Brunet, Catherine M Sabiston, Mathieu Bélanger
OBJECTIVES: We aimed to increase understanding of the link between sport specialization during childhood and adolescent physical activity (PA). The objectives were as follows: (1) describe the natural course of sport participation over 5 years among children who are early sport samplers or early sport specializers and (2) determine if a sport participation profile in childhood predicts the sport profile in adolescence. METHODS: Participants (n = 756, ages 10-11 years at study inception) reported their participation in organized and unorganized PA during in-class questionnaires administered every 4 months over 5 years...
November 13, 2017: Pediatrics
https://www.readbyqxmd.com/read/29127209/counseling-on-sun-protection-and-indoor-tanning
#19
Sophie J Balk, Elizabeth A Gottschlich, Dawn M Holman, Meg Watson
BACKGROUND: The US Preventive Services Task Force recommends clinical counseling for individuals ages 10 to 24 years to decrease skin cancer risk. METHODS: A national, random sample of US American Academy of Pediatrics members practicing primary care in 2002 (response rate 55%) and 2015 (response rate 43%). Surveys explored attitudes and experiences regarding sun protection counseling; indoor tanning questions were added in 2015. χ(2) tests compared demographics and counseling responses across years, and multivariable logistic regression models examined counseling predictors...
November 10, 2017: Pediatrics
https://www.readbyqxmd.com/read/29127208/effectiveness-of-a-kindergarten-based-intervention-for-preventing-childhood-obesity
#20
Yan Hu, Jian-Rong He, Fang-Hua Liu, Wei-Dong Li, Jin-Hua Lu, Yan-Fei Xing, Sui-Fang Lin, Xian Liu, Suzanne Bartington, Qiong Feng, Hui-Min Xia, Kin Bong Hubert Lam, Kar Keung Cheng, Xiu Qiu
BACKGROUND AND OBJECTIVES: Interventions to prevent childhood obesity targeting school age children have mostly reported limited effectiveness, suggesting such prevention programs may need to start at an earlier age, but evidence has been scarce. We reported a pilot study aiming to demonstrate the feasibility of a multifaceted intervention for preschool children and to provide a preliminary assessment of the effectiveness. METHODS: This nonrandomized controlled trial recruited children aged 3 to 6 years from 6 kindergartens in Guangzhou, China...
November 10, 2017: Pediatrics
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