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18 papers 0 to 25 followers Making sure little Derek makes it.
By David Hedman All things EM
Zvi Zadik, Ela Borondukov, Amnon Zung, Ram Reifen
BACKGROUND: Breast-fed infants grow more slowly than bottle-fed infants. This growth deceleration sometimes alarms health care personnel to the point of considering other forms of nutrition. OBJECTIVES: To evaluate the final adult anthropometric outcome associated with breast or formula feeding during infancy. DESIGN: Height and weight data were collected from eight well-baby clinics representing various ethnic origins, lifestyles, and socioeconomic backgrounds...
October 2003: Journal of Pediatric Gastroenterology and Nutrition
M Lampl, J D Veldhuis, M L Johnson
Human growth has been viewed as a continuous process characterized by changing velocity with age. Serial length measurements of normal infants were assessed weekly (n = 10), semiweekly (n = 18), and daily (n = 3) (19 females and 12 males) during their first 21 months. Data show that growth in length occurs by discontinuous, aperiodic saltatory spurts. These bursts were 0.5 to 2.5 centimeters in amplitude during intervals separated by no measurable growth (2 to 63 days duration). These data suggest that 90 to 95 percent of normal development during infancy is growth-free and length accretion is a distinctly saltatory process of incremental bursts punctuating background stasis...
October 30, 1992: Science
Ze'ev Hochberg, Kerstin Albertsson-Wikland
Human size is a tradeoff between the evolutionary advantages and disadvantages of being small or big. We now propose that adult size is determined to an important extent during transition from infancy to childhood. This transition is marked by a growth spurt. A delay in the transition has a lifelong impact on stature and is responsible for 44% of children with short stature in developed countries and many more in developing countries. Here, we present the data and theory of an evolutionary adaptive strategy of plasticity in the timing of transition from infancy into childhood to match the prevailing energy supply...
July 2008: Pediatric Research
Mandeep Singh Bajaj, Dewang Angmo, Neelam Pushker, Maya Hada
To conduct a study on ptotic eyelids with Marcus Gunn jaw-winking ptosis operated via a technique of modified levator plication, prospective interventional case series. Ten ptotic eyelids with Marcus Gunn jaw-winking phenomenon (MGJWP) underwent modified levator plication surgery. Postoperatively, all cases were followed up for at least 6 months. Outcome parameters included amount of ptosis correction, amount of MGJWP correction, palpebral aperture height, lid lag, and lagophthalmos. The mean amount of ptosis was 4...
August 2015: International Ophthalmology
J F Wong, J F Thériault, C Bouzouaya, F Codère
PURPOSE: To introduce a new method for the evaluation of Marcus Gunn jaw-winking ptosis that more precisely defines the severity of blepharoptosis. METHODS: A retrospective review of 16 consecutive patients with Marcus Gunn jaw-winking ptosis presenting to our institution between 1993 to 1999 was performed. The position of the affected eyelid was observed after applying a technique of jaw immobilization and disruption of fusion with temporary occlusion of the ipsilateral side...
November 2001: Ophthalmic Plastic and Reconstructive Surgery
Maitree Pandey, Neha Baduni, Aruna Jain, Manoj Kumar Sanwal, Homay Vajifdar
Marcus Gunn phenomenon is seen in 4 to 6% of congenital ptosis patients. We report two cases of abnormal oculocardiac reflex during ptosis correction surgery. Marcus Gunn syndrome is an autosomal dominant condition with incomplete penetrance. It is believed to be a neural misdirection syndrome in which fibres of the motor division of the trigeminal nerve are congenitally misdirected into the superior pterygoid and the levator muscles. Anesthetic considerations include taking a detailed history about any previous anaesthetic exposure and any reaction to it as this syndrome has a high probability of being associated with malignant hyperthermia...
July 2011: Journal of Anaesthesiology, Clinical Pharmacology
Hakan Demirci, Bartley R Frueh, Christine C Nelson
OBJECTIVE: To evaluate the clinical features including eyelid excursion and management of Marcus Gunn jaw-winking synkinesis (MGJWS). DESIGN: Observational case series. PARTICIPANTS: Forty-eight consecutive patients with MGJWS. METHODS: Clinical features and management of 48 patients with MGJWS were reviewed retrospectively. Upper eyelid excursion was measured and graded. Complications of surgical intervention were evaluated...
July 2010: Ophthalmology
Gary J Lelli, Christine C Nelson
A 23-day-old neonate had severe unilateral Marcus Gunn jaw-winking syndrome (MGJWS). By 2 1/2 months of age, she controlled the ptosis with jaw positioning. Habituation of the pterygoid-levator synkinesis has not been reported this early. Surgery can be delayed until a safer time in MGJWS with severe ptosis that lacks objective signs of amblyopia.
January 2006: Journal of Pediatric Ophthalmology and Strabismus
Richard D Goldstein, Felicia L Trachtenberg, Mary Ann Sens, Brian J Harty, Hannah C Kinney
BACKGROUND: Reductions in sudden infant death syndrome (SIDS) are commonly attributed to modifications in infant sleep environments. Approaches to diagnosis in sudden infant death, death scene investigations, the prevalence of intrinsic risk factors for SIDS, and the potential influence of treatment-related factors on infant vulnerability have also changed. Understanding all contributory factors may help reduce residual SIDS rates. METHODS: We analyzed US Mortality Multiple Causes Records for 1983 to 2012 to compare SIDS postneonatal mortality rates with a projection applying non-SIDS mortality changes, using those changes as a proxy measure for alterations in intrinsic risk...
January 2016: Pediatrics
Rachel Y Moon, Fern R Hauck, Eve R Colson
Sudden infant death syndrome (SIDS) and other sleep-related infant deaths, such as accidental suffocation and strangulation in bed and ill-defined deaths, account for >4000 deaths annually in the USA. Evidence-based recommendations for reducing the risk of sleep-related deaths have been published, but some caregivers resist adoption of these recommendations. Multiple interventions to change infant sleep-related practices of parents and professionals have been implemented. In this review, we will discuss illustrative examples of safe infant sleep interventions and evidence of their effectiveness...
2016: Current Pediatric Reviews
Rosemary S C Horne, Karinna L Fyfe, Alexsandria Odoi, Anjalee Athukoralage, Stephanie R Yiallourou, Flora Y Wong
BACKGROUND: Preterm infants are at increased risk of sudden infant death syndrome (SIDS). Use of a dummy/pacifier is thought to be protective against SIDS; accordingly, we assessed the effects of dummy/pacifier use on blood pressure, cerebral oxygenation, and heart rate control over the first 6 mo of life after term corrected age (CA) when SIDS risk is greatest. METHODS: Thirty-five preterm infants were studied longitudinally at 2-4 wk, 2-3 mo, and 5-6 mo CA. Cardiac control was assessed from spectral indices of heart rate variability (HRV) in the low frequency (LF) and the high frequency (HF) range, and the ratio of HF/LF indicating sympathovagal balance was calculated...
February 2016: Pediatric Research
Bernt Alm, Göran Wennergren, Per Möllborg, Hugo Lagercrantz
UNLABELLED: We conducted a literature review on the effect of breastfeeding and dummy (pacifier) use on sudden infant death syndrome (SIDS). From 4343 abstracts, we identified 35 relevant studies on breastfeeding and SIDS, 27 on dummy use and SIDS and 59 on dummy use versus breastfeeding. CONCLUSION: We found ample evidence that both breastfeeding and dummy use reduce the risk of SIDS. There has been a general reluctance to endorse dummy use in case it has a detrimental effect of breastfeeding...
January 2016: Acta Paediatrica
Stephen M Adams, Chad E Ward, Karla L Garcia
Sudden infant death syndrome (SIDS) is the sudden unexpected death of a child younger than one year during sleep that cannot be explained after a postmortem evaluation including autopsy, a thorough history, and scene evaluation. The incidence of SIDS has decreased more than 50% in the past 20 years, largely as a result of the Back to Sleep campaign. The most important risk factors relate to the sleep environment. Prone and side sleeping positions are significantly more dangerous than the supine position. Bed sharing with a parent is strongly correlated with an increased risk of SIDS, especially in infants younger than 12 weeks...
June 1, 2015: American Family Physician
Göran Wennergren, Kerstin Nordstrand, Bernt Alm, Per Möllborg, Anna Öhman, Anita Berlin, Miriam Katz-Salamon, Hugo Lagercrantz
UNLABELLED: This article reviews updated advice and factual material from the Swedish National Board of Health and Welfare on reducing the risk of sudden infant death syndrome. Issues covered by the guidance for parents and healthcare professionals include sleeping positions, smoking, breastfeeding, bed sharing and using pacifiers. CONCLUSION: The guidelines conclude that infants under three months of age are safest sleeping in their own cot and that a pacifier can be used when they are going to sleep...
May 2015: Acta Paediatrica
Fern R Hauck, John M D Thompson, Kawai O Tanabe, Rachel Y Moon, Mechtild M Vennemann
CONTEXT: Benefits of breastfeeding include lower risk of postneonatal mortality. However, it is unclear whether breastfeeding specifically lowers sudden infant death syndrome (SIDS) risk, because study results have been conflicting. OBJECTIVE: To perform a meta-analysis to measure the association between breastfeeding and SIDS. METHODS: We identified 288 studies with data on breastfeeding and SIDS through a Medline search (1966-2009), review articles, and meta-analyses...
July 2011: Pediatrics
Barbara M Ostfeld, Linda Esposito, Harold Perl, Thomas Hegyi
BACKGROUND: Despite improved education on safe sleep, infants are still exposed to multiple risks for sudden infant death syndrome (SIDS). Variability among health care providers continues to exist regarding knowledge of risk factors and the provision of education to caregivers. OBJECTIVE: To enhance the content and delivery of SIDS risk-reduction initiatives by physicians and other health care providers and to provide them with a context for evaluating their discussions of risks and compensatory strategies, we sought to raise awareness of the frequency of risk factors in SIDS cases, patterns of co-occurrence, associations between modifiable and nonmodifiable risks, and the rarity of cases without risk...
March 2010: Pediatrics
Norbert Jausovec, Ksenija Jausovec, Ivan Gerlic
OBJECTIVE: The study investigated the influence Mozart's music has on brain activity in the process of learning. A second objective was to test priming explanation of the Mozart effect. METHODS: In Experiment 1 individuals were first trained in how to solve spatial rotation tasks, and then solved similar tasks. Fifty-six students were divided into 4 groups: a control one--CG who prior to and after training relaxed, and three experimental groups: MM--who prior to and after training listened to music; MS--who prior to training listened to music and subsequently relaxed; and SM--who prior to training relaxed and afterward listened to music...
December 2006: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
(no author information available yet)
There has been a major decrease in the incidence of sudden infant death syndrome (SIDS) since the American Academy of Pediatrics (AAP) released its recommendation in 1992 that infants be placed down for sleep in a nonprone position. Although the SIDS rate continues to fall, some of the recent decrease of the last several years may be a result of coding shifts to other causes of unexpected infant deaths. Since the AAP published its last statement on SIDS in 2000, several issues have become relevant, including the significant risk of side sleeping position; the AAP no longer recognizes side sleeping as a reasonable alternative to fully supine sleeping...
November 2005: Pediatrics
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