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PEDIATRICS current issue
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Jurnale medicale PEDIATRICS current issue

2 Februarie 2015 09:01
2 Februarie 2015 09:01
2 Februarie 2015 09:01
BACKGROUND AND OBJECTIVE:

Parental refusal and delay of childhood vaccines has increased in recent years and is believed to cluster in some communities. Such clusters could pose public health risks and barriers to achieving immunization quality benchmarks. Our aims were to (1) describe geographic cl

mai mult
PEDIATRICS current issue
2 Februarie 2015 09:01
OBJECTIVE:

The purpose of this article is to assess the rate of misdiagnosis and missed diagnoses of fetal alcohol spectrum disorders (FASD) among a population of foster and adopted youth referred to a children’s mental health center.

METHODS:

Data were collected from a sample of 547 children who u

mai mult
PEDIATRICS current issue
2 Februarie 2015 09:01
BACKGROUND AND OBJECTIVE:

Asthma heterogeneity causes difficulty in studying and treating the disease. We built a comprehensive statewide repository linking questionnaire and medical record data with health outcomes to characterize the variability of clinical practices at Ohio children’s hospitals f

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PEDIATRICS current issue
2 Februarie 2015 09:01

Expert consensus recommends rest after concussion with stepwise return to activity. Animal and retrospective human data suggest that early mental and physical activity may worsen outcome. There are no pediatric studies testing the efficacy of recommending strict rest after concussion.

Recommending s

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PEDIATRICS current issue
2 Februarie 2015 09:01

In most previous studies, transcutaneous bilirubin measurement has been found to provide an accurate estimate of total serum bilirubin levels. However, most of these studies were conducted in settings that optimized accuracy.

This study provides a "real-world" assessment of the accuracy of transcuta

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PEDIATRICS current issue
2 Februarie 2015 09:01

Migraine headaches are a common presenting complaint in emergency departments. Abortive treatment in this setting is not well studied, leading to considerable variation in treatment. The relationship between acute medications and emergency department revisits has not been studied.

Eighty-five percen

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PEDIATRICS current issue
2 Februarie 2015 09:01

Both early and late introduction to gluten has been associated with increased risk for celiac disease (CD) and being breastfed at time of gluten introduction has been associated with a lower risk for CD.

In this prospective multinational study, time to first introduction to gluten-containing cereals

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PEDIATRICS current issue
2 Februarie 2015 09:01

Light and intermittent smoking are harmful, but increasingly common, smoking patterns. It is unknown how adolescents perceive these smoking patterns, and whether these views differ by sociodemographic characteristics, and exposure to and use of tobacco.

US adolescents perceive light and intermittent

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PEDIATRICS current issue
2 Februarie 2015 09:01

Early first sexual intercourse (FSI) is a risk factor for unplanned teenage pregnancy, sexually transmitted infection, and adverse health outcomes in adolescence and into adulthood. In girls, externalizing behaviors are more strongly associated with earlier FSI than internalizing behaviors.

External

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PEDIATRICS current issue
2 Februarie 2015 09:01

Researchers speculate that children with fetal alcohol spectrum disorders often are not recognized or diagnosed correctly.

This is the first study to assess the rate of missed diagnoses and misdiagnosis in foster and adopted children with fetal alcohol spectrum disorders. (Read the full article)

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PEDIATRICS current issue
2 Februarie 2015 09:01

Asthma is heterogeneous and 40% to 70% of patients fail to achieve control with current treatment strategies. To delineate relevant subphenotypes of asthma, identify key factors, and test novel interventions, comprehensive repositories linking clinical, environmental, and biologic data are required.

mai mult
PEDIATRICS current issue
2 Februarie 2015 09:01

Parent refusal and delay of childhood vaccines has increased in recent years and is believed to cluster in communities. Such clustering could pose public health risks and barriers to achieving quality benchmarks for immunization coverage.

We found that underimmunization and vaccine refusal cluster g

mai mult
PEDIATRICS current issue
2 Februarie 2015 09:01

Adults born very preterm or with very low birth weight have a lower likelihood of leaving their childhood home, and starting romantic relationships, and are older when experiencing first intercourse or having their first child than their term-born peers.

Compared with term-born individuals, those bo

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PEDIATRICS current issue
2 Februarie 2015 09:01

The number of nurse practitioner graduates in the United States has nearly doubled over the past 2 decades. However, the number of pediatric nurse practitioner (PNP) graduates has remained relatively flat, although the demand for PNPs is expected to increase.

This study estimates the best-case short

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PEDIATRICS current issue
2 Februarie 2015 09:01

Sleep apnea is a common condition in childhood, mainly managed by tonsillectomy. Codeine was recently contraindicated for pain management after surgery. Controversy exists regarding the safety and effectiveness of alternative medications, morphine, and ibuprofen.

Our findings suggest that ibuprofen

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PEDIATRICS current issue
2 Februarie 2015 09:01

Studies examining early postnatal discharge and readmission for jaundice report conflicting results. Infants born 37 to 38 weeks’ gestation have an increased risk for readmission for jaundice; however, the impact of early discharge on this group has not been investigated.

Early postnatal discharge was

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PEDIATRICS current issue
2 Februarie 2015 09:01

Among all age groups, children aged 6 to 11 years and adolescents aged 12 to 19 are the most frequent consumers of pizza. Pizza consumption is the second highest source of daily energy among children 2 to 18 years old.

This study examines changes in children’s patterns of pizza consumption by demogr

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PEDIATRICS current issue
2 Februarie 2015 09:01

Although pediatric professional guidelines emphasize addressing a child’s social environment in the context of well child care, it remains unclear whether screening for unmet basic needs at visits increases low-income families’ receipt of community-based resources.

This study demonstrates that syste

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PEDIATRICS current issue
2 Februarie 2015 09:01

Meningococcal disease is a serious but rare infectious disease. In 2012, the incidence of meningococcal disease was at a historic low in the United States; however, incidence remained highest among infants aged <1 year.

This report describes the epidemiology and burden of meningococcal disease in in

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PEDIATRICS current issue
2 Februarie 2015 09:01

Bruising is common in young victims of physical abuse as well as in cases of accidental trauma. There is uncertainty regarding which young children with bruising require evaluation with skeletal survey for possible abuse.

The results of this study provide guidelines, based on the literature and know

mai mult
PEDIATRICS current issue
2 Februarie 2015 09:01
2 Februarie 2015 09:01

Measles-containing vaccines are associated with several types of adverse events. Because measles-mumps-rubella-varicella (MMRV) versus separate measles-mumps-rubella (MMR) and varicella (MMR + V) vaccine increases a toddler’s risk for febrile seizures, we investigated whether MMRV is riskier than MM

mai mult
PEDIATRICS current issue
2 Februarie 2015 09:01

By current estimates, at any given time, approximately 11% to 20% of children in the United States have a behavioral or emotional disorder, as defined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Between 37% and 39% of children will have a behavioral or emotional diso

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PEDIATRICS current issue
2 Februarie 2015 09:01

Behavioral observations influence a clinician’s decision to diagnose or refer, and may even override formal screening results. In the case of autism spectrum disorder, an expected rate of atypical behavior during the span of a medical visit is unknown.

We are the first to quantify the high base rate

mai mult
PEDIATRICS current issue
2 Februarie 2015 09:01
BACKGROUND AND OBJECTIVES:

Early first sexual intercourse (FSI) is a risk factor for unplanned teenage pregnancy, sexually transmitted infection, and adverse social, emotional, and physical health outcomes in adolescence and into adulthood. The aim of this study was to examine relationships between

mai mult
PEDIATRICS current issue
2 Februarie 2015 09:01
BACKGROUND:

Light smoking, consuming a few cigarettes daily, and intermittent, or nondaily, smoking patterns are increasingly common but carry health risks comparable to heavier smoking patterns. Nearly all smokers begin smoking as adolescents, who are at risk for developing these smoking patterns.

mai mult
PEDIATRICS current issue
2 Februarie 2015 09:01
2 Februarie 2015 09:01

Immune-related bioactive proteins are highly concentrated in the colostrum of mothers who deliver preterm infants. Oropharyngeal administration was proposed as a safe and feasible alternative method of providing colostrum to immunocompromised premature infants.

Oropharyngeally administered colostrum

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PEDIATRICS current issue
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