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Clinical Medicine Insights. Pediatrics

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https://read.qxmd.com/read/30956529/association-between-maternal-feeding-practices-and-symptoms-of-anxiety-and-depression-among-6-year-old-children
#1
Shannon Flahive, Bhakti Chavan, Zelalem T Haile
Background: Maternal feeding practices (MFPs) have been linked to childhood obesity and other eating disorders. However, population-based research examining the association between MFPs and children's emotional well-being is currently lacking. Methods: We examined 1241 participants from Year 6 Follow-Up of the Infant Feeding Practices Study II, conducted from March to June 2012 in the United States. Results: Approximately 57.5% and 47.8% of participants reported at least one symptom of childhood anxiety and depression, respectively...
2019: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30936761/factors-associated-with-high-blood-lead-levels-in-a-sample-of-100-children-in-tehran
#2
Nasim Zamani, Narges Gholami, Hossein Hassanian-Moghaddam, Fariba Farnaghi, Latif Gachkar
Background: Lead is considered a neurotoxic agent. We aimed to evaluate the blood lead level (BLL) in young population and determine probable risk factors of lead exposure in Iran. Methods: In a cross-sectional study, a total of 100 children were entered and their BLLs were checked. Results: In all, 25 and 8 patients had BLLs above 5 and 10 µg/dL, respectively. There was a significant univariate correlation between BLL and place of living, water pipe type, using dairy products, and stature in both cut-offs of 5 and 10 µg/dL...
2019: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30911226/reliability-and-validity-of-the-japanese-version-of-the-physical-activity-questionnaire-for-older-children
#3
Tsunenori Isa, Ryuichi Sawa, Kohtaroh Torizawa, Shunsuke Murata, Takashi Saito, Aoi Ebina, Yuki Kondo, Yamato Tsuboi, Akimasa Fukuta, Shogo Misu, Rei Ono
Objectives: This study aimed to examine the reliability and validity of the Japanese version of the Physical Activity Questionnaire for Older Children (PAQ-C) in Japanese children aged 9 to 12 years. Methods: A total of 210 children aged between 9 and 12 years participated. Internal consistency and test-retest reliability were evaluated using Cronbach alpha coefficient and intraclass correlation coefficient (ICC), respectively. Validity was evaluated using athletic competence (AC), self-efficacy (SE), body mass index (BMI), body fat percentage (%BF), cardiovascular fitness (CVF), and World Health Organization Health Behavior in School-aged Children (WHO HBSC) physical activity questionnaire...
2019: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30899152/emergence-of-oxa-48-carbapenemase-producing-klebsiella-pneumoniae-in-a-neonatal-intensive-care-unit-in-marrakech-morocco
#4
Lahoucine Taoufik, Asma Amrani Hanchi, Bennaoui Fatiha, Slitine Nissrine, Maouainine Fadl Mrabih Rabou, Soraa Nabila
Goal: This work aims to describe and explore the circumstances of appearance of Klebsiella pneumoniae producing OXA-48 carbapenemase, which has occurred in a neonatal intensive care service at the Mohammed VI University Hospital of Marrakech. Results: During February 2015, the alert was triggered by the isolation of 6 isolates of K pneumoniae with the same antibiotic susceptibility profile in the neonatal intensive care service, suggesting a possible outbreak. Blood cultures represented the main site of isolation of these isolates...
2019: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30853790/knowledge-of-neonatal-hyperbilirubinemia-among-primary-health-care-physicians-a-single-center-experience
#5
Mostafa A Mostafa, Naglaa M Kamal, Sherif Eltaher, Yahia Hamed, Hany Abdelaziz, Walid Abdelghany, Efat Aser, Eman Fawzy, Laila M Sherief
Background and objectives: To evaluate the knowledge of the primary health care physicians (PHCP) in Kalubia governorate, Egypt, about the causes, diagnosis, complications, and treatment of neonatal hyperbilirubinemia (NHB). Methods: Cross-sectional survey distributed by interview to 500 physicians working in the primary health care (PHC) sector in Kalubia. Results: Out of 500 distributed surveys, 419 (84%) PHCP completed the questionnaire...
2019: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30718970/infant-feeding-practices-in-a-diverse-group-of-women-the-healthy-start-study
#6
Jill Landsbaugh Kaar, Katherine A Sauder, Allison Lb Shapiro, Anne P Starling, Brandy M Ringham, Susan L Johnson, Dana Dabelea
Background: To describe infant feeding practices among a diverse group of mother-offspring pairs and identify factors associated with adherence to the American Academy of Pediatrics (AAP) recommendations. Methods: Data were analyzed from 835 mother-offspring dyads in The Healthy Start Study, an ongoing longitudinal prebirth cohort in Denver, Colorado. Maternal report of infant feeding practices was obtained at 4 to 6 months and 18 to 24 months postnatally. Practices were classified according to the following AAP recommendations: exclusive breastfeeding for first 6 months, continued breastfeeding through 12 months, and introduction of solid foods around 6 months of age...
2019: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30627003/corrigendum
#7
(no author information available yet)
[This corrects the article DOI: 10.1177/1179556518784300.].
2018: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30574005/bronchopulmonary-dysplasia-an-update-of-current-pharmacologic-therapies-and-new-approaches
#8
REVIEW
Zoe Michael, Fotios Spyropoulos, Sailaja Ghanta, Helen Christou
Bronchopulmonary dysplasia (BPD) remains the most prevalent long-term morbidity of surviving extremely preterm infants and is associated with significant health care utilization in infancy and beyond. Recent advances in neonatal care have resulted in improved survival of extremely low birth weight (ELBW) infants; however, the incidence of BPD has not been substantially impacted by novel interventions in this vulnerable population. The multifactorial cause of BPD requires a multi-pronged approach for prevention and treatment...
2018: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30574004/evaluating-accessible-sleep-health-information-in-rural-and-urban-contexts-delivery-face-to-face-or-online
#9
Joanne M Osborne, Sarah Blunden
Objective: New parents need education about infant sleep but is not universally available especially not in regional and rural areas. We delivered sleep education both face-to-face and online to test sleep knowledge acquisition for parents wherever they reside. Best practice delivery of accessible sleep health information for new families needs to be investigated more carefully in order for specialist services to be universally available. Methods: Pre- and post-information session questionnaires (n = 32) assessed levels of knowledge acquisition and comparisons tested differences between face-to-face seminars compared with an online webinar...
2018: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30574003/neonatal-cholestasis-a-pandora-s-box
#10
REVIEW
Aakash Pandita, Vishal Gupta, Girish Gupta
Neonatal cholestasis (NC) is a diagnostic dilemma frequently countered in a neonatal care unit. Early diagnosis is vital for achieving an optimal patient outcome as many causes of cholestasis such as biliary atresia are time-sensitive and amenable to treatment if analyzed and treated early. Nonetheless, it is not generally simple to analyze these cases right on time as some of them are regularly missed due to the presence of pigmented stools, lack of newborn metabolic screening, and named as instances of prolonged jaundice...
2018: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30046263/parents-expressions-of-concerns-and-hopes-for-the-future-and-their-concomitant-assessments-of-disability-in-their-children
#11
Niels Ove Illum, Mette Bonderup, Kim Oren Gradel
Aim: To assess parents' ability to express their concerns and hopes for the future in their children with disability and assess their children's disability as well as to analyse these data for consistency. Method: Parents of 162 children with spina bifida, spinal muscular atrophy, muscular disorders, cerebral palsy, visual impairment, hearing impairment, mental disability, or disability following brain tumours were asked to freely express their concerns and hopes for the future and to assess disability in their own children by employing a set of 26 International Classification of Functioning, Disability and Health, Children and Youth Version (ICF-CY) body function (b) codes and activity and participation (d) codes...
2018: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30046262/factors-associated-with-prescribing-broad-spectrum-antibiotics-for-children-with-upper-respiratory-tract-infections-in-ambulatory-care-settings
#12
Mohammad S Alzahrani, Mary K Maneno, Monika N Daftary, La'Marcus Wingate, Earl B Ettienne
Objectives: Broad-spectrum antibiotics are frequently prescribed for children with upper respiratory tract infections (URI). Excessive use of broad-spectrum antibiotics leads to the emergence of resistant bacteria. This study aimed to identify factors associated with prescribing broad-spectrum antibiotics among children younger than 18 years presenting with URI in outpatient settings. Methods: We conducted a cross-sectional analysis of the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey-Outpatient Departments (NHAMCS-OPD) between 2006 and 2010...
2018: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/30046261/fit-n-cool-kids-the-effects-of-character-modeling-and-goal-setting-on-children-s-physical-activity-and-fruit-and-vegetable-consumption
#13
Jessyka N Larson, Timothy A Brusseau, Heidi Wengreen, Stuart J Fairclough, Maria M Newton, James C Hannon
Efforts to decrease the risk of overweight and obesity should focus on children's physical activity (PA) and fruit and vegetable (FV) consumption. Within school-based interventions, there is insufficient evidence on the effectiveness of the use of character modeling and goal setting to determine changes in step counts, MVPA, and FV consumption. Study participants were 187 students in grades 4 and 5 from 2 Title 1 elementary schools in the Southwest United States. The intervention was a quasi-experimental character modeling and goal setting program...
2018: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/29760577/perceptions-of-acute-malnutrition-and-its-management-in-infants-under-6-months-of-age-a-qualitative-study-in-rural-bangladesh
#14
Yasir Arafat, M Munirul Islam, Nicki Connell, Golam Mothabbir, Marie McGrath, James A Berkley, Tahmeed Ahmed, Marko Kerac
Background: World Health Organization guidelines advise community-based care (CBC) for "uncomplicated" severe acute malnutrition (SAM) infants <6 months old (u6m), whereas current national protocols refer to inpatient care. Our aim was to inform and shape future management strategies by understanding caregivers' and different stakeholders' perceptions on malnutrition among infants u6m on barriers/facilitators to future CBC. Methods: The methods used in this study are as follows: in-depth interviews and focus group discussions (FGDs) in southern Bangladesh, thematic analysis of transcripts, and sample size by data saturation...
2018: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/29844709/post-acute-care-for-children-and-youth-in-texas-2011-2014
#15
Charles D Phillips, Chau Truong, Hye-Chung Kum, Obioma Nwaiwu, Robert Ohsfeldt
Little is known about services provided to children and youth (C/Y) discharged from an acute care facility. Recent research has provided a foundation for efforts to supplement or complement that early work. This research investigates post-acute care (PAC) in Texas. It focuses on what differentiates those discharges that receive PAC from those that do not and on what differentiates those C/Y who receive PAC in a health care facility from those who receive home health services. The results show that only 6.4% of discharges involving C/Y receive PAC and that many factors affected the 2 issues under investigation quite differently...
2017: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/29317851/a-review-of-the-factors-associated-with-the-timely-initiation-of-breastfeeding-and-exclusive-breastfeeding-in-the-middle-east
#16
REVIEW
Riyadh A Alzaheb
Background: Breastfeeding supplies all the nutrients that infants need for their healthy development. Breastfeeding practice is multifactorial, and numerous variables influence mothers' decisions and ability to breastfeed. This review identifies the factors potentially affecting the timely initiation of breastfeeding within an hour after birth and exclusive breastfeeding in the first 6 months in Middle Eastern countries. Methods: The Medline, ScienceDirect, and Web of Science databases were keyword-searched for primary studies meeting the following inclusion criteria: (1) publication in the English language between January 2001 and May 2017, (2) original research articles reporting primary data on the factors influencing the timely initiation of breastfeeding and/or exclusive breastfeeding, (3) the use of World Health Organization definitions, and (4) Middle Eastern research contexts...
2017: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/29276423/hypoglycemia-when-to-treat
#17
REVIEW
Venkat Reddy Kallem, Aakash Pandita, Girish Gupta
Hypoglycemia is the most common metabolic disorder encountered in neonates. The definition of hypoglycemia as well as its clinical significance and management remain controversial. Most cases of neonatal hypoglycemia are transient, respond readily to treatment, and are associated with an excellent prognosis. Persistent hypoglycemia is more likely to be associated with abnormal endocrine conditions, such as hyperinsulinemia, as well as possible neurologic sequelae. Manifestations of hypoglycemia include seizures which can result in noteworthy neuromorbidity in the long haul...
2017: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/29276422/incidence-and-predictors-of-mortality-among-newborns-with-perinatal-asphyxia-a-4-year-prospective-study-of-newborns-delivered-in-health-care-facilities-in-enugu-south-east-nigeria
#18
Uchenna Ekwochi, Nwabueze I Asinobi, Chidiebere DI Osuorah, Ikenna K Ndu, Christian Ifediora, Ogechukwu F Amadi, Chukwunonso C Iheji, Casmir Jg Orjioke, Wilfred O Okenwa, Bernadette Ifeyinwa Okeke
Fatalities from perinatal asphyxia remain high in developing countries, and continually assessing its risk factors will help improve outcomes in these settings. We explored how some identified risk factors predict mortality in asphyxiated newborns, to assist clinicians in prioritizing interventions. This was a 4-year prospective study conducted at the Enugu State University Teaching Hospital, Enugu, Nigeria. All newborns who met the study criteria that were admitted to this facility in this period were enrolled and monitored...
2017: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/28959122/oral-immunotherapy-with-partially-hydrolyzed-wheat-based-cereals-a-pilot-study
#19
Roger Lauener, Philippe A Eigenmann, Jacqueline Wassenberg, Andreas Jung, Sandra Denery-Papini, Sigrid Sjölander, Sophie Pecquet, Rodolphe Fritsché, Adrian Zuercher, Antoine Wermeille, Massimo Fontanesi, Annick Mercenier, Yvonne M Vissers, Sophie Nutten
To date, only few studies have assessed oral immunotherapy (OIT) for wheat allergy and often describe severe adverse reactions during therapy. We developed partially hydrolyzed wheat-based cereals (pHC), which were used in a multicenter, open-label, OIT pilot study, in immunoglobulin E-mediated wheat allergy children (NCT01332084). The primary objective of the study was to test whether wheat allergic patients tolerate pHC and primary end point was the presence or not of immediate adverse reactions to pHC during the 1-day initial escalation phase (stepwise increased doses of pHC), with evaluation of the maximum dose tolerated...
2017: Clinical Medicine Insights. Pediatrics
https://read.qxmd.com/read/28781518/spirometry-in-asthma-care-a-review-of-the-trends-and-challenges-in-pediatric-practice
#20
REVIEW
Adaeze C Ayuk, Samuel N Uwaezuoke, Chizalu I Ndukwu, Ikenna K Ndu, Kenechukwu K Iloh, Chinyere V Okoli
BACKGROUND: Given the rising incidence of noncommunicable diseases (NCDs) globally, especially bronchial asthma, there is the need to reduce the associated morbidity and mortality by adopting an objective means of diagnosis and monitoring. AIM: This article aims to review the trends and challenges in the use of spirometry for managing childhood bronchial asthma especially in developing countries. METHODS: We conducted a literature search of published data on the use of spirometry for the diagnosis of childhood bronchial asthma with special emphasis resource-poor countries...
2017: Clinical Medicine Insights. Pediatrics
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