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Global Pediatric Health

Benjamin D Kornfeld, Gal Finer, Laura E Banks, Liliana Bolanos, Adolfo J Ariza
Prematurity is a risk factor for elevated blood pressure (BP). We performed a mixed-methods study of care patterns and awareness of early BP screening recommendations for infants born prematurely (IBP) by interviewing/surveying providers on practice- and provider-level BP screening. IBP's records were reviewed for BP screening documentation, demographics, and gestational age (GA). Visits <33 months were reviewed for anthropometrics, BP, and comorbidities. Chi-square analysis evaluated BP screening by GA and comorbidities...
2019: Global Pediatric Health
Yoke Hwee Chan, Carmen Zhi-Ruo Lim, Dianne Bautista, Rahul Malhotra, Truls Østbye
Caregivers of technology-dependent children face considerable responsibilities. This study examined the association of 2 child-related stressors-functional status and use of mechanical ventilator-with 2 domains of family caregiver well-being-depressive symptoms (Center for Epidemiologic Studies Depression Scale [CES-D]) and health-related quality of life (HRQOL) and family function (PedsQL Family Impact Module). The secondary objective was to determine whether these associations were moderated by caregiver-perceived social support...
2019: Global Pediatric Health
Carson Gill, Ori Scott, Carolyn E Beck
Fever of unknown origin is an important diagnostic challenge in pediatrics that requires a thoughtful approach. The differential diagnosis is broad and includes infectious, autoimmune, oncologic, neurologic, genetic, and iatrogenic causes. Infection remains the most common etiology, and uncommon presentations of infections are still more likely than classic presentations of rare conditions. We report a case of a retropharyngeal abscess in a toddler whose presentation is marked by a prolonged fever (>3 weeks)...
2019: Global Pediatric Health
Nicholas M Potisek, Laura Page, Aditee Narayan, Kenya McNeal-Trice, Michael J Steiner
Background . Faculty factors not inherently related to teaching effectiveness can influence teaching ratings. No studies have focused on pediatric faculty who possess unique differences from general medical faculty. Methods . We designed a retrospective observational study to compare faculty teaching ratings with measured factors across 3 academic pediatric institutions. Results . Our study included 196 faculty members. The majority (76%) of variation in teaching effectiveness ratings was not accounted for by any measured variable, but 24% was attributed to measurable factors...
2019: Global Pediatric Health
Amon Ryakitimbo, Amos Msekandiana, Zachary Tabb, Grace Kinabo, Dorothy Dow
No abstract text is available yet for this article.
2019: Global Pediatric Health
Lourdes Huiracocha-Tutiven, Adriana Orellana-Paucar, Victoria Abril-Ulloa, Mirian Huiracocha-Tutiven, Gicela Palacios-Santana, Stuart Blume
We assessed the development, nutritional status, and complementary feeding of 12- to 23-month-old children from Cuenca, Ecuador in 2013. Ecuador, an upper-middle-income country, developed a child policy in accordance with World Health Organization (WHO) guidelines. We collected cross-sectional survey data. Child development was assessed using the Integrated Management of Childhood Illness Guide-2011. The nutritional status was defined with WHO Child Growth Standards-2006. We investigated nutrient density, WHO Infant and Young Child Feeding Indicators, and nutrient supplementation intake of the complementary feeding...
2019: Global Pediatric Health
D Rose Ewald, Robert W Strack, Muhsin Michael Orsini
Addiction is a complex and challenging condition with many contributing factors. Although addictive behaviors appear to be individual choices, behavior alterations cannot be addressed successfully without considering characteristics of the physical and social environments in which individuals live, work, and play. Exposure to chronic psychosocial stressors and the physiological response of individuals to their external environment activates the brain's neuroendocrine hypothalamic-pituitary-adrenal axis, with profound conditioning effects on behavior...
2019: Global Pediatric Health
Michael Townsend Cooper, Hélène Carabin, David M Thompson, Paul Martin Darden
Objective . To evaluate the association between characteristics known to be associated with under-immunization and participation in immunization campaigns among Peruvian children. Methods . This is an analysis of data collected as part of the Peru 2012 Demographic and Health Survey. Analyses were conducted among children in 2 groups: children aged 18 to 29 months among whom core vaccine coverage is typically determined by the Peruvian authorities and children aged 30 to 59 months who may have received the core vaccines at older ages...
2019: Global Pediatric Health
Kaori Kamijo, Yoshifusa Abe, Takehi Kagami, Kazuhisa Ugajin, Takeshi Mikawa, Kunihiko Fukuchi, Masaru Tatsuno, Kazuo Itabashi
We report the case of a 2-month-old infant with incomplete Kawasaki disease that presented as an apparent urinary tract infection. The patient's fever persisted despite antibiotic treatment. Intravenous immunoglobulin and aspirin therapy cured both the incomplete Kawasaki disease and bacterial pyuria. Renal sonography, voiding cystourethrography, and renal parenchyma radionuclide scanning did not detect any abnormalities. Temporary dilation of the coronary artery was noted. In a urine specimen obtained through transurethral catheterization, the growth of 105 colony-forming units/mL of extended-spectrum β-lactamase-producing Escherichia coli was detected...
2019: Global Pediatric Health
Valeria Hirschler, Claudia Molinari, Gustavo Maccallini, Patricia Intersimone, Claudio Daniel Gonzalez
The objective of this study was to assess the association between vitamin D and cardiometabolic markers in 2 indigenous communities from similar ethnic backgrounds, but living at different altitudes. A cross-sectional study compared 152 (72 females) indigenous schoolchildren from San Antonio de los Cobres (SAC), 3750 m above sea level, with 175 (86 females) from Chicoana (CH), 1400 m above sea level, mean age 9 years. Anthropometry, blood pressure, lipids, glucose, insulin, and vitamin D were assessed in spring season...
2019: Global Pediatric Health
Bina Ali, Bruce Lawrence, Ted Miller, David Swedler, Jennifer Allison
Consumer products are often associated with fall injuries, but there is limited research on nonfatal unintentional falls in children that examines both the child's age group and the involvement of consumer products and activities. We combined 2 data sources to investigate products and activities that contribute to fall injuries in children at different developmental ages (ie, <1, 1-2, 3-4, 5-9, 10-14, and 15-19 years). We analyzed data from the National Electronic Injury Surveillance System-All Injury Program for the years 2010 through 2013 and augmented it with product information from the National Electronic Injury Surveillance System...
2019: Global Pediatric Health
Dee Daniels, Kelly Knupp, Tim Benke, Kristine Wolter-Warmerdam, Maura Moran, Fran Hickey
Objectives. To evaluate infantile spasms in children with Down syndrome including assessment of efficacy of treatments, presence of treatment lag, and to identify risk factors that may predict the occurrence of infantile spasms in this population. Methods. Medical charts, electroencephalograms, and brain magnetic resonance images were evaluated in 37 children treated for infantile spasms at a single institution from 2005 to 2015. Results. Mean age at diagnosis was 9.16 months, with an average 1.38-month lag from spasms onset to start of medication...
2019: Global Pediatric Health
Zhilin Kang, Wen Chin Chiang, Si Hui Goh, Anne Eng Neo Goh, Peter Choong Yi Wong, Koh Cheng Thoon, Natalie Woon Hui Tan
Introduction . Rabies is one of the most deadly infectious disease. We present a challenging case of an adverse reaction following rabies vaccine in a child. Case Summary . A 10-year-old girl was bitten by a stray dog in Bali and was prescribed rabies post-exposure prophylaxis. She developed breathlessness, abdominal cramps, and lips and eyes swelling 30 minutes after the second dose of rabies vaccine. The subsequent vaccine was successfully administered as a graded challenge with premedication. The final dose was administered in entirety under close observation...
2018: Global Pediatric Health
Yih-Hung Chen, Chin-Hung Wei, Kai-Wei K Wang
Objective . This study reports the age and gender characteristics of children with inguinal hernia repairs (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] Operation Codes 530-533). Methods . We used a retrospective cohort study design based on 2 data sources from 2007 to 2011 (the Bureau of National Health Insurance, Department of Health, Taiwan, and a local teaching children's hospital database) and descriptive statistics to analyze the group's age and gender differences as independent variables...
2018: Global Pediatric Health
Keeley J Pratt, Joseph A Skelton, Ihuoma Eneli, David N Coliler, Suzanne Lazorick
Family-based interventions are the current standard for the treatment of pediatric obesity, yet the details of how providers are involving family members, and the barriers to family involvement, are largely unknown. The objective of this study is to describe how providers in pediatric weight management (PWM) involve family members, identify barriers to family involvement, and how they address challenging family dynamics. A cross-sectional survey was administered to PWM centers/clinics and their providers in the United States and Canada...
2018: Global Pediatric Health
Hiroshi Akima, Keigo Kainuma, Kenji Togashi
Objective . This study investigated relationships between adipose tissue deposition within skeletal muscle and morphological and biochemical variables in children with obesity. Methods . Fifty-one Japanese children (16 girls) aged 7 to 16 years were assigned to either mild (<20%), moderate (≥20% to <50%), or severe obesity groups (≥50%). Computed tomography images were taken to calculate the cross-sectional area (CSA) of muscle, subcutaneous and visceral adipose tissue (VAT, for abdomen only), and muscle signal intensities, as an index of intramuscular adipose tissue in the anterior, lateral, and posterior muscles of the abdomen and quadriceps, hamstring and adductor muscles in the thigh...
2018: Global Pediatric Health
Lee Stoner, Michael W Beets, Keith Brazendale, Justin B Moore, R Glenn Weaver
No abstract text is available yet for this article.
2018: Global Pediatric Health
Judith Sebestyen VanSickle, Tarak Srivastava, Uri S Alon
Background . Hemolytic uremic syndrome (HUS) is one of the common causes for acute kidney injury in childhood. Objective . The goals of our study were to identify risk factors for short-term complications and long-term outcomes of chronic kidney disease (CKD) in Shiga toxin-producing Escherichia coli (STEC)-HUS and other diarrhea positive (D+ ) HUS. Methods . Retrospective chart review was obtained of 58 pediatric patients treated for STEC-HUS and other D+ HUS between February 2002 and January 2011. Results ...
2018: Global Pediatric Health
Carlos A Salgado, Daniel Castellanos
No abstract text is available yet for this article.
2018: Global Pediatric Health
Megan S McHenry, Eren Oyungu, Carole I McAteer, Ananda R Ombitsa, Erika R Cheng, Samuel O Ayaya, Rachel C Vreeman
Objective . To understand the perspectives of clinical providers and caregivers regarding early childhood development (ECD) in children born to HIV-infected mothers in Kenya. Methods . This was a qualitative study of provider and caregiver perspectives on ECD at 5 Kenyan HIV clinics, using semistructured interviews and focus group discussions. Constant comparison and triangulation methods were employed to elucidate the concepts of ECD. Results . Twenty-five providers and 67 caregivers participated. While providers understood ECD in terms of milestones, caregivers strongly equated ECD with physical growth...
2018: Global Pediatric Health
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