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By Mario Garcia Médico pediatra
Laura Kubin
Immunizations are a safe and effective means of promoting health and preventing disease. Vaccine programs prevent millions of cases of disease and save thousands of lives in the U.S. each year; however, the threat of vaccine-preventable diseases remains. Recent years have seen a resurgence in certain vaccine-preventable diseases which can be attributed to vaccine refusals, under-vaccination, waning immunity, less effective immunizations, and imported cases. Nurses must stay informed about the current state of vaccine compliance and disease resurgence in order to best educate families...
January 2019: Journal of Pediatric Nursing
Ginger L Holloway
PROBLEM: The updated Advisory Committee on Immunization Practices (ACIP) 2016 guidelines recommends vaccination for the human papillomavirus (HPV) for all adolescents starting at ages 11-12 years. The United States continues to fall short of the benchmarks set by Healthy People 2020. The national vaccination rates hover at 49.5%, creating much room for improvement in health care systems. The purpose of this literature review was to identify evidence-based interventions to implement for improved outcomes...
January 2019: Journal of Pediatric Nursing
Elsebeth Lynge, Malene Skorstengaard, Charlotte Lynderup Lübker, Lise Thamsborg
No abstract text is available yet for this article.
September 2018: Expert Review of Vaccines
Yael Baumfeld, Asnat Walfisch, Tamar Wainstock, Idit Segal, Ruslan Sergienko, Daniella Landau, Eyal Sheiner
Maternal morbidity is associated with cesarean deliveries. However, new evidence suggests that short- and long-term neonatal morbidity is also associated. This includes respiratory morbidity with conflicting results. To determine whether mode of delivery has an impact on the long-term risk for respiratory morbidity in the offspring, a population-based cohort analysis was conducted including all singleton term deliveries occurring between 1991 and 2014 at a single tertiary medical center. A comparison was performed between children delivered via elective cesarean delivery (CD) and those delivered vaginally...
November 2018: European Journal of Pediatrics
M Dolores Ibáñez, Pablo Rodríguez Del Río, Diego González-Segura Alsina, Vicenç Villegas Iglesias
The objective of this observational single-cohort prospective study was to assess the effect of synbiotic supplementation for 8 weeks in children with atopic dermatitis (AD). The synbiotic product contained Lactobacillus casei, Bifidobacterium lactis, Lactobacillus rhamnosus, Lactobacillus plantarum, fructooligosaccharide, galactooligosaccharide, and biotin. Patients were examined at baseline and at 8 weeks. Effectiveness of treatment was assessed with the Scoring Atopic Dermatitis (SCORAD) index. A total of 320 children (mean age 5...
December 2018: European Journal of Pediatrics
Ilona C Narayen, Arjan B Te Pas, Nico A Blom, M Elske van den Akker-van Marle
Pulse oximetry (PO) screening is used to screen newborns for critical congenital heart defects (CCHD). Analyses performed in hospital settings suggest that PO screening is cost-effective. We assessed the costs and cost-effectiveness of PO screening in the Dutch perinatal care setting, with home births and early postnatal discharge, compared to a situation without PO screening. Data from a prospective accuracy study with 23,959 infants in the Netherlands were combined with a time and motion study and supplemented data...
January 2019: European Journal of Pediatrics
Renee M Porter, Alexis Tindall, Bethany J Gaffka, Shelley Kirk, Melissa Santos, Indira Abraham-Pratt, Jane Gray, David Heckler, Wendy L Ward, Jared M Tucker, Brooke Sweeney
Early-onset severe obesity in childhood presents a significant clinical challenge signaling an urgent need for effective and sustainable interventions. A large body of literature examines overweight and obesity, but little focuses specifically on the risk factors for severe obesity in children ages 5 and younger. This narrative review identified modifiable risk factors associated with severe obesity in children ages 5 and younger: nutrition (consuming sugar sweetened beverages and fast food), activity (low frequency of outdoor play and excessive screen time), behaviors (lower satiety responsiveness, sleeping with a bottle, lack of bedtime rules, and short sleep duration), and socio-environmental risk factors (informal child care setting, history of obesity in the mother, and gestational diabetes)...
October 2018: Childhood Obesity
Roseriet Beijers, Jude Cassidy, Hellen Lustermans, Carolina de Weerth
Current recommendations encourage parent-infant room sharing for the first 6 months of life. This longitudinal study (N = 193) is the first to examine long-term relations of early room sharing with three domains of child behavior: sleep, behavior problems, and prosocial behavior. Information on room sharing was collected daily for infants' first 6 months. At ages 6, 7, and 8 years, outcomes were assessed with maternal and teacher questionnaires and behavioral observations. Early room sharing was not related to sleep problems or behavior problems...
September 20, 2018: Child Development
Maya Nakamura, Yoko Asaka, Tomoko Ogawara, Yutaka Yorozu
OBJECTIVE: To objectively describe changes to nipple skin and classify signs of nipple trauma in breastfeeding women during postpartum week 1. METHODS: This study was conducted in two phases. Phase 1 was an observational prospective study of breastfeeding mothers in which data were obtained from photographs and digital images of nipple skin and analyzed to anatomically classify signs of nipple trauma. In Phase 2, the reliability of signs identified in Phase 1 was verified with the cooperation of eight clinical midwives...
September 2018: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Deborah Navarro-Rosenblatt, María-Luisa Garmendia
BACKGROUND: Breastfeeding is known to be the best source of nutrition for infants. The World Health Organization recommends to exclusively breastfeed up to the sixth month of life and to breastfeed with complementary foods until the age of 2. It is reported that maternity leave (ML) is one of the most important interventions for an extended breastfeeding duration. The aim of this review is to synthesize the available data worldwide on the association of ML and breastfeeding duration. We also intend to provide an overview of whether this association is differential by socioeconomic status...
September 25, 2018: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Grzegorz Domanski, Anja Erika Lange, Till Ittermann, Heike Allenberg, Robert Andreas Spoo, Marek Zygmunt, Matthias Heckmann
BACKGROUND: Gestational diabetes mellitus (GDM) is the most frequent complication during pregnancy. Untreated GDM is a severe threat to maternal and neonatal health. Based on recent evidence, up to 15% of all pregnancies may be affected by GDM. We hypothesized that in a rural birth cohort, higher maternal BMI and adverse socioeconomic conditions would promote GDM, which in turn would lead to adverse effects on pregnancy outcomes. METHODS: The current study is a part of a population-based cohort study examining the health and socioeconomic information from 5801 mothers and their children...
September 10, 2018: BMC Pregnancy and Childbirth
Tahmina Begum, Cathryn Ellis, Malabika Sarker, Jean-Francois Rostoker, Aminur Rahman, Iqbal Anwar, Laura Reichenbach
BACKGROUND: Caesarean section is a lifesaving surgical intervention for women and their newborns, though overutilization is a public health concern. The caesarean rate in Bangladesh is approximately 23% overall, and in private facilities it is over 70%. It is essential to know both the supply side (obstetricians) and demand side (parturient women) views on caesarean birth in order to formulate specific interventions to address the escalating rate of caesareans. METHODS: This qualitative study took place in Matlab, a rural sub-district in Bangladesh...
September 12, 2018: BMC Pregnancy and Childbirth
Sunita Panda, Deirdre Daly, Cecily Begley, Annika Karlström, Birgitta Larsson, Lena Bäck, Ingegerd Hildingsson
BACKGROUND: Rising rates of caesarean section (CS) are a concern in many countries, yet Sweden has managed to maintain low CS rates. Exploring the multifactorial and complex reasons behind the rising trend in CS has become an important goal for health professionals. The aim of the study was to explore Swedish obstetricians' and midwives' perceptions of the factors influencing decision-making for CS in nulliparous women in Sweden. METHODS: A qualitative design was chosen to gain in-depth understanding of the factors influencing the decision-making process for CS...
September 17, 2018: BMC Pregnancy and Childbirth
Stefan Kohler, Kristi Sidney Annerstedt, Vishal Diwan, Lars Lindholm, Bharat Randive, Kranti Vora, Ayesha De Costa
BACKGROUND: There has been little evaluation of the postpartum quality of life (QOL) of women in India and its association with the mode of birth. This study piloted the use of the generic EQ-5D-5L questionnaire to assess postpartum QOL experienced by rural Indian women. METHODS: A convenience sample of rural women who gave birth in a health facility in Gujarat or Madhya Pradesh was recruited into this pilot study. QOL was measured during three interviews within 30 days of birth using the EQ-5D-5L questionnaire...
October 29, 2018: BMC Pregnancy and Childbirth
Göran Elinder, Anders Eriksson, Boubou Hallberg, Niels Lynøe, Pia Maly Sundgren, Måns Rosén, Ingemar Engström, Björn-Erik Erlandsson
The Swedish Agency for Health Technology Assessment and Assesment of Social Services (SBU) is an independent national authority, tasked by the government with assessing methods used in health, medical and dental services and social service interventions from a broad perspective, covering medical, economic, ethical and social aspects. The language in SBU's reports are adjusted to a wide audience. SBU's Board of Directors has approved the conclusions in this report. The systematic review showed the following graded results: There is limited scientific evidence that the triad (Three components of a whole...
September 2018: Acta Paediatrica
Eric H Rosenfeld, Richard Sola, Yangyang Yu, Shawn D St Peter, Sohail R Shah
PURPOSE: To review current management and outcomes of ingested batteries and develop a clinical management algorithm. METHODS: Children <18years old who ingested a battery between 1/2011 and 9/2016 at two tertiary care children's hospitals were reviewed. Demographics, imaging, management and outcomes were analyzed using descriptive statistics, Chi-square and Wilcoxon Rank-sum tests. RESULTS: There were 180 battery ingestions. The median age was 3...
August 2018: Journal of Pediatric Surgery
Venkatachalam Raveenthiran
Circumcision is the oldest surgical operation known to mankind. It probably originated as a less radical form of genital mutilation inflicted on prisoners of war. Over time it was adopted by the Egyptian priesthood and nobility, perhaps inspired by the mythology of Osiris. In turn, circumcision became part of the Jewish and Muslim religious cultures. In contrast, ancient Greeks valued an intact prepuce, as evident from the nude figures of Renaissance art. In the 19th century, circumcision was touted as a treatment for excessive masturbation, seizures, epilepsy, and paraplegia...
July 2018: Journal of Pediatric Surgery
Martha K Swartz
No abstract text is available yet for this article.
July 2018: Journal of Pediatric Health Care
Roberto Antonucci, Cristian Locci, Maria Grazia Clemente, Elena Chicconi, Luca Antonucci
Hypovitaminosis D in childhood is a re-emerging public health problem in developed countries. New life style habits, current "epidemics" of obesity in children and adolescents worldwide, and other preventable risk factors may play a role in favoring the occurrence of vitamin D deficiency. In addition to skeletal consequences, hypovitaminosis D has been found to be involved in the development of serious health extra-skeletal problems in childhood, including atopy and autoimmunity. The increasing concerns about the global health impact of vitamin D deficiency make further research necessary to fill the gaps of knowledge in this field, and particularly to establish universally accepted "normal" serum 25(OH)D levels in the pediatric population, and to improve strategies for the screening, prevention and treatment of hypovitaminosis D...
March 28, 2018: Journal of Pediatric Endocrinology & Metabolism: JPEM
Brent R Collett, Brian G Leroux, Erin R Wallace, Emily Gallagher, Jason Shao, Matthew L Speltz
OBJECTIVE In this study, the authors examined head shape through age 36 months for children with and without a history of positional plagiocephaly and/or brachycephaly (PPB). METHODS Infants with PPB (cases) were identified through a craniofacial clinic at the time of diagnosis. Infants without diagnosed PPB were identified through a participant registry. Clinician ratings of 3D cranial images were used to confirm the presence or absence of PPB. The cohort included 235 case infants (diagnosed PPB, confirmed with 3D imaging), 167 unaffected controls (no diagnosed PPB, no deformation detected), and 70 affected controls (no diagnosed PPB, discernible skull deformation)...
March 2018: Journal of Neurosurgery. Pediatrics
2018-08-08 13:37:26
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