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Epifanio M - - 2013
The aim of this study is to describe the prevalence of gastroesophageal reflux disease (GERD) in infants under 3 months old with a history of cyanotic episodes, who were examined at the emergency room of a university hospital. This descriptive study reviews reports of esophageal pH monitoring from a pediatric ...
Lupton-Smith Alison R - - 2013
Current understanding is that infants and children preferentially ventilate non-dependent lungs, a reversal of that of adults, based on studies using krypton-81m ventilation scanning. Participants in these studies had lung disease and were either sedated or ventilated. There is little understanding of the distribution of ventilation in spontaneous breathing healthy ...
Arzuaga Bonnie H - - 2013
Objective Delivery room management of extremely premature infants is not subjected to professional regulations. In the United States, legal definitions of human viability and statutes regulating elective abortions vary by state, placing providers in an often difficult position regarding whether to attempt resuscitation when faced with the delivery of an ...
Light Jennifer K - - 2013
Early antibiotic administration is recommended in newborns presenting with febrile illness to emergency departments (ED) to avert the sequelae of serious bacterial infection. Although ED crowding has been associated with delays in antibiotic administration in a dedicated pediatric ED, the majority of children that receive emergency medical care in the ...
Yeom Jung Sook JS Department of Pediatrics, Gyeongsang Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, - - 2013
Kawasaki disease (KD) is an acute febrile illness that is the predominant cause of pediatric acquired heart disease in infants and young children. Because the diagnosis of KD depends on clinical manifestations, incomplete cases are difficult to diagnose, especially in infants younger than 1 year. Incomplete clinical manifestations in infants ...
Gupta Shikha - - 2013
The use of airway pressure release ventilation (APRV) in very low birth weight infants is limited. To report the authors' institutional experience and to review the current literature regarding the use of APRV in pediatric populations. Neonates <1500 g ventilated using APRV from 2005 to 2006 at McMaster Children's Hospital ...
Fanos Vassilios - - 2013
The aim of this review is to update readers on the most recent publications concerning clinical metabolomics in developing infants. Only a limited number of neonatal and pediatric metabolomic studies have been published, in comparison to the adult. However, this number of pediatric and neonatal papers is constantly increasing. The ...
Sangild P T PT Department of Nutrition, Exercise, and - - 2013
At birth, the newborn mammal undergoes a transition from a sterile uterine environment with a constant nutrient supply, to a microbe-rich environment with intermittent oral intake of complex milk nutrients via the gastrointestinal tract (GIT). These functional challenges partly explain the relatively high morbidity and mortality of neonates. Preterm birth ...
Bressan Silvia S Department of Women's and Children's Health, University of Padova, Via Giustiniani 3, 35128, Padova, Italy, - - 2013
High-flow nasal cannula (HFNC) is a widely used ventilatory support in children with bronchiolitis in the intensive care setting. No data is available on HFNC use in the general pediatric ward. The aim of this study was to evaluate the feasibility of HFNC oxygen therapy in infants hospitalized in a ...
Singer Florian - - 2013
Nitrogen multiple-breath washout (N2 MBW) using 100% oxygen (O2 ) has regained interest to assess efficiency of tracer gas clearance in, for example, children with Cystic Fibrosis (CF). However, the influence of hyperoxia on the infants' respiratory control is unclear. We assessed safety and impact on breathing pattern from hyperoxia, ...
Forsythe Erica Saleski - - 2013
This integrative literature review focuses on the health risks associated with late-preterm infants (34 to 36 and 6/7 weeks gestation) and the implications for newborn primary care providers and pediatric nurses. Common morbidities in the late-term population included hyperbilirubinemia, respiratory compromise, hyperglycemia and poor feeding, temperature instability, and infection. Primary ...
Tartaglia Kimberly M - - 2013
The goal of this study was to improve compliance with published guidelines regarding management of neonatal hyperbilirubinemia in infants admitted to a general pediatric hospital ward and to improve support for their breastfeeding mothers. This quality improvement project was conducted by using Plan-Do-Study-Act cycles and statistical process control methods. Study ...
Wu Mei-Hwan - - 2013
BACKGROUND: In an era of declining birth rates and a single-payer health care system, the pediatric workforce might overreact to its demands. System dynamics (SD) were therefore applied to establish models to predict the future need and demand for the pediatric workforce. MATERIALS AND METHODS: Data of population and workforce ...
Schneir Aaron B - - 2013
Laundry detergent pods (LDPs) have only recently become available in the United States, and there has been increasing concern regarding pediatric ingestions of them. We describe a 15-month-old female infant who ingested an LDP and had a depressed level of consciousness, metabolic acidosis, pulmonary toxicity, and swallowing difficulties. It is ...
Kelley-Quon Lorraine I LI Division of Pediatric Surgery, Department of Surgery, Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-7098, - - 2013
Management of congenital malformations comprises a large part of pediatric surgical care. Despite increasing utilization of assisted reproductive technology (ART) and fertility-related services (FRS), associations with birth defects are poorly understood. Infants born after ART or FRS were identified from the California Linked Birth Cohort Dataset from 2006 to 2007 ...
Benjamins Laura J - - 2013
BACKGROUND:Use of honey pacifiers by infants presenting to a pediatric clinic at a county hospital in Houston, Texas, was observed by several of our staff members. Although we could not find any published studies linking the use of honey pacifiers to infant botulism, we also could not find any studies ...
Polin Richard A - - 2013
In the 1940s, Wilson et al. observed that periodic breathing in premature infants was nearly eliminated with the use of 70% oxygen.(1) Although Wilson cautioned against unrestricted use of oxygen, other investigators and the American Academy of Pediatrics advocated its liberal use, which led to an epidemic of retinopathy of ...
Topal Erdem - - 2013
Although there has been increasing data on pediatric anaphylaxis, information about anaphylaxis in the 1st year of life is scarce. This study provides detailed information on clinical signs and symptoms of anaphylaxis in the 1st year of life. A retrospective review was performed of our pediatric allergy database between 2007 ...
Hutchings Katherine - - 2013
Patent Ductus Arteriosus (PDA) ligation in premature infants is an urgent procedure performed by some but not all pediatric surgeons. Proficiency in PDA ligation is not a requirement of Canadian pediatric surgery training. Our purpose was to determine the outcomes of neonatal PDA ligation done by pediatric surgeons. We performed ...
Wong Charles - - 2013
Preterm infants needing patent ductus arteriosus (PDA) ligation are transferred to a pediatric cardiac center (CC) unless the operation can be done locally by a pediatric surgeon at a non-cardiac center (NCC). We compared infant outcomes after PDA ligation at CC and NCC. We analyzed 990 preterm infants who had ...
Witt Lars L Department of Anaesthesiology and Intensive Care Medicine, Hanover Medical School, Hanover, Germany. - - 2013
Neonates and infants are at the highest risk of developing perioperative hypothermia. A number of methods to prevent hypothermia during pediatric anesthesia are in use, and despite the fact that conventional forced-air warmers are the most effective devices, they are not always sufficient enough to maintain body temperature. Therefore, recently ...
Yang Eun Mi - - 2013
Lung torsion is a very rare event that has been reported in only 9 cases in the pediatric literature but has not yet been reported in Korean infants. We present a case of lung torsion after tracheoesophageal fistula repair in an infant. Bloody secretion from the endotracheal tube and chest ...
Hunter C J - - 2013
Members of the genus Cronobacter are an emerging group of opportunist Gram-negative pathogens. This genus was previously thought to be a single species, called Enterobacter sakazakii. Cronobacter spp. typically affect low-birth-weight neonates, causing life-threatening meningitis, sepsis and necrotizing enterocolitis. Outbreaks of disease have been associated with contaminated infant formula, although ...
Donoghue Aaron - - 2013
OBJECTIVES: This study aimed to assess the feasibility of characterizing direct laryngoscopy (DL) and tracheal intubation (TI) technique based on videographic review and to determine the association between technical aspects of DL and TI with successful completion of intubation. METHODS: Physicians in pediatrics, emergency medicine, pediatric emergency, pediatric critical care, ...
Arun Sasikumar S Department of Nuclear Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh, - - 2013
Scintigraphy is a simple technique for the demonstration of gastroesophageal reflux, and is particularly suitable in neonates and infants. The authors describe a rare case of achalasia cardia in a 3-year-old child incidentally detected as a dilated esophagus with a stricture at the lower end during a scintigraphic study.
Delgado Alison A Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, - - 2013
Abdominal pain is a common chief complaint in both the emergency department and the primary care setting. Although most patients are ultimately diagnosed with benign self-limited conditions, the differential diagnosis in infants and toddlers does include ovarian torsion. In this article, we present 2 cases involving female infants younger than ...
Salvitti M M Dept. of Urology, Sapienza University, Viale del Policlinico, Rome, Italy. - - 2013
Neurofibromatosis of the urinary tract occurs infrequently: fewer than 70 cases with bladder involvement have been reported to date and of these, only 25 cases occurred in the pediatric population. We describe an unusual case of plexiform neurofibroma and diffuse ganglioneuromatosis of the bladder in a small infant, diagnosed with ...
Harach Tracy - - 2013
The results of several clinical trials suggest that infants born depressed can be successfully resuscitated with room air. In 2010, the American Heart Association, American Academy of Pediatrics, Neonatal Resuscitation Program, and the International Liaison Committee published new guidelines to initiate the resuscitation of the term neonate with 21% oxygen. ...
Flaherman Valerie J - - 2013
This article provides the pediatric community with a practical overview of milk expression and an update on the recent literature. Approaches for working mothers, preterm infants, critically ill infants, and mothers before lactogenesis II are presented separately, as these groups may benefit from practices tailored to individual needs.
King Alice A Division of Pediatric General, Thoracic and Fetal Surgery, The Center for Molecular Fetal Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039, - - 2013
The development of the integumentary system is a series of events that starts in utero and continues throughout life. Although at birth, skin in full-term infants is anatomically mature, functional maturity develops during the first year of life. Pediatric skin transitions again with the onset of puberty. At each stage, ...
Jayaram Harish H Department of Pediatric Surgery, Pediatric Urology & MAS, Rainbow Children's Hospitals, Road no 10, Banjara Hills, Hyderabad - - 2013
We describe a simple method of fixing trocars to the abdominal wall in infants and children using small pieces of 16- or 18-Fr Foley catheter as a sleeve over the trocar. The sleeve holds the trocar snugly and is fixed to the skin with silk stitch. This technique is simple, ...
Liu Quin Y - - 2013
Congenital biliary tract anomalies typically present with neonatal cholestasis. In children and adults, endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound are used to evaluate and treat choledochal cysts. Contrarily, endoscopy has traditionally played a minor role in the diagnosis of the cholestatic infant. Recent studies support the incorporation of ERCP ...
Fontana Matteo S - - 2013
OBJECTIVE: To compare end-of-life decisions for neonatal and pediatric patients. STUDY DESIGN: This study involved a chart review of all pediatric deaths occurring over a 2-year period at a large maternal-child university hospital. Modes of death were compared. RESULTS: Of the 220 deaths analyzed, 145 occurred in intensive care units ...
Wong Gail K - - 2013
BACKGROUND: Complications associated with epidural analgesia in children have a reported incidence of 40-90 in 10,000 epidurals. We sought to determine the incidence of major complications with the use of continuous epidural analgesia that occurred in our centre over the past 15 years and to describe the nature of these complications. ...
Nataprawira Heda Melinda - - 2013
Pertussis may likely be misdiagnosed in its initial or catarrhal phase as a common respiratory infection. The earlier diagnosis of pertussis really depends on the capability of the medical professional especially in the first line public health services. The lack of awareness in diagnosis of severe pertussis as one of ...
Raith Wolfgang - - 2013
The aim of the paper was to review the literature about safety and efficiency of acupuncture therapy in term and preterm infants. We searched Medline, EMBASE, and Cochrane Central Register of Controlled Trials using a predefined algorithm, reviewed abstracts from the Pediatric Academic Society annual meetings (2000-2012), and performed a ...
Chung Erica Y - - 2013
It has become common practice to empirically treat infants and children who have suspected gastroesophageal reflux disease by using acid-suppressive medications. However, evidence to support the effectiveness of these medications in the pediatric population is limited. With multiple studies in adult patients indicating increased risk of infection, we reviewed the ...
Mohammad Vahid Hosseini Seyed S Department of Pediatric Surgery and Urology, Hormozgan and Shiraz University of Medical Sciences, Shiraz, - - 2013
Tracheomalacia is a common disorder in neonate and infants, which can lead to life-threatening airway occlusion, because of external pressure or intrinsic defect of tracheobroncial cartilage. Aortopexy and Stents are effective in relieving tracheomalacia in the latter patients. In this case we are to show how t-tube cholangiocatheter is effective ...
Brankovic Suada S Faculty for Health Sciences, University of Sarajevo, Bosnia and Herzegovina. - - 2013
Premature baby (praematurus, neonatus praetemporarius) indicates infant that is born before 37 full weeks of gestation, calculated from the first day of the last mother's menstruation. Premature baby is characterized by immaturity of its organs and tissues, which can lead to an immediate or later threat. Premature children cannot keep ...
Gielen Marijke - - 2012
To the Editor: Agus et al. (Sept. 27 issue)(1) report that targeting a blood glucose level of 80 to 110 mg per deciliter (4.4 to 6.1 mmol per liter) in critically ill infants and toddlers (<3 years of age) after cardiac surgery did not alter the clinical outcome. Although the ...
Rigby Mark R - - 2012
To the Editor: Agus et al. (Sept. 27 issue)(1) report that targeting a blood glucose level of 80 to 110 mg per deciliter (4.4 to 6.1 mmol per liter) in critically ill infants and toddlers (<3 years of age) after cardiac surgery did not alter the clinical outcome. Although the ...
- - 2012
To the Editor: Agus et al. (Sept. 27 issue)(1) report that targeting a blood glucose level of 80 to 110 mg per deciliter (4.4 to 6.1 mmol per liter) in critically ill infants and toddlers (<3 years of age) after cardiac surgery did not alter the clinical outcome. Although the ...
Kugelman Amir - - 2012
The American Academy of Pediatrics recommends intravenous fluids for infants with bronchiolitis who are unable to sustain oral feedings. Our randomized, prospective pilot study shows that gastric tube feeding (in 31 infants) is feasible and demonstrated comparable clinical outcomes with intravenous fluids (in 20 infants) among hospitalized infants ≤6 months ...
Mauer Uwe Max - - 2012
Background and Study Aims Different approaches to the management of preterm infants with posthemorrhagic hydrocephalus (PHH) are described in the literature. Likewise, neurosurgical and pediatric surgical departments in German hospitals use different methods to treat these patients. The aim of this study was therefore to assess the current situation regarding the ...
Weber Garret M - - 2012
Withdrawal syndromes following administration of sedative and analgesic infusions represent a significant morbidity that is described increasingly in the pediatric critical care literature. However, there are few descriptions of pentobarbital withdrawal symptoms and their treatment in the pediatric population. We describe an infant receiving multiple sedative and analgesic medications, including ...
Kamlin C Omar F - - 2012
OBJECTIVE:Endotracheal intubation of newborn infants is a common and potentially lifesaving procedure but a skill that trainees find difficult. Despite widespread use, no data are available on whether the use of a stylet (introducer) improves success rates. We aimed to determine whether pediatric trainees were more successful at neonatal orotracheal ...
Raza Mohammad Zeeshan - - 2012
ABSTRACT: BACKGROUND: Birth defects are defined as those conditions that are substantially determined before or during birth and which are recognizable in early life. They are an important cause of morbidity and mortality in infants. The main objective of the study was to determine the association of certain risk factors ...
Al-Qahtani Mohammad H - - 2012
Severe neonatal primary hyperparathyroidism is a very rare type of primary hyperparathyroidism in pediatrics that might present during infancy with non-specific symptoms. We report an infant who presented with a very high level of calcium, yet responding to simple medications to draw the attention to pediatricians to this disease as ...
Ermakov Igor V IV Department of Physics and Astronomy, University of Utah, Salt Lake City, UT 84112, - - 2013
We describe Resonance Raman based skin carotenoid measurements in newborns and infants. Skin- and serum carotenoid levels correlate with high statistical significance in healthy newborns and infants, and with reduced accuracy also in prematurely born infants, who in general feature very low carotenoid levels and thin transparent skin giving rise ...
Bucasas Kristine L - - 2012
BACKGROUND:: Respiratory syncytial virus (RSV) is a leading cause of pediatric lower respiratory tract infections and has a high impact on pediatric emergency department (ED) utilization. Variation in host response may influence the pathogenesis and disease severity. We evaluated global gene expression profiles to better understand the systemic host response ...
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