Nurse staffing ratios and subjective workload were found to be directly associated with missed care in a NICU.
The United States Preventive Services Task Force has updated their 2013 recommendations for clinician interventions to prevent maltreatment in children.
Focusing on children for health promotion, strategies for program implementation, and gaps in research may be a successful approach for lifelong cardiovascular health.
Infants and children lacking vaccinations, development checks more likely to be admitted.
Pediatric patients with peanut allergy may benefit from an oral immunomodulatory treatment that can reduce the severity of symptoms associated with peanut protein ingestion.
70 percent of children with current ASD are treated; 20.3% receive behavioral treatment and medication.
Depression severity predicts increased likelihood of alcohol use; link for reverse pathway inconsistent.
Study is the first to document the utility of liquid biopsy in a pediatric brain tumor population.
Lower perception of scholastic, social, athletic competence could affect reading, motor skills.
The probiotic Lactobacillus reuteri DSM17938 may be useful for managing colic in breastfed infants; however, its efficacy in formula-fed infants is unclear.
USPSTF Updates Recommendations for Screening, Behavioral Interventions to Reduce Unhealthy Alcohol Use
The USPSTF recommends that primary care providers assess for unhealthy use of alcohol and offer behavioral counseling interventions in patients ≥18 years of age.
Gaps in insurance coverage increased the odds of asthma-related emergency department intervention or hospitalization and exacerbations.
The American Academy of Pediatrics has released a statement responding to the use of tear gas on families and children seeking asylum at the US-Mexico border.
No statistically significant differences in prevalence rates seen between boys and girls.
No benefits seen with Lactobacillus rhamnosus GG or L. rhamnosus R0011 and L. helveticus R0052.
Large rise in youth vaping, decline in past 30-day smoking prevalence accelerated around 2014.
Proportion of ED visits increased from 5 years before to after legislation.
Among children with food allergy, 53% of infants have milk allergy vs 15% of teens.
In men, overweight and even higher normal weight tied to increased risk.
The American Diabetes Association issued a position statement outlining the recognition, management, and prevention of T2D in the pediatric population.
For adolescents with chronic pain, wait times to evaluation at an interdisciplinary pain clinic after referral were long and were associated with anxious anticipation and frustration from families.
EHR usability issues contribute to 36% of med errors; 18.8% may have caused harm.
In adult patients, pooled estimates of sensitivity and specificity were generated for 4 clinical features: paroxysmal cough, posttussive vomiting, inspiratory whoop, and absence of fever.
The use of yoga and meditation have increased in recent years among children and adults, while use of chiropractors has also increased among adults.
FPIES is a gastrointestinal food-associated hypersensitivity that often affects infants and toddlers and is marked by vomiting, diarrhea, fatigue, and pallor.
Young children who have surgical procedures that require general anesthesia do not have an increased risk for adverse child development outcomes.
The American Academy of Pediatrics, American College of Emergency Physicians, and Emergency Nurses Association have released updated guidelines for emergency care of injured and critically ill children.
Between the age of 8 and 16, the foster care group showed significant declines in externalizing psychopathology while no change was seen in the institutionalized group.
Adolescents with asthma treated with dupilumab experienced significant improvements in FEV1 compared with placebo.
Health officials aren't sure what causes acute flaccid myelitis (AFM), a rare but serious polio-like disease that has emerged in the United States.
The US Preventive Services Task Force (USPSTF) has concluded that current evidence is insufficient for assessing the balance of harms and benefits of screening for elevated blood lead levels in asymptomatic children and pregnant women.
Half of parents report that their children aged 2 to 5 years are afraid of going to the doctor.
Prescription of antibiotics and acid-suppressing medications in early childhood is associated with an increased risk for obesity.
Trick-or-treating is a rite of passage for some, but has the potential to become deadly.
Prenatal exposure to phthalates is associated with language delay in children.
Prior-season vaccination is not associated with reduced vaccine effectiveness among children aged 2 to 17 years.
Probiotics provided to reduce the risk for common acute infections may be associated with reduced antibiotic use in infants and children.
HIV-exposed infants have high rates of congenital cCMV infection, and in utero HIV infection seems to be a major risk factor for cCMV.
The costs to patients are high when trials are carried out under the FDA's pediatric exclusivity program.
Total serum bilirubin levels of 9 to 11.9 mg/dL, 12 to 14.9 mg/dL, and 15 to 17.9 mg/dL were associated with significantly greater risks for asthma in infants.
Family-centered pediatric advance care planning is associated with a lower likelihood of symptoms and suffering for adolescents with HIV.
Infants ≤60 days old with fever and conﬁrmed viral infections are at a lower risk for serious bacterial infections compared to infants without a virus.
Recommendations developed in realms of infrastructure, education, payment, research.
Early-onset asthma and wheezing may contribute to an increased risk of developing obesity later in childhood.
Third Trimester Immunization With Tdap Vaccine Optimal for Pertussis Toxin Antibody Concentrations in Newborns
Immunization with Tdap vaccine during the third trimester of pregnancy resulted in higher concentrations of pertussis toxin antibodies in newborns.
127 cases reported in 22 states so far this year with 62 confirmed as acute flaccid myelitis.
Recommendations include clinician education, use of gastric pH measurement, radiographs.
The burden of childhood and infant pneumonia can be effectively reduced through the use of the pneumococcal Haemophilus influenzae protein D conjugate vaccine.
Five possible cases reported in Washington state; 14 confirmed cases reported in Colorado.
One in 77 US children reportedly had heart conditions in 2016, with special needs in 60%.
Greater weight gain in early childhood often carries over to overweight and obesity in adolescence.
Safety data for Fycompa was consistent with the safety profile in adult populations without the need for weight-based dosing.
For children, infants with febrile seizure, recurrence down with acetaminophen vs no antipyretic.
Children with congenital heart disease presenting to ED at increased risk for morbidity, mortality.
The odds of language delay were lower at 18 months and 36 months in children exposed to AEDs in utero whose mothers took folic acid.
Both doses will be supplied in single-dose, prefilled syringes for manual injection.
Despite dietary recommendations, soft drinks make up about one-fifth of total beverage consumption by US youth.
Breastfeeding is inversely associated with body mass index z scores measured at 12 months, and the association is attenuated with formula supplementation by 6 months.
Monovalent Acellular Pertussis Vaccine Safe and Effective for Neonates With Mothers Unvaccinated for Tdap
The monovalent acellular pertussis vaccine may be beneficial to neonates whose mothers did not receive Tdap vaccine during pregnancy.
Emergency department computed tomography rates for children with minor head trauma were not affected by parent decision aid use.
Teens whose concern over societal discrimination grew between 2016 and 2017 increased their cigarette and marijuana use.
Parents should be reminded that their driving and behavior will shape the behavior of their teen drivers.
More than 2 hours of recreational screen time was found to be associated with cognitive decline in children.
Cockroach and mouse allergies were most often associated with poorly controlled asthma and exacerbations in urban adolescents.
Children of East Asian-born parents had an increased risk for allergic rhinitis and aeroallergen sensitization compared with children of Caucasian ancestry.
This research rejects any association between increased risk for ADHD and changes in children's microbiota related to cesarean delivery or antibiotic use.
Recommendations developed to support pediatric providers in managing patients with FASD diagnosis.
Total omega-3 and omega-6 plasma polyunsaturated fatty acids relative abundances were significantly inversely correlated with asthma/recurrent wheeze and allergic sensitization.
Levels of p,p'-DDE were higher in mothers of children with autism than in mothers of children in the control group.
The PELD score underestimates the actual probability of 90-day pretransplant mortality for children undergoing a primary liver transplant.
Children born by cesarean delivery who were large for gestational age and had low Apgar scores may be at increased risk of developing a food allergy.
Although allergic sensitization and hay fever rates increased as children grew older, the rates of asthma dropped.
More than 1200 warning letters and fines have been sent to retailers and major e-cigarette manufacturers.
CXR had negative predictive value of 98.8% in children evaluated for suspected pneumonia.
Extreme differences in daily photoperiod during pregnancy may be related to risk for lifetime depression in offspring.
Gradually increasing academic pursuits requires careful planning among the medical, school, and family units to enable prompt return and avoidance of prolonging school absence.
One-time nurse-led call does not lower reutilization of urgent care services after pediatric discharge.
Supplementation linked to higher BMI z score at age 6 years but no higher proportion of obese children.
A short course of oral steroids was not found to significantly improve otitis media with effusion in children.
Perioperative and emergency department use of non-steroidal anti-inflammatory drugs as part of a multimodal analgesia regimen may improve pain control in pediatric populations and avoid opioid-related adverse events.
CT scans may be warranted in the case of vomiting, unconsciousness, and severe, worsening headaches.
All children age 6 months and older, including teens, advised to undergo annual immunization.
Increases in use of 1 or more contraceptive methods, dual-method use, long-acting reversibles.
Postoperative Complications of Pediatric Appendicitis Increase Risk for Adverse Events, Greater Hospital Resource Use
Complicated appendicitis in pediatric patients may result in surgical site infections, revisits, increased length of stay, and increased cumulative cost from all encounters.
Significant increases in prevalence in subgroups by age, sex, race/ethnicity, income, geographic region.
Decision made 'out of an abundance of caution and concern for the safety of students and employees'.
Findings support ED discharge with oral antibiotics for children with urinary tract infection.
Recall due to mismarked dosage cup in 4-oz bottles of Children's Advil Suspension Bubble Gum Flavored.
But less than one-half and one-quarter are exclusively breastfeeding through 3 and 6 months.
Spinal manipulative therapy plus exercise more effective than exercise alone over 1-year period.
For this study, researchers investigated the incidence of primary ovarian insufficiency incidence and estimated risk for POI after vaccination with human papillomavirus, Tdap, influenza and meningococcal conjugate using Kaiser Permanente Northwest electronic health records from 2006 to 2014.
The American Society for Metabolic and Bariatric Surgery Pediatric Committee has updated their 2012 evidence-based guidelines.
Children with abdominal pain commonly had clinically significant anxiety, moderate disability, pain.
Five evidence-based recommendations list tests, procedures that doctors, patients should question.
Completion of a care bundle for pediatric patients within 1 hour of sepsis recognition, which includes blood cultures, broad-spectrum antibiotics, and a 20-mL/kg intravenous fluid bolus, was associated with lower in-hospital mortality among children with sepsis and septic shock
Drowning is leading cause of unintentional injury-related death for children aged 1 to 4 years.
No substantive or significant associations between HPV legislation and adolescent sexual behaviors.
However, completing individual bundle elements in that timeframe does not reduce pediatric mortality.
Findings independent of offsprings' views on religious importance.
It is critical for us to remember that children are not little adults. Pediatric-onset diabetes is different from adult-onset diabetes due to its distinct epidemiology, pathophysiology, developmental considerations, and response to therapy.