The Journal of pediatrics
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The Journal of pediatrics · Aug 2014
Observational StudyAdditional injuries in young infants with concern for abuse and apparently isolated bruises.
To determine the prevalence of additional injuries or bleeding disorders in a large population of young infants evaluated for abuse because of apparently isolated bruising. ⋯ Infants younger than 6 months of age with bruising prompting subspecialty consultation for abuse have a high risk of additional serious injuries. Routine medical evaluation for young infants with bruises and concern for physical abuse should include physical examination, skeletal survey, neuroimaging, and abdominal injury screening.
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The Journal of pediatrics · Aug 2014
Randomized Controlled Trial Multicenter Study Comparative StudyComparison of devices for newborn ventilation in the delivery room.
To evaluate the effectiveness and safety of a T-piece resuscitator compared with a self-inflating bag for providing mask ventilation to newborns at birth. ⋯ There was no difference between the T-piece resuscitator and a self-inflating bag in achieving an HR of ≥100 bpm at 2 minutes in newborns≥26 weeks gestational age resuscitated at birth. However, use of the T-piece decreased the intubation rate and the maximum pressures applied.
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The Journal of pediatrics · Aug 2014
Multicenter StudyHypothermia therapy for neonatal hypoxic ischemic encephalopathy in the state of California.
To characterize the implementation of hypothermia for neonatal hypoxic ischemic encephalopathy (HIE) in a population-based cohort. ⋯ Our findings highlight an opportunity to explore practice-site variation and to develop quality improvement interventions to assure consistent evidence-based care of term infants with HIE and appropriate application of hypothermia therapy for eligible newborns.
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The Journal of pediatrics · Aug 2014
Randomized Controlled Trial Multicenter StudyTotal body polyethylene wraps for preventing hypothermia in preterm infants: a randomized trial.
To evaluate whether a polyethylene total body wrapping (covering both the body and head) is more effective than conventional treatment (covering up to the shoulders) in reducing perinatal thermal losses in very preterm infants. ⋯ Total body wrapping is comparable with covering the body up to the shoulders in preventing postnatal thermal losses in very preterm infants.
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The Journal of pediatrics · Aug 2014
Clinical and neuroimaging findings in neonatal herpes simplex virus infection.
In a retrospective review of infants with neonatal herpes simplex virus disease (n=29), we found bilateral multilobar (n=8), pontine (n=3), thalamic (n=6), and internal capsule and corticospinal tract (n=5) involvement on magnetic resonance imaging (MRI). Diffusion-weighted imaging (n=6) performed early revealed additional involvement than detected by conventional MRI. Neurodevelopmental sequelae were correlated with MRI abnormalities. Our findings demonstrate that MRI, including diffusion-weighted imaging, is a valuable prognostic adjunct in neonatal herpes simplex virus disease.