The Journal of pediatrics
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The Journal of pediatrics · Dec 2015
Clinical TrialOverweight, Obesity, and Body Composition in 3.5- and 7-Year-Old Swedish Children Born with Marginally Low Birth Weight.
To assess the prevalence of overweight/obese children and to explore body composition in a Swedish cohort of preschool children born with marginally low birth weight (MLBW, ie, 2000-2500 g). ⋯ Children with MLBW had lower BMI and did not show increased risk of overweight or obesity up to 7 years. Nevertheless, the BMI in MLBW children was positively correlated to growth-velocity in infancy.
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The Journal of pediatrics · Nov 2015
Observational StudyEffects of Fractional Inspired Oxygen on Cerebral Oxygenation in Preterm Infants following Delivery.
To explore regional cerebral oxygen saturations (rcSO2) in preterm neonates initially stabilized with 0.3 fractionated inspired oxygen (FiO2) concentrations. We hypothesized that those infants who received >0.3 FiO2 during stabilization following delivery would have relatively higher rcSO2 postdelivery compared with those stabilized with a lower FiO2. ⋯ Infants given >0.3 FiO2 had more cerebral hypoxia than infants requiring ≤0.3 FiO2 but no difference in the degree of cerebral hyperoxia, both in the delivery suite and the NICU. This suggests that a more rapid increase in oxygen titration maybe be required initially for preterm infants.
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The Journal of pediatrics · Nov 2015
Case ReportsHenoch-Schönlein Purpura with Posterior Reversible Encephalopathy Syndrome.
Henoch-Schönlein purpura is a common small-vessel vasculitis that presents in children as nonthrombocytopenic, nontender, and palpable purpura, arthritis/arthralgia, and abdominal pain. Central nervous system involvement is a reported, but likely, under-recognized complication. We present an 8-year-old boy with Henoch-Schönlein purpura and posterior reversible encephalopathy syndrome, after proposed mechanism and treatment considerations.
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The Journal of pediatrics · Nov 2015
Multicenter StudyPatient Safety Perceptions in Pediatric Out-of-Hospital Emergency Care: Children's Safety Initiative.
To characterize emergency medical service (EMS) providers' perceptions of the factors that contribute to safety events and errors in the out-of-hospital emergency care of children. ⋯ These findings raise considerations for quality improvement and suggest important roles for pediatricians and pediatric emergency physicians in training, medical oversight, and policy development.
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The Journal of pediatrics · Oct 2015
Trends in Pediatric Emergency Department Utilization for Mental Health-Related Visits.
To describe trends in utilization of pediatric emergency department (PED) resources by patients with mental health concerns over the past 10 years at a tertiary care hospital. ⋯ Mental health-related visits represent a significant and growing burden for the emergency department at a tertiary care PED. These results highlight the need to reassess the allocation of health resources to optimize acute management, risk assessment, and linkage to mental health services upon disposition from the PED.