Latest & greatest articles for infants

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Top results for infants

121. Disorders of infant feeding

Disorders of infant feeding Disorders of infant feeding - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Disorders of infant feeding Last reviewed: August 2018 Last updated: March 2018 Summary Common in children under 1 year of age. Causative conditions may persist, leading to ongoing feeding difficulties during childhood. Results in the inadequate intake or intolerance of fluids or nutrients necessary to meet (...) are guided by physical findings and severity of symptoms. Feeding disorders are usually subacute to chronic in nature. A sudden change in feeding habit may be associated with other conditions, notably infections, which need to be excluded. Definition Conditions that lead to inadequate intake or intolerance of fluids and nutrients in infants under 1 year of age. Milnes SM, Piazza CC, Carroll-Hernandez TA. Assessment and treatment of pediatric feeding disorders. Encyclopedia on early childhood development

BMJ Best Practice2018

122. Abusive head trauma in infants

Abusive head trauma in infants Abusive head trauma in infants - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Abusive head trauma in infants Last reviewed: August 2018 Last updated: April 2018 Summary Abusive head trauma refers to the constellation of cranial, spinal cord, and brain injuries which result from inflicted injury in infants and young children. Diagnosis rests on the finding of unexplained injury (...) to the skull, brain, and/or spinal cord in an infant who has no other medical explanation for their clinical presentation. Frequently, there are other associated findings such as widespread retinal haemorrhaging, unexplained bruising, fractures and/or abdominal trauma. These additional findings are not necessary to make the diagnosis of abusive head trauma. The clinical presentation and degree of injury occur on a spectrum from mild to severe. Around 16% to 38% of victims die from their injuries. Most

BMJ Best Practice2018

123. A Randomized Double Blind Trial of Needle-free Injected Lidocaine Versus Topical Anesthesia for Infant Lumbar Puncture

A Randomized Double Blind Trial of Needle-free Injected Lidocaine Versus Topical Anesthesia for Infant Lumbar Puncture 29160002 2017 12 26 1553-2712 2017 Nov 20 Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Acad Emerg Med A Randomized Double Blind Trial of Needle-free Injected Lidocaine Versus Topical Anesthesia for Infant Lumbar Puncture. 10.1111/acem.13351 Lumbar punctures (LPs) are commonly performed in febrile infants to evaluate (...) for meningitis, and local anesthesia increases the likelihood of LP success. Traditional methods of local anesthesia require injection that may be painful or topical application that is not effective immediately. Recent advances in needle-free jet injection may offer a rapid alternative to these modalities. We compared a needle-free jet-injection system (J-Tip) with 1% buffered lidocaine to topical anesthetic (TA) cream for local anesthesia in infant LPs. This was a single-center randomized double-blind

EvidenceUpdates2018

124. A Randomized Trial of Conditioned or Unconditioned Gases for Stabilizing Preterm Infants at Birth

A Randomized Trial of Conditioned or Unconditioned Gases for Stabilizing Preterm Infants at Birth 29106924 2017 11 06 1097-6833 2017 Oct 26 The Journal of pediatrics J. Pediatr. A Randomized Trial of Conditioned or Unconditioned Gases for Stabilizing Preterm Infants at Birth. S0022-3476(17)31167-8 10.1016/j.jpeds.2017.09.006 To determine whether the use of heated-humidified gases for respiratory support during the stabilization of infants <30 weeks of gestational age (GA) in the delivery room (...) reduces rates of hypothermia on admission to the neonatal intensive care unit (NICU). A multicenter, unblinded, randomized trial was conducted in Melbourne, Australia, between February 2013 and June 2015. Infants <30 weeks of GA were randomly assigned to receive either heated-humidified gases or unconditioned gases during stabilization in the delivery room and during transport to NICU. Infants born to mothers with pyrexia >38°C were excluded. Primary outcome was rate of hypothermia on NICU admission

EvidenceUpdates2018

125. Family-centered Care Improved Neonatal Medical and Neurobehavioral Outcomes in Preterm Infants: Randomized Controlled Trial

Family-centered Care Improved Neonatal Medical and Neurobehavioral Outcomes in Preterm Infants: Randomized Controlled Trial 29186633 2017 12 08 2017 12 08 1538-6724 97 12 2017 Dec 01 Physical therapy Phys Ther Family-centered Care Improved Neonatal Medical and Neurobehavioral Outcomes in Preterm Infants: Randomized Controlled Trial. 1158-1168 10.1093/ptj/pzx089 Family-centered care for preterm infants in Western societies has yielded short- to medium-term benefits. However, the intervention (...) effects have rarely been validated in Eastern societies. The aim of this study was to examine whether a family-centered intervention program (FCIP) could improve the short-term medical and neurobehavioral outcomes in preterm infants with very low birth weight (VLBW; a birth weight of <1,500 g) in Taiwan over the outcomes seen with a usual care program (UCP). This was a multicenter, single-blind, randomized controlled trial study. Three medical centers in northern and southern Taiwan were the locations

EvidenceUpdates2018

126. Mortality in Infants Affected by Preterm Birth and Severe Small-for-Gestational Age Birth Weight

Mortality in Infants Affected by Preterm Birth and Severe Small-for-Gestational Age Birth Weight 29117948 2017 12 11 2017 12 11 1098-4275 140 6 2017 Dec Pediatrics Pediatrics Mortality in Infants Affected by Preterm Birth and Severe Small-for-Gestational Age Birth Weight. e20171881 10.1542/peds.2017-1881 Few researchers have evaluated neonatal mortality in the combined presence of preterm birth (PTB) and small-for-gestational age (SGA) birth weight. None differentiated between infants (...) small for gestational age (PTB-SGA), (2) PTB at 23 to 36 weeks' gestation without severe SGA, (3) term birth with severe SGA, and each relative to (4) neither. Relative risks were adjusted for maternal age and stratified by several demographic variables. Relative to a neonatal mortality rate of 0.6 per 1000 term infants without severe SGA, the rate was 2.8 per 1000 among term births with severe SGA (adjusted relative risk [aRR] 4.6; 95% confidence interval [CI] 4.0-5.4), 22.9 per 1000 for PTB

EvidenceUpdates2018

127. Effectiveness of Text Messaging Interventions Designed to Influence Parents? Infant Feeding Practices: A Focused Practice Question

Effectiveness of Text Messaging Interventions Designed to Influence Parents? Infant Feeding Practices: A Focused Practice Question

Peel Health Library2018

128. Carbetocin (Pabal) - For the prevention of uterine atony following delivery of the infant by Caesarean section under epidural or spinal anaesthesia

Carbetocin (Pabal) - For the prevention of uterine atony following delivery of the infant by Caesarean section under epidural or spinal anaesthesia

Scottish Medicines Consortium2018

129. Determinants of Infant Mortality in Southeast Nigeria: Results from the Healthy Beginning Initiative, 2013-2014

Determinants of Infant Mortality in Southeast Nigeria: Results from the Healthy Beginning Initiative, 2013-2014 30305984 2018 11 14 2161-8674 7 1 2018 International journal of MCH and AIDS Int J MCH AIDS Determinants of Infant Mortality in Southeast Nigeria: Results from the Healthy Beginning Initiative, 2013-2014. 1-8 10.21106/ijma.229 Neonatal mortality due to preventable factors occurs at high rates throughout sub-Saharan Africa. Community-based interventions increase opportunities (...) for prenatal screening and access to antenatal care services (ANC) services. The Healthy Beginning Initiative (HBI) provided congregation-based prenatal screening and health counseling for 3,047 women in Enugu State. The purpose of this study was to identify determinants for infant mortality among this cohort. This was a prospective cohort study of post-delivery outcomes at 40 churches in Enugu State, Nigeria between 2013 and 2014. Risk factors for infant mortality were assessed using chi square, odds

International journal of MCH and AIDS2018 Full Text: Link to full Text with Trip Pro

130. Effectiveness of supplementary blended flour based on chickpea and cereals for the treatment of infants with moderate acute malnutrition in Iran: A randomized clinical trial

Effectiveness of supplementary blended flour based on chickpea and cereals for the treatment of infants with moderate acute malnutrition in Iran: A randomized clinical trial Electronic Physician (ISSN: 2008-5842) http://www.ephysician.ir December 2017, Volume: 9, Issue: 12, Pages: 6078-6086, DOI: http://dx.doi.org/10.19082/6078 Corresponding author: Assistant Professor Dr. Mahdi Yousefi, Department of Persian Medicine, Faculty of Persian and Complementary Medicine, Mashhad University of Medical (...) in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. Page 6078 Effectiveness of supplementary blended flour based on chickpea and cereals for the treatment of infants with moderate acute malnutrition in Iran: A randomized clinical trial Roghayeh Javan 1, 2 , Akram Kooshki 3 , Monavvar Afzalaghaee 4 , Mitra Aldaghi 5 , Mahdi Yousefi 6 1 MD-PhD of Persian Medicine, Assistant Professor, Traditional and Complementary Medicine

Electronic physician2017 Full Text: Link to full Text with Trip Pro

131. Endoscopic Treatment versus Shunting for Infant Hydrocephalus in Uganda.

Endoscopic Treatment versus Shunting for Infant Hydrocephalus in Uganda. BACKGROUND: Postinfectious hydrocephalus in infants is a major health problem in sub-Saharan Africa. The conventional treatment is ventriculoperitoneal shunting, but surgeons are usually not immediately available to revise shunts when they fail. Endoscopic third ventriculostomy with choroid plexus cauterization (ETV-CPC) is an alternative treatment that is less subject to late failure but is also less likely than shunting (...) to result in a reduction in ventricular size that might facilitate better brain growth and cognitive outcomes. METHODS: We conducted a randomized trial to evaluate cognitive outcomes after ETV-CPC versus ventriculoperitoneal shunting in Ugandan infants with postinfectious hydrocephalus. The primary outcome was the Bayley Scales of Infant Development, Third Edition (BSID-3), cognitive scaled score 12 months after surgery (scores range from 1 to 19, with higher scores indicating better performance

NEJM2017

132. Association of US State Implementation of Newborn Screening Policies for Critical Congenital Heart Disease With Early Infant Cardiac Deaths.

Association of US State Implementation of Newborn Screening Policies for Critical Congenital Heart Disease With Early Infant Cardiac Deaths. Importance: In 2011, critical congenital heart disease was added to the US Recommended Uniform Screening Panel for newborns, but whether state implementation of screening policies has been associated with infant death rates is unknown. Objective: To assess whether there was an association between implementation of state newborn screening policies (...) for critical congenital heart disease and infant death rates. Design, Setting, and Participants: Observational study with group-level analyses. A difference-in-differences analysis was conducted using the National Center for Health Statistics' period linked birth/infant death data set files for 2007-2013 for 26 546 503 US births through June 30, 2013, aggregated by month and state of birth. Exposures: State policies were classified as mandatory or nonmandatory (including voluntary policies and mandates

JAMA2017

133. Delirium and Benzodiazepines Associated With Prolonged ICU Stay in Critically Ill Infants and Young Children

Delirium and Benzodiazepines Associated With Prolonged ICU Stay in Critically Ill Infants and Young Children PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

PedsCCM Evidence-Based Journal Club2017

134. Effect of MRI on preterm infants and their families: a randomised trial with nested diagnostic and economic evaluation

Effect of MRI on preterm infants and their families: a randomised trial with nested diagnostic and economic evaluation 28988160 2017 12 19 2017 12 19 1468-2052 103 1 2018 Jan Archives of disease in childhood. Fetal and neonatal edition Arch. Dis. Child. Fetal Neonatal Ed. Effect of MRI on preterm infants and their families: a randomised trial with nested diagnostic and economic evaluation. F15-F21 10.1136/archdischild-2017-313102 We tested the hypothesis that routine MRI would improve the care (...) and well-being of preterm infants and their families. Parallel-group randomised trial (1.1 allocation; intention-to-treat) with nested diagnostic and cost evaluations (EudraCT 2009-011602-42). Participants from 14 London hospitals, imaged at a single centre. 511 infants born before 33 weeks gestation underwent both MRI and ultrasound around term. 255 were randomly allocated (siblings together) to receive only MRI results and 255 only ultrasound from a paediatrician unaware of unallocated results; one

EvidenceUpdates2017

135. Avoidance of Cow's Milk-Based Formula for At-Risk Infants Does Not Reduce Development of Celiac Disease: A Randomized Controlled Trial

Avoidance of Cow's Milk-Based Formula for At-Risk Infants Does Not Reduce Development of Celiac Disease: A Randomized Controlled Trial 28687275 2017 10 16 2017 10 16 1528-0012 153 4 2017 Oct Gastroenterology Gastroenterology Avoidance of Cow's Milk-Based Formula for At-Risk Infants Does Not Reduce Development of Celiac Disease: A Randomized Controlled Trial. 961-970.e3 S0016-5085(17)35862-6 10.1053/j.gastro.2017.06.049 Feeding during the first months of life might affect risk for celiac disease (...) . Individuals with celiac disease or type 1 diabetes have been reported to have high titers of antibodies against cow's milk proteins. Avoidance of cow's milk-based formula for infants with genetic susceptibility for type 1 diabetes reduced the cumulative incidence of diabetes-associated autoantibodies. We performed a randomized controlled trial in the same population to study whether weaning to an extensively hydrolyzed formula reduced the risk of celiac disease autoimmunity or celiac disease. We performed

EvidenceUpdates2017

136. Surgical Interventions in Infants Born Preterm with Congenital Heart Defects: An Analysis of the Kids` Inpatient Database

Surgical Interventions in Infants Born Preterm with Congenital Heart Defects: An Analysis of the Kids` Inpatient Database 28964428 2017 12 11 2017 12 11 1097-6833 191 2017 Dec The Journal of pediatrics J. Pediatr. Surgical Interventions in Infants Born Preterm with Congenital Heart Defects: An Analysis of the Kids' Inpatient Database. 103-109.e4 S0022-3476(17)30949-6 10.1016/j.jpeds.2017.07.015 To evaluate short-term outcomes in infants born preterm with congenital heart defects (CHDs (...) ) and the factors associated with surgery, survival, and length of hospitalization in this population. We analyzed data from infants born preterm (gestational age <37 weeks) enrolled in the multicenter Kids' Inpatient Database of the Healthcare Cost and Utilization Project who were admitted to the hospital within 30 days after birth. Infants with atrial septal defects were excluded. Of 1 429 762 enrolled infants born preterm, 27 434 (2.0%) with CHDs were included. Overall survival to discharge was 90.5%; 74.0

EvidenceUpdates2017

137. Effect of Inhaled Nitric Oxide on Survival Without Bronchopulmonary Dysplasia in Preterm Infants: A Randomized Clinical Trial

Effect of Inhaled Nitric Oxide on Survival Without Bronchopulmonary Dysplasia in Preterm Infants: A Randomized Clinical Trial 28973344 2017 11 20 2017 12 07 2168-6211 171 11 2017 Nov 01 JAMA pediatrics JAMA Pediatr Effect of Inhaled Nitric Oxide on Survival Without Bronchopulmonary Dysplasia in Preterm Infants: A Randomized Clinical Trial. 1081-1089 10.1001/jamapediatrics.2017.2618 Bronchopulmonary dysplasia (BPD) occurs in approximately 40% of infants born at younger than 30 weeks' gestation (...) and is associated with adverse pulmonary and neurodevelopmental outcomes. To test whether administration of inhaled nitric oxide to preterm infants requiring positive pressure respiratory support on postnatal days 5 to 14 improves the rate of survival without BPD. This intent-to-treat study was a randomized clinical trial performed at 33 US and Canadian neonatal intensive care units. Participants included 451 neonates younger than 30 weeks' gestation with birth weight less than 1250 g receiving mechanical

EvidenceUpdates2017

138. Crying Time and RORgamma/FOXP3 Expression in Lactobacillus reuteri DSM17938-Treated Infants with Colic: A Randomized Trial

Crying Time and RORgamma/FOXP3 Expression in Lactobacillus reuteri DSM17938-Treated Infants with Colic: A Randomized Trial 28969887 2017 12 16 1097-6833 192 2018 Jan The Journal of pediatrics J. Pediatr. Crying Time and RORγ/FOXP3 Expression in Lactobacillus reuteri DSM17938-Treated Infants with Colic: A Randomized Trial. 171-177.e1 S0022-3476(17)31143-5 10.1016/j.jpeds.2017.08.062 To evaluate crying time, retinoid-related orphan receptor-γ (RORγ) and forkhead box P3 (FOXP3) messenger RNA (...) levels (transcription factors that can modulate T cell responses to gut microbes), and to investigate gut microbiota and fecal calprotectin in infants treated with Lactobacillus reuteri for infantile colic. A double-blind, placebo-controlled randomized trial was conducted in primary care in Torino from August 1, 2015 to September 30, 2016. Patients suffering from infantile colic were randomly assigned to receive daily oral L reuteri (1 × 108 colony forming unit) or placebo for 1 month. Daily crying

EvidenceUpdates2017

139. Survival of very preterm infants admitted to neonatal care in England 2008-2014: time trends and regional variation

Survival of very preterm infants admitted to neonatal care in England 2008-2014: time trends and regional variation 28883097 2017 09 08 1468-2052 2017 Sep 07 Archives of disease in childhood. Fetal and neonatal edition Arch. Dis. Child. Fetal Neonatal Ed. Survival of very preterm infants admitted to neonatal care in England 2008-2014: time trends and regional variation. fetalneonatal-2017-312748 10.1136/archdischild-2017-312748 To analyse survival trends and regional variation for very preterm (...) infants admitted to neonatal care. All neonatal units in England. Infants born at 22+0-31+6 weeks+daysgestational age (GA) over 2008-2014 and admitted to neonatal care; published data for admitted infants 22+0-25+6 weeks+days GA in 1995 and 2006, and for live births at 22+0-31+6 weeks+days GA in 2013. We obtained data from the National Neonatal Research Database. We used logistic regression to model survival probability with birth weight, GA, sex, antenatal steroid exposure and multiple birth included

EvidenceUpdates2017

140. 2% chlorhexidine-70% isopropyl alcohol versus 10% povidone-iodine for insertion site cleaning before central line insertion in preterm infants: a randomised trial

2% chlorhexidine-70% isopropyl alcohol versus 10% povidone-iodine for insertion site cleaning before central line insertion in preterm infants: a randomised trial 29074717 2017 10 27 1468-2052 2017 Oct 26 Archives of disease in childhood. Fetal and neonatal edition Arch. Dis. Child. Fetal Neonatal Ed. 2% chlorhexidine-70% isopropyl alcohol versus 10% povidone-iodine for insertion site cleaning before central line insertion in preterm infants: a randomised trial. fetalneonatal-2016-312193 (...) 10.1136/archdischild-2016-312193 To determine whether 2% chlorhexidine gluconate-70% isopropyl alcohol (CHX-IA) is superior to 10% aqueous povidone-iodine (PI) in preventing catheter-related blood stream infection (CR-BSI) when used to clean insertion sites before placing central venous catheters (CVCs) in preterm infants. Randomised controlled trial. Two neonatal intensive care units (NICUs). Infants <31 weeks' gestation who had a CVC inserted. Insertion site was cleaned with CHX-IA or PI. Caregivers

EvidenceUpdates2017