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MCH's 49th Annual Pediatric Postgraduate Course
February 27- March 2
2014
Register today!
www.ppgcpip.com
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Age of cessation of breast-feeding/ pacifier use & persistent finger-sucking.
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Breast feeding and pacifier use may be associated with finger-sucking. A study of 555, 3-4 year old toddlers was utilized to assess whether the age at cessation of breast-feeding and pacifier use, influences persistent finger-sucking.
Persistent finger-sucking is significantly increased (almost four fold) when breast-feeding is stopped prior to 12 months of age, or pacifier use discontinued at younger than 14 months of age. Pediatric Dentistry |
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Updates in Pediatrics Primary Readership Study February 2014
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Long-term lung & growth effects of high-dose inhaled beclomethasone diproprionate for RSV Bronchiolitis.
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RSV infection is the leading cause of hospitalization for lower respiratory tract infections in infants, and frequently results in recurring wheezing in preterm infants during the first year of life. It is probably also associated with asthma occurring during childhood. High dose (200mg BID) inhaled beclomethasone diproprionate (double usual dose) given for 3 months started with RSV bronchiolitis, appears to transiently prevent the subsequent wheezing.
Six years after being treated with high does inhaled beclomethasone diproprionate given for infant RSV bronchiolitis no medium term benefits in lung function, asthma prevalence, hay fever or eczema are found. Linear growth appears unaffected.
Pediatric Infectious Disease Journal
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Is surgery valuable for the treatment of drooling in children with cerebral palsy?
"Drooling (sialorrhea) is the flow of saliva outside the mouth". It may be caused by the excess production of saliva, an ability to hold saliva in the mouth and/or by problems with swallowing. Drooling may be associated with many conditions e.g. local infections of the oral cavity, neurological pathologies and drugs. In cerebral palsy it appears to be related to the lack of awareness of the excess saliva in the mouth and infrequent and inefficient swallowing.
A study of 31 cerebral palsy patients (aged 5-24 years) with significant drooling who underwent surgery on the submandibular ducts indicates that this simple surgical procedure markedly reduces drooling, & the number of bibs/clothing changes needed per day, without deleterious effects on speech, taste and/or oral hygiene.
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Video Feature
 | | How Breast Feeding May Increase A Baby's IQ |
via YouTube
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Genetic risk factors for perinatal arterial ischemic stroke (PAIS).
In most cases, the cause of a perinatal arterial ischemic stroke is unknown. 13 white infants with PAIS were genotyped (for 9 genes involved in inflammation, thrombosis or lipid metabolism) and genotype frequencies compared to 88 randomly selected normal white babies.
In this small study, infants with PAIS appear to be more likely to demonstrate apolipoprotein E polymorphisms (no proinflammatory and /or prothrombotic polymorphisms appear to be involved).
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Radiographic (Diffusion Tensor Imaging-DTI) evaluation of sports-related concussion in adolescents.
"Concussion is among the least understood neurologic injuries" and its effects on young brains remain essentially unknown.
A study of 12 adolescents (14-17 years) (with matched normal controls) examined the relationship of clinical signs-symptoms of concussion to its short-term effects on brain white-matter integrity, using the "Sports Concussion Assessment Tool 2" (a standardized assessment/score for evaluating athletes for concussion) and "DTI" (which allows for the assessment of the integrity and orientation of fiber tracts in the brain).
The severity of the clinical evaluation/score for concussion in young adults is directly related to the short-term changes seen on DTI reflecting structural changes in the integrity of the brain's white matter.
Pediatric Neurology
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Pediatric spinal epidural abscess (SEA)- Treatment options.
SEA is rare and requires prompt diagnosis and treatment. Because of its rarity treatment appears to be controversial; recommendations have included surgical drainage with antibiotics. Patients may present without neurologic deficits.
A "large series" of pediatric patients with SEA (nine patients), diagnosed by MRI, infected almost exclusively with methicillin-resistant Staphylococcus aureus (MRSA) (isolated primarily on blood culture), found four of seven patients (two were surgically decompressed) being successfully treated conservatively with computed tomography-guided needle drainage and systemic antibiotics, and three with antibiotics only. This suggests conservative non-surgical management of SEA (needle drainage and antibiotics) may be appropriate.
Pediatrics
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