Updates in Pediatrics from Miami Children's Hospital: January 29 Issue

January 29, 2014 Vol. V, Issue 5

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Save the Date

MCH's 49th Annual Pediatric Postgraduate Course

February 27- March 2

2014

Register today!

www.ppgcpip.com

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Sexual risk taking behavior & bullying.

"Bullies and bully-victims engage in more sexual risk-taking behaviors..". Bullying prevention programs and programs aimed at reducing unhealthy sexual practices need to address the broader underlying reason/coping perspectives for these behaviors.

The Myths of Bullying via YouTube

Pediatrics

Introduction of complementary foods & food allergy.

A case-control study of 41 infants diagnosed with food allergy by the age of two years, indicates that early age (< 16 weeks) introduction of solids decreases the likelihood of receiving breast milk and increases the risks of food allergies.

Complementary feeding of solids to infants is recommended to be introduced between 4-6 months of life (breast feeding should continue to age 1 year or longer).

Pediatrics

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Chest compressions during CPR- "old" "vs. "new" CPR guidelines.

Because of significant delays in starting cardiac compressions following anyone being unresponsive with abnormal breathing/cardiac arrest, the 2010 guidelines of American Heart Association (AHA 2010) recommended a change in cardiopulmonary resuscitation (CPR) from the familiar A-B-C (Airway-Breathing-Compression) pathway to one in which cardiac compressions during CPR are the first action to be undertaken; C-A-B (Compression-Airway-Breathing).

A study utilizing 86 undergraduate volunteers comparing the "old" vs. "new" CPR guidelines on mannequins indicates that the quality of chest compressions during C-A-B CPR is significantly improved, however this appears to be more difficult to sustain due to rescuer fatigue.

American Journal of Emergency Medicine

Video Feature

2010 Guidelines for CPR

via YouTube

Bariatric surgery for obese adolescents.

Morbid obesity in adolescents continues to be a major problem in the USA with many Bariatric surgical procedures (ie. gastric bypasses, gastrectomies, gastroplasties, and gastric bandings) being undertaken to manage the problem.

A retrospective study of 1,615 inpatients admitted primarily for morbid obesity who underwent bariatric surgery indicates that this option is being increasingly utilized and appears relatively safe with a low complication rate.

Journal of Pediatric Surgery

Asthma self-monitoring in children. The "Asthma Symptom Tracker" (AST).

The Asthma Symptom Tracker is a relatively new tool that combines weekly use of the Asthma Control Test (7 questions child and parent answer weekly) with a color-coded graph for trending.

A study of 210 children (aged 2-18 years) with asthma utilizing the AST system over a six month period, indicates it to be a reliable, valid and responsive tool to monitor asthma control.

Pediatrics

Effects of Grand-maternal nicotine exposure during pregnancy/lactation & lung integrity in the grandchildren.

An interesting three generational study on rats shows that "grand-maternal" nicotine exposure during pregnancy and lactation induces histological abnormalities in their "grandchildren's" lungs similar to that of premature aging.

Pediatric Pulmonology

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