MCH Updates in Pediatrics Masthead  

                       Volume IV
                        Issue 25
                                                           South Florida's  only licensed  free-standing
                                                             specialty hospital  exclusively for children ...                                                      June 19,  2013 
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Parent's perceptions on child feeding

A semi-structured telephone interview study of 21 consenting parents evaluated the child-feeding behavior and attitudes of parents of children 2-5 years of age.

 

Parents believe that optimal child nutrition is important but difficult to achieve. Ability to change parental feeding practices appear to be limited by influences of peers (rather than dietary guidelines), extended family and food advertising. Peer nutrition education may be of benefit.

 

Journal of Developmental and Behavioral Pediatrics 

 

See Related Video entitled:

Brain Food

Howcast via YouTube 

Usefulness of urinary immune biomarkers to determine neonatal sepsis

A pilot longitudinal study compared a panel of 13 pro and anti-inflammatory urinary cytokines in a 15 infant test group admitted to a neonatal intensive care unit with a diagnosis of presumed sepsis, to a matched control group admitted to a newborn nursery.

 

Urinary pro-inflammatory interlukin (IL) - 8, induceable protein (IP) - 10 and monocyte chemoattractant protein (MCP) - 1, are significantly increased during a neonatal inflammatory process.

 

Clinical Pediatrics

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Management of Pectus excavatum (PE)

 

Pectus excavatum ("hollow/funnel chest") is the most common congenital chest wall deformity, which may present at birth or develop around puberty. While sometimes considered a cosmetic issue, depending on severity it may cause pain & impair cardiac &/or respiratory function.

 

The Nuss procedure is a minimally invasive technique which utilizes the placement of steel bars (for 2-5 years) through the chest wall under the sternum to push the sternum outwards. Surgical correction has a 10-50% complication rate.

 

A study of 127 severe PE patients (median age 15.2 years) treated with the Nuss procedure indicates complications may include hemo/pneumo thorax, infection, bar migration and operative injury. The use of a lateral stabilizer and pericostal suture is associated with fewer overall complications.

 

Journal of Pediatric Surgery 

Video Feature
Minimally Invasive Treatment for Pectus Excavatum (Sunken Chest) | Q&A
Minimally Invasive Treatment for Pectus Excavatum (Sunken Chest) | Q&A

Johns Hopkins Medicine via YouTube

Cancer risk for neonates with necrotizing enterocolitis (NEC)

 

Neonates with NEC undergo numerous radiologic investigations with an increase in radiation exposure.

 

A study of 64 neonates with 72 episodes of NEC stratified by birth weight, abdominal radiographs, and radiation exposure, indicates (compared to normative data) a 4.3 x's increase in cumulative cancer lifetime mortality. Non-radiologic surveillance methods are urgently needed.

 

Journal of Pediatric Surgery

"Sexting":  youth views!

 

A study of the nature and origins of sexting utilized  33 (15 male:18 female) young people aged 15-20 years who undertook a variety of semi-structured interviews. It appears that socio cultural peer pressure is a major determinant of sexting in this age group.

 

Journal of Adolescent Health 

Pediatric intestinal failure (IF) management

 

A retrospective systematic review of 15 independent studies (utilizing a comparison group) evaluated the outcome of a multi-disciplinary intestinal rehabilitation program (IRP) on IF patients with a diagnosis of short bowel syndrome/intestinal failure.

 

A multidisciplinary IRP for intestinal failure results in an overall improvement in survival, fewer septic episodes, and an apparent benefit in weaning from parenteral nutrition and the likelihood of requiring a liver transplant.

 

Journal of Pediatric Surgery

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