MCH Updates in Pediatrics Masthead  

                       Volume IV
                        Issue 33
                                                           South Florida's  only licensed  free-standing
                                                             specialty hospital  exclusively for children ...                                                      August 14,  2013 
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The effects of early anxiety disorders on self-esteem during adolescence & young adulthood 

821 children had their self-esteem measured at mean ages 13, 16, and 22 years with anxiety disorders measured at 13 years of age.


Self-esteem normally increases during adolescence and young adulthood. Most adolescents with anxiety disorder (overanxious disorder, social and simple phobias) have lower self-esteem compared to healthy ones, while Obsessive Compulsive-disorder (OCD) predicts a significant decline in self-esteem over time. Early recognition and management is important.


Journal of Adolescent Health 

Accuracy of weight estimations by prehospital Emergency Medical Services (EMS) personnel


Inaccurate weight estimations may contribute to medical errors.


A study of the EMS records of 179 children <18 years who received weight based medications indicates that average EMS personnel (35.8 months experience) accurately estimate weight (within 10% of actual weight) in 82.4% of patients. Inaccurate weights are more frequently found in younger (<10 year of age) children, those with seizures or in cardio pulmonary arrest.


American Journal of Emergency Medicine

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Nutritive & immunoprotective quality of human milk 1 yr. postpartum       


While the AAP and WHO strongly recommend that babies be breast fed exclusively for the first six months of life, breast milk feeding during the second six months also appears to be beneficial. Minimal research has been done on the composition and potential benefits of breast milk given during the second year of life.


A pubmed search reviewing available data for second year breast milk composition indicates that protein, lactose, iron, copper, lactoferrin and secretory immunoglobulin A concentrations increase, while zinc and calcium concentrations decline.


Journal of Human Lactation

Container type & bactericidal activity of breast milk during refrigeration storage in Pyrex bottles vs. polyethylene bags       


A study of the bactericidal effects of fresh human milk stored either in a Pyrex bottle or polyethylene bag at 4C for 24 and 48 hours, indicates that polyethylene bags significantly reduces breast milk bactericidal activity. Refrigerated breast milk is more appropriately stored in Pyrex bottles.


Journal of Human Lactation

Video Feature 
Through Our Eyes: Children, Violence, and Trauma
Through Our Eyes: Children, Violence, and Trauma

Office for Victims of Crime via YouTube

Childhood exposure to violence, crime & abuse


A cross-sectional US National telephone survey of 4,503 children and/or their caregivers to identify and update estimates of childhood exposure to a broad range of violence, crime and abuse victimization indicates that for the last year:


1.    41.2% of children/youth experience physical assault and 10% are injured by it.

2.    13.7% are maltreated by a caregiver.

3.    2% experience sexual assault (10.7% for girls aged 14-17 years).

4.    There has been no significant improvement from similar survey performed in 2008.


This is a National disgrace! (Ed.)



 Isolated scrotal hair in infancy    


Mini-puberty is probably a normal hormonal surge of gonadotropins and testosterone which occurs in early infancy (boys up to 6 months, girls up to age 2 years) in 1 - 5,000/10,000 infants. Associated symptoms include the appearance of pubic and axillary hair, breast development, rapid growth and behavioral problems.


A retrospective analysis of 5 normal appearing well-developed male patients (aged 3-6 months) with no other signs of androgenization, referred for assessment of isolated scrotal hair development, found that 4 or 5 mother received hormones during pregnancy or lactation and all scrotal hair regressed after 4-7 months of observation. Nevertheless all infants with signs of androgenization require full investigation.


Clinical Pediatrics