Jan. 4, 2017
Volume VIII |  Issue No. 1

Effects of short term omega-3 and omega-6 fatty acid administration on reading skills in children
Omega-3 and omega-6 fatty acids are "essential" fatty acids and are important components of cell membranes in the brain and in transmission/regulation of signals between nerve cells.

A double-blind, placebo controlled study of 154 school children between 9 and 10 years of age with mild attention problems (and reading difficulties) who were randomly assigned to receive capsules of both omega-3 and omega-6 or an identical placebo, ( for three months), indicates that measured reading speed, ability to read "nonsense"words and vocabulary, improves significantly with treatment. (Larger studies would be valuable to confirm this interesting data, Ed.)
Exposing babies to eggs and nuts early and allergy outcomes
5.4% of the population has egg allergies and 2.5% are allergic to peanuts.

It appears from a small study that the introduction of eggs into a baby's diet at 4-6 months and peanuts (smooth peanut butter) at 4-11 months may have a 46% and 71% effect of lowering the risk of subsequent egg and peanut allergies respectively.
Early planned birth and developmental problems in children
A study involving 153,730 Australian babies who had planned deliveries at 37 and 38 weeks gestation, and who were followed to 5 years of age indicates a 26% and 13% higher likelihood, respectively of having poorer developmental outcomes (health, learning and behavior) compared to those born at 40 weeks.
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Early physical activity following acute concussion in children

It has been estimated that 1-1.9 million youths suffer concussions yearly. Since 2001, rest (cognitive and physical) until asymptomatic with graduated return to activity over a five day period has been considered "the cornerstone" of management.

Apparently these physical guidelines are based on limited high-quality studies, and at the last International Conference on Concussion (2016) much discussion took place regarding when return to physical activity should take place.

A prospective cohort study of 651 concussed 5-18 year olds that examined the relationship between early (<7 days) return to physical activity following concussion and persistent or worsened symptoms, suggests, (as some confounding factors not taken into account) that early return may NOT BE deleterious to recovery.

Video Feature
American Academy of Pediatrics (AAP); Timing on umbilical cord clamping
After examining the data associated with the time to clamping of the umbilical cord in term and preterm infants the AAP and American College of Obstetrics and Gynecology in a 2012 guideline update now "recommends a delay in umbilical cord clamping in vigorous term and preterm infants for at least 30-60 seconds after birth".

  AAP News 
Video Feature
Flavored e-cigarettes! 

The number of young people using electronic cigarettes (e-cigarettes) in the USA has risen dramatically over the past few years (2013: Approximately 780,000 - 2015: >3 million) and flavored e-cigarettes are not banned in the USA.

A survey study of 2,017 youths, 60.9% of whom had used flavored e-cigarettes in the previous 30 days, which examined flavored e-cigarette use to outcomes indicates that flavored e-cigarette use is associated with:

1.  Higher odds to initiate cigarette use among non-smokers.
2.  Lower odds to quit tobacco use among current smokers.
3.  Less perception of tobacco's danger.

Guidelines for diagnosis of Tuberculosis in children and adults

The American Thoracic Society/Infectious Diseases Society of America and Centers for Disease Control and Prevention have issued clinical practice guidelines on the diagnosis of tuberculosis (TB) in adults and children.

These valuable clinical guideline recommendations take into account the "who", and the "how" testing and diagnosis for TB should be undertaken in children, and is a "must read" for all physicians (Ed.).

Nicklaus Children's
Advanced Pediatric Care Pavilion
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