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Pediatrics

Asthma and kidney stones linked in childrenChildren with asthma are 4 times more likely to have kidney stones than those without asthma, and vice versa, according to a study published online in the medical journal PLoS One.
Top 10 studies you may have missed- 2017It’s that time again! Here are Dr Michael Burke’s favorite 10 articles he reviewed in Journal Club for Contemporary Pediatrics during the past 12 months that are most likely to change your practice, improve patient care, or illuminate future trends in pediatrics.
BPD: Complication of prematurityDespite improvements in obstetric and neonatal care leading to increased survival of premature infants, little progress has been made in the prevention of bronchopulmonary dysplasia. Pediatricians need to be aware of changing definitions, risk factors, prevention, and long-term health outcomes of this disease in their premature patients.
Hitting kids is linked to aggressive behaviorAn interview-based study conducted in 372 parents visiting pediatric emergency departments with children aged younger than 4 years found that parents who used physical discipline were 2.8 times more likely than parents who did not use this form of discipline to report that their children engage in hitting, kicking, and throwing.
Infant with failure to thrive and hypotoniaA 4-month-old girl arrives at the clinic for a well-child visit. Her mother voices concerns about the infant’s poor weight gain, slow feeding habits, and physical delays such as head lag, poor grasp reflex, and rolling over.
Two-step egg introduction helps prevent egg allergyStepwise introduction of egg (starting with a low dose, which is then increased), along with aggressive treatment of atopic dermatitis (AD), is a safe and effective way to prevent hen’s egg allergy in high-risk infants, a study in Japan showed.
Meningococcal vaccine might raise risk of Bell’s palsyIn a study of almost 48,900 vaccinated individuals, investigators observed a temporal association between development of Bell’s palsy and administration of quadrivalent meningococcal conjugate vaccine (MCV4) that protects against serogroups A,C, Y, and W (MenACWY) when the vaccine was given at the same time as other vaccines.
LCPUFAs in pregnancy lower child’s asthma riskWomen in the third trimester of pregnancy who take supplements of n-3 long-chain polyunsaturated fatty acids (LCPUFAs) reduce their children’s risk of persistent wheeze or asthma as well as of lower respiratory tract infections, a study in Denmark demonstrated.
Pruritic vesicles erupt on a boy’s legsA healthy 12-year-old boy with eczema shows up at the office with an incredibly itchy rash on his legs that has exploded over the last 48 hours. He has a history of dry skin to which his mother regularly applies various moisturizers, including calendula oil.
Bronchopulmonary dysplasia: Consequence of survivalAdvances in care now make it possible for more premature infants to survive. Ironically, many of the very interventions employed to ensure their viability such as mechanical ventilation and long-term use of oxygen can put many of these infants at high risk for bronchopulmonary dysplasia.