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Pediatrics

Families detect errors hospital incident reports missRates of medical errors yielded by solicited family reporting were 5 times higher than the rates provided by hospital incident reports and the rates of adverse events (AEs) were 3 times higher, a study in 4 pediatric hospitals found. Most hospitals primarily use incident reports to conduct patient safety surveillance.
Choosy mothers choose . . . fruit!Since the American Academy of Pediatrics (AAP) published its first recommendations regarding fruit juice 16 years ago, pediatricians have been waving off parents from serving young children apple and other fruit juices in bottles and sippy cups, encouraging water be given instead, because of both caloric and dental caries concerns. Now the AAP has issued a new policy statement that goes further than ever on what constitutes optimal quantities of fruit juice product consumption for children of all ages.
Gene variants relate to risk of respiratory infections and AOMCertain polymorphisms in mannose-binding lectin (MBL) and toll-like receptors (TLRs), genes that have a role in the innate immune system, promote susceptibility to or protection against respiratory and rhinovirus infections and acute otitis media (AOM), according to a study in Finnish infants.
Does residential ‘greenspace’ help asthma control?A study in 150 asthmatic children (aged 9 to 17 years) found an interaction between family relationships and residential greenspace, suggesting that children with asthma benefit when they live in high greenspace areas and have positive family relationships.
Boy with ear pain and facial weaknessA 13-year-old boy with poorly controlled type 1 diabetes (T1D) presents to the emergency department (ED) for evaluation of left ear pain and left facial weakness.
Lactose intolerance: Diagnosis and diet strategies
Lactose intolerance: Diagnosis and diet strategiesDiarrhea, abdominal pain, and flatulence following ingestion of milk or products containing milk are common complaints in pediatric practices. The pediatrician needs to be aware of the management of lactose intolerance to help guide a reasonable workup and plan.
Supplement omega-3 based on weightOlder, larger children using omega-3 fatty acid supplements as therapy for mood disorders—as well as those taking the supplement for general brain and heart health—may need more of the essential nutrient than smaller children, leading researchers to call for new studies into weight-appropriate dosing.
When losing weight leads to eating disordersEating disorders often begin when an adolescent tries to lose weight. New AAP guidance provides tools to address the unhealthy eating behaviors that put teens at risk.
Developmental dysplasia of the hipDevelopmental dysplasia of the hip (DDH) refers to a spectrum of abnormalities that range in severity from mild instability to frank dislocation. The vast majority of clinical and anatomic hip abnormalities identified in early infancy resolve spontaneously. Left untreated, however, a hip that is persistently unstable and anatomically abnormal can lead to functional limitations, pain, and premature degenerative changes.
DHA fails to prevent BPD in preterm infantsPrevious studies conducted in animals and in humans have suggested that DHA might be helpful in reducing the risk of bronchopulmonary dysplasia (BPD). However, the results of a very recent study demonstrated that the supplementation of an emulsion containing DHA did not reduce the risk of preterm infants developing BPD compared with infants who received a control emulsion without DHA.