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Journal Club

Some infantile hemangiomas can be managed with topical therapySuperficial, relatively thin infantile hemangiomas (IHs) responded to several months of treatment with topical timolol maleate in a recent trial, suggesting that this treatment is an alternative to oral propranolol for selected IHs.
Early bedtimes may lower risk for obesityPreschool-aged children who go to bed early are half as likely as those whose bedtime is late to be obese as adolescents, according to a new study.
Continued play after concussion lengthens recovery timeAthletes who continued to play after experiencing a concussion were 8.8 times more likely to take a long time to recover (≥21 days) than athletes who immediately left the field.
Are thumb-sucking and nail-biting bad for kids?Investigators examine whether thumb-sucking and nail-biting are all that bad.
Trial investigates if acetaminophen aggravates asthma symptomsYoung children with asthma who take acetaminophen to alleviate pain or fever are no more likely than those who take ibuprofen for this purpose to experience asthma complications, a randomized, double-blind trial showed.
Antibiotics weaken breastfeeding’s benefitsThe protective effects of breastfeeding against infections and overweight are reduced or eliminated by antibiotic use early in life, according to a retrospective study in 226 5-year-old Finnish children, almost all of whom had been breastfed for at least 1 month.
Algorithm accurately identifies babies at low risk of IBIThe so-called “Step-by-Step” algorithm, a sequential approach to identifying young febrile infants at low risk for invasive bacterial infection (IBI) on the basis of clinical and laboratory parameters, is more accurate than the classic Rochester criteria or the more recently developed “Lab-score,” a new study shows.
Some uropathogens more associated with pyuria than othersA new study demonstrated that in children with an apparent urinary tract infection, the proportion with pyuria varied significantly depending on the uropathogen associated with the infection.
Fecal Bacteroides are linked to bronchiolitisInvestigators identified 4 distinct fecal microbiota profiles in infants hospitalized with bronchiolitis and found that 1 of those profiles—dominated by Bacteroides—was associated with a higher likelihood of bronchiolitis than the others.
Increased opioid abuse leads to more ED visitsFrom 2006 to 2012, patients aged younger than 18 years made more than 21,928 visits to emergency departments (EDs) for poisoning by prescription opioids, such as methadone, codeine, meperidine, or morphine.

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