Showing papers in "The Journal of Pediatrics in 1996"

TL;DR: There is an increasing incidence of non-insulin- dependent diabetes mellitus among adolescents in Greater Cincinnati, accompanying the national rise in adolescent obesity.

TL;DR: Early-onset sepsis remains an important but uncommon problem among VLBW preterm infants and improved diagnostic strategies are needed to enable the clinician to distinguish between the infected and the uninfected V LBW neonate with symptoms and to target continued antibiotic therapy to those who are truly infected.

TL;DR: Recurrent abdominal pain and symptoms of IBS are commonly noted in a community-based adolescent population and frequently result in use of health care resources, and anxiety and depression scores were significantly higher for students with IBS-type symptoms compared with those without symptoms.

TL;DR: In this paper, the prevalence and nature of feeding difficulties and oral motor dysfunction among a representative sample of 49 children with cerebral palsy (12 to 72 months of age) were determined using a population survey by means of a combination of interview and home observational measures.

TL;DR: To determine the minimum volume of blood and the absolute number of organisms required for detection of bacteremia and fungemia by an automated colorimetric blood culture system (BacT/Alert, Organon Teknika).

TL;DR: Hemangiomas can proliferate in utero and manifest as fully developed tumors at birth and can regress rapidly, raising new questions about the pathogenesis of this tumor.

TL;DR: Lower mental test scores persisted in infants with iron-deficiency anemia despite extended oral iron therapy and an excellent hematologic response, according to a double-blind, controlled trial in Costa Rica.

TL;DR: Infection adversely influences PDA outcome by increasing the risk of late ductal reopening and PDA closure failures, and increased levels of prostaglandins and tumor necrosis factor alpha in infants with infection may explain the poor PDA outcomes.

TL;DR: A placebo-controlled trial among 2067 Indonesian neonates who received either 52 μmol (50,000 IU) orally administered vitamin A or placebo on the first day of life was conducted in this paper.

TL;DR: Serum procalcitonin was determined in newborn infants at the time of admission to the pediatrics or obstetrics unit and increased levels were found in all neonates with bacterial sepsis, suggesting that procalCitonin might be of value in diagnosing neonatal septicaemia.

TL;DR: These results provide the basis for a randomized, controlled trial comparing LMWH with standard heparin in pediatric patients and were reduced by 30% because of decreased laboratory monitoring, blood sampling times, intravenous starts, and nursing time.

TL;DR: It is suggested that Depo-Provera may, at least temporarily, suppress the expected skeletal bone mineralization in adolescents, whereas Norplant and oral contraceptives are associated with the expected increase in bone density in this population.

TL;DR: The data emphasize the importance of other influences, and in particular that of varying systemic vascular resistance, in the determination of blood pressure in preterm infants.

TL;DR: Results indicate indirectly that T-helper lymphocytes may play a role in the pathogenesis of MAS, and the use of this drug may circumvent the need for increased doses of corticosteroids in some patients.

TL;DR: Systemic AG may involve varying numbers and combinations of extracutaneous sites, and Optimal treatment for symptomatic, unresectable disease is currently undefined but should be selected to minimize toxic effects in children who are typically younger than 1 year old at presentation.

TL;DR: Infants and toddlers with obstructive lung disease can be reliably and safely treated with inhaled medication administered with an MDI via a spacer with mask, and the doses given are higher than the currently recommended doses.

TL;DR: This classroom-based, public health approach improved children's cardiovascular disease risk profiles; it is practical and fairly easy to incorporate into the school day.

TL;DR: Almost one fourth of the CP in VLBW children occurred in infants delivered in level I facilities soon after their mothers' admissions, and almost one fourth was in children who had neonatal seizures after birth to women with chorionitis.

TL;DR: Preservative-free topical ointment therapy decreased TEWL for 6 hours after application, decreased the severity of dermatitis, and decreased bacterial colonization of axillary skin, and these data support the use of topical oints in very premature infants during the first weeks after birth.

TL;DR: After control for antimicrobial use, white children were still at an increased risk of infection with NSSP, possibly through greater exposure to resistant strains, and increased use of antimicrobial drugs enhances the risk of carriage of NSSP.

TL;DR: Four children with Kawasaki disease resistant to treatment with intravenously administered immune globulin who were treated with high doses of methylprednisolone apparently responded with normalization of symptoms, and none had significant progression of coronary artery abnormalities or adverse events.

TL;DR: Differences exist among tertiary pediatric hospitals in the nature of the patients admitted with RSV LRI, and randomized clinical trials are needed to determine the efficacy of different drug treatments used to treat infants hospitalized with RSv.

TL;DR: The occurrence of PPB appears to herald a constitutional and heritable predisposition to dysplastic or neoplastic disease in approximately 25% of cases and patients with PPB and their families should be investigated carefully.

TL;DR: Data refute the hypothesis that continuing regular, vigorous, sustained exercise throughout pregnancy adversely affects morphometric and neurodevelopmental outcome in offspring at 5 years of age and suggest that exercise during pregnancy reduces the subcutaneous fat mass of the offspring.

TL;DR: A plasma IL-6 level of 100 pg/ml or greater, obtained before the twelfth hour of life, appears to be an ideal marker for detecting early-onset neonatal infection with a high degree of sensitivity and specificity.

TL;DR: Infantile hemangioma and arteriovenous malformation of the liver have a similar presentation but a different natural history, and therefore require different treatment, and combined embolization and surgical resection is recommended for hepatic AVM and for solitary symptomatic hemangsioma, if drug therapy fails.

TL;DR: Observations indicate that TGF-Beta 1 may contribute to the fibrotic response that is observed in the lungs of infants who have CLD.

TL;DR: It is demonstrated that prenatal exposure to cocaine at sufficiently high doses early in pregnancy has the potential to produce cognitive changes in infants and that more focused, narrow-band tests may be necessary to detect these subtle neurobehavioral effects.

TL;DR: It is indicated that significant differences in insulin secretion and sensitivity are detectable in healthy black versus white adolescents.

TL;DR: Overall administration of neonatal transfusions has decreased markedly, most likely because of multiple factors, and therapeutic strategies should focus on this group of VLBW infants during this critical period.