Pediatrics

AAP Recommends Shot Over Nasal Spray for 2018-2019 Flu Season

AAP Recommends Shot Over Nasal Spray for 2018-2019 Flu Season

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The advisory comes early as physicians are currently placing vaccine orders.

Beclomethasone Dipropionate vs Cetirizine in Children With Perennial Allergic Rhinitis

Beclomethasone Dipropionate vs Cetirizine in Children With Perennial Allergic Rhinitis

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Nasal beclomethasone dipropionate was more effective in improving nasal patency and cytology as well as quality of life compared with cetirizine in children with perennial allergic rhinitis.

Use of Predicted vs Measured Body Weight for Targeting Tidal Volumes in Children

Use of Predicted vs Measured Body Weight for Targeting Tidal Volumes in Children

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It may be more lung protective to use the lower of either measured or predicted body weight when targeting tidal volume for mechanically ventilated children.

Maternal Exposure to Polluted Air Tied to Elevated Child BP

Maternal Exposure to Polluted Air Tied to Elevated Child BP

Overall, there was a 1.61-fold increase in risk for elevated blood pressure in children with highest vs lowest tertile of PM2.5.

Prevalence of Obese, Allergic Asthma Phenotypes Examined in US Children

Prevalence of Obese, Allergic Asthma Phenotypes Examined in US Children

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The study authors examined data obtained from the 2007-2008 National Survey of Children's Health (NSCH) to determine the prevalence, risk factors, as well as the severity of asthma phenotypes.

Most Concerning Med Issues Explored Among Youth With Asthma

Most Concerning Med Issues Explored Among Youth With Asthma

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The study authors reported, "The most commonly reported problems by youth were: (a) hard to remember when to take the asthma medication (54%) and (b) hard to use asthma medication at school (34%)."

Does Propofol Prevent Prolonged Desaturation During Neonatal Intubation?

Does Propofol Prevent Prolonged Desaturation During Neonatal Intubation?

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A randomized clinical trial evaluated whether premedication with propofol reduced the frequency of prolonged desaturation during neonatal nasotracheal intubation compared with the combination of a rapid-onset short-acting opioid and a muscle relaxant.

Pediatric Pneumonia: Sensitivity of Lung Ultrasound vs Chest Radiography

Pediatric Pneumonia: Sensitivity of Lung Ultrasound vs Chest Radiography

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Lung ultrasound was more effective in diagnosing pediatric community-acquired pneumonia than chest radiography.

Pulmonary Function Testing Detects Distinct Phenotypes in Bronchopulmonary Dysplasia

Pulmonary Function Testing Detects Distinct Phenotypes in Bronchopulmonary Dysplasia

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Infant pulmonary function testing detected 3 distinct phenotypes in severe bronchopulmonary dysplasia.

Pediatric Asthma Outcomes With Physician Cultural Communication Training

Pediatric Asthma Outcomes With Physician Cultural Communication Training

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Physician asthma care education Plus training resulted in improvements in provider confidence, perceived skill in communicating cross culturally, and short-term asthma-specific outcomes.

Liquid Nicotine Exposure in Children Declining, But Still a Threat

Liquid Nicotine Exposure in Children Declining, But Still a Threat

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The rate of liquid nicotine exposure in children younger than 6 years of age has declined since 2015, but it continues to pose a serious poisoning risk.

Children With Status Asthmaticus Do Not Benefit From Magnesium Sulfate

Children With Status Asthmaticus Do Not Benefit From Magnesium Sulfate

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Children with status asthmaticus who received magnesium sulfate therapy were on continuous albuterol for a longer duration.

Auvi-Q 0.1mg Auto-Injector Available Soon for Infants, Toddlers

Auvi-Q 0.1mg Auto-Injector Available Soon for Infants, Toddlers

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The supplemental New Drug Application (sNDA) for the 0.1mg strength was granted Priority Review by the Food and Drug Administration (FDA).

FDA Announces New Initiative Aimed at Stopping Youth Use of E-Cigarettes

FDA Announces New Initiative Aimed at Stopping Youth Use of E-Cigarettes

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In a wide ranging statement, the FDA commissioner Scott Gottlieb, MD, specifically targets novel nicotine-delivery products as being problematic since many of these devices resemble USB flash drives, have high nicotine levels and have emissions that are hard to see.

PAAT May Detect Pulmonary Vascular Disease in Preterm Infants

PAAT May Detect Pulmonary Vascular Disease in Preterm Infants

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Regardless of neonatal lung disease status, infants born before 29 weeks' gestation demonstrated abnormal pulmonary artery acceleration time at 1-year corrected age.

Early Child Care Attendance and Asthma, Wheeze Risk: What's the Link?

Early Child Care Attendance and Asthma, Wheeze Risk: What's the Link?

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Early child care attendance increased the risk for wheeze in children ≤2 years of age but decreased the risk for asthma in children 3 to 5 years of age.

Decreased Lung Function More Prevalent in Preterm Born Children

Decreased Lung Function More Prevalent in Preterm Born Children

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Children who were born preterm had an increased likelihood of developing impaired lung function compared with healthy term children.

COPD Risk in Middle-Age: The 3-Way Interaction of Asthma, Smoking, and Measles

COPD Risk in Middle-Age: The 3-Way Interaction of Asthma, Smoking, and Measles

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A childhood measles infection may increase the risk for post-bronchodilator airflow obstruction in middle-age adults via its interaction with asthma and smoking.

Early Asthma Symptoms Linked to Lung Function in Adolescents Born Preterm

Early Asthma Symptoms Linked to Lung Function in Adolescents Born Preterm

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Preterm-born children had significantly more frequent preschool wheeze compared with children born at term.

Pulmonary Hypertension Outcomes Predicted by NT-pro BNP

Pulmonary Hypertension Outcomes Predicted by NT-pro BNP

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N-terminal-pro brain natriuretic peptide may be a useful biomarker for both mortality and respiratory exacerbations in pediatric patients with pulmonary hypertension.

Pulmonary Hypertension Mortality Following Cardiac Catheterization

Pulmonary Hypertension Mortality Following Cardiac Catheterization

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Patients with pulmonary hypertension have a high risk for adverse events during and following cardiac catheterization, but high case volume may help ameliorate this risk.

Distinct Lung Function Trajectories Associated With COPD Risk

Distinct Lung Function Trajectories Associated With COPD Risk

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Researchers identified 6 distinct FEV1 lung function trajectories, 3 of which were responsible for 75% of the COPD burden.

Most Parents Willing to Enroll Child in Food Allergen Trials

Most Parents Willing to Enroll Child in Food Allergen Trials

Higher parental income was the only significant positive predictor of willingness to enroll child in a clinical trial.

Recombinant Influenza Vaccine Found to Be Safe in Children

Recombinant Influenza Vaccine Found to Be Safe in Children

Immunogenicity of RIV4 similar to that of inactivated vaccine, although responses to B Victoria were low with both.

High-Flow vs Standard Oxygen Therapy in Infants With Bronchiolitis

High-Flow vs Standard Oxygen Therapy in Infants With Bronchiolitis

High-flow oxygen therapy may be more effective in preventing care escalation in infants with bronchiolitis compared with standard oxygen therapy.

Food Allergy Policies Exist in Many Schools, But Barriers Still Exist

Food Allergy Policies Exist in Many Schools, But Barriers Still Exist

The majority of school nurses report staff training on anaphylaxis and epinephrine availability.

Suicide Risk Not Increased With Oseltamivir in Pediatric Patients

Suicide Risk Not Increased With Oseltamivir in Pediatric Patients

There was no significant correlation with suicide for oseltamavir exposure or for influenza diagnosis alone.

Effect of Tobacco Smoke Exposure in Children With or Without Asthma

Effect of Tobacco Smoke Exposure in Children With or Without Asthma

Current tobacco smoke exposure is not associated with airflow obstruction in school-aged children, but prenatal smoking is associated with airflow obstruction in children with asthma.

Adenotonsillectomy Reduces Blood Pressure in Children With OSA, Hypertension

Adenotonsillectomy Reduces Blood Pressure in Children With OSA, Hypertension

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Pediatric patients with hypertension and obstructive sleep apnea had significant improvements in blood pressure after adenotonsillectomy.

Early-Onset Eczema May Increase Risk for Childhood Asthma

Early-Onset Eczema May Increase Risk for Childhood Asthma

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Children diagnosed with eczema before the age of 2 years may be at increased risk for early-onset asthma.

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