The Journal of pediatrics
-
The Journal of pediatrics · Dec 2013
Randomized Controlled TrialMaternal vitamin D3 supplementation during the third trimester of pregnancy: effects on infant growth in a longitudinal follow-up study in Bangladesh.
To estimate the effects of prenatal vitamin D supplementation on infant growth in Dhaka, Bangladesh. ⋯ Maternal vitamin D3 supplementation (35 000 IU/wk) during the third trimester of pregnancy enhanced early postnatal linear growth in a cohort of infants in Bangladesh.
-
The Journal of pediatrics · Dec 2013
Multicenter StudyTiming of interventions in the delivery room: does reality compare with neonatal resuscitation guidelines?
To determine the proportion of infants who had the tasks recommended in the neonatal resuscitation guidelines performed within 30 and 60 seconds of birth, and the time taken to perform each task. ⋯ Most newborns were not managed within the time frame recommended in resuscitation guidelines. The recommended 30- and 60-second intervals may be too short.
-
The Journal of pediatrics · Dec 2013
Association between maintenance fluid tonicity and hospital-acquired hyponatremia.
To evaluate whether the administration of hypotonic fluids compared with isotonic fluids is associated with a greater risk for hyponatremia in hospitalized children. ⋯ Hyponatremia was common regardless of maintenance fluid tonicity; however, the administration of hypotonic maintenance fluids compared with isotonic fluids was associated with a greater risk of developing hospital-acquired hyponatremia. Additional clinical characteristics modified the hyponatremic effect of hypotonic fluid, and it is possible that optimal maintenance fluid therapy now requires a more individualized approach.
-
The Journal of pediatrics · Dec 2013
Observational StudyReference ranges for regional cerebral tissue oxygen saturation and fractional oxygen extraction in neonates during immediate transition after birth.
To define reference ranges for regional cerebral tissue oxygen saturation (crSO2) and regional cerebral fractional tissue oxygen extraction (cFTOE) during the first 15 minutes after birth in neonates requiring no medical support. ⋯ We report reference ranges of crSO2 and cFTOE in neonates requiring no medical support during transition immediately after birth. The use of cerebral oxygenation monitoring and use of these reference ranges in neonates during transition may help to guide oxygen delivery and avoid cerebral hypo-oxygenation and hyperoxygenation.
-
The Journal of pediatrics · Dec 2013
Pediatric primary care provider practices, knowledge, and attitudes of human immunodeficiency virus screening among adolescents.
To evaluate pediatric primary care provider (PCP) HIV screening practices, knowledge, and attitudes. ⋯ Although providers practicing in urban areas were more likely to report screening adolescents for HIV than those in suburban areas, overall self-reported screening rates were low, and several barriers were identified commonly. Future interventions should target increasing providers' knowledge and addressing concerns about confidentiality, requirements and counseling time, and follow-up of results.