The Journal of pediatrics
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The Journal of pediatrics · Aug 2014
Bone fractures in children: is there an association with obesity?
To determine the relationship between body mass index (BMI) and odds of extremity bone fractures in children. ⋯ Obese children had a minor but statistically significant decreased odds of fracture relative to children with a normal BMI, but no association was observed in overweight children. However, underweight children were found to be at an increased odds of fracture. This study suggests that overweight and obese children do not have increased odds of extremity fracture.
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The Journal of pediatrics · Aug 2014
Randomized Controlled Trial Multicenter Study Comparative StudyComparison of devices for newborn ventilation in the delivery room.
To evaluate the effectiveness and safety of a T-piece resuscitator compared with a self-inflating bag for providing mask ventilation to newborns at birth. ⋯ There was no difference between the T-piece resuscitator and a self-inflating bag in achieving an HR of ≥100 bpm at 2 minutes in newborns≥26 weeks gestational age resuscitated at birth. However, use of the T-piece decreased the intubation rate and the maximum pressures applied.
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The Journal of pediatrics · Aug 2014
Multicenter StudyHypothermia therapy for neonatal hypoxic ischemic encephalopathy in the state of California.
To characterize the implementation of hypothermia for neonatal hypoxic ischemic encephalopathy (HIE) in a population-based cohort. ⋯ Our findings highlight an opportunity to explore practice-site variation and to develop quality improvement interventions to assure consistent evidence-based care of term infants with HIE and appropriate application of hypothermia therapy for eligible newborns.