Pediatrics
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Comparative Study
Trends in the diagnosis of overweight and obesity in children and adolescents: 1999-2007.
Pediatric overweight and obesity are increasingly prevalent problems and have received much attention in recent years, but it is unclear whether this publicity has affected diagnosis by clinicians. We undertook the current study to assess trends in diagnosis rates of overweight and obesity in children. ⋯ Although clear BMI definitions of pediatric weight problems exist, a large percentage of overweight and obese patients remain undiagnosed. Diagnosis increased during the study period but remained low among overweight children, for whom early intervention may be more effective. Identification of overweight and obese patients is the first step in addressing this growing epidemic.
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Comparative Study
Nutritional practices in the neonatal intensive care unit: analysis of a 2006 neonatal nutrition survey.
The goal of this investigation was to determine how current parenteral nutrition and enteral nutrition practice intentions for preterm infants compare with published recommendations and previous feeding practices. ⋯ Clinicians reported that they are initiating parenteral and enteral nutrition earlier and in larger volumes than in the past, reflecting increased knowledge about best nutritional practices in very preterm neonates. The data suggest that the persistent extrauterine growth failure of preterm infants is not attributable to a lack of best nutritional practice knowledge and intention.
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The public sector plays an important role in promoting child health information technology. Public sector support is essential in 5 main aspects of child health information technology, namely, data standards, pediatric functions in health information systems, privacy policies, research and implementation funding, and incentives for technology adoption. Some innovations in health information technology for adult populations can be transferred to or adapted for children, but there also are unique needs in the pediatric population. Development of health information technology that addresses children's needs and effective adoption of that technology are critical for US children to receive care of the highest possible quality in the future.
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Randomized Controlled Trial Comparative Study
A single-blinded, randomized comparison of laparoscopic versus open hernia repair in children.
The role of laparoscopic surgery in pediatric inguinal hernia repair is unclear. We aimed to compare day-case laparoscopic hernia repair with open repair. ⋯ Recovery and outcome were similar after open repair and laparoscopic hernia repair in children. Laparoscopic hernia repair was associated with increased theater time and postoperative pain.