Mediators of psychological well-being in adolescent boys
|
The Active Teen Leaders Avoiding Screen-Time (ATLAS) intervention (a 20 week school-based intervention designed to improve health behaviors in low income communities that consists of teacher professional development, enhanced school-sport sessions, researcher-led seminars, lunch-time physical activity mentoring sessions, pedometers for self-monitoring, etc.) was utilized in a cluster-controlled trial in 14 secondary schools (and 361 adolescent boys) in low income communities to assess 8th month post intervention psychological well-being.
Statistically significant improvements in autonomy needs satisfaction, recreational screen time and muscle fitness mediates the intervention's ability to enhance psychological well-being in adolescent boys.
Journal of Adolescent Health
|
Oral effects of Ursodeoxycholic acid on indirect hyper-bilirubinemia in neonates
|
|
Ursodeoxycholic acid is a metabolic bile acid byproduct of intestinal bacteria which has many functions and has been shown to decrease jaundice in primary biliary cirrhosis.
It appears from a double-blind randomized clinical trial of jaundiced neonates undergoing phototherapy that ursodeoxycholic acid significantly decreases indirect hyperbilirubinemia and reduces the time required for phototherapy.
|
Melatonin supplementation for children with Atopic Dermatitis (AD) and sleep disturbance
|
A randomized, double-blind, placebo controlled, cross-over study to evaluate the effectiveness of melatonin supplementation (3mg/day or placebo for 4 weeks) on AD severity and sleep variables indicates that the treatment is a safe and effective therapy to improve AD severity and sleep-onset.
|
|
Underwriting Opportunities
|
With a circulation
over 5,500,
Updates in Pediatrics offers an excellent opportunity to promote your brand at affordable rates.
|
|
|
Download, print and pin this information on your office wall.
-This is a "Must Have" (Ed.)
|
|
X-ray negative lateral ankle injuries - occult growth plate fracture or sprain?
Lateral ankle injuries without x-ray evidence of a fracture are common in childhood; often presumed to be a fracture involving the epiphysis (growth plate only or "Salter-Harris type I fracture of the distal fibula; SH1DF"). Management is usually by immobilization. Previous small studies suggest that many are "ankle sprains" and do not involve a bone fracture.
A prospective cohort study of 135 children evaluated ankle MRI's with clinical suspected SH1DF to assess its frequency and compare functional recovery to those diagnosed with an isolated ligament injury. Salter-Harris fractures of the distal fibula are rare in children with radiograph negative lateral ankle injury ( <3% ); most injuries are ligamentous, (sprains) & comparable recovery occurs with a removable ankle brace.
|
Touch-screen technology usage in toddlers
From a parental questionnaire of children 12 months to 3 years of age, it appears that 71% of toddlers have access to a touch-screen device - by 24 months most have the ability to unlock, swipe and actively look for specific features on the device.
|
Infection risk factors in Nuss bar (substernal metal bar) treatment of Pectus Excavatum (PE)
"PE is the most common chest wall deformity with an incidence of 1:400 births". Minimally invasive treatment utilizing a
 |
|
|
Pectus Excavatum |
substernal bar to elevate the sternum has become the most common method of surgical treatment.
A retrospective chart review of 854 patients treated with a Nuss bar for PE reveals:
- 3.5% develop cellulitis or infection.
- Preoperative antibiotics (cefazolin) decreases infection rate.
- Using a continuous peri-incisional pump for analgesia increases infection rate.
- Nuss bars can be retained in place in 90% of patients with infection.
|
Prenatal vs postnatal predictors of severity in Congenital diaphragmatic hernia (CDH) in infants.
A retrospective postnatally-based clinical prediction model was compared to fetal imaging-based predictors of mortally in 176 CDH patients.
Prenatal data suggests CDH survivors have higher lung volumes, lung-to-head ratios and lower degrees of liver herniation compared to nonsurvivors , with observed/expected-total fetal lung volume being the only independent prenatal predictor to describe 6 month mortality.
A postnatal prediction rule (see article) provides good discrimination between patients classified as low, intermediate and high mortality risk at 6 months of age.
|
Take the Quiz
!
What are synthetic cannabinoids?
Can cow's milk allergy be treated with oral immunotherapy?
Can you define Achalasia?
|
|
|
Updates in Pediatrics is brought to you by:
|
|
|
|
|
