• Find us on Facebook
  • Follow BMJ OnExamination on Twitter

Latest News

Like this article?

Click vote now

0

Effects of Aerobic Training, Resistance Training, or Both on Percentage Body Fat and Cardiometabolic Risk Markers in Obese Adolescents The Healthy Eating Aerobic and Resistance Training in Youth Rando

from ArchPedi - 01 Nov 14

ImportanceLittle evidence exists on which exercise modality is optimal for obese adolescents.ObjectiveTo determine the effects of aerobic training, resistance training, and combined training on percentage body fat in overweight and obese adolescents.Design, Setting, and ParticipantsRandomized, parallel-group clinical trial at community-based exercise facilities in Ottawa (Ontario) and Gatineau (Quebec), Canada, among previously inactive postpubertal adolescents aged 14 to 18 years (Tanner stage



0

Cyberbullying Victimization and Mental Health in Adolescents and the Moderating Role of Family Dinners

from ArchPedi - 01 Nov 14

ImportanceThis study presents evidence that cyberbullying victimization relates to internalizing, externalizing, and substance use problems in adolescents and that the frequency of family dinners attenuate these associations.ObjectivesTo examine the unique association between cyberbullying victimization and adolescent mental health (after controlling differences in involvement in traditional, face-to-face bullying) and to explore the potential moderating role of family contact in this associatio



0

Limited Impact on Health and Access to Care for 19- to 25-Year-Olds Following the Patient Protection and Affordable Care Act

from ArchPedi - 01 Nov 14

ImportanceThe Patient Protection and Affordable Care Act (PPACA) allowed young adults to remain on their parents’ insurance until 26 years of age. Reports indicate that this has expanded health coverage.ObjectiveTo evaluate coverage, access to care, and health care use among 19- to 25-year-olds compared with 26- to 34-year-olds following PPACA implementation.Design, Setting, and ParticipantsData from the Behavior Risk Factor Surveillance System and the National Health Interview Survey, which pro



0

Contamination of Environmental Surfaces With Staphylococcus aureus in Households With Children Infected With Methicillin-Resistant S aureus

from ArchPedi - 01 Nov 14

ImportanceHousehold environmental surfaces may serve as vectors for the acquisition and spread of methicillin-resistant Staphylococcus aureus (MRSA) among household members, although few studies have evaluated which objects are important reservoirs of MRSA.ObjectivesTo determine the prevalence of environmental MRSA contamination in households of children with MRSA infection; define the molecular epidemiology of environmental, pet, and human MRSA strains within households; and identify factors as



0

The Effect of the National Shortage of Vitamin A on Death or Chronic Lung Disease in Extremely Low-Birth-Weight Infants

from ArchPedi - 01 Nov 14

ImportanceProphylactic vitamin A supplementation has been shown to reduce the incidence of chronic lung disease or death in extremely low-birth-weight infants. Beginning in 2010, a national shortage reduced the supply of vitamin A available.ObjectiveTo estimate the association between vitamin A supplementation and death or chronic lung disease in the context of the recent drug shortage. Intercenter variability in vitamin A use was assessed secondarily.Design, Setting, and ParticipantsRetrospecti



0

Hospital Costs of Multiple-Birth and Singleton-Birth Children During the First 5 Years of Life and the Role of Assisted Reproductive Technology

from ArchPedi - 01 Nov 14

ImportanceThe unprecedented increase in multiple births during the past 3 decades is a major public health concern and parallels the uptake of medically assisted conception. The economic implications of such births are not well understood.ObjectivesTo conduct a comprehensive economic and health services assessment of the frequency, duration, and cost of hospital admissions during the first 5 years of life for singleton, twin, and higher-order multiple (HOM) children and to examine the contributi



0

Blood Transfusion and Breast Milk Transmission of Cytomegalovirus in Very Low-Birth-Weight Infants A Prospective Cohort Study

from ArchPedi - 01 Nov 14

ImportancePostnatal cytomegalovirus (CMV) infection can cause serious morbidity and mortality in very low-birth-weight (VLBW) infants. The primary sources of postnatal CMV infection in this population are breast milk and blood transfusion. The current risks attributable to these vectors, as well as the efficacy of approaches to prevent CMV transmission, are poorly characterized.ObjectiveTo estimate the risk of postnatal CMV transmission from 2 sources: (1) transfusion of CMV-seronegative and leu



0

Association of Antibiotics in Infancy With Early Childhood Obesity

from ArchPedi - 01 Nov 14

ImportanceObesity in children and adults is associated with significant health burdens, making prevention a public health imperative. Infancy may be a critical period when environmental factors exert a lasting effect on the risk for obesity; identifying modifiable factors may help to reduce this risk.ObjectiveTo assess the impact of antibiotics prescribed in infancy (ages 0-23 months) on obesity in early childhood (ages 24-59 months).Design, Setting, and ParticipantsWe conducted a cohort study s



0

Low-Dose vs Standard-Dose Insulin in Pediatric Diabetic Ketoacidosis A Randomized Clinical Trial

from ArchPedi - 01 Nov 14

ImportanceThe standard recommended dose (0.1 U/kg per hour) of insulin in diabetic ketoacidosis (DKA) guidelines is not backed by strong clinical evidence. Physiologic dose-effect studies have found that even lower doses could adequately normalize ketonemia and acidosis. Lowering the insulin dose may be advantageous in the initial hours of therapy when a gradual decrease in glucose, electrolytes, and resultant osmolality is desired.ObjectiveTo compare the efficacy and safety of low-dose insulin




0

Overprescribing and Inappropriate Antibiotic Selection for Children With Pharyngitis in the United States, 1997-2010

from ArchPedi - 01 Nov 14

Pharyngitis is a common reason for pediatric health care visits. While viral infections account for the majority of pharyngitis episodes, group A Streptococcus (GAS) is implicated in approximately 37% of episodes among children. Antimicrobial treatment of GAS pharyngitis can shorten illness duration, prevent complications, and minimize transmission to others. Evidence-based guidelines for GAS pharyngitis recommend narrow-spectrum penicillins (amoxicillin or penicillin) as first-line therapy; the



0

Geographic Variation in Receipt of Psychotherapy in Children Receiving Attention-Deficit/Hyperactivity Disorder Medications

from ArchPedi - 01 Nov 14

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common childhood disorders, affecting an estimated 11% of boys and 4% of girls in the United States. Stimulant medications manage ADHD symptoms in most children. However, many parents prefer that treatment include some nonpharmacologic therapy, and combination behavioral therapy and pharmacotherapy may improve outcomes over either modality alone for many youth.



0

Undertreated and Untreated Pain Should Be Considered an Adverse Event of Neonatal Circumcision

from ArchPedi - 01 Nov 14

To the Editor We read with great interest the article by El Bcheraoui et al recently published in JAMA Pediatrics. We believe that the rates of adverse events of male circumcision may have been underestimated. As a matter of fact, the authors did not mention intraoperative and postoperative pain as an adverse effect, especially in neonates. Nonetheless, authors in other studies consider undertreating or untreating procedural pain to be an actual adverse event.



0

Undertreated and Untreated Pain Should Be Considered an Adverse Event of Neonatal Circumcision—Reply

from ArchPedi - 01 Nov 14

In Reply We thank Bisogni et al for their comments recently published in JAMA Pediatrics about intraoperative and postoperative pain as an adverse event (AE) to male circumcision (MC). Use of appropriate analgesia for pain management is a good practice that should be the standard of care during and after any surgical procedure because it can substantially control pain. In a prospective study of 583 neonatal circumcisions performed between December 1, 2005, and December 1, 2008, when appropriate



0

Nebulized Hypertonic Saline for Bronchiolitis

from ArchPedi - 01 Nov 14

To the Editor We read with interest the study by Wu et al recently published in JAMA Pediatrics, examining the effect of nebulized hypertonic saline vs normal saline administration in infants with bronchiolitis. We commend the authors for undertaking a large randomized clinical trial to complement existing evidence of the decreasing length of stay with hypertonic saline use. However, we have concerns regarding the study analysis and interpretation and believe cautious interpretation of the findi



0

Nebulized Hypertonic Saline for Bronchiolitis—Reply

from ArchPedi - 01 Nov 14

In Reply We appreciate the perspective of Heaton et al and agree that results in the study by Wu et al recently published in JAMA Pediatrics need to be cautiously interpreted. Heaton et al expressed concern that only 1254 of 3447 patients were assessed for eligibility. This was a convenience sample. Investigators were available 70 hours per week and were able to assess eligibility for more than 40% of the entire study population. During the study period, the average length of stay at both sites



0

Solar Protection by Hair More Complex Than It Seems to Be

from ArchPedi - 01 Nov 14

To the Editor We read with great interest the article by Agi and Cohen recently published in JAMA Pediatrics. It offers a simple explanation of hair as a form of barrier occluding the skin to prevent solar damage; however, this article may be misinterpreted that long hair offers better solar protection than short hair. This is especially so because this article follows studies by Lesage et al,Chevalier et al, and Green et al that show epidemiological evidence of different incidences of melanoma



0

Solar Protection by Hair: More Complex Than It Seems to Be—Reply

from ArchPedi - 01 Nov 14

In Reply We thank Chua and Li for their comments about our article recently published in JAMA Pediatrics. We agree that the relationship between solar protection and hair is complex. Moreover, we emphasize that the objective of our article was to provide primary care professionals and dermatologists with a strategy to open communication with adolescents regarding the importance of sun protection and the risks of exposure to natural and artificial ultraviolet light. Viva La Big Bang Theory.




0

JAMA Pediatrics

from ArchPedi - 01 Nov 14

JAMA Pediatrics Vision: JAMA Pediatrics will be the most respected source of information for investigators, providers, and policy makers seeking the highest quality evidence to guide decision-making.




0

Topical Prescription Contrition

from ArchDerm - 01 Nov 14

Shortly after I began prescribing certain topical medications in the early 1990s, I started to question the ritual. That universal thrill new clinicians experience when confidently knowing the diagnosis and its treatment was soon tempered by the realization that many patients had arrived already knowing both, and they resented a system that required the time, effort and expense of a formal appointment solely to procure what they deemed an effective but harmless remedy that they would then have t



0

Mid-Level Practitioners in Dermatology A Need for Further Study and Oversight

from ArchDerm - 01 Nov 14

Since the passing of the Congressional Balanced Budget Act in 1997, the scope of practice of mid-level health care providers, namely nurse practitioners and physician assistants (hereinafter “mid-level providers”), has rapidly expanded. While originally envisioned to improve access to primary care in underserved areas under the supervision of a physician, mid-level providers have expanded their scope of practice and are now able to bill independently for the procedures they perform.



0

Scope of Physician Procedures Independently Billed by Mid-Level Providers in the Office Setting

from ArchDerm - 01 Nov 14

ImportanceMid-level providers (nurse practitioners and physician assistants) were originally envisioned to provide primary care services in underserved areas. This study details the current scope of independent procedural billing to Medicare of difficult, invasive, and surgical procedures by medical mid-level providers.ObjectiveTo understand the scope of independent billing to Medicare for procedures performed by mid-level providers in an outpatient office setting for a calendar year.DesignAnaly



0

Association of Pain and Itch With Depth of Invasion and Inflammatory Cell Constitution in Skin Cancer Results of a Large Clinicopathologic Study

from ArchDerm - 01 Nov 14

ImportanceThis study highlights a simple bedside evaluation of itch and pain for suspicious skin lesions.ObjectiveTo examine the correlation of pain and itch with histologic features of skin cancers.Design, Setting, and ParticipantsThis large, prospective, clinicopathologic study enrolled patients who filled out questionnaires that assessed itch and pain intensity of their skin tumors at the time of excision. Study participants were from the patient population presenting to the Department of Der


 

1067 items Page 5 of 43 << 1 2 3 4 5 6 7 8 9 10 >>

    Search

    Categories

    Keyword cloud

    back blood body brain breast cardiac change Coupons diabetes dog Ebola England foods genetic give great kidney lung NHS pain Protein Reviews surgical UK weight

    Top news voters

    tasmina.hakim120 votes
    ashrydr2 votes
    khaja3402 votes

    © 2014 BMJ Publishing Group Ltd . All rights reserved.