| The Editors' Perspectives |
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Distinguishing between orthostatic intolerance, POTS, and vasovagal syncope in children
Symptoms of dizziness, lightheadedness, syncope, nausea, fatigue, and headaches are quite common in children and adolescents. Pediatricians often face the challenge of using symptoms and more objectiv...
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Stephen R. Daniels
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A2
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Resuscitation of extremely low birth weight infants
As medical care has advanced, the ability to resuscitate infants with gestational ages of 23-30 weeks and birth weight 400-1000 g has improved. However, outcomes for infants in this category are quite...
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Stephen R. Daniels
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A2
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Pain crises in children with sickle cell anemia
Sickle cell anemia (SCA) illustrates some of the challenges of keeping current with the management of a chronic illness. As improvements in standard care are incorporated into practice, one needs to p...
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Thomas R. Welch
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A3
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Chest pain: a sign of psychiatric disorder?
Chest pain is a common and sometimes vexing complaint in children and adolescents. It is well-recognized that most chest pain in the pediatric population is unrelated to heart disease, but does this m...
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Stephen R. Daniels
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A3
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Reassuring follow up of girls with precocious adrenarche
The growth pattern, pubertal course, and adult height are reported for 85 girls born with appropriate size for gestational age who were referred to Schneider Children's Medical Center of Israel betwee...
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Sarah S. Long
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A3
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Methylxanthine for apnea of prematurity
Over the years, multiple interventions have been used to treat apnea of prematurity – ranging from increased oxygen exposures to physical stimulation to pharmacologic interventions. The group in Winni...
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Alan H. Jobe
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A4
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Differentiating PANDAS and non-PANDAS disorders
Not unlike autism spectrum disorder (ASD), more cases of obsessive-compulsive disorder (OCD) and/or tic disorders are being diagnosed in prepubertal children. Also, not unlike ASD, the cause of most c...
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Sarah S. Long
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A4
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Table of Contents
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A5-A8
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Masthead
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A9
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Information for Readers
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A10
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| Notes from the Association of Medical School Pediatric Department Chairs, Inc. |
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Community Health and Advocacy Training in Pediatrics: Using Asset-Based Community Development for Sustainability
Pediatricians play a critical role in promoting the health of all children, and community health and child advocacy experiences are now a required component of pediatric residency training. Since the ...
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Su-Ting T. Li,
Elizabeth M. Sterba,
Elizabeth Miller,
Richard J. Pan,
Albina Gogo,
Anthony F. Philipps
et al.
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183-184.e1
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| Editorials |
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Use of Fresh Frozen Plasma in Children
10 October 2011
This issue of The Journal includes two articles that examine the use of fresh frozen plasma (FFP). At first glance, the authors appear to have differing views as to the benefits and overall utilizatio...
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Kenneth S. Azarow
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185-186
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Interinstitutional Variability in Home Care Interventions after Neonatal Intensive Care Unit Discharge
03 November 2011
Home O2 therapy in preterm infants with bronchopulmonary dysplasia (BPD) may facilitate early discharge from the neonatal intensive care unit (NICU), but creates additional stressors for families. No ...
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Nicole R. Dobson,
Carl E. Hunt
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187-188
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Hip Ultrasounds: Where do We Go from Here?
15 November 2011
In this issue of The Journal, von Kries et al have addressed one of the more controversial questions in the care of pediatric orthopedic patients. Many have attempted to balance the value of early det...
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Junichi Tamai
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189-190
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The Last Mile: Taking the Final Steps in Preventing Pediatric Pharmaceutical Poisonings
07 November 2011
The dramatic reduction in pediatric deaths from unintentional poisonings in the last half of the 20th century is a model of the successful application of injury prevention theory and practice. The inc...
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Daniel S. Budnitz,
Maribeth C. Lovegrove
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190-192
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| Commentary |
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Over-Prescription of Acid-Suppressing Medications in Infants: How It Came About, Why It’s Wrong, and What to Do About It
24 October 2011
It has been almost 20 years since proton pump inhibitors (PPIs) were initially shown to be effective, safe, and well-tolerated for the short-term treatment of gastroesophageal reflux disease (GERD) in...
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Eric Hassall
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193-198
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50 Years Ago in The Journal of Pediatrics: Serum Amino Acid Nitrogen in Infancy and Childhood
Andrews BF, Bruton OC, de Barre L. J Pediatr 1962;60:201-5
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William W. Hay,
Laura D. Brown
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198
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Calciferol Deficiency Mimicking Abusive Fractures in Infants: Is There Any Evidence?
13 October 2011
The history of calciferol∗ metabolism and biochemistry is tightly intertwined with that of American pediatrics. Rickets was a widespread affliction of children in urban areas in the 19th and early 20t...
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Ann S. Botash,
Irene N. Sills,
Thomas R. Welch
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199-203
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50 Years Ago in The Journal of Pediatrics: A Correlation of Clinical, Electroencephalographic, and Roentgenographic Findings in Children with Epilepsy
Lundervold A, Jabbour JT. J Pediatr 1962;60:220-3
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Jane MacLean,
Paul Graham Fisher
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203
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| Original Articles |
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Article Title |
Author(s) |
Pages |
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Coagulopathy is Prevalent and Associated with Adverse Outcomes in Transfused Pediatric Trauma Patients
20 September 2011
Objective: To evaluate coagulopathy in pediatric trauma patients on presentation to the emergency department, and to quantify the relationship with mortality. Study design: Pediatric trauma patients r...
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Jeanne E. Hendrickson,
Beth H. Shaz,
Greg Pereira,
Elizabeth Atkins,
Karen K. Johnson,
Gaobin Bao,
Kirk A. Easley,
Cassandra D. Josephson
et al.
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204-209.e3
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Widespread Use of Fresh Frozen Plasma in US Children’s Hospitals Despite Limited Evidence Demonstrating a Beneficial Effect
16 September 2011
Objectives: To determine the pattern, prevalence and potential complications of fresh frozen plasma (FFP) use in US pediatric hospitals from 2002-2009. Study design: Retrospective cohort study using t...
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John Puetz,
Char Witmer,
Yuan-Shung V. Huang,
Leslie Raffini
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210-215.e1
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Health Care Utilization from Prevalent Medical Conditions in Normal-Weight, Overweight, and Obese Children
01 September 2011
Objective: To explore the commonly recorded diagnoses in overweight and obese children presenting to a clinical care setting compared with their normal-weight peers. Study design: This was a cross-sec...
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Sara F.L. Kirk,
Stefan Kuhle,
Arto Ohinmaa,
Ian Colman,
Paul J. Veugelers
et al.
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216-221.e1
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50 Years Ago in The Journal of Pediatrics: The Significance of Atypical Mononuclear Leukocytes
Vaughan J, Greenberg SD. J Pediatr 1962;60:177-82
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Sarah S. Long
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221
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Postural Tachycardia in Children and Adolescents: What is Abnormal?
13 October 2011
Objectives: To evaluate whether the use of adult heart rate (HR) criteria is appropriate for diagnosing orthostatic intolerance (OI) and postural tachycardia syndrome (POTS) in children and adolescent...
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Wolfgang Singer,
David M. Sletten,
Tonette L. Opfer-Gehrking,
Chad K. Brands,
Philip R. Fischer,
Phillip A. Low
et al.
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222-226
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Plasma Hydrogen Sulfide in Differential Diagnosis between Vasovagal Syncope and Postural Orthostatic Tachycardia Syndrome in Children
16 September 2011
Objective: To explore the predictive value of plasma hydrogen sulfide (H2S) in differentiating between vasovagal syncope (VVS) and postural orthostatic tachycardia syndrome (POTS) in children. Study d...
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Fengwen Zhang,
Xueying Li,
Chen Stella,
Li Chen,
Ying Liao,
Chaoshu Tang,
Hongfang Jin,
Junbao Du
et al.
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227-231
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Clinical Predictors and Institutional Variation in Home Oxygen Use in Preterm Infants
29 September 2011
Objective: To assess home oxygen use in preterm infants, identify risk factors predicting home oxygen use, and quantify the extent of institutional variation in home oxygen use across neonatal intensi...
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Joanne Lagatta,
Reese Clark,
Alan Spitzer
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232-238
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Outcome of Extremely Low Birth Weight Infants Who Received Delivery Room Cardiopulmonary Resuscitation
20 September 2011
Objective: To determine whether delivery room cardiopulmonary resuscitation (DR-CPR) independently predicts morbidities and neurodevelopmental impairment (NDI) in extremely low birth weight infants. S...
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Myra H. Wyckoff,
Walid A. Salhab,
Roy J. Heyne,
Douglas E. Kendrick,
Barbara J. Stoll,
Abbot R. Laptook,
National Institute of Child Health and Human Development Neonatal Research Network
et al.
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239-244.e2
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Inhaled Nitric Oxide Therapy Increases Blood Nitrite, Nitrate, and S-Nitrosohemoglobin Concentrations in Infants with Pulmonary Hypertension
12 September 2011
Objective: To measure the circulating concentrations of nitric oxide (NO) adducts with NO bioactivity after inhaled NO (iNO) therapy in infants with pulmonary hypertension. Study design: In this singl...
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Yomna I. Ibrahim,
Janet R. Ninnis,
Andrew O. Hopper,
Douglas D. Deming,
Amy X. Zhang,
Jason L. Herring,
Lawrence C. Sowers,
Timothy J. McMahon,
Gordon G. Power,
Arlin B. Blood
et al.
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245-251
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CO2 Inhalation as a Treatment for Apnea of Prematurity: A Randomized Double-Blind Controlled Trial
12 September 2011
Objective: To compare the effect of prolonged inhalation of a low concentration of CO2 with theophylline for the treatment of apnea of prematurity. Study design: Prospective, randomized, double-blind ...
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Ruben E. Alvaro,
Mohammad Khalil,
Mansour Qurashi,
Saif Al-Saif,
Abdulrahman Al-Matary,
Aaron Chiu,
John Minski,
Juri Manfreda,
Kim Kwiatkowski,
Don Cates,
Henrique Rigatto
et al.
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252-257.e1
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Unbound Bilirubin does not Increase during Ibuprofen Treatment of Patent Ductus Arteriosus in Preterm Infants
29 August 2011
Objective: To determine whether ibuprofen displaces bilirubin from albumin in preterm infants. Study design: A total of 34 preterm neonates (<32 weeks gestation) treated by ibuprofen (10-5-5 mg/kg)...
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Luc Desfrere,
Celine Thibaut,
Yves Kibleur,
Alexandre Barbier,
Cecile Bordarier,
Guy Moriette
et al.
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258-264.e1
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The Growing Impact of Pediatric Pharmaceutical Poisoning
16 September 2011
Objective: To understand which medications, under which circumstances, are responsible for the noted increase in pediatric medication poisonings, resource use, and morbidity. Study design: Patient rec...
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G. Randall Bond,
Randall W. Woodward,
Mona Ho
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265-270.e1
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General Ultrasound Screening Reduces the Rate of First Operative Procedures for Developmental Dysplasia of the Hip: A Case-Control Study
29 September 2011
Objectives: To assess the effectiveness of general ultrasound screening to prevent first operative procedures of the hip. Study design: We conducted a case-control study in a population in which gener...
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Rüdiger von Kries,
Nicola Ihme,
Lutz Altenhofen,
Fritz Uwe Niethard,
Rüdiger Krauspe,
Simon Rückinger
et al.
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271-275
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Carotid Intima-Media Thickness at 7 Years of Age: Relationship to C-Reactive Protein Rather than Adiposity
29 August 2011
Objective: According to the concept of adipose tissue expandability, the vascular complications of obesity are related less to the amount of stored fat than to the low-grade inflammation that excess f...
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Inés Osiniri,
Carmen Sitjar,
Pilar Soriano-Rodríguez,
Anna Prats-Puig,
Cristina Casas-Satre,
Lluís Mayol,
Francis de Zegher,
Lourdes Ibánez,
Judit Bassols,
Abel López-Bermejo
et al.
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276-280.e1
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50 Years Ago in The Journal of Pediatrics: The Central Nervous System Manifestations of Leukemia: A Report of 6 Cases with Meningeal Involvement
Steffey JM. J Pediatr 1962;60:183-90
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Paul Graham Fisher
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280
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Effects of Chronic Transfusions on Abdominal Sonographic Abnormalities in Children with Sickle Cell Anemia
12 September 2011
Objective: To assess the effects of chronic erythrocyte transfusions on prevalence of sonographic incidence of organ damage in children with sickle cell anemia (SCA). Study design: Children (N=148; me...
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Mary Beth McCarville,
Zora R. Rogers,
Sharada Sarnaik,
Paul Scott,
Banu Aygun,
Lee Hilliard,
Margaret T. Lee,
Karen Kalinyak,
William Owen,
Julian Garro,
William Schultz,
Nancy Yovetich,
Russell E. Ware,
SWiTCH Investigators
et al.
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281-285.e1
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Markers of Severe Vaso-Occlusive Painful Episode Frequency in Children and Adolescents with Sickle Cell Anemia
05 September 2011
Objective: To identify factors associated with frequent severe vaso-occlusive pain crises in a contemporary pediatric cohort of patients with sickle cell anemia (SCA) enrolled in a prospective study o...
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Deepika S. Darbari,
Onyinye Onyekwere,
Mehdi Nouraie,
Caterina P. Minniti,
Lori Luchtman-Jones,
Sohail Rana,
Craig Sable,
Gregory Ensing,
Niti Dham,
Andrew Campbell,
Manuel Arteta,
Mark T. Gladwin,
Oswaldo Castro,
James G. Taylor,
Gregory J. Kato,
Victor Gordeuk
et al.
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286-290
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Seizures in Acute Childhood Stroke
12 September 2011
Objectives: To describe the risk of seizures in children with acute stroke and identify factors predicting their later risk of epilepsy. Study design: Data for patients >3.5 years of age at a terti...
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Rani K. Singh,
Nassim Zecavati,
Jarnail Singh,
Himanshu Kaulas,
Karin B. Nelson,
Nathan P. Dean,
William D. Gaillard,
Jessica Carpenter
et al.
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291-296
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Disease Activity, Proteinuria, and Vitamin D Status in Children with Systemic Lupus Erythematosus and Juvenile Dermatomyositis
19 September 2011
Objective: To evaluate relationships among vitamin D, proteinuria, and disease activity in pediatric systemic lupus erythematosus (SLE) and juvenile dermatomyositis (JDM). Study design: Multiple linea...
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Angela Byun Robinson,
Myrtle Thierry-Palmer,
Keisha L. Gibson,
Consuelo Egla Rabinovich
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297-302
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Clinical Features and Outcome of Cogan Syndrome
16 September 2011
Objective: To review the clinical features of Cogan syndrome, a rare vasculitis characterized by systemic, ocular, and audiovestibular symptoms. Study design: Clinical records of patients with Cogan s...
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Ilaria Pagnini,
Maria Elisabetta Zannin,
Fabio Vittadello,
Marianna Sari,
Gabriele Simonini,
Rolando Cimaz,
Francesco Zulian
et al.
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303-307.e1
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Interrelationship of Extent of Precocious Adrenarche in Appropriate for Gestational Age Girls with Clinical Outcome
12 September 2011
Objective: To assess the interrelationship between extent of adrenarche at presentation in girls with precocious adrenarche (PA) born appropriate for gestational age and their growth pattern, pubertal...
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Tal Oron,
Yael Lebenthal,
Liat de Vries,
Michal Yackobovitch-Gavan,
Moshe Phillip,
Liora Lazar
et al.
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308-313
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Clinical Factors Associated with Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections
26 August 2011
Objective: To explore associated clinical factors in children with pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS). Study design: Children with tics, ...
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Tanya K. Murphy,
Eric A. Storch,
Adam B. Lewin,
Paula J. Edge,
Wayne K. Goodman
et al.
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314-319
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Psychiatric Disorders in Youth with Medically Unexplained Chest Pain versus Innocent Heart Murmur
25 August 2011
Objective: To examine the prevalence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition psychiatric disorders in youth with chest pain compared with a control sample with innocen...
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Joshua D. Lipsitz,
Daphne T. Hsu,
Howard D. Apfel,
Zvi S. Marans,
Rubin S. Cooper,
Anne Marie Albano,
Merav Gur
et al.
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320-324
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Low Rates of Controller Medication Initiation and Outpatient Follow-Up after Emergency Department Visits for Asthma
01 September 2011
Objective: To determine what proportion of patients who are seen in an emergency department (ED) for asthma receive inhaled corticosteroids or attend follow-up appointments. Study design: This was a r...
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Annie Lintzenich Andrews,
Ronald J. Teufel,
William T. Basco
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325-330
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Physical and Mental Health Disparities among Young Children of Asian Immigrants
12 September 2011
Objective: To examine physical and mental health functioning among Asian-American children of US-born and immigrant parents. Study design: We used data from the Early Childhood Longitudinal Study-Kind...
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Keng-Yen Huang,
Esther Calzada,
Sabrina Cheng,
Laurie Miller Brotman
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331-336.e1
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Dog Bite Prevention: An Assessment of Child Knowledge
01 September 2011
Objectives: To determine what children know about preventing dog bites and to identify parental desires for dog bite prevention education. Study design: This cross-sectional study sampled 5- to 15-yea...
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Cinnamon A. Dixon,
E. Melinda Mahabee-Gittens,
Kimberly W. Hart,
Christopher J. Lindsell
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337-341.e2
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| Clinical and Laboratory Observations |
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Article Title |
Author(s) |
Pages |
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Proton Magnetic Resonance Spectroscopic Images in Preterm Infants with Bilirubin Encephalopathy
03 November 2011
Two preterm infants with athetoid cerebral palsy due to bilirubin encephalopathy were examined by magnetic resonance spectroscopic imaging at age 3 years. An increased glutamate/glutamine complex/crea...
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Atsushi Kamei,
Makoto Sasaki,
Manami Akasaka,
Nami Soga,
Kohsuke Kudo,
Shoichi Chida
et al.
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342-344
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50 Years Ago in The Journal of Pediatrics: The Ototoxic Effects of Kanamycin Sulfate in Infants and Children
Yow M, et al. J Pediatr 1962;60:230-42
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Barbara J. Stoll
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344
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Recombinant Parathyroid Hormone Therapy for Severe Neonatal Hypoparathyroidism
03 November 2011
Hypoparathyroidism-retardation-dysmorphism (HRD) syndrome (OMIM 241410), also known as Sanjad-Sakati syndrome, is a rare autosomal recessive disorder characterized by hypoparathyroidism, growth failur...
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Yoon Hi Cho,
Michel Tchan,
Bithi Roy,
Robert Halliday,
Meredith Wilson,
Shoma Dutt,
Susan Siew,
Craig Munns,
Neville Howard
et al.
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345-348
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50 Years Ago in The Journal of Pediatrics: Foreign Body in the Stomach of a Premature Infant
McCollough WE. J Pediatr 1962;60:277-9
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Christiane Sokollik
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348
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| Rediscovering the Physical Exam |
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Article Title |
Author(s) |
Pages |
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Horner’s Syndrome as Complication of Extracorporeal Membrane Oxygenation in a Neonate
29 September 2011
A term-born baby girl had a perinatal course complicated by meconium aspiration syndrome, pulmonary hemorrhage, and shock. She was placed on extracorporeal membrane oxygenation (ECMO) on day of life 3...
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Partha S. Ghosh,
Shalaka Indulkar
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349-349.e1
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A Rare Cause of Ear Pain in a Young Boy
14 October 2011
A 7-year-old boy presented with a 3-month history of persistent left auricular swelling and pain. He had been previously treated with several rounds of antibiotics with minimal improvement. Subsequent...
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Alyce M. Oliver,
Elizabeth M. Simpson,
Rita S. Jerath
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350
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| Insights |
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Article Title |
Author(s) |
Pages |
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Cardiopulmonary Arrest on Arrival in an Infant due to Ruptured Hepatoblastoma
13 October 2011
Primary tumors of the liver account for approximately 1% of malignancies in children, with an annual incidence of 1.6 cases per million children in the United States. Between 50% and 60% of hepatic tu...
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Akihisa Nitta,
Seito Hisamatsu,
Hironobu Fukuda,
Hidemitsu Kurosawa,
Osamu Arisaka
et al.
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351
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Persistence of Fetal Hemoglobin Expression in an Older Child with Trisomy 13
01 September 2011
A delayed fetal-to-adult hemoglobin switch occurs in infants with trisomy 13. The level of fetal hemoglobin (HbF) has been assessed in very few children with trisomy 13 surviving past infancy. A 4-yea...
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Vijay G. Sankaran,
Mark V. Sapp
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352
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Nasopharyngeal Foreign Body following a Blind Finger Sweep
19 October 2011
A healthy 9-month-old girl playing with her father’s cufflink suddenly developed respiratory distress, coughing, and inconsolable crying. The child’s mother attempted to search her mouth using a blind...
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Aaron Vunda,
Lynda Vandertuin
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353
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| Letters to the Editor |
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Article Title |
Author(s) |
Pages |
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Non–blood group-specific red blood cell transfusions in preterm infants and necrotizing enterocolitis
15 November 2011
We were interested in the report by Blau et al on transfusion-related gut injury (TRAGI) as an etiology for necrotizing enterocolitis (NEC). We hypothesized that TRAGI might be an immune-mediated anti...
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Conall T. Morgan,
Marie Culliton,
Roberta McCarthy,
Eleanor J. Molloy
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354
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Reply
11 November 2011
Like nearly all previous authors, Morgan et al report that patients with transfusion-related acute gut injury (TRAGI) are of lower birth weight and gestational age and develop disease later in life co...
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Jonathan Blau,
Edmund F. La Gamma
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354-355
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Risk factors for medication-induced diabetes mellitus
Amed et al compared risk factors for children with type 2 diabetes mellitus and medication-induced diabetes mellitus. Their conclusion that “there is no consistent risk profile for children” to develo...
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Molly O. Regelmann,
Fenella Greig,
Nanda Kerkar,
Robert Rapaport
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355
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Reply
We thank Regelmann et al for sharing our interest in this subject and posing important clinical research questions related to medication-induced diabetes mellitus. We acknowledge the heterogeneity of ...
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Shazhan Amed,
Heather Dean,
Jill K. Hamilton
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356
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