Young children with older siblings and those who attend day care are at increased risk for infections, which in turn may protect against the development of allergic diseases, including asthma. However, results studies examining relation between exposure to other subsequent asthma have been conflicting.

To determine the excess cost of health care services for three illnesses in formula-fed infants first year life, after adjusting potential confounders.Frequency service utilization (lower respiratory tract illnesses, otitis media, and gastrointestinal illness) life was assessed relation to duration exclusive breastfeeding Tucson Children's Respiratory Study (n = 944) Dundee Community (Scottish study, n 644). Infants both studies were healthy at birth represented nonselected, population-based...

The epidemiology and risk factors for developmental dysplasia of the hip (DDH) are still being refined. We investigated local DDH in order to define incidence, identify factors, refine our policy on selective ultrasound screening.With a cohort study design, data were prospectively recorded all live births region from January 1998 December 2008. compared babies treated with other children. Crude odds ratios (ORs) calculated potential factors. Logistic regression was then used control...

<h3>Objective</h3> To describe trends in the occurrence of common cold during first 13 years life among children who attended different childcare settings early life. <h3>Design</h3> The Tucson Children's Respiratory Study involves 1246 enrolled at birth and followed up prospectively since May 1980 through October 1984. Children with data regarding day care use 3 were included this investigation (n = 991). Parents reported frequent (≥4) colds past year by questionnaire when each child was 2,...

Because of the paucity effective evidence-based therapies for children with recurrent abdominal pain, we evaluated therapeutic effect guided imagery, a well-studied self-regulation technique.22 children, aged 5-18 years, were randomized to learn either breathing exercises alone or imagery progressive muscle relaxation. Both groups had 4-weekly sessions therapist. Children reported numbers days pain intensity, and missed activities due using daily diary collected at baseline during...

Debate currently exists regarding the economic viability for screening developmental dysplasia of hip in infants.A prospective study infant over period 1998-2008 (36,960 live births) was performed to determine treatment complexity and associated costs disease detection hospital treatment, related age at presentation modality. The involved programme utilised universal clinical all infants selective ultrasound at-risk infants.One hundred seventy-nine (4.8/1,000) presented with dysplasia....

Few effective therapies are available for children with recurrent abdominal pain (RAP). Relaxation and guided imagery have been shown to impact the autonomic nervous system, which is altered in patients functional gastrointestinal disorders. Ten RAP were enrolled study after evaluation by a pediatric gastroenterologist. They trained relaxation during 4 weekly 50-minute sessions. Pain diaries completed at 0, 1, 2 months. Children parents also psychological questionnaires enrollment. Although...

<h3>Objective</h3> To evaluate the effectiveness of gun-safety counseling, a brochure, and free gun lock in subsequent removal safe storage. <h3>Methods</h3> In predominantly Hispanic pediatric clinic, gun-owning families were identified assigned to either an intervention group (gun-safety lock) or control (usual anticipatory guidance). Families resurveyed 1 month later for changes proportion owners, frequency unloaded locked storage, use <h3>Results</h3> Two hundred six (7.8%) 2649 parents...

To evaluate the relative impact of 2 types missed opportunities (MOs) for vaccination, acknowledged and unacknowledged, on immunization status children at years age to measure delivery immunizations health care maintenance (HCM) after these MOs.Case-control study.A large multispecialty clinic serving primarily a managed population in Tucson, Ariz.Charts 1165 patients, ages 4 years, were reviewed by age. Of 652 had received all their medical during first life. The 76 patients found be...

Domestic violence affects many women during their lifetime. Children living in homes where they are or have been exposed to at increased risk for adverse outcomes. The American Academy of Pediatrics, the Family Practice, and College Obstetrics/Gynecology recently joined recommending routine screening all families presence domestic violence. We present our experience with an office-based questionnaire.A series four child safety questionnaires (designed parents infant, preschool-age,...

Background: Studies evaluating the efficacy of treatments for recurrent abdominal pain (RAP) in children have used a wide range methods, causing difficulty comparison results.An expert panel on functional gastrointestinal disorders recently made recommendations regarding standardization study methods childhood RAP, but many their remain untested or lack supportive evidence.Methods: During completion pilot and randomized controlled trial baseline data were collected child parent reports...

Objective To describe residency graduates’ perceptions of their preparation for providing pediatric emergency medical care. Methods The design was a cross-sectional survey set in university-affiliated program. Twenty graduates from 1994 and 1995 who did not have an department (ED) rotation (pre-ED group) 24 1998 1999 had ED (post-ED participated the study. main outcome measures were responses regarding various types situations ratings curriculum components usefulness medicine education....

Steiner MJ, DeWalt DA, Byerley JS. Is this child dehydrated? JAMA 2004;291:2746–54. [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] Q In children, what is the accuracy signs, symptoms, and laboratory tests for detecting dehydration? Clinical impact ratings GP/FP/Primary care ★★★★★★☆ GP/FP/Emergency Medicine Emergency (Specialist) Paediatrics ### ![Graphic][5]</img>Data sources: Medline (January 1966 to April 2003), Cochrane Library, reference lists, experts in field....

Resident continuity clinics are an integral and mandated component of the pediatric core curriculum. Hospital-based community-based settings have been traditionally used, with varied success. This article proposes use testing additional site, primary care clinic housed at Children's Clinic for Rehabilitative Services. site provides concomitant continuity, community advocacy experiences children complex chronic conditions. Further study educational efficiency this is warranted.