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Pediatrics Digest

机译:儿科文摘

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Medications used to treat gastroesophageal reflux disease (GERD) are some of the most widely used medications in children younger than 1 year. There are strong indications that GERD is overdiagnosed and overtreated.The factors that drive overtreatment of GERD are not well understood, but it has been proposed that the use of the GERD disease label could perpetuate use of medication. In this study we find evidence for this possibility.The incidence of childhood and adolescent melanoma has been significantly increasing up to 2004. Risk factors (fair skin, light-colored hair/eyes, female gender, presence of nevi, family history, increased number of sunburns, and exposure to UV radiation) are associated with melanoma.This study describes incidence trends of melanoma diagnosed between the ages of 0 and 19 years and from 1973 through 2009 by gender, stage and age at diagnosis, primary site, and exposure to UV radiation.Infant and neonatal mortality rates in the United States decreased markedly during the twentieth century but have not decreased notably during recent years. There has been an increase in preterm and low birth weight births in recent years.The lack of decrease in infant and neonatal mortality rates in recent years is due in large part to the increasing proportion of preterm and low birth weight infants, particularly infants 500 g.Forgoing artificial nutrition and hydration in children at the end of life is an acceptable practice under some circumstances. However, there is a paucity of pediatric evidence to guide health care providers’ and parents’ decision-making around this practice.This study describes experiences of parents whose children died after forgoing artificial nutrition and hydration. All parents were satisfied with their decision and believed their child’s death was peaceful. This study adds to the limited evidence to guide clinical practice.Prompt, high-quality diagnosis of acute pyelonephritis …
机译:用于治疗胃食管反流病(GERD)的药物是1岁以下儿童中使用最广泛的药物。有强烈的迹象表明对GERD进行了过度诊断和过度治疗。对导致GERD过度治疗的因素尚不十分了解,但有人提出,使用GERD疾病标签可以使药物永久使用。在这项研究中,我们找到了可能的证据。截止到2004年,儿童和青少年黑色素瘤的发病率一直在显着增加。危险因素(白皙的皮肤,浅色的头发/眼睛,女性,痣,存在家族史,数量增加)这项研究描述了按性别,诊断时的年龄和年龄,原发部位以及暴露于黑色素瘤的黑素瘤的发病趋势。该研究描述了0到19岁之间以及从1973年到2009年诊断为黑色素瘤的发病趋势。紫外线辐射。在20世纪,美国的婴儿和新生儿死亡率显着下降,但近年来却没有显着下降。近年来早产和低出生体重的婴儿有所增加。近年来,婴儿和新生儿死亡率的下降缺乏下降,在很大程度上是由于早产和低出生体重的婴儿,尤其是500岁以下婴儿的比例增加g。在某些情况下,在生命的尽头放弃儿童的人工营养和补水是可以接受的做法。但是,很少有儿科证据可以指导卫生保健提供者和父母围绕这种做法做出决策。这项研究描述了父母在放弃人工营养和补水后死亡的父母的经历。所有父母都对他们的决定感到满意,并认为孩子的死是和平的。该研究增加了指导临床实践的有限证据。对急性肾盂肾炎的及时,高质量的诊断……

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