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Study shows steroids ineffective, possibly harmful in pediatric liver disease

CINCINNATI – A multi-center study concludes that treating infants with high doses of steroids fails to improve medical outcomes in the end-stage pediatric liver disease biliary atresia and leads to earlier onset of serious adverse events.

Study finds large increase in type 1 and 2 diabetes among US youth

In a study that included data from more than three million children and adolescents from diverse geographic regions of the United States, researchers found that the prevalence of both type 1 and type 2 diabetes increased significantly between 2001 and 2009, according to the study in the May 7 issue of JAMA, a theme issue on child health. This issue is being released early to coincide with the Pediatric Academic Societies Annual Meeting.

Genetic, environmental factors may have similar influence on risk of autism

The risk of autism may be influenced equally by genetic and environmental factors; in addition, a sibling of a family member with autism has a much higher risk for the disorder, according to a study in the May 7 issue of JAMA, a theme issue on child health. This issue is being released early to coincide with the Pediatric Academic Societies Annual Meeting.

Low rate of cholesterol testing for children and adolescents

Although some guidelines recommend lipid screening for children and adolescents of certain ages, data indicate that only about 3 percent are having their cholesterol tested during health visits, according to a study in the May 7 issue of JAMA, a theme issue on child health. This issue is being released early to coincide with the Pediatric Academic Societies Annual Meeting.

Study examines effect of receiving Tdap vaccine during pregnancy

A preliminary study finds that receipt of the tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine in the third trimester of pregnancy did not increase the risk of adverse events for the mother or infant, according to a study in the May 7 issue of JAMA, a theme issue on child health. In addition, the authors found high concentrations of pertussis antibodies in infants during the first 2 months of life, a period during which infants are at the highest risk of pertussis-associated illness or death.

Medication does not lower risk of fungal infection, death among ELBW infants

Use of the antifungal medication fluconazole for six weeks for extremely low birth-weight infants did not significantly reduce the risk of death or invasive candidiasis, a serious infection that occurs when candida (a type of fungus) enters the bloodstream and spreads through the body, according to a study in the May 7 issue of JAMA, a theme issue on child health. This issue is being released early to coincide with the Pediatric Academic Societies Annual Meeting.

Outcomes of steroid therapy following surgery for infants with bile duct disorder

Among infants who underwent surgery to repair bile ducts that do not drain properly (biliary atresia), the administration of high-dose steroid therapy following surgery did not significantly improve bile drainage after 6 months, although a small clinical benefit could not be excluded, according to a study in the May 7 issue of JAMA, a theme issue on child health. This issue is being released early to coincide with the Pediatric Academic Societies Annual Meeting.

Environmental factors as important as genes in understanding autism

Environmental factors are more important than previously thought in understanding the causes of autism, and equally as important as genes, according to the largest study to date to look at how autism runs in families.

The study also shows that children with a brother or sister with autism are 10 times more likely to develop autism; 3 times if they have a half-brother or sister; and 2 if they have a cousin with autism, providing much needed information for parents and clinicians for assessing individual risk.

Steroids after surgery do not help infants with rare liver disease

AURORA, Colo. (May 3, 2014) – Infants who received corticosteroids following bile duct surgery to treat a rare liver disease known as biliary atresia experienced no clinical benefit of the medicine and could suffer harm, according to results of a National Institutes of Health-funded clinical trial published May 3 by the Journal of the American Medical Association (JAMA).

Ronald Sokol, MD, professor of pediatrics at the University of Colorado School of Medicine and Children's Hospital Colorado, is the senior author of the JAMA article.

Steroids after surgery do not help infants with rare liver disease

Steroids after surgery do not help infants with rare liver disease

Infants with biliary atresia – a rare liver disease – did not benefit from corticosteroid treatment after bile duct surgery and could face more harm, according to a study funded by the National Institutes of Health. Results were published online May 3 in the Journal of the American Medical Association to coincide with the Pediatric Academic Societies annual meeting.

Despite recommendations for safer sleeping, infant deaths persist

About 4,000 babies die each year from sleep-related deaths involving suffocation and strangulation in beds, despite recommendations by the American Academy of Pediatrics that infants always be placed on their backs to sleep, and that they share a room with parents but not a bed. These findings will be presented at the Pediatric Academic Societies (PAS) Annual Meeting taking place May 3-6, 2014 in Vancouver, BC.

According to the study, these deaths from SIDS or SUID (sudden unexpected infant death) are seen more often among black families.

Poverty threatens long-term health of children

VANCOUVER, BRITISH COLUMBIA – Pediatricians, social scientists, economists and policy experts will come together on Saturday, May 3, to discuss the critical problem that childhood poverty presents in the U.S. – and steps to end poverty.

Supermarket access key ingredient in obesity programs

VANCOUVER, BRITISH COLUMBIA – Living close to a supermarket appears to be a key factor in the success of interventions to help obese children eat better and improve their weight, according to a study to be presented Saturday, May 3, at the Pediatric Academic Societies (PAS) annual meeting in Vancouver, British Columbia, Canada.

Urban neighborhoods and rural towns without access to fresh, healthy and affordable food are known as food deserts. Instead of supermarkets and grocery stores, food deserts sometimes have only fast-food restaurants and convenience stores.

Using substances at school may be cry for help

VANCOUVER, BRITISH COLUMBIA – When teens are caught drinking or using marijuana at school, a trip to the dean's office may not suffice. These students also should be screened for exposure to trauma, mental health problems and other serious health risks, according to a study to be presented Saturday, May 3, at the Pediatric Academic Societies (PAS) annual meeting in Vancouver, British Columbia, Canada.

Researchers found that using substances at school was associated with increased odds of serious problems such as depression, intimate partner violence and attempting suicide.

Many parents don't follow safe infant sleep practices

VANCOUVER, BRITISH COLUMBIA – Each year, 4,000 babies die unexpectedly during sleep time from sudden infant death syndrome, accidental suffocation or unknown causes. To keep infants safe, the American Academy of Pediatrics advises caregivers to put babies to sleep on their backs and avoid sharing a bed, among other practices.

Many families, however, are not following this advice, according to a study to be presented Saturday, May 3, at the Pediatric Academic Societies (PAS) annual meeting in Vancouver, British Columbia, Canada.