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The number of kindergartners starting school without protection against vaccine-preventable diseases is increasing in states that allow nonmedical exemptions to recommended immunizations.

Infants born to mothers who receive vitamin D supplementation while pregnant are at reduced risk of being small for gestational age and experience improved growth during infancy, with no increased risk of fetal or neonatal mortality and congenital malformation. These were major findings of a systematic review and meta-analysis of 24 randomized controlled trials involving 5405 participants.

A 33-year-old female, G3P1011, was transferred from an outside facility at 33 weeks and 6 days gestation for anticipated preterm delivery secondary to preeclampsia. On prenatal ultrasound, her fetus was diagnosed with an omphalocele and delivery was preferred at an institution with a neonatal intensive care unit to manage the infant.

Compared with their peers who spend no more than 2 hours each weekday exposed to digital media, school-aged children who are in front of screens for longer are less likely to be doing well overall, according to their parents. Furthermore, how much digital media exposure (DME) a child gets is inversely related, in a dose-dependent manner, to markers of childhood “flourishing.”

An anxious mother brings her healthy 4-month-old daughter for evaluation of itchy pustules on both hands and feet. The eruption has persisted despite 2 courses of permethrin for scabies. The infant also was diagnosed with hand-foot-and-mouth syndrome and dyshidrotic eczema, but neither of these diseases fit clinically.

For Contemporary Pediatrics, Dr Bobby Lazzara discusses a prospective population-based cohort study published in JAMA Pediatrics that examines whether a link exists between early preterm birth and the development of attention-deficit/hyperactivity disorder (ADHD).