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[PMID]:29220558
[Au] Autor:Leclerc J; Rochette L
[Ad] Endereço:Département des sciences infirmières de l'Université du Québec à Trois-Rivières, Québec, Canada.
[Ti] Título:L'utilisation sécuritaire du porte-bébé..
[So] Source:Perspect Infirm;14(3):39-44, 2017 May-Jun.
[Is] ISSN:1708-1890
[Cp] País de publicação:Canada
[La] Idioma:fre
[Mh] Termos MeSH primário: Equipamentos para Lactente/efeitos adversos
[Mh] Termos MeSH secundário: Asfixia/etiologia
Seres Humanos
Lactente
Recém-Nascido
Morte Súbita do Lactente/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE


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[PMID]:28712520
[Au] Autor:Jones AT; Hoffman BD; Gallardo AR; Gilbert TA; Carlson KF
[Ad] Endereço:Department of Pediatrics, School of Medicine, Doernbecher Children's Hospital, Oregon Health and Science University, Portland, OR.
[Ti] Título:Rear-Facing Car Safety Seat Use for Children 18 Months of Age: Prevalence and Determinants.
[So] Source:J Pediatr;189:189-195.e9, 2017 Oct.
[Is] ISSN:1097-6833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To examine the prevalence and potential determinants of rear-facing car safety seat use among children approximately 18 months of age born at a university hospital. STUDY DESIGN: We administered a telephone survey to caregivers of children 17-19 months of age who were born between November 2013 and May 2014. The survey was designed to assess the prevalence of rear-facing car safety seat use and estimate the likelihood of rear-facing car safety seat use, compared with forward-facing car seat use, in reference to hypothesized determinants. aORs and 95% CIs were calculated using multivariable logistic regression. RESULTS: In total, 56% of potentially eligible caregivers (491/877) completed the survey; 62% of these reported rear-facing car safety seat use. Race, education, rurality, and household income were associated with rear-facing car safety seat use after controlling for potential confounders. Additionally, caregivers who reported having discussed car seats with their child's provider (aOR 1.7; 95% CI 1.1-2.6); receiving their child's primary care in pediatrics compared with family practice clinics (aOR 2.4; 95% CI 1.1-2.6); and being aware of the American Academy of Pediatrics rear-facing recommendation (aOR 2.8; 95% CI 1.8-4.1) were significantly more likely to report rear-facing car safety seat use. Conversely, caregivers who previously used a car seat with another child were less likely to have their child rear facing at 18 months of age (aOR 0.6; 95% CI 0.4-0.9). CONCLUSIONS: A large proportion of children were forward facing at 18 months of age. Future efforts focused on encouraging providers to discuss car seats during patient visits, increasing awareness of the American Academy of Pediatrics' rear-facing recommendation, and targeting high-risk populations may improve the prevalence of children who remain rear facing until 2 years of age.
[Mh] Termos MeSH primário: Acidentes de Trânsito/estatística & dados numéricos
Sistemas de Proteção para Crianças/estatística & dados numéricos
Equipamentos para Lactente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Estudos Transversais
Desenho de Equipamento
Feminino
Seres Humanos
Lactente
Masculino
Prevalência
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170718
[St] Status:MEDLINE


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[PMID]:28599744
[Au] Autor:Rholdon R
[Ti] Título:Understanding the Risks Sitting and Carrying Devices Pose to Safe Infant Sleep.
[So] Source:Nurs Womens Health;21(3):225-230, 2017 Jun - Jul.
[Is] ISSN:1751-486X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:There have been various campaigns and recommendations to decrease the incidence of sudden unexpected infant death. Despite this, caregivers continue to place infants in unsafe sleeping environments. These environments, such as sitting devices, slings, carriers, and car seats, pose a significant risk to an infant's safety because of the risk from suffocation and cardiorespiratory instability. It is important for health care providers to understand the appropriate use of car seats, slings, and other sitting devices, to model appropriate behaviors, and to educate parents and caregivers. All parents, hospital staff, and other caregivers should understand the potential dangers associated with the inappropriate use of sitting devices for routine sleep.
[Mh] Termos MeSH primário: Cuidado do Lactente/normas
Pais/educação
Segurança do Paciente/normas
Sono/fisiologia
[Mh] Termos MeSH secundário: Asfixia/fisiopatologia
Asfixia/prevenção & controle
Síndrome de Brugada/prevenção & controle
Educação em Saúde/métodos
Educação em Saúde/normas
Seres Humanos
Lactente
Cuidado do Lactente/instrumentação
Cuidado do Lactente/métodos
Equipamentos para Lactente/normas
Recém-Nascido
Postura/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170611
[St] Status:MEDLINE


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[PMID]:28433876
[Au] Autor:O'Neal CR; Weston L; Brooks-Gunn J; Berlin LJ; Atapattu R
[Ad] Endereço:University of Maryland, College Park, United States. Electronic address: onealc01@umd.edu.
[Ti] Título:Maternal responsivity to infants in the "High Chair" assessment: Longitudinal relations with toddler outcomes in a diverse, low-income sample.
[So] Source:Infant Behav Dev;47:125-137, 2017 05.
[Is] ISSN:1934-8800
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Infant-parent interactions occur across many situations, yet most home-based assessments of parenting behaviors are conducted under conditions of low stress, such as free play. In this study, low-income mothers from the Early Head Start Research and Evaluation Project were observed at home interacting with their 14-month-olds in the mildly stressful "High Chair" assessment (n=1718 dyads). This methodological study tested whether High Chair maternal responsiveness and detachment predicted later toddler cognitive and emotion outcomes, over and above equivalent maternal predictors during free play. High Chair responsiveness and detachment were significant, although modest, predictors of child cognitive and emotion outcomes, over and above maternal responsiveness and detachment during free play; except High Chair responsiveness did not predict the emotion outcome. There were no significant differences between ethnic groups in prediction of outcomes. Results are discussed in terms of the methodological value of assessing parenting behaviors across diverse situations and populations.
[Mh] Termos MeSH primário: Relações Mãe-Filho/psicologia
Mães/psicologia
Poder Familiar/psicologia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Emoções
Feminino
Seres Humanos
Lactente
Equipamentos para Lactente
Estudos Longitudinais
Masculino
Pobreza
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171126
[Lr] Data última revisão:
171126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170424
[St] Status:MEDLINE


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[PMID]:28289137
[Au] Autor:Gaw CE; Chounthirath T; Smith GA
[Ad] Endereço:Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
[Ti] Título:Nursery Product-Related Injuries Treated in United States Emergency Departments.
[So] Source:Pediatrics;139(4), 2017 Apr.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The goal of this study was to determine the epidemiology of injuries associated with nursery products among young children treated in US emergency departments. METHODS: Data from the National Electronic Injury Surveillance System were retrospectively analyzed for patients aged <3 years who sustained an injury associated with a nursery product from 1991 through 2011. RESULTS: An estimated 1 391 844 (95% confidence interval, 1 169 489-1 614 199) nursery product-related injuries among children aged <3 years were treated in US emergency departments during the 21-year study period, averaging 56.29 injuries per 10 000 children. The annual injury rate decreased significantly by 33.9% from 1991 to 2003, followed by a significant increase of 23.7% from 2003 to 2011. The decrease was driven by a significant decline in baby walker/jumper/exerciser-related injuries; the increase was driven by a significant increase in concussions and closed head injuries. Nursery product-related injuries were most commonly associated with baby carriers (19.5%), cribs/mattresses (18.6%), strollers/carriages (16.5%), or baby walkers/jumpers/exercisers (16.2%). The most common mechanism of injury was a self-precipitated fall (80.0%), and the most frequently injured body region was the head or neck (47.1%). CONCLUSIONS: Although successful injury prevention efforts with baby walkers led to a decline in nursery product-related injuries from 1991 to 2003, the number and rate of these injuries have been increasing since 2003. Greater efforts are warranted to prevent injuries associated with other nursery products, especially baby carriers, cribs, and strollers. Prevention of falls and concussions/closed head injuries associated with nursery products also deserves special attention.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência/estatística & dados numéricos
Equipamentos para Lactente/efeitos adversos
Berçários Hospitalares/estatística & dados numéricos
Ferimentos e Lesões/epidemiologia
[Mh] Termos MeSH secundário: Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Estudos Retrospectivos
Estados Unidos
Ferimentos e Lesões/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE


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[PMID]:28253489
[Au] Autor:Kalia AJ
[Ad] Endereço:Department of Orthodontics, M.A. Rangoonwala Dental College, Maharashtra, India. ajit.kalia@rediffmail.com.
[Ti] Título:Treatment of Anterior Open Bite with a Mini-Implant-Supported Tongue Crib.
[So] Source:J Clin Orthod;51(1):37-45, 2017 Jan.
[Is] ISSN:0022-3875
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Mordida Aberta/terapia
Língua
Técnicas de Movimentação Dentária
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Equipamentos para Lactente
Mordida Aberta/cirurgia
Postura
Técnicas de Movimentação Dentária/instrumentação
Técnicas de Movimentação Dentária/métodos
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170609
[Lr] Data última revisão:
170609
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE


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[PMID]:28044049
[Au] Autor:Baddock SA; Tipene-Leach D; Williams SM; Tangiora A; Jones R; Iosua E; Macleod EC; Taylor BJ
[Ad] Endereço:School of Midwifery, Otago Polytechnic, Dunedin, New Zealand; sally.baddock@op.ac.nz.
[Ti] Título:Wahakura Versus Bassinet for Safe Infant Sleep: A Randomized Trial.
[So] Source:Pediatrics;139(2), 2017 Feb.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To compare an indigenous sleep device (wahakura) for infants at high risk for sudden unexpected death with a bassinet, for measures of infant sleep position, head covering, breastfeeding, bed-sharing, and maternal sleep and fatigue. METHODS: A total of 200 mainly Maori pregnant women were recruited from deprived areas of New Zealand. They were randomized to receive a bassinet or wahakura and asked to sleep the infant in this device from birth. Questionnaires at 1, 3, and 6 months and an overnight infrared video in the home at 1 month were completed. RESULTS: An intention-to-treat and an "as-used" analysis of questionnaires showed no group differences at 1, 3, and 6 months in infant-adult direct bed-sharing (7% vs 12%, P = .24 at 1 month), and at the 6-month interview, the wahakura group reported twice the level of full breastfeeding (22.5% vs 10.7%, P = .04). Maternal sleep and fatigue were not significantly different between groups. Video identified no increase in head covering, prone/side sleep position, or bed-sharing in the wahakura group, either from intention-to-treat analysis, or when analyzed for actual sleep location. CONCLUSION: There were no significant differences in infant risk behaviors in wahakura compared with bassinets and there were other advantages, including an increase in sustained breastfeeding. This suggests wahakura are relatively safe and can be promoted as an alternative to infant-adult bed-sharing. Policies that encourage utilization are likely to be helpful in high-risk populations.
[Mh] Termos MeSH primário: Leitos
Equipamentos para Lactente
Sono
Morte Súbita do Lactente/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Aleitamento Materno/estatística & dados numéricos
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Nova Zelândia
Grupo com Ancestrais Oceânicos
Áreas de Pobreza
Gravação em Vídeo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170104
[St] Status:MEDLINE


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[PMID]:27994112
[Au] Autor:Kreth M; Shikany T; Lenker C; Troxler RB
[Ad] Endereço:Department of Pediatrics, Division of Pediatric Pulmonary and Sleep Medicine, University of Alabama at Birmingham, Birmingham, Alabama; and.
[Ti] Título:Safe Sleep Guideline Adherence in Nationwide Marketing of Infant Cribs and Products.
[So] Source:Pediatrics;139(1), 2017 Jan.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sudden infant death syndrome and sleep-related sudden unexpected infant death remain leading causes of infant mortality in the United States despite 4 safe sleep guideline restatements over the previous 24 years. Advertising and retail crib displays often promote infant sleep environments that are counter to the most recent American Academy of Pediatrics (AAP) guidelines. METHODS: Magazine advertisements featuring sleep in parenting magazines from 1992, 2010, and 2015 were reviewed for adherence. Crib displays from nationwide retailers were surveyed for adherence to the latest AAP safe sleep guidelines. The primary outcome was adherence to the guidelines. RESULTS: Of 1758 retail crib displays reviewed, only half adhered to the latest AAP guidelines. The most common reasons for nonadherence were the use of bumper pads and loose bedding. The depiction of infant cribs and sleep products in magazine advertising has become significantly more adherent over time; however, 35% of current advertisements depict nonadherent, unsafe sleep environments. Magazine advertising portraying safe sleep environments revealed racial and ethnic disparities. CONCLUSIONS: Although improvements have been made over time with increased adherence to AAP safe sleep guidelines, significant deficiencies remain. Advertising continues to depict unsafe sleep environments. Crib manufacturers and retail establishments continue to market and sell bedding and sleep products considered unsafe by the AAP in approximately half of retail crib displays. Pediatric and public health care providers should continue educational and advocacy efforts aimed at the public, but should also include retailers, manufacturers, and advertising professionals to foster improved sleep environments for all children.
[Mh] Termos MeSH primário: Segurança de Produtos ao Consumidor/normas
Fidelidade a Diretrizes/estatística & dados numéricos
Fidelidade a Diretrizes/utilização
Equipamentos para Lactente/estatística & dados numéricos
Equipamentos para Lactente/normas
Equipamentos para Lactente/utilização
Marketing/estatística & dados numéricos
[Mh] Termos MeSH secundário: Publicidade Direta ao Consumidor
Feminino
Seres Humanos
Lactente
Cuidado do Lactente/normas
Cuidado do Lactente/utilização
Recém-Nascido
Masculino
Publicações Periódicas como Assunto
Inquéritos e Questionários
Estados Unidos
Revisão da Utilização de Recursos de Saúde/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161221
[St] Status:MEDLINE


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[PMID]:27987535
[Au] Autor:Naranjo M
[Ti] Título:The Safest Car Seat for Your Child.
[So] Source:Consum Rep;82(1):56-8, 2017 01.
[Is] ISSN:0010-7174
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Our crash tests reveal the benefit of moving children to a convertible seat sooner than previously recommended.
[Mh] Termos MeSH primário: Sistemas de Proteção para Crianças
Segurança de Equipamentos
[Mh] Termos MeSH secundário: Acidentes de Trânsito
Pré-Escolar
Seres Humanos
Lactente
Equipamentos para Lactente
Recém-Nascido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170110
[Lr] Data última revisão:
170110
[Sb] Subgrupo de revista:H; T
[Da] Data de entrada para processamento:161219
[St] Status:MEDLINE


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[PMID]:27694399
[Au] Autor:Arya R; Williams G; Kilonback A; Toward M; Griffin M; Blair PS; Fleming P
[Ad] Endereço:Department of Paediatrics, Great Western Hospitals NHS Foundation Trust, Swindon, UK.
[Ti] Título:Is the infant car seat challenge useful? A pilot study in a simulated moving vehicle.
[So] Source:Arch Dis Child Fetal Neonatal Ed;102(2):F136-F141, 2017 Mar.
[Is] ISSN:1468-2052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVE: The American Academy of Pediatrics recommends that preterm infants complete a predischarge 'car seat challenge' observation for cardiorespiratory compromise while in a car seat. This static challenge does not consider the more upright position in a car or the vibration of the seat when the car is moving. This pilot study was designed to assess the cardiorespiratory effects of vibration, mimicking the effect of being in a moving car, on preterm and term infants. METHODS: A simulator was designed to reproduce vertical vibration similar to that in a rear-facing car seat at 30 mph. 19 healthy newborn term and 21 preterm infants, ready for hospital discharge, underwent cardiorespiratory measurements while lying flat in a cot (baseline), static in the seat (30°), simulator (40°) and during motion (vibration 40°). RESULTS: Median test age was 13 days (range 1-65 days) and median weight was 2.5 kg (IQR: 2.1-3.1 kg).Compared with baseline observations, only the total number of desaturations was significantly increased when infants were placed at 30° (p=0.03). At 40°, or with vibration, respiratory and heart rates increased and oxygen saturation decreased significantly. Profound desaturations <85% significantly increased during motion, regardless of gestational age. CONCLUSIONS: This is the first study to assess the effect of motion on infants seated in a car safety seat. Term and preterm infants showed significant signs of potentially adverse cardiorespiratory effects in the upright position at 40°, particularly with simulated motion, not identified in the standard challenge. A larger study is required to investigate the significance of these results.
[Mh] Termos MeSH primário: Aptidão Cardiorrespiratória
Sistemas de Proteção para Crianças
Frequência Cardíaca/fisiologia
Equipamentos para Lactente
Movimento (Física)
Taxa Respiratória/fisiologia
[Mh] Termos MeSH secundário: Feminino
Coração/fisiologia
Seres Humanos
Lactente
Recém-Nascido
Recém-Nascido Prematuro
Pulmão/fisiologia
Masculino
Veículos Automotores
Oximetria/métodos
Alta do Paciente
Projetos Piloto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170420
[Lr] Data última revisão:
170420
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161004
[St] Status:MEDLINE
[do] DOI:10.1136/archdischild-2016-310730



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