Detection of congenital cataracts and other ocular media opacities.

Abstract:

:Congenital cataracts and other ocular media opacities are a leading cause of preventable childhood blindness. Because of the importance of early recognition and treatment of congenital media opacities in newborn infants, we designed a study to determine the ability of relatively inexperienced examiners to detect such ocular abnormalities with either of two instruments. Eight third-year medical students examined eight children and young adults with ocular media opacities and eight age-matched normal subjects with an ophthalmoscope or a retinoscope. With respect to detection of abnormalities requiring referral to an ophthalmologist, there was an underreferral rate of 7% and overreferral rate of 5%. There was no significant difference between instruments. Based on an estimated incidence of congenital cataracts of 0.4%, the positive predictive value of this screening in the population of newborn infants is 18.7% and the negative predictive value is 99.96%. Therefore, overreferral is unavoidable in the effort to detect infants with congenital media opacities. We conclude that this examination can be easily taught and accurately performed with the readily available ophthalmoscope. The importance and technique of examining the red reflex should be stressed in the training of those caring for newborns.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Ruttum MS,Nelson DB,Wamser MJ,Balliff M

subject

Has Abstract

pub_date

1987-05-01 00:00:00

pages

814-7

issue

5

eissn

0031-4005

issn

1098-4275

journal_volume

79

pub_type

杂志文章
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    abstract:OBJECTIVE:This study compared the prevalence of psychopathological conditions in children with heavy prenatal alcohol exposure (N = 39) and nonexposed, typically developing peers (N = 30), matched with respect to age, gender, and socioeconomic status. METHODS:Caregivers were interviewed with either the Kiddie Schedule...

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    pub_type: 杂志文章

    doi:10.1542/peds.2006-1606

    authors: Fryer SL,McGee CL,Matt GE,Riley EP,Mattson SN

    更新日期:2007-03-01 00:00:00

  • Prone and supine positioning effects on energy expenditure and behavior of low birth weight neonates.

    abstract::The effect of body position (supine v prone) on energy expenditure and behavior of 42 healthy low birth weight (920 to 1,760 g) infants was evaluated in 66 studies. Each infant was randomly assigned to the supine or prone position for the first three-hour epoch; the position was reversed for the second three-hour epoc...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Masterson J,Zucker C,Schulze K

    更新日期:1987-11-01 00:00:00

  • Early violent death among delinquent youth: a prospective longitudinal study.

    abstract:OBJECTIVE:Youth processed in the juvenile justice system are at great risk for early violent death. Groups at greatest risk, ie, racial/ethnic minorities, male youth, and urban youth, are overrepresented in the juvenile justice system. We compared mortality rates for delinquent youth with those for the general populati...

    journal_title:Pediatrics

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    doi:10.1542/peds.2004-1459

    authors: Teplin LA,McClelland GM,Abram KM,Mileusnic D

    更新日期:2005-06-01 00:00:00

  • Lack of pediatric drug formulations.

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    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Nahata MC

    更新日期:1999-09-01 00:00:00

  • Economic evaluation of the US Environmental Protection Agency's SunWise program: sun protection education for young children.

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    doi:10.1542/peds.2007-1400

    authors: Kyle JW,Hammitt JK,Lim HW,Geller AC,Hall-Jordan LH,Maibach EW,De Fabo EC,Wagner MC

    更新日期:2008-05-01 00:00:00

  • The associations of suicide attempts in adolescents.

    abstract:OBJECTIVE:Suicide completion has increased in the United States among 15- to 24-year-olds from 4.5 per 100 000 (1950) to 13.2 per 100 000 (1990). Suicide attempts have been found to be associated with depression, substance use, overall number of life stressors, gender, and impulsive behaviors. We hypothesized that suic...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.99.6.791

    authors: Woods ER,Lin YG,Middleman A,Beckford P,Chase L,DuRant RH

    更新日期:1997-06-01 00:00:00

  • Please Test My Child for a Cancer Gene, but Don't Tell Her.

    abstract::A 38-year-old woman is diagnosed with Li-Fraumeni syndrome, an autosomal dominant genetic condition that predisposes to a variety of cancers. The woman has an 11-year-old daughter. The geneticist recommends that the child be tested for the Li-Fraumeni genetic variant. The mother is concerned about the impact of testin...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-2238

    authors: Bester J,Sabatello M,van Karnebeek CDM,Lantos JD

    更新日期:2018-04-01 00:00:00

  • Efficacy of bidirectional fiber-optic phototherapy for neonatal hyperbilirubinemia.

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    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.99.5.e13

    authors: Tan KL

    更新日期:1997-05-01 00:00:00

  • Statistical uncertainty of mortality rates and rankings for children's hospitals.

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    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-3074

    authors: Feudtner C,Berry JG,Parry G,Hain P,Morse RB,Slonim AD,Shah SS,Hall M

    更新日期:2011-10-01 00:00:00

  • Late Pregnancy β Blocker Exposure and Risks of Neonatal Hypoglycemia and Bradycardia.

    abstract:BACKGROUND AND OBJECTIVES:β blockers are widely used in the treatment of hypertensive disorders during pregnancy. These medications cross the placenta and may cause physiologic changes in neonates exposed in utero. We sought to define the risks of neonatal hypoglycemia and bradycardia associated with maternal exposure ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2016-0731

    authors: Bateman BT,Patorno E,Desai RJ,Seely EW,Mogun H,Maeda A,Fischer MA,Hernandez-Diaz S,Huybrechts KF

    更新日期:2016-09-01 00:00:00

  • Disaster Preparedness in Neonatal Intensive Care Units.

    abstract::Disasters disproportionally affect vulnerable, technology-dependent people, including preterm and critically ill newborn infants. It is important for health care providers to be aware of and prepared for the potential consequences of disasters for the NICU. Neonatal intensive care personnel can provide specialized exp...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-0507

    authors: Barfield WD,Krug SE,COMMITTEE ON FETUS AND NEWBORN.,DISASTER PREPAREDNESS ADVISORY COUNCIL.

    更新日期:2017-05-01 00:00:00

  • Behavior Problems During Early Childhood in Children With Prenatal Methamphetamine Exposure.

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    doi:10.1542/peds.2019-0270

    authors: Chu EK,Smith LM,Derauf C,Newman E,Neal CR,Arria AM,Huestis MA,DellaGrotta SA,Roberts MB,Dansereau LM,Lester BM

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  • Interfacility transfers of noncritically ill children to academic pediatric emergency departments.

    abstract:OBJECTIVES:We aimed to characterize the demographics, diagnoses, and management of transferred patients who were directly discharged from the emergency department (ED) or admitted less than 24 hours. METHODS:We conducted a retrospective, cross-sectional study of patients classified as interfacility ED transfers over a...

    journal_title:Pediatrics

    pub_type: 杂志文章

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    authors: Li J,Monuteaux MC,Bachur RG

    更新日期:2012-07-01 00:00:00

  • Intrauterine effects of maternal prepregnancy overweight on child cognition and behavior in 2 cohorts.

    abstract:OBJECTIVE:Greater maternal prepregnancy adiposity has been associated with behavioral problems, such as attention-deficit/hyperactivity disorder, and lower intellectual function in offspring. However, few studies of humans have explored this, and it is unclear if intrauterine mechanisms or confounding factors drive the...

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    pub_type: 杂志文章

    doi:10.1542/peds.2010-0651

    authors: Brion MJ,Zeegers M,Jaddoe V,Verhulst F,Tiemeier H,Lawlor DA,Smith GD

    更新日期:2011-01-01 00:00:00

  • Should Neonatologists Give Opinions Withdrawing Life-sustaining Treatment?

    abstract::An infant has a massive intracranial hemorrhage. She is neurologically devastated and ventilator-dependent. The prognosis for pulmonary or neurologic recovery is bleak. The physicians and parents face a choice: withdraw the ventilator and allow her to die or perform a tracheotomy? The parents cling to hope for recover...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2016-2585

    authors: Blumenthal-Barby JS,Loftis L,Cummings CL,Meadow W,Lemmon M,Ubel PA,McCullough L,Rao E,Lantos JD

    更新日期:2016-12-01 00:00:00

  • Errors and correlates in parental recall of child immunizations: effects on vaccination coverage estimates.

    abstract:OBJECTIVE:We evaluated the accuracy of parental recall of children's immunization histories as compared with provider records and examined how errors in parental recall correlate with sociodemographic characteristics. DESIGN:The validation study was part of a population-based household survey designed to assess immuni...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.99.5.e3

    authors: Suarez L,Simpson DM,Smith DR

    更新日期:1997-05-01 00:00:00

  • Treatment of child and adolescent obesity: reports from pediatricians, pediatric nurse practitioners, and registered dietitians.

    abstract:OBJECTIVE:The primary aim of this study was to identify interventions used by pediatric health care providers in treatment of overweight children and adolescents to identify provider educational needs. A secondary aim was to examine the association of certain provider characteristics with recommended evaluation practic...

    journal_title:Pediatrics

    pub_type: 评论,杂志文章

    doi:

    authors: Barlow SE,Trowbridge FL,Klish WJ,Dietz WH

    更新日期:2002-07-01 00:00:00

  • Antibiotic Prophylaxis for Children With Sickle Cell Anemia.

    abstract:BACKGROUND:Children with sickle cell anemia (SCA) are at increased risk for invasive pneumococcal disease; antibiotic prophylaxis significantly reduces this risk. We calculated the proportion of children with SCA who received ≥300 days of antibiotic prophylaxis and identified predictors of such receipt. METHODS:Childr...

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    doi:10.1542/peds.2017-2182

    authors: Reeves SL,Tribble AC,Madden B,Freed GL,Dombkowski KJ

    更新日期:2018-03-01 00:00:00

  • Early-Life Predictors of Fetal Alcohol Spectrum Disorders.

    abstract:BACKGROUND AND OBJECTIVES:Fetal alcohol spectrum disorders (FASD) comprise the continuum of disabilities associated with prenatal alcohol exposure. Although infancy remains the most effective time for initiation of intervention services, current diagnostic schemes demonstrate the greatest confidence, accuracy, and reli...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2018-2141

    authors: Kalberg WO,May PA,Buckley D,Hasken JM,Marais AS,De Vries MM,Bezuidenhout H,Manning MA,Robinson LK,Adam MP,Hoyme DB,Parry CDH,Seedat S,Elliott AJ,Hoyme HE

    更新日期:2019-12-01 00:00:00

  • Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.

    abstract:BACKGROUND:Implementations of computerized physician order entry (CPOE) systems have previously been associated with either an increase or no change in hospital-wide mortality rates of inpatients. Despite widespread enthusiasm for CPOE as a tool to help transform quality and patient safety, no published studies to date...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-3271

    authors: Longhurst CA,Parast L,Sandborg CI,Widen E,Sullivan J,Hahn JS,Dawes CG,Sharek PJ

    更新日期:2010-07-01 00:00:00

  • Alcohol use by youth and adolescents: a pediatric concern.

    abstract::Alcohol use continues to be a major problem from preadolescence through young adulthood in the United States. Results of recent neuroscience research have substantiated the deleterious effects of alcohol on adolescent brain development and added even more evidence to support the call to prevent and reduce underaged dr...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-0438

    authors: Committee on Substance Abuse.,Kokotailo PK

    更新日期:2010-05-01 00:00:00

  • The psychological consequences of Turner syndrome and review of the National Cooperative Growth Study psychological substudy.

    abstract:OBJECTIVE:To present longitudinal data on the psychological profile of a cohort of girls with and without Turner syndrome (TS) treated for 3 years with growth hormone (GH). METHODS:Among a sample of 283 children with short stature, 37 girls with TS were recruited at 27 US medical centers. Of the original cohort, 22 gi...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Siegel PT,Clopper R,Stabler B

    更新日期:1998-08-01 00:00:00

  • Health outcomes of a community-based therapy program for children with cancer--a shared-management approach.

    abstract::Critical to providing cancer therapy to children in rural areas is finding dependable sources of therapy near the patients' homes. In this study, comparison was made of 668 visits by 24 patients to nearby private practitioners, who carried out 70% of the therapy, with 712 visits by 22 other patients for whom all care ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Kisker CT,Strayer F,Wong K,Clarke W,Strauss R,Tannous R,Janco R,Spevak J

    更新日期:1980-12-01 00:00:00

  • Childcare Attendance and Obesity Risk.

    abstract:BACKGROUND AND OBJECTIVES:Several observational studies have revealed that children who receive nonparental childcare are at increased risk of obesity. However, this may be due to unmeasured confounding or selection into different types of childcare. It is not well established whether this association reflects a causal...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2016-1539

    authors: Isong IA,Richmond T,Kawachi I,Avendaño M

    更新日期:2016-11-01 00:00:00

  • A cough algorithm for chronic cough in children: a multicenter, randomized controlled study.

    abstract:OBJECTIVES:The goals of this study were to: (1) determine if management according to a standardized clinical management pathway/algorithm (compared with usual treatment) improves clinical outcomes by 6 weeks; and (2) assess the reliability and validity of a standardized clinical management pathway for chronic cough in ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2012-3318

    authors: Chang AB,Robertson CF,van Asperen PP,Glasgow NJ,Masters IB,Teoh L,Mellis CM,Landau LI,Marchant JM,Morris PS

    更新日期:2013-05-01 00:00:00

  • Psychosocial functioning of children with cystic fibrosis.

    abstract::The adjustment of children with cystic fibrosis as rated by parents and teachers was compared to that of physically healthy siblings, normal children, and other chronically ill children. The findings indicated that children with cystic fibrosis achieved an age-adequate level of adjustment at home and school. Adjustmen...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Drotar D,Doershuk CF,Stern RC,Boat TF,Boyer W,Matthews L

    更新日期:1981-03-01 00:00:00

  • Marriage and the well-being of children.

    abstract::Children's well-being has become the focal consideration in legal and public policy debates regarding same-sex marriage. In this article, we critically examine and rebut the central moral argument made by opponents of same-sex marriage: that the state should not license any domestic arrangement other than "traditional...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2012-2665

    authors: Garrett JR,Lantos JD

    更新日期:2013-03-01 00:00:00

  • SunSafe in the Middle School Years: a community-wide intervention to change early-adolescent sun protection.

    abstract:OBJECTIVE:Rising rates of skin cancer associated with early-life sun exposure make it important to improve adolescent sun-protection practices. Our study objective was to determine if a multicomponent community-wide intervention could alter the decline in sun protection that begins in early adolescence. METHODS:A rand...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2006-1579

    authors: Olson AL,Gaffney C,Starr P,Gibson JJ,Cole BF,Dietrich AJ

    更新日期:2007-01-01 00:00:00

  • Apnea, hypoxemia, and aborted sudden infant death syndrome.

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    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Brady JP,Ariagno RL,Watts JL,Goldman SL,Dumpit FM

    更新日期:1978-11-01 00:00:00

  • Long-term follow-up study of serum immunoglobulin G and immunoglobulin A antibodies after Helicobacter pylori eradication.

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    doi:10.1542/peds.104.2.e22

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    更新日期:1999-08-01 00:00:00