General Pediatrics

General pediatrics
In children with asymptomatic inguinal hernias, longer waiting time for elective surgery is associated with increased risk for incarceration, especially in infants less than one year of age. An observational study found that a wait time that exceeded 14 days from the time of diagnosis was associated with an absolute increase of 7 percent (12 versus 5 percent) in the occurrence of incarceration in infants and children <1 year of age .The American Academy of Pediatrics (AAP) suggests that infant cereals and puréed meats be offered to infants as the initial solid foods rather than puréed fruits and vegetables [59] . Infant cereals and pureed meats provide iron and zinc, which are the nutrients most likely to be deficient in the diets of infants in the United States.Gestation appears to be a critical period for determining obesity predisposition and metabolic outcomes in offspring, a process termed "metabolic programming". A study found a lower prevalence of obesity in children born to women who had gastric bypass surgery than siblings who were born before gastric bypass .Optimal management for acute virus-induced wheezing in preschool children is uncertain. A five-day course of oral prednisolone in hospitalized preschool children with acute mild to moderate virus-induced wheezing did not shorten hospital stay, reduce albuterol use, or improve symptom scores in a multicenter randomized trial .