Developmental and nutritional status of internationally adopted children

Article Abstract:

Internationally adopted children are likely to be poorly nourished, have serious medical problems, and show developmental delays as a result. A group of 129 mostly young children underwent physical exam, laboratory testing, and developmental testing at the International Adoption Clinic in Boston. Seventy percent were assessed within six weeks of arrival in the U.S. and 90% were assessed within 18 weeks. They came from 22 countries with Romania, China, Paraguay, and Korea predominating, and most had lived in deprived environments for months or years. Twenty-eight percent had serious medical problems, including anemia, hepatitis, multiple intestinal parasites, and congenital heart disease. Only half of the group was developmentally normal. The severity of developmental delay was related to the children's nutritional status and medical health.

Food and nutrition, Child development, Children, Adopted, Adopted children

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The effect of health maintenance organization vs commercial insurance status on obstetrical management and outcome

Article Abstract:

Pregnant women and their infants may have different outcomes depending on what type of health insurance they have. Researchers evaluated the care received by 4,000 pregnant women covered by an HMO and 4,000 covered by private commercial insurance. Women covered by an HMO were more likely to receive adequate prenatal care including ultrasound scans compared to the women under the commercial insurance plan. However, women covered by an HMO were more likely to have labor and delivery problems as well as a higher risk of infant distress.

Research, Health insurance, Childbirth, Delivery (Childbirth), Health maintenance organizations, Outcome and process assessment (Health Care), Outcome and process assessment (Medical care)

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Underlying Causes of Recurrent Pneumonia in Children

Article Abstract:

Aspiration of food or liquids is the most common cause of recurrent pneumonia in children, according to a study of 2,952 children hospitalized with pneumonia. Of these, 238 had recurrent pneumonia. Over 90% had some underlying illness predisposing them to pneumonia. In most cases, the underlying illness was diagnosed prior to the development of pneumonia. Other causes included immune disorder, congenital heart defects, asthma, lung defects, gastroesophageal reflux, and sickle cell disease.

Causes of, Pneumonia in children, Childhood pneumonia

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