Parents of morbidly obese children face a Hobson’s choice between losing custody of their child for medical neglect and subjecting their child to a regimen of increasingly dangerous interventions to control the child’s weight. The incidence of pediatric obesity has risen in recent years and presents serious lifelong risks to the child if left untreated. Roux-en-Y gastric bypass is the only medi...

BACKGROUND Foreign body aspiration in children is commonly seen in emergency departments and carries a significant mortality. Abusive foreign body suffocation is not well described. METHODS We present a case-series of four infants who presented with aspiration of a baby wipe. RESULTS Each child was found to be a victim of child physical abuse with substantial morbidity and mortality associa...

In this article we present two sets of empirical analyses that consider the extent to which socioeconomic gradients in self-assessed health and child mortality changed since the beginning of the twentieth century in the United States. This empirical issue has important and wide-ranging research and policy implications. In particular, our results speak to the value of considering the role of bro...

Tuberculosis (TB) is a major cause of childhood morbidity and mortality worldwide. The aim of this review is to describe the management of the child with TB and latent tuberculosis infection (LTBI). To develop this article, a working group reviewed relevant epidemiological and other scientific studies and established practices in conducting LBTI and TB in children. The article describes how to ...

This study examines the health status of Pakistani children using two important indicators, morbidity and malnutrition measured by weight-for-age and height-for-age. The demand for medical services has also been determined. The main data source used in this study is the 2000-01 Pakistan Social-Economic Survey (PSES), which provides sufficient information on child health and poverty. Findings of...

This paper reports on a population-based sample survey of 2,289 children aged less than five years (under-five children) conducted in 2000 as a baseline for the Bangladesh component of the Multi-country Evaluation (MCE) of the Integrated Management of Childhood Illness strategy. Of interest were rates and differentials by sex and socioeconomic status for three aspects of child health in rural B...

The period from conception to 24 months of age is a crucial window for nutrition interventions. Personalized maternal counseling may improve childbirth outcomes, growth, and health. We assessed the effectiveness of facility-based personalized maternal nutrition counseling (from pregnancy to 18 months after birth) in improving child growth and health in rural Burkina Faso. We conducted a paired ...