Pediatrics

  • A familiar face

    on February 23rd, 2017
    A friend of mine recently fell and sustained a complex wrist fracture. She is more than a month post injury, and her forearm, with all its external hardware, looks like an 11-year-old’s science project gone horribly wrong. As she related the story of her fall, the surgery, and her recovery, she me[...]
  • Spotlight shifts to active treatment for concussions

    on February 23rd, 2017
    The prevailing notion that concussions should be managed solely or primarily with prescribed cognitive and physical rest is shifting. Experts in concussion management are increasingly in agreement that concussion is a much more heterogeneous injury than previously believed, and that “active” app[...]
  • Preterm infants at higher risk of pertussis

    on February 23rd, 2017
    FROM PEDIATRIC INFECTIOUS DISEASE JOURNAL Preterm infants are at greater risk for pertussis than full-term infants, according to a population-based study from the Norwegian Institute of Public Health. Øystein Rolandsen Riise, MD, PhD, of the institute, and his colleagues identified all live births [...]
  • Inactivated hepatitis A vaccine shows promise in 5-year study

    on February 23rd, 2017
    FROM HUMAN VACCINES & IMMUNOTHERAPEUTICS A single dose of an inactivated hepatitis A virus (HAV) vaccine resulted in high seropositive rates and antibody concentrations, persisting for at least 5 years in children, a study has shown. In October 2008, a team of investigators in China led by Zhilu[...]
  • ACIP approves minor changes to pediatric hepatitis B vaccine recommendations

    on February 22nd, 2017
    FROM AN ACIP MEETING Approval to changes of current recommendations for hepatitis B vaccinations for children were voted on by the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP). The 14-member panel voted to approve changes to existing language, wh[...]
  • Well-child care: Steady growth in breadth and content

    on February 22nd, 2017
    Fifty years ago in 1967, the American Academy of Pediatrics published a “Suggested Schedule for Preventive Child Health Care.” It was, in essence, the first periodicity schedule for well-child visits. Described by AAP officials at the time as an “amalgamation of schedules used in various clini[...]
  • Methotrexate prolonged efficacy of steroid injections in oligoarticular JIA

    on February 22nd, 2017
    Oral methotrexate prolonged and slightly boosted the efficacy of intra-articular corticosteroid injections in children with oligoarticular juvenile idiopathic arthritis without causing serious adverse effects, based on the results of a first-in-kind multicenter, randomized, open-label trial. “This[...]
  • Factors may flag kids at high risk for C. difficile recurrence

    on February 22nd, 2017
    FROM THE PEDIATRIC INFECTIOUS DISEASE JOURNAL The identification of risk factors associated with recurrent Clostridium difficile infection (rCDI) might allow early recognition of those children at highest risk, said Dr. Maribeth Nicholson of Vanderbilt University, Nashville, Tenn., and her associate[...]
  • Adverse childhood experiences

    on February 22nd, 2017
    Adverse childhood experiences (ACEs) are the traumatic experiences in a person’s life occurring before the age of 18 years that the person remembers as an adult and that have consequences on a diverse set of outcomes. ACEs include physical abuse, sexual abuse, emotional abuse, mental illness of a [...]
  • Mycobacterium tuberculosis: Overcoming one obstacle on the road to elimination

    on February 22nd, 2017
    March 24 is World TB Day. It was on this date in 1882 that physician Robert Koch announced the discovery of Mycobacterium tuberculosis, the causative agent of tuberculosis. Worldwide, activities are planned to raise awareness of TB and to support initiatives for prevention, better control, and ultim[...]
  • Pregnancy medical home reduces hospital visits, overall costs

    on February 22nd, 2017
    AT THE PREGNANCY MEETING LAS VEGAS (FRONTLINE MEDICAL NEWS) – Women and their newborns who received care through a pregnancy medical home model used the emergency department less and had fewer inpatient stays, resulting in significant cost savings to a state health insurance plan. In the single-ce[...]
  • Gluten-free diets related to high levels of arsenic, mercury

    on February 22nd, 2017
    FROM EPIDEMIOLOGY Individuals who adopt a gluten-free diet are putting themselves at risk for uncommonly high levels of arsenic and mercury, according to the findings of a recent study published in Epidemiology. “Despite [less than] 1% of Americans having diagnosed celiac disease, an estimated 25%[...]
  • Cooperation must overcome polarization

    on February 22nd, 2017
    Each profession has its own core set of knowledge, skills, and values. For physicians, the core set of knowledge is anatomy, pathophysiology, and pharmacology. Skills include taking a history, the physical exam, and surgical procedures. The core values traditionally have been compassion and altruism[...]
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