Marketplace or Medicaid? What to do with kids
March 1st 2014The number of medically uninsured children between 2008 and 2012 dropped to 5.3 million, and the coverage rate rose to 92.8%, according to the US Census Bureau American Community Survey. That might be the good news, but currently 70% of uninsured children are eligible but not enrolled in Medicaid or the Children’s Health Insurance Program (CHIP), says the Urban Institute.
Red, itchy skin lesions triggered by pregnancy
March 1st 2014You are asked to evaluate a healthy 18-year-old girl with a history of “mosquito bites” on her arms and legs that appeared after her first pregnancy 2 years ago. Although not symptomatic, the lesions become redder and more swollen intermittently, particularly when accidentally scratched or rubbed.
Self-injury: Why teens do it, how to help
March 1st 2014Pediatricians are most likely the first clinicians to discover that a teenager is engaging in self-harming behavior, and it’s their evaluation of the context and severity of the self-injury as well as their empathetic relationship with the patient that sets the stage for treatment.
Pregnancy in young girls presents unique risks
February 19th 2014Girls who become pregnant when they are aged younger than 15 years are more likely than slightly older women to have much older sexual partners, to not use contraception the first time they have sex, and to be Hispanic or black, suggesting that they may be particularly vulnerable to relationships with unequal power.
Preterm birth may increase risk for diabetes
February 19th 2014A recent study found the lower the gestational age at birth, the more elevated plasma insulin levels are, not only at birth but in early childhood, too. The finding suggests that preterm birth may be a risk factor for type 2 diabetes mellitus.
Child and adolescent vaccination schedule updated
February 12th 2014The American Academy of Pediatrics, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention, the American Academy of Family Physicians, and the American College of Obstetricians and Gynecologists recently approved the 2014 recommended schedules for childhood and adolescent immunizations.
VIDEO: Toxic Stress in Children: Long-term Effects and Screening Strategies
February 3rd 2014Pediatrician Andrew S. Garner, MD, PhD, describes how children's response to toxic stress stimuli in their environment alters the brain, putting them at risk for a lifetime of adverse health outcomes. Pediatricians, he says, are the natural sentinels to screen and to intervene.
Screening rule differentiates between vasovagal and cardiac syncope
February 1st 2014Screening children and adolescents who experience syncope using characteristics in the history, physical exam, and electrocardiogram (ECG) accurately identifies which patients require further evaluation for cardiac problems, a new study concluded.
Insights into racial differences in vitamin D levels
February 1st 2014Compared with whites, blacks consistently have lower levels of total vitamin D (25-hydroxyvitamin D) and elevated levels of parathyroid hormone (considered a sensitive marker of vitamin D deficiency), often leading to a diagnosis of vitamin D deficiency.
New tool helps monitor asthma symptoms
February 1st 2014The new Asthma Symptom Tracker (AST), which rests on weekly (instead of traditional monthly) use of the Asthma Control Test (ACT), facilitates monitoring of patients’ symptoms and rapid recognition and response to warning signs of deterioration in asthma control, a new study found.