Rethinking how anaphylaxis presents
August 28th 2019Dr. Todd A. Mahr, president of the American College of Allergy, Asthma, and Immunology, discusses anaphylaxis and when to have your patient seek specialty care. Anaphylaxis is typically thought of as severe, acute and visibly evident. However, as Dr. Mahr points out, anaphylaxis can present differently in infants and young children.
48 minutes of extra sleep can improve academic engagement
August 27th 2019The start of a new school year brings back to the forefront the issue of school start times. In spite of a policy statement from the American Academy of Pediatrics recommending that high schools begin no earlier than 8:30 AM, many middle and high schools still start much earlier than the recommendation. However, the Cherry Creek School District in Colorado decided to run an experiment with later start times.
What should practices do about the completely unvaccinated child?
August 27th 2019The number of completely unvaccinated children may not be large, but they pose a challenge to the pediatric practice. A recent C.S. Mott Children’s Hospital National Poll on Children’s Health asked a sample of parents how their child’s primary care office deals with children who are completely unvaccinated and how they believe primary care offices should tackle the issue.
How coaching could reduce burnout
August 22nd 2019It’s one of the biggest problems facing the medical field and has an economic impact of roughly $4.6 billion each year. However, tackling physician burnout can feel like a gargantuan task. A recent study examines whether coaching can help tackle the task.
Autistic spectrum disorder: Challenges in the medical home
August 22nd 2019'Building a medical home for children with autism' describes the importance of establishing a medical home in a pediatric office for children with a diagnosis of autistic spectrum disorder (ASD) and discusses five major management strategies for the successful management of children in the medical home.
Sudden neutropenia and emesis in an SGA infant
August 21st 2019A 24-year-old G2P1001 African American female at 38.2 weeks of gestation was induced for labor for a fetus with prenatally diagnosed intrauterine growth restriction (IUGR). She subsequently delivered via normal spontaneous delivery. The infant initially latched well at the breast, was normoglycemic and normothermic, but shortly after birth had had a significant episode of blood-tinged emesis (not deemed to be swallowed maternal blood) and was transferred to the transitional nursery for further evaluation.
Thyroid disorders: Manifestations, evaluation, and management in children and adolescents
August 15th 2019Thyroid disorders present with overt symptoms or insidiously with few signs of disease. Here’s how pediatricians can identify and effectively treat children with thyroid disease or refer patients for further evaluation.
Oil and gas wells linked to increase of CHD in infants
August 14th 2019Environmental issues have long had myriad impacts on fetal and child development. A recent study suggests that expectant mothers living near oil and gas wells may be more likely to give birth to an infant with congenital heart defects (CHD).
“The talk” is an effective way to promote safe sex in teens
August 13th 2019Could encouraging parents and teenagers to discuss sex lead to the teenager practicing safe sex in the future? A recent meta-analysis examines the effectiveness of “the talk” on delaying sexual initiation and future safe sexual practices
Epinephrine autoinjectors for anaphylaxis
August 9th 2019Epinephrine is essential for treating anaphylaxis in children, and autoinjectors are the preferred method for administering epinephrine in an anaphylactic emergency. There is no one-size-fits-all approach to the optimal dose for all children, so here is expert advice about how to choose what’s best for your patient.
Longer maternity leave leads to better breastfeeding outcomes
August 8th 2019Encouraging exclusive breastfeeding is one key elements to giving infants a good start. Unfortunately, some mothers aren’t able to maintain exclusive breastfeeding once they go back to work. A new study looks at whether extending maternity leave could improve exclusive breastfeeding rates.