New AAP guidance addresses teens’ risky eating habits
June 25th 2017Goals for NPs caring for children and adolescents with weight problems are early identification and referral to treatment in order to prevent the well-known adverse effects the diagnosis of eating disorders places on the child, adolescent, and family members-and, in time, the overall health of the adult population.
Why do so many kids die so soon following a cancer diagnosis?
June 14th 2017While improvements have been made to childhood cancer mortality rates, a recent research study aims to identify how many children die before being able to start treatment, and what interventions can be put in place to improve their chances.
Does medication really improve outcomes for kids with ADHD? (VIDEO)
June 13th 2017For Contemporary Pediatrics, Dr Bobby Lazzara discusses a controversial UK-based study published in JAMA Pediatrics that examined how well pharmacologic interventions for attention-deficit/hyperactivity disorder (ADHD) help education and health outcomes for impacted kids.
Study compares non–vaccine-preventable illness in vaccinated, unvaccinated children
June 13th 2017A new study found that unvaccinated children suffer more from colds and the flu than their vaccinated peers, with study authors seeking to provide evidence-based data for parents who worry vaccines are too taxing on their child’s immune system.
Making it easier to prevent ear infections in children
June 7th 2017Results of a new study show the feasibility and efficacy of preventing otitis media (OM), and potentially treat OM recurrence, through the simple use of a Band-Aid to deliver a vaccine targeted at one of the most common pathogens responsible for OM.
Novel antimicrobial shows promise for children with AOM
June 7th 2017Children with acute otitis media (AOM) are routinely and successfully treated with antimicrobials, with data showing that the combination of amoxicillin-clavulanate (A/C) to treat AOM in children aged younger than 3 years is associated with more favorable outcomes than placebo.
Families detect errors hospital incident reports miss
June 1st 2017Rates of medical errors yielded by solicited family reporting were 5 times higher than the rates provided by hospital incident reports and the rates of adverse events (AEs) were 3 times higher, a study in 4 pediatric hospitals found. Most hospitals primarily use incident reports to conduct patient safety surveillance.
Choosy mothers choose . . . fruit!
June 1st 2017Since the American Academy of Pediatrics (AAP) published its first recommendations regarding fruit juice 16 years ago, pediatricians have been waving off parents from serving young children apple and other fruit juices in bottles and sippy cups, encouraging water be given instead, because of both caloric and dental caries concerns. Now the AAP has issued a new policy statement that goes further than ever on what constitutes optimal quantities of fruit juice product consumption for children of all ages.
Does residential ‘greenspace’ help asthma control?
June 1st 2017A study in 150 asthmatic children (aged 9 to 17 years) found an interaction between family relationships and residential greenspace, suggesting that children with asthma benefit when they live in high greenspace areas and have positive family relationships.
Gene variants relate to risk of respiratory infections and AOM
June 1st 2017Certain polymorphisms in mannose-binding lectin (MBL) and toll-like receptors (TLRs), genes that have a role in the innate immune system, promote susceptibility to or protection against respiratory and rhinovirus infections and acute otitis media (AOM), according to a study in Finnish infants.
Lactose intolerance: Diagnosis and diet strategies
June 1st 2017Diarrhea, abdominal pain, and flatulence following ingestion of milk or products containing milk are common complaints in pediatric practices. The pediatrician needs to be aware of the management of lactose intolerance to help guide a reasonable workup and plan.
Supplement omega-3 based on weight
June 1st 2017Older, larger children using omega-3 fatty acid supplements as therapy for mood disorders-as well as those taking the supplement for general brain and heart health-may need more of the essential nutrient than smaller children, leading researchers to call for new studies into weight-appropriate dosing.
DHA fails to prevent BPD in preterm infants
June 1st 2017Previous studies conducted in animals and in humans have suggested that DHA might be helpful in reducing the risk of bronchopulmonary dysplasia (BPD). However, the results of a very recent study demonstrated that the supplementation of an emulsion containing DHA did not reduce the risk of preterm infants developing BPD compared with infants who received a control emulsion without DHA.
Developmental dysplasia of the hip
June 1st 2017Developmental dysplasia of the hip (DDH) refers to a spectrum of abnormalities that range in severity from mild instability to frank dislocation. The vast majority of clinical and anatomic hip abnormalities identified in early infancy resolve spontaneously. Left untreated, however, a hip that is persistently unstable and anatomically abnormal can lead to functional limitations, pain, and premature degenerative changes.
Pediatrician compensation: Are you earning enough?
June 1st 2017Readers of Contemporary Pediatrics will be pleased to know that according to Merritt-Hawkins, one of the nation’s leading physician search firms, the average starting salary offered to recruit pediatricians rose from $195,000 in 2015 to $224,000 in 2016, a 15% increase. You may be curious how your current compensation as well as your compensation model compares with that of your colleagues. More importantly, there may be ways for you to earn more-or avoid a painful pay cut if your patient visits are dwindling.
Acute pruritic eruption on a child’s face and hands
June 1st 2017You are asked to evaluate a healthy 9-year-old girl with an itchy rash on her face, neck, and hands for a week. She had a similar eruption 1 month ago that resolved over several days. Although she has a history of poison ivy, her parents knew of no exposure. There was no history of new topical skin products. However, she had begun to eat more seasonal fruits recently, including strawberries, grapes, and mangos.
How one state reduced antipsychotic medications in Medicaid (VIDEO)
May 15th 2017For Contemporary Pediatrics, Dr Bobby Lazzara discusses a report published in the Health Services Research that examined how Washington state reduced the number of antipsychotic prescriptions written for children in the Medicaid system.
Familial link of OM requiring tympanostomy tubes
May 12th 2017A recent study found that there is a significant familial link in otitis media requiring tympanostomy tubes in both close and distant relatives, with shared environments possibly playing a role, given the fivefold increased risk seen in siblings.
Acute otitis media warrants 10 days of antibiotics
May 12th 2017Ear infections remain a top reason for parents to bring their children to the pediatrician-and the top reason for antibiotic prescriptions among pediatric patients. Diagnosis and treatment methods vary, but a new study reveals that a 10-day course of treatment with antibiotics in cases of acute otitis media (AOM) may be the gold standard.
CDC: Most children don’t get full benefit of flu vaccine
May 9th 2017Most children are not being adequately vaccinated against influenza, according to new data from the Centers for Disease Control and Prevention (CDC), which also just published a new report demonstrating the efficacy of the vaccine in reducing influenza-related deaths in children.