Fecal Bacteroides are linked to bronchiolitis
September 1st 2016Investigators identified 4 distinct fecal microbiota profiles in infants hospitalized with bronchiolitis and found that 1 of those profiles-dominated by Bacteroides-was associated with a higher likelihood of bronchiolitis than the others.
Artificial sweeteners linked to overweight in infants
September 1st 2016Investigators used a food frequency questionnaire to assess how often 3003 pregnant women drank artificially sweetened or sugar-sweetened beverages during their second or third trimesters. They then analyzed how this data correlated with the body mass index of these mothers’ babies at age 1 year.
Identify food insecurity in hospitalized kids
September 1st 2016About one-quarter of children who recently have been hospitalized live in food insecure households, which suggests that hospitalization presents a potential opportunity to identify these youngsters and help their families access nutrition assistance.
Linear papular eruption grows on boy’s neck
September 1st 2016A father brings his 12-year-old son to the clinic for evaluation of a skin eruption that has been on the back of the boy’s neck for a year, but which just began to extend behind his ear. The rash is asymptomatic, and the otherwise healthy patient is annoyed that he has to spend a beautiful morning in a physician’s office.
Opioids overshadow athletic injuries
September 1st 2016In my practice, we are seeing patients and their families being increasingly interested in gaining a competitive edge with regard to athletics.One of the consequences of this is that our young athletes are running themselves down-pushing to be the best-at the cost of wear and tear on their bodies. Repetitive stress, fatigue, and poor technique lead to children suffering overuse injuries and put kids at risk for traumatic injury.
Midazolam warning for preemies
September 1st 2016A recent study in preterm infants found that exposure to midazolam, a commonly used sedative in the neonatal intensive care unit (NICU), was associated with macro- and microstructural alterations in hippocampal development and poorer outcomes consistent with hippocampal dysmaturation.
Peeling rash in a 4-year-old boy
September 1st 2016The mother of a 4-year-old boy, whose family recently emigrated from Haiti, brings him to the pediatric mobile clinic for evaluation of a rash that had begun 11 days earlier as an eruption of vesicular, pruritic papules on the bilateral lower extremities and had spread to the buttocks and medial thighs with sparing of the face. The skin eruption was followed by desquamation of the skin on his palms and soles.
Pediatric labeling for OxyContin: Pros & Cons
September 1st 2016In the throes of an opioid epidemic, the US Food and Drug Administration (FDA) decided in August 2015 to expand the indications for OxyContin, an extended-release form of the narcotic oxycodone, to children aged 11 years and older. The decision sparked outrage in those who fear the move might fuel increasing opioid addiction among young Americans.
Treatment of opioid use disorder
September 1st 2016As problems with opioid use and abuse in the United States increasingly emerge to create what is being called a public health epidemic, clinicians are facing the great challenge of trying to provide optimal pain management for their patients while being mindful of the potential deleterious effects of the highly addictive opioids.
How nonmedical opioid use increases sexual risks (VIDEO)
August 29th 2016For Contemporary Pediatrics, Dr Bobby Lazzara explains key findings from a study published in Pediatrics. The study looked at whether adolescents who engage in the nonmedical use of opioid medications are more likely to engage in risky sexual behaviors.
Can heroin use start with nonmedical opioid use? (VIDEO)
August 24th 2016For Contemporary Pediatrics, Dr Bobby Lazzara explains key findings from a study published in Pediatrics. The study looked at whether children and adolescents who engage in nonmedical use of opioid medications are increasing their future risk of heroin use.
Teens open Pandora’s Box with sexting behaviors
August 23rd 2016Many of today’s practicing PNPs grew up during the “difficult and rebellious” adolescent years when teenagers were trying alcohol, marijuana, drag racing, and attempting to access birth control. In retrospect, that adolescent lifestyle was simplistic in comparison to the complex, tumultuous adolescent life of today.
When do developmental delays present in preterm babies?
August 18th 2016While late preterm infants may seem as though they’ve escaped the obstacles earlier preemies face, a new study reveals that later preterm infants who seem on part with their peers even at age 2 may have problems with reading and math by preschool.
What ADHD therapies increase drug abuse risk?
August 9th 2016Despite concerns about ADHD stimulant therapy as a gateway for future drug abuse, a new study shows that teens treated with stimulants later and for shorter durations, and those treated with non-stimulant medications, have higher rates of later drug abuse than their peers who have used stimulant therapy longer.