Pitfalls in the diagnosis of juvenile rheumatoid arthritis.

abstract：:This article outlines and summarizes the rationale and the working process that was undertaken by the National Spina Bifida Program to address the issues of transitioning throughout the life course for persons growing up with spina bifida. Their challenges include achieving independent living, vocational independence,...

journal_title：Pediatric clinics of North America

authors： Thibadeau JK,Alriksson-Schmidt AI,Zabel TA

更新日期：2010-08-01 00:00:00

abstract：:Fractures are common during childhood; however, they can also be the presenting symptom of primary or secondary causes of bone fragility. The challenge is to identify those children who warrant further investigation. In children who present with multiple fractures that are not commonly associated with mild to moderate...

journal_title：Pediatric clinics of North America

authors： Harrington J,Sochett E

更新日期：2015-08-01 00:00:00

abstract：:Vaccines are now available for the prevention of hepatitis A and hepatitis B. In this article, biologics are reviewed with special attention to their use in the pediatric patient. Special attention is paid to issues that developed in 1999. For hepatitis A vaccine, it is the change in US recommendations regarding incre...

journal_title：Pediatric clinics of North America

authors： Malay S,Tizer K,Lutwick LI

更新日期：2000-04-01 00:00:00

abstract：:In hyperinsulinemic hypoglycemia (HH) there is dysregulation of insulin secretion from pancreatic β-cells. Insulin secretion becomes inappropriate for the level of blood glucose leading to severe hypoglycemia. HH is associated with a high risk of brain injury because insulin inhibits lipolysis and ketogenesis thus pre...

journal_title：Pediatric clinics of North America

authors： Güemes M,Hussain K

更新日期：2015-08-01 00:00:00

abstract：:Most children with cancer are immunocompromised during therapy and for a variable period after completion of therapy. They are at an increased risk of infections, including vaccine-preventable infections. There is a reduction in immunity to vaccine-preventable diseases after completion of standard-dose chemotherapy an...

journal_title：Pediatric clinics of North America

authors： Patel SR,Chisholm JC,Heath PT

更新日期：2008-02-01 00:00:00

abstract：:The overweight and obesity epidemic among children and adolescents in the United States continues to worsen, with notable racial, ethnic, and socioeconomic disparities. Risk factors for pediatric obesity include genetics; environmental and neighborhood factors; increased intake of sugar-sweetened beverages (SSBs), fas...

journal_title：Pediatric clinics of North America

authors： Brown CL,Halvorson EE,Cohen GM,Lazorick S,Skelton JA

更新日期：2015-10-01 00:00:00

abstract：:Endocrine disorders are common in infants in the neonatal ICU. They often are associated with prematurity, low birth weight or very low birth weight, and small size for gestational age. They also frequently occur in infants who are critically ill or stressed. This article describes the most common conditions and curre...

journal_title：Pediatric clinics of North America

authors： Hyman SJ,Novoa Y,Holzman I

更新日期：2011-10-01 00:00:00

abstract：:This review represents the author's personal style of practice in a new and evolving field, where the standard academic framework is still in its infancy. When there is no prior established practice to follow, good clinical care needs to come from listening very carefully to patients and empirically judging appropriat...

journal_title：Pediatric clinics of North America

authors： Craighill MC

更新日期：1998-12-01 00:00:00

abstract：:Food allergies have become a growing public health concern. At present the standard of care focuses on avoidance of trigger foods, education, and treatment of symptoms following accidental ingestions. This article provides a framework for primary care physicians and allergists for the diagnosis, management, and treatm...

journal_title：Pediatric clinics of North America

authors： Wright BL,Walkner M,Vickery BP,Gupta RS

更新日期：2015-12-01 00:00:00

abstract：:This article addresses the current and desired future state of interprofessional practice in pediatric hospital medicine. It focuses on identifying optimal team composition and work patterns, describing the value of parent involvement on both the patient's care team and on operational teams, describing the need for in...

journal_title：Pediatric clinics of North America

authors： Baird J,Ashland M,Rosenbluth G

更新日期：2019-08-01 00:00:00

abstract：:Five issues are discussed with respect to the diagnosis, etiology, treatment, prognosis, and pathogenesis of neonatal seizures. The presentation of a newborn with seizures represents a true emergency and frequently indicates significant neurologic dysfunction or damage to the immature nervous system. Despite the urgen...

journal_title：Pediatric clinics of North America

authors： Scher MS,Painter MJ

更新日期：1989-04-01 00:00:00

abstract：:All definitions of bronchopulmonary dysplasia (BPD) have limitations and a new definition for the purpose of clinical research, benchmarking, and prognostic prediction is needed. Different inhaled and systemic drugs are currently used to prevent or treat BPD. Despite some positive effects on BPD, more information abou...

journal_title：Pediatric clinics of North America

authors： Bassler D,van den Anker J

更新日期：2017-12-01 00:00:00

abstract：:Feeding problems in infants and young children are common. In healthy children who are developing and growing normally, feeding problems are usually not serious and can be managed conservatively by reassuring the family and providing them with anticipatory guidance and follow-up. A majority of serious childhood feedin...

journal_title：Pediatric clinics of North America

authors： Borowitz KC,Borowitz SM

更新日期：2018-02-01 00:00:00

abstract：:Pediatric obesity is a major public health threat. Obese children and adolescents are at increased risk for many medical and surgical conditions. These conditions may affect their quality of life and life expectancy. The rapidly progressive nature of type 2 diabetes mellitus within the first 5 years of obesity diagnos...

journal_title：Pediatric clinics of North America

authors： Lenders CM,Gorman K,Lim-Miller A,Puklin S,Pratt J

更新日期：2011-12-01 00:00:00

abstract：:Duchenne muscular dystrophy is the second most common lethal genetic disorder in humans. With the advent of molecular genetic technology, the definition of this disease has been modified to include an abnormality of dystrophin in muscle--a dystrophinopathy. Accurate genetic counseling is possible using methods of dele...

journal_title：Pediatric clinics of North America

authors： Iannaccone ST

更新日期：1992-08-01 00:00:00

abstract：:ADHD is a syndrome that can be treated effectively, safely, and economically with stimulant medications. There is no equal alternative to these agents in short-term treatment of ADHD symptoms. However, many families seek alternatives to stimulants and other drug treatments for a variety of reasons. Alternative approac...

journal_title：Pediatric clinics of North America

authors： Baumgaertel A

更新日期：1999-10-01 00:00:00

abstract：:Recent advances in science and technology have led to the capability of early screening of newborn infants for congenital hypothyroidism. Preliminary screening programs in North America have been established in Quebec and in the Northwestern and Northeastern United States. To date these programs have screened approxim...

journal_title：Pediatric clinics of North America

authors： Fisher DA

更新日期：1978-08-01 00:00:00

abstract：:The author shows that nonenzymic glucosylation of proteins can modify the structure and function of proteins isolated from non-insulin-dependent tissues and that these glucosylated proteins, whose normal functions have been altered or removed, may be related to diabetes and some of its sequelae. ...

journal_title：Pediatric clinics of North America

authors： Kirschenbaum DM

更新日期：1984-06-01 00:00:00

abstract：:The presentation, etiology, diagnostic examination, and management of pediatric cataracts are discussed in this article. If untreated, cataracts result in significant visual deprivation. Evaluation of the pupillary light reflex should become an integral part of every pediatrician's physical examination. Patients shoul...

journal_title：Pediatric clinics of North America

authors： Potter WS

更新日期：1993-08-01 00:00:00

abstract：:Symptoms associated with menstruation during the teenage and young adult years may represent a spectrum of possibilities varying from a relatively benign deviation from normal to a serious life-threatening disease. Nevertheless, even for the young woman found to be without serious disease, menstrual problems have spec...

journal_title：Pediatric clinics of North America

authors： Comerci GD

更新日期：1982-02-01 00:00:00

abstract：:Derangements of fluid, electrolyte, and acid-base homeostasis are an inevitable part of acute renal failure. Understanding the pathophysiology of these disorders is essential to treating and preventing potentially life-threatening complications. Appropriate nutritional support is also an important part of management i...

journal_title：Pediatric clinics of North America

authors： Feld LG,Cachero S,Springate JE

更新日期：1990-04-01 00:00:00

abstract：:Many pediatric patients and their families use dietary supplements and homeopathy. They do not always disclose this information to their health care practitioners. It is important that health care practitioners are aware of the research available in these areas and discuss the use of these products openly with their p...

journal_title：Pediatric clinics of North America

authors： Gardiner P,Riley DS

更新日期：2007-12-01 00:00:00

abstract：:In the last decade, significant progress in the knowledge and management of external genital anomalies has been achieved, including an improved understanding of epidemiology and pathophysiology of these anomalies, the identification of etiologic genetic defects, and significant improvements in surgical approaches that...

journal_title：Pediatric clinics of North America

authors： MacLellan DL,Diamond DA

更新日期：2006-06-01 00:00:00

abstract：:The formulation of a diagnosis in a child who has neurologic impairment should not (except in extreme circumstances) be made on the basis of a single finding. For example, the presence of delayed milestones, primitive or exaggerated reflexes, abnormal muscle tone, abnormal posture, abnormal neurologic examination, and...

journal_title：Pediatric clinics of North America

authors： Liptak GS

更新日期：1998-02-01 00:00:00

abstract：:Most ocular and orbital tumors of childhood are distinct from tumors that occur in adults. Many are congenital with early presentations. Most pediatric orbital tumors are benign; developmental cysts comprise half of orbital cases, with capillary hemangioma being the second most common orbital tumor. The most common or...

journal_title：Pediatric clinics of North America

authors： Castillo BV Jr,Kaufman L

更新日期：2003-02-01 00:00:00

abstract：:The family is the most central and enduring influence on children. Families, regardless of their composition, are themselves subject to a variety of social forces that influence how well they are able to meet children's needs. Pediatricians who understand the functions families serve and the factors that constrain the...

journal_title：Pediatric clinics of North America

authors： Schor EL

更新日期：1995-02-01 00:00:00

abstract：:The evaluation and management of adolescents with varicoceles continue to evolve. Current recommendations for repair are based on the findings of impaired testicular growth or spermatogenesis; however, with early evaluation and selective treatment, clinicians should be able to reduce the potential for future fertility...

journal_title：Pediatric clinics of North America

authors： Kass EJ

更新日期：2001-12-01 00:00:00

abstract：:All human beings are sexual from birth to death and all children and adolescents with or without disability or chronic illness must incorporate appropriate sexuality concepts into their processes of development from childhood to adolescence. This article considers sexuality issues and reproductive care of adolescents ...

journal_title：Pediatric clinics of North America

authors： Greydanus DE,Omar HA

更新日期：2008-12-01 00:00:00

abstract：:Telehealth is a promising new tool in medicine that has changed the landscape of medical care. The benefits of telehealth technology are immense, including improved access to care and potential savings in monetary and opportunity costs. Current challenges of incorporating telehealth services into regular clinical care...

journal_title：Pediatric clinics of North America

authors： Chen AC,Selamet Tierney ES

更新日期：2020-08-01 00:00:00

abstract：:Advancements in the care of children with cancer have, in part, been achieved through improvements in supportive care. Situations that require prompt care can occur at the time of presentation as well as during treatment. This article discusses the approach to children with fever and neutropenia, a complication encoun...

journal_title：Pediatric clinics of North America

authors： Henry M,Sung L

更新日期：2015-02-01 00:00:00