Advances in monitoring and management of shock.

abstract：:Beginning with a brief description of mature anatomic pathways and neurotransmitters in the "pain system," this article details their development in the human fetus, neonate, and child. Special emphasis is given to the basic mechanisms and physiologic effects of opioid analgesia. The clinical implications of these dat...

journal_title：Pediatric clinics of North America

authors： Anand KJ,Carr DB

更新日期：1989-08-01 00:00:00

abstract：:Fatigue is one of the most prevalent symptoms in patients with a life-threatening illness. Untreated, fatigue can impair quality of life and prohibit addressing practical needs, psychosocial and spiritual distress, and opportunities for growth and closure at life's end. To this end addressing fatigue is a crucial comp...

journal_title：Pediatric clinics of North America

authors： Ullrich CK,Mayer OH

更新日期：2007-10-01 00:00:00

abstract：:Sexual activity is a common practice among young adolescents, placing them at high risk for STDs, many of which have long-term consequences. Early diagnosis and treatment are essential to limit both the consequences and the spread of these infections. The clinician has a responsibility to the adolescent patient to rec...

journal_title：Pediatric clinics of North America

authors： Lappa S,Moscicki AB

更新日期：1997-12-01 00:00:00

abstract：:Gastrointestinal motility disorders in the pediatric population are common and can range from benign processes to more serious disorders. Performing and interpreting motility evaluations in children present unique challenges. There are primary motility disorders but abnormal motility may be secondary due to other dise...

journal_title：Pediatric clinics of North America

authors： Nurko S

更新日期：2017-06-01 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：:The increase in single-parent families, step-families, maternal employment, and young children in substitute care are among several important changes in the American family in recent decades. Although it is not clear that these changes necessarily lead to negative outcomes in children, it is apparent that a variety of...

journal_title：Pediatric clinics of North America

authors： Dubowitz H,Newberger CM,Melnicoe LH,Newberger EH

更新日期：1988-12-01 00:00:00

abstract：:In this article, I have attempted to summarize the concept of intestinal permeability to antigens such as ingested food proteins, bacterial breakdown products, endotoxins, and enzymes. The mature gut retains the capacity to absorb macromolecules by a pinocytotic mechanism which is more pronounced during the neonatal p...

journal_title：Pediatric clinics of North America

authors： Walker WA

更新日期：1975-11-01 00:00:00

abstract：:Three pediatric hand injury subtypes and their management have been presented. Finger tip injuries, while often minor and self-healing in children, may require surgical repair if the nailbed is disrupted or if there has been significant skin or pad loss from the tip. The decision between local repair and skin graft or...

journal_title：Pediatric clinics of North America

authors： Bennett JE

更新日期：1975-05-01 00:00:00

abstract：:Breastfeeding generates numerous questions. Every call about breastfeeding received over the telephone is an opportunity for health care professionals to listen and support the caller and offer factual information and advice to help the family to have an enjoyable breastfeeding experience. ...

journal_title：Pediatric clinics of North America

authors： Philipp BL

更新日期：2001-04-01 00:00:00

abstract：:In children, laboratory evaluations can assist in the screening of patients for inflammatory disorders, confirm diagnoses, allow for monitoring of disease activity and response to therapy, and suggest prognoses and risk of morbidities associated with rheumatic diseases. This review provides an overview of the usefulne...

journal_title：Pediatric clinics of North America

authors： Mehta J

更新日期：2012-04-01 00:00:00

abstract：:As adolescents develop their sexual identities they are at risk for acquiring sexually transmitted diseases, unwanted pregnancies, and cervical dysplasia. As physical growth and development progress during adolescence, the risk of developing dysmenoorhea or adverse effects from exposure to diethylstilbestrol increase....

journal_title：Pediatric clinics of North America

authors： Klein JR

更新日期：1980-02-01 00:00:00

abstract：:This article summarizes the current literature on social skills training for children and adolescents with autism spectrum disorders. The article describes several different methods of social skills training, along with a summary of research findings on effectiveness. Interventions described include social skills grou...

journal_title：Pediatric clinics of North America

authors： Bohlander AJ,Orlich F,Varley CK

更新日期：2012-02-01 00:00:00

abstract：:Adenotonsillectomy (AT) is one of the most common pediatric surgical procedures performed in the United States; more than 530,000 are performed annually in children younger than 15 years of age. AT was traditionally performed for recurrent tonsillitis and its sequelae but in recent times, sleep-disordered breathing/ob...

journal_title：Pediatric clinics of North America

authors： Ramos SD,Mukerji S,Pine HS

更新日期：2013-08-01 00:00:00

abstract：:Preventing relapse into substance use means first helping the teenager to develop a state of recovery. This involves completing a First Step of a 12-Step program, whereby the teenager accepts that drugs and alcohol have been destructive in his or her life and that moderate use is impossible. Thus, abstinence is necess...

journal_title：Pediatric clinics of North America

authors： Jaffe SL

更新日期：1995-04-01 00:00:00

abstract：:Although pediatric hospital medicine (PHM) is in its adolescence, it is already having a major impact on patient care, quality, safety, and education. Pediatric hospitalists have been front-and-center in the safety and quality movement, driving change as clinicians, applying evidence-based medicine to standardize prac...

journal_title：Pediatric clinics of North America

authors： Ramotar MW,Sectish TC

更新日期：2019-08-01 00:00:00

abstract：:A left-to-right shunt lesions exists when blood from the left atrium, left ventricle, or aorta transits to the right atrium or its tributaries, the right ventricle, or the pulmonary artery. This article discusses: the incidence, types, embryology, clinical presentations, physical examinations, electrocardiographic fea...

journal_title：Pediatric clinics of North America

authors： Driscoll DJ

更新日期：1999-04-01 00:00:00

abstract：:Improvements in diagnosis and treatment have increased survival for many children with malignant bone tumors. New molecular genetic discoveries are providing insights into the mechanisms of tumorigenesis and may provide novel therapeutic modalities based on interfering with aberrant transcriptional activation by hybri...

journal_title：Pediatric clinics of North America

authors： Himelstein BP,Dormans JP

更新日期：1996-08-01 00:00:00

abstract：:This article focuses on recent developments that have defined the autoimmune nature of this entity and its genetic basis, especially the crucial roles of aspartic acid at position 57 of the DQ beta chain and arginine at position 52 of the DQ alpha chain of the HLA complex on chromosome 6 in conferring susceptibility; ...

journal_title：Pediatric clinics of North America

authors： Sperling MA

更新日期：1997-04-01 00:00:00

abstract：:This article reviews the necessary skills required for clinicians to make informed decisions about the use of medications in women who are breastfeeding. Even without specific data on certain medications, this review of kinetic principles, mechanisms of medication entry into breast milk, and important infant factors c...

journal_title：Pediatric clinics of North America

authors： Rowe H,Baker T,Hale TW

更新日期：2013-02-01 00:00:00

abstract：:The technology surrounding the treatment of acute renal failure has been traditionally left in the realm of dialysis. The use of peritoneal dialysis for the neonate or small infant and the often difficult use of hemodialysis in larger children and adolescents have been the mainstay of support. Not infrequently, howeve...

journal_title：Pediatric clinics of North America

authors： Paganini EP

更新日期：1987-02-01 00:00:00

abstract：:Children's temperament continues to make a significant contribution to their physical health, development, and behavior as they progress into later childhood and adolescence. The definition of temperament as behavioral style remains the same, although the relative importance of the several dimensions shifts, factors a...

journal_title：Pediatric clinics of North America

authors： Carey WB

更新日期：1992-06-01 00:00:00

abstract：:Traumatic injuries represent the most important threat to the health of children in the United States and are the leading cause of death after the first year of life. More than 20,000 children and young adults will die this year as a result of injury. For every child that dies, another 40 will require hospitalization ...

journal_title：Pediatric clinics of North America

authors： Stylianos S

更新日期：1998-08-01 00:00:00

abstract：:Children with persistent neurodevelopmental and neuropsychiatric problems have extensive treatment, care, and community service needs. The child's disabilities can create new responsibilities, emotions, roles, and goals for the family. This article provides a framework for identifying and categorizing children with sp...

journal_title：Pediatric clinics of North America

authors： Taylor EH

更新日期：1995-02-01 00:00:00

abstract：:The tools of biotechnology have enormous potential to develop new, safe, and nutritious foods and food products that could benefit the immediate and long-term nutritional and health needs of the pediatric population. This is especially true as more emphasis is placed on the prevention, rather than the treatment, of ch...

journal_title：Pediatric clinics of North America

authors： Young AL,Lewis CG

更新日期：1995-08-01 00:00:00

abstract：:Trauma is prevalent in the lives of children. It derives from many sources, and, depending on its characteristics, can produce transient or enduring and devastating consequences. Early trauma, if left untreated, can set the stage for chronic deficits in the behavioral repertoires of affected children, and thus shape p...

journal_title：Pediatric clinics of North America

authors： Spates CR,Waller S,Samaraweera N,Plaisier B

更新日期：2003-08-01 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：:Important first steps have been taken towards establishing how some nutrients interact with genes and affect intestinal adaptation. These mechanisms may be typical of how other nutrients influence cell function and turnover and help to maintain intestinal integrity. The dietary effects of nucleotides on intestinal cel...

journal_title：Pediatric clinics of North America

authors： LeLeiko NS,Walsh MJ

更新日期：1996-04-01 00:00:00

abstract：:This article focuses on creating an orderly approach to history taking, examination, and ordering appropriate investigations when caring for a child with joint complaints. It classifies complaints as those with and without pain, swelling, or fever and of short or long duration. It recommends an approach to the physica...

journal_title：Pediatric clinics of North America

authors： Haines KA

更新日期：2018-08-01 00:00:00

abstract：:The pediatric autopsy can provide great benefits to families at a time when their world is falling apart. It can be invaluable in the processing of grief that families endure, helping them to plan their future. Autopsy results not only provide information but may also provide consolation by giving the family the oppor...

journal_title：Pediatric clinics of North America

authors： Riggs D,Weibley RE

更新日期：1994-12-01 00:00:00

abstract：:Despite incomplete understanding of the etiology of Hodgkin's disease and its malignant cell of origin, the majority of children and adolescents diagnosed with Hodgkin's disease will be longterm survivors. Staging and treatment for pediatric Hodgkin's disease has evolved over the past 30 years in attempts to reduce la...

journal_title：Pediatric clinics of North America

authors： Hudson MM,Donaldson SS

更新日期：1997-08-01 00:00:00