The sleepy child.

abstract：:Modern assessment of the tonsils and adenoids is based on an appreciation of new concepts pertaining to the pathogenesis of tonsil and adenoid disease. Recognition of the emergence of beta-lactamase-producing and encapsulated anaerobic bacteria in the tonsils and adenoids should lead to a reconsideration of present th...

journal_title：Pediatric clinics of North America

authors： Brodsky L

更新日期：1989-12-01 00:00:00

abstract：:Sleep problems are common in many pediatric medical disorders and complicate management and patient outcomes. A wide range of conditions, including asthma, cystic fibrosis, sickle cell disease, gastroesophageal reflux, neuromuscular diseases, scoliosis, craniofacial abnormalities, obesity, and chromosomal disorders, h...

journal_title：Pediatric clinics of North America

authors： Bandla H,Splaingard M

更新日期：2004-02-01 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：:During the past decade, a tremendous wealth of information regarding the pathogenesis, genetics, and therapy of IBD has been discovered. Judging by the number of new publications published every month in scientific journals and the great enthusiasm at scientific meetings, this outstanding pace surely will continue. In...

journal_title：Pediatric clinics of North America

authors： Mamula P,Mascarenhas MR,Baldassano RN

更新日期：2002-02-01 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：:Under increasing pressure to contain costs, hospitals are challenged to provide high-quality care to an increasingly complex group of children with life-threatening illness (LTI) that often worsen over time. Pediatric palliative care is an essential component of optimal hospital care delivery for these children and th...

journal_title：Pediatric clinics of North America

authors： Bogetz JF,Ullrich CK,Berry JG

更新日期：2014-08-01 00:00:00

abstract：:Recently, great progress has been made in the development of vaccines against Hib. Four polysaccharide-protein conjugate vaccines are actively being tested. Three of these (PRP-D, HbOC, and PRP-OMP) are currently licensed for use in children at 15-18 months of age. Clinical trials of these vaccines in infants are curr...

journal_title：Pediatric clinics of North America

authors： Shapiro ED

更新日期：1990-06-01 00:00:00

abstract：:The author discusses his experience with the flexible bronchoscope, covering current instrumentation, techniques, and indications and contraindications, showing that, when used carefully by a well-trained physician, the flexible bronchoscope is a safe, relatively simple, and effective tool for exploration of the pedia...

journal_title：Pediatric clinics of North America

authors： Wood RE

更新日期：1984-08-01 00:00:00

abstract：:Herpes simplex encephalitis (HSE) is an uncommon disease, yet 25 to 30 per cent of cases involve children. The initial clinical findings are nonspecific (fever, altered mental status), but most cases evolve to demonstrate focal neurologic signs and symptoms. The CSF is abnormal in over 90 per cent of cases. The EEG, C...

journal_title：Pediatric clinics of North America

authors： Kohl S

更新日期：1988-06-01 00:00:00

abstract：:The authors provide the reader with the pharmacologic tools useful in managing chronic pain in children. The agents discussed include the analgesics, the psychotropics, and miscellaneous anticonvulsants, antihistamines, steroids, and skeletal muscle relaxants. ...

journal_title：Pediatric clinics of North America

authors： Lacouture PG,Gaudreault P,Lovejoy FH Jr

更新日期：1984-10-01 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：:The risk of rheumatic fever in childhood continues to be high in the United States, especially where crowded living conditions promote epidemic spread of streptococcal pharyngitis. Early identification and appropriate penicillin therapy shorten the acute streptococcal illness and greatly reduce the occurrence of seque...

journal_title：Pediatric clinics of North America

authors： Peebles TC

更新日期：1971-02-01 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：:Diagnosis and treatment of CMI is undergoing reexamination that includes redefinition of the anatomic Chiari malformation and refinement and redefinition of the clinical syndrome. Children with SMI present with head pain of some kind, a neurologic deficit, or with signs of spinal cord dysfunction from syrinx. Some wil...

journal_title：Pediatric clinics of North America

authors： Yassari R,Frim D

更新日期：2004-04-01 00:00:00

abstract：:In the past decade, considerable advances have occurred in our understanding of the pathophysiology of this disorder, its metabolic sequelae, and its management, particularly with respect to continuous low-dose insulin infusion and the potential benefits of phosphate. This article reviews these advances as they pertai...

journal_title：Pediatric clinics of North America

authors： Sperling MA

更新日期：1984-06-01 00:00:00

abstract：:"In this article, the authors provide an overview of the current global and US debates on immigration as a key developmental context for immigrant-origin youth. Relying on a conceptual framework that highlights both risk and protective factors, the authors provide evidence from their longitudinal study that empiricall...

journal_title：Pediatric clinics of North America

authors： Sirin SR,Sin E,Clingain C,Rogers-Sirin L

更新日期：2019-06-01 00:00:00

abstract：:Although breastfeeding is well accepted as the optimal method of infant feeding, the US failed to reach the goals set for the year 2000. Support from employers, health insurers, health providers, and society are required to reach the goals set forth in Healthy People 2010-75% of mothers initiate breastfeeding, 50% of ...

journal_title：Pediatric clinics of North America

authors： Ball TM,Bennett DM

更新日期：2001-02-01 00:00:00

abstract：:Prevention of enuresis has not been studied directly. Positive results from a randomized clinical trial evaluating early intervention for children at risk for enuresis would establish the value of prevention and help to promote its practice. Enuresis is not a disease process, and therefore a clinical trial may never b...

journal_title：Pediatric clinics of North America

authors： Friman PC

更新日期：1986-08-01 00:00:00

abstract：:Genetic and environmental factors (breast feeding, probably viral infections) play a role in the expression of the disease. Prevalence of GSE in childhood did not substantially decrease in the last 15 years in all European countries, where GSE is still more common in infantile age and presents frequently gastrointesti...

journal_title：Pediatric clinics of North America

authors： Auricchio S,Greco L,Troncone R

更新日期：1988-02-01 00:00:00

abstract：:Evaluation and treatment of acute musculoskeletal injuries can be rewarding for primary care providers. They are common presenting complaints, and with appropriate management, many patients make a full recovery in a short period of time. This article reviews basic principles of evaluation of acutely injured children, ...

journal_title：Pediatric clinics of North America

authors： Apel PJ,Howard A

更新日期：2014-12-01 00:00:00

abstract：:Breast lesions, including mastalgia; benign proliferative changes; and benign masses, including fibroadenomas, are common in adolescents and young adult women. Breast cancer is rare in women less than 20 years old and uncommon in women less than 30 years old. Discrete masses in women less than 30 years old that do not...

journal_title：Pediatric clinics of North America

authors： Neinstein LS

更新日期：1999-06-01 00:00:00

abstract：:The presence of certain medical or orthopedic conditions need not preclude adolescents from being physically active and participating in sports. The benefits of continued physical activity far outweigh any concerns for potential complications for most such conditions. This article reviews sport participation guideline...

journal_title：Pediatric clinics of North America

authors： Diokno E,Rowe D

更新日期：2010-06-01 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 last decade has seen an increase of interest in autism spectrum disorders (ASD). With the prevalence now approaching 1%, children with ASD are usually first evaluated by clinicians working in primary care, such as pediatricians and family practitioners. Although classic autism is easy to recognize, differentiating...

journal_title：Pediatric clinics of North America

authors： Nazeer A,Ghaziuddin M

更新日期：2012-02-01 00:00:00

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：:Available infant formulas contain a vast assortment of carbohydrate, protein, and fat sources in an effort to emulate the composition of human milk. Although infants receiving commercial formulas thrive, physicians should be cognizant of differences in formula composition and the research that has resulted in the diff...

journal_title：Pediatric clinics of North America

authors： Redel CA,Shulman RJ

更新日期：1994-10-01 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：: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 opportunity to mobilize linkages between quality improvement (QI) and research is at an early stage. This article describes some of the opportunities for and challenges of integrating QI and more traditional forms of clinical research to achieve broad improvements in medical care. The authors suggest that such int...

journal_title：Pediatric clinics of North America

authors： Margolis P,Provost LP,Schoettker PJ,Britto MT

更新日期：2009-08-01 00:00:00

abstract：:Despite declines in adolescent pregnancy rates in the past decade, unplanned pregnancies among adolescents remain a significant problem in the United States. Clinicians caring for adolescents can be certain to encounter pregnancy in their patients. This article addresses surveillance and diagnosis for pregnancy in the...

journal_title：Pediatric clinics of North America

authors： Polaneczky M,O'Connor K

更新日期：1999-08-01 00:00:00