abstract：:Cow's milk allergy (CMA) affects 2% to 3% of young children and presents with a wide range of IgE and non-IgE-mediated clinical syndromes, which have a significant economic and lifestyle effect. It is logical that a review of CMA would be linked to a review of soy allergy because soy formula is often an alternative so...

journal_title：Pediatric clinics of North America

authors： Kattan JD,Cocco RR,Järvinen KM

更新日期：2011-04-01 00:00:00

abstract：:Tics in children and adolescents are a common occurrence; however, a small proportion of these disorders require pharmacologic interventions. Several limitations exist with the use of pharmacologic interventions, and hence, a more ideal multidisciplinary approach is recommenced, with emphasis on nonpharmacologic manag...

journal_title：Pediatric clinics of North America

authors： Chadehumbe MA,Greydanus DE,Feucht C,Patel DR

更新日期：2011-02-01 00:00:00

abstract：:This article provides an overview of the psychopharmacologic management of irritability, hyperactivity, and repetitive behaviors in children and adolescents with autism spectrum disorder. A review of the current literature on medications used to treat these conditions with emphasis on randomized controlled trials is p...

journal_title：Pediatric clinics of North America

authors： Nazeer A

更新日期：2011-02-01 00:00:00

abstract：:Even though chest pain in children is a common complaint, an underlying gastrointestinal cause is rare. The four common gastrointestinal conditions that present with chest pain include eosinophilic esophagitis, gastroesophageal reflux disease, esophageal dysmotility, and foreign body ingestion. Other than ingestion of...

journal_title：Pediatric clinics of North America

authors： Garza JM,Kaul A

更新日期：2010-12-01 00:00:00

abstract：:Vascular malformations are rare but important skin disorders in children, which often require multidisciplinary care. The goal of this article is to orient pediatricians to the various types of vascular malformations. We discuss the clinical characteristics, diagnostic criteria, and management of capillary, venous, ar...

journal_title：Pediatric clinics of North America

authors： Huang JT,Liang MG

更新日期：2010-10-01 00:00:00

abstract：:Spina bifida occurs when the neural tube fails to close during early fetal development, resulting in a range of neural tube defects (NTDs). The cause of spina bifida is not fully understood, but scientists believe that NTDs are the result of genetic and environmental factors acting simultaneously. The Centers for Dise...

journal_title：Pediatric clinics of North America

authors： Smith K,Freeman KA,Neville-Jan A,Mizokawa S,Adams E

更新日期：2010-08-01 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：: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：:The benefits and possible detriment of resistance training have been noted extensively in the literature. Although the benefits of resistance training are well known, many professionals fail to heed scientific advice or follow appropriate recommendations for resistance training in adolescents. When developing a resist...

journal_title：Pediatric clinics of North America

authors： Miller MG,Cheatham CC,Patel ND

更新日期：2010-06-01 00:00:00

abstract：:In the clinical arena of transplantation, tolerance remains, for the most part, a concept rather than a reality. Although modern immunosuppression regimens have effectively handled acute rejection, nearly all organs except the liver commonly suffer chronic immunologic damage that impairs organ function, threatening pa...

journal_title：Pediatric clinics of North America

authors： Seyfert-Margolis V,Feng S

更新日期：2010-04-01 00:00:00

abstract：:Autologous and allogeneic hematopoietic stem cell transplantation (HSCT) can be used in the management of patients with autoimmune disorders. Experience gained in adults has helped to better define the conditioning regimens required and appropriate selection of patients who are most likely to benefit from autologous H...

journal_title：Pediatric clinics of North America

authors： Milanetti F,Abinun M,Voltarelli JC,Burt RK

更新日期：2010-02-01 00:00:00

abstract：:Allogeneic hematopoietic stem cell transplantation from siblings, unrelated donors or HLA mismatched family members has become an important procedure to offer a chance of cure to children and adolescents with acute leukemia at high risk of relapse and those with certain genetic diseases. Bone marrow (BM) was the only ...

journal_title：Pediatric clinics of North America

authors： Peters C,Cornish JM,Parikh SH,Kurtzberg J

更新日期：2010-02-01 00:00:00

abstract：:Youth-onset type 2 diabetes is a serious public health problem for Indigenous people throughout the world. This article reviews the epidemiology, disease burden, treatment, and challenges in achieving successful clinical management of this disorder in Indigenous youth. Screening criteria and the complications and como...

journal_title：Pediatric clinics of North America

authors： Sellers EA,Moore K,Dean HJ

更新日期：2009-12-01 00:00:00

abstract：:Infant mortality and morbidity disparities occur between non-Indigenous and Indigenous populations of Australia, Canada, New Zealand, and the United States. Neonatal mortality is due to high-risk births, which vary according to prevalence of the maternal risk factors of smoking, alcohol consumption, infection, and dis...

journal_title：Pediatric clinics of North America

authors： Sayers SM

更新日期：2009-12-01 00:00:00

abstract：:Intestinal failure (IF) is the ultimate malabsorption state, with multiple causes, requiring long-term therapy with enteral or intravenous fluids and nutrient supplements. The primary goal during management of children with potentially reversible IF is to promote intestinal autonomy while supporting normal growth, nut...

journal_title：Pediatric clinics of North America

authors： Mziray-Andrew CH,Sentongo TA

更新日期：2009-10-01 00:00:00

abstract：:This article describes the evolution of board certification for pediatricians and the current ongoing assessment process called Maintenance of Certification (MOC). To be called a board-certified pediatrician under the MOC framework requires a level of training, competence, and knowledge that can only be achieved by co...

journal_title：Pediatric clinics of North America

authors： Miles PV

更新日期：2009-08-01 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：:This article presents advancements in the field of fetal echocardiography and the significant impact of these within the fields of pediatric cardiology, perinatology, and neonatology. A prenatal diagnosis of congenital heart disease allows for improved counseling of the parents, guides the timing and optimal location ...

journal_title：Pediatric clinics of North America

authors： Jone PN,Schowengerdt KO Jr

更新日期：2009-06-01 00:00:00

abstract：:Neonatal resuscitation is an attempt to facilitate the dynamic transition from fetal to neonatal physiology. This article outlines the current practices in delivery room management of the neonate. Developments in cardiopulmonary resuscitation techniques for term and preterm infants and advances in the areas of cerebra...

journal_title：Pediatric clinics of North America

authors： Rajani AK,Chitkara R,Halamek LP

更新日期：2009-06-01 00:00:00

abstract：:Pediatricians and other medical providers caring for children need to be aware of the dynamics in the significant relationship between substance abuse and child maltreatment. A caregiver's use and abuse of alcohol, marijuana, heroin, cocaine, methamphetamine, and other drugs place the child at risk in multiple ways. M...

journal_title：Pediatric clinics of North America

authors： Wells K

更新日期：2009-04-01 00:00:00

abstract：:Obstructive sleep apnea (OSA) is increasingly recognized in children. There is accumulating robust evidence to support early diagnosis and treatment of this condition. The purpose of this review is to provide an update on the epidemiology, clinical features, complications, and treatment of childhood OSA. The authors h...

journal_title：Pediatric clinics of North America

authors： Au CT,Li AM

更新日期：2009-02-01 00:00:00

abstract：:Dyspnea is a complex psychophysiologic sensation that requires intact afferent and efferent pathways for the full perception of the neuromechanical dissociation between the respiratory effort attempted and the work actually accomplished. The sensation is triggered or accentuated by a variety of receptors located in th...

journal_title：Pediatric clinics of North America

authors： Weinberger M,Abu-Hasan M

更新日期：2009-02-01 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：:Cerebral palsy describes a wide spectrum of motor problems caused by a nonprogressive lesion of the developing brain. It is variably associated with a variety of other developmental and medical problems that present challenges to parents and care providers alike. This article provides an overview of etiology and diagn...

journal_title：Pediatric clinics of North America

authors： Dodge NN

更新日期：2008-10-01 00:00:00

abstract：:Hospitals that care for children are establishing medical emergency or rapid response teams as system solutions for preventing unexpected but foreseeable respiratory and cardiac arrest on inpatient units. Typically, an experienced team of doctors and nurses responds quickly to a direct request by any level of staff or...

journal_title：Pediatric clinics of North America

authors： Tibballs J,van der Jagt EW

更新日期：2008-08-01 00:00:00

abstract：:Acutely poisoned children remain a common problem facing pediatricians working in acute care medicine in the United States and worldwide. The management of such children continues to be challenging, and their care has evolved throughout the years. The concept of gastric decontamination in acute poisoning has significa...

journal_title：Pediatric clinics of North America

authors： Hanhan UA

更新日期：2008-06-01 00:00:00

abstract：:Pediatric hematologist/oncologists have a critical role in the diagnosis and management of patients who have complex vascular anomalies. They provide the clinical and medical skills needed to diagnose, treat, and manage these patients. Hematologist/oncologists also provide support for clinical trials and drug developm...

journal_title：Pediatric clinics of North America

authors： Adams DM,Wentzel MS

更新日期：2008-04-01 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：:Evidence on the science of complementary and alternative medicine (CAM) in children with cancer is slowly evolving. Most parents of children with cancer want their children to receive state-of-the-art therapy, which generally includes chemotherapy, radiation, and surgery. Increasingly, they also want the concomitant u...

journal_title：Pediatric clinics of North America

authors： Sencer SF,Kelly KM

更新日期：2007-12-01 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：: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：:The underground abuse of growth hormone (GH) among young athletes presents a challenge to medical professionals. Health care professionals providing knowledgeable guidance regarding healthy ways to improve performance and appearance, as well as accurate information regarding substances' perceived benefits, risks, and ...

journal_title：Pediatric clinics of North America

authors： Buzzini SR

更新日期：2007-08-01 00:00:00

abstract：:Whether providing anticipatory guidance to the young adolescent patient, conducting a preparticipation examination on a young athlete, or treating a sick user of anabolic androgenic steroids (AASs), the primary care physician must be familiar with the adverse consequences of the use of these compounds. This article re...

journal_title：Pediatric clinics of North America

authors： Casavant MJ,Blake K,Griffith J,Yates A,Copley LM

更新日期：2007-08-01 00:00:00

abstract：:It has been speculated that autism and specific language impairment share common underlying neural substrates because of the overlap in language impairment issues and evidence suggesting parallels in other domains and implying a possible shared genetic risk. Anatomically the two sets of disorders have generally been s...

journal_title：Pediatric clinics of North America

authors： Herbert MR,Kenet T

更新日期：2007-06-01 00:00:00

abstract：:Childhood lead poisoning is still an enormous public health issue in the United States, affecting thousands of children and their families. New evidence suggests that even very low blood lead levels, less than 10 microg/dL, can be associated with neurologic injury. This article discusses characteristics of children at...

journal_title：Pediatric clinics of North America

authors： Woolf AD,Goldman R,Bellinger DC

更新日期：2007-04-01 00:00:00

abstract：:Cancer in children is rare and accounts for about 1% of all malignancies. In the developed world, however, it is the commonest cause of disease-related deaths in childhood, carrying with it a great economic and emotional cost. Cancers are assumed to be multivariate, multifactorial diseases that occur when a complex an...

journal_title：Pediatric clinics of North America

authors： Buka I,Koranteng S,Osornio Vargas AR

更新日期：2007-02-01 00:00:00

abstract：:The unique biologic characteristics and behaviors of children make them vulnerable to environmental toxicants. Physicians and other health professionals are challenged in addressing pediatric environmental health care needs in part because of deficient knowledge and skills in pediatric environmental health. This defic...

journal_title：Pediatric clinics of North America

authors： Wilborne-Davis P,Kirkland KH,Mulloy KB

更新日期：2007-02-01 00:00:00

abstract：:In today's complex and rapidly changing health care environments, patient harm may result if important patient information is not communicated from one health care provider to another during handoffs in care. Issues involving communication, continuity of care, and care planning are cited as a root cause in more than 8...

journal_title：Pediatric clinics of North America

authors： Streitenberger K,Breen-Reid K,Harris C

更新日期：2006-12-01 00:00:00

abstract：:The cellular and molecular basis of congenital heart disease (CHD) is an evolving area of rapid discovery. This article introduced the basic mechanisms underlying cardiac development and CHD in order to permit a clear understanding of current diagnostics and therapeutics and their future development. It is clear that ...

journal_title：Pediatric clinics of North America

authors： Sander TL,Klinkner DB,Tomita-Mitchell A,Mitchell ME

更新日期：2006-10-01 00:00:00

abstract：:Methicillin-resistant Staphylococcus aureus (MRSA) is an emerging bacterial infection worldwide, and community-acquired MRSA (CA-MRSA) infection, which has increased dramatically in frequency in many areas, is of particular clinical and public health concern. CA-MRSA outbreaks and severe infections have been reported ...

journal_title：Pediatric clinics of North America

authors： John CC,Schreiber JR

更新日期：2006-08-01 00:00:00