abstract：:Disorders of sodium and water homeostasis are common occurrences in pediatric practice. They reflect distinct problems in the regulation of total body sodium balance and water distribution, respectively. Each of these groups of disorders has separate afferent and efferent mechanisms that are activated during disease s...

journal_title：Pediatric clinics of North America

authors： Trachtman H

更新日期：1995-12-01 00:00:00

abstract：:Ample evidence shows that what was formerly called "juvenile rheumatoid arthritis" is not a single disease. At least six separate diseases were included as subgroups or subtypes of juvenile rheumatoid arthritis in other classifications. The clinical and laboratory features that differentiate these diseases are discuss...

journal_title：Pediatric clinics of North America

authors： Fink CW,Fernandez-Vina M,Stastny P

更新日期：1995-10-01 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：:Although erythromycin resistance in GABHS has been a major problem in Japan and in Finland, it has not been a problem in the United States. The susceptibility of GABHS to the newer macrolide antibiotics seems to be similar to that of erythromycin. Comprehensive, community-wide programs to continuously monitor for eryt...

journal_title：Pediatric clinics of North America

authors： Gerber MA

更新日期：1995-06-01 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：:In summary, it is apparent that discussions on substance abuse should begin at the prenatal visit and extend through adolescence. Educational efforts and preventive strategies must be given highest priority. Signs and symptoms may be subtle, and pediatricians should have a high index of suspicion, particularly for hig...

journal_title：Pediatric clinics of North America

authors： Fuller PG Jr,Cavanaugh RM Jr

更新日期：1995-04-01 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 American family is changing. Pediatricians are increasingly aware of treating children within a family systems context. Patients present with a variety of biopsychosocial problems, and pediatrics must continue to adjust to fit the changing needs of children and their families. Pediatricians must view themselves as...

journal_title：Pediatric clinics of North America

authors： Richman JM,Chapman MV,Bowen GL

更新日期：1995-02-01 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 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：:Premature and unexpected death, especially in children, is tragic and very unacceptable. Effective treatments for sudden death of pediatric patients continue to emerge. Modern cardiopulmonary resuscitation function began with the widespread introduction of closed-chest cardiac massage in 1960; however, despite 35 year...

journal_title：Pediatric clinics of North America

authors： Goetting MG

更新日期：1994-12-01 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：:The rheumatic diseases of childhood are a relatively common and extraordinarily diverse group of illnesses; nevertheless, they are at least distantly related by similarities of immunodysregulation. These pathophysiologic relationships are reflected in affected children in similarities of historical, physical, and labo...

journal_title：Pediatric clinics of North America

authors： Warren RW,Perez MD,Wilking AP,Myones BL

更新日期：1994-08-01 00:00:00

abstract：:Infants and children with congenital heart disease (CHD) present unique difficulties when they develop respiratory failure, either as a consequence of their heart disease, in relation to cardiac surgery, or from infectious causes. Extensive cardiac surgical repairs are now being performed on younger infants with compl...

journal_title：Pediatric clinics of North America

authors： DiCarlo JV,Steven JM

更新日期：1994-06-01 00:00:00

abstract：:Extracorporeal membrane oxygenation has now evolved into standard therapy for patients unresponsive to conventional ventilatory and pharmacological support. This article presents a clinical review of extracorporeal life support and its application to neonatal and pediatric patients as well as children requiring circul...

journal_title：Pediatric clinics of North America

authors： Klein MD,Whittlesey GC

更新日期：1994-04-01 00:00:00

abstract：:There has been a tremendous amount of progress in the perioperative approach to the child since Levy wrote "Psychic trauma of operations in children and a note on combat neurosis" nearly 50 years ago. Recognition of prolonged behavioral derangements following the anesthetic-surgical-hospital experience and the promine...

journal_title：Pediatric clinics of North America

authors： Zuckerberg AL

更新日期：1994-02-01 00:00:00

abstract：:Injury is the most important threat to the health of children in the United States and the leading cause of death after the first year of life. Injuries must be viewed as diseases that can be prevented by using principles of epidemiology, engineering, biomechanics, and health education. Effective preventative strategi...

journal_title：Pediatric clinics of North America

authors： Stylianos S,Eichelberger MR

更新日期：1993-12-01 00:00:00

abstract：:Evaluation of the newborn with hyperbilirubinemia is an important and commonly encountered problem in all clinical pediatric-based practices. Cholestatic jaundice is always pathologic and warrants prompt assessment. The timely evaluation and directed treatment of any jaundiced newborn are essential to prevent serious ...

journal_title：Pediatric clinics of North America

authors： Hicks BA,Altman RP

更新日期：1993-12-01 00:00:00

abstract：:Term infants who have sustained brain damage from intrauterine asphyxia can often be classified into one of two distinct clinical and radiologic syndromes. The first consists of damage to the cerebral hemispheres. The second consists of damage predominantly involving the basal ganglia and thalamus. Results of studies ...

journal_title：Pediatric clinics of North America

authors： Pasternak JF

更新日期：1993-10-01 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：:Retinopathy of prematurity (ROP) remains a nonpreventable disorder associated with extreme prematurity. Recent advances in establishing the International Classification of ROP have facilitated both clinical care and research, highlighted by the demonstration of the effectiveness of cryoablative therapy for vision-thre...

journal_title：Pediatric clinics of North America

authors： Phelps DL

更新日期：1993-08-01 00:00:00

abstract：:With the recent mandate for early intervention services, the pediatrician is more involved than ever in the identification and evaluation of children with developmental disabilities. Developmental surveillance at routine visits and listening to parental concerns are crucial in the early diagnosis of developmental dela...

journal_title：Pediatric clinics of North America

authors： Levy SE,Hyman SL

更新日期：1993-06-01 00:00:00

abstract：:The American Heart Association/American Academy of Pediatrics Neonatal Resuscitation Program provides standards for management of newborn infants in birthing areas. Certification and subsequent evaluation of birthing area personnel at perinatal network hospitals should result in better stabilization of infants prior t...

journal_title：Pediatric clinics of North America

authors： McCulloch KM,Vidyasagar D

更新日期：1993-04-01 00:00:00

abstract：:Highly specialized pediatric critical care centers have matured significantly over the past two decades; however, access to this care is limited to tertiary care facilities and constrained by geography. With the advances of transport medicine, great distances can be spanned to bring critical care to the patient and pr...

journal_title：Pediatric clinics of North America

authors： Pon S,Notterman DA

更新日期：1993-04-01 00:00:00

abstract：:The renin-angiotensin system plays multiple roles in the maintenance of normal blood pressure and renal function. The balance and integration of these roles change during development in ways that we do not yet fully understand. This article reviews the ways in which the renin-angiotensin system maintains normal cardio...

journal_title：Pediatric clinics of North America

authors： Guillery EN,Robillard JE

更新日期：1993-02-01 00:00:00

abstract：:Renal arteriography remains the only study to identify and define correctly both location and extent of renal artery stenosis. Because other studies do not adequately identify all children who have renal artery disease, it is reasonable to perform renal arteriography in those children with severe hypertension who do n...

journal_title：Pediatric clinics of North America

authors： Hiner LB,Falkner B

更新日期：1993-02-01 00:00:00

abstract：:This article presents the studies that show that asthma in children is strongly associated with sensitization to dust mite and other indoor allergens. In addition, the recent evidence that this association reflects a causal relationship between allergen exposure and asthma is reviewed. The relevance of quantitative me...

journal_title：Pediatric clinics of North America

authors： Duff AL,Platts-Mills TA

更新日期：1992-12-01 00:00:00

abstract：:The accurate diagnosis and timely, appropriate treatment of soft-tissue and bony maxillofacial injuries in children are of critical importance due to the potential adverse impact of maxillofacial trauma on subsequent facial growth and development. Guidelines are provided to assist the pediatrician in the evaluation an...

journal_title：Pediatric clinics of North America

authors： Hunter JG

更新日期：1992-10-01 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：:Acute cerebrovascular injury in term and preterm infants is a cause of significant morbidity. Treatment efforts in the past have focused on attempts to prevent such injury by interceding during labor in term infants and improving neonatal care in preterm infants. Epidemiologic studies suggest that these strategies hav...

journal_title：Pediatric clinics of North America

authors： Allan WC,Riviello JJ Jr

更新日期：1992-08-01 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：:Eating behavior must be viewed as a complex phenomenon involving the coordination of motor, cognitive, social and emotional development, all under the regulation of both central and peripheral factors. Eating provides not only the necessary biologic substrate for human growth and normal physiologic function but is str...

journal_title：Pediatric clinics of North America

authors： Hammer LD

更新日期：1992-06-01 00:00:00

abstract：:In this article the practitioner's role in newborn screening were summarized and guidelines to assist in their execution were provided. The authors summarized the tests that are currently used in North America and provided a short discussion of current and future issues in this area. Newborn screening is no longer a s...

journal_title：Pediatric clinics of North America

authors： Buist NR,Tuerck JM

更新日期：1992-04-01 00:00:00

abstract：:Advances in genetics, including mapping the human genome, improved therapy for genetic disorders, recognition of the role of genetic factors in common diseases of adulthood, and new screening tests for carrier detection and presymptomatic diagnosis create an increased demand for and awareness of clinical genetic servi...

journal_title：Pediatric clinics of North America

authors： Bernhardt BA,Pyeritz RE

更新日期：1992-02-01 00:00:00

abstract：:The more common and more glaring pitfalls in developmental diagnosis encountered during infancy and early childhood have been outlined. Much of the ability to avoid these traps depends on a comfortable understanding of the four spheres of early child development and a sound familiarity with the principles of developme...

journal_title：Pediatric clinics of North America

authors： Blasco PA

更新日期：1991-12-01 00:00:00

abstract：:The development of feeding skills is an extremely complex process influenced by multiple anatomic, neurophysiologic, environmental, social, and cultural factors. Most children negotiate the necessary developmental sequence without significant difficulties. An understanding of the development of normal feeding abilitie...

journal_title：Pediatric clinics of North America

authors： Stevenson RD,Allaire JH

更新日期：1991-12-01 00:00:00

abstract：:Abnormalities of occlusal development manifest themselves clinically as a need for orthodontic treatment. There are many circumstances in which there is an interaction between traditional pediatric concerns and occlusal abnormalities. In some cases medical treatment impacts on the development of occlusion. In other ca...

journal_title：Pediatric clinics of North America

authors： Smith RJ

更新日期：1991-10-01 00:00:00

abstract：:A wide variety of disorders involving the scalp and hair exist that may be encountered in the pediatric and adolescent population. An approach to the differential diagnosis of many of these conditions can be considered once the patient is found to have either alopecia, scaling, or tumors of the scalp. Certainly other ...

journal_title：Pediatric clinics of North America

authors： Levy ML

更新日期：1991-08-01 00:00:00

abstract：:Persistent microscopic hematuria in children is most often benign or untreatable. The evaluation of microscopic hematuria in an otherwise healthy child need not require invasive and costly laboratory studies. The initial evaluation must look for signs of life-threatening causes of hematuria, i.e., hypertension, edema,...

journal_title：Pediatric clinics of North America

authors： Lieu TA,Grasmeder HM 3rd,Kaplan BS

更新日期：1991-06-01 00:00:00

abstract：:Major advances have been made in the treatment of children with Wilms' tumor. Remaining areas of investigation include the role of adriamycin and the treatment of children with stage III and IV disease and the role of whole lung radiation therapy in the treatment of children with pulmonary metastases. Long-term follow...

journal_title：Pediatric clinics of North America

authors： Green DM,Finklestein JZ,Breslow NE,Beckwith JB

更新日期：1991-04-01 00:00:00