abstract：:Healthy children may present acute mountain sickness (AMS) within a few hours after arrival at high altitudes. In few cases, serious complications may occur, including high-altitude pulmonary edema and rarely high-altitude cerebral edema. Those with preexisting conditions especially involving hypoxia and pulmonary hyp...

journal_title：Pediatric clinics of North America

authors： Villca N,Asturizaga A,Heath-Freudenthal A

更新日期：2021-02-01 00:00:00

abstract：:Vasculitides are defined according to the vessel size involved, and they tend to affect certain organ systems. Pulmonary involvement is rare in the common childhood vasculitides, such as Kawasaki disease, IgA vasculitis (Henoch Schonlein purpura). On the other hand, lung involvement is common in a rare pediatric vascu...

journal_title：Pediatric clinics of North America

authors： Cuceoglu MK,Ozen S

更新日期：2021-02-01 00:00:00

abstract：:Endocrine late effects, including reproductive disorders and secondary thyroid cancer, have been reported in up to 50 %childhood cancer survivors (CCS) more than 5 years after treatment. Most endocrine disorders are amenable to treatment; awareness of symptoms is therefore of great importance. Recognition of these sym...

journal_title：Pediatric clinics of North America

authors： van Santen HM,Chemaitilly W,Meacham LR,Tonorezos ES,Mostoufi-Moab S

更新日期：2020-12-01 00:00:00

abstract：:Although progress had been made in reducing cardiovascular disease (CVD) mortality, the positive trend has reversed in recent years, and CVD remains the most common cause of mortality in US women and men. Youth represent the future of CVD prevention; emerging evidence suggests exposure to risk factors in children cont...

journal_title：Pediatric clinics of North America

authors： Clauss SB,de Ferranti SD

更新日期：2020-10-01 00:00:00

abstract：:Doctors need to acquire telehealth consultation skills to thrive in the increasingly pressurized health system of delivering high-quality, high-volume health care with a shrinking health care workforce. Telehealth consultations require the same degree of thoroughness and careful clinical judgment as face-to-face consu...

journal_title：Pediatric clinics of North America

authors： Lum E,van Galen LS,Car J

更新日期：2020-08-01 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：:Children who have a dental home are more likely to receive preventative care, require fewer dental treatments, and are less likely to have dental disease. Many children demonstrate behavior management concerns that may impede families from establishing a dental home for their children. Conceptually, behavior concerns ...

journal_title：Pediatric clinics of North America

authors： Kupzyk S,Allen KD

更新日期：2020-06-01 00:00:00

abstract：:Racial bias is pervasive throughout society and can impact children and adolescents in the health care, education, and criminal justice systems. This article provides a state-of-the-science review of implicit bias in health care. It also reviews the evidence of how bias impacts children in other aspects of society, ex...

journal_title：Pediatric clinics of North America

authors： Johnson TJ

更新日期：2020-04-01 00:00:00

abstract：:For decades, pediatricians have been concerned about the impact of media on the health and well-being of children and adolescents. Robust research has found an association between exposure to media violence and real-life aggression in children and teens. Other effects include desensitization, fear, and attitudes that ...

journal_title：Pediatric clinics of North America

authors： Hogan M,Strasburger V

更新日期：2020-04-01 00:00:00

abstract：:Pediatric knee disorders are various and range from trauma and sports injuries to chronic overuse injuries. Because pediatric patients are different from adults, management of pediatric injuries and general knee disorders is also often different. Primary treatment regimen goals focus on a return to the previous level ...

journal_title：Pediatric clinics of North America

authors： Woernle M,Fechisin JP

更新日期：2020-02-01 00:00:00

abstract：:Although recent spikes in overdose deaths are largely attributable to heroin and fentanyl, prescription opioids still account for a significant percentage of overdose deaths. Additionally, overdose deaths are not a problem solely for adults; roughly 8% of all overdose deaths occur in persons aged 15 to 24. In addition...

journal_title：Pediatric clinics of North America

authors： Ford JA

更新日期：2019-12-01 00:00:00

abstract：:The innate immune response system forms an important line of defense by deploying a limited number of receptors specific for conserved microbial components. This deployment generates a rapid inflammatory response, while activating the adaptive immune system. Improvements in our understanding of the innate immune syste...

journal_title：Pediatric clinics of North America

authors： Kaur BP,Secord E

更新日期：2019-10-01 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：: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：:"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：:Premature and critically ill term infants are often discharged from the neonatal intensive care unit (NICU) with ongoing medical problems, including respiratory problems; growth, nutrition and feeding problems; and neurologic injury. At discharge, they may also be dependent on technology such as supplemental oxygen, t...

journal_title：Pediatric clinics of North America

authors： Goldstein RF,Malcolm WF

更新日期：2019-04-01 00:00:00

abstract：:This article covers several aspects of the clinical management of neonatal hypoglycemia that have recently evolved, reviewing the evidence informing these recommended changes in practice. Topics covered include use of buccal dextrose gel, rationale for avoiding the traditional "mini dextrose bolus," and benefits of di...

journal_title：Pediatric clinics of North America

authors： Rozance PJ,Wolfsdorf JI

更新日期：2019-04-01 00:00:00

abstract：:The etiology of hypertension in children and adolescents is varied; however, the prevalence of pediatric primary hypertension is increasing. Early identification and appropriate management of hypertension in children and adolescents is important to prevent the development of hypertensive end organ disease. The 2017 Am...

journal_title：Pediatric clinics of North America

authors： Guzman-Limon M,Samuels J

更新日期：2019-02-01 00:00:00

abstract：:The causes of macroscopic and microscopic hematuria overlap; both are often caused by urinary tract infections or urethral/bladder irritation. Coexistent hypertension and proteinuria should prompt investigation for glomerular disease. The most common glomerulonephritis in children is postinfectious glomerulonephritis....

journal_title：Pediatric clinics of North America

authors： Brown DD,Reidy KJ

更新日期：2019-02-01 00:00:00

abstract：:This article discusses the implications of health care reform on the pediatric emergency department (ED). The author briefly discusses the health care costs and outcomes in the United States in comparison to other developed nations. The article discusses the impact of the Affordable Care Act and insurance expansion on...

journal_title：Pediatric clinics of North America

authors： Bajaj L

更新日期：2018-12-01 00:00:00

abstract：:Emergency medicine requires diagnosing unfamiliar patients with undifferentiated acute presentations. This requires hypothesis generation and questioning, examination, and testing. Balancing patient load, care across the severity spectrum, and frequent interruptions create time pressures that predispose humans to fast...

journal_title：Pediatric clinics of North America

authors： Medford-Davis LN,Singh H,Mahajan P

更新日期：2018-12-01 00:00:00

abstract：:This article describes child oral health-related quality of life measures and provides some examples of their use in determining the effect of clinical interventions, such as dental treatment under general anesthesia, orthodontic treatment, and treatment of orofacial clefting. ...

journal_title：Pediatric clinics of North America

authors： Thomson WM,Broder HL

更新日期：2018-10-01 00:00:00

abstract：:Medications to treat children with rheumatic disease include disease-modifying antirheumatic drugs, glucocorticosteroids, and biologic response modifiers that target mediators and cells involved in autoimmunity and inflammation. Although usually well-tolerated, such medications have many possible side effects, of whic...

journal_title：Pediatric clinics of North America

authors： Higgins GC

更新日期：2018-08-01 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：:Atypical hemolytic uremic syndrome is a rare life-threatening disease of unregulated complement activation. Untreated, the prognosis is generally poor; more than one-half of patients die or develop end-stage renal disease within 1 year. Atypical hemolytic uremic syndrome is characterized by thrombotic microangiopathy ...

journal_title：Pediatric clinics of North America

authors： Dixon BP,Gruppo RA

更新日期：2018-06-01 00:00:00

abstract：:Newborn screening programs aim to achieve presymptomatic diagnosis of treatable disorders allowing for early initiation of medical care to prevent or reduce significant morbidity and mortality. Many of the conditions included in the newborn screening panels are inborn errors of metabolism; however, screening for endoc...

journal_title：Pediatric clinics of North America

authors： El-Hattab AW,Almannai M,Sutton VR

更新日期：2018-04-01 00:00:00

abstract：:When a child presents with high-anion gap metabolic acidosis, the pediatrician can proceed with confidence by recalling some basic principles. Defects of organic acid, pyruvate, and ketone body metabolism that present with acute acidosis are reviewed. Flowcharts for identifying the underlying cause and initiating life...

journal_title：Pediatric clinics of North America

authors： Schillaci LP,DeBrosse SD,McCandless SE

更新日期：2018-04-01 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：:Interprofessional collaborative practice (IPCP) is a service delivery approach that seeks to improve health care outcomes and the patient experience while simultaneously decreasing health care costs. The current article reviews the core competencies and current trends associated with IPCP, including challenges faced b...

journal_title：Pediatric clinics of North America

authors： Golom FD,Schreck JS

更新日期：2018-02-01 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：:As new therapies for pediatric asthma are approved by the Food and Drug Administration, clinicians should be aware of their benefits and limitations. Accompanying these therapies are potential obstacles, including the delivery of inhaled therapies and age-specific issues regarding implementation and adherence. New ins...

journal_title：Pediatric clinics of North America

authors： Anderson WC 3rd,Gleason MC,Miyazawa N,Szefler SJ

更新日期：2017-12-01 00:00:00

abstract：:Septic shock remains the major cause of childhood morbidity and mortality worldwide. Although early sepsis recognition, fluid resuscitation, timely administration of antimicrobials, and vasoactive-inotropic drug infusions are all key to achieving good sepsis outcomes, therapy using various steroid drug classes remains...

journal_title：Pediatric clinics of North America

authors： Zimmerman JJ

更新日期：2017-10-01 00:00:00

abstract：:Refugee children and international adoptees have special medical considerations that must be addressed. Providers must be aware of the immigration history, where, and under what circumstances the child lived and migrated to the United States. Federal guidelines exist regarding which infections should be screened for, ...

journal_title：Pediatric clinics of North America

authors： Waggoner-Fountain LA

更新日期：2017-08-01 00:00:00

abstract：:Lack of success in achieving considerable reductions in neonatal mortality is a contributory factor in failing to achieve Millennium Development Goal 4.2.6 million neonates still die each year, with preterm birth and infections the two leading causes. Maternal infections and environmental and infant factors influence ...

journal_title：Pediatric clinics of North America

authors： Khan AM,Morris SK,Bhutta ZA

更新日期：2017-08-01 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：:Oral contraceptive pills (OCPs) continue to be the most commonly used form of prescription contraceptives used by adolescents in the United States. With proper use, oral contraceptives provide safe and effective birth control. Broad categories of OCPs include progestin-only pills (POPs) and combined oral contraceptive...

journal_title：Pediatric clinics of North America

authors： Powell A

更新日期：2017-04-01 00:00:00

abstract：:Although primary immunodeficiencies typically present with recurrent, chronic, or severe infections, autoimmune manifestations frequently accompany these disorders and may be the initial clinical manifestations. The presence of 2 or more autoimmune disorders, unusual severe atopic disease, or a combination of these di...

journal_title：Pediatric clinics of North America

authors： Routes JM,Verbsky JW

更新日期：2017-02-01 00:00:00

abstract：:Most neurodevelopmental disorders are defined by their clinical symptoms and many disorders share common features. Recently there has been an increase in the number of children diagnosed with autism spectrum disorder, although concerns have been raised about the accuracy of the reported prevalence rates. This article ...

journal_title：Pediatric clinics of North America

authors： Simms MD

更新日期：2017-02-01 00:00:00

abstract：:In this article, we review theory and evidence on stigma and minority stress as social/structural determinants of health among lesbian, gay, bisexual, and transgender (LGBT) youth. We discuss different forms of stigma at individual (eg, identity concealment), interpersonal (eg, victimization), and structural (eg, laws...

journal_title：Pediatric clinics of North America

authors： Hatzenbuehler ML,Pachankis JE

更新日期：2016-12-01 00:00:00

abstract：:Firearm injury is a leading cause of death and injury for children and adolescents, able to cause disability and interfere with normal development. Child developmental stages, variance of behavior, and mental health may all put children at risk for firearm injury or lead to increased morbidity after experiencing firea...

journal_title：Pediatric clinics of North America

authors： Schaechter J,Alvarez PG

更新日期：2016-10-01 00:00:00