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Lydie A Lebrun-Harris, Margaret A McManus, Samhita M Ilango, Mallory Cyr, Sarah Beth McLellan, Marie Y Mann, Patience H White
BACKGROUND: Researchers have shown that most youth with special health care needs (YSHCN) are not receiving guidance on planning for health care transition. This study examines current transition planning among US youth with and without special health care needs (SHCN). METHODS: The 2016 National Survey of Children's Health is nationally representative and includes 20 708 youth (12-17 years old). Parents and/or caregivers were asked if transition planning occurred, based on the following elements: (1) doctor or other health care provider (HCP) discussed the eventual shift to an HCP who cares for adults, (2) an HCP actively worked with youth to gain self-care skills or understand changes in health care at age 18, and (3) youth had time alone with an HCP during the last preventive visit...
September 17, 2018: Pediatrics
Ariel Sims, Thitphalak Chounthirath, Jingzhen Yang, Nichole L Hodges, Gary A Smith
OBJECTIVES: To investigate the epidemiologic characteristics of infant walker-related injuries among children <15 months old who were treated in US emergency departments and to evaluate the effect of the 2010 federal mandatory safety standard on these injuries. METHODS: National Electronic Injury Surveillance System data from 1990 to 2014 were analyzed. RESULTS: An estimated 230 676 children <15 months old were treated for infant walker-related injuries in US emergency departments from 1990 to 2014...
September 17, 2018: Pediatrics
Megumi J Okumura
No abstract text is available yet for this article.
September 17, 2018: Pediatrics
Jason Rafferty
As a traditionally underserved population that faces numerous health disparities, youth who identify as transgender and gender diverse (TGD) and their families are increasingly presenting to pediatric providers for education, care, and referrals. The need for more formal training, standardized treatment, and research on safety and medical outcomes often leaves providers feeling ill equipped to support and care for patients that identify as TGD and families. In this policy statement, we review relevant concepts and challenges and provide suggestions for pediatric providers that are focused on promoting the health and positive development of youth that identify as TGD while eliminating discrimination and stigma...
September 17, 2018: Pediatrics
Rana E El Feghaly, Jahnavi Chatterjee, Kristin Dowdy, Lisa M Stempak, Stephanie Morgan, William Needham, Kesha Prystupa, Marie Kennedy
BACKGROUND AND OBJECTIVE: Blood culture contamination is a safety and quality concern in children's hospitals; it leads to increased unnecessary testing, admissions, antibiotic exposure, and cost. The standard benchmark for blood culture contamination is 3%. Our aim with the quality improvement project was to reduce the contamination rate at our children's hospital from a mean of 2.85% to <1.5% in 2 years. METHODS: After initial unit-specific efforts, we formed a multidisciplinary team, created a process map and a cause-and-effect analysis, sent out surveys to nurses, and created observation sheets used to identify problem areas and record the most common deviations during the collection process...
September 14, 2018: Pediatrics
Irena Tsui, Maria Elisabeth Lopes Moreira, Julia D Rossetto, Zilton Vasconcelos, Stephanie L Gaw, Luiza M Neves, Olivia A Zin, Lorena Haefeli, Joel Carlos Barros Silveira Filho, Saint Clair Gomes, Kristina Adachi, Marcos Vinicius da Silva Pone, Sheila Moura Pone, Jose Paulo Pereira, Rubens Belfort, Vaithilingaraja Arumugaswami, Patricia Brasil, Karin Nielsen-Saines, Andrea A Zin
: media-1vid110.1542/5804915134001PEDS-VA_2018-1104 Video Abstract OBJECTIVES: To characterize ophthalmic manifestations of confirmed or suspected antenatal Zika virus (ZIKV) exposure. METHODS: Infants with antenatal ZIKV exposure were referred for evaluation during the 2015-2016 Rio de Janeiro outbreak. Mothers with symptomatic ZIKV infection during pregnancy and/or infants with microcephaly or other findings that were suggestive of suspected antenatal exposure were tested with reverse transcriptase polymerase chain reaction (RT-PCR)...
September 13, 2018: Pediatrics
Larissa Hines, Jill Glick, Kristin Bilka, John D Lantos
The Food and Drug Administration categorizes marijuana (cannabis) as a Schedule I drug, meaning that it has no currently accepted medical use, a high potential for abuse, and no good data on safety. Other Schedule I drugs are heroin, lysergic acid diethylamide, peyote, methaqualone, and 3,4-methylenedioxymethamphetamine ("ecstasy"). The authors of some studies have shown that marijuana can reduce nausea and vomiting from chemotherapy, can improve food intake in patients with HIV, can reduce neuropathic pain, and may slow the growth of cancer cells...
September 13, 2018: Pediatrics
Michael W Kuzniewicz, Hamid Niki, Eileen M Walsh, Charles E McCulloch, Thomas B Newman
OBJECTIVES: Our aim was to quantify the associations of both hyperbilirubinemia and phototherapy with childhood asthma using a population-based cohort with total serum bilirubin (TSB) levels. METHODS: Retrospective cohort study of infants born at ≥35 weeks' gestation in the Kaiser Permanente Northern California health system ( n = 109 212) from 2010 to 2014. Cox models were used to estimate hazard ratios (HRs) for a diagnosis of asthma. RESULTS: In the study, 16...
September 12, 2018: Pediatrics
Honorata Marczak, Edyta Heropolitańska-Pliszka, Renata Langfort, Danuta Roik, Katarzyna Grzela
Nijmegen breakage syndrome (NBS) is a rare autosomal recessive disease characterized by microcephaly, growth retardation, severe immunodeficiency, and predisposition to lymphoid malignancy. In this report, we describe a case of a 9-year-old boy, previously diagnosed with NBS and symptoms of dyspnea, dry cough, and fever. Despite initial recognition of pneumonia, there was no response to broad spectrum antimicrobial treatment, negative results from microbiological tests, and unclear changes in lung imaging were observed...
September 12, 2018: Pediatrics
Russell B Toomey, Amy K Syvertsen, Maura Shramko
OBJECTIVES: Our primary objective was to examine prevalence rates of suicide behavior across 6 gender identity groups: female; male; transgender, male to female; transgender, female to male; transgender, not exclusively male or female; and questioning. Our secondary objective was to examine variability in the associations between key sociodemographic characteristics and suicide behavior across gender identity groups. METHODS: Data from the Profiles of Student Life: Attitudes and Behaviors survey ( N = 120 617 adolescents; ages 11-19 years) were used to achieve our objectives...
September 11, 2018: Pediatrics
Robert McMillen, Susanne Tanski, Karen Wilson, Jonathan D Klein, Jonathan P Winickoff
: media-1vid110.1542/5804914521001PEDS-VA_2018-0260 Video Abstract BACKGROUND: Little is known about the characteristics of electronic cigarettes (e-cigarettes) used by adolescents. Understanding the product landscape of adolescent e-cigarette use may inform counseling and policy strategies. METHODS: Results are from 13 651 adolescents in wave 1 and 12 172 adolescents in wave 2 of the Population Assessment of Tobacco and Health Study, a nationally representative longitudinal study...
September 10, 2018: Pediatrics
Renee M Turchi, Vincent C Smith
Fetal alcohol spectrum disorder (FASD) is an umbrella term used to describe preventable birth defects and intellectual and/or developmental disabilities resulting from prenatal alcohol exposure. The American Academy of Pediatrics has a previous clinical report in which diagnostic criteria for a child with an FASD are discussed and tools to assist pediatricians with its management can be found. This clinical report is intended to foster pediatrician awareness of approaches for screening for prenatal alcohol exposure in clinical practice, to guide management of a child with an FASD after the diagnosis is made, and to summarize available resources for FASD management...
September 10, 2018: Pediatrics
Jill Gilkerson, Jeffrey A Richards, Steven F Warren, D Kimbrough Oller, Rosemary Russo, Betty Vohr
OBJECTIVES: Quantity of talk and interaction in the home during early childhood is correlated with socioeconomic status (SES) and can be used to predict early language and cognitive outcomes. We tested the effectiveness of automated early language environment estimates for children 2 to 36 months old to predict cognitive and language skills 10 years later and examined effects for specific developmental age periods. METHODS: Daylong audio recordings for 146 infants and toddlers were completed monthly for 6 months, and the total number of daily adult words and adult-child conversational turnswere automatically estimated with Language Environment Analysis software...
September 10, 2018: Pediatrics
Alan L Mendelsohn, Perri Klass
No abstract text is available yet for this article.
September 10, 2018: Pediatrics
Peter J Holmberg, Grace Arteaga, Brenda M Schiltz, James Homme
Selective serotonin reuptake inhibitors are a commonly used and often effective class of medications in the treatment of mood disorders such as anxiety and depression. Sertraline (1S,4S-N-methyl-4-[3,4-dichlorophenyl]-1,2,3,4-tetrahydro-1-naphthylamine [Zoloft; Pfizer, New York City, NY]) is a frequently used selective serotonin reuptake inhibitor that has shown efficacy in children, adolescents, and adults. We report the case of a 13-year-old boy with sertraline-induced rhabdomyolysis and renal failure, trismus, and cardiopulmonary arrest...
September 7, 2018: Pediatrics
Joon Won Kang, Soyong Eom, William Hong, Hye Eun Kwon, Soyoung Park, Ara Ko, Hoon-Chul Kang, Joon Soo Lee, Young-Mock Lee, Dong Seok Kim, Heung Dong Kim
OBJECTIVE: We aimed to evaluate the long-term outcome of resective epilepsy surgery in patients with Lennox-Gastaut syndrome (LGS). METHODS: We reviewed the case reports of 90 patients with LGS who had undergone resective surgery between 2003 and 2014 at the Severance Children's Hospital and managed them for a minimum period of 2 years. RESULTS: At the time of surgery, the patients were between 3.0 and 23.5 years old (mean ± SD: 9.3 ± 4...
September 7, 2018: Pediatrics
Meaghann S Weaver, Lois J Starr, Paige N Austin, Christina L Stevenson, James M Hammel
: media-1vid110.1542/5804913218001PEDS-VA_2018-0321 Video Abstract .
September 6, 2018: Pediatrics
Jonathan D Santoro, Sarah Lee, Michael Mlynash, Thuy Nguyen, Daniel V Lazzareschi, Lironn D Kraler, Elizabeth W Mayne, Gary K Steinberg
OBJECTIVES: Individuals with Down syndrome (DS) are at risk for the development of moyamoya syndrome (MMS); MMS is often recognized only after a resulting stroke has occurred. Our goal with this study was to determine if elevations in blood pressure (BP) precede acute presentation of MMS in individuals with DS. METHODS: A single-center, retrospective case-control study was performed. Thirty patients with MMS and DS and 116 patients with DS only were identified retrospectively...
September 6, 2018: Pediatrics
Sylvie Naar, Deborah Ellis, Phillippe Cunningham, Amy L Pennar, Phebe Lam, Naomi C Brownstein, Jean-Marie Bruzzese
: media-1vid110.1542/5804911922001PEDS-VA_2017-3737 Video Abstract BACKGROUND: African American adolescents appear to be the most at risk for asthma morbidity and mortality even compared with other minority groups, yet there are few successful interventions for this population that are used to target poorly controlled asthma. METHODS: African American adolescents (age 12-16 years) with moderate-to-severe persistent asthma and ≥1 inpatient hospitalization or ≥2 emergency department visits in 12 months were randomly assigned to Multisystemic Therapy-Health Care or an attention control group ( N = 167)...
September 5, 2018: Pediatrics
Rachel A Umoren, Mohamed A Mohamed, Koye A Oyerinde, Yvonne E Vaucher, Ann T Behrmann, Michael Canarie, Rajesh Dudani, Mirzada Kurbasic, Molly J Moore, Alcy R Torres, Manuel Vides, Donna Staton
No abstract text is available yet for this article.
September 5, 2018: Pediatrics
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