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Pediatric Annals

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https://www.readbyqxmd.com/read/28414399/current-understanding-of-the-health-effects-of-electromagnetic-fields
#1
Tayaba Miah, Deepak Kamat
There has been an exponential increase in the use of electronic devices over the past few decades. This has led to increased exposure to electromagnetic fields (EMF). Electric fields result from differences in voltage, whereas magnetic fields result from the flow of electric current. Higher-frequency waves of EMF have more energy than lower-frequency waves, and thus generally tend to be more harmful. An EMF activates cellular stress response and also causes breaks in DNA strands. There are many methodological barriers to effectively measuring the associations of EMF and childhood cancers...
April 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28414398/tuberous-sclerosis-complex-a-review
#2
Stephanie Carapetian Randle
Tuberous sclerosis complex (TSC) is a neurocutaneous syndrome that can present at any age and can affect multiple organ systems. This disorder is usually identified in infants and children based on characteristic skin lesions, seizures, and cellular overgrowth or hamartomas in the heart, brain, and kidneys. Tuberous sclerosis complex is a genetic disorder caused by a mutation in either the TSC1 or TSC2 gene leading to dysfunction of hamartin or tuberin, respectively. Hamartin and tuberin form a protein complex that helps regulate cellular hyperplasia...
April 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28414397/childhood-headache-a-brief-review
#3
Heidi K Blume
Headaches are common in childhood and adolescence and can cause significant distress and disability for a child and their family. Providers need to be able to identify "red flags" for worrisome causes of secondary headaches and recognize typical primary headache characteristics to provide each patient with the best possible care to improve their quality of life and minimize disability. This article reviews the epidemiology of headaches in children, signs and symptoms of secondary headaches, definitions of some primary childhood headaches, and options for management of both acute and chronic pediatric migraine...
April 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28414396/postural-tachycardia-syndrome-diagnosis-and-management-in-adolescents-and-young-adults
#4
Geoffrey L Heyer
Postural tachycardia syndrome (POTS) represents a common form of orthostatic intolerance that disproportionately affects young women from puberty through adulthood. Patients with POTS have day-to-day orthostatic symptoms with the hallmark feature of an excessive, sustained, and symptomatic rise in heart rate during orthostatic testing. Although considerable overlap exists, three subtypes of POTS have been described: neuropathic, hyperadrenergic, and hypovolemic forms. The wide spectrum of symptoms and comorbidities can make treatment particularly challenging...
April 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28414395/the-role-of-active-recovery-and-rest-after-concussion
#5
Jeff Strelzik, Raquel Langdon
For several years both cognitive and physical rest remained at the forefront in pediatric postconcussion management. However, the concept of "rest" has not been well defined and there remains significant variability both in terms of rest recommendations provided as well as adherence to such recommendations. More recently, there has been growing evidence to suggest that an earlier return to light or moderate activity is not detrimental and may, in fact, facilitate symptomatic improvement, thereby highlighting a new role for active rehabilitation in recovery from concussion...
April 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28414394/overview-of-sleep-and-sleep-disorders-in-infancy-and-childhood
#6
John C Carter, Joanna E Wrede
Sleep in children is an important and dynamic process, affecting numerous aspects of health and development. Problems with sleep are relatively common but often can be challenging to recognize. This article reviews the fundamental aspects of sleep in children from infancy to adolescence, and the most common and relevant sleep disorders likely to be encountered in a general pediatric practice. Where available, current evidence-based recommendations for management are discussed, including indications for referral to a sleep specialist...
April 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28414393/neurological-disorders-in-primary-care-pediatrics
#7
EDITORIAL
Heidi K Blume
No abstract text is available yet for this article.
April 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28414392/firearm-injury-prevention-the-role-of-the-clinician
#8
M Denise Dowd
More than 2,500 people younger than age 20 years die due to a firearm injury annually in the United States, and thousands more suffer injuries that are nonfatal. With nearly one firearm for every American in the US, exposure to a gun at some point during childhood or adolescence is highly likely. The high number of fatalities caused by firearms emphasizes the importance of primary prevention. This article calls on pediatricians to use their advantage as child development experts to discuss firearm injury prevention in clinical practice via a pragmatic and nonjudgmental approach...
April 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28414391/neurological-problems-in-primary-care-and-anticipatory-guidance-about-guns
#9
EDITORIAL
Joseph R Hageman
No abstract text is available yet for this article.
April 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287686/cyproheptadine-a-potentially-effective-treatment-for-functional-gastrointestinal-disorders-in-children
#10
Amornluck Krasaelap, Shailender Madani
Functional gastrointestinal disorders (FGIDs) negatively affect children's quality of life and health care costs. It has been proposed that alteration of gut serotonin leads to gastrointestinal dysmotility, visceral hypersensitivity, altered gastrointestinal secretions, and brain-gut dysfunction. Cyproheptadine, a serotonin antagonist, has been shown to be a potentially effective and safe treatment option in children who meet the clinical criteria for FGIDs. Well-designed multicenter trials with long-term follow-up are needed to further investigate its efficacy...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287685/care-of-shoulder-pain-in-the-overhead-athlete
#11
Joseph Chorley, Richard E Eccles, Armand Scurfield
Shoulder complaints are common in the overhead athlete. Understanding the biomechanics of throwing and swimming requires understanding the importance of maintaining the glenohumeral relationship of the shoulder. Capsular laxity, humeral retrotorsion, glenoid retroversion, glenohumeral internal rotation deficit, and scapular dyskinesis can all contribute to shoulder dysfunction and pain. Injuries are more likely during peak height velocity, especially when coupled with overuse, previous injuries not adequately treated, or change in the demands on the shoulder such as a new technique, bigger field, or longer race...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287684/the-value-of-sleep-on-athletic-performance-injury-and-recovery-in-the-young-athlete
#12
Elizabeth A Copenhaver, Alex B Diamond
Adequate sleep can easily become compromised as student-athletes try to balance the multiple demands on their time. People with sleep deficiency are at increased risk for acute illnesses, traumatic sports injuries, and development of chronic diseases. Training sessions or competitions during extremely early or late hours can interfere with circadian and homeostatic rhythms. Adjusting the training schedule to improve sleep duration has a significantly positive impact on several aspects of athletic performance...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287683/injury-prevention-in-youth-sports
#13
Andrea Stracciolini, Dai Sugimoto, David R Howell
Children and adolescents are now participating in competitive sports at younger ages and with increasing intensity. As a result, increasing numbers of young athletes are presenting to pediatricians for care of sports-related injuries and advice about prevention. Understanding and identifying modifiable risk factors for injury in the young athletic population is a critical first step in injury prevention. Risk factors vary by sport, age, and sex. This article reviews the most common risk factors for injury and the evidence to support proposed strategies for prevention...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287682/return-to-school-and-learning-after-concussion-tips-for-pediatricians
#14
Matthew F Grady, Christina L Master
Concussion in children and adolescents is a common injury that is usually managed by the primary care provider. Students with a concussion may present with a variety of symptoms, and these symptoms interfere with regular school participation. Optimizing the timing and progression of return to school and learning is often challenging, but with a careful history and concussion-specific examination, the primary care provider can identify potential barriers to school reentry. This review focuses on developing a systematic approach to the initial concussion evaluation and developing customized school accommodations to aid in the school reentry process...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287681/the-preparticipation-physical-evaluation
#15
Patrick J Lehman, Rebecca L Carl
With rising rates of sports participation among children and adolescents, pediatricians are increasingly being called upon to perform preparticipation physical evaluations (PPEs) for young athletes. The purpose of this review article is to discuss the general structure of a comprehensive PPE and how the PPE differs from a typical health maintenance visit. The PPE focuses attention on screening for cardiac conditions that predispose athletes to sudden cardiac death with exercise. This review also addresses the debate over whether electrocardiogram screening should be a routine required part of the PPE...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287680/the-real-mvp-in-youth-sports-the-general-pediatrician
#16
EDITORIAL
Cynthia R LaBella
No abstract text is available yet for this article.
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287679/long-acting-reversible-contraception-a-primer-for-the-primary-care-pediatrician
#17
Sabrina Fernandez
Long-acting reversible contraception (LARC) is the most effective method of preventing pregnancy in young women and adolescents. The two types of LARC methods are the intrauterine device and the implantable rod device. The success of these methods is demonstrable due to the "perfect use" and "typical use" failure rates being near identical. Pediatricians must be comfortable counseling patients, including adolescents, about LARC methods and how to access them. This primer provides some background about the types of LARC methods, details about their efficacy and side effects, and the role of the primary pediatrician...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28287678/current-education-on-sports-medicine-and-an-ongoing-commitment-to-our-patients
#18
EDITORIAL
Joseph R Hageman
No abstract text is available yet for this article.
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28192583/erratum-for-emergency-department-triage-of-the-incessantly-crying-baby
#19
(no author information available yet)
No abstract text is available yet for this article.
February 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28192582/use-of-electronic-nicotine-delivery-systems-among-adolescents-status-of-the-evidence-and-public-health-recommendations
#20
Aarti D Kamat, Alison L Van Dyke
Although the prevalence of tobacco smoking has been declining in recent years, the use of electronic nicotine delivery systems (ENDS) such as of electronic cigarettes, vaporizers, and hookahs has been steadily rising, especially among adolescents. ENDS are not only advertised to children, but their sale via the Internet has made them easily accessible to youth. In general, children perceive ENDS as safe, or at least safer than smoking traditional combustible tobacco products; however, exposure to nicotine may have deleterious effects on the developing brain...
February 1, 2017: Pediatric Annals
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