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Pediatric Annals

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https://www.readbyqxmd.com/read/28599030/pediatric-nephrolithiasis-a-review
#1
Tayaba Miah, Deepak Kamat
The incidence of pediatric nephrolithiasis is on the rise. The composition of kidney stones in children is different than in adults, as most stones in children have a composition of calcium oxalate and calcium phosphate mixed with a small amount of uric acid. The symptoms of pediatric nephrolithiasis are nonspecific. Computed tomography (CT) is the gold standard for diagnosis; however, because of radiation exposure associated with a CT scan, ultrasonography is also an accepted modality for the diagnosis. Extensive metabolic evaluation is important to rule out an underlying metabolic disorder...
June 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28599029/transition-consultation-models-in-two-academic-medical-centers
#2
Jessica I Gold, Rebecca Boudos, Parag Shah, Rita Rossi-Foulkes
Health care transition (HCT), the organized progression from pediatric- to adult-focused models of care, is crucial for patients with chronic childhood conditions. More adolescents with chronic conditions now survive into adulthood and have increased risk of adverse events during HCT. Got Transition-an agreement between the Maternal and Child Health Bureau and the National Alliance to Advance Adolescent Health-developed the Six Core Elements of Health Care Transition 2.0, defining the components of HCT. Most HCT programs incorporate these elements, but delivery varies...
June 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28599028/transitioning-the-allergy-immunology-patient-from-childhood-to-adulthood
#3
Flavia C L Hoyte
Allergic disorders and immunodeficiencies are generally chronic and even lifelong conditions, often changing over time, making the cautious transition of care from childhood to adulthood particularly important. Many, but not all, patients can continue to receive their care from the same physician as they transition through adolescence and emerging adulthood, made possible because allergy/immunology training programs require cross-training in the care of both pediatric and adult patients. Although keeping the same physician makes the transition easier for many allergy/immunology patients, even these patients face psychosocial issues unique to adolescents and emerging adults, including increased autonomy, risk-taking behavior, and medical self-management...
June 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28599027/transition-of-adolescents-and-young-adults-with-congenital-heart-disease-challenges-progress-and-future-improvements
#4
Jeremy Nicolarsen
Congenital heart disease (CHD) is the most common and perhaps most widely variable birth defect. Decades of improved CHD care has resulted in a steady growth in the number and complexity of adults with CHD, and many of these patients require lifelong, specialized follow-up care. This begins with successful transition from pediatric-based to adult-based care. Despite the remarkable advances in this field, many adults with CHD still experience lapses in care that have significant health consequences. This review outlines some of the challenges, progress, and areas for improvement in CHD transition medicine...
June 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28599026/transition-issues-and-challenges-for-youth-with-autism-spectrum-disorders
#5
Fred R Volkmar, Scott L J Jackson, Logan Hart
Earlier detection and effective, evidence-based practices are gradually improving outcomes for people with autism spectrum disorder (ASD). Although some continue to need intensive support as adults, an increasing number are now going to college, becoming independent, and marrying. With the transition to adulthood, people with ASD will face a number of significant challenges. Health care providers who are knowledgeable about these challenges can help foster better outcomes and support those requiring higher levels of care...
June 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28599025/transition-medicine-from-pediatric-to-adult-care-part-2
#6
EDITORIAL
Jill Weissberg-Benchell, Jeremy Nicolarsen
No abstract text is available yet for this article.
June 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28599024/anxiety-disorders-in-childhood-and-adolescence-a-primary-care-approach
#7
Sabrina Fernandez
Fears and worries are normal feelings that help us adapt to the ups and downs of life. Those ups and downs are especially normal as children and adolescents grow up and try to find where they fit in the world. With changing relationships at home and in social circles, they are establishing their worldview and solidifying their identity. These feelings of fear and worry can sometimes become overwhelming, and anxiety disorders can develop. Anxiety disorders are the most common psychiatric disorders with onset in childhood...
June 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28599023/anxiety-about-transitioning-pediatric-patients-to-adult-care
#8
EDITORIAL
Joseph R Hageman
No abstract text is available yet for this article.
June 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28489228/an-update-on-pediatric-pancreatitis
#9
Monica Shukla-Udawatta, Shailender Madani, Deepak Kamat
There has been a rise in the incidence and number of admissions of children with pancreatitis over the past 20 years. Current management practices for pancreatitis in children are adapted from standards of care for adults, and there are a lack of multicenter, prospective research studies on pancreatitis in children. There are inherent differences in the clinical presentation and natural course of pancreatitis between adults and children. This review focuses on the current understanding of the epidemiology, etiologies, evaluation, and management of children with pancreatitis...
May 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28489227/using-quality-improvement-in-resident-education-to-improve-transition-care
#10
Sofija D Volertas, Rita Rossi-Foulkes
The importance of a specific transition process is recognized by many health organizations. Got Transition, a cooperative endeavor aimed at improving the transition from pediatric to adult health care, developed Six Core Elements defining the basic components of health care transition support. In this article, we review the Six Core Elements by presenting a model that combines resident quality improvement and transition care training. In this Internal Medicine-Pediatrics residency program, ambulatory training for residents takes place in a combined adult and pediatric clinic...
May 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28489226/transition-of-care-for-youth-with-hiv
#11
Mary Ellen Acree
Remarkable advances have been made in the treatment of HIV. Despite progress in reducing perinatal HIV transmission, there is a growing number of adolescents and emerging adults with HIV who will require transfer of care from pediatric to adult providers. Adolescents with HIV have poorer retention in care and viral suppression compared to other age groups with HIV. Barriers to successful care of youth with HIV include mental health disorders, poor medication adherence, socioeconomic instability, and HIV-related stigma...
May 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28489225/models-of-care-for-adolescents-and-young-adults-with-type-1-diabetes-in-transition-shared-medical-appointments-and-telemedicine
#12
Jennifer K Raymond
Transitioning through adolescence and young adulthood is challenging, and even more so for patients living with a chronic disease such as type 1 diabetes. Patients in this age group encounter multiple obstacles to effectively managing their diabetes, experience suboptimal glycemic control, face higher rates of acute complications, and are often lost to medical follow-up. Comprehensive strategies and innovative clinical models are needed to engage this population in diabetes medical care, address barriers to ideal management, and improve outcomes...
May 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28489224/current-concepts-of-transition-of-care-in-cystic-fibrosis
#13
Ajanta Patel, Maria Dowell, B Louise Giles
Over the past 6 decades, advances in cystic fibrosis (CF) diagnosis and management have extended the life expectancy of patients far beyond childhood; therefore, all pediatric CF patients must prepare for transition to adult care. Readiness assessment, knowledge and skill education, and support structures are all elements of ideal transition. Transition should begin early in life with teaching skills and knowledge for disease care, and in adolescence the readiness to transition should be addressed. Transition is a gradual process of increasing responsibilities in self-care and disease management, an improvement in the understanding of CF, and an iterative process of self-assessment with knowledge acquisition...
May 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28489223/a-review-of-interventions-aimed-at-facilitating-successful-transition-planning-and-transfer-to-adult-care-among-youth-with-chronic-illness
#14
Jill Weissberg-Benchell, Jenna B Shapiro
This article reviews studies that developed interventions aimed at facilitating the transition process and/or the transfer of youth with chronic illness to adult programs during the past decade. Three key intervention approaches have been studied. Data assessing the impact of transition coordinators suggest that the most successful outcomes occur when coordinators meet with patients prior to the transfer of care, support them as they negotiate the adult programs, and facilitate appointment keeping. Data assessing the impact of transition clinics suggest that the key to positive outcomes is helping patients develop a trusting relationship with the adult providers before fully transferring their care to the adult clinic...
May 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28489222/transition-medicine-from-pediatric-to-adult-care-part-1
#15
EDITORIAL
Jeremy Nicolarsen, Jill Weissberg-Benchell
No abstract text is available yet for this article.
May 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28489221/addressing-eating-disorders-and-weight-control-in-children-and-adolescents
#16
Rachel S Dawson
How often do we look at a patient's body mass index (BMI) and only make a comment if the BMI is above normal in the overweight or obese category? As pediatricians, we often do not give it a second thought when the BMI is normal, and we generally do not counsel on healthy eating practices in these cases. However, when people are overweight, obese, and sometimes even normal weight they are told by family, friends, as well as physicians that they need to either not gain any more weight, or that they need to lose weight...
May 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28489220/transition-from-pediatric-to-adult-care-is-so-important-and-challenging
#17
EDITORIAL
Joseph R Hageman
No abstract text is available yet for this article.
May 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28414399/current-understanding-of-the-health-effects-of-electromagnetic-fields
#18
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
#19
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
#20
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
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