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Current Problems in Pediatric and Adolescent Health Care

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https://www.readbyqxmd.com/read/28526231/exposures-to-endocrine-disrupting-chemicals-in-consumer-products-a-guide-for-pediatricians
#1
Katelyn H Wong, Timur S Durrani
Endocrine disrupting chemicals, a group of exogenous chemicals that can interfere with hormone action in the body, have been implicated in disrupting endocrine function, which negatively affects human health and development. Endocrine disrupting chemicals are ubiquitously detected in consumer products, foods, beverages, personal care products, and household cleaning products. Due to concerns about their negative effects on human health, several professional health provider societies have recommended the reduction of common endocrine disrupting chemical exposures...
May 16, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28532967/avoidant-restrictive-food-intake-disorder-arfid
#2
Jacqueline Zimmerman, Martin Fisher
Avoidant/restrictive food intake disorder (ARFID) is an entirely new diagnosis in the DSM-5. ARFID replaces "feeding disorder of infancy or early childhood," which was a diagnosis in the DSM-IV restricted to children 6 years of age or younger; ARFID has no such age limitations and it is distinct from anorexia nervosa and bulimia nervosa in that there is no body image disturbance. ARFID involves a complex and heterogenous etiology, which is reviewed herein. What is known to date regarding the characteristics and medical and psychiatric comorbidities of this patient population are described and compared to other eating disorders...
April 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28532966/bulimia-nervosa-purging-disorder
#3
Marigold Castillo, Eric Weiselberg
Bulimia nervosa was first described in 1979 by British psychiatrist Gerald Russell as a "chronic phase of anorexia nervosa" in which patients overeat and then use compensatory mechanisms, such as self-induced vomiting, laxatives, or prolonged periods of starvation. The characterization of bulimia nervosa continues to evolve with the introduction of the DSM-5 in 2013. In this article, the epidemiology and risk factors of bulimia nervosa are identified and reviewed, along with the medical complications and psychiatric comorbidities...
April 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28532965/anorexia-nervosa-atypical-anorexia-nervosa
#4
Lindsay Moskowitz, Eric Weiselberg
Anorexia nervosa has the highest mortality rate among all psychiatric illnesses, as it can result in significant psychopathology along with life-threatening medical complications. Atypical anorexia nervosa is a new variant described in the latest DSM edition, which has much in common with anorexia nervosa and also can result in significant morbidity and mortality. The evolution of the criteria for these illnesses is reviewed, and the two are compared and contrasted in this article. Important labs to monitor for in those with these illnesses, along with an emphasis on the monitoring of vital signs and weight, are reviewed here...
April 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28532964/foreword-diagnosis-and-management-of-eating-disorders-in-the-dsm-5-era
#5
EDITORIAL
Martin Fisher
No abstract text is available yet for this article.
April 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28366491/pediatric-headache-an-overview
#6
Raquel Langdon, Marc T DiSabella
Headache represents the most common neurologic disorder in the general population including children and is increasingly being recognized as a major source of morbidity in youth related to missed school days and activities. In this article, we take a holistic approach to the child presenting with headache with a focus on the detailed headache history, physical and neurologic examinations, and diagnostic evaluation of these patients. Clinical presentations and classification schema of multiple primary and secondary headache types in children are discussed using the International Headache Criteria (IHCD-3) as a guide, and a summary provided of the various treatment modalities employed for pediatric headache including lifestyle modifications, behavioral techniques, and abortive and preventive medications...
March 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28366490/foreword
#7
EDITORIAL
Mary C Ottolini
No abstract text is available yet for this article.
March 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28267431/foreword-sleep-regulation-physiology-and-development-sleep-duration-and-patterns-and-sleep-hygiene-in-infants-toddlers-and-preschool-age-children
#8
EDITORIAL
Arthur H Fierman
No abstract text is available yet for this article.
February 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28117135/sleep-regulation-physiology-and-development-sleep-duration-and-patterns-and-sleep-hygiene-in-infants-toddlers-and-preschool-age-children
#9
REVIEW
Eleanor Bathory, Suzy Tomopoulos
Sleep problems are common, reported by a quarter of parents with children under the age of 5 years, and have been associated with poor behavior, worse school performance, and obesity, in addition to negative secondary effects on maternal and family well-being. Yet, it has been shown that pediatricians do not adequately address sleep in routine well-child visits, and underdiagnose sleep issues. Pediatricians receive little formal training in medical school or in residency regarding sleep medicine. An understanding of the physiology of sleep is critical to a pediatrician׳s ability to effectively and confidently counsel patients about sleep...
February 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28089616/foreword-pediatric-psychopharmacology-for-primary-care-clinicians
#10
EDITORIAL
John M Pascoe
No abstract text is available yet for this article.
January 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28089615/commentary-pediatric-psychopharmacology-for-the-primary-care-clinician
#11
Andrew Smith
No abstract text is available yet for this article.
January 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28057447/antidepressant-prescribing-by-pediatricians-a-mixed-methods-analysis
#12
Anne K Tulisiak, Jillian A Klein, Emily Harris, Marissa J Luft, Heidi K Schroeder, Sarah A Mossman, Sara T Varney, Brooks R Keeshin, Sian Cotton, Jeffrey R Strawn
Among pediatricians, perceived knowledge of efficacy, tolerability, dosing, and side effects of antidepressants represent significant sources of variability in the use of these medications in youth with depressive and anxiety disorders. Importantly, the qualitative factors that relate to varying levels of comfort with antidepressants and willingness to prescribe are poorly understood. Using a mixed-methods approach, in-depth interviews were conducted with community-based and academic medical center-based pediatricians (N = 14)...
January 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28043839/primary-pediatric-care-psychopharmacology-focus-on-medications-for-adhd-depression-and-anxiety
#13
REVIEW
Jeffrey R Strawn, Eric T Dobson, Lisa L Giles
The evidence base for psychopharmacologic interventions in youth with depressive and anxiety disorders as well as attention/deficit hyperactivity disorder (ADHD) has dramatically increased over the past two decades. Psychopharmacologic interventions commonly utilized in the pediatric primary care setting-selective serotonin (norepinephrine) reuptake inhibitors (SSRIs/SSNRIs), stimulants and α2 agonists-are reviewed. General pharmacologic principles are summarized along with class-related side effects and tolerability concerns (e...
January 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27964833/commentary-integrating-social-determinants-family-involvement-and-mental-health-in-pediatric-primary-care
#14
W Douglas Tynan
No abstract text is available yet for this article.
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27956109/practical-steps-to-integrate-family-voice-in-organization-policy-planning-and-decision-making-for-socio-emotional-trauma-informed-integrated-pediatric-care
#15
MULTICENTER STUDY
Lauren Dayton, Amelia Buttress, Jen Agosti, Javier Aceves, Meredith Kieschnick, Agatha Popejoy, Robyn Robbins, Kate Farinholt
This article explores barriers and strategies to achieving family-driven integrated child health care. Family involvement in health system design and reform has become a guiding principle in national and local efforts to improve children's mental health services. In practice, primary care clinicians, staff, and families continue to describe common barriers to integrating family voice. Drawing from the collective knowledge of the Pediatric Integrated Care Collaborative (PICC) and the National Alliance on Mental Illness (NAMI), we present strategies to overcome these barriers to successfully recruit, sustain, and expand family influence on health systems...
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27940121/introducing-psychosocial-trauma-informed-integrated-care
#16
Lawrence S Wissow
No abstract text is available yet for this article.
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27940120/integrating-mental-and-physical-health-services-using-a-socio-emotional-trauma-lens
#17
Lauren Dayton, Jen Agosti, Deirdre Bernard-Pearl, Marian Earls, Kate Farinholt, Betsy McAlister Groves, Mark Rains, Barry Sarvet, Holly C Wilcox, Lawrence S Wissow
This article provides a synthesis of the lessons learned from the Pediatric Integrated Care Collaborative (PICC), a SAMHSA-funded project that is part of the National Child Traumatic Stress Network. The high prevalence of trauma exposure in childhood and shortage of mental health services has informed efforts to integrate mental and behavioral health services in pediatric primary care. This article outlines strategies to integrate care following the six goals of the PICC change framework: create a trauma/mental health informed office; involve families in program development; collaborate and coordinate with mental health services; promote resilience and prevent mental health problems through a particular focus on trauma-related risks; assess trauma-related somatic and mental health issues; and address trauma-related somatic and mental heath issues...
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27919566/the-five-s-s-a-communication-tool-for-child-psychiatric-access-projects
#18
Joyce Harrison, Kate Wasserman, Janna Steinberg, Rheanna Platt, Kelly Coble, Kelly Bower
Given the gap in child psychiatric services available to meet existing pediatric behavioral health needs, children and families are increasingly seeking behavioral health services from their primary care clinicians (PCCs). However, many pediatricians report not feeling adequately trained to meet these needs. As a result, child psychiatric access projects (CPAPs) are being developed around the country to support the integration of care for children. Despite the promise and success of these programs, there are barriers, including the challenge of effective communication between PCCs and child psychiatrists...
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27913080/foreword-primary-care-and-the-promotion-of-children-s-mental-health
#19
EDITORIAL
John M Pascoe
No abstract text is available yet for this article.
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27940122/pediatric-community-mental-health
#20
REVIEW
Lisa M Cullins, Mary Gabriel, Martine Solages, David Call, Shalice McKnight, Milangel Concepcion, Jang Cho
The emotional health and wellbeing of children and adolescents and their families is of utmost importance. Pediatricians are at the front line in identifying mental illness in children and adolescents and either linking them to resources in the community or providing treatment options themselves. Collaboration and integrative health care models is the cornerstone of effective strategies to provide access and quality mental health care to children and families in communities across the country.
November 2016: Current Problems in Pediatric and Adolescent Health Care
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