Urolithiasis in childrenUrolithiasis occurrence is increasing in both adults and children in the United States, with nearly 1 in 11 adults having a stone at some time in their life. Unfortunately, stone occurrence in children also appears to have increased from 1% to 2% in the 1950s to 1970s to almost 10%.
In this issue
Possible link between unhealthy prenatal diet and ADHD
January 01, 2017A longitudinal study examined the relationship between prenatal or postnatal high-fat, high-sugar diet and symptoms of attention-deficit/hyperactivity disorder (ADHD) in children who demonstrated either early-onset persistent conduct disorder or minimal conduct problems.
Kid care on the slopesSkiing is an enormously popular winter sport for children, teenagers, and families. Here's a review of winter sports injuries and how to provide the best care.
Improve your practice: Facilitate patient accessA major dilemma for patients is simply how to access good care that is both convenient and affordable. To thrive in these challenging times, practices should consider all options to facilitate patient access. If you have an open mind, you may even consider changing your “traditional” practice to one that provides “direct primary care.”
Small-for-age toddler is unable to walkA 22-month-old African American boy born at 38 weeks by normal vaginal delivery presents to a local hospital from a private pediatric office for failure to thrive. He was seen by his pediatrician until aged 1 month but was lost to follow-up. His delay in walking prompted his mother to reestablish care at age 22 months.
Recurrent brown spots in an infant girl January 01, 2017By Nikita Goel MD PGY2A mother brings her healthy 6-month-old girl to the outpatient clinic with disseminated, asymptomatic, golden-brown bumps that occasionally become red and swollen.
Eye on Washington
Cures Act covers vaccines, ACIP, and more January 01, 2017By Kathryn FoxhallA congressional fact of life is the dangerous “Christmas tree” bill, which passes with so much on it that many things don’t get the scrutiny they deserve. The 21st Century Cures Act, signed into law by President Obama on December 13, 2016, is such a bill. MACRA changes physician reimbursement model January 01, 2017By Kathryn FoxhallThe new “MACRA” system, underway as of January 2017, massively changes the way physicians are paid under Medicare and will impact pediatricians indirectly but substantially, say experts. Time for renewed dialog on vaccines January 01, 2017By Kathryn FoxhallWill the Trump administration promote vaccine hesitancy or create policies that are less than vaccine friendly? Or will his doubts about vaccines encourage hesitancy? Trump nominates new leader for CMS January 01, 2017By Kathryn FoxhallPresident-elect Donald Trump has announced he will nominate Seema Verma, MPH, a consultant with extensive work in Medicaid in several states, to lead the Centers for Medicare and Medicaid Services (CMS).
Concentration matters in newer urinalysis techniques January 01, 2017By Marian FreedmanIn a retrospective study of 27,000 infants aged younger than 3 months evaluated for urinary tract infection (UTI) with paired urinalysis and urine culture, investigators set out to determine the optimal urine white blood cell (WBC) threshold for UTI when using an automated urinalysis system stratified by urine concentration. Overweight is not treated in children hospitalized with asthmaA retrospective record review for youngsters admitted with asthma to a Midwestern children’s hospital revealed that overweight and obesity were underrecognized, underdiagnosed, and undertreated. Medication or placebo to prevent migraine?A trial comparing amitriptyline, topiramate, and placebo for prevention of migraine in children and adolescents with a history of migraine found that all 3 had about the same effect on reducing headache frequency or headache-related disability. Effective early autism intervention has long-term impactA follow-up trial conducted 6 years after the conclusion of a randomized controlled trial of early intervention in autism spectrum disorder demonstrated that the intervention had a long-term effect on autism symptoms and continued effects on parent and child social interaction.