BPD: Complication of prematurityDespite improvements in obstetric and neonatal care leading to increased survival of premature infants, little progress has been made in the prevention of bronchopulmonary dysplasia. Pediatricians need to be aware of changing definitions, risk factors, prevention, and long-term health outcomes of this disease in their premature patients.
In this issue
Asthma and kidney stones linked in children March 01, 2017By Bob KronemyerChildren with asthma are 4 times more likely to have kidney stones than those without asthma, and vice versa, according to a study published online in the medical journal PLoS One. Cystic fibrosis guidelines for preschool childrenNew guidelines have been published that address monitoring cystic fibrosis in children aged between 2 and 5 years and highlight the key issues for pediatricians in caring for young children during this critical stage of development. Mental health services in primary careIntegrating mental health services within the primary care setting would help to provide continuity of care and benefit a myriad of issues faced by children with mental illness and the pediatricians who care for them.
Improve your practice: Patient visitsIn this month’s article, Dr. Andrew Schuman focuses on improving the office visit experience for your young patients. By following his advice, you will be rewarded with parental loyalty, a busy and prosperous practice, and patients who look forward to their office visits.
Infant with failure to thrive and hypotoniaA 4-month-old girl arrives at the clinic for a well-child visit. Her mother voices concerns about the infant’s poor weight gain, slow feeding habits, and physical delays such as head lag, poor grasp reflex, and rolling over.
Pruritic vesicles erupt on a boy’s legsA healthy 12-year-old boy with eczema shows up at the office with an incredibly itchy rash on his legs that has exploded over the last 48 hours. He has a history of dry skin to which his mother regularly applies various moisturizers, including calendula oil.
Residency training in psychosocial healthRecently, the American Board of Pediatrics (ABP) cited a critical lack of pediatric residency training for behavioral and mental health problems and proposed more education in preventing, recognizing, and managing these conditions. Here’s why any change needs to start with a hard look at what our priorities are.
LCPUFAs in pregnancy lower child’s asthma riskWomen in the third trimester of pregnancy who take supplements of n-3 long-chain polyunsaturated fatty acids (LCPUFAs) reduce their children’s risk of persistent wheeze or asthma as well as of lower respiratory tract infections, a study in Denmark demonstrated. Meningococcal vaccine might raise risk of Bell’s palsyIn a study of almost 48,900 vaccinated individuals, investigators observed a temporal association between development of Bell’s palsy and administration of quadrivalent meningococcal conjugate vaccine (MCV4) that protects against serogroups A,C, Y, and W (MenACWY) when the vaccine was given at the same time as other vaccines. Two-step egg introduction helps prevent egg allergyStepwise introduction of egg (starting with a low dose, which is then increased), along with aggressive treatment of atopic dermatitis (AD), is a safe and effective way to prevent hen’s egg allergy in high-risk infants, a study in Japan showed. Hitting kids is linked to aggressive behavior March 01, 2017By Marian FreedmanAn interview-based study conducted in 372 parents visiting pediatric emergency departments with children aged younger than 4 years found that parents who used physical discipline were 2.8 times more likely than parents who did not use this form of discipline to report that their children engage in hitting, kicking, and throwing. Top 10 studies you may have missed- 2017It’s that time again! Here are Dr Michael Burke’s favorite 10 articles he reviewed in Journal Club for Contemporary Pediatrics during the past 12 months that are most likely to change your practice, improve patient care, or illuminate future trends in pediatrics.
Bronchopulmonary dysplasia: Consequence of survival
March 01, 2017Advances in care now make it possible for more premature infants to survive. Ironically, many of the very interventions employed to ensure their viability such as mechanical ventilation and long-term use of oxygen can put many of these infants at high risk for bronchopulmonary dysplasia.