Lactose intolerance: Diagnosis and diet strategiesDiarrhea, abdominal pain, and flatulence following ingestion of milk or products containing milk are common complaints in pediatric practices. The pediatrician needs to be aware of the management of lactose intolerance to help guide a reasonable workup and plan.
In this issue
Choosy mothers choose . . . fruit! June 01, 2017By Teresa A McNultySince the American Academy of Pediatrics (AAP) published its first recommendations regarding fruit juice 16 years ago, pediatricians have been waving off parents from serving young children apple and other fruit juices in bottles and sippy cups, encouraging water be given instead, because of both caloric and dental caries concerns. Now the AAP has issued a new policy statement that goes further than ever on what constitutes optimal quantities of fruit juice product consumption for children of all ages. Supplement omega-3 based on weightOlder, larger children using omega-3 fatty acid supplements as therapy for mood disorders—as well as those taking the supplement for general brain and heart health—may need more of the essential nutrient than smaller children, leading researchers to call for new studies into weight-appropriate dosing.
When losing weight leads to eating disordersEating disorders often begin when an adolescent tries to lose weight. New AAP guidance provides tools to address the unhealthy eating behaviors that put teens at risk.
Developmental dysplasia of the hipDevelopmental dysplasia of the hip (DDH) refers to a spectrum of abnormalities that range in severity from mild instability to frank dislocation. The vast majority of clinical and anatomic hip abnormalities identified in early infancy resolve spontaneously. Left untreated, however, a hip that is persistently unstable and anatomically abnormal can lead to functional limitations, pain, and premature degenerative changes. DHA fails to prevent BPD in preterm infants June 01, 2017By Ilya Petrou MDPrevious studies conducted in animals and in humans have suggested that DHA might be helpful in reducing the risk of bronchopulmonary dysplasia (BPD). However, the results of a very recent study demonstrated that the supplementation of an emulsion containing DHA did not reduce the risk of preterm infants developing BPD compared with infants who received a control emulsion without DHA.
Reimagineering chemotherapy June 01, 2017By Lisette HiltonFun isn’t what you’d typically expect in a chemotherapy infusion room. Yet, that’s precisely the environment an adolescent and young adult oncologist and a former Disney Imagineer created with the Infusionarium concept.
Boy with ear pain and facial weaknessA 13-year-old boy with poorly controlled type 1 diabetes (T1D) presents to the emergency department (ED) for evaluation of left ear pain and left facial weakness.
Pediatrician compensation: Are you earning enough?Readers of Contemporary Pediatrics will be pleased to know that according to Merritt-Hawkins, one of the nation’s leading physician search firms, the average starting salary offered to recruit pediatricians rose from $195,000 in 2015 to $224,000 in 2016, a 15% increase. You may be curious how your current compensation as well as your compensation model compares with that of your colleagues. More importantly, there may be ways for you to earn more—or avoid a painful pay cut if your patient visits are dwindling.
Acute pruritic eruption on a child’s face and handsYou are asked to evaluate a healthy 9-year-old girl with an itchy rash on her face, neck, and hands for a week. She had a similar eruption 1 month ago that resolved over several days. Although she has a history of poison ivy, her parents knew of no exposure. There was no history of new topical skin products. However, she had begun to eat more seasonal fruits recently, including strawberries, grapes, and mangos.
Families detect errors hospital incident reports missRates of medical errors yielded by solicited family reporting were 5 times higher than the rates provided by hospital incident reports and the rates of adverse events (AEs) were 3 times higher, a study in 4 pediatric hospitals found. Most hospitals primarily use incident reports to conduct patient safety surveillance. Gene variants relate to risk of respiratory infections and AOMCertain polymorphisms in mannose-binding lectin (MBL) and toll-like receptors (TLRs), genes that have a role in the innate immune system, promote susceptibility to or protection against respiratory and rhinovirus infections and acute otitis media (AOM), according to a study in Finnish infants. Does residential ‘greenspace’ help asthma control?A study in 150 asthmatic children (aged 9 to 17 years) found an interaction between family relationships and residential greenspace, suggesting that children with asthma benefit when they live in high greenspace areas and have positive family relationships.