HIT or Miss: The Sequential Diagnostic Approach to Heparin-Induced Thrombocytopenia Illustrated in a Child With Acute Post-Streptococcal Glomerulonephritis
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Sampat, H. N., Brandao, L. R., Tamburro, R. F., Kees-Folts, D., Dandekar, S. Tags: Brief Reports Source Type: research
Electronic Resources About Infant Growth for Parents and Pediatric Trainees Overestimate Normal Growth
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Marshall, W. N. Tags: Brief Reports Source Type: research
The Value of Comprehensive Thyroid Function Testing and Family History for Early Diagnosis of MCT8 Deficiency
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Bedoyan, J. K., Tim-aroon, T., Deeb, K. K., Ganganna, S. T., Bass, N. E. Tags: Brief Reports Source Type: research
Types of Infant Formulas Consumed in the United States
We examined consumption of different types of infant formula (eg, cow’s milk, soy, gentle/lactose-reduced, and specialty) and regular milk among a nationally representative sample of 1864 infants, 0 to 12 months old, from the National Health and Nutrition Examination Survey, 2003-2010. Among the 81% of infants who were fed formula or regular milk, 69% consumed cow’s milk formula, 12% consumed soy formula, 5% consumed gentle/ lactose-reduced formulas, 6% consumed specialty formulas, and 13% consumed regular milk products. There were differences by household education and income in the percentage of infants consu...
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Rossen, L. M., Simon, A. E., Herrick, K. A. Tags: Articles Source Type: research
Identifying Social Determinants of Health and Legal Needs for Children With Special Health Care Needs
Children with special health care needs (CSHCN) require comprehensive care with high levels of community and government assistance. Medical–legal partnerships may be particularly suited to address needs for this population. To explore this, we conducted in-depth telephone interviews of families of CSHCN cared for in the primary care practice of our tertiary care children’s hospital. The majority of the sample (N = 46) had been late on housing payments and 17% of homeowners had been threatened with foreclosure. Families frequently reported denial of public benefits. Approximately 10% had executed advance plannin...
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: DeJong, N. A., Wood, C. T., Morreale, M. C., Ellis, C., Davis, D., Fernandez, J., Steiner, M. J. Tags: Articles Source Type: research
Outpatient Management of Febrile Children With Sickle Cell Disease
The electronic medical records at 2 children’s hospitals were reviewed from June 1, 2011 to May 31, 2013 for all patients with sickle cell disease who presented with fever. Of a total of 390 blood cultures drawn, 11 cultures (2.8%) turned positive with only 1 (0.3%) growing a true pathogen. This culture turned positive in 13 hours. There were 154 patients who received exclusive outpatient management of fever. Fourteen patients (9.1%) completed 1 acute care visit, 16 patients (10.4%) completed 2 acute care visits, and 124 patients (80.5%) completed 3 acute care visits. Of those treated exclusively as outpatients, ther...
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Sokol, E., Obringer, E., Palama, B., Hageman, J., Peddinti, R. Tags: Articles Source Type: research
Vision Diagnoses Are Common After Concussion in Adolescents
Conclusions. A high prevalence of vision diagnoses (accommodative, binocular convergence, and saccadic eye movement disorders) was found in this sample of adolescents with concussion, with some manifesting more than one vision diagnosis. These data indicate that a comprehensive visual examination may be helpful in the evaluation of a subset of adolescents with concussion. Academic accommodations for students with concussion returning to the classroom setting should account for these vision diagnoses. (Source: Clinical Pediatrics)
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Master, C. L., Scheiman, M., Gallaway, M., Goodman, A., Robinson, R. L., Master, S. R., Grady, M. F. Tags: Articles Source Type: research
Multidisciplinary Pediatric Obesity Clinic via Telemedicine Within the Los Angeles Metropolitan Area: Lessons Learned
This study aims to assess feasibility and acceptability of multidisciplinary pediatric obesity care via telemedicine within the same metropolitan area in terms of information technology, coordination, patient care, and clinical outcomes. All project notes and communications were reviewed to extract key lessons from implementation. Patient and Provider Satisfaction Questionnaires were conducted to assess overall satisfaction; baseline and follow-up information were collected from chart reviews to evaluate clinical outcomes. Based on the questionnaires, 93% of responding patients (n = 28) and 88.3% of referring providers (n ...
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Slusser, W., Whitley, M., Izadpanah, N., Kim, S. L., Ponturo, D. Tags: Articles Source Type: research
Possible Impact of Yearly Childhood Vaccination With Trivalent Inactivated Influenza Vaccine (TIV) on the Immune Response to the Pandemic Strain H1N1
Conclusion. Seasonal TIV uptake was significantly higher in H1N1-infected group. The finding suggests that the practice of yearly vaccination with TIV might have negatively affected the immune response against the novel pandemic H1N1 strain. Given the rarity of pandemic novel influenza viruses, and the high predictability of seasonal influenza occurrence, the practice of yearly influenza vaccination should be continued. However, the use of live attenuated intranasal vaccine, as opposed to TIV, may allow for the desirable development of a vigorous heterotypic immune response against future pandemics. (Source: Clinical Pediatrics)
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Amer, A., Fischer, H., Li, X., Asmar, B. Tags: Articles Source Type: research
A Review of Adverse Reactions in Infants From Medications in Breastmilk
This article reviews the literature on adverse drug reactions in infants since a previous review in 2002. Case reports and studies of adverse drug reactions in breastfed infants whose mothers were taking a prescribed or over-the-counter medication were selected. Fifty-three case reports and 16 studies were located. Serious acute adverse drug reactions from drugs in breastmilk appear to be uncommon. Infants under 2 months of age, and especially those under 1 month, appear to be most susceptible. Similar to previous reviews, free iodine, opioids, and the use of multiple central nervous system drugs simultaneously were identi...
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Anderson, P. O., Manoguerra, A. S., Valdes, V. Tags: Articles Source Type: research
Heads Up: Communication Is Key in School Nurses Preparedness for Facilitating "Return to Learn" Following Concussion
Conclusions. By identifying specific gaps in knowledge and challenges at the school level, these results inform interdisciplinary medical teams about the importance of educating and facilitating effective "return to learn" academic plans. (Source: Clinical Pediatrics)
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Wing, R., Amanullah, S., Jacobs, E., Clark, M. A., Merritt, C. Tags: Articles Source Type: research
Adverse Health Effects of Benzene Exposure Among Children Following a Flaring Incident at the British Petroleum Refinery in Texas City
This study examined the health effects of benzene exposure among children from a flaring incident at the British Petroleum (BP) refinery in Texas City, Texas. A total of 899 children (benzene exposed, n = 641 and unexposed, n = 258), aged <17 years, were included. Hematological analysis showed that white blood cell (x103/µL) counts were significantly decreased in the exposed children compared with the unexposed children (7.1 ± 2.2 versus 7.6 ± 2.1, P = .001). Similarly, the hemoglobin (g/dL) levels were decreased significantly in the exposed group compared with the unexposed group (12.7 ± 1.3 ...
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: DAndrea, M. A., Reddy, G. K. Tags: Articles Source Type: research
Screening for Celiac Disease in a Pediatric Primary Care Setting
Celiac disease (CD) is an autoimmune enteropathy in genetically predisposed individuals triggered by the ingestion of gluten. The prevalence in adults in the United States is increasing. Despite recognition of asymptomatic patients that benefit from screening and improved diagnostics, the majority of patients remain undiagnosed. The purpose of this study is to determine the prevalence of CD in at-risk and not-at-risk pediatric patients in a primary care practice routinely screening for CD. The records of 2325 pediatric patients who underwent serological testing with immunoglobulin A tissue transglutaminase (tTG) during a 5...
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Leonard, M. M., Fogle, R., Asch, A., Katz, A. Tags: Articles Source Type: research
Promoting Fruit and Vegetables in Young Children: What Advice Can Pediatricians Give to Parents?
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - February 10, 2016 Category: Pediatrics Authors: Shriver, L. H., Buehler, C. Tags: Commentary Source Type: research
Persistent Vaginal Bleeding in a Six-Year-Old
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - January 12, 2016 Category: Pediatrics Authors: Garcia, N. D., Glikes, L. J., Nield, L. S., Hembree, W. Tags: Resident Rounds Source Type: research
