Editorial: Pediatric dermatology: skin signs of systemic disease
No abstract available (Source: Current Opinion in Pediatrics)
Source: Current Opinion in Pediatrics - July 30, 2020 Category: Pediatrics Tags: DERMATOLOGY: Edited by Albert C. Yan Source Type: research
Mycoplasma genitalium and Trichomonas vaginalis: addressing disparities and promoting public health control of two emerging sexually transmitted infections
Purpose of review
Mycoplasma genitalium (M. genitalium) and Trichomonas vaginalis (T. vaginalis), sexually transmitted infections that remain non-reportable in the United States, may lead to pelvic inflammatory disease (PID) and adverse pregnancy outcomes if left untreated. Prevalence estimates have highlighted socioeconomic and racial/ethnic disparities in rates of infection. This review summarizes the recent literature on M. genitalium and T. vaginalis with a focus on the epidemiology, screening, and treatment of M. genitalium and T. vaginalis.
Recent findings
The burden of T. vaginalis testing remains on women. Ant...
Source: Current Opinion in Pediatrics - July 30, 2020 Category: Pediatrics Tags: ADOLESCENT MEDICINE: Edited by Sara F. Forman and Sarah Pitts Source Type: research
Eating disorders in adolescent boys and young men: an update
Purpose of review
To review the recent literature on eating disorders and disordered eating behaviors among adolescent boys and young men, including epidemiology, assessment, medical complications, treatment outcomes, and special populations.
Recent findings
Body image concerns in men may involve muscularity, and muscle-enhancing goals and behaviors are common among adolescent boys and young men. Recent measures, such as the Muscularity Oriented Eating Test (MOET) have been developed and validated to assess for muscularity-oriented disordered eating. Medical complications of eating disorders can affect all organ syste...
Source: Current Opinion in Pediatrics - July 30, 2020 Category: Pediatrics Tags: ADOLESCENT MEDICINE: Edited by Sara F. Forman and Sarah Pitts Source Type: research
Supplement (mis)use in adolescents
Purpose of review
Dietary supplement usage by adolescents has been on the rise in the last decade and is expected to continue to grow, although the evidence of their benefits in healthy individuals remains unclear. This review aims to spread awareness about the poorly regulated supplements and their effects on the health of adolescents to minimize medical hazards.
Recent findings
In this review, we have attempted to summarize some of the commonly consumed supplements, their alleged benefits, effects and side effects, along with the motivation that drives adolescents into consuming them.
Summary
The widespread use o...
Source: Current Opinion in Pediatrics - July 30, 2020 Category: Pediatrics Tags: ADOLESCENT MEDICINE: Edited by Sara F. Forman and Sarah Pitts Source Type: research
Long-acting reversible contraception side effect management
This article seeks to equip primary care clinicians with the tools necessary to assess and manage common LARC-associated side effects.
Recent findings
Side effects are common with progestin-only LARC, and can precipitate early discontinuation of an otherwise effective, low-maintenance form of contraception. Abnormal uterine bleeding, pelvic pain, acne, and weight change are often cited as progestin-only LARC side effects, yet the causes are poorly understood despite extensive research. While most side effects improve with time, therapeutic interventions are available for patients with undesirable side effects that prefe...
Source: Current Opinion in Pediatrics - July 30, 2020 Category: Pediatrics Tags: ADOLESCENT MEDICINE: Edited by Sara F. Forman and Sarah Pitts Source Type: research
Adolescent body image: influencing factors and the clinician's role
Purpose of review
Body image is a crucial part of adolescent development for teens all over the world. Studies show that negative body image impacts many aspects of adolescent health and that anticipatory guidance about body image is important at the annual health maintenance exam visit. Weight bias is closely tied to body image and is associated with negative health effects as well; research shows weight bias is a problem throughout healthcare. The purpose of this review is to discuss influencing factors on adolescent body image and to explore interventions to promote positive body image.
Recent findings
Research sho...
Source: Current Opinion in Pediatrics - July 30, 2020 Category: Pediatrics Tags: ADOLESCENT MEDICINE: Edited by Sara F. Forman and Sarah Pitts Source Type: research
Editorial: Confidentiality: opening the door to optimal adolescent healthcare
No abstract available (Source: Current Opinion in Pediatrics)
Source: Current Opinion in Pediatrics - July 30, 2020 Category: Pediatrics Tags: ADOLESCENT MEDICINE: Edited by Sara F. Forman and Sarah Pitts Source Type: research
Editorial introductions
No abstract available (Source: Current Opinion in Pediatrics)
Source: Current Opinion in Pediatrics - July 30, 2020 Category: Pediatrics Tags: EDITORIAL INTRODUCTIONS Source Type: research
Autism: considerations for transitions of care into adulthood
Purpose of review
The steady rise in number of youth diagnosed with autism spectrum disorder (ASD) has led to the need to examine transition of care considerations specific to ASD. Improved understanding and guidance addressing these needs will allow pediatric and adult providers to work together to optimize social, medical, and occupational outcomes for these patients.
Recent findings
Health-care transition is a delicate time when children with ASD outgrow the services of pediatric programs and enter a fragmented healthcare system that is unfamiliar, insufficiently knowledgeable, and underfunded for their needs.
Sum...
Source: Current Opinion in Pediatrics - May 6, 2020 Category: Pediatrics Tags: OFFICE PEDIATRICS: Edited by Henry H. Bernstein Source Type: research
Measles: taking steps forward to prevent going backwards
This article aims to educate the reader about the measles virus and its clinical presentation, the MMR vaccine and its overwhelming success, and the concerning current national and international trends in measles outbreaks. Importantly, we focus on positions proposed by hesitant vaccinators and determine how medical providers can participate in productive conversation about vaccination to better gain trust and guide improved shared clinical decision-making. (Source: Current Opinion in Pediatrics)
Source: Current Opinion in Pediatrics - May 6, 2020 Category: Pediatrics Tags: OFFICE PEDIATRICS: Edited by Henry H. Bernstein Source Type: research
Palliative care for pediatric intensive care patients and families
This article reviews current evidence and best practices for integrating palliative care into the pediatric intensive care unit (PICU), with a focus on surgical patients.
Recent findings
Palliative care is best integrated in a tiered approach, with primary palliative care provided by the PICU and surgical providers for all patients and families, including basic symptom management, high-quality communication, and end-of-life care. Secondary and tertiary levels of care involve unit or team-based ‘champions’ with additional expertise, and subspecialty palliative care teams, respectively. PICU and surgical providers sho...
Source: Current Opinion in Pediatrics - May 6, 2020 Category: Pediatrics Tags: SURGERY: Edited by Nikunj K. Chokshi Source Type: research
The economics of a pediatric surgical ICU
Purpose of review
The purpose of this review is to describe quality and financial economic principles that form the foundation for complex care delivery systems for the critically ill pediatric surgical population.
Recent findings
Advances in neonatology along with innovation in surgical techniques in children led to the need to care for more complex postoperative surgical patients. Several studies have demonstrated improved outcomes in specialized pediatric centers. Furthermore, there is some evidence to suggest that there is overall financial benefit with decreased costs and more efficient resource use to pediatric ...
Source: Current Opinion in Pediatrics - May 6, 2020 Category: Pediatrics Tags: SURGERY: Edited by Nikunj K. Chokshi Source Type: research
Extracorporeal membrane oxygenation in the pediatric population – who should go on, and who should not
Purpose of review
The role of extracorporeal membrane oxygenation (ECMO), a method of providing cardiorespiratory support in instances of cardiac or respiratory failure, in neonates and children continues to expand and evolve. This review details the current landscape of ECMO as it applies to neonates and children.
Recent findings
Specifically, this review provides the most recent evidence for which patients should be considered for the various forms of ECMO including venovenous ECMO, venoarterial-ECMO, and extracorporeal cardiopulmonary resuscitation. Specific topics to be discussed include indications and contraindi...
Source: Current Opinion in Pediatrics - May 6, 2020 Category: Pediatrics Tags: SURGERY: Edited by Nikunj K. Chokshi Source Type: research
Emerging issues in the ethical utilization of pediatric extracorporeal membrane oxygenation
Purpose of review
As we have refined our extracorporeal membrane oxygenation (ECMO) capabilities and enhanced our ability to care for children with illnesses previously deemed lethal, the patient populations for whom ECMO is a medically appropriate intervention have expanded. Such expansion has prompted consideration of evolving ethical issues. In this review, we highlight several of the emerging ethical issues in pediatric ECMO.
Recent findings
Expansion of ECMO into increasingly diverse pediatric populations has prompted several ethical questions. First, some have found that there are specific clinical settings in w...
Source: Current Opinion in Pediatrics - May 6, 2020 Category: Pediatrics Tags: SURGERY: Edited by Nikunj K. Chokshi Source Type: research
Pediatric burn care: new techniques and outcomes
Purpose of review
Thermal injury is a leading cause of morbidity and mortality in children. This review highlights the current management of thermal injury and its complications.
Recent findings
Many recent advances in burn care have improved the outcomes of patients with thermal injury; however, variability does exist, and there are many opportunities for improvement. This review will highlight the complexity of issues encountered along the continuum of care for thermal injury patients. Accurate estimation of total burn surface area (TBSA) of a burn continues to be a challenge in pediatric patients. Variability conti...
Source: Current Opinion in Pediatrics - May 6, 2020 Category: Pediatrics Tags: SURGERY: Edited by Nikunj K. Chokshi Source Type: research
