Charlie Gard: How Did Things Go Wrong?
AbstractPurpose of ReviewWe examine the discussions generated to date by the Charlie Gard case, as well as the events of the case itself, in order to examine lessons for providers dealing with similar situations in the future.Recent FindingsPublications regarding the Gard case are relatively few and focus primarily on the ethical and legal issues that arise when involving the court system in complex medical decision-making and potential limits to parental authority. Some publications have also addressed the subject of experimental therapies, especially from the perspective of potential harms, suffering, and cost.SummaryWe ...
Source: Current Pediatrics Reports - June 1, 2018 Category: Pediatrics Source Type: research
Evaluation and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents
AbstractPurpose of ReviewAvoidant/restrictive food intake disorder (ARFID) was added to the psychiatric nomenclature in 2013. However, youth with ARFID often present first to medical —rather than psychiatric—settings, making its evaluation and treatment relevant to pediatricians.Recent FindingsARFID is defined by limited volume or variety of food intake motivated by sensory sensitivity, fear of aversive consequences, or lack of interest in food or eating; and associated with medical, nutritional, and/or psychosocial impairment. It appears to be as common as anorexia nervosa and bulimia nervosa and can occur in individu...
Source: Current Pediatrics Reports - June 1, 2018 Category: Pediatrics Source Type: research
The Inaugural Section on Adolescent Medicine
(Source: Current Pediatrics Reports)
Source: Current Pediatrics Reports - June 1, 2018 Category: Pediatrics Source Type: research
Hot Topics in Pediatric Palliative Care: a Calm Island in Troubling Waters
AbstractIn our world today, we are faced with disasters and shortages on a daily basis. In this article, we highlight some of the ways that pediatric palliative care practitioners can ease the burden and meet the needs of families in crisis. (Source: Current Pediatrics Reports)
Source: Current Pediatrics Reports - June 1, 2018 Category: Pediatrics Source Type: research
Social Media and Adolescent Health
AbstractPurpose of ReviewSocial media is used nearly ubiquitously by youth. Over the past decade, research has investigated ways in which social media may affect adolescent health both positively and negatively.Recent FindingsWe highlight five areas of work with newly emerging evidence in adolescent health: eating disorders, suicide, sexual health, substance use, and prevention. We also highlight new tools to promote safe social media use.SummarySocial media is a set of digital tools that influences adolescent health. By understanding current evidence around challenges and opportunities, we can leverage these tools to impr...
Source: Current Pediatrics Reports - June 1, 2018 Category: Pediatrics Source Type: research
Impact of Natural Disasters on Children Receiving Palliative Care Lessons Learned from Hurricane Harvey
AbstractPurpose of ReviewTo discuss the implications of natural disasters for pediatric palliative care patients and suggest a series of best practices for pediatric palliative care patients, their families, and their healthcare providers.Recent FindingsData from the aftermath of Hurricane Katrina provide insight into the effects of natural disasters on children with chronic medical conditions. We supplement this with details from our recent experience caring for pediatric palliative care patients during Hurricane Harvey as well as new data about grief and bereavement in the context of natural disasters.SummaryPediatric pa...
Source: Current Pediatrics Reports - June 1, 2018 Category: Pediatrics Source Type: research
Antibiotic Prophylaxis in Children with Urinary Tract Infection
AbstractPurpose of ReviewAntibiotic prophylaxis is prescribed to prevent recurrent urinary tract infections (UTIs) in children, but this practice is being questioned with attention to efficacy and potential harm of long-term antibiotics.Recent FindingsProphylaxis for children with vesicoureteral reflux remains controversial and providers should consider factors that contribute to risk of recurrent UTI such as age, sex, circumcision status, reflux grade, and bladder and bowel dysfunction. Further complicating our understanding of the impact of prophylaxis is evidence that adherence is poor. Antibiotic resistance is a growin...
Source: Current Pediatrics Reports - May 28, 2018 Category: Pediatrics Source Type: research
Management of Acute Liver Failure: A Pediatric Perspective
AbstractPurpose of ReviewPediatric acute liver failure is a rare, complex, rapidly progressing, and life-threatening illness. Majority of pediatric acute liver failures have unknown etiology. This review intends to discuss the current literature on the challenging aspects of management of acute liver failure.Recent FindingsCollaborative multidisciplinary approach for management of patients with pediatric acute liver failure with upfront involvement of transplant hepatologist and critical care specialists can improve outcomes of this fatal disease. Extensive but systematic diagnostic evaluation can help to identify etiology...
Source: Current Pediatrics Reports - May 15, 2018 Category: Pediatrics Source Type: research
Caring for Transgender and Gender-Nonconforming Youth
AbstractPurpose of ReviewWe reviewed recently published literature around the care of transgender and gender-nonconforming youth. In this nascent area of medicine, there are few randomized controlled trials, but there are treatment guidelines that include expert opinion and best practices for a more standardized approach to care.Recent FindingsThe most significant article published the past year is the updated standards of care —“Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline”—which establishes a care framework with special emphasis on the import...
Source: Current Pediatrics Reports - May 12, 2018 Category: Pediatrics Source Type: research
Integrative Palliative Care and Management of Refractory Epilepsy
This article reviews the various treatment options for patients with refractory epilepsy and highlights the importance of palliative care.SummaryA child neurologist should participate as an integral part of the palliative care team in patients with refractory epilepsy to help guide the discussion about etiology, prognosis, and actively manages seizures as they work with other members of pediatric palliative care team towards improving the quality of life for the patient, caregiver, and family members. (Source: Current Pediatrics Reports)
Source: Current Pediatrics Reports - May 12, 2018 Category: Pediatrics Source Type: research
Social Media and Adolescent Health
AbstractPurpose of ReviewSocial media is used nearly ubiquitously by youth. Over the past decade, research has investigated ways in which social media may affect adolescent health both positively and negatively.Recent FindingsWe highlight five areas of work with newly emerging evidence in adolescent health: eating disorders, suicide, sexual health, substance use, and prevention. We also highlight new tools to promote safe social media use.SummarySocial media is a set of digital tools that influences adolescent health. By understanding current evidence around challenges and opportunities, we can leverage these tools to impr...
Source: Current Pediatrics Reports - May 8, 2018 Category: Pediatrics Source Type: research
Hot Topics in Pediatric Palliative Care: a Calm Island in Troubling Waters
AbstractIn our world today, we are faced with disasters and shortages on a daily basis. In this article, we highlight some of the ways that pediatric palliative care practitioners can ease the burden and meet the needs of families in crisis. (Source: Current Pediatrics Reports)
Source: Current Pediatrics Reports - May 5, 2018 Category: Pediatrics Source Type: research
Integrative Therapies to Support Pediatric Palliative Care: the Current Evidence
AbstractPurpose of ReviewThis review offers an evidence-based introduction to integrative therapies that can be used with children receiving palliative care and suggestions for how to incorporate these therapies into practice.Recent FindingsFor each integrative therapy discussed, recent research from both the pediatric and adult literature is summarized.SummaryIntegrative medicine offers a patient-centered approach to care that brings together conventional and complementary therapies. Evidence-based integrative therapies exist for many troublesome end-of-life symptoms, including pain, anxiety, nausea, and constipation, and...
Source: Current Pediatrics Reports - April 28, 2018 Category: Pediatrics Source Type: research
Pediatric Palliative Care and the Pediatric Intensive Care Unit
AbstractPurpose of ReviewThe role of palliative care in pediatric critical care medicine is described, with a focus on communication practices, complex chronic medical disease, end-of-life care, and moral resiliency.Recent FindingsPalliative care medicine has an increasing presence in pediatric critical care medicine. The model for delivering quality palliative care from a primary to consultative role is evolving, as increasing numbers of patients and families benefit from this additional layer of care and advocacy. Palliative care medicine is complementary care at all levels and focuses on collaborating with families and ...
Source: Current Pediatrics Reports - April 28, 2018 Category: Pediatrics Source Type: research
Impact of Natural Disasters on Children Receiving Palliative Care Lessons Learned from Hurricane Harvey
AbstractPurpose of ReviewTo discuss the implications of natural disasters for pediatric palliative care patients and suggest a series of best practices for pediatric palliative care patients, their families, and their healthcare providers.Recent FindingsData from the aftermath of Hurricane Katrina provide insight into the effects of natural disasters on children with chronic medical conditions. We supplement this with details from our recent experience caring for pediatric palliative care patients during Hurricane Harvey as well as new data about grief and bereavement in the context of natural disasters.SummaryPediatric pa...
Source: Current Pediatrics Reports - April 27, 2018 Category: Pediatrics Source Type: research
