Welcoming Healthcare Into Our Virtual Meeting Rooms: Perspective and Perseverance in Pediatric Rheumatology
AbstractPurpose of ReviewWe highlight practice changes adopted to increased use of telemedicine, look at precision, and accuracy in using a virtual visit to evaluate and treat rheumatic disease, and describe our shift in engaging patients and their families in supporting our research aims.Recent FindingsTelemedicine visits increased substantially with the start of the SARS-CoV-2 pandemic. With this change came the need for significant advances to our telemedicine practices to allow for quality patient visits and continued research collection.SummaryTelemedicine will continue to be an area of increasing importance and has b...
Source: Current Pediatrics Reports - October 4, 2021 Category: Pediatrics Source Type: research
The Expansion of Pediatric Care Through Digital Technology
AbstractIn this commentary, we hope to offer examples of how technology is building connections and agencies are working creatively to reduce disparities in digital technology access to improve the lives of children and adolescents across the globe. (Source: Current Pediatrics Reports)
Source: Current Pediatrics Reports - October 2, 2021 Category: Pediatrics Source Type: research
Demystifying the Nephron: a Call to Action
AbstractPurpose of ReviewThere is growing concern among educators regarding the difficulty in recruitment of trainees to pediatric nephrology, and the importance of developing a strong foundational knowledge in nephrology for all pediatric trainees. This review highlights the factors that may influence trainee interest in nephrology, as well as what educators can do to demystify nephrology.Recent FindingsA large percentage of fellowship positions go unmatched in pediatric nephrology in the USA. Adult nephrologists have faced similar workforce concerns and have worked to overcome perceived barriers to trainee interest.Summa...
Source: Current Pediatrics Reports - September 26, 2021 Category: Pediatrics Source Type: research
Animal, Human, and 23Na MRI Imaging Evidence for the Negative Impact of High Dietary Salt in Children
We present animal, human, and23Na MRI evidence associated with the negative impact of high dietary salt in children. Special focus is placed on novel23Na MRI imaging which reveals the important concept of a third compartment for sodium storage in soft tissue. Finally, we make recommendations on who should not be on a low salt diet.SummaryA high salt intake predisposes children and AYA to considerable morbidity. We exhort the reader to engage in advocacy efforts to curve the incidence and prevalence of high salt-related life-limiting conditions. (Source: Current Pediatrics Reports)
Source: Current Pediatrics Reports - September 18, 2021 Category: Pediatrics Source Type: research
Telehealth for the Care of Complex Chronic Pediatric Patients in Latin America and the Caribbean: Narrative Review
This article is a review of the most significant productions on the care of pediatric patients with complex and/or rare chronic diseases in the field of telehealth, produced in Latin America and the Caribbean. It inquires about accessibility to health, its efficiency for the care of chronic and rare diseases, its acceptability/resistance by users (health teams and patients), and the standardization-evaluation of telecare processes.Recent FindingsThe formation of reference networks for patients with chronic and rare diseases.SummaryThe incorporation of ICTs in comprehensive patient care is carried out mainly through home te...
Source: Current Pediatrics Reports - September 4, 2021 Category: Pediatrics Source Type: research
Newest Diabetes-Related Technologies for Pediatric Type 1 Diabetes and Its Impact on Routine Care: a Narrative Synthesis of the Literature
AbstractPurpose of ReviewThis review aims to address the actual state of the most advanced diabetes devices, as follows: continuous subcutaneous insulin infusions (CSII), continuous glucose monitoring systems (CGM), hybrid-closed loop (HCL) systems, and “Do-it-yourself” Artificial Pancreas Systems (DIYAPS) in children, adolescents, and young adults. This review has also the objective to assess the use of telemedicine for diabetes care across three different areas: education, social media, and daily care.Recent FindingsRecent advances in diabetes technology after integration of CSII with CGM have increased the popularit...
Source: Current Pediatrics Reports - August 20, 2021 Category: Pediatrics Source Type: research
IgA Vasculitis: a Review and Update on the Management of Renal and Extrarenal Disease, Highlighting What ’s New for Biomarkers and Treatment
AbstractPurpose of ReviewThis review summarizes recent advances in biomarker discovery and treatment of renal and extrarenal IgA vasculitis (IgAV), formerly known as Henoch-Sch önlein purpura.Recent FindingsElevated levels of urinary IgA and serum galactose-deficient IgA1 at presentation are associated with risk of developing renal involvement. Elevated neutrophil to lymphocyte ratios at presentation may also indicate increased risk of renal but also gastrointestinal involvement. Rituximab has been beneficial in retrospective studies in the treatment of corticosteroid refractory IgAV nephritis. Although large studies have...
Source: Current Pediatrics Reports - August 17, 2021 Category: Pediatrics Source Type: research
Electroencephalographic Monitoring Technology Role in Remote Ped Intensive Care Units in Rio de Janeiro, Brasil
AbstractPurpose of ReviewNeurological monitoring of pediatric patients, presents itself as a problem due to technical aspects and the necessity of specialized personnel. We evaluated the contribution of telemedicine (tele-EEG) in the diagnosis and monitoring of children admitted to the pediatric services in the state of Rio de Janeiro.Recent FindingsGeneral scientific literature indicates that this technology has become accessible for quick and accurate diagnoses at an affordable cost.SummaryWe carried out a retrospective study in which we reviewed electroencephalographic reports done in children and adolescents, in the ho...
Source: Current Pediatrics Reports - July 14, 2021 Category: Pediatrics Source Type: research
Evaluating the Educational Impact of Telehealth on Adolescent Medicine Trainees: a Qualitative Approach
AbstractPurpose of ReviewTelehealth has been swiftly incorporated into clinical practice since the onset of the COVID-19 pandemic, with limited understanding of how it affects trainees ’ educational experiences. Our study evaluates the impact of telehealth on clinical education in pediatric and Adolescent Medicine trainees during the pandemic.Recent FindingsPrevious literature on telehealth focused on provider and patient perceptions in addition to clinical education for students, though none has evaluated the experiences of medical residents and fellows in Adolescent Medicine.SummaryTrainees reported enhanced opportunit...
Source: Current Pediatrics Reports - July 13, 2021 Category: Pediatrics Source Type: research
Telemedicine in Pediatric Intensive Care Units: Perspectives From a Brazilian Experience
AbstractPurpose of ReviewTo present the implementation of a telemedicine project (TeleICU) in pediatric intensive care units (ICU) throughout different Brazilian regions.Recent FindingsAlthough telemedicine in pediatric ICUs has shown evidence of benefit in numerous studies with potential to 18 mitigate existing disparities, in Brazil, its use is still under development. Brazil has several opportunities for implementing this resource since, according to the National Registry of Healthcare 20 Establishments (NRHE), there is a discrepancy in the density of pediatric intensive care physicians per patient and the availability ...
Source: Current Pediatrics Reports - July 12, 2021 Category: Pediatrics Source Type: research
Overview of Telemedicine Services in Mongolia
AbstractPurpose of ReviewTo highlight some achievements made through usage of telecommunication technologies in Mongolia as an example of a developing country with remote areas.Recent FindingsTelemedicine can be implemented not only for remote monitoring, diagnosing, and treating purposes but also can be effectively used for delivering knowledge and consultation services via modern technologies.SummaryTele-health services can be successfully added to the traditional approach of physicians, especially in the countries with a vast territory with distant areas. (Source: Current Pediatrics Reports)
Source: Current Pediatrics Reports - July 9, 2021 Category: Pediatrics Source Type: research
Simulation as an Educational Tool in the Pediatric Cardiac Intensive Care Unit
AbstractPurpose of ReviewThis review highlights the use of simulation as an educational tool in the highly specialized pediatric cardiac intensive care unit (PCICU).Recent FindingsHealthcare simulation is used in high acuity medical environments to test healthcare systems. Healthcare simulation can improve team training, patient safety, and improve medical decision-making. Complex physiologies in the PCICU demand effective teamwork to consistently deliver high-quality patient care. Simulation-based PCICU learning objectives depend on a structured cognitive load framework to account for individual learner abilities, team co...
Source: Current Pediatrics Reports - May 25, 2021 Category: Pediatrics Source Type: research
Where There Is (No) Smoke, There Is Still Fire: a Review of Trends, Reasons for Use, Preferences and Harm Perceptions of Adolescent and Young Adult Electronic Cigarette Use
AbstractPurpose of the reviewTo review the current prevalence, trends, perceptions, and effects of e-cigarette or vaping product use associated lung injury (EVALI) on e-cigarette use among US adolescents and young adults.Recent findingsCOVID-19 diagnosis was more likely among the current/ever dual cigarette and e-cigarettes users, as well as ever e-cigarette only users. Additionally, the EVALI outbreak may have influenced harm perceptions, as daily nicotine vaping declined significantly from 2019 to 2020, and more youth and young adults perceived vaping as harmful.SummaryThe prevalence of e-cigarette use, specifically flav...
Source: Current Pediatrics Reports - May 10, 2021 Category: Pediatrics Source Type: research
Avoidant/Restrictive Food Intake Disorder (ARFID): Its Medical Complications and Their Treatment —an Emerging Area
AbstractPurpose of ReviewAvoidant/restrictive food intake disorder (ARFID) is a relatively new psychiatric and eating disorder diagnosis that most often emerges in childhood. Due to ARFID ’s diagnostic infancy, its medical complications are just starting to be delineated in the literature, and some are extrapolated from the medical manifestations of malnutrition in anorexia nervosa, restricting subtype (AN-R). Pediatric patients with ARFID can have a myriad of physical complaints, most commonly gastrointestinal, that prompt them to seek medical evaluation; thus, familiarity with its medical manifestations is important fo...
Source: Current Pediatrics Reports - April 6, 2021 Category: Pediatrics Source Type: research
Medical Care for Adolescent Males Who Have Sex with Males
AbstractPurpose of reviewThis paper reviews the most recent literature describing the bio-psycho-social challenges that may be faced by adolescent males who have sex with males (AMSM) and outlines recommendations for screening, medical and psychosocial concerns, and prevention for this population.Recent findingsEmerging research has demonstrated that adverse childhood experiences (ACEs) disproportionately affect AMSM, which can impact lifelong psychosocial functioning. In addition, significant medical advances in HIV prevention should be incorporated into primary care for adolescents and young adults at risk for HIV.Summar...
Source: Current Pediatrics Reports - April 4, 2021 Category: Pediatrics Source Type: research
