Measles Anyone?
PMID: 31305939 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - July 1, 2019 Category: Pediatrics Authors: Hageman JR Tags: Pediatr Ann Source Type: research

Immunization Considerations in Pregnancy.
Abstract Immune status during pregnancy is an important consideration, and all women who are pregnant should be screened for immunity to certain diseases. Women who are pregnant are at higher risk of contracting infections, and many infections can cause serious problems for a growing fetus. For this reason, remaining up-to-date on immunizations throughout life and especially leading up to pregnancy is important. In addition, there are certain vaccines that provide added benefit if given during pregnancy. The Tdap (tetanus toxoid, reduced diphtheria toxoid, acellular pertussis) and inactivated influenza vaccines ca...
Source: Pediatric Annals - July 1, 2019 Category: Pediatrics Authors: Khan L Tags: Pediatr Ann Source Type: research

Trauma-Informed Care for Children and Adolescents.
PMID: 31305941 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - July 1, 2019 Category: Pediatrics Authors: Harper NS Tags: Pediatr Ann Source Type: research

Screening for Adverse Childhood Experiences in Pediatric Primary Care: Pitfalls and Possibilities.
This article reviews the current state of screening for ACEs and toxic stress in practice, describes how pediatricians and clinics have overcome pitfalls during implementation of practice-based screening initiatives, and discusses possibilities for the future of primary care-based screening. [Pediatr Ann. 2019;48(7):e257-e261.]. PMID: 31305942 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - July 1, 2019 Category: Pediatrics Authors: Gillespie RJ Tags: Pediatr Ann Source Type: research

New Approach to Pediatric Treatment Planning to Support Caregivers Living with Adversities.
This article proposes a reconsideration of traditional treatment planning to be adversity-informed to provide family centered care. [Pediatr Ann. 2019;48(7):e262-e268.]. PMID: 31305943 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - July 1, 2019 Category: Pediatrics Authors: Partap A Tags: Pediatr Ann Source Type: research

Putting Your Trauma Lens On.
Abstract Trauma in childhood is now understood to cause long-term effects on the brain and body. The pediatric provider, using a "trauma lens," which constitutes observing a child's attachment, resilience, and stress response, is well poised to identify and support children and families at risk. Fortunately, resilience is a dynamic process that can be learned, enhanced, and supported. Familiarity with the most common symptoms of traumatic stress will help the medical provider quickly recognize which children are impacted or FRAYED (Fits, Frets, and Fear; Regulation disorders; Attachment problems; Yawning...
Source: Pediatric Annals - July 1, 2019 Category: Pediatrics Authors: Forkey H Tags: Pediatr Ann Source Type: research

Trauma-Informed Approaches to Adolescent Relationship Abuse and Sexual Violence Prevention.
Abstract Adolescent relationship abuse and sexual violence are prevalent throughout adolescence and are associated with serious physical and mental health consequences. Trauma-informed approaches to care balance adolescent confidentiality, autonomy, and a young person's safety. The provision of trauma-informed care can include universal education and brief counseling about healthy relationships with all adolescent patients during clinical encounters to promote healthy adolescent sexual relationships, ensure youth know about resources for relationship abuse and sexual violence, and facilitate connections to advocat...
Source: Pediatric Annals - July 1, 2019 Category: Pediatrics Authors: Miller E Tags: Pediatr Ann Source Type: research

Pediatrician's Practical Approach to Sleep Disturbances in Children Who Have Experienced Trauma.
Abstract Sleep difficulties are a common challenge among children who have experienced trauma. Pediatricians are best positioned to work with families to address sleep challenges after traumatic events and help families return to healthy sleep patterns. In this article, we review the underlying concepts that connect trauma to disturbed sleep, types of sleep difficulties seen in children exposed to trauma, and explore ways in which pediatricians can support families as they help their child return to a normal sleep cycle, including the identification of co-occurring conditions and the use of medications. [Pediatr A...
Source: Pediatric Annals - July 1, 2019 Category: Pediatrics Authors: Keeshin BR, Berkowitz SJ, Pynoos RS Tags: Pediatr Ann Source Type: research

Healthy Weight Practices for Child and Adolescent Athletes.
Abstract Sports and other physical activities are an important part of a healthy lifestyle for young people. Activity promotion is a critical part of health supervision visits in the primary care setting. However, participation in athletics during childhood may increase the risk of some types of unhealthy behaviors. Young athletes may be more likely to pursue weight loss or gain to improve performance in their sports. Some methods of weight loss and gain can put a young athlete's health at risk. Primary care providers can incorporate discussion of how athletes can maintain healthy weight into health supervision vi...
Source: Pediatric Annals - July 1, 2019 Category: Pediatrics Authors: Carl R Tags: Pediatr Ann Source Type: research

Gun Safety in the Home Initiative.
PMID: 31185108 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - June 1, 2019 Category: Pediatrics Authors: Hageman JR Tags: Pediatr Ann Source Type: research

Treatment and Prevention of Pediatric Sunburn.
Abstract Skin cancer is the most common cancer in the United States, and risk for melanoma is greatly increased with a serious sunburn in childhood or adolescence. Skin cancer also is one of the most preventable cancers, as sun exposure is an almost entirely modifiable risk factor. Proper skin protection should start early in life when infants begin to be exposed to the outdoors. [Pediatr Ann. 2019;48(6):e213-e214.]. PMID: 31185109 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - June 1, 2019 Category: Pediatrics Authors: Dowd MD Tags: Pediatr Ann Source Type: research

Pediatric Integrative Medicine.
PMID: 31185110 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - June 1, 2019 Category: Pediatrics Authors: McClafferty H Tags: Pediatr Ann Source Type: research

An Overview of Pediatric Integrative Medicine.
This article provides an overview of pediatric integrative medicine, including background, scope of practice, strengths and challenges, safety and efficacy issues, and examples of how one might introduce integrative medicine into pediatric practice. [Pediatr Ann. 2019;48(6):e216-e219.]. PMID: 31185111 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - June 1, 2019 Category: Pediatrics Authors: McClafferty H Tags: Pediatr Ann Source Type: research

Pediatric Anti-Inflammatory Diet.
Abstract The anti-inflammatory diet is based on two diets that have been shown to have many positive health effects-the Mediterranean diet and the Okinawan diet. The anti-inflammatory diet is more than just a prescription for healthy food, but rather a way of life characterized by a plant-based diet and a pattern of living that includes eating a diverse range of locally grown foods eaten in season, conviviality, culinary activities, physical activity, and rest. The Mediterranean diet has been shown to reduce the burden and even prevent the development of cardiovascular disease, breast cancer, depression, colorecta...
Source: Pediatric Annals - June 1, 2019 Category: Pediatrics Authors: Mascarenhas MR Tags: Pediatr Ann Source Type: research

Integrative Approaches to Stress, Anxiety, and Resilience.
Abstract Anxiety is one of the most common psychiatric conditions affecting adolescents and youth in the United States, with over 30% of adolescents having an anxiety disorder of any type. The conventional approach to anxiety management can include medications that in some patient populations can increase the risk of suicidality. Untreated anxiety and sequela of anxiety can have a significant impact on the life of a child and can impact them into adulthood. Integrative treatments in the setting of anxiety and stress management can be used along with conventional approaches to evoke the relaxation response. Integra...
Source: Pediatric Annals - June 1, 2019 Category: Pediatrics Authors: Brown ML Tags: Pediatr Ann Source Type: research

Integrative Management of Pediatric Primary Headaches.
This article describes the integrative treatments used in a large regional pediatric headache program. Lifestyle approaches, nutraceuticals and dietary supplements, acupuncture, transcutaneous neurostimulation, relaxation, clinical hypnosis, biofeedback, and psychological services are discussed in detail for clinicians who may consider applying to their practice. [Pediatr Ann. 2019;48(6):e231-e235.]. PMID: 31185114 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - June 1, 2019 Category: Pediatrics Authors: Esparham AE, Dilts JJ Tags: Pediatr Ann Source Type: research

Integrative Approach to Pediatric Nausea.
Abstract Nausea is a bothersome symptom that is commonly seen in the pediatric population. The pathophysiology of nausea is complex and involves the central nervous system, the enteric nervous system, gastrointestinal tract motility, and psychologic influences. Pharmacologic and nonpharmacologic therapies are available for treating nausea. Mind-body interventions (hypnosis, biofeedback), botanicals and supplements (ginger, enteric-coated peppermint oil), aromatherapy, and acupuncture have emerging evidence for effectively treating pediatric nausea. [Pediatr Ann. 2019;48(6):e236-e242.]. PMID: 31185115 [PubMed ...
Source: Pediatric Annals - June 1, 2019 Category: Pediatrics Authors: Arruda J, Yeh AM Tags: Pediatr Ann Source Type: research

The Medical Virtualist: Is Pediatric Patient Care Using Telemedicine, a New Specialty?
Abstract Telemedicine (TM) is undergoing unprecedented growth that is being driven by numerous factors, one of which is patient preference. Providers who use this tool to deliver health care tend to be early adoptors of new technology, but do they also represent a nascent specialty of pediatric virtualist? We believe that such practitioners, although exhibiting characteristics common to all early adopters, represent the cutting edge of what will become routine medical care. They tend to engage in less small talk with patients, focus more on efficient problem-solving, and collect less data while achieving patient o...
Source: Pediatric Annals - June 1, 2019 Category: Pediatrics Authors: Waller M, Taylor L, Portnoy J Tags: Pediatr Ann Source Type: research

Unintentional, Unsupervised Opioid Ingestions in Young Children.
PMID: 31067331 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - May 1, 2019 Category: Pediatrics Authors: Hageman JR Tags: Pediatr Ann Source Type: research

The Role of the General Practitioner in Evaluation and Treatment of Girls with Menstrual-Related Complaints.
Abstract A common scenario a pediatrician or general practitioner may encounter in the care of adolescent girls is menstrual concerns. A frequent complaint may be of irregular periods that may be coming twice a month or possibly only every other month. Sometimes the teenage patient may complain of heavy bleeding or prolonged periods lasting longer than 7 days. The typical patient with this complaint could be a 14-year-old girl with periods that started at age 13 years who has had no periods for 3 months after onset of menarche. However, once the second period comes, the patient complains of periods happening often...
Source: Pediatric Annals - May 1, 2019 Category: Pediatrics Authors: Dawson R Tags: Pediatr Ann Source Type: research

Acute Mental Status Changes in Children.
PMID: 31067333 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - May 1, 2019 Category: Pediatrics Authors: Dowd MD, Jain S Tags: Pediatr Ann Source Type: research

Altered Mental Status in Children After Traumatic Brain Injury.
Abstract Pediatric head injuries are common and may present with varying degrees of altered mental status in children. The approach to evaluation, diagnosis, treatment, and prevention of further injury is important in achieving good health outcomes after a head injury. In this article, we review the pathophysiology, classifications, signs and symptoms, and management of traumatic brain injury. We also discuss the importance of preventing a secondary injury during recovery by educating families about head injury sequelae and return-to-play guidelines. [Pediatr Ann. 2019;48(5):e192-e196.]. PMID: 31067334 [PubMe...
Source: Pediatric Annals - May 1, 2019 Category: Pediatrics Authors: Dubey V, Nau E, Sycip M Tags: Pediatr Ann Source Type: research

Neonatal Hypernatremic Dehydration.
Abstract Hypernatremic dehydration in exclusively breast-fed neonates is associated with a free water deficit secondary to inadequate fluid intake. It is a common but underrecognized problem in the primary care setting, as the degree of dehydration can be underestimated due to fluid shifts. Neonates of primiparous mothers and those who experience greater weight loss in the first week of life are at higher risk of developing hypernatremic dehydration and most often present for care between 6 and 10 days of life. No consensus treatment guidelines exist, but most experts recommend a goal reduction rate of serum sodiu...
Source: Pediatric Annals - May 1, 2019 Category: Pediatrics Authors: Sarin A, Thill A, Yaklin CW Tags: Pediatr Ann Source Type: research

Psychiatric and Behavioral Causes of Altered Mental Status.
Abstract Altered mental status is a common chief complaint in the emergency department. The differential diagnosis is vast and the laboratory testing can vary depending on presenting symptoms and examination findings. It is important to remember that changes in mental status can be due to psychiatric causes such as primary psychotic disorders, psychotic episodes, and mood disorders. Initial assessment includes ruling out hypoglycemia and other medical causes. Misdiagnosis at onset is common due to variability of symptoms, overlapping symptoms between diagnoses and other confounding issues, such as substance use, b...
Source: Pediatric Annals - May 1, 2019 Category: Pediatrics Authors: Allen CE, Burger RK Tags: Pediatr Ann Source Type: research

Strychnine: Old Remedy, Silent Killer.
This article describes an ingestion of a rare substance called strychnine, which is a plant-based odorless powder that was previously used as a nonspecific stimulant. This toxicity can mimic other ingestions, thus delaying diagnosis, so an increased awareness of the common symptoms and laboratory findings may lead to a more targeted management of strychnine poisoning. [Pediatr Ann. 2019;48(5):e205-e207.]. PMID: 31067337 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - May 1, 2019 Category: Pediatrics Authors: Hur MH, Havalad V, Clardy C Tags: Pediatr Ann Source Type: research

A Framework for Approaching Refractory Hypocalcemia in Children.
This article provides a framework for assessing hypocalcemia and describes in detail a case with a rare cause of refractory hypocalcemia. [Pediatr Ann. 2019;48(5):e208-e211.]. PMID: 31067338 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - May 1, 2019 Category: Pediatrics Authors: Humphrey E, Clardy C Tags: Pediatr Ann Source Type: research

Pediatric Pulmonology: Part 2.
PMID: 30986312 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - April 1, 2019 Category: Pediatrics Authors: Lester LA, Giles BL Tags: Pediatr Ann Source Type: research

Sudden Unexpected Postnatal Collapse in Hospitals: An Emotional Clinical Entity.
PMID: 30986313 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - April 1, 2019 Category: Pediatrics Authors: Hageman JR Tags: Pediatr Ann Source Type: research

Puberty: Onset and Progression.
This article reviews both the typical pubertal pathway as well as delayed and premature puberty and their common causes. [Pediatr Ann. 2019;48(4):e141-e145.]. PMID: 30986314 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - April 1, 2019 Category: Pediatrics Authors: Khan L Tags: Pediatr Ann Source Type: research

Bronchopulmonary Dysplasia and Pulmonary Outcomes of Prematurity.
Abstract Bronchopulmonary dysplasia (BPD) is a chronic lung disease most commonly seen in premature infants who require mechanical ventilation and oxygen therapy. Despite advances in neonatal care resulting in improved survival and decreased morbidity, limited progress has been made in reducing rates of BPD. Therapeutic options to protect the vulnerable developing lung are limited as are strategies to treat lung injury, resulting in ongoing concerns for long-term pulmonary morbidity after preterm birth. Lung protective strategies and optimal nutrition are recognized to improve pulmonary outcomes. However, characte...
Source: Pediatric Annals - April 1, 2019 Category: Pediatrics Authors: Tracy MK, Berkelhamer SK Tags: Pediatr Ann Source Type: research

Review of Cystic Fibrosis.
Abstract Cystic fibrosis (CF) is an autosomal recessive disease characterized by pancreatic insufficiency and chronic endobronchial airway infection. This latter feature results in progressive bronchiectasis and ultimately respiratory failure, which is the leading cause of death in patients with CF. Other complications include sinusitis, diabetes mellitus, bowel obstruction, hepatobiliary disease, hyponatremic dehydration, and infertility. Diagnosis of CF is confirmed by demonstration of elevated sweat chloride. Most cases of CF are identified through newborn screening (NBS). There are also infants with positive N...
Source: Pediatric Annals - April 1, 2019 Category: Pediatrics Authors: Goetz D, Ren CL Tags: Pediatr Ann Source Type: research

Common Pediatric Airway Disorders.
This article reviews the common upper airway disorders by age with a review of classic presentation, recommended diagnostic steps, and management considerations for the general pediatrician. [Pediatr Ann. 2019;48(4):e162-e168.]. PMID: 30986317 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - April 1, 2019 Category: Pediatrics Authors: Patwari PP, Sharma GD Tags: Pediatr Ann Source Type: research

Congenital Lung Malformations.
This article reviews the most common CLMs, their pathophysiology, clinical presentation, diagnostic considerations, and current literature on the controversies surrounding CLM management. [Pediatr Ann. 2019;48(4):e169-e174.]. PMID: 30986318 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - April 1, 2019 Category: Pediatrics Authors: Palla J, Sockrider MM Tags: Pediatr Ann Source Type: research

Full-Term Neonatal Respiratory Distress and Chronic Lung Disease.
Abstract Respiratory distress occurs in 5% to 7% of live births at term gestation. Most cases are mild and transient and can be attributed to transient tachypnea of the newborn or "wet lung." Severe respiratory distress is often due to nonpulmonary causes such as sepsis or congenital heart disease. Occasionally, term neonatal respiratory distress is associated with an inherited primary lung disease such as primary ciliary dyskinesia or surfactant metabolism defects. These lung diseases have characteristic presentations in the neonatal period and are important to recognize, as they necessitate different m...
Source: Pediatric Annals - April 1, 2019 Category: Pediatrics Authors: Chowdhury N, Giles BL, Dell SD Tags: Pediatr Ann Source Type: research

Concussion in Children.
Abstract Concussions are common in pediatric athletes, but they often go underreported. The topic of concussions has garnered much attention from the media recently, and this attention has resulted in the development of stricter guidelines for management of concussion by professional sporting leagues such as the National Football League and the National Hockey League. It is important to establish a clear understanding of the definitions, signs, and symptoms of concussion so that teachers, families, coaches, and physicians can better recognize it when it occurs. A concussion can interfere with school performance an...
Source: Pediatric Annals - April 1, 2019 Category: Pediatrics Authors: Rotter J, Kamat D Tags: Pediatr Ann Source Type: research

Reducing Mortality Rates in Children Younger than Age 5 Years Around the World: Charles Dickens' Perspective.
PMID: 30874814 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - March 1, 2019 Category: Pediatrics Authors: Hageman JR Tags: Pediatr Ann Source Type: research

Shared Decisions in Pediatrics.
This article explores unique features of SDM in pediatrics and gives examples of applications. [Pediatr Ann. 2019;48(3):e98-e100.]. PMID: 30874815 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - March 1, 2019 Category: Pediatrics Authors: Dowd MD Tags: Pediatr Ann Source Type: research

Pediatric Pulmonology: Part 1.
PMID: 30874816 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - March 1, 2019 Category: Pediatrics Authors: Giles BL, Lester LA Tags: Pediatr Ann Source Type: research

Asthma in Children: A Brief Review for Primary Care Providers.
This article provides an overview of the diagnosis and management of childhood asthma for the primary care provider. [Pediatr Ann. 2019;48(3):e103-e109.]. PMID: 30874817 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - March 1, 2019 Category: Pediatrics Authors: Hoch HE, Houin PR, Stillwell PC Tags: Pediatr Ann Source Type: research

Persistent Wheeze in Infants: A Guide for General Pediatricians.
Abstract Infants with persistent wheeze is a common diagnostic challenge for the general pediatrician because of the broad differential diagnoses. The initial diagnostic approach should include a comprehensive history, physical examination, and chest radiography. Additional testing may be warranted. Involvement of a pediatric pulmonary subspecialist may also be indicated. [Pediatr Ann. 2019;48(3):e110-e114.]. PMID: 30874818 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - March 1, 2019 Category: Pediatrics Authors: Yu Y, Esther CR, Ren CL, Loughlin C Tags: Pediatr Ann Source Type: research

Contemplating Chronic Cough in Children.
This article highlights an approach to categorizing the differential diagnoses of chronic cough to help guide testing or treatment when evaluating a pediatric patient with chronic cough. [Pediatr Ann. 2019;48(3):e115-e120.]. PMID: 30874819 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - March 1, 2019 Category: Pediatrics Authors: Arain Z, Lakser O Tags: Pediatr Ann Source Type: research

Exercise-Induced Dyspnea in Children and Adolescents: Differential Diagnosis.
Abstract Exercise-induced dyspnea in children and adolescents can occur for many reasons. Although asthma is the common cause, failure to prevent exercise-induced asthma by pretreatment with a bronchodilator, such as albuterol, indicates that other etiologies should be considered. Other causes of exercise-induced dyspnea include exercise-induced vocal cord dysfunction, exercise-induced laryngomalacia, exercise-induced hyperventilation, chest wall restrictive abnormalities, cardiac causes, and normal physiologic limitation. When exercise-induced dyspnea is not from asthma, cardiopulmonary exercise testing with repr...
Source: Pediatric Annals - March 1, 2019 Category: Pediatrics Authors: Bhatia R, Abu-Hasan M, Weinberger M Tags: Pediatr Ann Source Type: research

Controversies in Pediatric Asthma.
Abstract Pediatric asthma, the most common chronic disease of childhood, remains a significant burden to the health care system. Although there are guidelines for the management of pediatric asthma, there remain several controversies about how best to manage asthma in the primary care setting, and how to prevent asthma exacerbations and subsequent emergency department visits and hospitalizations. In this article, we address four of these controversies: use of written asthma treatment plans, the role of long-acting beta-agonists, spirometry and peak flow measurements in disease management, and engagement of school ...
Source: Pediatric Annals - March 1, 2019 Category: Pediatrics Authors: Simoneau T, Cloutier MM Tags: Pediatr Ann Source Type: research

Common Annular Lesions in the Pediatric Population: Part 2.
This articles discuss the presentation, diagnosis, and treatment of fixed drug eruptions, lupus erythematosus, erythema multiforme, urticaria, and erythema migrans. Although this review is not inclusive of all conditions that present with annular lesions, it can serve as a starting point for physicians managing a patient with these complaints. [Pediatr Ann. 2019;48(3):e135-e138.]. PMID: 30874822 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - March 1, 2019 Category: Pediatrics Authors: Schadler ED, Kamat D Tags: Pediatr Ann Source Type: research

Medical Librarians Can Help Providers Improve Clinical Decision-Making and Education.
PMID: 30747978 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - February 1, 2019 Category: Pediatrics Authors: Hageman JR Tags: Pediatr Ann Source Type: research

Birth Control Management for the Primary Care Provider.
Abstract Contraceptive management is occurring more frequently in the primary care setting. Pediatricians should be familiar with the most common methods of contraception due to the fact that families are comfortable seeking care for their adolescents at the primary care office for these types of concerns. Contraceptive methods are often used for noncontraceptive benefits as well, which makes it even more important to feel comfortable prescribing contraceptives at pediatricians' offices. [Pediatr Ann. 2019;48(2):e51-e55.]. PMID: 30747979 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - February 1, 2019 Category: Pediatrics Authors: Dawson RS Tags: Pediatr Ann Source Type: research

Emerging Issues in Adolescent Sexual and Reproductive Health.
PMID: 30747980 [PubMed - in process] (Source: Pediatric Annals)
Source: Pediatric Annals - February 1, 2019 Category: Pediatrics Authors: Talib HJ Tags: Pediatr Ann Source Type: research

Sexual Violence in Adolescents.
Abstract Sexual violence and intimate partner violence are common among adolescents, especially for those who are developmentally disabled. Pediatricians have a critical role in treating and preventing sexual violence in adolescents. As medical providers, they possess trusted access to identify sexual violence in adolescents and to intervene to help prevent further violence and mitigate associated health effects. Therefore, it is imperative that pediatricians are aware of the scope of sexual violence in adolescents. Specific sexual violence screening recommendations for sexual assault, intimate partner violence, r...
Source: Pediatric Annals - February 1, 2019 Category: Pediatrics Authors: Northridge JL Tags: Pediatr Ann Source Type: research

The Reproductive Health Care of Transgender Young People: A Guide for Primary Care Providers.
Abstract Primary care providers should have a general understanding of the medical care available to transgender youth throughout childhood and adolescence. Providers and parents should create an affirming environment for young people at every developmental stage, while ensuring thorough and thoughtful evaluations prior to any medical intervention. Transgender teens have unique reproductive health care needs. Transgender boys may seek suppression of menses, and they will need to pay particular attention to pregnancy prevention if they decide to undergo masculinizing hormonal treatment. Transgender girls who underg...
Source: Pediatric Annals - February 1, 2019 Category: Pediatrics Authors: Dodson NA, Langer M Tags: Pediatr Ann Source Type: research

HPV Vaccine in Adolescents.
Abstract Human papillomavirus (HPV), the most common sexually transmitted viral infection worldwide, is the causative agent for cervical cancer and attributed to anogenital cancers as well as oropharyngeal cancer. Three effective, safe, prophylactic HPV vaccines have been licensed, and studies have demonstrated decreases in HPV prevalence and HPV-related disease endpoints without evidence of waning protection to date. In the United States, only the 9-valent vaccine, which covers 90% of the cancers attributed to HPV in US registries, is available. Because higher titers are found at younger ages, two rather than thr...
Source: Pediatric Annals - February 1, 2019 Category: Pediatrics Authors: Braverman PK Tags: Pediatr Ann Source Type: research