Bullying and School Violence
Rates of traditional bullying have remained stable (30%) but rates of cyberbullying are increasing rapidly (46% of youth). There are significant long-term physical and mental health consequences of bullying especially for vulnerable youth. Multi-component school-based prevention programs that include caring adults, positive school climate, and supportive services for involved youth can effectively reduce bullying. While bullying has emerged as a legitimate concern, studies of surviving perpetrators to date suggest bullying is not the most significant risk factor of mass school shootings. Pediatricians play a critical role ...
Source: Pediatric Clinics of North America - August 9, 2023 Category: Pediatrics Authors: Daniel J. Flannery, Seth J. Scholer, Ivette Noriega Source Type: research
Supporting Intimate Partner Violence Survivors and Their Children in Pediatric Healthcare Settings
Intimate partner violence (IPV) is a pervasive public health epidemic that influences child health and thriving. In this article, we discuss how pediatric healthcare providers and systems can create healing-centered spaces to support IPV survivors and their children. We review the use of universal education and resource provision to share information about IPV during all clinical encounters as a healing-centered alternative to screening. We also review how to support survivors who may share experiences of IPV, focused on validation, affirmation, and connection to resources. Clinicians are provided key action items to imple...
Source: Pediatric Clinics of North America - August 9, 2023 Category: Pediatrics Authors: Maya I. Ragavan, Ashlee Murray Source Type: research
Mental Health and Violence in Children and Adolescents
This article examines the complex interplay between mental health and violence among children. Although children with mental illness are more likely to be victims of violence than perpetrators, this article describes the few mental health conditions associated with increased violent behavior among children. Next, the authors examine the spectrum of mental health sequelae among children following exposure to various forms of violence. Lastly, the authors discuss the underutilization of mental health services in this population and highlight screening and intervention tools available to pediatric clinicians caring for childr...
Source: Pediatric Clinics of North America - August 8, 2023 Category: Pediatrics Authors: Samaa Kemal, Adaobi Nwabuo, Jennifer Hoffmann Source Type: research
Suicide Prevention in Pediatric Health Care Settings
Given recent trends demonstrating increased suicide risk among youth, particularly those from minoritized populations, youth suicide is a major public health concern. Evidence-based practices for the identification and management of youth suicide risk have been developed, yet many challenges exist to implementing them routinely in health care settings. Suggestions for leveraging publicly available resources, gathering input from a range of stakeholders to inform implementation, and enhancing multidisciplinary collaboration are provided with the aim of offering tangible steps toward addressing the youth suicide crisis. (Sou...
Source: Pediatric Clinics of North America - August 2, 2023 Category: Pediatrics Authors: Jeremy Esposito, Molly Davis, Rhonda C. Boyd Source Type: research
Media Influences on Children and Advice for Parents to Reduce Harmful Exposure to Firearm Violence in Media
This article outlines the various ways that entertainment media glorify the use of firearms and how this content can influence youth interest and use of guns. Social media are also increasingly serving as a source of risk for exposure to firearms. Counseling parents about the impact of media exposure to firearms on their children ’s health, and how to mitigate these risks, can be effective in promoting their children’s health and safety. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - August 2, 2023 Category: Pediatrics Authors: Dan Romer, Brad J. Bushman, Michael Rich Source Type: research
Genetics 101
Although genetics has traditionally been associated with pregnancy, birth defects, and newborn screening, almost every disease is influenced in part by an individual ’s genetic makeup. Therefore, it is important to consider the impact of genetics in health and disease throughout an individual’s lifetime. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - August 1, 2023 Category: Pediatrics Authors: Alyce Belonis, Sofia Saenz Ayala Source Type: research
Supporting Parents Throughout the Genetic Testing Process and New Diagnosis
Receiving a genetic diagnosis can be challenging for parents as they learn to cope and adapt to this news. They often experience a myriad of emotions ranging from shock to relief. Yet overwhelmingly, parents report a negative experience with this process. Factors that improve parental satisfaction include being provided written information, emotional and psychosocial support, and connections with other parents. Genetics care providers are particularly equipped to solicit parental needs and provide support before, during, and after receiving a diagnosis. This review will provide suggestions and recommendations for supportin...
Source: Pediatric Clinics of North America - July 27, 2023 Category: Pediatrics Authors: Pilar L. Magoulas Source Type: research
Spinal Muscular Atrophy
Spinal muscular atrophy (SMA) is a progressive disease of the lower motor neurons associated with recessive loss of the SMN1 gene, and which leads to worsening weakness and disability, and is fatal in its most severe forms. Over the past six years, three treatments have emerged, two drugs that modify exon splicing and one gene therapy, which have transformed the management of this disease. When treated pre-symptomatically, many children show normal early motor development, and the benefits extend from the newborn period to adulthood. Similar treatment approaches are now under investigation for rare types of SMA associated ...
Source: Pediatric Clinics of North America - July 26, 2023 Category: Pediatrics Authors: Alex Fay Source Type: research
Examining and Addressing Children ’s Exposure to Violence: The Role of the Pediatric Clinician
Exposure to violence disrupts a child ’s health and development more significantly than most other experiences and exposures. This issue of Pediatric Clinics of North America is dedicated to helping clinicians identify and support children and families who experience violence in their homes, schools, and neighborhoods. Violence exposu re is by nature intersectional, rarely occurring in isolation. Children who are exposed to intimate partner violence are often direct victims of physical or emotional abuse. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - July 26, 2023 Category: Pediatrics Authors: Joel A. Fein, Megan H. Bair-Merritt Tags: Preface Source Type: research
The Promise of the Genomics Revolution in Pediatrics
With the sequencing of the human genome in 2003, we are now realizing the promise of genetic medicine. Previous NIH Director Elias Zerhouni suggested that with genetic molecular preemption we are experiencing a paradigm shift for medicine characterized by “4 P’s”: predictive, preemptive, participatory, and personalized care, and a shifting of focus earlier in the life course.1,2 I have previously written that the fifth “P” is Pediatrics, as this is the life stage where molecular preemption has the best potential to influence health risk,3 a nd a sixth “P” is Prenatal. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - July 24, 2023 Category: Pediatrics Authors: Tina L. Cheng Tags: Foreword Source Type: research
Genetics in Pediatric Practice
In this issue of Pediatric Clinics of North America, we celebrate the importance of Genetics in Pediatric Practice and provide information for Pediatricians who at the forefront of managing the care of patients with genetic disorders. The issue starts with the article by Dr Anne Slavotinek, “Genetics in Pediatric Practice, from Baby Steps to Running Fast.” This work discusses the future of precision medicine in Pediatric care and the consideration that Pediatricians may play a more active role in initiating genetic testing in the future. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - July 18, 2023 Category: Pediatrics Authors: Anne Slavotinek, Brittany Simpson, Allison Tam Tags: Preface Source Type: research
Panels, Exomes, Genomes, and More —Finding the Best Path Through the Diagnostic Odyssey
Selecting the ideal test to evaluate an individual with a suspected genetic disorder can be challenging. While several clinical testing options are available, no single test yet captures all potentially causative genetic variants. Thus, clinicians may order testing in a stepwise fashion, and what to order after non-diagnostic testing can be challenging to determine. Here, we provide an overview of commonly used clinical genetic tests, guidance on when they are best used, and what they may miss. We conclude with a discussion of how new technologies might be used to identify challenging variants and simplify clinical testing...
Source: Pediatric Clinics of North America - July 11, 2023 Category: Pediatrics Authors: Arthur L. Lenahan, Audrey E. Squire, Danny E. Miller Source Type: research
Alternative Payment Models and Working with Payers –Key Considerations for Advancing Population Health Goals and Achieving Child Health Equity
This article summarizes approaches to achieving value-based care in Pediatrics, providing a framework for understanding the continuum of models from fee-for-service to advanced alternative payment models. We present key examples of how alternative payment models have been developed and applied at the federal level within Medicare through the work of the Centers for Medicare and Medicaid Services (CMS) and the Center for Medicaid and Medicaid Innovation (CMMI). We further describe key lessons learned and opportunities to adapt value-based payment models to promote whole child health and equity. Finally, we summarize polic...
Source: Pediatric Clinics of North America - July 7, 2023 Category: Pediatrics Authors: Rachel L.J. Thornton, Karen M. Wilding, Daniella Gratale, Kara O. Walker Source Type: research
Partnering with Families and Communities to Improve Child Health and Health Equity
This article will discuss best practices and guiding principles to support engagement and effective partnership with families and communities. Models for engaging families and communities while promoting health equity will also be discussed. Case studies and examples will be shared, as well as how they may be applied by pediatric health providers to promote child health. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - July 7, 2023 Category: Pediatrics Authors: Monica J. Mitchell, Carley Riley, Lori E. Crosby Source Type: research
CME Accreditation Page
(Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - July 7, 2023 Category: Pediatrics Source Type: research
