Articles tagged with Pediatrics
The Children's Surgery Verification Quality Improvement Program, introduced by the American College of Surgeons, improved efficiency in treating children with traumatic injuries. The program reduced surgical wait times and hospital stays by over a day and decreased narcotics use in pediatric patients with femur fractures.
The 2017 American Academy of Pediatrics guideline shows higher levels of proteinuria in children with hypertensive range blood pressure. Clinicians should re-calculate BP percentiles using the new guidelines to accurately diagnose and treat hypertension in pediatric chronic kidney disease.
The Journal of the Pediatric Infectious Diseases Society has published a supplement issue focusing on past, current, and future diversity and inclusion issues affecting pediatric infectious diseases. The collection examines the legacy of health disparities and their impact on the response to COVID-19.
A recent study found that frequent mobile device use for calming young children may displace opportunities for learning emotion-regulation strategies. Pediatric health care professionals may need to encourage alternative calming approaches to support healthy development.
A new national study found that excessive screen time, especially video gaming and watching videos, is linked to an increased risk of developing OCD in US preteens. The study, led by UCSF researchers, suggests that intrusive thoughts about video game content can develop into obsessions or compulsions.
A new treatment protocol has been shown to significantly reduce the risk of aggressive childhood leukemia returning after chemotherapy. The ALL-11 protocol, which includes an extra year of maintenance chemotherapy for children with specific genetic mutations, has improved five-year survival rates and quality of life for these patients....
Research reveals stark racial and ethnic differences in swimming skills, with Black and Latine parents less confident in their abilities and fewer children taking swim lessons. Culturally tailored water-safety programs are crucial to eliminating these disparities and reducing child drownings.
A study of 510 children with chronic kidney disease found that declining hemoglobin levels were associated with significant growth impairment even when above guideline-targeted levels. Lower hemoglobin values are linked to poorer growth, independent of kidney function and age.
A WVU study found that children from non-traditional family structures, such as single-parent households and multi-generational families, face difficulties accessing healthcare. The research highlights the need for providers to be aware of the unique challenges faced by these families and to adapt their services accordingly.
A systematic review of 23 studies found COVID-19 mRNA vaccine-associated myopericarditis is rare in adolescents and young adults with a low incidence rate. The condition generally has favorable early outcomes, but continued follow-up is recommended.
A study using spatial single-cell transcriptomics reveals the spatial organization of cancer cells in patient tissues across ages and locations. The research highlights age- and location-dependent differences in tumor biology, suggesting that kids and adults with diffuse midline gliomas may need different treatments.
A case of a 14-year-old girl who had a cardiac arrest at an overnight camp emphasizes the need for preparation and training for rare but often fatal events. The survival of the patient is attributed to the quick response of emergency medical services and bystander CPR.
The Máxima Butterfly program offers 28 PhD positions in pediatric oncology, focusing on international collaboration and multidisciplinary exchange. Researchers will receive training from leading experts and gain access to innovative techniques and insights.
Researchers developed an efficient engineered pathogen capture method to quickly identify infectious microbes in tiny blood samples. This advanced technology could significantly improve clinical outcomes for children with bloodstream infections and sepsis.
Researchers have found that experimental vaccines, including a protein-based vaccine candidate with an adjuvant, provide superior protection against lung disease and higher levels of neutralizing antibodies compared to mRNA vaccines. The results inform the optimization and development of COVID-19 vaccines for young infant populations.
A new driver training program has been shown to reduce the frequency of long, distracted glances away from the road among teen drivers with ADHD. The FOCAL+ training program improved teen drivers' attention to the roadway and reduced crash risk by 40% compared to a control group.
A new study reveals that children who survive firearm injuries are more likely to develop mental health diagnoses, particularly stress-related conditions and substance misuse issues. The research found that 35% of firearm-injured kids received a new mental health diagnosis in the year after the incident.
CHOP researchers identified a gain-of-function variant in SCN1A that leads to an earlier onset of epilepsy, with clinical features distinct from other epilepsies. The study found that patients with this recurrent variant responded favorably to oxcarbazepine, a readily available anti-seizure medication.
Researchers from Children's Hospital of Philadelphia identified several genetic variants associated with increased cancer risk in children with non-chromosomal birth defects. The study found that these variants were more commonly found in genes related to birth defects and cancer, suggesting a potential basis for early detection.
A low-cost prenatal intervention benefits mothers’ mental health up to eight years later. The eight-week class intervention supported healthier stress responses in their children, and cut their short-term risk of depression and diabetes.
Researchers propose six competency domains for AI use in primary care: foundational knowledge, critical appraisal, medical decision making, technical use, patient communication, and awareness of unintended consequences. These competencies aim to harness AI's potential for patient and societal benefit.
A study published in Pediatric Research found that Zika-exposed children may exhibit differences in motor skills, readiness for school, and parental distress, suggesting the need for additional support as they age. However, cognitive function scores were not significantly different between groups.
The EPCD model, leveraging care team nurses, pharmacists, and social workers, improved diabetes care quality by increasing patients' adherence to treatment guidelines. Staff clinician practices saw significant improvements in glycemic control and patient outcomes after EPCD implementation.
The introduction of a waiting room concierge service has led to significant improvements in patient satisfaction scores, rising from 60% to almost 90%. Patients report feeling more respected and informed while waiting, contributing to the positive changes.
Primary care clinicians are more likely to prescribe CGM when closer to specialized endocrinologists and serving more Medicare patients. Expanded insurance coverage and consultation on CGM issues can support increased use of the technology.
Researchers at Weill Cornell Medicine have identified an ultrapotent IgM antibody that neutralizes the Zika virus and prevents infection in preclinical models. The discovery could lead to the development of therapies to protect babies from birth defects caused by Zika.
A new study using human brain organoids reveals that prenatal alcohol exposure impairs brain cell development and functioning. The findings confirm the harm inflicted by alcohol on the developing fetus, with effects including faulty brain architecture and impaired electrical activity patterns.
Research reveals significant regional disparities in parental incarceration rates, with children of color and those living in impoverished households more likely to experience it. The study also highlights the need for tailored strategies to address health inequities in remote or under-resourced communities.
The USC+CHLA Alpha Clinic will advance clinical trials of new cell and gene therapies, engaging underserved communities and training the workforce that conducts them. This program complements existing efforts to translate discoveries into new therapies for better health outcomes.
A new study by CHOP researchers found that antibiotic-resistant Enterococcus enhances C. difficile virulence by modulating the gut environment, increasing toxin production and nutrient supply. This interaction supports increased colonization and persistence of C. difficile in the gut.
The Princess Máxima Center has been awarded a Marie Sklodowska-Curie COFUND grant to train 28 PhD students from around the world in pediatric oncology research. The program aims to advance the field and promote international collaboration.
A new study explores how older adults plan for future changes, such as stopping driving or using firearms. The research found that reducing access to potentially dangerous situations should be prompted by declining ability, not age alone. Trusted messengers like family and clinicians can lead conversations around limiting access, and s...
A study of 18,364 children hospitalized with COVID-19 found that pediatricians prescribed medications in accordance with guidelines in only 55-82% of cases. The use of recommended medications quickly increased after national guidelines were released in 2020, but compliance remained lower than expected.
Global immunization efforts have made polio a rare disease, but healthcare workers still need to be vigilant for acute flaccid paralysis. Dr. Marina Salvadori emphasizes the importance of alerting healthcare workers to this diagnosis as elimination is within reach.
A study in Japan reveals that universal screening methods for biliary atresia, a rare and severe lung condition in infants, are cost-effective. The research found that stool color card screening and direct bilirubin testing gained significant clinical benefits and saved lives.
A recent study published by Children's Hospital of Philadelphia found significant disparities in the completion of follow-up concussion care among pediatric patients. Non-Hispanic black patients and those with public insurance were less likely to adhere to providers' recommendations compared to their white and privately insured peers. ...
Pediatric sleep apnea can be detected with high precision using a unique gene signature that distinguishes children with OSA from healthy children. A recent study found that obstructive sleep apnea induces changes in immune cell diversity, leading to elevated levels of certain white blood cells.
A study by CHOP researchers found that financial stress during the pandemic contributed to depressive symptoms in adolescents across all income groups. The effect was most pronounced in low-income adolescents, but also affected those with lower pre-pandemic household income.
A novel surgical procedure has shown promising results in addressing incontinence in children with Hirschsprung disease who underwent the pull-through operation. Four of six patients have achieved normal bowel function, reporting improved quality of life and increased freedom.
A study found that ER visits for suicidal thoughts among youth aged 5-19 increased by 59% from 2016-2017 to 2019-2021, with hospitalizations rising by 57%. The research highlights the need for improved mental wellness support and training for healthcare providers.
A new tool predicts the risk of hospital readmission for children before discharge, utilizing electronic health record data. This comprehensive prediction model can be implemented in real-time during a hospital stay to tailor discharge planning, potentially reducing readmission rates and freeing up scarce pediatric beds.
A new study finds no significant difference in overall survival or complete remission rates between children and young adults with different levels of poverty exposure, regardless of their neighborhood opportunity. CAR T-cell therapy is equally effective for those from disadvantaged households as it is for those from more socioeconomic...
According to a new study published in the Journal of Osteopathic Medicine, parental reporting of racism experienced by children in minority groups in the USA increased from 6.7% in 2016 to 9.3% in 2020. Indigenous and Black children were particularly affected, with rates ranging from 10.8% to 15.7% and 9.69% to 15.04%, respectively.
A fetus with infantile-onset Pompe disease has been successfully treated in utero using enzyme replacement therapy, resulting in normal cardiac and motor function. The child is now thriving as a toddler, meeting developmental milestones after receiving postnatal enzyme therapy at a pediatric hospital.
The West Texas Pharmacology Core laboratory at TTUHSC will focus on two primary areas: drug development and pediatric cancer. The core aims to address obstacles in drug development, including limited pharmacology expertise for small biotech companies and low profitability for pediatric cancer drugs.
A study by Children's Hospital of Philadelphia researchers found that COVID-19 vaccination results in higher antibody concentrations compared to natural infection, providing robust protection for mothers during pregnancy. The study also suggests optimal vaccine timing can maximize the transfer of antibodies to babies.
Urban-living Indigenous children and young people in high-income countries are disproportionately affected by atopic dermatitis and bacterial skin infections, which can lead to serious complications. This systematic review highlights the need for co-designed research with Indigenous communities to address these health inequities.
A new study confirms that COVID-19 deaths among children and young people are rare, with most fatalities occurring in those with severe neurodisability or compromised immune systems. The analysis of detailed data showed that half of COVID-19 deaths occurred within 30 days of infection.
A significant increase in COVID-19 pandemic-related demand for adolescent eating disorder (ED) care was observed, outstripping available resources. The study emphasizes the need for enhanced ED prevention strategies and improved workforce and program capacity to address this growing concern.
A new study found that children with four copies of the SMN2 gene who received pre-symptomatic treatment showed no symptoms, while untreated patients developed irreversible symptoms. The researchers recommend encouraging early intervention in childhood for these patients to avoid potential deficits.
Screen time increased by 52% during the pandemic, with significant increases for individuals ages 12-18 and handheld devices/personal computers.
A team of researchers from Rice University, Baylor College of Medicine, and Northern Illinois University are developing an open source system called FLASH to objectively measure children's screen-viewing behaviors. The five-year grant includes funding for three long-term studies on the impacts of screen use on young children.
A study by the University of Gothenburg found that women with inactive inflammatory bowel disease (IBD) have a higher risk of giving birth prematurely, particularly if they have microscopic inflammation in their intestinal mucosa. This association was not seen for other adverse pregnancy outcomes, such as growth restriction.
A large clinical trial found that administering steroids during infant heart surgery did not improve post-operative outcomes compared to placebo. However, secondary analysis revealed a small net benefit for some infants, with lower odds of bleeding requiring another operation.
A multicenter clinical trial showed that combining brentuximab vedotin with standard chemotherapy reduced event-free survival by 10%, decreasing relapse risk. This targeted therapy approach may set the stage for FDA approval and improve cure rates without adding significant long-term toxicity.
A new study published in the New England Journal of Medicine found that semaglutide, an approved obesity drug for adults, also helps adolescents with obesity lose weight and have healthier hearts. After 68 weeks, 72.5% of participants who received semaglutide had achieved at least 5% weight loss compared to just 17% on placebo.
Dr. Yvonne Maldonado, a renowned pediatrician, has been awarded the 2023 APS John Howland Award for her groundbreaking work in advancing child health and infectious diseases. Her tireless advocacy has led to significant improvements in preventing perinatal HIV infection and vaccine-preventable illnesses.
Scientists have discovered that leukemia cells can change their DNA read-out to evade treatment, making them harder to treat. The study identified key genetic changes that allow cancer cells to survive and relapse.
Researchers at the University of Washington have developed a new hearing screening system using low-cost earbuds and smartphones, which performed as well as commercial devices and correctly identified patients with hearing loss. The tool can be used in countries where screening is not accessible due to high device costs.
A recent study presented at the American Heart Association's Resuscitation Science Symposium 2022 found that ICU evaluations prior to cardiac arrest improved survival rates by 15% among Black adults. This study analyzed data from over 28,000 adults who experienced cardiac arrest between 2000 and 2021.