Articles tagged with Pediatrics
The highly competitive residency matching process has become increasingly frenzied, driving up costs for students and disrupting the fourth year of medical school. Students are applying to an average of 30-45 programs, with some specialties requiring over 70 applications, leading to excessive travel and financial burdens.
The NYU Department of Pediatric Dentistry has received a $1.3M HRSA grant to develop a diverse and qualified cohort of pediatric dental faculty. The Growing Success program aims to improve oral health care for underserved populations through community-based rotations and mentorship.
A study published in Pediatrics found that daytime sleepiness and evening chronotype are more strongly associated with poor self-regulation in teens than sleep duration. The researchers suggest that aligning school start times with natural circadian rhythms may improve self-regulation and overall health.
The new expert consensus statement provides recommendations for patient monitoring and sedation administration during pediatric cardiac catheterization procedures. Key findings highlight the need for standardized practices to minimize anesthesia-related morbidity and mortality in patients with congenital heart disease.
A new study published in JAMA Pediatrics found a consistent association between bedtime media device use and inadequate sleep quantity, poor sleep quality, and excessive daytime sleepiness in children. Children who had access to but didn't use media devices at night also experienced similar sleep problems.
The Intermountain-Stanford grant program aims to accelerate research and improve patient care through seven seed grants focused on genomics, machine learning, biomarkers, and more. The grants will support innovative projects in research, education, and medical education.
A study found that most pediatric ICU physicians do not use current guidelines to diagnose acute kidney injury (AKI) in critically ill children. The prevalence of AKI among patients in pediatric intensive care units is rising, highlighting the need for improved diagnosis and treatment.
Physicians can use strategies such as assessing illness acuity, depersonalizing the event, and validating the emotional experience to establish trust with families. The study found that immediate medical needs should be prioritized, and accommodating family requests may reinforce prejudicial thoughts.
A study highlights common and less common errors in pediatric chest radiography, emphasizing the importance of a systematic approach to image interpretation. The authors recommend clear understanding of a child's development and anatomy to avoid significant interpretive errors.
Children with postconcussion symptoms experience lower overall, physical, emotional, social, and school quality of life for at least 12 weeks. Persistent postconcussive problems affect up to 30% of children after a head injury.
A new study characterizes pediatric injuries onboard commercial airline flights, finding that lap infants are at greater risk for injury due to scalding burns from hot beverages or soups. Falls from the seat also contribute to in-flight injuries among this age group.
For the first time, fetal medicine experts have performed prenatal heart surgery to remove a life-threatening tumor, called intrapericardial teratoma. The patient is now a healthy preschooler after undergoing the operation at 24 weeks of gestation.
A Canadian study found a significant increase in emergency department visits for suicidal behavior among teenagers starting in June 2011, but not among younger children. The research suggests that this trend cannot be attributed to social media publicity surrounding the cyberbullying death of 15-year-old Amanda Todd.
A new study examines the effect of adverse childhood experiences on health and biological outcomes in children, finding associations with weight changes, asthma, and sleep disruption. Researchers highlight the importance of early detection to protect children's health and well-being before long-term adult outcomes occur.
Researchers emphasize the need for guidelines addressing digital footprints created for children, which can lead to unanticipated risks such as information theft or pedophile targeting. The authors propose public health-based best-practice guidelines for parents to protect their children's online identity.
The American Academy of Pediatrics recommends limiting digital media to one hour a day for children aged 2-5, while avoiding it in children under 18 months. Parents should also engage with their children during use, using devices as tools to support family connection and promote healthy habits.
A 10-year retrospective study at a level-1 trauma center found that competitive youth motocross athletes suffer life-threatening injuries despite wearing helmets and other safety gear. Most injuries occurred during competitions, with nearly half suffering concussions.
The American Academy of Pediatrics releases new recommendations for children's media use, encouraging families to create personalized Family Media Use Plans. The AAP suggests limiting screen time, prioritizing creative playtime, and monitoring online citizenship and safety.
Researchers found that 30% of summer camps use outdated 'no nit' policies, excluding campers with lice eggs despite being ineffective. Most camp staff lack training in recognizing or treating lice, leading to a challenging treatment process for kids with live lice.
Researchers found that states with higher unrestrained child rates and rural roads had higher mortality rates. A 10% improvement in child restraint use nationally could prevent over 1,500 child deaths over five years.
Pediatric emergency departments are experiencing a growing trend of children presenting with headaches, leading to increased hospital admissions. Researchers found that female patients were more likely to be admitted for headache pain, while the use of CT scans has decreased, reducing radiation exposure.
A recent study by the American Academy of Pediatrics found that nearly half of concussion patients were playing football when they sustained their injury, and 71 athletes returned to play on the same day. Patients who immediately returned to play reported less severe symptoms initially, but these symptoms worsened over time.
New research finds children without health insurance are significantly more likely to be transferred to another facility after an ER visit compared to those with private insurance. The study challenges the effectiveness of EMTALA, a three-decade-old law requiring hospitals to make decisions on patient transfers independent of insurance...
A study of over 64,000 children aged 6-17 found a dose-dependent relationship between digital media exposure and decreased homework completion rates. Children who spent more time on digital devices had lower odds of finishing their homework, with those using devices for 4-6 hours per day having 49% lower odds.
A US survey found that while most adults agree e-cigarettes should not be used in places where smoking is prohibited, many are uncertain about the potential harms of e-cigarettes and allow use in one-third of households. Adults with lower education levels and those without children tend to be less aware of these risks.
A review article explores the ethics of discussing disease prognosis with terminally ill adolescents, emphasizing the importance of gentle but persistent conversation. Clinicians are advised to engage patients directly, allowing time for exploration of values and goals, while balancing the need for truth-telling with emotional distress.
A Johns Hopkins pilot program proves safe and effective in reducing sedation and boosting early mobility for children in intensive care units. The PICU Up! Early Rehabilitation and Progressive Mobility Program includes activities such as sitting, standing, and walking, resulting in increased rates of physical therapy consultations and ...
A group of pediatricians is urging the pediatric workforce to address opioid addiction among young people, highlighting the need for evidence-based treatment including medication-assisted treatment. Many young people continue to see their pediatric provider well into young adulthood, when they first struggle with opioid addiction.
A study published by Nationwide Children's Hospital found that treadmill hand burns are the second most common hand injury after stovetop burns, requiring greater and longer care. Children under 5 years old are most prone to these injuries due to curiosity and lack of understanding about potential dangers.
Researchers assess safety, tolerability, and clinical use of graded aerobic treadmill testing in young athletes with sports-related concussion. The study confirms physiological recovery in 63 patients and improves symptoms in most cases.
A study analyzing Medicaid-insured hospital discharges found that freestanding children's hospitals incurred the highest median Medicaid losses from pediatric inpatient care, at about $9.7 million per hospital. Non-children's hospital teaching and nonteaching hospitals had significantly lower losses.
A recent review found that over-the-counter head lice treatments have declined in effectiveness, likely due to widespread use leading to pyrethroid resistance. Prescription products such as malathion and spinosad are safer alternatives with proven efficacy.
A study published in JAMA Pediatrics found that an intervention pairing caregivers with navigators to address family social needs decreased reported needs and improved child health status. Caregivers assigned to the intervention group reported fewer social needs and better overall child health compared to those in a control group.
A longitudinal study of extreme preemies born between 1977 and 1982 found that they are four times more likely to develop dysglycemia than normal birth weight peers. By their early 30s, 26% of ELBW babies have abnormal blood glucose levels.
A new study from Nationwide Children's Hospital found that pediatric burn pain assessment can vary based on nurse clinical experience. The Face, Legs, Activity, Cry, Consolability Scale (FLACC) was used to rate pain in pediatric patients, with less experienced nurses demonstrating higher accuracy than more experienced ones.
A study found that outpatient bloodstream infections associated with central lines in pediatric transplant and cancer patients result in significant economic burdens. The median charges for treatment totaled $37,000 for a six-day hospital stay, highlighting the need to prevent these infections.
A new study from Nationwide Children's Hospital found that nearly 70% of children with significant burns treated in low-volume hospitals were released without being transferred to a burn center. The researchers argue that current guidelines may be too broad and need clarification.
A new study found that children with a history of food allergy are more likely to develop asthma and allergic rhinitis, with rates roughly doubling in those with peanut, milk, and egg allergies. The study analyzed data from over 1 million urban and suburban children.
A new study found that high-magnitude head impacts in youth football are more common during practice sessions than games. Researchers identified specific tackling drills as contributing to these high-impact incidents and suggest reducing their duration to lower injury risks.
According to new guidelines, physicians and parents can ward off problems at both ends of the weight spectrum by avoiding focusing teens' attention on weight or dieting. Family meals protect against weight problems, while promoting a balanced diet and regular exercise can help teenagers develop a healthy body image.
A new study from the University of Rochester Medical Center highlights cultural differences in refugee developmental screening, including language barriers and differing beliefs about disability. Researchers found that establishing trust and using in-person interpreters improved engagement and milestone identification.
The new guidelines provide a more precise definition of documented prenatal alcohol exposure and offer guidance on evaluating facial and physical deformities characteristic of FASD. The updated criteria aim to improve the accuracy of diagnoses and lead to early intervention for affected children.
A new study published in The Journal of Pediatrics found that maternal involvement is the greatest contributor to long-term neurobehavioral development in preterm infants, with a single-family room NICU allowing for greater and most immediate opportunities for maternal involvement.
Obstructive sleep apnea and low nighttime oxygen are linked to NAFLD progression in children. Researchers found a correlation between severity of sleep-disordered breathing and oxidative stress, which promotes the development of non-alcoholic steatohepatitis.
A recent study found that nearly half of pediatric clinical trials are either discontinued early or remain unpublished in the medical literature. The research suggests significant inefficiency and waste in the field, with more than 8,000 children participating in unfinished trials and over 69,000 enrolled in completed but unpublished t...
A new study finds that a child's home address can identify families at risk of severe asthma due to socioeconomic hardships. The address is linked to zip code and census data to target resource allocation.
Symptom spikes, also called exacerbations, were found to be common in children after concussion, with about one-third experiencing them. The study suggests that returning to full activities too quickly increases the risk of a symptom spike, but these events may not be clinically significant.
The University of Utah School of Medicine's Data Coordinating Center has been awarded a $25 million grant to form one of three Trial Innovation Centers (TICs) to improve clinical research. The TICs aim to streamline trial protocols, eliminate bottlenecks, and support randomized drug trials.
A new web-based software program helps reduce ADHD behavioral symptoms in children by coordinating care and ensuring patients get effective ADHD medications. This improvement leads to better treatment outcomes, with children treated by pediatricians using the technology experiencing significantly less ADHD symptoms than those without it.
Researchers developed a measurement called cumulative burden to capture chronic disease in childhood cancer survivors, showing that Hodgkin lymphoma patients have more cardiovascular conditions and severe heart problems than adults without childhood cancer. This method should aid efforts to reduce and better manage late effects of canc...
A survey of 628 US physicians reveals that shaken baby syndrome and abusive head trauma are widely accepted diagnoses among medical professionals. The study found that 88% of respondents acknowledged the validity of shaken baby syndrome, while 93% affirmed abusive head trauma as a diagnosis.
The Damon Runyon-Sohn Pediatric Cancer Research Fellowship Award provides funding to promising young scientists working on high-impact translational research. The award supports research into childhood and adolescent cancers, which often receive limited funding compared to adult cancer research.
Children exposed to parental substance misuse are at risk of developmental delays, mental health problems, and substance use disorders. Pediatricians can assess risk and intervene with families, providing access to resources and breaking multigenerational cycles of abuse.
Researchers will assess treatment of asymptomatic babies born with congenital CMV and investigate frequency of neonatal herpes infections in the US and Peru. Early detection and close follow-up can lessen the effects of congenital CMV in infants.
Researchers found significant differences in hospital practices for treating children with asthma, including varied costs and resource use. The study's template matching tool enabled a more refined comparison of hospitals' resource use at the patient level.
The BMC Vital Village Network has received a $500,000 strategic planning grant to develop infrastructure supporting children entering kindergarten at a healthy weight. The project aims to promote healthy growth and development through a two-generation approach, involving community settings from preconception to age 5.
A new study by Children's Hospital of Philadelphia researchers found that Medicaid status has little effect on inpatient costs, length of stay, and use of intensive care units for children hospitalized for asthma. The study analyzed over 17,000 pairs of pediatric asthma patients from 40 major US children's hospitals.
National experts recommend steps to integrate genomics into clinical practice, addressing challenges such as interpreting DNA findings, patient education, and sharing data across centers. The recommendations provide guidance for clinicians and patients on how to use genomic testing results in making health care decisions.
Elaine H. Zackai, a renowned pediatric clinical geneticist, has been awarded the ASHG's inaugural Mentorship Award for her exceptional mentorship skills. The award recognizes her commitment to guiding students towards successful careers in human genetics.
A study by CHOP researchers found gaps in knowledge and communication about ASD treatment choices, leading to difficulties in sharing treatment decisions. The authors suggest using tools like decision aids and practice guidelines to foster effective communication between families and pediatricians.