Articles tagged with Pediatrics
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A study published in Pediatrics found that the rate of inhaled nitric oxide (iNO) utilization in American NICUs increased by 23% between 2009 and 2013, with nearly half of all iNO users being preterm neonates. This trend has significant economic implications, estimated to be $153 million in 2013.
The International Lymphoma Radiation Oncology Group (ILROG) has issued a guideline outlining the use of 3D computed tomography-based radiation therapy planning and volumetric image guidance to treat pediatric Hodgkin lymphoma. The guidelines aim to reduce radiation dose to normal tissue and decrease the risk of late side effects.
A 10-year-old boy developed seizures and hypertension after consuming excessive licorice sweets. The case study highlights the dangers of overconsumption of glycyrrhizic acid in licorice, a risk particularly high for children with low body weight. Manufacturers are urged to state recommended daily limits as a safety measure.
A study found that almost all pediatricians encounter requests to spread out vaccines, with increasing numbers agreeing to do so despite risks. Most physicians feel tension between building trust and prioritizing child safety.
A study led by the University of Vermont found that most doctors prescribe antipsychotics for kids with major mental illness, following guidelines. However, there is room for improvement in lab tests and access to evidence-based therapies.
A recent study published in JAMA Pediatrics assessed cardiovascular risks among adolescents with severe obesity undergoing weight-loss surgery. The study found that nearly 95% of participants had at least one CVD risk factor, with high blood pressure and unhealthy cholesterol levels common among the group.
Pediatric cancer patients who receive antibiotics within 60 minutes of reporting fever and neutropenia have decreased intensive care consultation rates and lower mortality. The study shows that timely antibiotic delivery can lead to significant reductions in hospitalization and fatalities among pediatric cancer patients.
A randomized trial using Colorado Immunization Information System found that children in the centralized notification system received at least one contact, with documentation rates of 26.9% compared to 21.7% in the practice-based group. The study concludes that a collaborative centralized approach can increase immunization rates and is...
Research found a link between altered gut bacteria and liver disease in adolescents with cystic fibrosis. The study suggests that targeting the gut microbiome may help prevent advanced liver disease.
The study assesses the value of care provided by Partners for Kids, a pediatric Accountable Care Organization (ACO), from 2008 to 2013. Results show that PFK reduced growth in healthcare costs compared to Medicaid fee-for-service programs and managed care plans.
Research at Cardiology 2015 Conference highlights key findings on brain injury in infants with critical congenital heart disease, reduced radiation exposure in pediatric cardiac cath procedures, improved survival rates with goal-directed CPR, and no link found between pre-operative enteral feeding and NEC in newborn cardiac surgery.
A preliminary study found that 55% of parents met PTSD criteria and 24% met all criteria after their child's stroke. Children also showed signs of clinical anxiety, which may interfere with treatment. Researchers aim to screen families for potential PTSD and develop targeted interventions.
A recent position paper from the ESPGHAN Hepatology Committee recommends bariatric surgery for carefully selected young children with severe or morbid obesity and associated medical conditions. The procedure can strongly reduce the risk of adulthood obesity and obesity-related diseases, including nonalcoholic fatty liver disease.
The Philadelphia Pediatric Medical Device Consortium awards $25,000 grants to Little Sparrows Technologies, OtoNexus, and Ras Labs to develop medical devices for children. These companies are working on projects to treat neonatal jaundice, diagnose middle ear infections, and improve prosthetic limb interfaces.
A Stanford study found that nearly 20% of very-low-birth-weight babies in California were not referred to the state's high-risk infant follow-up program. Larger neonatal intensive care units and referrals were more common among premature or medically fragile infants.
The study found a significant decrease in mortality rates among extremely premature infants between 2000 and 2011, with the largest declines observed in infants born at 23 or 24 weeks of gestation. Deaths attributed to respiratory distress syndrome and immaturity accounted for the majority of the reduction in mortality.
Underage youths exposed to alcohol ads on TV are more likely to drink and engage in binge drinking, a study suggests. Higher receptivity scores among underage participants predicted the onset of drinking, binge drinking, and hazardous drinking.
Researchers used spatial analysis software to identify clusters of underimmunization and vaccine refusal among Kaiser Permanente members in Northern California. Underimmunization ranged from 18% to 23% within clusters, compared to 11% outside clusters, highlighting areas with high vaccine refusal rates.
Researchers at Children's Mercy Hospital identified the CLPB gene associated with a new pediatric mitochondrial syndrome, characterized by cataracts, psychomotor regression, epilepsy, and death in early childhood. The discovery demonstrates the importance of basic research into human CPLB gene function and paves the way for diagnosing ...
A new study published in Pediatrics reveals that pediatricians often fail to detect autism risk during brief checkups, with experts also missing referrals. The study emphasizes the importance of universal screening, formalized screening instruments, and parent involvement to improve early identification and intervention.
A study by Children's Hospital of Philadelphia reveals that pediatric trauma nurses are knowledgeable about trauma-informed care, but need more training to address the emotional needs of patients and their families. The survey found that over 90% of nurses recognize the importance of psychosocial support, but few report assessing a chi...
A Northwestern University study found that pediatric patients who listened to their chosen music or audiobooks had a significant reduction in post-surgical pain. The therapy was effective regardless of the patient's initial pain score and can be used as an alternative to opioid analgesics.
Research reveals that high-fat diets and maternal obesity during pregnancy compromise the blood-forming stem cell system in the developing fetus. This may contribute to the rise in immune diseases and allergic dispositions in children. The study provides a model for testing whether dietary interventions can repair the damage.
A new study published in Diabetes suggests that young children with type 1 diabetes have slower brain growth compared to children without diabetes. The researchers found that abnormal blood glucose levels impact brain structure and function at a young age.
A new formulation of oral budesonide suspension is safe and effective in treating pediatric patients with eosinophilic esophagitis, according to a recent study. The treatment demonstrated remarkable efficacy in reducing eosinophilic inflammation and improving symptoms.
A study found that high socioeconomic status, particularly in highly educated families, increases the risk of depression and discrimination among black young adults. Despite parental education's protective effect on white youth, high SES can lead to increased perceptions of being discriminated against, cancelling out its benefits.
Mothers who use mobile devices while eating with their young children have fewer verbal and nonverbal interactions, potentially affecting child health outcomes. This study found that mothers with the most mobile device use had 20% fewer verbal interactions and 39% fewer nonverbal interactions.
A new study from Children's Hospital of Philadelphia highlights the need for better planning to improve mother-infant outcomes, reduce stress on health systems, and staff morale. The researchers found that dramatic surges in delivery volume led to overcrowding, understaffing, and fragmented care.
The study highlights a state-by-state patchwork of coverage for children and adolescents, excluding services for kids with developmental disabilities. The analysis suggests four policy steps to improve pediatric benefits under the ACA, including revising the essential health benefit standard and incorporating medical necessity.
A recent clinical trial found that young adults with acute lymphoblastic leukemia (ALL) who received high-intensity pediatric protocols had better overall survival rates, with 78% achieving overall survival and 66% maintaining event-free survival. This is a significant improvement over previous studies for this age range.
A pilot study shows that 92% of children with relapsed leukemia respond to bioengineered T cells, with some patients remaining cancer-free for over two years. The personalized therapy offers the potential for long-term success in treating this highly aggressive form of acute lymphoblastic leukemia.
A York University study found a total of 88,688 pediatric concussions were treated in Ontario between 2003 and 2010. Falls, hockey, and skating injuries were the leading causes of concussion among children and youth.
A new, physiologically realistic in vitro model of the pediatric blood-brain barrier has been developed and successfully tested. The model, called B3C, mimics the human BBB's structure and function, and has shown promise for studying neurological diseases and testing novel therapies.
A study found that approximately 88% of pediatric chest X-ray exams did not alter clinical treatment, highlighting potential waste in the healthcare system. In cases where patients were ordered for symptoms like syncope or dizziness, no findings were made that affected treatment over a five-year period.
Researchers investigate why Kentucky children are prescribed psychotropic medications at a higher rate than the national average. The study aims to identify patterns and potential causes, with a focus on improving care for vulnerable children.
Two studies published in JAMA Pediatrics examine the impact of school breakfast programs on children's eating habits and academic performance. One study found that schools offering Breakfast in the Classroom (BIC) had higher participation in the national school breakfast program and attendance, but no differences in math or reading ach...
A study published in AIDS reveals that anti-HIV medications may cause significant long-term heart problems in non-HIV-infected children. The research found persistently impaired heart muscle development and reduced heart performance in these children, highlighting the need for further investigation into the long-term impact of HIV medi...
A new tablet-based app called CHAMP is connecting single ventricle heart defect patients to their doctors for real-time monitoring. The app has shown promising results in reducing mortality rates and decreasing the burden on caregivers.
Researchers at UTHealth will study the probiotic Lactobacillus reuteri to prevent and ease NEC in animal models. The study aims to decipher the optimal dose and mechanism of action of the probiotic and its effects on intestinal inflammation.
Researchers presented findings on the use of automated external defibrillators (AEDs) in infants, which showed promise for improving survival rates. Additionally, studies investigated the long-term cardiac risk in survivors of the Fontan operation for congenital heart disease, revealing a significant risk of late myocardial infarction.
Researchers at Northwestern University have discovered a potential drug therapy for a rare, incurable pediatric brain tumor by targeting a genetic mutation. The experimental drug GSKJ4 delayed tumor growth and prolonged survival in mice with diffuse intrinsic pontine glioma (DIPG).
Researchers developed a standardized approach to reducing cardiac monitor alarms, resulting in an 80% reduction in daily alarms and a 95% increase in caregiver compliance. The process increased staff's ability to address significant alarms promptly, improving patient safety.
A survey of 409 physicians found that many are unaware of the latest treatments and guidelines for allergic conditions. The study highlights the importance of seeking a board-certified allergist for accurate diagnosis and treatment.
Jon Tyson, M.D., M.P.H., has won the 2014 APGAR Award for his lifelong contributions to perinatal medicine and education. The award recognizes his efforts to develop improved methods to minimize bias and imprecision in clinical research.
A multicenter study led by Boston Children's Hospital found that implementing the I-PASS bundle can reduce hospital medical errors by 30%, improving safety and quality of care. The study was conducted at nine medical centers, where healthcare providers used a standardized communication system to share patient information.
A recent study found that pediatricians often fail to inform parents of overweight Latino children, highlighting the challenges of addressing rising obesity rates among minority youth. The study recommends using family-preferred terms when discussing weight with Latino families.
A large study found that surgery for sleep apnea significantly improves asthma control in children, with a 30% reduction in acute asthma exacerbations and a 38% decrease in severe asthma attacks. The study suggests that early identification and treatment of obstructive sleep apnea may help reduce asthma severity and improve outcomes.
Researchers at the University at Buffalo found that infant dietary patterns are influenced by mothers' socioeconomic backgrounds and racial identities. Babies whose diet included more breastfeeding and solid foods adhering to international guidelines were associated with higher household income and mothers with higher education levels.
A multi-center trial found similar survival rates in children with acute myeloid leukemia (AML) who received one or two units of partially matched cord blood. The study revealed improved recovery rates and lower risks of complications when using a double cord blood approach.
Efforts to roll back school nutrition standards could jeopardize gains made in the fight against childhood obesity. The authors argue that the current standards have improved meal quality and reduced waste of fruits and vegetables.
Researchers at Penn State College of Medicine found that both agave nectar and a placebo were more effective than no treatment for young children's cough symptoms. The study suggests that giving children something to drink, like sugar water or honey substitute agave nectar, may help alleviate their discomfort.
A consensus statement from leading clinicians and researchers recommends a systematic approach to evaluating youngsters with sudden onset of neuropsychiatric symptoms, including obsessive-compulsive disorder. The guidelines aim to clarify diagnostic boundaries, develop evaluation strategies, and identify urgently needed studies.
Researchers from Baylor College of Medicine have made significant breakthroughs in whole exome sequencing, confirming a molecular diagnosis in 25% of patients and identifying rare genetic events as major contributors to disease susceptibility. The technology is expected to revolutionize the field of pediatrics and medicine.
A study published in Practical Radiation Oncology evaluated the use of image-guided radiation therapy (IGRT) in treating pediatric cancers. The results show that IGRT is commonly used to improve localization and precision in radiation delivery, particularly for tumors near sensitive structures or organs.
A program providing guidance on antibiotic prescribing for children is effective but loses its benefits after auditing and feedback cease. Continued feedback to clinicians is crucial to maintaining proper usage.
The American Academy of Pediatrics (AAP) is revisiting its policy on toddler screen time as technology advances. Pediatricians Dr. Dimitri Christakis and Dr. Donald Shifrin will debate the topic at the AAP National Conference & Exhibition, with both agreeing that hard rules are challenging to implement.
Former Secretary of State Hillary Rodham Clinton announces the launch of the American Academy of Pediatrics' updated early literacy toolkit, Books Build Connections. The toolkit aims to help doctors talk with parents about early communication, reading, and singing to promote young children's brain development and vocabulary building.
A recent study presented at the American Academy of Pediatrics Annual Meeting found that diphenhydramine-containing medication inhibited cough reflex sensitivity more effectively than dextromethorphan or placebo. The new Dr. Cocoa for Children medicine combines trusted ingredients with a natural cocoa flavor to make dosing easier.
A recent study by the American Academy of Pediatrics found that 93% of splints used on children were applied incorrectly, causing skin irritation and poor healing. The most common errors included direct application of elastic bandages to the skin and improper positioning of the splint.
A study of 267 families found that nearly all parents made at least one critical error in using a car safety seat, putting their newborns at risk. The most common errors included loose harnesses and incorrect installations.