journal
https://read.qxmd.com/read/38646698/confidentiality-in-the-care-of-adolescents-technical-report
#1
JOURNAL ARTICLE
Richard J Chung, Janet B Lee, Jesse M Hackell, Elizabeth M Alderman
Confidentiality is a foundational element of high-quality, accessible, and equitable health care. Despite strong grounding in federal and state laws, professional guidelines, and ethical standards, health care professionals and adolescent patients face a range of complexities and barriers to seeking and providing confidential care to adolescents across different settings and circumstances. The dynamic needs of adolescents, the oftentimes competing interests of key stakeholders, the rapidly evolving technological context of care, and variable health care billing and claims requirements are all important considerations in understanding how to optimize care to focus on and meet the needs of the adolescent patient...
April 22, 2024: Pediatrics
https://read.qxmd.com/read/38646696/clarifying-the-role-of-antibiotics-in-acute-sinusitis-treatment
#2
JOURNAL ARTICLE
Timothy J Savage, Matthew P Kronman
No abstract text is available yet for this article.
April 22, 2024: Pediatrics
https://read.qxmd.com/read/38646690/confidentiality-in-the-care-of-adolescents-policy-statement
#3
JOURNAL ARTICLE
Richard J Chung, Janet B Lee, Jesse M Hackell, Elizabeth M Alderman
Confidentiality is an essential component of high-quality health care for adolescents and young adults and can have an impact on the health care experiences and health outcomes of youth. Federal and state laws, professional guidelines, and ethical standards provide a core framework for guidance in the implementation of confidentiality protections in clinical practice. This policy statement provides recommendations for pediatricians and other pediatric health care professionals, clinics, health systems, payers, and electronic health record developers to optimize confidentiality practices and protections for adolescents and young adults across the spectrum of care...
April 22, 2024: Pediatrics
https://read.qxmd.com/read/38646685/antibiotics-for-acute-sinusitis-in-children-a-meta-analysis
#4
JOURNAL ARTICLE
Shannon J Conway, Grace D Mueller, Nader Shaikh
CONTEXT: Acute sinusitis is one of the leading causes of antibiotic prescriptions in children. No recent systematic reviews have examined the efficacy of antibiotics compared with placebo. OBJECTIVE: We sought to determine if antibiotics are superior to placebo in the treatment of acute sinusitis in children. DATA SOURCES: Medline and Embase were searched from their origin to July 2023. STUDY SELECTION: We considered randomized placebo-controlled studies focusing on the treatment of acute sinusitis...
April 22, 2024: Pediatrics
https://read.qxmd.com/read/38639640/understanding-disparities-in-the-pediatric-icu-a-scoping-review
#5
JOURNAL ARTICLE
Erica Andrist, Rachel G Clarke, Kayla B Phelps, Alyssa L Dews, Anna Rodenbough, Jerri A Rose, Adrian D Zurca, Nurah Lawal, Christina Maratta, Katherine N Slain
BACKGROUND AND OBJECTIVES: Health disparities are pervasive in pediatrics. We aimed to describe disparities among patients who are likely to be cared for in the PICU and delineate how sociodemographic data are collected and categorized. METHODS: Using MEDLINE as a data source, we identified studies which included an objective to assess sociodemographic disparities among PICU patients in the United States. We created a review rubric, which included methods of sociodemographic data collection and analysis, outcome and exposure variables assessed, and study findings...
April 19, 2024: Pediatrics
https://read.qxmd.com/read/38634159/associations-of-childhood-adiposity-and-cardiometabolic-biomarkers-with-adolescent-pcos
#6
JOURNAL ARTICLE
Rachel C Whooten, Sheryl L Rifas-Shiman, Wei Perng, Jorge E Chavarro, Elsie Taveras, Emily Oken, Marie-France Hivert
OBJECTIVE: Polycystic Ovary Syndrome (PCOS) is common among females, with significant metabolic and reproductive comorbidities. We describe PCOS development in a pediatric population. METHODS: We assessed cardiometabolic biomarkers and adiposity at the midchildhood (mean 7.9 y), early teen (mean 13.1 y), and midteen (mean 17.8 y) visits among 417 females in the prospective Project Viva cohort. We defined PCOS via self-reported diagnosis or ovulatory dysfunction with hyperandrogenism in midlate adolescence...
April 18, 2024: Pediatrics
https://read.qxmd.com/read/38629169/the-evolution-of-a-pediatric-public-health-crisis-e-cigarette-or-vaping-associated-lung-injury
#7
JOURNAL ARTICLE
Carrie K Barker, Princy Ghera, Benson Hsu
E-cigarettes and vaping products were first introduced in the United States around 2007, and quickly grew in popularity. By 2014, e-cigarettes had become the most commonly used tobacco product among youth in the United States. An e-cigarette, or vaping, product use-associated lung injury (EVALI) outbreak was identified by the Centers for Disease Control and Prevention (CDC) in 2019, with many cases in the adolescent population. The CDC opened a national database of cases and launched a multistate investigation; reported cases reached a peak in September 2019...
April 17, 2024: Pediatrics
https://read.qxmd.com/read/38623635/policy-approaches-for-increasing-adolescent-hpv-vaccination-coverage-a-systematic-review
#8
JOURNAL ARTICLE
Mary Catharine McKeithen, Melissa B Gilkey, Wei Yi Kong, N Loren Oh, Jennifer Heisler-MacKinnon, Rebecca Carlson, Greeshma James, Brigid K Grabert
CONTEXT: US jurisdictions have enacted a wide range of policies to address low human papillomavirus (HPV) vaccination coverage among adolescents, but it is unclear which policies are effective. OBJECTIVE: To systematically review the impact of governmental policies on adolescent HPV vaccination coverage. DATA SOURCES: PubMed, Embase, and Scopus databases. STUDY SELECTION: Eligible studies, published from 2009 to 2022, evaluated the impact of governmental policies on HPV vaccination coverage among adolescents ages 9 to 18...
April 16, 2024: Pediatrics
https://read.qxmd.com/read/38618659/time-to-clinical-stability-in-children-with-community-acquired-pneumonia
#9
JOURNAL ARTICLE
Madeline R Field, Lilliam Ambroggio, Douglas Lorenz, Samir S Shah, Richard M Ruddy, Todd A Florin
BACKGROUND AND OBJECTIVES: Time to clinical stability (TCS) is a commonly used outcome in adults with community-acquired pneumonia (CAP), yet few studies have evaluated TCS in children. Our objective was to determine the association between TCS and disease severity in children with suspected CAP, as well as factors associated with reaching early stability. METHODS: This is a prospective cohort study of children (aged 3 months to 18 years) hospitalized with suspected CAP...
April 15, 2024: Pediatrics
https://read.qxmd.com/read/38606487/covid-19-and-asthma-onset-in-children
#10
JOURNAL ARTICLE
James P Senter, Laura K Aisenberg, Jesse W Dudley, Xianqun Luan, Jing Huang, Chén C Kenyon, David A Hill
BACKGROUND AND OBJECTIVES: Respiratory viral infections increase risk of asthma in infants and children. Infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus can cause severe lung inflammation and prolonged respiratory symptoms. We sought to determine whether SARS-CoV-2 infection modified pediatric incident asthma risk. METHODS: This retrospective cohort study examined children ages 1 to 16 within the Children's Hospital of Philadelphia Care Network who received polymerase chain reaction (PCR) testing for SARS-CoV-2 between March 1, 2020 and February 28, 2021...
April 12, 2024: Pediatrics
https://read.qxmd.com/read/38602032/hypoglossal-nerve-stimulation-for-obstructive-sleep-apnea-in-a-young-child-with-down-syndrome
#11
JOURNAL ARTICLE
Isaac Wasserman, Douglas J Chieffe, Kevin S Gipson, Brian G Skotko, Christopher J Hartnick
Obstructive sleep apnea (OSA) is common in children with Down syndrome (DS). Adenoidectomy and/or tonsillectomy are the usual first interventions employed to treat OSA in children with DS but sometimes do not achieve adequate resolution of clinical signs. Positive airway pressure treatment is often used next, but this treatment is poorly tolerated by this population. Persistent OSA can adversely affect a child's health and cognitive development. Hypoglossal nerve stimulation (HGNS), previously shown to be safe and effective in adults with OSA, has been used in children as young as 10 years old with DS and has achieved measurable neurocognitive benefits...
April 11, 2024: Pediatrics
https://read.qxmd.com/read/38596855/sars-cov-2-test-to-stay-in-daycare
#12
JOURNAL ARTICLE
Felix Dewald, Gertrud Steger, Irina Fish, Ivonne Torre-Lage, Christina Hellriegel, Esther Milz, Anja Kolb-Bastigkeit, Eva Heger, Mira Fries, Michael Buess, Niklas Marizy, Barbara Michaelis, Isabelle Suárez, Gibran Horemheb Rubio Quintanares, Martin Pirkl, Annette Aigner, Max Oberste, Martin Hellmich, Anabelle Wong, Juan Camilo Orduz, Gerd Fätkenheuer, Jörg Dötsch, Annelene Kossow, Eva-Maria Moench, Gustav Quade, Udo Neumann, Rolf Kaiser, Madlen Schranz, Florian Klein
BACKGROUND AND OBJECTIVES: Test-to-stay concepts apply serial testing of children in daycare after exposure to SARS-CoV-2 without use of quarantine. This study aims to assess the safety of a test-to-stay screening in daycare facilities. METHODS: 714 daycare facilities and approximately 50 000 children ≤6 years in Cologne, Germany participated in a SARS-CoV-2 Pool-polymerase chain reaction (PCR) screening from March 2021 to April 2022. The screening initially comprised post-exposure quarantine and was adapted to a test-to-stay approach during its course...
April 10, 2024: Pediatrics
https://read.qxmd.com/read/38596852/health-care-for-youth-with-neurodevelopmental-disabilities-a-consensus-statement
#13
JOURNAL ARTICLE
Carol Weitzman, Cy Nadler, Nathan J Blum, Marilyn Augustyn
Individuals with a neurodevelopmental disability (NDD) face significant health care barriers, disparities in health outcomes, and high rates of foregone and adverse health care experiences. The Supporting Access for Everyone (SAFE) Initiative was developed to establish principles of health care to improve equity for youth with NDDs through an evidence-informed and consensus-derived process. With the Developmental Behavioral Pediatric Research Network, the SAFE cochairs convened a consensus panel composed of diverse professionals, caregivers, and adults with NDDs who contributed their varied expertise related to SAFE care delivery...
April 10, 2024: Pediatrics
https://read.qxmd.com/read/38591138/prolonged-fever-in-a-3-year-old-with-sickle-cell-disease
#14
JOURNAL ARTICLE
Melina J Saavedra, Chellapriya Vythinathan, Ratna B Basak, Siddharth Dubey, Stephan Kohlhoff, Ninad Desai
No abstract text is available yet for this article.
April 9, 2024: Pediatrics
https://read.qxmd.com/read/38591136/trends-in-the-use-and-discussion-of-race-in-pediatrics-articles-over-75-years
#15
JOURNAL ARTICLE
Nassr Nama, Preeti Panda, Kimberly Montez, Olubukola O Nafiu, Lewis R First, Alex R Kemper
BACKGROUND AND OBJECTIVES: Race-based medicine, which falsely assumes that race is biological, is common in the published medical literature. We analyzed trends in the use of race in Pediatrics articles over a 75-year period. METHODS: We analyzed a random sample of 50 original research articles published each decade in Pediatrics from 1948 to 2022. RESULTS: Of 375 articles, 39% (n = 147) included race. Among articles, 85% (n = 116) used race only to describe study subjects, 7% (n = 9) described race as a social construct, and 11% (n = 15) described race as a biological construct...
April 9, 2024: Pediatrics
https://read.qxmd.com/read/38584584/open-notes-experiences-of-parents-in-the-pediatric-icu
#16
JOURNAL ARTICLE
Selby Chu, Bryan A Sisk, Amanda Kolmar, Jay R Malone
OBJECTIVE: We examined how parents experience and navigate open access to clinical notes ("open notes") in their child's electronic health record and explored their interactions with clinicians during an ICU admission. METHODS: We performed a qualitative analysis using semistructured interviews of English-speaking parents who accessed their child's clinical notes during a pediatric ICU (general or cardiac) admission. We included patient-parent dyads with an ICU admission ≥48 hours between April 2021 and December 2022, note access by proxy timestamp during the ICU course, and either patient age <12 years or incapacitated adolescent ages 12 to 21 years...
April 8, 2024: Pediatrics
https://read.qxmd.com/read/38577740/cystic-fibrosis-foundation-evidence-based-guideline-for-the-management-of-crms-cfspid
#17
JOURNAL ARTICLE
Deanna M Green, Thomas Lahiri, Karen S Raraigh, Fadel Ruiz, Jacquelyn Spano, Nicholas Antos, Lynn Bonitz, Lillian Christon, Myrtha Gregoire-Bottex, Jaime E Hale, Elinor Langfelder-Schwind, Álvaro La Parra Perez, Karen Maguiness, John Massie, Erin McElroy-Barker, Meghan E McGarry, Angelique Mercier, Anne Munck, Kathryn E Oliver, Staci Self, Kathryn Singh, Michael Smiley, Steven Snodgrass, Audrey Tluczek, Pamela Tuley, Paula Lomas, Elise Wong, Sarah E Hempstead, Albert Faro, Clement L Ren
A multidisciplinary committee developed evidence-based guidelines for the management of cystic fibrosis transmembrane conductance regulator-related metabolic syndrome/cystic fibrosis screen-positive, inconclusive diagnosis (CRMS/CFSPID). A total of 24 patient, intervention, comparison, and outcome questions were generated based on surveys sent to people with CRMS/CFSPID and clinicians caring for these individuals, previous recommendations, and expert committee input. Four a priori working groups (genetic testing, monitoring, treatment, and psychosocial/communication issues) were used to provide structure to the committee...
April 5, 2024: Pediatrics
https://read.qxmd.com/read/38577735/assessment-of-multisensory-sensitivity-may-assist-with-the-management-of-children-with-chronic-pain
#18
JOURNAL ARTICLE
Anureet Walia, Crystal Markfort, Laura Frey-Law
Chronic pain is a significant problem in adults; however, it can also be challenging to evaluate and manage effectively in pediatric and adolescent populations. Many theories implicate different factors that cause pain to become chronic, more severe, or more detrimental to function. There is emerging evidence for the role of generalized multisensory sensitivity (MSS) as a contributing factor to chronic pain in the adult population; however, similar evidence in the pediatric literature is lacking. Thus, the purpose of this case series is to highlight the clinical use of MSS assessment in children and adolescents with chronic pain to better phenotype and provide targeted treatment...
April 5, 2024: Pediatrics
https://read.qxmd.com/read/38572558/advocacy-for-equitable-recess-in-washington-state
#19
JOURNAL ARTICLE
Pooja S Tandon, Linnea Westerlind, Julie McCleery
Recess in schools is a critical opportunity for children to engage in important behaviors that can promote their health and well-being, and daily recess is recommended by the American Academy of Pediatrics and other national organizations. In Washington state, school recess is not equitably provided, with parents reporting a wide range from as little as 10 minutes to >45 minutes daily. State laws can help promote equitable and high-quality recess, but most states in the United States do not have recess laws...
April 4, 2024: Pediatrics
https://read.qxmd.com/read/38572556/association-of-very-low-birth-weight-infants-with-parental-and-sibling-mental-health-care-usage
#20
JOURNAL ARTICLE
Katherine E Schwartz, Russell T Nye, Susannah Colt, Douglas L Hill, Chris Feudtner
BACKGROUND AND OBJECTIVES: Parents and siblings of very low birth weight, premature infants are at risk for poor mental health outcomes with increased mental health care usage. Knowledge regarding mental health care use patterns could guide interventions. METHODS: This retrospective cohort study included US families with commercial insurance coverage from a single carrier. Neonates born at ≤30 weeks' gestational age or with a birth weight <1500 g were identified by insurance claim data between July 1, 2015, and June 30, 2016...
April 4, 2024: Pediatrics
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