journal
https://read.qxmd.com/read/38446183/caring-for-screenagers-part-2-a-pediatrician-s-primer-on-popular-games-and-educational-tools
#1
JOURNAL ARTICLE
Alex Margolis, Joseph Barile, Grace Cason, Ruth Milanaik
PURPOSE OF REVIEW: The internet has changed the way children can work and play. With the preferences of the youth population constantly evolving, it is important that parents and pediatricians continue to be informed of the ways children spend their time on the internet. Online gaming continues to soar in popularity, as does school usage of educational platforms. RECENT FINDINGS: Roblox, Fortnite, and Minecraft are three examples of games that have widespread popularity among youth populations...
March 6, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38446153/caring-for-screenagers-part-1-a-pediatrician-s-primer-on-popular-social-media-platforms
#2
JOURNAL ARTICLE
Grace Cason, Alex Margolis, Joseph Barile, Ruth Lynn Milanaik
PURPOSE OF REVIEW: Since the inception of social media, children have used platforms in manners unbeknownst to their parents. Just when parents feel they may finally understand what platform is relevant or trend is "in," the landscape evolves, and children shift to something new. It is therefore critical that pediatricians stay informed about what is popular in youth populations. This enables the recognition of the potential dangers of contemporary social media engagement. RECENT FINDINGS: Short-form content and livestreaming continue to rise in popularity while certain older forms of social media have retained relevancy in youth circles...
March 6, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38446225/resuscitating-the-macro-vs-microcirculation-in-septic-shock
#3
JOURNAL ARTICLE
Rafael González, Javier Urbano, Jesús López-Herce
PURPOSE OF REVIEW: This review summarizes current literature about the relationships between macro and microcirculation and their practical clinical implications in children with septic shock. RECENT FINDINGS: Current evidence from experimental and clinical observational studies in children and adults with septic shock reveals that the response to treatment and resuscitation is widely variable. Furthermore, there is a loss of hemodynamic coherence, as resuscitation-induced improvement in macrocirculation (systemic hemodynamic parameters) does not necessarily result in a parallel improvement in the microcirculation...
March 5, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38465727/respiratory-adenovirus-infections-in-children-a-focus-on-africa
#4
JOURNAL ARTICLE
Marieke M van der Zalm, Nadia A Sam-Agudu, Lilly M Verhagen
PURPOSE OF REVIEW: Lower respiratory tract infections (LRTIs) are an important cause of child morbidity and mortality globally, especially in children under the age of 5 years in Africa. Respiratory viruses, including human adenoviruses (HAdVs), are common causes of LRTIs in children. This review aims to shed light on the epidemiology, clinical manifestations, sequelae, and treatment options specific to adenovirus respiratory infections in African children. RECENT FINDINGS: Recent evidence has challenged the perception that adenovirus is a negligible cause of LRTIs...
March 1, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38411592/precision-care-in-the-treatment-of-pediatric-asthma
#5
JOURNAL ARTICLE
Lina Mahmood, Sevdenur Keskin, Akilah A Jefferson
PURPOSE OF REVIEW: Precision medicine in pediatric asthma involves identification of asthma phenotypes, genetic markers, biomarkers, and biologics that target specific pathways. This review includes a discussion of the efficacy of currently approved biologics for pediatric asthma and most recent advances in biomarker/phenotype identification and genetic associations that affect asthma care. RECENT FINDINGS: Biologics targeting type-2 mediated pathways have shown success in the treatment of moderate to severe asthma in pediatric and adult patients...
February 26, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38411588/updates-on-the-clinical-integration-of-point-of-care-ultrasound-in-pediatric-emergency-medicine
#6
JOURNAL ARTICLE
Michelle Sin Lee, Danielle Sweetnam-Holmes, Gili Palnizky Soffer, Maya Harel-Sterling
PURPOSE OF REVIEW: There is expanding evidence for point-of-care ultrasound (POCUS) use in pediatric emergency medicine - this review highlights the benefits and challenges in the clinical integration of high-yield POCUS applications. Specifically, it will delve into POCUS applications during resuscitations, controversies of Focused Assessment with Sonography for Trauma (FAST) in pediatric trauma, POCUS-guided procedures, and examples of clinical pathways where POCUS can expedite definitive care...
February 26, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38411576/highly-effective-cystic-fibrosis-transmembrane-conductance-regulator-modulator-therapy-shifting-the-curve-for-most-while-leaving-some-further-behind
#7
JOURNAL ARTICLE
Stanford W Chun, Maya E Somers, Elizabeth B Burgener
PURPOSE OF REVIEW: Traditional cystic fibrosis (CF) care had been focused on early intervention and symptom mitigation. With the advent of highly effective cystic fibrosis transmembrane conductance regulator (CFTR) modulator therapy (HEMT), in particular, the approval of elexacaftor/tezacaftor/ivacaftor in 2019, there has been a dramatic improvement in outcomes in CF. The purpose of this article is to review the benefits, limitations, and impact of HEMT as well as discuss the new implications, challenges, and hope that modulators bring to people with CF (pwCF)...
February 16, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38351889/updates-on-respiratory-syncytial-virus-prophylaxis-the-past-present-and-future
#8
JOURNAL ARTICLE
Anne Coates, Christy Sadreameli
PURPOSE OF REVIEW: Human respiratory syncytial virus (RSV) causes acute respiratory infection in individuals of all age groups. It is the most common pathogen identified in infants and young children with acute lower respiratory infection. Although most infants and young children experience mild, cold-like symptoms, some infants develop severe lower respiratory tract disease such as pneumonia and bronchiolitis that may result in an emergency department visit or hospitalization. RECENT FINDINGS: In the United States, hospitalization rates have risen during the last decades, and while premature infants with chronic lung disease and congenital heart disease are at increased risk for severe presentations, the majority of hospitalizations occur in previously healthy infants...
February 14, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38299972/approach-to-acute-agitation-in-the-pediatric-emergency-department
#9
JOURNAL ARTICLE
Ashley A Foster, Mohsen Saidinejad, Joyce Li
PURPOSE OF REVIEW: The complexity of pediatric mental and behavioral health (MBH) complaints presenting to emergency departments (EDs) is increasing at an alarming rate. Children may present with agitation or develop agitation during the ED visit. This causes significant distress and may lead to injury of the child, caregivers, or medical staff. This review will focus on providing safe, patient-centered care to children with acute agitation in the ED. RECENT FINDINGS: Approaching a child with acute agitation in the ED requires elucidation on the cause and potential triggers of agitation for optimal management...
February 1, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38299987/recent-advances-in-the-prevention-of-respiratory-syncytial-virus-in-pediatrics
#10
JOURNAL ARTICLE
Madeline A Lipp, Kerry M Empey
PURPOSE OF REVIEW: Respiratory syncytial virus (RSV) is a ubiquitous virus and the leading cause of pediatric hospitalization in the United States. Prevention strategies are key for reducing the burden of RSV. Several new agents aimed at preventing RSV in infants and children were FDA-approved in 2023, and many more are in the development pipeline. This review highlights new developments in RSV prevention in pediatric patients and the important safety considerations for clinical trials...
January 26, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38299986/malaria-prevention-in-children-an-update
#11
JOURNAL ARTICLE
DeAnna J Friedman-Klabanoff, Dennis Adu-Gyasi, Kwaku Poku Asante
PURPOSE OF REVIEW: Malaria cases and deaths decreased from 2000 to 2015 but remain increased since 2019. Several new developments and strategies could help reverse this trend. The purpose of this review is to discuss new World Health Organization (WHO) guidelines and recent research on malaria prevention in children. RECENT FINDINGS: Fifteen countries have now rolled out seasonal malaria chemoprophylaxis (SMC) in children at highest risk for severe malaria, and new WHO recommendations provide more flexibility for SMC implementation in terms of target age groups, geographic region, and number of cycles...
January 23, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38299973/all-shook-up-how-the-covid-19-pandemic-rocked-pediatric-asthma-care
#12
JOURNAL ARTICLE
Carl Kaplan, Alexa H Christophides, Alexandra M Kranidis, Ashley L Saint-Fleur, Catherine Kier
PURPOSE OF REVIEW: Asthma management is a crucial aspect of public health. The landscape of asthma management underwent significant change in the wake of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. These changes greatly affected existing patients, individuals suffering with undiagnosed illness, providers, and the healthcare system as a whole. RECENT FINDINGS: Providers had to navigate through the potential risk of exposure while weighing the benefit of office visits for patients...
January 23, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38446143/editorial-emerging-and-reemerging-global-pediatric-infectious-diseases-amidst-vanishing-pediatric-infectious-diseases-workforce
#13
JOURNAL ARTICLE
Elijah Paintsil
No abstract text is available yet for this article.
April 1, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38299990/clinical-updates-in-inborn-errors-of-immunity-a-focus-on-the-noninfectious-clinical-manifestations
#14
REVIEW
Emily Campbell, Marcus S Shaker, Kelli W Williams
PURPOSE OF REVIEW: In the last 5 years, several new inborn errors of immunity (IEI) have been described, especially in the areas of immune dysregulation and autoinflammation. As a result, the clinical presentation of IEIs has broadened. We review the heterogeneous presentation of IEIs and detail several of the recently described IEIs with a focus on the noninfectious manifestations commonly seen. RECENT FINDINGS: IEIs may present with early onset and/or multiple autoimmune manifestations, increased risk for malignancy, lymphoproliferation, severe atopy, autoinflammation and/or hyperinflammation...
April 1, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38174733/updates-in-hyponatremia-and-hypernatremia
#15
REVIEW
Leslie Saba, Christian Hanna, Ana L Creo
PURPOSE OF REVIEW: Hyponatremia and hypernatremia are commonly encountered electrolyte abnormalities that require timely and careful intervention, as they can be associated with significant morbidity and mortality. RECENT FINDINGS: This review article addresses the etiology, presentation, diagnosis, and management of both hyponatremia and hypernatremia, emphasizing the latest advancements and emerging trends in pediatric care. SUMMARY: A methodical approach is needed to accurately assess and treat hyponatremia and hypernatremia...
April 1, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38169463/community-acquired-bacterial-pneumonia-in-children-an-update-on-antibiotic-duration-and-immunization-strategies
#16
REVIEW
Edward Lyon, Liset Olarte
PURPOSE OF REVIEW: This review is structured to update clinicians on the epidemiology, antibiotic treatment, and prevention of pediatric bacterial pneumonia. The review provides information regarding the current research on antibiotic management for bacterial pneumonia and the newest immunization recommendations to prevent pneumococcal pneumonia and other respiratory infections. RECENT FINDINGS: The recommended length of antibiotic therapy for bacterial pneumonia has been discrepant between low-income and high-income countries...
April 1, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38164620/a-path-towards-equity-in-pediatric-obesity-outcomes
#17
JOURNAL ARTICLE
Thao-Ly T Phan
No abstract text is available yet for this article.
February 1, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38001560/new-primary-immunodeficiencies-2023-update
#18
REVIEW
Joyce E Yu
PURPOSE OF REVIEW: Primary immunodeficiency diseases (PIDs), also called inborn errors of immunity (IEI), are genetic disorders characterized by increased susceptibility to infection and/or aberrant regulation of immunological pathways. This review summarizes and highlights the new IEI disorders in the International Union of Immunological Societies (IUIS) 2022 report and current trends among new PIDs. RECENT FINDINGS: Since the 2019 IUIS report and the 2021 IUIS interim update, the IUIS IEI classification now includes 485 validated IEIs...
February 1, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/37872808/symptomatic-flatfoot-in-cerebral-palsy
#19
REVIEW
Rachel L Lenhart, Christine M Goodbody
PURPOSE OF REVIEW: The purpose of this review is to evaluate the current literature and best practices in the evaluation and treatment of symptomatic flatfoot in cerebral palsy. RECENT FINDINGS: While techniques to reconstruct the neuromuscular flatfoot and reestablish bony levers have remained similar over time, the concept of surgical dosing has helped guide appropriate interventions based on the magnitude of disease and functional level of the child. Moreover, the utilization of multisegment foot modeling in motion analysis has allowed quantitative description of such deformities and their impact on gait...
February 1, 2024: Current Opinion in Pediatrics
https://read.qxmd.com/read/38299980/cholera-outbreaks-among-children-in-sub-saharan-africa
#20
JOURNAL ARTICLE
Agozie C Ubesie, Chioma L Odimegwu, Echezona Edozie Ezeanolue
PURPOSE OF REVIEW: We review current knowledge on the burden, impact and prevention of cholera among children who bear the brunt of cholera outbreaks in sub-Saharan Africa. RECENT FINDINGS: Several studies have shown that recent outbreaks of cholera among African children are related to minimal progress in basic sanitation and infrastructural development. Poor hygiene practices such as open defecation and indiscriminate disposal of feces are still common in many parts of Africa...
January 18, 2024: Current Opinion in Pediatrics
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