An analysis of 2015 claims data for about 69,000 children with an asthma diagnosis suggests that the answer to this question is “yes.” Of these children, who were insured through a large Texas health plan for children with Medicaid and CHIP and who ranged in age from 1 to 18 years, 42.1% were given an oral corticosteroid (OCS) 1 or more times during the year; 9.9%, 2 or more times; and 3.3%, 3 or more times.
In children aged older than 2 months, the pediatrician is often faced with the scenario of fever with no apparent source. Because symptoms in young patients are nonspecific and reliable urine samples require invasive testing, there can be a delay in both diagnosis and treatment of urinary tract infections (UTIs). This delay may be associated with increased risk of renal scarring and a longer duration symptomology for the young child.
A father brings his 8-year-old son to the office for evaluation of new, asymptomatic blue bumps that have appeared on the boy’s chest over the last several months (Figure). The dad notes that he has had similar lesions as well.
A 14-year-old female presents for a wellness visit. On history, she is noted to not have started her menstrual cycle but on physical exam has significant breast and pubic hair development since the age of 10 years.
This article will present an overview of the technology involved in scanning documents, reviewing documents, and signing documents, and provide some tips on how to expedite your document workflow.
Preventing readmissions has always been a high priority for the clinicians in hospital newborn nurseries. Here's how one program works on cutting down readmission rates.
Crying and agitation for no apparent reason in children with severe neurologic impairment is a common and frustrating problem for parents and providers alike. A methodical approach is helpful in dealing with this problem, yet sometimes the cause is not apparent, even after a thorough search. It is helpful to explain to parents and caretakers that the cause of the distress may take some time to figure out, and that diagnosis is often difficult. However, in most cases, a satisfactory treatment can be found.
Goals for NPs caring for children and adolescents with weight problems are early identification and referral to treatment in order to prevent the well-known adverse effects the diagnosis of eating disorders places on the child, adolescent, and family members-and, in time, the overall health of the adult population.
Children who struggle with obesity not only have to deal with a host of physical problems, but social problems also take a huge toll, according to a new study.
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Car accidents are the top cause of death in children under age 15, and restraints were either not used or improperly used in nearly half of those fatal crashes, according to a new report.
While improvements have been made to childhood cancer mortality rates, a recent research study aims to identify how many children die before being able to start treatment, and what interventions can be put in place to improve their chances.
For Contemporary Pediatrics, Dr Bobby Lazzara discusses a controversial UK-based study published in JAMA Pediatrics that examined how well pharmacologic interventions for attention-deficit/hyperactivity disorder (ADHD) help education and health outcomes for impacted kids.
Physicians should be cautious when administering vaccines, particularly pneumococcal vaccines, to patients with autoinflammatory disorders, according to a new study.
A new study found that unvaccinated children suffer more from colds and the flu than their vaccinated peers, with study authors seeking to provide evidence-based data for parents who worry vaccines are too taxing on their child’s immune system.
A recent study shows that only 1 in 5 teenagers seek treatment for eating disorders. The researchers hope that the study will create more discussion and research.
Results of a new study show the feasibility and efficacy of preventing otitis media (OM), and potentially treat OM recurrence, through the simple use of a Band-Aid to deliver a vaccine targeted at one of the most common pathogens responsible for OM.
Children with acute otitis media (AOM) are routinely and successfully treated with antimicrobials, with data showing that the combination of amoxicillin-clavulanate (A/C) to treat AOM in children aged younger than 3 years is associated with more favorable outcomes than placebo.
Rates of medical errors yielded by solicited family reporting were 5 times higher than the rates provided by hospital incident reports and the rates of adverse events (AEs) were 3 times higher, a study in 4 pediatric hospitals found. Most hospitals primarily use incident reports to conduct patient safety surveillance.
Since the American Academy of Pediatrics (AAP) published its first recommendations regarding fruit juice 16 years ago, pediatricians have been waving off parents from serving young children apple and other fruit juices in bottles and sippy cups, encouraging water be given instead, because of both caloric and dental caries concerns. Now the AAP has issued a new policy statement that goes further than ever on what constitutes optimal quantities of fruit juice product consumption for children of all ages.
A study in 150 asthmatic children (aged 9 to 17 years) found an interaction between family relationships and residential greenspace, suggesting that children with asthma benefit when they live in high greenspace areas and have positive family relationships.
Certain polymorphisms in mannose-binding lectin (MBL) and toll-like receptors (TLRs), genes that have a role in the innate immune system, promote susceptibility to or protection against respiratory and rhinovirus infections and acute otitis media (AOM), according to a study in Finnish infants.
A 13-year-old boy with poorly controlled type 1 diabetes (T1D) presents to the emergency department (ED) for evaluation of left ear pain and left facial weakness.
Diarrhea, abdominal pain, and flatulence following ingestion of milk or products containing milk are common complaints in pediatric practices. The pediatrician needs to be aware of the management of lactose intolerance to help guide a reasonable workup and plan.
Older, larger children using omega-3 fatty acid supplements as therapy for mood disorders-as well as those taking the supplement for general brain and heart health-may need more of the essential nutrient than smaller children, leading researchers to call for new studies into weight-appropriate dosing.
Eating disorders often begin when an adolescent tries to lose weight. New AAP guidance provides tools to address the unhealthy eating behaviors that put teens at risk.
Previous studies conducted in animals and in humans have suggested that DHA might be helpful in reducing the risk of bronchopulmonary dysplasia (BPD). However, the results of a very recent study demonstrated that the supplementation of an emulsion containing DHA did not reduce the risk of preterm infants developing BPD compared with infants who received a control emulsion without DHA.
Fun isn’t what you’d typically expect in a chemotherapy infusion room. Yet, that’s precisely the environment an adolescent and young adult oncologist and a former Disney Imagineer created with the Infusionarium concept.
Developmental dysplasia of the hip (DDH) refers to a spectrum of abnormalities that range in severity from mild instability to frank dislocation. The vast majority of clinical and anatomic hip abnormalities identified in early infancy resolve spontaneously. Left untreated, however, a hip that is persistently unstable and anatomically abnormal can lead to functional limitations, pain, and premature degenerative changes.
