News

Governmental regulations, insurance companies and their requirements, and other hassles have made your jobs more difficult in 2016, according to our 4th annual Issues and Attitudes survey.

The US Food and Drug Administration (FDA) approval of etanercept for treatment of children with moderate to severe plaque psoriasis will revolutionize the management of psoriasis in children.

As Election Day nears, the intensity of the campaign and level of emotion continues to rise beyond anything remembered. Children are remarkably resilient to all this input, at least on the surface, but one has to wonder what they are thinking and likely worrying about just below the surface.

For the 4th year, experts weigh in on key sessions from one of pediatrics premier gatherings. Here are highlights and insights on why they matter.

What would make pediatricians wonder if a parent in their office might be “an adult child of an alcoholic parent?” The following case could be viewed as representative.

Preschool-aged children who go to bed early are half as likely as those whose bedtime is late to be obese as adolescents, according to a new study.

Results of a randomized trial in children with asthma comparing concomitant use of the inhaled glucocorticoid fluticasone propionate plus the long-acting beta-agonist (LABA) salmeterol with use of fluticasone alone indicate that the answer to this question is “no.”

Superficial, relatively thin infantile hemangiomas (IHs) responded to several months of treatment with topical timolol maleate in a recent trial, suggesting that this treatment is an alternative to oral propranolol for selected IHs.

Physician “burnout” has become a popular topic in medical journals. It is worthwhile to discuss this important topic so we can recognize the symptoms of burnout, seek help when necessary, and change our work environment to prevent burnout and its consequences.

Antibiotics, UTI, and VUR

The diagnosis and treatment of reflux in children with a history of urinary tract infections (UTIs) keeps evolving-it's hardly a settled issue. Regarding antibiotic prophylaxis in these children, said Saul P. Greenfield, MD, FAAP, FACS, the Randomized Intervention for Children with Vesicoureteral Reflux (RIVUR) trial reveals that it may be better to overtreat than undertreat.

Family meals matter

Teaching children healthy eating habits requires setting a good example by sharing meals with them, said Irene Chatoor, MD, FAAP, in her session "Food refusal: From picky eating to feeding disorders."

The relationship between the urinary tract and the lower gastrointestinal tract impacts urinary tract infections (UTIs) and urinary incontinence in children.

Evidence-based guidance is available to help primary care practitioners provide psychopharmacologic treatment for behavioral disorders.

Brittle or battered?

Many pediatricians need to step up their game in understanding and diagnosing rare disease processes whose symptoms can mimic those of child abuse.

Even though most babies with jaundice have uncomplicated jaundice, 18% of them will have their course complicated by hemolysis.

Pediatric hypertension

Hypertension in children is not just a specialty problem. It's much more common in general pediatrics than community pediatricians might realize.

Bigger, faster, stronger

Properly supervised strength training can help children both short-term and long-term, providing the foundation for an active, healthy life.

The long-awaited American Academy of Pediatrics (AAP) weight-management algorithm for obesity provides a comprehensive, evidence-based translation for real-world use.

To reduce human papillomavirus (HPV)-related cancers, pediatricians must strongly recommend the underutilized HPV vaccine in preteens.

What's autism, what's not

One in 68 children has an autism-spectrum disorder (ASD). When screening children, however, physicians must be aware that many other developmental disorders occur more commonly.

As the prevalence of childhood obesity has grown, said David Brumbaugh, MD, FAAP, so has the importance of identifying early signs of nonalcoholic fatty liver disease (NAFLD).

For Contemporary Pediatrics, Dr Bobby Lazzara discusses a recent study published in Pediatrics that examined why kids and teens are committing suicide; how they are doing it; and what groups were most likely to do it.

The American Academy of Pediatrics (AAP) has issued updated recommendations for media use by children that attempt to reconcile their increasing exposure to media with their developmental needs.

The presentation described a number of neonatal neurology issues about which pediatricians commonly have questions and described an efficient and evidence-based approach to doing a neonatal neurology exam called the Dubowitz exam.

Given the crucial role pediatricians play in the health of children and in the US healthcare system in general, it is vitally important that pediatric practices understand what the actual legal obligations and risks are for providing pediatric services.

Pediatricians are often asked questions by parents about the effect of environmental exposures on the health of their children. Although some environmental exposures can be detrimental to children’s health, not all are despite the often erroneous claims made by the media.