Pregnancy in young girls presents unique risks
February 19th 2014Girls who become pregnant when they are aged younger than 15 years are more likely than slightly older women to have much older sexual partners, to not use contraception the first time they have sex, and to be Hispanic or black, suggesting that they may be particularly vulnerable to relationships with unequal power.
Preterm birth may increase risk for diabetes
February 19th 2014A recent study found the lower the gestational age at birth, the more elevated plasma insulin levels are, not only at birth but in early childhood, too. The finding suggests that preterm birth may be a risk factor for type 2 diabetes mellitus.
Child and adolescent vaccination schedule updated
February 12th 2014The American Academy of Pediatrics, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention, the American Academy of Family Physicians, and the American College of Obstetricians and Gynecologists recently approved the 2014 recommended schedules for childhood and adolescent immunizations.
VIDEO: Toxic Stress in Children: Long-term Effects and Screening Strategies
February 3rd 2014Pediatrician Andrew S. Garner, MD, PhD, describes how children's response to toxic stress stimuli in their environment alters the brain, putting them at risk for a lifetime of adverse health outcomes. Pediatricians, he says, are the natural sentinels to screen and to intervene.
Screening rule differentiates between vasovagal and cardiac syncope
February 1st 2014Screening children and adolescents who experience syncope using characteristics in the history, physical exam, and electrocardiogram (ECG) accurately identifies which patients require further evaluation for cardiac problems, a new study concluded.
Insights into racial differences in vitamin D levels
February 1st 2014Compared with whites, blacks consistently have lower levels of total vitamin D (25-hydroxyvitamin D) and elevated levels of parathyroid hormone (considered a sensitive marker of vitamin D deficiency), often leading to a diagnosis of vitamin D deficiency.
New tool helps monitor asthma symptoms
February 1st 2014The new Asthma Symptom Tracker (AST), which rests on weekly (instead of traditional monthly) use of the Asthma Control Test (ACT), facilitates monitoring of patients’ symptoms and rapid recognition and response to warning signs of deterioration in asthma control, a new study found.
Instrument-based vision screening: Update and review
February 1st 2014Insurance companies are now beginning to compensate pediatricians for performing photoscreening, billed under Current Procedural Terminology (CPT) code 99174. We applaud the efforts of the many pediatricians, pediatric ophthalmologists, and state chapters of the AAP who have aggressively petitioned insurance companies to cover this important service for our patients. -Andrew J Schuman, MD, Section Editor
Program gives children with life-limiting conditions quality of life
February 1st 2014Providing quality-of-life care for the sickest of children was a passion for pediatrician Gary Ceneviva, MD. As a critical care physician, he was troubled by what he saw. So in true pediatrician fashion, he did something about it.