With day-spanning sessions such as “Building Brains, Forging Futures,” this year’s American Academy of Pediatrics (AAP) 2013 National Conference and Exhibition in Orlando, Florida, represented a robust airing of data and developments from the pediatric front. In this report, Contemporary Pediatrics brings you highlights from the AAP meeting by key therapeutic area.
A wide range of cardiovascular signs and symptoms present to the pediatrician’s office, and clinician knowledge of key “red flags” alerting them to a higher likelihood of significant pathology or more urgent need for subspecialty referral is paramount.
Garey Noritz, MD, presented information on a clinical algorithm developed by the AAP to help guide pediatricians on screening and workup of children with suspected motor delays.
Adolescents evolve from child to young adult without the maturity of adulthood to help them navigate the transition, particularly when it comes to the perils of substance use and addiction. Pediatricians who care for transitional-aged youth with substance use disorders have new paradigms that have shown promise for treating addiction and its accompanying comorbidities and for sustaining recovery over time.
New practice guidelines for managing childhood sleep apnea syndrome (OSAS) were highlighted by Michael Schechter, MD, on behalf of Carole Marcus, MBBCh. The presentation ”Clinical Practice Guideline Update: Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome (OSAS)” reviewed the 2012 update to the previous 2002 AAP Clinical Practice Guideline intended for use by primary care clinicians for the diagnosis and management of childhood OSAS.
“Almost 1 in 4 children between 3 and 11 years of age in the United States lives in a household with a smoker, so ongoing efforts are needed to prevent exposure in utero, infancy, and childhood to the detrimental effects of secondhand smoke (SHS) and thirdhand tobacco smoke,” stated Sharon McGrath-Morrow, MD.
Sickle cell trait (SCT) is the most common genetic order in the United States, affecting 5% to 6% of Hispanics, 10% of persons of African origin, 2% of Asians, and 1% of northern Greeks. Worldwide, 5.5 million people are estimated to carry SCT, and the World Health Organization estimates that in 2008, 3% of pregnant women were carriers. Despite this prevalence, most SCT carriers are unaware they carry the trait.
Pediatricians can be a first-line resource for grieving families, according to David J. Schonfeld, MD. They should be able to support children who are grieving by understanding how children respond to loss and what they, as physicians, can do to support their patients.
Acute otitis media (AOM) and acute bacterial sinusitis (ABM) are 2 of the most common infections affecting young children. They are also 2 of the most frequent medications for antibiotic therapy in a pediatric practice, and, as such, have been the focus of scrutiny as a source of antibiotic overuse.
Pediatricians have a critical role in addressing childhood overweight and obesity. However, their success in achieving positive outcomes with individual patients depends on the spoken and unspoken messages delivered during the clinical encounter.
Management of atopic dermatitis is always a topic of key interest for pediatricians because of the prevalence of this dermatologic disorder, its chronic nature, and its negative impact on quality of life.
Laboratory tests are not very helpful when trying to determine whether a child with musculoskeletal complaints has any of the rheumatic diseases of childhood, and using adult models to evaluate these children is equally ineffective.
The biologic agent adalimumab provides effective control of acute inflammatory activity in most children with steroid-resistant refractory noninfectious uveitis, but the beneficial effects tend to dissipate with time, according to results from a small study.
It seems that bottlefeeding, compared with breastfeeding, more than doubles the risk for hypertrophic pyloric stenosis (HPS) in children, and that HPS is more common among children born to women who are older and multiparous, according to the largest study to date on the topic.
About half of all moms and at least a third of dads still engage in spanking their preschool-aged children, even though research shows it has negative effects on a child’s behavior. Now, a new study finds it has deleterious effects on cognitive ability as well.
Although vitamin D insufficiency is associated with anemia in healthy US children, threshold levels vary with race, a new study finds.
University Hospitals (UH) Rainbow Babies and Children’s Hospital, Cleveland, Ohio, has joined forces with HealthSpot to provide Cleveland’s children with free, after-hours access to pediatricians.
To discuss the gamut of pediatric pain management, Constance Houck, MD, and Joseph Tobias, MD, presented 4 scenarios during their session “Pediatric pain management,” held Saturday, October 26.
The third day of the American Academy of Pediatrics (AAP) 2013 National Conference and Exhibition in Orlando, Florida, did not disappoint! Attendees explored the exhibit hall, attended AAP Resource Center book signings, networked with colleagues, watched product theater presentations, and experienced a multitude of sessions covering the latest advances and best practices in pediatric care. Contemporary Pediatrics presents just a few examples of the best-in class programs from the conference schedule.
Sarah de Ferranti, MD, director of the Preventive Cardiology Clinic at Boston Children’s Hospital, explained that what is controversial about the National Heart, Lung, and Blood Institute’s most recent set of guidelines addressing lipid screening in children is the call for universal screening at 2 time points: between 9 and 11 years of age and again between 17 and 21 years of age. “This represents a change in practice,” she said in a session titled “Universal lipid screening: Are pediatricians doing it and how is it working?” held on Monday.
“Asthma is probably overdiagnosed by a factor of 5,” said Michael Seear, MD, pediatrician, respirologist, and instructor with the University of British Columbia Certificate in International Development, Vancouver, during a Monday presentation.
Day 2 at the American Academy of Pediatrics (AAP) 2013 National Conference and Exhibition in Orlando, Florida, was an interesting mix of research from allergies to urology, from practical pediatrics to practice management. Here are reviews of just 3 of the sessions presented on Sunday, October 27.
It turns out the very name itself is new, according to Ann Reynolds, MD, associate professor of pediatrics, University of Colorado School of Medicine, Children’s Hospital Colorado, Aurora.
“EMRs (electronic medical records) have the potential to increase patient safety, improve outcomes, and create legible, accurate records, but, unfortunately, they also have the possibility of doing just the opposite,” said Herschel Lessin, MD, Children’s Medical Group, PLLC, Poughkeepsie, New York.
“What is important,” said Thomas Challman, MD, a neurodevelopmental pediatrician and medical director of the Geisinger Autism and Developmental Medicine Institute, Lewisburg, Pennsylvania, “is to teach families what is a potentially valid therapy from one that really is not beneficial.”
The American Academy of Pediatrics (AAP) 2013 National Conference and Exhibition playing this weekend in Orlando, Florida, presents a robust airing of data and developments from the pediatric front. For attendees who missed these sessions onsite, or if you are unable to attend the conference in person, here are highlights from Saturday’s exciting program.
Suicide is the third leading cause of death for United States youth aged between 10 and 24 years, reported Robert Sege, MD, PhD, director, Division of Family and Child Advocacy, Department of Pediatrics, Boston Medical Center, in an AAP session on Saturday, October 26, titled “Dying to be young: Teen suicide, screening, and prevention.”
Insurance exchanges and the Affordable Care Act (ACA) should mean greater access, agreed Anne Edwards, MD, and Michael McManus, MD, MPH, in a session titled “How will insurance exchanges work for pediatrics?” held on Saturday, October 26.
Planning is key when it comes to strategies for feeding a baby upon discharge from the neonatal intensive care unit (NICU), said Steven Abrams, MD, professor of pediatrics, Baylor College of Medicine, Houston, Texas. During the Saturday, October 26, session titled “Evidence-informed premature feeding guidelines at the time of hospital discharge and in the first year of life,” Abrams discussed such issues as which babies are most at risk and how long supplemental nutrition is needed.
Parents who use integrated personal health records (PHRs) are more likely to bring their children to recommended well-child care visits and, possibly, to adhere to recommended immunization schedules, according to a new retrospective study.
