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Preview: Pediatrics in Review recent issues

Pediatrics in Review recent issues



Pediatrics RSS feed -- recent issues



 









An Honor and Privilege

2017-09-01T01:04:06-07:00







Pediatric Lymphoma

2017-09-01T01:04:06-07:00




Approach to Hypertriglyceridemia in the Pediatric Population

2017-09-01T01:04:06-07:00

Hypertriglyceridemia is increasingly identified in children and adolescents, owing to improved screening and higher prevalence of childhood obesity. Hypertriglyceridemia can result from either increased triglyceride (TG) production or reduced TG clearance. The etiologic origin can be primary (genetic) or secondary, but it is often multifactorial. Management is challenging because of the interplay of genetic and secondary causes and lack of evidence-based guidelines. Lifestyle changes and dietary interventions are most important, especially in hypertriglyceridemia associated with obesity. Dietary restriction of fat remains the mainstay of management in primary hypertriglyceridemia. When fasting TG concentration is increased above 500 mg/dL (5.65 mmol/L), fibrates may be used to prevent pancreatitis. Omega-3 fatty acids are often used as an adjunctive therapy. When the fasting TG concentration is less than 500 mg/dL (5.65 mmol/L) and if the non–high-density lipoprotein cholesterol level is above 145 mg/dL (3.76 mmol/L), statin treatment can be considered.







Case 2: Sternal Mass in an 18-year-old Boy

2017-09-01T01:04:06-07:00
















CME Quiz Correction

2017-09-01T01:04:06-07:00




Human Papillomavirus and HPV Vaccines

2017-09-01T01:04:06-07:00




Retractions

2017-09-01T01:04:06-07:00




Sun Exposure

2017-09-01T01:04:06-07:00













Hypertension in Children and Adolescents

2017-08-01T01:03:38-07:00






















Peanuts and LEAP Data

2017-08-01T01:03:38-07:00







Disorders of Growth and Stature

2017-06-30T01:03:09-07:00




Self-management and Transition to Adult Health Care in Adolescents and Young Adults: A Team Process

2017-06-30T01:03:09-07:00

As health care continues to evolve, the need for more effective health care transition (HCT) for all youth, but particularly children with chronic conditions and special health care needs, becomes even more important. With more than 90% of adolescents with chronic medical conditions now surviving into adulthood, suboptimal transition can lead to poorer quality of life and less successful adulthood.

Through a series of clinical vignettes, the challenges of HCT are presented herein and accompanied by comments that underscore how these adolescents can best be helped to transition to successful adulthood. Several methods are presented to assess the readiness of adolescents and young adults (AYA) for transition. The process of transition can be divided into 3 stages: 1) setting the stage: initiation of HCT services and transition readiness assessment, 2) moving forward: ongoing provision of HCT services, and 3) reaching the goal: transfer of care and transition to adulthood.

Several valuable suggestions for incorporating the HCT process into the health care system and improving HCT programs through a quality improvement (QI) approach are outlined. Future challenges in HCT include developing more precise assessments of transition status or transition readiness, better understanding the status and specific needs of AYA with chronic health care needs, continued program evaluation and QI efforts, and more reliance on patients and families to teach us about the challenges and methods in HCT that most effectively work for them.







Case 1: Persistent Tachypnea in an Infant

2017-06-30T01:03:09-07:00



















Mosquito-borne Infections

2017-06-30T01:03:09-07:00







Heart Rate and Rhythm Disorders

2017-06-01T01:02:53-07:00




Group B Streptococcal Infections

2017-06-01T01:02:53-07:00







Correction and Clarification

2017-06-01T01:02:53-07:00

























Correction

2017-06-01T01:02:53-07:00