Pediatrics
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Revised Policy on Organ Transplants for Children with Disabilities Targets Discrimination
Children with disabilities can be organ donors, contributing to the supply. Excluding these patients as organ recipients would not be fair. A new policy statement does not consider intellectual and developmental disabilities (IDD) completely irrelevant, but the authors do not consider IDD to be dispositive for listing decisions either.
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Fever in the Returning Pediatric Traveler
Although, currently, there are travel restrictions in many countries, this will pass. Acute care physicians need to have an awareness of diseases that are prevalent in other countries to accurately diagnose, manage, and treat patients traveling to and from other parts of the world. The authors present an incredibly valuable synopsis of fever and differential of fever in returning pediatric travelers
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Study of Epidural Analgesia Stirs Controversy
Several groups stand in strong opposition to a group of researchers’ recent conclusion about possible connection to autism risk.
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Food-Insecure Infants at Higher Risk for Obesity
Poor nutrition and overfeeding are possible reasons for the association.
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PEACE Rounds Promote Better Communication in Neonatal ICU
Conflicts can happen between nurses and physicians, families and physicians, and social workers and families. Weekly Patient Experience and Communication Excellence (PEACE) rounds, implemented in 2016 in the pediatric intensive care unit at Riley Hospital for Children at Indiana University Health, has ameliorated healthcare providers’ moral distress and shortened length of stay for some patients.
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Pediatric Asthma Management in the Emergency Department
Asthma is the most common chronic disease of childhood. Children with asthma frequently present in the acute care setting with disease ranging from mild to severe. Accurately assessing children with asthma and providing escalating care as needed improves outcome. The authors provide a current review of asthma and evidence-based care.
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Improving the ED Care Experience for Young Patients with Sensory Sensitivities
A growing number of pediatric emergency departments have made environmental changes, and staff members are learning how to better engage and communicate with patients diagnosed with autism or other sensory sensitivities.
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USPSTF Releases Draft Recommendations for Healthier Diets, More Physical Activity
The panel suggests using behavioral counseling to promote overall better lifestyles, prevent cardiovascular disease.
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Further Research Warranted on Low-fat Diets with Fish Oil Supplementation for Prostate Cancer Patients
A prospective, randomized controlled trial measured the impact of a low-fat diet that included high levels of omega-3 fatty acids from fish oil on biomarkers for prostate cancer. No significant differences were found for the primary outcome during an interim analysis and the trial was stopped early. Analysis of secondary endpoints showed some significant differences between the groups, although other biomarkers did not differ. -
A Cool Head: Hypnosis and Hot Flashes
A randomized controlled trial of weekly clinical hypnosis sessions plus home self-hypnosis practice over 5 weeks for breast cancer survivors with hot flashes resulted in significant symptomatic improvement when compared to a matched group of women who received no additional treatment.