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Exploring the Impact of Inpatient Practice and Gender on Physician Well-Being. 探索住院实践和性别对医生幸福感的影响。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-07-01 DOI: 10.3928/19382359-20250418-01
Kelci B Butler, Lauren J Amendola, Sonali Mehta Patel, Ashley N Czworniak, Rani Ganesan
{"title":"Exploring the Impact of Inpatient Practice and Gender on Physician Well-Being.","authors":"Kelci B Butler, Lauren J Amendola, Sonali Mehta Patel, Ashley N Czworniak, Rani Ganesan","doi":"10.3928/19382359-20250418-01","DOIUrl":"https://doi.org/10.3928/19382359-20250418-01","url":null,"abstract":"<p><p>This article aims to describe the evolution of physician well-being. Ensuring professional fulfillment and mitigating the risk for burnout are priorities for all physicians. However, the threats and obstacles to preserving well-being are not universal. In both the inpatient and ambulatory settings, there are growing administrative burdens, increased clinical workload, and insufficient time per patient encounter. Among inpatient pediatric subspecialties, particularly high rates of burnout are reported within the field of pediatric critical care. The obstacles to career satisfaction and well-being in both areas are complex and myriad. The demands unique to women in medicine are different than those for men in medicine. Caregiving and gender-based inequities force women out of health care at rates higher than men. A career in medicine risks a woman's fertility and health. Despite increased prevalence of women-dominated subspecialties (eg, pediatrics), their presence in leadership roles continues to be relatively low. We have chosen to focus this article on issues facing inpatient physicians and the unique difficulties of being a woman provider in health care. <b>[<i>Pediatr Ann</i>. 2025;54(7):e244-e248.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 7","pages":"e244-e248"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment and Stabilization of Status Epilepticus in the Primary Care Office. 初级保健办公室对癫痫持续状态的评估和稳定。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-07-01 DOI: 10.3928/19382359-20250421-01
Rebecca Wingerter, Erica Iafelice
{"title":"Assessment and Stabilization of Status Epilepticus in the Primary Care Office.","authors":"Rebecca Wingerter, Erica Iafelice","doi":"10.3928/19382359-20250421-01","DOIUrl":"10.3928/19382359-20250421-01","url":null,"abstract":"<p><p>Status epilepticus (SE) is a prolonged seizure episode. Prompt recognition and management of SE is essential in preventing morbidity and mortality associated with the condition. The longer SE persists the less responsive it becomes to first-line interventions. Additionally, a seizure episode that is longer than 30 minutes has increased risk of neuronal death and sequelae of SE. If the primary care clinician is confronted with a patient in SE, the evaluation and subsequent management should occur in a systematic, stepwise approach focusing on the patient's airway, breathing, circulation, and disability. Primary care clinicians and staff should be trained in supporting the pediatric airway, including the proper bag-valve-mask ventilation technique. Benzodiazepines are the first-line rescue medications for SE and should be promptly administered at the appropriate dose. <b>[<i>Pediatr Ann</i>. 2025;54(7):e233-e237.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 7","pages":"e233-e237"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decoding Diabetic Ketoacidosis: What a Pediatrician Needs to Know. 解读糖尿病酮症酸中毒：儿科医生需要知道的事情。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-07-01 DOI: 10.3928/19382359-20250418-03
Nicole Cyrus, Ian Cacho-Santana, Heather Fagan, Sindy Villacres
{"title":"Decoding Diabetic Ketoacidosis: What a Pediatrician Needs to Know.","authors":"Nicole Cyrus, Ian Cacho-Santana, Heather Fagan, Sindy Villacres","doi":"10.3928/19382359-20250418-03","DOIUrl":"10.3928/19382359-20250418-03","url":null,"abstract":"<p><p>Diabetic ketoacidosis (DKA) is often considered a critical care topic, but since many patients will initially present with new onset type 1 diabetes mellitus in DKA, it is essential that general pediatric providers are aware of the risk factors and variable symptoms. Many providers feel comfortable recognizing typical symptoms of diabetes mellitus but may not be aware of the different presentations of DKA, particularly in patients in whom the typical symptoms are difficult to discern from their history. In this article, we describe a patient with tachypnea as their initial symptom of DKA and type 1 diabetes mellitus. We discuss the background of DKA, presentation and differential diagnosis, and important management steps of which the general pediatrician should be aware. Our aim is to increase the general pediatrician's awareness of DKA and improve the time to diagnosis and critical treatment. <b>[<i>Pediatr Ann</i>. 2025;54(7):e227-e232.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 7","pages":"e227-e232"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Ethical Complexities of Anorexia Nervosa Treatment. 神经性厌食症治疗的伦理复杂性。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-07-01 DOI: 10.3928/19382359-20250604-01
Kelly Horn, Kathryn Moton-Ospino, Gregg J Montalto
{"title":"The Ethical Complexities of Anorexia Nervosa Treatment.","authors":"Kelly Horn, Kathryn Moton-Ospino, Gregg J Montalto","doi":"10.3928/19382359-20250604-01","DOIUrl":"https://doi.org/10.3928/19382359-20250604-01","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 7","pages":"e222-e224"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging the Gap: Critical Care Insights for Everyday Pediatric Practice. 弥合差距：日常儿科实践的关键护理见解。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-07-01 DOI: 10.3928/19382359-20250421-02
Shannon Staley, Emily C Dawson
{"title":"Bridging the Gap: Critical Care Insights for Everyday Pediatric Practice.","authors":"Shannon Staley, Emily C Dawson","doi":"10.3928/19382359-20250421-02","DOIUrl":"https://doi.org/10.3928/19382359-20250421-02","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 7","pages":"e225-e226"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phagocytes Out of Control: Macrophage Activation Syndrome After the Use of Biologic Agents in the Treatment of Systemic Juvenile Idiopathic Arthritis. 吞噬细胞失控：使用生物制剂治疗系统性幼年特发性关节炎后的巨噬细胞激活综合征。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-07-01 DOI: 10.3928/19382359-20250507-01
Whitney L Hovater, Gowtham Anche, Robert Valencia, Sonia Borkowski, Rachel Para, Daniela Garcia-Perez, Mikhail Volotkin
{"title":"Phagocytes Out of Control: Macrophage Activation Syndrome After the Use of Biologic Agents in the Treatment of Systemic Juvenile Idiopathic Arthritis.","authors":"Whitney L Hovater, Gowtham Anche, Robert Valencia, Sonia Borkowski, Rachel Para, Daniela Garcia-Perez, Mikhail Volotkin","doi":"10.3928/19382359-20250507-01","DOIUrl":"https://doi.org/10.3928/19382359-20250507-01","url":null,"abstract":"<p><p>Systemic juvenile idiopathic arthritis (sJIA) is an arthritis of unknown origin in children younger than age 16 years. While there is no definitive cure, the prognosis has improved with the development of biologic agents targeting interleukins (ILs). These drugs have shown positive outcomes but are associated with significant adverse effects, notably macrophage activation syndrome (MAS), which is a severe condition involving excessive immune activation. We sought to identify recent literature examining MAS as an adverse effect of sJIA treatment with biologics and to summarize the current understanding of the prevalence, pathophysiology, diagnosis, and management of MAS in the context of sJIA. Findings indicate that the incidence of MAS when using IL-1 and IL-6 inhibitors, particularly within the first 6 months of treatment, is relatively common; although, it is difficult to definitively identify biologic therapy as the cause. While biologics offer substantial benefits, they also require vigilant monitoring due to the increased risk of MAS. <b>[<i>Pediatr Ann</i>. 2025;54(7):e249-e253.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 7","pages":"e249-e253"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Firearm Injury Prevention From a Pediatric Critical Care Perspective. 从儿科重症监护的角度预防枪支伤害。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-07-01 DOI: 10.3928/19382359-20250418-02
Laura Bricklin, Kellie S Snooks, Elizabeth H Mack, Rebecca Bell, Kassondra Little, Deanna M Behrens
{"title":"Firearm Injury Prevention From a Pediatric Critical Care Perspective.","authors":"Laura Bricklin, Kellie S Snooks, Elizabeth H Mack, Rebecca Bell, Kassondra Little, Deanna M Behrens","doi":"10.3928/19382359-20250418-02","DOIUrl":"https://doi.org/10.3928/19382359-20250418-02","url":null,"abstract":"<p><p>Firearm injury is a leading cause of morbidity and mortality in children and young adults in the United States. Inequities in this mechanism of injury related to race, gender, location, and economic status have increased during the coronavirus disease 2019 pandemic. Firearm injury is a public health crisis and requires a public health approach. By utilizing the Haddon matrix and injury equity framework, pediatric providers can systematically apply evidence-based medicine and strategies to combat this epidemic. It is imperative that acute care providers, including pediatric intensivists, pediatric hospitalists, and emergency medicine providers, unite with other subspecialists and primary care providers to reduce the burden of this preventable epidemic. <b>[<i>Pediatr Ann</i>. 2025;54(7):e238-e243.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 7","pages":"e238-e243"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Is a Bacteriophage and What Is Its Clinical Utility in Fighting Infection? 什么是噬菌体及其在抗感染中的临床应用？
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-06-01 DOI: 10.3928/19382359-20250505-02
Joseph R Hageman, Lolita Alcocer Alkureishi
{"title":"What Is a Bacteriophage and What Is Its Clinical Utility in Fighting Infection?","authors":"Joseph R Hageman, Lolita Alcocer Alkureishi","doi":"10.3928/19382359-20250505-02","DOIUrl":"https://doi.org/10.3928/19382359-20250505-02","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 6","pages":"e182-e183"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Seborrheic Dermatitis: From Adolescence to Adulthood. 脂溢性皮炎：从青春期到成年期。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-06-01 DOI: 10.3928/19382359-20250321-02
Jordan Hill, Gabrielle Brokamp, Joy Mosser-Goldfarb
{"title":"Seborrheic Dermatitis: From Adolescence to Adulthood.","authors":"Jordan Hill, Gabrielle Brokamp, Joy Mosser-Goldfarb","doi":"10.3928/19382359-20250321-02","DOIUrl":"https://doi.org/10.3928/19382359-20250321-02","url":null,"abstract":"<p><p>Seborrheic dermatitis (SD) is a skin condition that often begins in adolescence, with an estimated prevalence of approximately 10%. The severity of SD varies widely, from mild dandruff to severe erythema, scaling, and flaking, which can be distressing and can impact an adolescent's quality of life. In individuals with darker skin tones, hypopigmentation may be observed. While the exact cause of SD remains unclear, a combination of environmental, medical, and lifestyle factors are believed to contribute to its development. Some researchers identify Malassezia yeast as central to the pathogenesis of SD, while others point to individual susceptibility factors that contribute to skin barrier dysfunction. Treatment strategies focus on controlling flare-ups and preventing recurrence, with options that include topical antifungals, corticosteroids, calcineurin inhibitors, and, more recently, phosphodiesterase-4 inhibitors. Health care providers should collaborate with patients to identify a treatment plan that is both effective and well tolerated. <b>[<i>Pediatr Ann</i>. 2025;54(6):e203-e208.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 6","pages":"e203-e208"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronic Health Effects of Cannabis Use in Childhood and Adolescence. 儿童和青少年使用大麻对慢性健康的影响。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-06-01 DOI: 10.3928/19382359-20250407-02
Jacqueline A Leja
{"title":"Chronic Health Effects of Cannabis Use in Childhood and Adolescence.","authors":"Jacqueline A Leja","doi":"10.3928/19382359-20250407-02","DOIUrl":"10.3928/19382359-20250407-02","url":null,"abstract":"<p><p>Cannabis is the most commonly used recreational drug in the United States and use among adolescents is prevalent. Its availability and potency have increased significantly in the past decade, as a growing number of US states have legalized its use for medicinal or recreational purposes. Meanwhile, adolescent perception of the risk of harm from cannabis use has declined over time. However, there are well-established risks associated with prolonged cannabis use in adolescence. Cannabis has a strong link to the development of psychosis and psychiatric diagnoses, negative neurodevelopmental and school performance outcomes, poorer sleep, and gastrointestinal effects. Research is also showing potential risks related to the cardiovascular, pulmonary, and endocrine systems. The purpose of this article is to describe the long-term health effects of adolescent cannabis use. <b>[<i>Pediatr Ann</i>. 2025;54(6):e217-e221.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 6","pages":"e217-e221"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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