Jonathan Park, R. Berard, J. Grimmer, A. Kirpalani
{"title":"IgA Vasculitis: a Review and Update on the Management of Renal and Extrarenal Disease, Highlighting What’s New for Biomarkers and Treatment","authors":"Jonathan Park, R. Berard, J. Grimmer, A. Kirpalani","doi":"10.1007/s40124-021-00247-8","DOIUrl":"https://doi.org/10.1007/s40124-021-00247-8","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-021-00247-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44802156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eduardo Jorge Custódio da Silva, Christianne Martins Corrêa da Silva Bahia, M.S.R. Ferreira, Priscila Oliveira da Conceição, E. Zaeyen
{"title":"Electroencephalographic Monitoring Technology Role in Remote Ped Intensive Care Units in Rio de Janeiro, Brasil","authors":"Eduardo Jorge Custódio da Silva, Christianne Martins Corrêa da Silva Bahia, M.S.R. Ferreira, Priscila Oliveira da Conceição, E. Zaeyen","doi":"10.1007/s40124-021-00243-y","DOIUrl":"https://doi.org/10.1007/s40124-021-00243-y","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-021-00243-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42658088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Avoidant/Restrictive Food Intake Disorder (ARFID): Its Medical Complications and Their Treatment—an Emerging Area","authors":"A. Nitsch, Erin Knopf, J. Manwaring, P. Mehler","doi":"10.1007/s40124-021-00239-8","DOIUrl":"https://doi.org/10.1007/s40124-021-00239-8","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-021-00239-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46435482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Veenod L. Chulani, M. Cooper, D. Reitman, Jonathan D. Warus
{"title":"Medical Care for Adolescent Males Who Have Sex with Males","authors":"Veenod L. Chulani, M. Cooper, D. Reitman, Jonathan D. Warus","doi":"10.1007/s40124-021-00237-w","DOIUrl":"https://doi.org/10.1007/s40124-021-00237-w","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-021-00237-w","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47937218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tarif A Choudhury, Jonathan N Flyer, Mary E McBride
{"title":"Simulation as an Educational Tool in the Pediatric Cardiac Intensive Care Unit.","authors":"Tarif A Choudhury, Jonathan N Flyer, Mary E McBride","doi":"10.1007/s40124-021-00241-0","DOIUrl":"https://doi.org/10.1007/s40124-021-00241-0","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review highlights the use of simulation as an educational tool in the highly specialized pediatric cardiac intensive care unit (PCICU).</p><p><strong>Recent findings: </strong>Healthcare simulation is used in high acuity medical environments to test healthcare systems. Healthcare simulation can improve team training, patient safety, and improve medical decision-making. Complex physiologies in the PCICU demand effective teamwork to consistently deliver high-quality patient care. Simulation-based PCICU learning objectives depend on a structured cognitive load framework to account for individual learner abilities, team constructs, and healthcare resources.</p><p><strong>Summary: </strong>PCICU simulation programs are strengthened by utilizing traditional education theory, with careful consideration of complex physiologies, interprofessional personnel, and center-specific resources. Virtual platforms should continue to evolve to provide additional, more convenient venues for individual learners and teams. Healthcare systems should frequently intersect with simulation educators to create relevant learning objectives that will contribute to patient safety, improve team performance, and patient outcomes.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-021-00241-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38965352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Current Research and Viewpoints on Internet Addiction in Adolescents.","authors":"David S Bickham","doi":"10.1007/s40124-020-00236-3","DOIUrl":"https://doi.org/10.1007/s40124-020-00236-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review describes recent research findings and contemporary viewpoints regarding internet addiction in adolescents including its nomenclature, prevalence, potential determinants, comorbid disorders, and treatment.</p><p><strong>Recent findings: </strong>Prevalence studies show findings that are disparate by location and vary widely by definitions being used. Impulsivity, aggression, and neuroticism potentially predispose youth to internet addiction. Cognitive behavioral therapy and medications that treat commonly co-occurring mental health problems including depression and ADHD hold considerable clinical promise for internet addiction.</p><p><strong>Summary: </strong>The inclusion of internet gaming disorder in the DSM-5 and the ICD-11 has prompted considerable work demonstrating the validity of these diagnostic approaches. However, there is also a movement for a conceptualization of the disorder that captures a broader range of media-use behaviors beyond only gaming. Efforts to resolve these approaches are necessary in order to standardize definitions and clinical approaches. Future work should focus on clinical investigations of treatments, especially in the USA, and longitudinal studies of the disorder's etiology.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-020-00236-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10634948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiago Jeronimo Dos Santos, Ticiana Costa Rodrigues, Marcia Puñales, Ricardo Fernando Arrais, Cristiane Kopacek
{"title":"Newest Diabetes-Related Technologies for Pediatric Type 1 Diabetes and Its Impact on Routine Care: a Narrative Synthesis of the Literature.","authors":"Tiago Jeronimo Dos Santos, Ticiana Costa Rodrigues, Marcia Puñales, Ricardo Fernando Arrais, Cristiane Kopacek","doi":"10.1007/s40124-021-00248-7","DOIUrl":"https://doi.org/10.1007/s40124-021-00248-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review aims to address the actual state of the most advanced diabetes devices, as follows: continuous subcutaneous insulin infusions (CSII), continuous glucose monitoring systems (CGM), hybrid-closed loop (HCL) systems, and \"Do-it-yourself\" Artificial Pancreas Systems (DIYAPS) in children, adolescents, and young adults. This review has also the objective to assess the use of telemedicine for diabetes care across three different areas: education, social media, and daily care.</p><p><strong>Recent findings: </strong>Recent advances in diabetes technology after integration of CSII with CGM have increased the popularity of this treatment modality in pediatric age and shifted the standard diabetes management in many countries. We found an impressive transition from the use of CSII and/or CGM only to integrative devices with automated delivery systems. Although much has changed over the past 5 years, including a pandemic period that precipitated a broader use of telemedicine in diabetes care, some advances in technology may still be an additional burden of care for providers, patients, and caregivers. The extent of a higher rate of \"auto-mode\" use in diabetes devices while using the HCL/DIYAPS is essential to reduce the burden of diabetes treatment.</p><p><strong>Summary: </strong>More studies including higher-risk populations are needed, and efforts should be taken to ensure proper access to cost-effective advanced technology on diabetes care.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s40124-021-00248-7.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-021-00248-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39355079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"True Resilience: A Look Inside COVID's Effect on Children with Medical Complexity and Their Families.","authors":"Sarah M Mitchell","doi":"10.1007/s40124-021-00254-9","DOIUrl":"https://doi.org/10.1007/s40124-021-00254-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>Vulnerable children with medical complexity are silent victims of the COVID-19 pandemic, impacted by lack of resources and sick caregivers. In this article, we examine ways in which the pandemic has increased the significant difficulties already experienced by these patients and their families. Increased awareness will lead to improvement in the disparities experienced by this population and improve the ability of healthcare providers to care for them.</p><p><strong>Recent findings: </strong>The number of children living with medical complexity is rapidly increasing. They face unique circumstances which can lead to compromise in care. This population is especially at risk for complications related to COVID, so may have a more prolonged admission with more morbidities. Children of ethnic minorities are also more impacted by severe illness and death. Finally, access to palliative care has been limited, which is a huge part in caring for these children who have life-long medical care needs.</p><p><strong>Summary: </strong>Children with medical complexity have unique circumstances and the entirety of the effect of the coronavirus pandemic on this group is unknown. While the medical world has found ways to adapt, these changes can increase disparities for this population. Given the increase in number of children with medical complexity living in the USA, it is important to continue to consider the unique challenges they face in the current pandemic and improve the care delivery for both the child and his or her family.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8501934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39526292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Short-term Cardiovascular Complications of Multi-system Inflammatory Syndrome in Children (MIS-C) in Adolescents and Children.","authors":"Omar I Hejazi, Yue-Hin Loke, Ashraf S Harahsheh","doi":"10.1007/s40124-021-00258-5","DOIUrl":"https://doi.org/10.1007/s40124-021-00258-5","url":null,"abstract":"<p><strong>Purpose of review: </strong>We provide the readers with a review of cardiac complications in children with multi-system inflammatory syndrome in children (MIS-C) and its short-term outcomes.</p><p><strong>Recent findings: </strong>Recent reports described the acute cardiac manifestations of MIS-C in children and provided a glimpse of the short-term outcomes.</p><p><strong>Summary: </strong>Children with MIS-C have been reported to acutely have variable degrees of cardiac findings including abnormal cardiac enzymes, abnormal electrocardiographs, decreased systolic function, coronary artery abnormalities from coronary dilation to giant aneurysms, mitral valve regurgitation, tricuspid valve regurgitation, aortic valve insufficiency, pericardial effusion, diastolic dysfunction, abnormal cardiac strain, and abnormal cardiac MRI. The majority of these abnormalities resolved during short-term follow-up. Further studies are needed to assess if transient or persistent cardiac complications are associated with long-term adverse cardiac events in children with MIS-C.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s40124-021-00258-5.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8531914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39563869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah A Golub, Do-Quyen Pham, Ema L Bargeron, Cora Collette Breuner, Yolanda N Evans
{"title":"Evaluating the Educational Impact of Telehealth on Adolescent Medicine Trainees: a Qualitative Approach.","authors":"Sarah A Golub, Do-Quyen Pham, Ema L Bargeron, Cora Collette Breuner, Yolanda N Evans","doi":"10.1007/s40124-021-00244-x","DOIUrl":"https://doi.org/10.1007/s40124-021-00244-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>Telehealth has been swiftly incorporated into clinical practice since the onset of the COVID-19 pandemic, with limited understanding of how it affects trainees' educational experiences. Our study evaluates the impact of telehealth on clinical education in pediatric and Adolescent Medicine trainees during the pandemic.</p><p><strong>Recent findings: </strong>Previous literature on telehealth focused on provider and patient perceptions in addition to clinical education for students, though none has evaluated the experiences of medical residents and fellows in Adolescent Medicine.</p><p><strong>Summary: </strong>Trainees reported enhanced opportunities for bidirectional observation with attending physicians, increased flexibility for the trainee and families, and the opportunity to engage with adolescents in their home environment. Drawbacks include decreased physical exam skill-building and technological difficulties that can interrupt the learning experience. Telehealth is a valuable tool in clinical education and innovative strategies are needed to refine and enhance these educational experiences for pediatric and Adolescent Medicine trainees.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40124-021-00244-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39196411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}