MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Pediatric Clinics of North America' source. Thu, 09 Feb 2012 01:09:39 +0100 http://www.medworm.com/index.php?rid=5631010&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001805%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5631010 Fri, 27 Jan 2012 06:14:51 +0100 5631010 http://www.medworm.com/index.php?rid=5631009&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001477%2Fabstract%3Frss%3Dyes Children with autism experience many challenges that affect their ability to function. Sensory processing disorder and, specifically, sensory modulation disorder can compound dysfunction and further inhibit participation in productive activities. Through detection of and referral for sensory modulation disorders, treatment can be accessed. Emerging treatment evidence points to functional gains for autism and sensory modulation disorder that can ease the burden that this combination of symptoms has on the everyday life of children with autism. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5631009 Fri, 27 Jan 2012 06:14:51 +0100 5631009 http://www.medworm.com/index.php?rid=5631008&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001441%2Fabstract%3Frss%3Dyes This article provides a description of the characteristics of autism spectrum disorders (ASD) in adolescence and early adulthood. It also describes essential elements of high school programs designed to increase positive outcomes for youth with ASD and provides detailed information about various employment support models. Finally, the implications of transition programming for medical specialists and psychologists are discussed. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5631008 Fri, 27 Jan 2012 06:14:51 +0100 5631008 http://www.medworm.com/index.php?rid=5631007&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001404%2Fabstract%3Frss%3Dyes This article offers information on the psychopharmacology of ASD that is current, relevant, and organized in a user-friendly manner, to form a concise but informative reference guide for primary pediatric clinicians. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5631007 Fri, 27 Jan 2012 06:14:51 +0100 5631007 http://www.medworm.com/index.php?rid=5631006&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001362%2Fabstract%3Frss%3Dyes This article summarizes the current literature on social skills training for children and adolescents with autism spectrum disorders. The article describes several different methods of social skills training, along with a summary of research findings on effectiveness. Interventions described include social skills groups, peer mentoring/training, social stories, and video modeling. The article also describes information about accessing social skills training services, and concludes with future directions and recommendations for pediatricians. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5631006 Fri, 27 Jan 2012 06:14:51 +0100 5631006 http://www.medworm.com/index.php?rid=5631005&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001416%2Fabstract%3Frss%3Dyes This article describes the core features of behavioral treatments, summarizes the evidence base for effectiveness, and provides recommendations to facilitate family understanding of these interventions and identification of qualified providers. Recommendations are also provided for collaboration between pediatric providers and behavior analysts who are serving families of individuals with ASDs. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5631005 Fri, 27 Jan 2012 06:14:51 +0100 5631005 http://www.medworm.com/index.php?rid=5631004&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100143X%2Fabstract%3Frss%3Dyes This article summarizes findings from the National Standards Project of the National Autism Center, which identified 11 types of treatment, 8 of which address communication. Both contemporary behavioral approaches and naturalistic developmental approaches are included in this set. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5631004 Fri, 27 Jan 2012 06:14:51 +0100 5631004 http://www.medworm.com/index.php?rid=5631003&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001490%2Fabstract%3Frss%3Dyes This article examines what conditions should be considered in the child who does not appear to have a syndromic cause as the reason for the autistic phenotype. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5631003 Fri, 27 Jan 2012 06:14:51 +0100 5631003 http://www.medworm.com/index.php?rid=5631002&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001532%2Fabstract%3Frss%3Dyes Research on the identification and evaluation of autism spectrum disorders is reviewed, and best practices for clinical work are discussed. The latest research on diagnostic tools, and their recommended use, is also reviewed. Recommendations include the use of instruments designed to assess multiple domains of functioning and behavior, the inclusion of parents and caregivers as active partners, and the consideration of developmental factors throughout the diagnostic process. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5631002 Fri, 27 Jan 2012 06:14:51 +0100 5631002 http://www.medworm.com/index.php?rid=5631001&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001465%2Fabstract%3Frss%3Dyes This article focuses on autism/autistic disorder screening and its early identification, with a brief mention for AS screening, as there are limited tools and no recommendation for universal screening for AS. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5631001 Fri, 27 Jan 2012 06:14:51 +0100 5631001 http://www.medworm.com/index.php?rid=5631000&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001489%2Fabstract%3Frss%3Dyes It is possible that autism spectrum disorders (ASDs) have a multifactorial cause along with more than one predisposing and perpetuating factor, all of which culminate in expression of these disorders. Endocrine and neuropeptide factors are among the list of possible etiologic or predisposing contenders. The search for an endocrine model to explain the etiopathogenesis of ASD is a new endeavor. In this article, the authors look at some of the emerging literature that is available regarding any possible relationship between the endocrine hormones and factors and whether it can possibly be etiologic or merely coincidental with autism and ASDs. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5631000 Fri, 27 Jan 2012 06:14:51 +0100 5631000 http://www.medworm.com/index.php?rid=5630999&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001374%2Fabstract%3Frss%3Dyes Positron emission tomography, single-photon emission tomography, and magnetic resonance spectroscopy (MRS) are powerful tools for the monitoring of diverse neurochemical functions. Neuroimaging studies targeting neurotransmitter systems in autism have provided clues about how differences in development of these systems might lead to new intervention approaches. Direct measurement of diverse neurochemicals with MRS provides unique probes of neuronal integrity in vivo. Future directions include the combination of imaging modalities made possible by advances in software and hardware. Many tracers have not been applied in autism, and new molecules and signaling pathways might be targeted as genes associated with autism are identified. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5630999 Fri, 27 Jan 2012 06:14:51 +0100 5630999 http://www.medworm.com/index.php?rid=5630998&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001453%2Fabstract%3Frss%3Dyes Autism (autism spectrum disorders) is a complex, strongly genetically influenced, behaviorally defined disorder of the immature brain associated with very uneven intellectual abilities. Among its most salient and potentially treatable neurologic features that this article focuses on are epilepsy, disorganized sleep patterns, and sensory and motor deficits. Its many causes and wide range of severity means that there is no symptom, no pathology, imaging, electroencephalography, or other biologic feature, and no biologic treatment that is universal or diagnostic of this developmental syndrome. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5630998 Fri, 27 Jan 2012 06:14:51 +0100 5630998 http://www.medworm.com/index.php?rid=5630997&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001386%2Fabstract%3Frss%3Dyes This article reviews the incidence, prevalence, and risk factors for autism. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5630997 Fri, 27 Jan 2012 06:14:51 +0100 5630997 http://www.medworm.com/index.php?rid=5630996&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001428%2Fabstract%3Frss%3Dyes The last decade has seen an increase of interest in autism spectrum disorders (ASD). With the prevalence now approaching 1%, children with ASD are usually first evaluated by clinicians working in primary care, such as pediatricians and family practitioners. Although classic autism is easy to recognize, differentiating autism from other spectrum disorders and comorbid conditions is not always simple. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5630996 Fri, 27 Jan 2012 06:14:51 +0100 5630996 http://www.medworm.com/index.php?rid=5630995&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001507%2Fabstract%3Frss%3Dyes This article explores emblematic examples of autistic ways of processing the world and effective practices for pediatrician interactions with children on the spectrum. It offers a parent perspective in relation to this dynamic, considering personal anecdotes that reflect on the communication, social, and sensory challenges for those with autism. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5630995 Fri, 27 Jan 2012 06:14:51 +0100 5630995 http://www.medworm.com/index.php?rid=5630994&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001398%2Fabstract%3Frss%3Dyes This article reviews historical links that have led to the current confusing and controversial situation that is encouraging some people to return to magic, mysticism, and mantics for health care, despite the amazing accumulation of progress in vaccinology over the past 2 centuries. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5630994 Fri, 27 Jan 2012 06:14:51 +0100 5630994 http://www.medworm.com/index.php?rid=5630993&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001519%2Fabstract%3Frss%3Dyes We are grateful and humbled to have the opportunity to edit this special issue of Pediatric Clinics of North America devoted to autism spectrum disorders. Because our understanding of the spectrum of autism continues to evolve, this collection of practical reviews presents the state of the knowledge at this time. We thank all the authors for sacrificing their invaluable time and sharing their passion and expertise to contribute articles for this issue. We thank the editorial and technical staff at Elsevier for their guidance, patience, and excellent work. We hope that the information presented here is of practical value for the pediatricians and other medical practitioners who take care of children and adolescents in their practice. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5630993 Fri, 27 Jan 2012 06:14:51 +0100 5630993 http://www.medworm.com/index.php?rid=5630991&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001787%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5630991 Fri, 27 Jan 2012 06:14:51 +0100 5630991 http://www.medworm.com/index.php?rid=5630990&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001775%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5630990 Fri, 27 Jan 2012 06:14:51 +0100 5630990 http://www.medworm.com/index.php?rid=5630989&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001763%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5630989 Fri, 27 Jan 2012 06:14:51 +0100 5630989 http://www.medworm.com/index.php?rid=5630988&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001908%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5630988 Fri, 27 Jan 2012 06:14:51 +0100 5630988 http://www.medworm.com/index.php?rid=5411671&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001623%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411671 Thu, 17 Nov 2011 09:02:12 +0100 5411671 http://www.medworm.com/index.php?rid=5411670&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001052%2Fabstract%3Frss%3Dyes We present policies to support obesity prevention for young children. We highlight policy Sand environmental systems change examples in the areas of promoting breastfeeding and providing healthy affordable food and information about food in community and child care settings and promoting physical activity in child care and the community. We address the role of the health care system and health care professionals to shape and advocate for policy and environmental systems change and provide resources for pediatric health care professionals to engage in community-based advocacy. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411670 Thu, 17 Nov 2011 09:02:12 +0100 5411670 http://www.medworm.com/index.php?rid=5411669&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001167%2Fabstract%3Frss%3Dyes This article discusses the new media landscape and summarizes the evidence regarding media influences on pediatric obesity. Various effects on pediatric obesity are discussed and some conclusions and implications are provided, including possibilities and future directions for clinical practice and research. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411669 Thu, 17 Nov 2011 09:02:12 +0100 5411669 http://www.medworm.com/index.php?rid=5411665&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001131%2Fabstract%3Frss%3Dyes This article provides an overview for pediatricians and other health care providers of the role of added sugars (caloric sweeteners) in the diets of US children and the recent evidence linking added sugar consumption to increased obesity and other chronic disease risk in children. The hypothesized biologic mechanisms for these associations are summarized, and evidence-based strategies are provided that may help children and their families to reduce their sugar consumption. Primary health care providers play an important role in assessing the added sugar intake of their patients and in providing nutrition and behavior change counselling to high-risk children and their families. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411665 Thu, 17 Nov 2011 09:02:12 +0100 5411665 http://www.medworm.com/index.php?rid=5411664&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001155%2Fabstract%3Frss%3Dyes This article reviews the importance of FV consumption, recommended intakes for children, and strategies by which pediatric practitioners can influence FV consumption of children. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411664 Thu, 17 Nov 2011 09:02:12 +0100 5411664 http://www.medworm.com/index.php?rid=5411663&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001179%2Fabstract%3Frss%3Dyes Pediatric obesity is a major public health threat. Obese children and adolescents are at increased risk for many medical and surgical conditions. These conditions may affect their quality of life and life expectancy. The rapidly progressive nature of type 2 diabetes mellitus within the first 5 years of obesity diagnosis is particularly concerning. Because health risk increases with degree of obesity, adolescents who may be eligible for more aggressive obesity treatment should be identified and counseled. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411663 Thu, 17 Nov 2011 09:02:12 +0100 5411663 http://www.medworm.com/index.php?rid=5411662&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001301%2Fabstract%3Frss%3Dyes To effectively intervene with the overweight and obese youth, it is imperative that primary care providers and behavioral interventionists work in concert to help families implement healthy behaviors across socioenvironmental domains. In this article, the authors review current office-based counseling practices and provide evidence-based recommendations for addressing weight status and strategies for encouraging behavior change with children and families, primarily by increasing social support. By providing such collaborative targeted efforts, consistent health messages and support are delivered across children’s everyday contexts, thereby helping the youth to achieve successful implementation of eating and activity behaviors and sustainable weight loss outcomes. (Source: Pediatric Clini... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411662 Thu, 17 Nov 2011 09:02:12 +0100 5411662 http://www.medworm.com/index.php?rid=5411659&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001076%2Fabstract%3Frss%3Dyes This article reviews the dyslipidemia associated with obesity in childhood and outlines a proposed approach to management. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411659 Thu, 17 Nov 2011 09:02:12 +0100 5411659 http://www.medworm.com/index.php?rid=5411658&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001064%2Fabstract%3Frss%3Dyes Over the past 2 decades, the prevalence of obesity and type 2 diabetes mellitus (T2DM) in children and adolescents has risen to epidemic proportions and disproportionately affects racial and ethnic minorities, who are at greater risk. The pathophysiology of T2DM is complex and involves insulin resistance, pancreatic β-cell dysfunction, and visceral adiposity. Current treatments of T2DM are limited to lifestyle intervention, metformin, and insulin therapy; use of these strategies in combination is often most effective. The role of research is to uncover simple biomarkers for insulin sensitivity and optimal and innovative treatment of insulin resistance and T2DM. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411658 Thu, 17 Nov 2011 09:02:12 +0100 5411658 http://www.medworm.com/index.php?rid=5411657&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001106%2Fabstract%3Frss%3Dyes This article provides a brief overview divided between biological (nature) and psychosocial and behavioral (nurture) factors. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411657 Thu, 17 Nov 2011 09:02:12 +0100 5411657 http://www.medworm.com/index.php?rid=5411656&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001350%2Fabstract%3Frss%3Dyes It has been just over 10 years since the last time the Pediatric Clinics of North America has had an issue focused on Childhood and Adolescent Obesity. Over this time, the epidemic has worsened and then plateaued. The most recent NHANES data available from 2007/2008 show mixed results: prevalence of obesity has not increased significantly since 1999, except among more severely obese boys (). In women over 20 years of age, a group that strongly influences children, the increase in obesity rates has slowed but not yet decreased. Interpretation of these data is subjective to some extent. The optimist perceives that slowing or stabilization is a response to the valiant efforts extended over the past 10 years and is the first step toward reduction. After all, we applaud weight maintenance in pa... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411656 Thu, 17 Nov 2011 09:02:12 +0100 5411656 http://www.medworm.com/index.php?rid=5411655&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100160X%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411655 Thu, 17 Nov 2011 09:02:12 +0100 5411655 http://www.medworm.com/index.php?rid=5411654&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001593%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411654 Thu, 17 Nov 2011 09:02:12 +0100 5411654 http://www.medworm.com/index.php?rid=5411653&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001581%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411653 Thu, 17 Nov 2011 09:02:12 +0100 5411653 http://www.medworm.com/index.php?rid=5411652&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001866%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411652 Thu, 17 Nov 2011 09:02:12 +0100 5411652 http://www.medworm.com/index.php?rid=5411668&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001143%2Fabstract%3Frss%3Dyes This article summarizes recent findings about associations between electronic screen media and childhood overweight/obesity, hypothesized mechanisms, and mediators. Recommendations are made for parents and clinicians. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411668 Mon, 17 Oct 2011 04:00:00 +0100 5411668 http://www.medworm.com/index.php?rid=5411667&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001088%2Fabstract%3Frss%3Dyes This article provides an overview of the benefits of physical activity in children, including the effects on obesity, cognitive development, academic achievement and cognition, and health. The recommendations of health organizations are also outlined, and practical recommendations are provided for parents and educators. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411667 Mon, 17 Oct 2011 04:00:00 +0100 5411667 http://www.medworm.com/index.php?rid=5411666&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001118%2Fabstract%3Frss%3Dyes This review summarizes the literature pertaining to the epidemiology and current recommendations for pediatric artificial sweetener use and presents the results of studies investigating metabolic responses to artificial sweeteners among children. An understanding of the research previously conducted and the gaps that remain will inform future clinical and translational research, to develop evidence-based recommendations for artificial sweetener use in the prevention and treatment of pediatric obesity. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411666 Mon, 17 Oct 2011 04:00:00 +0100 5411666 http://www.medworm.com/index.php?rid=5411661&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100112X%2Fabstract%3Frss%3Dyes Psychological complications associated with pediatric obesity include low self-esteem, depression, body dissatisfaction, loss-of-control eating, unhealthy and extreme weight control behaviors, impaired social relationships, obesity stigma, and decreased health-related quality of life. Bioecological models offer a framework for understanding the interaction between pediatric obesity and psychological complications and illustrate system-level approaches for prevention and intervention. As the medical setting is often the first point of contact for families, pediatricians are instrumental in the identification and referral of children with psychological complications. Motivational interviewing, patient talking points, brief screening measures, and referral resources are important tools in thi... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411661 Mon, 17 Oct 2011 04:00:00 +0100 5411661 http://www.medworm.com/index.php?rid=5411660&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100109X%2Fabstract%3Frss%3Dyes Nonalcoholic fatty liver disease (NAFLD) has emerged as the most common cause of pediatric liver disease in the developed world. Children have a form of NAFLD that is pathologically distinct from adults. Although NAFLD remains a pathologic diagnosis, biomarkers and imaging studies hold promise as noninvasive means of both establishing the diagnosis and following the disease course. Significant advancements have recently been made in genetics, pathophysiology, and the treatment of NAFLD. The purpose of this article is to provide a clinically relevant review of pediatric NAFLD with an emphasis on recent developments in the field. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5411660 Mon, 17 Oct 2011 04:00:00 +0100 5411660 http://www.medworm.com/index.php?rid=5298523&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100126X%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298523 Sat, 01 Oct 2011 04:00:00 +0100 5298523 http://www.medworm.com/index.php?rid=5298522&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001003%2Fabstract%3Frss%3Dyes This article summarizes the salient points of the latest consensus statements jointly developed by multiple endocrine societies including the Lawson Wilkins Society for Pediatric Endocrinology and the European Society for Pediatric Endocrinology. As much as possible, the original intent and language of the statements was respected and paraphrased. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298522 Sat, 01 Oct 2011 04:00:00 +0100 5298522 http://www.medworm.com/index.php?rid=5298521&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000988%2Fabstract%3Frss%3Dyes This article reviews adrenal steroidogenesis and the pathophysiology of 21 hydroxylase deficiency. The three forms of CAH are then discussed in terms of clinical presentation, diagnosis and treatment, and genetic basis. Prenatal diagnosis and treatment are also reviewed. The goal of therapy is to correct the deficiency in cortisol secretion and suppress androgen overproduction. Glucocorticoid replacement has been the mainstay of treatment for CAH, but new treatment strategies continue to be developed and studied. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298521 Sat, 01 Oct 2011 04:00:00 +0100 5298521 http://www.medworm.com/index.php?rid=5298520&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100099X%2Fabstract%3Frss%3Dyes This article focuses on the principal disorders of water balance, diabetes insipidus, and the syndrome of inappropriate antidiuretic hormone secretion. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298520 Sat, 01 Oct 2011 04:00:00 +0100 5298520 http://www.medworm.com/index.php?rid=5298519&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000964%2Fabstract%3Frss%3Dyes Prevention of loss of b cells in type 1 diabetes is a major goal of current research. Knowledge of the genetic susceptibility, increasing ability to predict who may be at risk, recognition of the potential clinical impact of residual insulin secretion after diagnosis, and development of new immunomodulatory agents have supported an increasing number of clinical trials to prevent b-cell loss. Interventions can be targeted at 3 stages: before the development of autoimmunity (primary prevention), after autoimmunity is recognized (secondary prevention), or after diagnosis when significant numbers of b cells remain (tertiary prevention). Thus far, several agents show promise when given shortly after diagnosis, but no interventions before diagnosis have shown benefit. Knowledge in this area has ... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298519 Sat, 01 Oct 2011 04:00:00 +0100 5298519 http://www.medworm.com/index.php?rid=5298518&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000915%2Fabstract%3Frss%3Dyes This article addresses the causes of metabolic syndrome and the relevance of obesity in the pediatric population. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298518 Sat, 01 Oct 2011 04:00:00 +0100 5298518 http://www.medworm.com/index.php?rid=5298517&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000903%2Fabstract%3Frss%3Dyes This article reviews factors that contribute to excessive weight gain in children and outlines current knowledge regarding approaches for treating pediatric obesity. Most of the known genetic causes of obesity primarily increase energy intake. Genes regulating the leptin signaling pathway are particularly important for human energy homeostasis. Obesity is a chronic disorder that requires long-term strategies for management. The foundation for all treatments for pediatric obesity remains restriction of energy intake with lifestyle modification. There are few long-term studies of pharmacotherapeutic interventions for pediatric obesity. Bariatric surgical approaches are the most efficacious treatment but, because of their potential risks, are reserved for those with the most significant compl... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298517 Sat, 01 Oct 2011 04:00:00 +0100 5298517 http://www.medworm.com/index.php?rid=5298516&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000976%2Fabstract%3Frss%3Dyes Whether for the prepubertal or pubertal child, the goal of fertility preservation is to obtain cells or tissues to be used to produce future children. For the prepubertal child, preservation efforts involve germ cells, earlier forms of sperm, and immature follicles, rather than mature spermatozoa or follicles. Options for prepubertal children include for boys freezing testicular tissue and extracting testicular sperm or for girls obtaining ovarian cortical or follicular tissue for storage. These procedures involve extraction and storage of immature gametes for subsequent in vitro maturation, although attempts for sperm currently involve only animal studies. For adolescent subjects who have sufficient gonadal development and reserve, sperm, oocytes, and ovarian cortex can be retrieved as am... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298516 Sat, 01 Oct 2011 04:00:00 +0100 5298516 http://www.medworm.com/index.php?rid=5298515&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000952%2Fabstract%3Frss%3Dyes Adequate functioning at all levels of the hypothalamic-pituitary-gonadal axis is necessary for normal gonadal development and subsequent sex steroid production. Deficiencies at any level of the axis can lead to a hypogonadal state. The causes of hypogonadism are heterogeneous and may involve any level of the reproductive system. This review discusses various causes of hypogonadism, describes the evaluation of hypogonadal states, and outlines treatment options for the induction of puberty in affected adolescents. Whereas some conditions are clearly delineated, the exact etiology and underlying pathogenesis of many disorders is unknown. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298515 Sat, 01 Oct 2011 04:00:00 +0100 5298515 http://www.medworm.com/index.php?rid=5298514&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000939%2Fabstract%3Frss%3Dyes The approach to the child with growth retardation who is in puberty remains an important clinical challenge. The use of high-dose growth hormone (GH), suppression of puberty with GnRH analogs in combination with GH, and the use of selective inhibitors of the aromatase enzyme with aromatase inhibitors (also in combination with GH) are all therapeutic choices that have been studied. Aromatase blockade effectively blocks estrogen production in males with a reciprocal increase in testosterone, and a new generation of aromatase inhibitors, including anastrozole, letrozole and exemestane, is under investigation in adolescent subjects with severe growth retardation. This class of drugs, if judiciously used for a window of time, offers promise as an adjunct treatment of growth delay in pubertal pa... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298514 Sat, 01 Oct 2011 04:00:00 +0100 5298514 http://www.medworm.com/index.php?rid=5298513&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000927%2Fabstract%3Frss%3Dyes This article describes its historical use, current indications and studies for possible future uses. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298513 Sat, 01 Oct 2011 04:00:00 +0100 5298513 http://www.medworm.com/index.php?rid=5298512&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000940%2Fabstract%3Frss%3Dyes Children's growth is a hallmark of their normal development and the association between nutrition and linear growth in children is well accepted. Growth requires an adequate supply of many different nutritional factors, some form the “building materials,” whereas others play regulatory roles. In this article we describe the growth of the growth plate and discuss the role of nutritional affected hormones on this process. In addition we describe the effect of local regulators and nutritional factors on the growth process and suggest the involvement of new regulatory factors in the translation of nutrition to growth. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298512 Sat, 01 Oct 2011 04:00:00 +0100 5298512 http://www.medworm.com/index.php?rid=5298511&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000885%2Fabstract%3Frss%3Dyes This article summarizes the ontogenesis and genetics of the thyroid with regards to its possible congenital dysfunction and briefly refers to the roles of the mother-placenta-fetal unit, iodine effect, and organic and functional changes of the negative feedback mechanism, as well as maturity and illness, in some forms of congenital hypo- and hyperthyroidism. This article also describes the published literature and the authors’ data on the clinical aspects of congenital hypothyroidism, on the alternating hypo- and hyperthyroidism in the neonatal period, and on neonatal hyperthyroidism. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298511 Sat, 01 Oct 2011 04:00:00 +0100 5298511 http://www.medworm.com/index.php?rid=5298510&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000897%2Fabstract%3Frss%3Dyes This article describes the most common conditions and current knowledge regarding management. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298510 Sat, 01 Oct 2011 04:00:00 +0100 5298510 http://www.medworm.com/index.php?rid=5298509&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000873%2Fabstract%3Frss%3Dyes This article introduces some of these concepts and some of the genetic techniques being used. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298509 Sat, 01 Oct 2011 04:00:00 +0100 5298509 http://www.medworm.com/index.php?rid=5298508&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001040%2Fabstract%3Frss%3Dyes The last issue of the Pediatric Clinics of North America devoted to pediatric endocrinology was published in 2005. That issue focused on pediatric diabetes. The past 6 years have been witness to tremendous advances in multiple areas in the field of pediatric endocrinology. I welcome this opportunity kindly provided by the editors and publishers of Pediatric Clinics to edit and coordinate the publication of an issue dedicated to pediatric endocrinology. This is an particularly opportune time in as much as I had recently had the pleasure of editing a two-volume issue of Endocrinology and Metabolism Clinics of North America devoted to Pediatric Endocrinology (Pediatric Endocrinology: Part I and II). Therefore, with the assistance of the publishers and authors of the previous volumes, several ... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298508 Sat, 01 Oct 2011 04:00:00 +0100 5298508 http://www.medworm.com/index.php?rid=5298507&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001246%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298507 Sat, 01 Oct 2011 04:00:00 +0100 5298507 http://www.medworm.com/index.php?rid=5298506&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001234%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298506 Sat, 01 Oct 2011 04:00:00 +0100 5298506 http://www.medworm.com/index.php?rid=5298505&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001222%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298505 Sat, 01 Oct 2011 04:00:00 +0100 5298505 http://www.medworm.com/index.php?rid=5298504&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001337%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5298504 Sat, 01 Oct 2011 04:00:00 +0100 5298504 http://www.medworm.com/index.php?rid=5149188&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000836%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149188 Sun, 31 Jul 2011 23:00:00 +0100 5149188 http://www.medworm.com/index.php?rid=5149187&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000629%2Fabstract%3Frss%3Dyes Children with life-threatening illnesses and their families may face physical, emotional, psychosocial, and spiritual challenges throughout the children's course of illness. Pediatric palliative care is designed to meet such challenges. Given the psychosocial and emotional needs of children and their families it is clear that psychiatrists can, and do, play a role in delivering pediatric palliative care. In this article the partnership between pediatric palliative care and psychiatry is explored. The authors present an overview of pediatric palliative care followed by a summary of some of the roles for psychiatry. Two innovative pediatric palliative care programs that psychiatrists may or may not be aware of are described. Finally, some challenges that are faced in further developing this ... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149187 Sun, 31 Jul 2011 23:00:00 +0100 5149187 http://www.medworm.com/index.php?rid=5149186&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100068X%2Fabstract%3Frss%3Dyes The diagnosis and treatment of children and adolescents with cancer has a tremendous and lasting effect on the patients, their families, and other individuals in their social network. It carries a host of psychological and behavioral ramifications, from questions of mortality to changes in levels of functioning in multiple domains. In this review the authors address the psychosocial and treatment-related issues that arise in children with cancer, with attention to the adjustment to cancer at different developmental stages, mood and anxiety issues, treatment-related psychiatric sequelae, and the challenges faced by childhood cancer survivors. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149186 Sun, 31 Jul 2011 23:00:00 +0100 5149186 http://www.medworm.com/index.php?rid=5149185&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000721%2Fabstract%3Frss%3Dyes This article reviews what is known about psychiatric syndromes among HIV+ youths, their treatments, and other psychosocial factors of concern to the psychiatrist when treating children and adolescents with HIV disease. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149185 Sun, 31 Jul 2011 23:00:00 +0100 5149185 http://www.medworm.com/index.php?rid=5149184&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000605%2Fabstract%3Frss%3Dyes This article provides a medical overview and discusses the cognitive functioning and psychosocial adjustment as well as the psychiatric management for children and adolescents with pediatric epilepsy. The management of these children involves establishing a collaborative health care approach, evaluating academic functioning, considering psychotherapy, and managing psychopharmacologic treatment. A thorough understanding of the biopsychosocial concerns in pediatric epilepsy can enable medical providers and mental health clinicians to promote resiliency and adaptation in children and their families facing troubling seizure disorders. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149184 Sun, 31 Jul 2011 23:00:00 +0100 5149184 http://www.medworm.com/index.php?rid=5149183&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000642%2Fabstract%3Frss%3Dyes Child and adolescent psychiatrists frequently encounter children who are obese in their practices and may be asked to work alongside primary care physicians and other specialists who treat youngsters with obesity. To offer expert consultation, they must understand all aspects of the pediatric obesity epidemic. By summarizing the relevant endocrinology, cardiology, nutrition, exercise science, and public health literature, this review of pediatric obesity assesses the epidemic's background, delineates the challenges of clinical care, and appraises the therapeutic recommendations for this population of patients and their families. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149183 Sun, 31 Jul 2011 23:00:00 +0100 5149183 http://www.medworm.com/index.php?rid=5149182&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000678%2Fabstract%3Frss%3Dyes Diabetes mellitus is a common childhood illness, and its management is often complicated by mental health challenges. Psychiatric comorbidities are common, including anxiety, depression, and eating disorders. The illness can profoundly affect the developing brain and family functioning and have lifelong consequences. The child mental health provider can provide valuable assistance to support the child and family and assessment and treatment of comorbid mental health problems and to promote positive family functioning and normal developmental progress. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149182 Sun, 31 Jul 2011 23:00:00 +0100 5149182 http://www.medworm.com/index.php?rid=5149181&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000654%2Fabstract%3Frss%3Dyes This article reviews the diagnosis and treatment of asthma as well as the correlation between asthma and psychiatric illness in children in an effort to improve management and treatment strategies for this prevalent disease. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149181 Sun, 31 Jul 2011 23:00:00 +0100 5149181 http://www.medworm.com/index.php?rid=5149180&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000666%2Fabstract%3Frss%3Dyes This article reviews the etiology, clinical characteristics, and treatment of inflammatory bowel disease (IBD) and associated psychological sequelae in children and adolescents with this lifelong disease. Pediatric-onset IBD, consisting of Crohn's disease and ulcerative colitis, has significant medical morbidity and in many young persons is also associated with psychological and psychosocial challenges. Depression and anxiety are particularly prevalent and have a multifaceted etiology, including IBD-related factors such as cytokines and steroids used to treat IBD and psychosocial stress. A growing number of empirically supported interventions, such as cognitive behavioral therapy, hypnosis, and educational resources, help youth and their parents cope with IBD as well as the psychological a... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149180 Sun, 31 Jul 2011 23:00:00 +0100 5149180 http://www.medworm.com/index.php?rid=5149179&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000708%2Fabstract%3Frss%3Dyes Solid organ transplantation has become the first line of treatment for a growing number of life-threatening pediatric illnesses. With improved survival, research into the long-term outcome of transplant recipients has become important to clinicians. Adherence to medical instructions remains a challenge, particularly in the adolescent population. New immunosuppressant approaches promise to expand organ transplantation in additional directions. Extension of transplantation into replacement of organs such as faces and hands raises complex ethical issues. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149179 Sun, 31 Jul 2011 23:00:00 +0100 5149179 http://www.medworm.com/index.php?rid=5149178&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000630%2Fabstract%3Frss%3Dyes This article applies a developmental perspective to describing the psychosocial factors affecting psychological adjustment and health-related behaviors relevant to infants, preschool and school-age children, and adolescents with CF. Topics particularly pertinent to developmental periods and medical milestones are noted, with clinical implications highlighted. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149178 Sun, 31 Jul 2011 23:00:00 +0100 5149178 http://www.medworm.com/index.php?rid=5149177&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000691%2Fabstract%3Frss%3Dyes Neurodevelopmental disorders with identified genetic etiologies present a unique opportunity to study gene-brain-behavior connections in child psychiatry. Parsing complex human behavior into dissociable components is facilitated by examining a relatively homogenous genetic population. As children with developmental delay carry a greater burden of mental illness than the general population, familiarity with the most common genetic disorders will serve practitioners seeing a general child population. In this article, basic genetic testing and 11 of the most common genetic disorders are reviewed, including the evidence base for treatment. Based on their training in child development, family systems, and multimodal treatment, child psychiatrists are well positioned to integrate cognitive, beha... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149177 Sun, 31 Jul 2011 23:00:00 +0100 5149177 http://www.medworm.com/index.php?rid=5149176&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100071X%2Fabstract%3Frss%3Dyes This article provides a brief overview of prematurity outcomes in the domains of prematurity relevant to practicing child psychiatrists. Prematurity is also examined as it relates to parental mental health challenges, infant mental health outcomes, high frequency attention problems, and psychiatric disorders. The complex interactions between prematurity and family well-being are also highlighted. Finally, evidence-based treatment modalities involved in prevention and management are explored. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149176 Sun, 31 Jul 2011 23:00:00 +0100 5149176 http://www.medworm.com/index.php?rid=5149175&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000617%2Fabstract%3Frss%3Dyes Unexplained physical complaints are common in children and form the basis for childhood somatization (the manifestation of distress through somatic symptoms) and somatoform disorders. Emotional symptoms and anxiety disorders are often comorbid with both unexplained physical symptoms and somatoform disorders. Risk factors include stress sensibility and probably biologic vulnerability in the child, mood and somatization disorders in the family, parental overinvolvement, and possibly limited psychological “mindedness” in relation to physical symptoms. The best evidence of efficacy is for family behavioral cognitive treatments, but for especially severe cases a multidisciplinary, carefully coordinated approach has been found to be clinically helpful. (Source: Pediatric Clinics of North Am... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149175 Sun, 31 Jul 2011 23:00:00 +0100 5149175 http://www.medworm.com/index.php?rid=5149174&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000733%2Fabstract%3Frss%3Dyes This article provides (1) a review of the foundations and evolution of the medical home concept; (2) an analysis of patient/family, provider, and systemic challenges to developing an effective pediatric medical home particularly in relation to children's mental health needs; and (3) a discussion of future directions for its further adoption and successful implementation. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149174 Sun, 31 Jul 2011 23:00:00 +0100 5149174 http://www.medworm.com/index.php?rid=5149173&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000745%2Fabstract%3Frss%3Dyes There has long been a struggle, both in the medical profession and in the general public, about the interplay between the mind and the body. The notion that one’s mental health can be so inextricably linked to one’s physical health is often discounted or overlooked. Take, for example, the patient with asthma who is on prednisone and develops an altered mental status with hallucinations. A critical corollary to this is the notion that one’s mental health care provider needs to work collaboratively with one’s primary care provider. Indeed, this is all too often not the case and as the saying goes “never the twain shall meet.” This phenomenon is also present in the healthcare industry as mental health carve-outs are used to manage mental health and substance abuse benefits.With th... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149173 Sun, 31 Jul 2011 23:00:00 +0100 5149173 http://www.medworm.com/index.php?rid=5149172&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000812%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149172 Sun, 31 Jul 2011 23:00:00 +0100 5149172 http://www.medworm.com/index.php?rid=5149171&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000800%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149171 Sun, 31 Jul 2011 23:00:00 +0100 5149171 http://www.medworm.com/index.php?rid=5149170&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000794%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149170 Sun, 31 Jul 2011 23:00:00 +0100 5149170 http://www.medworm.com/index.php?rid=5149169&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511001015%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5149169 Sun, 31 Jul 2011 23:00:00 +0100 5149169 http://www.medworm.com/index.php?rid=4834881&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100054X%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834881 Thu, 19 May 2011 14:58:14 +0100 4834881 http://www.medworm.com/index.php?rid=4834875&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000253%2Fabstract%3Frss%3Dyes Sleep disorders are common in children with autism spectrum disorders and have a significant effect on daytime function and parental stress. The cornerstone of treatment is to establish the cause of the sleep concern, which is often multifactorial. Identifying and treating sleep disorders may result not only in more consolidated sleep, more rapid time to fall asleep, and avoidance of night waking but also favorably affect daytime behavior and parental stress. Targeting effective treatment strategies is dependent on understanding the underlying causes of sleep problems in children with Autism spectrum disorders, therefore further research is paramount. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834875 Thu, 19 May 2011 14:58:13 +0100 4834875 http://www.medworm.com/index.php?rid=4834874&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000204%2Fabstract%3Frss%3Dyes Children with attention-deficit/hyperactivity disorder (ADHD) have high rates of sleep problems and sleep disorders. It is critical that pediatricians assess for sleep problems during the course of ADHD assessment and when treating children with stimulant medication. Sleep must be considered in the differential diagnosis and in terms of comorbidity with ADHD. The most common sleep problem in children with ADHD is insomnia, and the first line of treatment should be the implementation of behavioral interventions rather than medication. More research is needed to determine if children with ADHD respond to behavioral interventions in a similar manner as typically developing children. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834874 Thu, 19 May 2011 14:58:13 +0100 4834874 http://www.medworm.com/index.php?rid=4834872&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000198%2Fabstract%3Frss%3Dyes This article will describe how the loss of sleep through adolescence is not driven by lower need for sleep but arises from a convergence of biologic, psychological, and socio-cultural influences. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834872 Thu, 19 May 2011 14:58:13 +0100 4834872 http://www.medworm.com/index.php?rid=4834871&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000307%2Fabstract%3Frss%3Dyes This article begins with a review of the major central nervous system functional systems that allow for optimal alertness during the waking day, and the rapid initiation and good maintenance of sleep at night. Subsequent sections discuss each of the 6 primary circadian rhythm sleep disorders. Attention is paid to known or suspected pathophysiology, diagnostic criteria and assessment methodology, and treatment options. The article concludes with a discussion of challenges that must be met to improve the recognition and treatment of these quite impactful sleep disorders. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834871 Thu, 19 May 2011 14:58:13 +0100 4834871 http://www.medworm.com/index.php?rid=4834870&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000216%2Fabstract%3Frss%3Dyes The characteristic symptoms of restless legs syndrome (RLS) have been known for hundreds of years and were first reported in medicine in the 1600s. Clinicians must consider potential mimics, comorbid, and associated conditions when evaluating children with RLS symptoms. The traditional differentiation of RLS from periodic limb movement disorder (PLMD) is noted in children as well as adults. Because current pediatric RLS research is sparse, this article provides the most up-to-date evidence-based as well as consensus opinion-based information on the subject of childhood RLS and PLMD. Prevalence, pathophysiology, diagnosis, treatment, and clinical associations are discussed. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834870 Thu, 19 May 2011 14:58:13 +0100 4834870 http://www.medworm.com/index.php?rid=4834869&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000290%2Fabstract%3Frss%3Dyes Pediatric sleep-disordered breathing (SDB) includes an increasingly recognized, highly prevalent, yet still underdiagnosed spectrum of respiratory disorders, the most common and clinically significant of which is obstructive sleep apnea. SDB is linked with significant end-organ dysfunction across various systems, particularly with cardiovascular, neurocognitive, and metabolic consequences. This review summarizes recent advances in understanding of pediatric SDB and discusses the challenges inherent in diagnosing and treating children with SDB. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834869 Thu, 19 May 2011 14:58:13 +0100 4834869 http://www.medworm.com/index.php?rid=4834868&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000277%2Fabstract%3Frss%3Dyes This article reviews the research and clinical nosology of childhood insomnia, prevalence, and etiologic factors in infants, children, and adolescents. Clinical presentation, evaluation, and treatment, both behavioral and pharmacologic, of the most common types of pediatric insomnia are presented. Insomnia in special populations, particularly children with chronic medical, psychiatric, and neurodevelopmental disorders, is discussed. Future directions in childhood insomnia are presented. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834868 Thu, 19 May 2011 14:58:12 +0100 4834868 http://www.medworm.com/index.php?rid=4834866&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000459%2Fabstract%3Frss%3Dyes There are a number of seminal events to which we might attribute the “birth” of pediatric sleep medicine: the creation of the first manual on scoring of infant sleep by Anders, Emde, and Parmelee in 1971, the Guilleminault and coworkers’ 1976 article on sleep apnea in children in the journal Pediatrics, and the publication of the first edition of Richard Ferber’s book Solve Your Child’s Sleep Problems in 1985. What matters most is that all of these developments introduced a number of novel key concepts: that sleep in children is fundamentally similar to but at the same time distinctly different from sleep in adults, that sleep disorders in the pediatric population are both common and clinically important, and that disturbances in sleep in children often have profound acute and ch... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834866 Thu, 19 May 2011 14:58:12 +0100 4834866 http://www.medworm.com/index.php?rid=4834865&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000526%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834865 Thu, 19 May 2011 14:58:12 +0100 4834865 http://www.medworm.com/index.php?rid=4834864&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000514%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834864 Thu, 19 May 2011 14:58:12 +0100 4834864 http://www.medworm.com/index.php?rid=4834863&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000502%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834863 Thu, 19 May 2011 14:58:12 +0100 4834863 http://www.medworm.com/index.php?rid=4834862&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000587%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834862 Thu, 19 May 2011 14:58:12 +0100 4834862 http://www.medworm.com/index.php?rid=4834878&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000228%2Fabstract%3Frss%3Dyes This article offers practical ways to incorporate healthy sleep education into pediatric practice and discusses key questions, barriers, and strategies associated with such efforts. The rationale for incorporating healthy sleep education in pediatric practice settings is presented, and desirable features of sleep education programs that may be implemented in pediatric practice are identified. Potential barriers are reviewed and strategies offered to overcome these barriers, such as developing resources applicable to healthy sleep education and practical information for pediatricians. Key factors regarding effectiveness of such interventional programs and key points relevant to successful healthy sleep education in pediatric practice are highlighted. (Source: Pediatric Clinics of North Amer... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834878 Tue, 12 Apr 2011 23:00:00 +0100 4834878 http://www.medworm.com/index.php?rid=4834877&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100023X%2Fabstract%3Frss%3Dyes The purpose of this review is to provide a comprehensive update of epidemiologic studies that have assessed the association between sleep and obesity risk. Data suggest that short sleep is associated with an increased risk for being or becoming overweight/obese or having increased body fat. Late bedtimes are also a risk factor for overweight/obesity. Findings also suggest that changes in eating pathways may lead to increased body fat. Future experimental studies are needed to enhance our understanding of the underlying mechanisms through which sleep may play a role in the development and maintenance of childhood obesity. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834877 Tue, 12 Apr 2011 23:00:00 +0100 4834877 http://www.medworm.com/index.php?rid=4834879&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000241%2Fabstract%3Frss%3Dyes Sleep is a human behavior that is driven by biological mechanisms, but also shaped and interpreted by cultural values and beliefs. The large diversity among societies and cultures may indicate that one “optimal cultural standard” for children's sleep behavior does not exist. In pediatric care, the interplay between children's biological as well as socioemotional needs and the cultural norms should be carefully considered and evaluated in the context of sleep complaints and behavioral functioning. Recognizing the culture in which children and their families live may eventually lead to better compliance and higher success rates of treatment interventions. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834879 Sun, 03 Apr 2011 23:00:00 +0100 4834879 http://www.medworm.com/index.php?rid=4834876&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000289%2Fabstract%3Frss%3Dyes Untreated sleep disturbances and sleep disorders pose significant adverse daytime consequences and place children at considerable risk for poor health outcomes. Sleep disturbances occur at a greater frequency in children with acute and chronic medical conditions compared with otherwise healthy peers. Sleep disturbances in medically ill children can be associated with sleep disorders, comorbid with acute and chronic conditions, or secondary to underlying disease-related mechanisms, treatment regimens, or hospitalization. Clinical management should include a multidisciplinary approach with particular emphasis on routine, regular sleep assessments and prevention of daytime consequences, and promotion of healthy sleep habits and health outcomes. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834876 Sun, 03 Apr 2011 23:00:00 +0100 4834876 http://www.medworm.com/index.php?rid=4834867&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000174%2Fabstract%3Frss%3Dyes Sleep is a vital physiologic function. Asking parents about their children's sleep should be part of every routine physical examination. Evaluating infants requires an understanding of changes in sleep associated with developmental stage. Problems with sleep associations may begin in late infancy and become a major issue for toddlers. Good sleep is crucial for success in learning for all children. Daytime behaviors in children may be symptoms of nighttime problems. Adolescents are often chronically sleep-deprived. Educating parents and their children about the importance of sleep is an important intervention that over time can help children lead happier, more productive lives. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834867 Sun, 03 Apr 2011 23:00:00 +0100 4834867 http://www.medworm.com/index.php?rid=4834880&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000265%2Fabstract%3Frss%3Dyes This article focuses on sleep in a family context, reviewing the relationship between sleep among children and their parents from infancy to adolescence. Sleep in the family when a child has a chronic illness or development disorder is also reviewed. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834880 Thu, 31 Mar 2011 23:00:00 +0100 4834880 http://www.medworm.com/index.php?rid=4834873&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000186%2Fabstract%3Frss%3Dyes This article summarizes correlational, case-control, quasi-experimental, and experimental studies that have examined whether sleep during childhood and adolescence is related to daytime functioning. Published findings suggest that inadequate sleep quality and/or quantity can cause sleepiness, inattention and, very likely, other cognitive and behavioral deficits that significantly impact children and adolescents in functional settings. This article then integrates findings from longitudinal studies within a developmental psychopathology model. Important questions remain, but evidence supports the integration of sleep screening and interventions into routine clinical care and also supports advocacy for public policy changes to improve the sleep of children and adolescents. (Source: Pediatric... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4834873 Thu, 31 Mar 2011 23:00:00 +0100 4834873 http://www.medworm.com/index.php?rid=4647331&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000393%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647331 Tue, 29 Mar 2011 21:18:14 +0100 4647331 http://www.medworm.com/index.php?rid=4647330&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000125%2Fabstract%3Frss%3Dyes There is an unmet medical need for an effective food allergy therapy; thus, development of therapeutic interventions for food allergy is a top research priority. The food allergen-nonspecific therapies for food-induced anaphylaxis include monoclonal anti-IgE antibodies and Chinese herbs. The food allergen-specific therapies include oral, sublingual, and epicutaneous immunotherapy with native food allergens and mutated recombinant proteins. Diet containing heated milk and egg may represent an alternative approach to oral immunomodulation. Oral food immunotherapy remains an investigational treatment to be further studied before advancing into clinical practice. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647330 Tue, 29 Mar 2011 21:18:14 +0100 4647330 http://www.medworm.com/index.php?rid=4647329&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000046%2Fabstract%3Frss%3Dyes Food allergy is a recognized public health concern, for which preventative strategies are required. Although an intervention that adequately protects against the development of food allergy has still to be identified, limited benefits have been shown for the prevention of related allergic conditions such as eczema, and to a lesser extent asthma and rhinitis; these benefits are usually limited to at-risk populations. Prevention strategies need to be tested using randomized controlled study designs that account for the numerous methodological challenges, safety concerns, and necessary ethical limitations. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647329 Tue, 29 Mar 2011 21:18:14 +0100 4647329 http://www.medworm.com/index.php?rid=4647328&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000113%2Fabstract%3Frss%3Dyes Managing food allergy in school and camp environments involves creating an individualized plan that addresses safety, and supports growth and development of the food-allergic child. The result is a dynamic strategy that meets the needs of a food-allergic child and promotes the development of a food-allergic adolescent. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647328 Tue, 29 Mar 2011 21:18:14 +0100 4647328 http://www.medworm.com/index.php?rid=4647327&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000095%2Fabstract%3Frss%3Dyes The primary treatment of food allergy is to avoid the culprit foods. This is a complex undertaking that requires education about reading the labels of manufactured products, understanding how to avoid cross-contact with allergens during food preparation, and communicating effectively with persons who are providing allergen-safe meals including relatives and restaurant personnel. Successful avoidance also requires a knowledge of nuances such as appropriate cleaning practices, an understanding of the risks of ingestion compared to skin contact or inhalation, that exposure could occur through unanticipated means such as through sharing utensils or passionate kissing, and that food may be a component of substances that are not ingested such as cosmetics, bath products, vaccines and medications... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647327 Tue, 29 Mar 2011 21:18:13 +0100 4647327 http://www.medworm.com/index.php?rid=4647326&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100006X%2Fabstract%3Frss%3Dyes Peanut allergy may affect up to 2% of children in some countries, making it one of the most common conditions of childhood. Peanut allergy is a marker of a broad and possibly severe atopic phenotype. Nearly all children with peanut allergy have other allergic conditions. Peanut accounts for a disproportionate number of fatal and near fatal food-related allergies. Families with a child or children with peanut allergy can struggle to adapt to the stringent avoidance measures required. Although oral induction of tolerance represents the cutting edge of peanut allergy management, it is not yet ready for routine practice. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647326 Tue, 29 Mar 2011 21:18:13 +0100 4647326 http://www.medworm.com/index.php?rid=4647325&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000162%2Fabstract%3Frss%3Dyes This article discusses epidemiology, risk factors, diagnosis, treatment, and natural history of egg allergy. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647325 Tue, 29 Mar 2011 21:18:13 +0100 4647325 http://www.medworm.com/index.php?rid=4647324&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000071%2Fabstract%3Frss%3Dyes Cow's milk allergy (CMA) affects 2% to 3% of young children and presents with a wide range of IgE and non-IgE–mediated clinical syndromes, which have a significant economic and lifestyle effect. It is logical that a review of CMA would be linked to a review of soy allergy because soy formula is often an alternative source of nutrition for infants who do not tolerate cow's milk. This review examines the epidemiology, pathogenesis, clinical features, natural history, and diagnosis of cow's milk and soy allergy. Cross-reactivity and management of milk allergy are also discussed. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647324 Tue, 29 Mar 2011 21:18:13 +0100 4647324 http://www.medworm.com/index.php?rid=4647323&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000034%2Fabstract%3Frss%3Dyes The rates of eosinophilic gastrointestinal disorders appear to be increasing. The most common of these is eosinophilic esophagitis (EoE) which is a clinicopathologic condition consisting of characteristic symptoms and endoscopic features accompanied by a pan-esophageal, acid resistant epithelial eosinophilia of greater than equal to 15 per high power field. Typical symptoms include dysphagia and abdominal pain. Typical endoscopic features include pallor, plaques, furrows, concentric rings. Complications include food impactions and strictures. EoE resolution with food elimination diets provides evidence that EoE is a food-antigen driven process. In vitro and microarray studies have identified specific immunologic factors underlying EoE pathogenesis. Other gastrointestinal manifestations of ... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647323 Tue, 29 Mar 2011 21:18:13 +0100 4647323 http://www.medworm.com/index.php?rid=4647320&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000058%2Fabstract%3Frss%3Dyes Food-related symptoms are frequent in childhood, and pediatricians are often requested to initiate a food allergy diagnostic workup. A careful history is the cornerstone for assessing whether tests are needed and which diagnostic procedures are most appropriate. Skin prick tests should be performed only according to standard procedures by a skilled health professional. Determining serum IgE levels (in vitro tests) are available for a wide range of foods. Of utmost importance is the need to correlate test results to the clinical picture. When a conclusion cannot be reached, oral food challenges should be performed for a definite diagnosis. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647320 Tue, 29 Mar 2011 21:18:13 +0100 4647320 http://www.medworm.com/index.php?rid=4647319&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000137%2Fabstract%3Frss%3Dyes Food allergy (FA) is perceived as a common problem, especially during childhood. Accurate assessment of incidence and prevalence of FA has been difficult to establish, however, due to lack of universally accepted diagnostic criteria. Although many foods are reported to cause IgE-mediated FA, most studies focus on 4 common food groups: cow's milk, hen's egg, peanut/tree nuts, and fish/shellfish. There may be variation in the prevalence of FA in regions of the world and a likely increase in prevalence has been observed in recent decades. This cannot be stated with confidence, however, without the use of consistent methodology and diagnostic criteria. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647319 Tue, 29 Mar 2011 21:18:13 +0100 4647319 http://www.medworm.com/index.php?rid=4647318&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000101%2Fabstract%3Frss%3Dyes This article discusses the manifestations of IgE-mediated disorders, including urticaria and angioedema, rhinoconjunctivitis, asthma, gastrointestinal anaphylaxis, generalized anaphylaxis, food-dependent exercise-induced anaphylaxis, and oral allergy syndrome. It also reviews the presentations of mixed IgE- and cell-mediated disorders, including atopic dermatitis and eosinophilic gastrointestinal disorders. Finally, the manifestations of cell-mediated food allergies are discussed, including dietary protein-induced proctitis and proctocolitis, food protein-induced enterocolitis syndrome, celiac disease, and food-induced pulmonary hemosiderosis. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647318 Tue, 29 Mar 2011 21:18:12 +0100 4647318 http://www.medworm.com/index.php?rid=4647317&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000150%2Fabstract%3Frss%3Dyes Food allergy has become a serious health concern in the United States and around the world, particularly for children and young adults. This immune-mediated condition is estimated to affect 5% of children in the United States, and its prevalence is likely increasing worldwide. Since no therapies yet exist to prevent or cure food allergies, management involves the avoidance of food allergens and treatment of reactions, which can range in severity from mild to life-threatening. Given the magnitude of this public health problem, pediatric practitioners of all kinds are now faced with the challenge of appropriately diagnosing and caring for children with food allergies. The purpose of this issue of Pediatric Clinics of North America is to provide clinicians with a comprehensive and practical ... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647317 Tue, 29 Mar 2011 21:18:12 +0100 4647317 http://www.medworm.com/index.php?rid=4647316&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551100037X%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647316 Tue, 29 Mar 2011 21:18:12 +0100 4647316 http://www.medworm.com/index.php?rid=4647315&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000368%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647315 Tue, 29 Mar 2011 21:18:12 +0100 4647315 http://www.medworm.com/index.php?rid=4647314&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000356%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647314 Tue, 29 Mar 2011 21:18:12 +0100 4647314 http://www.medworm.com/index.php?rid=4647313&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000435%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647313 Tue, 29 Mar 2011 21:18:12 +0100 4647313 http://www.medworm.com/index.php?rid=4647322&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000083%2Fabstract%3Frss%3Dyes Food-induced anaphylactic reactions are common and increasing in frequency. Despite the existence of a consensus definition of anaphylaxis, many cases are missed, recommended treatments are not given, and follow-up is inadequate. New aspects of its pathophysiology and causes, including atypical food-induced causes, are still being uncovered. Epinephrine remains the cornerstone for successfully treating anaphylaxis; H1 and H2 antihistamines, glucocorticoids, and β-agonists are ancillary medications that may be used in addition to epinephrine. Early recognition of anaphylaxis, appropriate emergency treatment, and follow up, including prescription of self-injectable epinephrine, are essential to prevent death and significant morbidity from anaphylaxis. (Source: Pediatric Clinics of North Ame... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647322 Mon, 07 Mar 2011 00:00:00 +0100 4647322 http://www.medworm.com/index.php?rid=4647321&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395511000149%2Fabstract%3Frss%3Dyes In this article we review the pathophysiology of food allergy, which affects 4% of US children and 2% of adults, and is increasing in prevalence. Most food allergens share certain specific physicochemical characteristics that allow them to resist digestion, thus enhancing allergenicity. During allergic sensitization, these allergens are encountered by specialized dendritic cell populations in the gut, which leads to T-cell priming and the production of allergen-specific IgE production by B cells. Tissue-resident mast cells then bind IgE, and allergic reactions are elicited when mast cells are reexposed to allergen. Adjacent IgE molecules bound to the surface of the mast cell become cross-linked, causing mast cell degranulation and release of powerful vasoactive compounds that cause allergi... Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4647321 Mon, 07 Mar 2011 00:00:00 +0100 4647321 http://www.medworm.com/index.php?rid=4467359&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002245%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467359 Tue, 01 Feb 2011 00:00:00 +0100 4467359 http://www.medworm.com/index.php?rid=4467358&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551000204X%2Fabstract%3Frss%3Dyes This article reviews pediatric sleep disorders and the pharmacologic therapeutic options. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467358 Tue, 01 Feb 2011 00:00:00 +0100 4467358 http://www.medworm.com/index.php?rid=4467357&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001938%2Fabstract%3Frss%3Dyes This article reviews medications used to treat tic disorders in children and adolescents. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467357 Tue, 01 Feb 2011 00:00:00 +0100 4467357 http://www.medworm.com/index.php?rid=4467356&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001999%2Fabstract%3Frss%3Dyes This article reviews the pharmacotherapy for adolescent SUD to inform clinicians considering the use of this modality for selected groups of patients. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467356 Tue, 01 Feb 2011 00:00:00 +0100 4467356 http://www.medworm.com/index.php?rid=4467355&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001975%2Fabstract%3Frss%3Dyes This article considers the management of nonpsychiatric medical conditions presenting with psychiatric manifestations. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467355 Tue, 01 Feb 2011 00:00:00 +0100 4467355 http://www.medworm.com/index.php?rid=4467354&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002075%2Fabstract%3Frss%3Dyes This article, reviews the clinical and diagnostic characteristics of schizophrenia in youth with an eye toward recent findings. This article also provides a more extensive review and update of the psychopharmacology of early-onset schizophrenia. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467354 Tue, 01 Feb 2011 00:00:00 +0100 4467354 http://www.medworm.com/index.php?rid=4467353&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001926%2Fabstract%3Frss%3Dyes This article reviews the epidemiology, associated psychopathology, and pharmacologic treatment of selected CADs. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467353 Tue, 01 Feb 2011 00:00:00 +0100 4467353 http://www.medworm.com/index.php?rid=4467352&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001902%2Fabstract%3Frss%3Dyes Pediatric bipolar disorder (PBD) is a chronic and disabling illness often leading to serious disruption in the lives of children and adolescents with this condition. Until recently, methodologically stringent data to guide pharmacologic interventions in the youth were scarce. However, clinical trials conducted recently have expanded the existing evidence base, and new data are emerging rapidly. Recent studies have examined the use of lithium, anticonvulsants, and atypical antipsychotics for acute and long-term treatment of PBD. Despite these new advances, further placebo-controlled trials investigating the efficacy and safety of pharmacologic treatment strategies for young people with bipolar disorder are still needed. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467352 Tue, 01 Feb 2011 00:00:00 +0100 4467352 http://www.medworm.com/index.php?rid=4467351&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002087%2Fabstract%3Frss%3Dyes This article provides a brief overview of depressive disorders in children and adolescence, including their clinical presentation, prevalence, etiology, course, and prognosis. Psychopharmacological treatment options are reviewed in detail, including practical information for medication management including patient education, making the decision to treat with medication, selection of specific medications, strategies for nonresponsive patients, and decisions about stopping medication. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467351 Tue, 01 Feb 2011 00:00:00 +0100 4467351 http://www.medworm.com/index.php?rid=4467350&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001963%2Fabstract%3Frss%3Dyes The pharmaceutical search to induce weight loss was precipitated by the United States Food and Drug Administration's (FDA) 1959 formal approval of phentermine for short-term weight loss despite limited research supporting its assertions of weight loss. In addition to sympathomimetic amine products like phentermine, other medications considered in this article include herbal products, sibutramine, orlistat, metformin, and rimonabant. The use of pharmacotherapy for morbidly obese adolescents should be part of a comprehensive weight-loss program that recommends diet, exercise, and behavioral modification. Side effects and the possibility of major adverse effects should be remembered when considering use of these products. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467350 Tue, 01 Feb 2011 00:00:00 +0100 4467350 http://www.medworm.com/index.php?rid=4467349&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002026%2Fabstract%3Frss%3Dyes This article reviews the scientific evidence for the use of psychotropic medication in the treatment of children and adolescents with eating disorders. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467349 Tue, 01 Feb 2011 00:00:00 +0100 4467349 http://www.medworm.com/index.php?rid=4467348&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001987%2Fabstract%3Frss%3Dyes This article outlines current pharmacologic ADHD treatment options and focuses on their safety profile and efficacy. In addition, it addresses treatment selection, guidelines for monitoring treatment, and recent controversies in the field. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467348 Tue, 01 Feb 2011 00:00:00 +0100 4467348 http://www.medworm.com/index.php?rid=4467347&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002002%2Fabstract%3Frss%3Dyes This article provides an overview of the psychopharmacologic management of irritability, hyperactivity, and repetitive behaviors in children and adolescents with autism spectrum disorder. A review of the current literature on medications used to treat these conditions with emphasis on randomized controlled trials is presented. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467347 Tue, 01 Feb 2011 00:00:00 +0100 4467347 http://www.medworm.com/index.php?rid=4467346&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002038%2Fabstract%3Frss%3Dyes This article reviews the most common psychiatric conditions associated with aggression and suggests appropriate psychopharmacologic interventions. Tables with recommended agents for each psychiatric disorder, as well as dosing ranges for each agent, are included. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467346 Tue, 01 Feb 2011 00:00:00 +0100 4467346 http://www.medworm.com/index.php?rid=4467345&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001914%2Fabstract%3Frss%3Dyes This article discusses how to obtain a suitable diagnosis for anxiety disorders in youth for implementing appropriate treatments, focusing on the evidence base for pharmacologic treatment. Clinical guidelines are discussed, including Food and Drug Administration indications and off-label use of medications, and considerations for special populations and youth with comorbidities are highlighted. Findings suggest moderate effectiveness of medication, particularly selective serotonin reuptake inhibitors, in the treatment of anxiety disorders in youth. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467345 Tue, 01 Feb 2011 00:00:00 +0100 4467345 http://www.medworm.com/index.php?rid=4467344&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001951%2Fabstract%3Frss%3Dyes An increasing number of studies have evaluated the role of herbal supplements in pediatric disorders, but they have numerous limitations. This review provides an overview of herbal components, regulation of supplements, and importance of product quality assurance. Use of herbal supplements is discussed with reference to factors that influence use in the pediatric population. The remainder of the article discusses the use of St John's wort, melatonin, kava, valerian, eicosapentaenoic acid, and docosahexaenoic acid, focusing on indications, adverse effects, and drug interactions, and providing a limited efficacy review. Herbal supplements used for weight loss are also briefly discussed. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467344 Tue, 01 Feb 2011 00:00:00 +0100 4467344 http://www.medworm.com/index.php?rid=4467343&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002051%2Fabstract%3Frss%3Dyes This article reviews the basic aspects of relevant neuroanatomy, neurotransmission, and major neurotransmitter systems. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467343 Tue, 01 Feb 2011 00:00:00 +0100 4467343 http://www.medworm.com/index.php?rid=4467342&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551000194X%2Fabstract%3Frss%3Dyes This article reviews basic concepts of pharmacology applicable to psychotherapeutic agents used for the treatment of mental disorders of children and adolescents. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467342 Tue, 01 Feb 2011 00:00:00 +0100 4467342 http://www.medworm.com/index.php?rid=4467341&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002014%2Fabstract%3Frss%3Dyes This article focuses on reviews of treatment interventions by scholars, researchers, clinicians, and study groups who have examined multiple databases of published studies and ongoing treatment protocols. Behavioral and cognitive-behavioral therapies were most often identified as well-established treatments for specific mental and behavioral health disorders in children and adolescents. Psychotherapy alone or in conjunction with pharmacotherapy can be powerful tools in helping youth manage or eliminate negative outcomes of mental and behavioral disorders. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467341 Tue, 01 Feb 2011 00:00:00 +0100 4467341 http://www.medworm.com/index.php?rid=4467340&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002063%2Fabstract%3Frss%3Dyes “An analysis of almost any scientific problem leads automatically to a study of its history.”(Mayr) (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467340 Tue, 01 Feb 2011 00:00:00 +0100 4467340 http://www.medworm.com/index.php?rid=4467339&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002221%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467339 Tue, 01 Feb 2011 00:00:00 +0100 4467339 http://www.medworm.com/index.php?rid=4467338&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS003139551000221X%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467338 Tue, 01 Feb 2011 00:00:00 +0100 4467338 http://www.medworm.com/index.php?rid=4467337&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002208%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467337 Tue, 01 Feb 2011 00:00:00 +0100 4467337 http://www.medworm.com/index.php?rid=4467336&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510002282%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4467336 Tue, 01 Feb 2011 00:00:00 +0100 4467336 http://www.medworm.com/index.php?rid=4198632&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001847%2Fabstract%3Frss%3Dyes (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4198632 Thu, 25 Nov 2010 09:55:58 +0100 4198632 http://www.medworm.com/index.php?rid=4198631&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001665%2Fabstract%3Frss%3Dyes Several contributory factors such as poverty, lack of purchasing power, household food insecurity, and limited general knowledge about appropriate nutritional practices increase the risk of undernutrition in developing countries. The synergistic interaction between inadequate dietary intake and disease burden leads to a vicious cycle that accounts for much of the high morbidity and mortality in these countries. Three groups of underlying factors contribute to inadequate dietary intake and infectious disease: inadequate maternal and child care, household food insecurity, and poor health services in an unhealthy environment. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4198631 Thu, 25 Nov 2010 09:55:58 +0100 4198631 http://www.medworm.com/index.php?rid=4198630&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001537%2Fabstract%3Frss%3Dyes This article describes some of the miscellaneous etiologies of pediatric chest pain that are important to recognize early and diagnose. Up to 45% of pediatric chest pain cases may elude definitive diagnosis. Serious morbidity or mortality is infrequent. Accurate diagnosis of more obscure causes may help to avoid unnecessary emergency department evaluation and cardiology referral, while also alleviating the concern and stress families and patients experience when dealing with chest pain. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4198630 Thu, 25 Nov 2010 09:55:58 +0100 4198630 http://www.medworm.com/index.php?rid=4198629&cid=s_33244_33_f&fid=33244&url=http%3A%2F%2Fwww.pediatric.theclinics.com%2Farticle%2FPIIS0031395510001586%2Fabstract%3Frss%3Dyes Musculoskeletal chest pain is the most common identifiable cause of chest pain in children and adolescents. A lesion or irritation of any layer of the anterior chest wall may lead to pain. Causes range from the common, such as costochondritis, to the rare, such as chronic recurrent multifocal osteomyelitis. Regardless of the cause, chest pain raises concern of cardiac abnormalities, and may rapidly lead to significant anxiety and lifestyle alterations. Thus, efficient and accurate identification of the cause of pediatric chest pain by a thorough history and physical examination is important to minimize the disruption it may cause. (Source: Pediatric Clinics of North America) Pediatric Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4198629 Thu, 25 Nov 2010 09:55:58 +0100 4198629