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Pediatrics Aug 2019Congenital muscular torticollis (CMT) is a common postural deformity evident shortly after birth, typically characterized by ipsilateral cervical lateral flexion and... (Review)
Review
Congenital muscular torticollis (CMT) is a common postural deformity evident shortly after birth, typically characterized by ipsilateral cervical lateral flexion and contralateral cervical rotation due to unilateral shortening of the sternocleidomastoid muscle. New evidence is emerging on the pathogenesis of CMT, the negative long-term consequences of delaying intervention, and the importance of early identification and early intervention to maximize outcomes. Our purpose in this article is to inform pediatricians and health care providers about new research evidence and share selected recommendations and implementation strategies specifically relevant to pediatric practice to optimize outcomes and health services for infants with CMT.
Topics: Biomedical Research; Humans; Infant; Infant, Newborn; Parents; Pediatricians; Posture; Torticollis
PubMed: 31350358
DOI: 10.1542/peds.2019-0582 -
Anales de Pediatria Oct 2021Infantile cerebral palsy is one of the most prevalent diseases and the most frequent cause of disability in paediatrics. Children with cerebral palsy have complex health...
Infantile cerebral palsy is one of the most prevalent diseases and the most frequent cause of disability in paediatrics. Children with cerebral palsy have complex health care needs and often require the care of a multidisciplinary team. However, in many cases there is no paediatrician with overall responsibility for coordinating follow-up. We have produced a support document intended for paediatricians coordinating the care of children with cerebral palsy. Our aim is to provide an ordered compilation of the main issues these patients may develop, to know how to identify and address them if necessary, and to establish criteria for referring these patients to other specialists.
Topics: Cerebral Palsy; Child; Disabled Persons; Humans; Pediatricians; Specialization
PubMed: 34526244
DOI: 10.1016/j.anpede.2021.07.002 -
Pediatrics in Review Jul 2023Every child should have a baseline hematology evaluation with hemoglobin and hematocrit levels starting at age 12 months, or younger if clinically indicated. Although... (Review)
Review
Every child should have a baseline hematology evaluation with hemoglobin and hematocrit levels starting at age 12 months, or younger if clinically indicated. Although history and physical examination provide key information needed to diagnose blood disorders, the addition of a complete blood count (CBC) with differential count and reticulocyte count allows the clinician to narrow the differential diagnosis and tailor the subsequent evaluation. The interpretation of CBC results is a skill that requires practice. Every clinician can learn to identify possible diagnoses before consulting a specialist. This review provides a step-by-step approach for CBC interpretation with tools to help the clinician diagnose and interpret the most common blood disorders seen in the general pediatric clinic or inpatient setting.
Topics: Child; Humans; Infant; Pediatricians; Diagnosis, Differential; Physical Examination; Referral and Consultation
PubMed: 37391639
DOI: 10.1542/pir.2021-005273 -
Pediatric Annals Oct 2019
Topics: Grandparents; Humans; Pediatricians; Role
PubMed: 31609993
DOI: 10.3928/19382359-20190924-01 -
Pediatrics Jul 2018A pediatric prenatal visit during the third trimester is recommended for all expectant families as an important first step in establishing a child's medical home, as...
A pediatric prenatal visit during the third trimester is recommended for all expectant families as an important first step in establishing a child's medical home, as recommended by As advocates for children and their families, pediatricians can support and guide expectant parents in the prenatal period. Prenatal visits allow general pediatricians to establish a supportive and trusting relationship with both parents, gather basic information from expectant parents, offer information and advice regarding the infant, and may identify psychosocial risks early and high-risk conditions that may require special care. There are several possible formats for this first visit. The one used depends on the experience and preference of the parents, the style of the pediatrician's practice, and pragmatic issues of payment.
Topics: Education, Nonprofessional; Female; Humans; Infant Care; Infant, Newborn; Parenting; Parents; Pediatricians; Physician's Role; Practice Guidelines as Topic; Pregnancy; Prenatal Care; Professional-Family Relations
PubMed: 29941679
DOI: 10.1542/peds.2018-1218 -
Andes Pediatrica : Revista Chilena de... Jun 2021
Topics: COVID-19; Humans; Interprofessional Relations; Pediatricians; Physician's Role; Professionalism; Social Media
PubMed: 34479238
DOI: 10.32641/andespediatr.v92i3.3632 -
NeoReviews Feb 2022Advocacy is at the heart of pediatrics and neonatal care. Historically and currently, numerous pediatricians have used their expertise to raise the voices of children... (Review)
Review
Advocacy is at the heart of pediatrics and neonatal care. Historically and currently, numerous pediatricians have used their expertise to raise the voices of children and families to promote child health and welfare. Despite a lack of formal training in advocacy and health policy, many of the skills required for daily clinical care can, and ought to, be applied to affect systemic change within neonatology. Advocacy can no longer be considered an optional activity, but rather a core competency and professional responsibility. In this review, the authors describe the necessity and foundational principles for advocacy success as well as provide guidance, resources, and opportunities for neonatologists and clinicians providing newborn care.
Topics: Child; Humans; Infant, Newborn; Neonatologists; Neonatology; Pediatricians
PubMed: 35102381
DOI: 10.1542/neo.23-2-e74 -
Pediatric Annals Jan 2019The skin serves as a unique barrier from the outside world and undergoes critical changes during its development and maturation. This article reviews evidence-based... (Review)
Review
The skin serves as a unique barrier from the outside world and undergoes critical changes during its development and maturation. This article reviews evidence-based recommendations for the routine care of newborn skin that should be integrated into the pediatrician's practice. [Pediatr Ann. 2019;48(1):e11-e15.].
Topics: Female; Humans; Infant Care; Infant, Newborn; Male; Pediatricians; Practice Guidelines as Topic; Skin; Skin Care
PubMed: 30653637
DOI: 10.3928/19382359-20181211-01 -
Journal of Paediatrics and Child Health Nov 2018
Topics: Child Rearing; Female; Humans; Infant; Pediatricians; Pregnancy
PubMed: 30387266
DOI: 10.1111/jpc.14257 -
The Turkish Journal of Pediatrics 2022Pediatricians are regularly involved in the initial examination of children presenting with strabismus, a common ocular condition occurring in 3% of children. The... (Review)
Review
BACKGROUND
Pediatricians are regularly involved in the initial examination of children presenting with strabismus, a common ocular condition occurring in 3% of children. The objective of this review was to gain insight into pediatric residents, fellows and attendings` understanding of strabismus, and to propose an etiology-based strabismus classification scheme to aid this understanding.
METHODS
A survey was conducted in a single Department of Pediatrics in a university academic institution in order to assess the degree of understanding of the classification, etiology and nomenclature of strabismus. A targeted literature review, pertinent to our classification scheme for strabismus in the pediatric age group, is provided to clarify the various underlying etiological conditions for pediatricians.
RESULTS
The surveyed cohort (n=26) consisted of 10 (38.5%) attendings and 16 (61.5%) pediatricians-in-training. Although 69% of survey participants felt comfortable performing an ocular motility evaluation, only 19% had a clear understanding of the underlying etiology of strabismus, 8% had a clear understanding of strabismus nomenclature and none of the participants had clear knowledge of a classification scheme of strabismus. We propose an etiologic-based strabismus classification scheme with streamlined nomenclature geared towards Pediatricians to facilitate the management of pediatric patients with various ocular misalignments. Eight major categories of this classification scheme include (1) physiologic, (2) comitant, (3) paralytic, (4) sensory, (5) syndromic, (6) orbital, (7) supranuclear and (8) pseudostrabismus.
CONCLUSIONS
Pediatricians at all levels of professional experience have a limited command of strabismus. An etiology-based classification scheme of strabismus may assist in understanding the underlying causes and facilitate the management of strabismus in the pediatrician`s office.
Topics: Child; Cohort Studies; Humans; Pediatricians; Strabismus; Surveys and Questionnaires
PubMed: 35611422
DOI: 10.24953/turkjped.2020.2372