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Pediatric Annals Jan 2020Platelets are an essential component of the hemostatic pathway; therefore, it is important to identify and diagnose patients with low platelet counts. This can be... (Review)
Review
Platelets are an essential component of the hemostatic pathway; therefore, it is important to identify and diagnose patients with low platelet counts. This can be challenging, however, because thrombocytopenia can be relatively common and the differential diagnosis can be broad. Furthermore, because platelets can be affected both in form and function in a variety of medical conditions, platelet abnormalities can be the principal driver in some disorders but only a consequence in others. Critical factors in identifying the etiology of the thrombocytopenia include the severity and acuity of the patient's initial presentation along with the history, physical examination, and laboratory findings, all of which can provide important clues. The accurate diagnosis of thrombocytopenia is crucial for determining the appropriate management. This review highlights the key diagnostic considerations and recommended treatment when isolated thrombocytopenia is encountered in clinical practice. [Pediatr Ann. 2020;49(1):e27-e35.].
Topics: Anemia; Blood Platelets; Hemostasis; Humans; Pediatricians; Platelet Count; Practice Guidelines as Topic; Thrombocytopenia
PubMed: 31930420
DOI: 10.3928/19382359-20191212-02 -
Indian Journal of Pediatrics Apr 2020
Topics: Cardiology; Child; Humans; Pediatricians
PubMed: 32166606
DOI: 10.1007/s12098-020-03266-3 -
Pediatrics Dec 2018Ninety percent of the world's children live in low- and middle-income countries, where barriers to health contribute to significant child morbidity and mortality. The... (Review)
Review
Ninety percent of the world's children live in low- and middle-income countries, where barriers to health contribute to significant child morbidity and mortality. The American Academy of Pediatrics is dedicated to the health and well-being of children. To fulfill this promise, this policy statement defines the role of the pediatrician in global health and provides a specific set of recommendations directed to all pediatricians, emphasizing the importance of global health as an integral function of the profession of pediatrics.
Topics: Child; Child Advocacy; Education, Medical, Graduate; Global Health; Humans; Internship and Residency; Pediatricians; Physician's Role; Societies, Medical
PubMed: 30455341
DOI: 10.1542/peds.2018-2997 -
Archivos Argentinos de Pediatria Jun 2018The changes initiated by the new National Civil and Commercial Code in Argentina underline the pediatric task to empower children's and adolescents' developing autonomy.... (Review)
Review
The changes initiated by the new National Civil and Commercial Code in Argentina underline the pediatric task to empower children's and adolescents' developing autonomy. In this paper, we have framed a model describing autonomy in child healthcare. We carried out a literature review focusing on i) the concept of autonomy referring to the absolute value of the autonomous individual, and ii) the age-driven process of competent decisionmaking development. We summarized our findings developing a conceptual model that includes the child, the pediatrician and the parents. The pediatricianchild relationship is based on different forms of guidance and cooperation, resulting in varying levels of activity and passivity. Parental authority influences the extent of autonomy, based on the level of respect of the child's moral equality. Contextual, existential, conceptual, and socialethical conditions shall be considered when applying the model to facilitate dialogue between pediatricians, children, parents and other actors.
Topics: Adolescent; Argentina; Child; Child Health Services; Decision Making; Delivery of Health Care; Humans; Models, Theoretical; Parent-Child Relations; Parents; Pediatricians; Pediatrics; Personal Autonomy; Physician-Patient Relations
PubMed: 29756714
DOI: 10.5546/aap.2018.eng.e401 -
Academic Pediatrics Apr 2023Explore relationships between pediatrician characteristics, sacrifices made for career, and career and life satisfaction.
OBJECTIVE
Explore relationships between pediatrician characteristics, sacrifices made for career, and career and life satisfaction.
METHODS
Surveys of early career pediatricians (ECPs) who recently graduated residency (2016-18), as part of the AAP Pediatrician Life and Career Experience Study (PLACES) were administered in 2019. Logistic regression analyzed association of pediatrician characteristics with personal sacrifices (a lot vs some or no sacrifices) made for one's career and whether career was worth the sacrifices made to become a physician, and association of characteristics and sacrifices with overall career and life satisfaction.
RESULTS
Of 918 ECPs in the cohort, 90% responded to the 2019 survey. Seventy-seven percent agreed their career was worth the sacrifices and 40% reported they made a lot of personal sacrifices for their career. In multivariable analysis, female sex was associated with lower odds of viewing career as worth the sacrifices made [adjusted odds ratio [aOR] 0.45; 95% confidence interval [CI], 0.28-0.71], a higher odds of delaying starting a family [aOR 2.25; CI, 1.32-3.86] and making sacrifices in having children for career [aOR 2.60; CI, 1.48-4.58]. Those in fellowship training also reported making more sacrifices related to having children for their career [aOR 1.73; CI, 1.08-2.78]. ECPs who reported making a lot of sacrifices for their career were less likely to be satisfied with their overall career and life.
CONCLUSIONS
Most ECPs believe their sacrifices to become a pediatrician were worth it. Female pediatricians were less likely to feel personal sacrifices were worth it and reported more sacrifices related to having children.
Topics: Child; Humans; Female; Job Satisfaction; Pediatricians; Physicians; Surveys and Questionnaires; Personal Satisfaction; Career Choice
PubMed: 36682450
DOI: 10.1016/j.acap.2023.01.005 -
The Journal of Pediatrics Mar 2019
Topics: Health Planning; Health Workforce; Humans; Internship and Residency; Israel; Pediatricians; Pediatrics; Personnel Selection
PubMed: 30798835
DOI: 10.1016/j.jpeds.2018.12.060 -
Pediatrics Feb 2021
Review
Topics: Armed Conflicts; Child; Commerce; Humans; Mass Casualty Incidents; Pediatricians; Physician's Role; Warfare
PubMed: 33208497
DOI: 10.1542/peds.2020-027847 -
Indian Pediatrics Apr 2017
Topics: Computers, Handheld; Humans; Pediatricians; Practice Patterns, Physicians'; Technology
PubMed: 28474595
DOI: 10.1007/s13312-017-1098-y -
Military Medicine Jan 2017
Topics: Child; Humans; Interpersonal Relations; Male; Pediatricians; Professional-Family Relations; Pyelonephritis
PubMed: 28051955
DOI: 10.7205/MILMED-D-16-00389 -
Pediatrics Sep 2016School readiness includes not only the early academic skills of children but also their physical health, language skills, social and emotional development, motivation to... (Review)
Review
School readiness includes not only the early academic skills of children but also their physical health, language skills, social and emotional development, motivation to learn, creativity, and general knowledge. Families and communities play a critical role in ensuring children's growth in all of these areas and thus their readiness for school. Schools must be prepared to teach all children when they reach the age of school entry, regardless of their degree of readiness. Research on early brain development emphasizes the effects of early experiences, relationships, and emotions on creating and reinforcing the neural connections that are the basis for learning. Pediatricians, by the nature of their relationships with families and children, may significantly influence school readiness. Pediatricians have a primary role in ensuring children's physical health through the provision of preventive care, treatment of illness, screening for sensory deficits, and monitoring nutrition and growth. They can promote and monitor the social-emotional development of children by providing anticipatory guidance on development and behavior, by encouraging positive parenting practices, by modeling reciprocal and respectful communication with adults and children, by identifying and addressing psychosocial risk factors, and by providing community-based resources and referrals when warranted. Cognitive and language skills are fostered through timely identification of developmental problems and appropriate referrals for services, including early intervention and special education services; guidance regarding safe and stimulating early education and child care programs; and promotion of early literacy by encouraging language-rich activities such as reading together, telling stories, and playing games. Pediatricians are also well positioned to advocate not only for children's access to health care but also for high-quality early childhood education and evidence-based family supports such as home visits, which help provide a foundation for optimal learning.
Topics: Child; Child Development; Child Welfare; Health Status; Humans; Language Development; Pediatricians; Physician's Role; Schools; Socialization
PubMed: 27573085
DOI: 10.1542/peds.2016-2293