Pediatrics

50 studies every pediatrician should know by Ashaunta T. Anderson

By Ashaunta T. Anderson

50 experiences each Pediatrician should still understand presents key stories that experience formed the present scientific perform of pediatrics. chosen utilizing a rigorous technique, the stories disguise issues together with: allergic reaction immunology, behavioral, cardiology, dermatology, endocrinology, ENT, common pediatrics, hematology, infectious ailment, neonatology, nephrology, neurology, oncology, ophthalmology, orthopedics, and pulmonary. for every learn, a concise precis is gifted with an emphasis at the effects and barriers of the research, and its implications for perform. An illustrative medical case concludes each one overview, by means of short details on different suitable experiences. this is often one of many in simple terms books of its type to provide a set of the main influential scientific trials in pediatrics which are exact sufficient for use on rounds, yet nonetheless simply digestible.

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Children who did not respond adequately were given alternative medications such as dextroamphetamine. Subsequently, children met monthly with a pharmacotherapist who adjusted the medications using a standardized protocol based on input from parents and teachers. ” The parent training consisted of 27 group and 8 individual sessions per family led by a doctoral-​level psychotherapist. The sessions initially occurred weekly, but were tapered over time. The child-​focused treatment consisted of an 8-​week full-​t ime summer program that promoted the development of social skills and appropriate classroom behavior, and involved group activities.

Suggested Answer: The MTA trial suggests that symptoms of ADHD are better controlled with medications than with behavioral therapy. Still, because medications may have adverse effects, the American Academy of Pediatrics recommends either medications, behavioral therapy, or both as first-​l ine treatment for ADHD in children <12 years. Therefore, the boy in this vignette could initially be treated with either approach based on the preference of the family. The MTA Cooperative Group. A 14-​month randomized clinical trial of treatment strategies for attention-​deficit/​hyperactivity disorder.

5–​7 • One widely cited article, 8 which was subsequently retracted by the journal that published it,9 reported on a series of children who appeared to develop GI symptoms as well as signs of autism soon after receiving the MMR vaccine. The article generated considerable media attention as well as concern among parents; however the results have been widely called into question due to concerns about falsified data. • Given increasing media concern regarding vaccine safety, the American Academy of Pediatrics undertook a systematic review of all evidence regarding vaccine safety10; their review also failed to identify any credible evidence linking MMR vaccination to autism.

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