Advances in pediatrics
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SUMMARY MHI is a common disorder in t he pediatric population. While most children recover uneventfully, a small percentage has persistence of symptoms and long-term sequelae. Determining the optimal timing for return to play can be difficult, but adherence to guidelines may reduce the risk of compounding the injury.
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Advances in pediatrics · Jan 2008
ReviewCystic fibrosis: a review of pulmonary and nutritional therapies.
In summary, there is a significant interplay between the pulmonary manifestations and nutritional status of CF patients. The advances in CF clinical care in the past 2 decades are mainly attributed to anti-infective therapy as well as aggressive nutritional management. Currently, there are multiple therapeutic agents that are in clinical trial that target either the underlying CFTR defect or the downstream effects of CFTR. The broad spectrum of therapeutic agents being studied as well as the advances in therapies that target the underlying CFTR defect are exciting, making it likely that at least one of the treatments will make a major difference in how we will treat CF in the future.
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Advances in pediatrics · Jan 2002
ReviewRecognition and treatment of endocrine/metabolic emergencies in children: part I.
A wide variety of endocrine/metabolic emergencies exists that may be isolated occurrences, the initial manifestation of an endocrine/metabolic disorder (eg, diabetes mellitus or hypoparathyroidism), or an acute abnormality in a child with known endocrine/metabolic disease as a result of intercurrent illness, emotional stress, or noncompliance with medications. The pediatric emergency medicine provider is faced with a difficult task when evaluating a child with a suspected endocrine or metabolic disorder, especially the child with no known underlying condition, since the signs and symptoms of such disorders are varied and nonspecific. This may lead to a delayed or missed diagnosis, and can have serious consequences (eg, cerebral dysfunction leading to coma or death as seen in diabetic ketoacidosis, hypoglycemia, or adrenal insufficiency). Prompt diagnosis depends on the collection of critical and archival laboratory specimens before the administration of nonspecific therapy.
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Injury prevention is one of the most important preventive health challenges for pediatricians worldwide. A science of injury control has developed. ⋯ Family function relates closely to injuries and recovery from injury. Prevention involves education, legislation, environmental modification, and engineering techniques.