Articles related toPediatrics

Evaluation of academic detailing to educate clinicians regarding childhood lead poisoning prevention: a pilot study

Nicholas C. Newman, DO, MS; Jacqueline M. Knapke, PhD; Rachael Kiniyalocts, BA; John Belt, MS; and Erin Haynes, DrPH
The objectives of this study were to implement a pilot of academic detailing sessions on the topic of childhood lead poisoning prevention with frontline healthcare providers and their staff in different practice settings, and to evaluate the acceptability of these training sessions utilizing quantitative and qualitative methods.
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Racial discrimination among children in the United States from 2016 to 2020: an analysis of the National Survey of Children’s Health

Covenant Elenwo, MPH; Amy Hendrix-Dicken, MA; Vanessa Lin, BA; Ashton Gatewood, MPH; Tessa Chesher, DO; Michelle Escala, MD; and Micah Hartwell, PhD
The authors assess racial discrimination trends among US children reported by parents utilizing the National Survey of Children’s Health (NSCH) dataset from 2016 to 2020.
J Osteopath Med; 123(2): 103-111

Asthma medications in schools: a cross-sectional analysis of the Asthma Call-back Survey 2017-2018

Rachel Wilkins, BS; Sadie Schiffmacher, BS; Ashton Gatewood, MPH; Lauren Conway, DO; Ben Greiner, DO; and Micah Hartwell, PhD
In this study the authors analyze the prevalence of schoolchildren having access to asthma medications and written asthma action plans in schools. A secondary objective was to see if there were differences between urban and rural populations.
J Osteopath Med; 122(11): 581-586

Spontaneous neonatal subcutaneous emphysema: analysis of neonatal management

Abraham M. Quader, OMS III; and Craig Sussman, MD
Neonatal subcutaneous emphysema is a very rare complication of endotracheal intubation or surgery; however, only a few cases of spontaneous subcutaneous emphysema were reported in a neonate. The authors present the case of a patient who presented in respiratory distress with a low SaO2, but no clinical signs of subcutaneous emphysema were seen.
J Osteopath Med; 122(9): 465-467

Investigating the safety and feasibility of osteopathic medicine in the pediatric oncology outpatient setting

Jennifer A. Belsky, DO, MS; Joseph R. Stanek, MS; and Melissa J. Rose, DO
Pediatric patients receiving chemotherapy experience unwanted therapy-induced side effects, commonly constipation and pain that diminish quality of life. To date, few studies have investigated the safety and feasibility of osteopathic manipulative treatment (OMT) in pediatric oncology. The primary objective of this study is to investigate the safety and feasibility of OMT in pediatric oncology outpatient clinics.
J Osteopath Med; 122(8):

Factors affecting utilization of CT scan following ultrasound evaluation of suspected appendicitis

Adam Zisman, DO; Brian Novi, DO; John Gaughan, PhD; and Lauren Carr, DO
When evaluating a pediatric patient in the emergency department for suspected appendicitis, a provider is often faced with the dilemma of deciding if a computed tomography (CT) scan is warranted when—as is most often the case—ultrasound results do not yield a definitive diagnosis. The potential risks of radiation must be weighed against numerous aspects of a patient’s background, physical exam, and already-obtained workup. This study aims to aid in future decision making of providers in their evaluation of patients with suspected appendicitis.
J Osteopath Med; 122(6): 313-318

Pediatric unilateral knee swelling: a case report of a complicated differential diagnosis and often overlooked cause

Katherine E. Guardado, OMS II; and Shane Sergent, DO
Lyme disease is the most common vector-borne illness in the United States. However, Lyme arthritis is a diagnosis that is often missed, even in children, who are the population with the highest incidence of Lyme disease. The authors present a case of a 3-year-old female presenting to the emergency department with a history of limping for 2 weeks. The mother of the child recognized a tick bite. However, the child was not taken to seek care expeditiously, because she had not developed any rashes. Test results demonstrated that the patient was IgG positive and IgM negative for Lyme disease, with Western blot confirming the diagnosis of Lyme arthritis.
J Osteopath Med; 122(2): 105-109

Osteopathic Evaluation and Manipulative Treatment in Reducing the Morbidity of Otitis Media: A Pilot Study

Brian F. Degenhardt, DO, and Michael L. Kuchera, DO
J Osteopath Med; 106(6): 327-334

Analysis of the effects of isotretinoin on the premature epiphyseal closure in pediatric populations: a literature review

Sama Alazawi, DO; and Tami Hendriksz, DO
Oral isotretinoin, a systemic retinoid and a vitamin A derivative, has been widely utilized to treat acne in both adult and pediatric populations. It is important to raise awareness of the potential side effects of isotretinoin to enable informed treatment decisions before beginning an isotretinoin regimen. This article aims to describe that isotretinoin, given at various doses and durations, has been associated with growth plate abnormalities, which can lead to premature epiphyseal closure.
J Osteopath Med; 122(1): 45-53

Osteopathic interventions via telehealth in a pediatric population: a retrospective case series

Joanna L. Kramer, DO, MPH; and Kathleen De Asis, DO, MS
Healthcare delivery was dramatically affected during the COVID-19 pandemic. Many outpatient visits were cancelled or forgone for fear of exposure to the virus, allowing telemedicine to take on a much larger role in healthcare. The delivery of manual therapies, such as osteopathic manipulative treatment, via telehealth posed a unique challenge as these are typically provided in-person by a trained osteopathic physician. This study provides a description of one osteopathic pediatrician’s experience in delivering osteopathic interventions to pediatric patients via telehealth.
J Osteopath Med; 121(11): 857-861