Weekly Updates in Pediatrics Newsletter

The Updates in Pediatrics weekly newsletter provides concise information about a broad range of current pediatric topics to enhance the education of practicing primary care pediatricians. The scope includes translational research, infectious disease, neonatology, surgery and other relevant topics concerning the health of children. 

Jack Wolfsdorf, MD, FAAPAbout the Editor

Jack Wolfsdorf, MD, FAAP

Director of Critical Care Medicine, Nicklaus Children’s Hospital, Clinical Professor of Pediatrics, (1984-2004). 
Chairman, Bioethics Committee, Nicklaus Children’s Hospital, 2006-present. 
Editor-in-Chief, Updates in Pediatrics, formerly International Pediatrics, Nicklaus  Children’s Hospital, 2004-present. 
Published over 120 articles. 

Multiple echocardiography abnormalities associated with endoscopic third ventriculostomy failure

Published on: 01/24/2018
Publication source: Journal of Neurosurgery

The cover of this month’s Journal of Neurosurgery: Pediatrics highlights a manuscript from a team of neurosurgeons and cardiologists at Nicklaus Children’s Hospital. The publication discusses management of hydrocephalus in premature infants with cardiovascular abnormalities.

Childhood hoverboard injuries

Published on: 11/15/2017
Publication source: The Journal of Pediatrics

"Hoverboards pose a significant risk of musculoskeletal injuries to pediatric riders". A prospective study of injuries revealed that most involve the upper (predominantly) or lower extremity (similar to skate board injuries). Injuries in children occur in those who do not wear helmets or protective padding.

Effective of inhaled nitric oxide on survival without bronchopulmonary dysplasia (BPD) in preterm infants

Published on: 11/10/2017
Publication source: JAMA Pediatrics

While inhaled NO administered to at risk infants for 24 days appears safe, it does not improve measured outcomes.

Neurodevelopment with fetal growth restrictions (FGR)

Published on: 11/08/2017
Publication source: Pediatrics

A study which evaluated 889 very preterm (<28 weeks gestation) infants non-growth restricted and compared them to FGR babies indicates that at 10 years of age being growth restricted increases the likelihood of cognitive and behavioral problems, impaired social awareness, social and psychosocial function, phobias, obsessions and compulsions, autistic mannerisms, autistic spectrum disorders and problems with semantic and speech coherence.

Childhood asthma: Mode and type of infant feeding

Published on: 11/07/2017
Publication source: Journal of Pediatrics

At 3 years of age 12% of children are diagnosed with possible or probably asthma. Any mode other than direct breastfeeding (i.e. breast feeding with expressed breast milk, breast milk and formula or formula alone) is associated with an increased risk of asthma.

Comparison of the Nuss vs. Ravitch procedure for Pectus Excavatum (PE) repair

Published on: 10/27/2017
Publication source: Journal of Pediatric Surgery

An analysis from multiple databases comparing Nuss to Ravitch procedures for PE reveals that the Nuss procedure has significantly shorter operative time and less blood loss (though post-operative hospitalization times are similar).

Long-term results after extensive soft tissue release in very severe congenital clubfeet

Published on: 10/23/2017
Publication source: Journal of Pediatric Orthopaedics

92% of post operative patients are satisfied, though no foot has excellent results (only 30% have a fair/good outcome) with female patients being less satisfied because of social constraints due mostly to calf atrophy.

Second hand smoke exposure and preclinical markers of cardiovascular risk in toddlers

Published on: 10/22/2017
Publication source: Journal of Pediatrics

"Second hand smoke exposure in the very young has a detectable relationship with severe markers of cardiovascular risk, long before the emergence of clinical disease."

Predicted value of procalcitonin (PCT) for intestinal ischemia and/or necrosis in adhesive small bowel obstruction (ASBO)

Published on: 10/16/2017
Publication source: Journal of Pediatric Surgery

PCT levels closely correlate to the presence of intestinal ischemia and necrosis in children with ASBO.

Black Toenail sign in MELAS Syndrome (mitochondrial encephalopathy with lactic acidosis and stroke-like episodes)

Published on: 10/11/2017
Publication source: Pediatric Neurology

A database study from two children's hospitals searched through brain magnetic imaging studies for likely MELAS patients. 124 studies from 14 MELAS patients (average age 16 years) were found. These revealed that gyral necrosis (the black toenail sign) is a common imaging feature which correlates with the disease duration.

Updates in Pediatrics Yearly Archives