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JoAnna Pendergrass, DVM

Long-Term Treatment of Pediatric Chronic Inflammatory Demyelinating Polyneuropathy with Pulse Oral Corticosteroid Therapy
Long-Term Treatment of Pediatric Chronic Inflammatory Demyelinating Polyneuropathy with Pulse Oral Corticosteroid Therapy 150 150 JoAnna Pendergrass, DVM

Pediatric patients with chronic inflammatory demyelinating polyneuropathy can benefit from the safety and effectiveness of long-term pulse oral corticosteroid therapy. Chronic inflammatory demyelinating polyneuropathy (CIDP) affects the peripheral nervous system in children, causing weakness, sensory loss and depressed tendon reflexes. Pediatric patients with this rare, immune-mediated disease often undergo years of immunomodulatory therapy, with the…

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Increasing the Use of the Teach-Back Method in Asthma Education
Increasing the Use of the Teach-Back Method in Asthma Education 1024 575 JoAnna Pendergrass, DVM
Lisa Ulrich standing in hospital hallway

A standardized approach to asthma education using the teach-back method helps respiratory therapists effectively address common issues with asthma management in pediatric patients. For the 8% of children and adults in the United States who have asthma, effective asthma education is essential to adequate disease management. Unfortunately, written asthma action plans (AAP) alone may be…

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What Puts Adolescent Patients With IBD at Risk for Suboptimal Transitions?
What Puts Adolescent Patients With IBD at Risk for Suboptimal Transitions? 1024 673 JoAnna Pendergrass, DVM

Psychosocial-related factors, such as mental health diagnoses and public insurance, have been shown to increase the risk of suboptimal transitions in adolescent patients with inflammatory bowel disease. Between ages 18 and 22, adolescent patients transition from pediatric to adult care. Ideally, at the time of transition, patients have the skills to manage their disease and…

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Do Surgical Outcomes Differ Between Minimally Invasive Pyeloplasty Procedures in Treating Ureteropelvic Junction Obstruction?
Do Surgical Outcomes Differ Between Minimally Invasive Pyeloplasty Procedures in Treating Ureteropelvic Junction Obstruction? 1024 575 JoAnna Pendergrass, DVM
Dr. Jayanthi standing in OR

Minimally invasive pyeloplasty has become increasingly popular over open dismembered pyeloplasty, the traditional treatment for ureteropelvic junction obstruction. Robotic-assisted pyeloplasty (RALP) and laparoscopic pyeloplasty (LP) are minimally invasive procedures that produce smaller scars and less postoperative pain. These are advantages that appeal to parents of patients undergoing these procedures. In a recent Journal of Pediatric Urology publication, Rama…

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Cerebral Organoids Provide Insight into Human Brain Development and Neurological Disease
Cerebral Organoids Provide Insight into Human Brain Development and Neurological Disease 1024 575 JoAnna Pendergrass, DVM
microscopic image of brain organoid

Correlations between the neuroelectrical maturation and cellular development of cerebral organoids highlight the organoids’ translational and therapeutical potential in early neurodevelopmental disorders. Cerebral organoids are three-dimensional miniature organs that resemble the human brain. Derived from human pluripotent stem cells, cerebral organoids have emerged to advance stem cell research, improve three-dimensional tissue culture techniques and enhance…

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Reducing Opioid-Induced Constipation in Patients After Orthopedic Spine Surgery
Reducing Opioid-Induced Constipation in Patients After Orthopedic Spine Surgery 1024 575 JoAnna Pendergrass, DVM

In pediatric patients undergoing orthopedic spine surgery, a step-wise bowel management plan can effectively reduce opioid-induced constipation and unplanned emergency department visits after surgery. Orthopedic spine surgery can generate pain in the immediate post-surgery period. Opioids are needed to mitigate this pain but commonly cause constipation and other gastrointestinal side effects. Opioid-induced constipation causes abdominal…

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Diagnosing Adolescent Polycystic Ovary Syndrome
Diagnosing Adolescent Polycystic Ovary Syndrome 1024 673 JoAnna Pendergrass, DVM

New adolescent-specific guidelines provide more precise guidance on diagnosing polycystic ovary syndrome in adolescent females. Polycystic ovary syndrome (PCOS), the most common female reproductive endocrine disorder, presents diagnostic challenges in adolescents, highlighting the need for adolescent-specific diagnostic guidelines for PCOS. “We can’t use the adult criteria for diagnosing adolescent PCOS,” says Andrea Bonny, MD, section chief…

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Best Practices for Patient-Centered Contraception Counseling About the Etonogestrel Implant
Best Practices for Patient-Centered Contraception Counseling About the Etonogestrel Implant 1024 683 JoAnna Pendergrass, DVM

Patient-centered, age-appropriate contraception counseling helps health care providers educate adolescents about the etonogestrel implant and other contraceptive methods. Preventing unplanned pregnancies in adolescents with effective and easy-to-use contraception is key to ensuring that adolescents do not become parents before they are ready. Nexplanon, the newest version of the etonogestrel (ENG) implant, is an increasingly popular…

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Combining Multiple Surgical Procedures Helps Children With Patellar Instability Return to Normal Activities
Combining Multiple Surgical Procedures Helps Children With Patellar Instability Return to Normal Activities 1024 575 JoAnna Pendergrass, DVM

A four-in-one surgical procedure demonstrates effectiveness in treating pediatric lateral patellar instability and helping children return to their normal pre-surgical activities. Lateral patellar instability in the skeletally immature knee is a complex orthopedic condition with myriad treatment challenges. Classified as obligatory, fixed (congenital) or traumatic, pediatric knee instability can have painful consequences in late adolescence…

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Improving the Care and Management of Urinary Tract Infections Through Collaboration
Improving the Care and Management of Urinary Tract Infections Through Collaboration 150 150 JoAnna Pendergrass, DVM

The Urinary Tract Infection Global Alliance (UTIGA) is a new professional society that is dedicated to combatting the many challenges in UTI management and care through collaboration. With nearly 150 million people affected by urinary tract infections (UTIs) annually across the globe, UTIs are a major health problem. Both the term ‘UTI’ and the infection’s…

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Privacy for the Vulnerable: Confidentiality in Adolescent Care
Privacy for the Vulnerable: Confidentiality in Adolescent Care 1024 683 JoAnna Pendergrass, DVM

Confidentiality plays a critical role in adolescent care, yet can be difficult for providers to implement because of legal complexities and other challenges. Confidentiality is a critical component of adolescent medical care. As adolescents transition into adulthood, the opportunity to spend time alone with a health care provider fosters independence in discussing health issues, making…

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Using Metrics to Improve the Delivery of Optimal Diabetes Care for Children With Type 1 Diabetes
Using Metrics to Improve the Delivery of Optimal Diabetes Care for Children With Type 1 Diabetes 1024 575 JoAnna Pendergrass, DVM

The Type 1 Diabetes Care Index is a new metric that tracks the delivery of diabetes care, with the goal to reach zero missed opportunities to deliver quality care. The complexity and chronicity of pediatric type 1 diabetes (T1D) necessitate a coordinated, multidisciplinary effort to effectively deliver the optimal standards of diabetes care, as outlined…

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Optimized Neurophysiologic Intraoperative Monitoring Provides Real-Time Clinical and Diagnostic Benefits in Patients With Polyneuropathy
Optimized Neurophysiologic Intraoperative Monitoring Provides Real-Time Clinical and Diagnostic Benefits in Patients With Polyneuropathy 1024 683 JoAnna Pendergrass, DVM

New study reports that optimizing NIOM parameters can provide actionable, real-time data to protect the nervous system during surgery and facilitate diagnosis of previously unrecognized polyneuropathies. Neurophysiologic intraoperative monitoring (NIOM) provides a multimodal approach to evaluating the nervous system’s functional integrity. Components of NIOM include sensory evoked potentials (SEP), which monitor the dorsal column sensory…

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Study Supports Expanded Use of Ventricular Assist Devices in Children With Complex Congenital Heart Disease
Study Supports Expanded Use of Ventricular Assist Devices in Children With Complex Congenital Heart Disease 150 150 JoAnna Pendergrass, DVM

New multicenter study shows that the HeartMate3 ventricular assist device is associated with low morbidity and adverse events in pediatric patients with complex CHD. Ventricular assist devices (VADs), such as the HeartMate3 (HM3) continuous-flow VAD, provide critical heart function support in patients with advanced heart failure. Although design improvements in VADs have reduced complication rates…

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