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Cognitive Behavioral Therapy Can Help Children With Persistent Post-Concussive Symptoms
 Cognitive Behavioral Therapy Can Help Children With Persistent Post-Concussive Symptoms 150 150 Mary Bates, PhD
By: Mary Bates, PhD

A psychological intervention improves kids’ function and quality of life even years after a concussion. For most children and adolescents that experience concussions, symptoms resolve after a week or two. However, a small subset of kids has persistent symptoms lasting for months or even…

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How a QI Intervention Lowered Breast Milk Errors in a Busy NICU
 How a QI Intervention Lowered Breast Milk Errors in a Busy NICU 150 150 Kevin Mayhood
By: Kevin Mayhood

Bedside barcode scanners and dedicated milk preparation technicians helped drive the decline. A quality improvement (QI) initiative in the Neonatal Intensive Care Unit (NICU) at Nationwide Children’s Hospital has been associated with a substantial reduction in errors administering mother’s milk to these vulnerable infants.…

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Human Trafficking: How many victims have you treated?
 Human Trafficking: How many victims have you treated? 1024 684 Abbie Miller
By: Abbie Miller

Data shows that health care providers may be coming into contact with victims and those at risk with more frequency than expected. How many victims have you treated? The answer is probably higher than you think. According to a report published in the Annals of…

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U.S. Poison Control Centers Receive 32 Calls a Day About Pediatric Exposures to Prescription Opioids
 U.S. Poison Control Centers Receive 32 Calls a Day About Pediatric Exposures to Prescription Opioids 150 150 Tracy Mehan, MA
By: Tracy Mehan, MA

Researchers call for changes to prescribing practices and increased education about safe storage at home. A new study published online today by Pediatrics and conducted by the Center for Injury Research and Policy and the Central Ohio Poison Center at Nationwide Children’s Hospital found that there…

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Teens With Asthma: A High School Diploma Does Not Equal Readiness for Self-Management
 Teens With Asthma: A High School Diploma Does Not Equal Readiness for Self-Management 150 150 David Stukus, MD
By: David Stukus, MD

Poorly controlled asthma takes a toll on numerous aspects of health and life. Asthma is the leading pediatric chronic health condition, affecting approximately 10 percent of children and adolescents. Uncontrolled asthma can lead to acute exacerbations and need for emergency department visits or hospitalizations.…

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Changes to Medicaid: The Health of 30 Million Children at Risk
 Changes to Medicaid: The Health of 30 Million Children at Risk 150 150 Steve Allen, MD
By: Steve Allen, MD

If we care about children in our city, in our state and in our country, we must care about what happens to Medicaid. Medicaid is critical to the health of our children. That is why those of us in pediatrics are so concerned about…

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Mechanism of Bacterial Adhesion to Platelets Revealed
 Mechanism of Bacterial Adhesion to Platelets Revealed 150 150 Tiasha Letostak, PhD
By: Tiasha Letostak, PhD

Researchers investigate a key protein required to bind two distinct receptors on the bacteria Streptococcus oralis involved in infective endocarditis. Infective endocarditis (IE) is an infection of the endocardium, usually of the valves, and is caused by infectious agents that are typically bacterial. Understanding…

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ANH Preserves Platelet Count and Function Regardless of Storage Method and Time
 ANH Preserves Platelet Count and Function Regardless of Storage Method and Time 150 150 Kevin Mayhood
By: Kevin Mayhood

Length of storage during cardiac surgeries appears to have no detrimental effects on blood. Across the United States, transfusions are standard in cardiac operating rooms, but at Nationwide Children’s Hospital, a practice geared toward limiting blood transfusion has been established and finely honed. According…

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How a QI Project Dramatically Increased Pediatric Survival After Cardiopulmonary Arrest
 How a QI Project Dramatically Increased Pediatric Survival After Cardiopulmonary Arrest 150 150 Jeb Phillips
By: Jeb Phillips

A survival rate of 37-48 percent among young heart surgery patients who experience code events is the norm. A multidisciplinary review process helped achieve an 81 percent rate at Nationwide Children’s Hospital. Survival rates have remained stubbornly low for young heart surgery patients who…

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There’s No Place Like Home (Depending on Which State You Live In…..)
 There’s No Place Like Home (Depending on Which State You Live In…..) 150 150 Kelly Kelleher, MD, MPH
By: Kelly Kelleher, MD, MPH

Researchers find wide variation in how federal entitlement and benefit programs are implemented from state to state. Over the past five decades, the health of America’s children has improved considerably. Unfortunately, those improvements were not evenly distributed. Most American children are healthy and have…

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Two Investigational Antitumor Agents Work Better Together Against MPNST and Neuroblastoma
 Two Investigational Antitumor Agents Work Better Together Against MPNST and Neuroblastoma 150 150 Abbie Miller
By: Abbie Miller

The synergistic effects of a kinase inhibitor and an oncolytic herpes virus show promise for difficult-to-treat neuroblastomas and malignant peripheral nerve sheath tumors. Two investigational agents, Aurora A kinase inhibitor (alisertib) and HSV1716, a virus derived from HSV-1 and attenuated by the deletion of…

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Evaluating and Treating Pediatric Lower Back Pain in the Primary Care Setting
 Evaluating and Treating Pediatric Lower Back Pain in the Primary Care Setting 150 150 Jeb Phillips
By: Jeb Phillips

While pediatric training often focuses on etiology, recent studies have found that most cases of lower back pain in school-aged children have no definitive diagnosis and are benign and self-limiting. Primary care pediatricians are often taught that lower back pain in school-aged children has…

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Hormonal Contraception Safer Than Expected For Women With Diabetes
 Hormonal Contraception Safer Than Expected For Women With Diabetes 150 150 Abbie Miller
By: Abbie Miller

Women with diabetes often fall through the cracks when it comes to prescription contraception. A new study illuminates the issues and highlights safe options. The use of contraception to prevent unplanned pregnancies is an important aspect of women’s health. For women with chronic health…

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Subclinical Muscle Involvement May be Missed With Amyopathic Juvenile Dermatomyositis Diagnosis
 Subclinical Muscle Involvement May be Missed With Amyopathic Juvenile Dermatomyositis Diagnosis 150 150 Abbie Miller
By: Abbie Miller

Study shows that some children diagnosed with amyopathic dermatomyositis have subclinical muscle involvement, highlighting the need for standardized workup and treatment protocols. Juvenile dermatomyositis (JDM) is an autoimmune disease that classically presents in preschool to school aged children with a rash and muscle weakness. In…

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For AYA Females With Rhabdomyosarcoma, Consider Routine Examination or Imaging of Breasts
 For AYA Females With Rhabdomyosarcoma, Consider Routine Examination or Imaging of Breasts 150 150 Abbie Miller
By: Abbie Miller

Rhabdomyosarcoma with breast involvement is found almost exclusively in females. A recent case series highlights the need for guidelines for follow-up imaging. Rhabdomyosarcoma (RMS) is a soft tissue sarcoma associated with metastasis and inferior outcomes in adolescent and young adult (AYA) patients (those with…

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Hospitals Should Use Genotyping to Monitor Bacterial Infections
 Hospitals Should Use Genotyping to Monitor Bacterial Infections 150 150 Kevin Mayhood
By: Kevin Mayhood

A team led by a pulmonologist-researcher found that in a children’s hospital, an unexpected pathogen emerges as a common cause of infection. The bacteria Acinetobacter baumannii is a widely-reported cause of healthcare-associated infections, particularly in adult intensive care units in developing countries. But a retrospective study…

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Why Patients With Diabetes Have More UTIs
 Why Patients With Diabetes Have More UTIs 150 150 Mary Bates, PhD
By: Mary Bates, PhD

Insulin regulates an antimicrobial peptide that is suppressed in patients with diabetes. A recent study led by clinicians and researchers at Nationwide Children’s Hospital reports a potential explanation for why urinary tract infections (UTIs) are so common in patients with diabetes – insulin regulates…

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Local Learning Health System Model Demonstrates High-Quality Patient Care While Reducing Costs
 Local Learning Health System Model Demonstrates High-Quality Patient Care While Reducing Costs 150 150 Jan Arthur
By: Jan Arthur

Providing high-quality patient care while reducing costs is a significant goal in the current health care reform environment. The Institute of Medicine has specifically called for the establishment of “learning health systems” to address this challenge. In a learning health system, the electronic health…

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Many Respiratory Pathogens, One Test: The Respiratory Infection Array
 Many Respiratory Pathogens, One Test: The Respiratory Infection Array 150 150 Jeb Phillips
By: Jeb Phillips

A multiplex polymerase chain reaction assay newly available for outpatients is faster and more comprehensive than conventional testing for causes of upper respiratory infection. ‘Tis the season for coughs, runny noses and the challenge of trying to pinpoint which pathogen is causing your patient’s…

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Promising Practices and Patient-Centered Medical Neighborhoods for Childhood Obesity
 Promising Practices and Patient-Centered Medical Neighborhoods for Childhood Obesity 150 150 Tiasha Letostak, PhD
By: Tiasha Letostak, PhD

An algorithm for assessment and management of childhood obesity, along with patient-centered medical neighborhoods, provides avenues for comprehensive weight management for children 2 years and older. Although childhood obesity affects 17 percent of children in the United States, and nearly one-quarter of these children…

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