Debora Porter

Reconstruction for microtia reduces psychosocial morbidity; timely referral for surgery is crucial. We evaluated specialist referrals for microtia at a major academic medical center. Only half of patients were evaluated at any point by a reconstructive craniofacial surgeon. Patients followed early for audiologic concerns may not be receiving timely referred for reconstruction. source https://www.jpeds.com/article/S0022-3476(23)00046-X/fulltext?rss=yes

  The Centers for Disease Control and Prevention reported good news earlier this month: Routine immunization coverage against 14 vaccine-preventable diseases hasn’t changed very much for most infants and toddlers during the pandemic: Vaccination coverage among young children has remained high and stable for most vaccines, although disparities persist. The National Immunization Survey–Child identified no decline overall in routine vaccination coverage associated with the COVID-19 pandemic among children born during 2018–2019, although declines were observed among children living below the federal poverty level and in rural areas.   Amanda D’Ambrosio examines the disparities: Hill and colleagues did not detect any decreases in routine vaccine coverage among toddlers related to the COVID-19 pandemic, during which the youngest children included in this analysis reached 2 years old. However, while vaccination rates have remained steady in recent years, there were still ...

To evaluate the association between consolidation on chest radiograph and typical bacterial etiology of childhood community-acquired pneumonia (CAP) in the Etiology of Pneumonia in the Community (EPIC) study. source https://www.jpeds.com/article/S0022-3476(23)00043-4/fulltext?rss=yes

We thank Dr Arisaka et al for raising the question as to whether adiposity rebound may mediate the association we find between low birth weight and the risk of coronary heart disease (CHD). They note that a low birth weight has been identified as a factor that accelerates the timing of AR.1 This is interesting observation has been reported previously, but not consistently.2-4 In agreement with this potential role of AR as a mediator, previous studies using the Helsinki birth cohorts showed that a low ponderal index at birth was associated earlier AR. source https://www.jpeds.com/article/S0022-3476(22)01132-5/fulltext?rss=yes

Last week on The PediaBlog , we learned about a new approach for treating two chronic childhood and adult diseases — overweight and obesity. The new guidance from the American Academy of Pediatrics complements existing recommendations from health providers urging patients to make lifestyle modifications around healthy eating and physical activity in order to drive weight reduction. We reviewed the growing concerns over a worsening problem involving American youth and its dangerous health consequences — type 2 diabetes, chronic lung disease, non-alcoholic fatty liver disease, joint problems, mental illness, and cancer, just to name a few. Obesity during childhood and adolescence is also a major risk factor for the development of high cholesterol, high blood pressure and, subsequently, heart disease. But it’s not the only risk factor. A study published last month in the Journal of the American Heart Association revealed another important risk factor for heart disease: not being happ...

The number of medical school graduates entering pediatrics has gradually declined in the US and created a critical shortage of pediatric subspecialists.1 One factor discouraging medical students from choosing pediatric medical specialties is low compensation.2 The lifetime earning potential of pediatric specialists is lower than their adult counterparts, though their training duration is as long or longer. This manuscript compares academic salaries among pediatric and adult specialties and analyzes potential causes for these differences. source https://www.jpeds.com/article/S0022-3476(23)00047-1/fulltext?rss=yes

Marvin by Tom Armstrong ( Arcamax.com/thefunnies )             source https://www.thepediablog.com/2023/01/29/sunday-funnies-542/

We appreciate Pattinson and colleagues’1 interest in our recent study examining real-world implementation of Behavioral Sleep Interventions (BSIs)2 and welcome the opportunity to discuss this controversial topic. Pattinson et al.1 highlight some limitations of our study, most of which we agree with and have addressed in our discussion. For instance, we agree that the cross-sectional nature of the data precludes conclusions about the direct impact of BSIs, that generalizability may be limited, and that the extent of engagement with the Nanit app (as well as other forms of self- or professional help) may have moderated the links found between BSI implementation and infant and parent factors. source https://www.jpeds.com/article/S0022-3476(23)00044-6/fulltext?rss=yes

Future Thoughts from Loek Vugs on Vimeo : Future Thoughts is an experimental, short film showing a collection of ideas about everyday life and new technologies in the near future.     source https://www.thepediablog.com/2023/01/28/cool-video-of-the-week-543/

As we describe the progress of adoption of new perinatal practices, we will limit our report to the potential implications of common non-traditional practices on neonatal health outcomes and highlight contemporary viewpoints of academic and regulatory organizations [the American Academy of Pediatrics (AAP), American College of Obstetrics and Gynecology (ACOG) and the Centers for Disease Control and Prevention (CDC)] to these evolving practices. source https://www.jpeds.com/article/S0022-3476(23)00049-5/fulltext?rss=yes

*This post originally appeared on The PediaBlog on January 27, 2020.   Year Of The Rat   Having had its way with both immunized and unimmunized Americans this influenza season, influenza B/Victoria — the predominant strain causing so much flu-like illnesses in this region and around the country — is showing signs of fizzling out, the Centers for Disease Control and Prevention reported last week. It turns out that this season’s influenza vaccine is not particularly effective against influenza B, which has dominated over influenza A strains for the first time in 30 years. It’s good news that the major strain is now in decline. The bad news, says Julia Ries, is that influenza A (H1N1) is gaining its footing, and is about to strike hard. If you got sick once this winter with influenza B, it is possible you could get the flu again in the same season, this time with influenza A: Now, halfway through flu season, A strains are picking up, increasing the odds we’ll have a “d...

  OUT OF THE OLD BLACK BAG   The Heavenly Christmas Card — Part 2 By  Anthony Kovatch, M.D.   It was through my interactions with the grandchildren of Rhodora — the parents of the noble 168 — that I received a glimpse into her indomitable spirit. Legend has it that she never raised her voice, no matter how disruptive were the children … or the pets!   To a man, the family members emphasized to me that until the day they passed away, Rhodora and Jack remembered the name and interests of every individual in the family, down to the newest great-grandchild. (As I write this paragraph, it has increased to 169.) It was like remembering the name of every star in the vast sky because you were exempt from senility and memory loss.   “Grandma (or Great-Grandma D, as the youngest generation called her) forgets nothing. She sends notes and birthday wishes to every single one of us,” I heard to a man from every grandchild and great-grandchild who could speak. “O...

A male newborn infant born at term gestation, appropriate for gestational age), was noted at delivery to have genital lesions. The infant was born to a primigravida mother with adequate prenatal care. Her antenatal period was uneventful. The infant had two distinct 5-7 mm, smooth, glistening pearly-white papules at the tip of the penis (Figure A). These papules over the penile glans were adherent and limited the inspection of the urethral meatus (Figure B), but the infant passed urine well. The visual appearance of these lesions was diagnostic of penile Epstein pearls. source https://www.jpeds.com/article/S0022-3476(23)00025-2/fulltext?rss=yes

What is a Plastic surgeon? https://www.umhs-sk.org/blog/how-to-become-a-plastic-surgeon#what_is from University of Medicine and Health Sciences https://www.youtube.com/watch?v=tG1htrCT3z4 via UMHS YouTube Channel

What is a Plastic surgeon? https://www.umhs-sk.org/blog/how-to-become-a-plastic-surgeon#what_is from University of Medicine and Health Sciences https://www.youtube.com/watch?v=tG1htrCT3z4 via UMHS YouTube Channel

To define the baseline characteristics of long-term tube-fed single ventricle patients, investigate associations between long-term enteral tube feeding and growth, and determine associations with long-term outcomes after Fontan procedure. source https://www.jpeds.com/article/S0022-3476(23)00042-2/fulltext?rss=yes

  OUT OF THE OLD BLACK BAG   The Heavenly Christmas Card — Part 1 By  Anthony Kovatch, M.D.   Musical accompaniment:  “I Remember It Well” — an old classic from “Gigi” sung by Maurice Chevalier and Hermione Gingold.   “When an old person dies, a great library burns to the ground” — African writer Amadou Hampâté Bâ       I agued to myself over and over about how I could return the Christmas card; I finally concluded that writing her story for the world to cherish was the only possible way. Although I have begrudgingly admitted to myself that I am a writer who is “over the hill,” I believe that I have preserved a penchant for irony and for the conviction that “miracles” are more than chimerical figments of the imagination. For example, was the so-called “Immaculate Reception” of Franco Harris a miraculous event?   And if not, was there at least some irony in the fact that Franco passed on just days before its solemn 50 th a...

How to become a plastic surgeon? https://www.umhs-sk.org/blog/how-to-become-a-plastic-surgeon#becoming from University of Medicine and Health Sciences https://www.youtube.com/watch?v=CbpVpFMrZH0 via UMHS YouTube Channel

How to become a plastic surgeon? https://www.umhs-sk.org/blog/how-to-become-a-plastic-surgeon#becoming from University of Medicine and Health Sciences https://www.youtube.com/watch?v=CbpVpFMrZH0 via UMHS YouTube Channel

Letter To A Fictitious Teen By Brian W. Donnelly, M.D., F.A.B.M. AHN Pediatrics Northland     Yesterday on The PediaBlog, we learned about new guidelines from the American Academy of Pediatrics for evaluating and treating overweight and obesity in children and adolescents. Today, Dr. Brian Donnelly puts those lessons into practice.   Dear Emilio, I understand your mother had lost her job, and then her apartment, and so couldn’t afford the phone service right now. Sorry for that inconvenience. I hope this e-mail helps explain some of the things we had talked about the other day in the office. I know you were very upset about your recent weight gain, and I know how you feel. I know that things have been pretty crazy in your household lately with all the changes going on. All of this is very hard for you. But I think we can help with your weight. We had talked about your getting bloodwork. Because of the amount of weight you gained since last year, I just wa...

  Earlier this month, the American Academy of Pediatrics published a clinical practice guideline covering the evaluation and treatment of children and adolescents diagnosed with overweight (body mass index between the 85th and 95th percentile) and obesity (BMI greater than 95th percentile). The document is meant to assist pediatricians and other pediatric health care providers in managing two very common and worsening chronic health problems (obesity has been designated by the National Institutes of Health as a chronic disease ): The current and long-term health of 14.4 million children and adolescents is affected by obesity,making it one of the most common pediatric chronic diseases. Long stigmatized as a reversible consequence of personal choices, obesity has complex genetic, physiologic, socioeconomic, and environmental contributors. As the environment has become increasingly obesogenic, access to evidence-based treatment has become even more crucial. [Read more about ...

Three female Malay siblings aged 2, 4 and 6 years old presented with similar histories of hypopigmented spots on the lower abdomen and pubic area, which appeared at the age of 4 to 6 months old. These asymptomatic spots gradually spread and then stabilized in extent (Figure 1); they were not preceded by new contacts or rashes. The three siblings were otherwise well and born of a non-consanguineous marriage. There were no other family members with similar skin lesions. Examination revealed discrete hypopigmented, non-scaly macules on the pubic area, which did not accentuate with Wood’s lamp examination. source https://www.jpeds.com/article/S0022-3476(23)00041-0/fulltext?rss=yes

Zack Hill by John Deering and John Newcombe ( Arcamax.com/thefunnies )             source https://www.thepediablog.com/2023/01/22/sunday-funnies-541/

TRANSITION  – Ben Buratti from PVS COMPANY on Vimeo .     source https://www.thepediablog.com/2023/01/21/cool-video-of-the-week-542/

A healthy 3-year-old female child presented to the emergency department with a 1-month history of fevers and rash. The lesions were well-defined with serpiginous margins and involved the back and lower extremities. The child had been initially diagnosed with contact dermatitis and received a topical glucocorticoid without improvement. On examination, the child had arthritis of her left ankle and right knee. Laboratory tests showed normal complete blood counts, and erythrocyte sedimentation rate of 40 mm/hr. source https://www.jpeds.com/article/S0022-3476(23)00040-9/fulltext?rss=yes

What Plastic surgery fellowships are available? https://www.umhs-sk.org/blog/how-to-become-a-plastic-surgeon#fellowships from University of Medicine and Health Sciences https://www.youtube.com/watch?v=IDvulTVkSNg via UMHS YouTube Channel

What Plastic surgery fellowships are available? https://www.umhs-sk.org/blog/how-to-become-a-plastic-surgeon#fellowships from University of Medicine and Health Sciences https://www.youtube.com/watch?v=IDvulTVkSNg via UMHS YouTube Channel

*This post originally appeared on The PediaBlog on January 20. 2020.   Cervical Health Awareness Month   According to the National Cervical Cancer Coalition, more than 13,000 women are diagnosed every year in the United States with invasive cervical cancer. The good news is that cervical cancer is preventable with HPV vaccination and appropriate screening. Human papillomavirus causes practically all cases of cervical cancer in women. HPV is also responsible for causing other types of cancers (throat, penile, vulvar, anal) that occur in both men and women. Many people with HPV are asymptomatic — they don’t know they are infected. It’s estimated that about 79 million Americans are infected with this virus. January is Cervical Health Awareness Month . In an email to pediatricians last week, the Pennsylvania Chapter of the American Academy of Pediatrics reminded pediatricians to remind our patients and families of the rather simple ways women can protect themselves from...

  Last November, the U.S. Environmental Protection Agency issued a supplemental proposal to “secure major climate and health benefits for all Americans by reducing emissions of methane and other harmful air pollution from both new and existing oil and gas operations.” Peer-reviewed research conducted in Pennsylvania — the nation’s second largest methane gas producer — indicates that Pennsylvanians will likely see some of the greatest health benefits if the EPA adopts the strictest possible health-protective rules and standards. Last week, along with a large number of doctors, nurses, and other concerned health professionals from Pennsylvania and other states across the country, I participated in a public hearing held by the EPA about the new proposal. Here is my testimony: My name is Dr. Edward Ketyer. I am a pediatrician residing and working in Washington County — the most heavily fracked county in Pennsylvania’s Marcellus Shale and home to thousands of conventional and unc...

What does a Plastic surgeon do? https://www.umhs-sk.org/blog/how-to-become-a-plastic-surgeon#duties from University of Medicine and Health Sciences https://www.youtube.com/watch?v=4sBfO7ef7ag via UMHS YouTube Channel

What does a Plastic surgeon do? https://www.umhs-sk.org/blog/how-to-become-a-plastic-surgeon#duties from University of Medicine and Health Sciences https://www.youtube.com/watch?v=4sBfO7ef7ag via UMHS YouTube Channel

from University of Medicine and Health Sciences https://www.youtube.com/watch?v=8lTkFfg2jgo via UMHS YouTube Channel

from University of Medicine and Health Sciences https://www.youtube.com/watch?v=8lTkFfg2jgo via UMHS YouTube Channel

  Every January during National Radon Action Month, the Children’s Environmental Health Network reminds us about the importance of testing our homes, schools, and businesses for the colorless, odorless, and tasteless radioactive gas that occurs naturally but seeps into our homes and threatens our health: Radon is the leading cause of lung cancer among non-smokers and it is the cause of approximately 21,000 deaths per year in the U.S. The longer you are exposed to radon, the greater your chance of developing radon-related lung cancer. There is no known safe level of radon exposure. It is produced by the natural break-down of uranium in rock, soil, and water. Some areas of the U.S. have higher levels of uranium than others, and thus, there is a greater chance that buildings in those areas may have higher radon levels. Regardless of location, any building can have a radon problem.   The Environmental Protection Agency recommen...

The term “sharenting,” which is a port manteau of "sharing" and "parenting," describes the growing habit of parents to share photos, videos and other identifying information about their children, on personal social media accounts1. A recent European study reports that parents share online an average of about 300 photos and sensitive data concerning their children each year2. The top three destinations for these photos are Facebook (54%), Instagram (16% and Twitter (12%)2. The risks and consequences of sharenting are different in nature and often much more complex in their interpretation than imagined, as they also involve legal issues relating to the protection of the child's image, confidentiality of the personal data, and digital security. source https://www.jpeds.com/article/S0022-3476(23)00018-5/fulltext?rss=yes

The antibiotic amoxicillin is usually recommended as a first-line treatment for many common infections affecting children, including otitis, pneumonia, sinusitis, and strep throat1. It is an effective, relatively inexpensive drug that is available in generic formulations2. For years pediatricians have feared a major health crisis caused by the growing phenomenon of antibiotic resistance3. Among the various causes, including unnecessary use of antibiotics in agriculture, poor sanitation practices, and poor infection control in hospitals and clinics, overuse and misuse of antibiotics in clinical practice have been recognized to be the main factors accelerating antibiotic resistance4. source https://www.jpeds.com/article/S0022-3476(23)00017-3/fulltext?rss=yes

How much do plastic surgeons make? - Plastic Surgeon's salary https://www.umhs-sk.org/blog/how-to-become-a-plastic-surgeon#salary from University of Medicine and Health Sciences https://www.youtube.com/watch?v=G1sv9D6962U via UMHS YouTube Channel

  For this year’s Radon Action Month awareness campaign, the U.S. Environmental Protection Agency urges all homeowners to “Test Your Nest!” This January, learn more about the health risk of radon and the importance of “testing your nest!” Radon is a naturally occurring radioactive gas that that can enter homes from the ground and build up to dangerous levels. Radon is the number one cause of lung cancer among non-smokers and is responsible for about 21,000 lung cancer deaths every year, yet many people don’t know about radon or the risk it can pose to their family’s health.     According to the Pennsylvania Department of Environmental Protection, Pennsylvania has one of the most serious radon problems in the U.S., ranking third among states with the highest ambient radon levels. (Only Alaska and South Dakota have higher levels of the colorless, odorless, tasteless, radioactive gas.) About 40% of homes in Pennsylvania have radon levels higher than the...

The authors regret that in this paper predicting lung function decline we used change in best %pred FEV1 from baseline to follow-up as the outcome. In retrospect, we should have used an outcome measure that did not include baseline lung function values. As a result, this calls into question whether the median deviation from the best %pred FEV1 has the greatest predictive value for subsequent decline in lung function. Unfortunately, the data are not available to repeat the analysis to resolve this question. source https://www.jpeds.com/article/S0022-3476(22)01135-0/fulltext?rss=yes

The cost to become a plastic surgeon is on average $360,966, but this is not different than the cost of becoming any other type of Physician. This number includes the educational cost of getting a Bachelor's degree at an undergraduate school as well as the cost of getting a medical degree at a Medical school. According to EducationData.org, the average cost of attending medical school is $218,792. The average cost of undergraduate education is $35,551 per year for 4 years = $142,204. Simple math gives a median cost of becoming a plastic surgeon at $360,996. This video is based upon an original article that can be found here: https://www.umhs-sk.org/blog/how-to-become-a-plastic-surgeon#cost We would appreciate it if you would subscribe to our channel https://www.youtube.com/channel/UCrk0x4lh5OkYnAHpzgYjcUw?sub_confirmation=1 and check out our many informative playlists https://www.youtube.com/@umhsstkitts/playlists Please watch all the other informative videos on this playlist https...