Debora Porter

How to become a Neurologist? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#becoming_neurologists from University of Medicine and Health Sciences https://www.youtube.com/watch?v=KdP-5ctgkyY via UMHS YouTube Channel

How to become a Neurologist? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#becoming_neurologists from University of Medicine and Health Sciences https://www.youtube.com/watch?v=KdP-5ctgkyY via UMHS YouTube Channel

  Cancer is the second leading cause of death in the United States, according to the American Cancer Society. Data collected by the National Center for Health Statistics predicts 1,958,310 new cancer diagnoses and 609,820 cancer deaths will occur in the U.S. this year. However, this grim statistic is accompanied by some good news: Cancer death rates have dropped steadily for the last three decades: The cancer mortality rate has decreased continuously since 1991, resulting in an overall drop of 33% and approximately 3.8 million cancer deaths averted.   Americans have heard the call to make better lifestyle choices (less tobacco, for example) and get recommended cancer screenings earlier rather than later.. or not at all. And doctors have gotten better at treating cancer: This steady progress is because of reductions in smoking; uptake of screening for breast, colorectal, and prostate cancers; and improvements in treatment, such as adjuvant chemotherapies for colon and...

To describe trends in delayed diagnosis of critical congenital heart defects (CCHDs) with prenatal and postnatal screening advances. source https://www.jpeds.com/article/S0022-3476(23)00125-7/fulltext?rss=yes

How much does it cost to become a Neurologist? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#costs from University of Medicine and Health Sciences https://www.youtube.com/watch?v=997u2Vy9dbo via UMHS YouTube Channel

How much does it cost to become a Neurologist? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#costs from University of Medicine and Health Sciences https://www.youtube.com/watch?v=997u2Vy9dbo via UMHS YouTube Channel

  Nearly 10% of all sick visits to the pediatrician’s office are due to abdominal pain , and constipation is the biggest reason why. Common complaints in children include infrequent bowel movements (less than two per week), and stools that are hard, dry, lumpy and difficult or painful to pass. Lynsey R. Zuar, D.O. and Lindsay A. Thompson list other symptoms that can be present in children who are constipated: Other symptoms of constipation include straining with bowel movements, large stools, abdominal distention, nausea, vomiting, poor appetite, urinary accidents, frequent urinary tract infections, and psychological distress. More confusing symptoms include fecal accidents (loose stool leaking around a hard stool). Thankfully, 90% of constipation in children has no underlying organic cause. Surprisingly, constipation can occur in children with regular bowel movements, making it hard for parents to recognize.   Pediatric gastroenterologists Patrick T. Reeves, M.D. and...

How much do Neurologists make? Neurologists salary https://www.umhs-sk.org/blog/how-to-become-a-neurologist#salaries from University of Medicine and Health Sciences https://www.youtube.com/watch?v=oreE0cZtZCw via UMHS YouTube Channel

How much do Neurologists make? Neurologists salary https://www.umhs-sk.org/blog/how-to-become-a-neurologist#salaries from University of Medicine and Health Sciences https://www.youtube.com/watch?v=oreE0cZtZCw via UMHS YouTube Channel

Do Neurologists perform surgery? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#surgical from University of Medicine and Health Sciences https://www.youtube.com/watch?v=N5nAW8ku66I via UMHS YouTube Channel

Do Neurologists perform surgery? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#surgical from University of Medicine and Health Sciences https://www.youtube.com/watch?v=N5nAW8ku66I via UMHS YouTube Channel

Hi and Lois by Robert “Chance” Brown, Brian Walker and Greg Walker ( Arcamax.com/thefunnies )                     source https://www.thepediablog.com/2023/02/26/sunday-funnies-546/

Daughter of the Sea from Maceo Frost on Vimeo : Daughter of the Sea is a short film exploring a fishermans relationship with his daughter and the sea. Shot in the French town St Jean de Luz.     source https://www.thepediablog.com/2023/02/25/cool-video-of-the-week-547/

How many years does it take to become a Neurologist? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#training_years from University of Medicine and Health Sciences https://www.youtube.com/watch?v=oS-cMS6P_Yg via UMHS YouTube Channel

How many years does it take to become a Neurologist? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#training_years from University of Medicine and Health Sciences https://www.youtube.com/watch?v=oS-cMS6P_Yg via UMHS YouTube Channel

*This post originally appeared on The PediaBlog on February 24, 2017.   Goodbye, Buddy Boy   It’s happened twice already today. I came down the stairs this morning and you weren’t there with your ears perked up, waiting for my invitation (“You wanna go for a walk around the block?”), all ready to go. Then, just now, I came inside the house from the garage and you weren’t there to greet me. I peered around the corner to the crate that you still, after 12 years with us, slept in. Empty. Empty. That’s how I’ve been feeling all day. Really, it’s how I’ve been feeling for the last few days when you weren’t eating. For a Lab like you, that’s a bad sign. You ate through periodic neck pain and some arthritis of your knee. You never stopped eating during the short period you were in congestive heart failure (two years ago almost to the day — man, we almost lost you then). But lately, that fast growing tumor in your nose was affecting your sense of smell first, and then your...

It is no secret that rates of anxiety and depression among school-aged children and teens in the United States are at an all-time high. Recognizing this, the American Academy of Pediatrics, American Academy of Child and Adolescent Psychiatry, and Children’s Hospital Association issued, in 2021, a joint statement to the Biden administration that child and adolescent mental health be declared a “national emergency.”1 source https://www.jpeds.com/article/S0022-3476(23)00111-7/fulltext?rss=yes

Baby-Led Weaning (BLW)   By Brian W. Donnelly, M.D., F.A.B.M. AHN Pediatrics Northland   Baby-led weaning (BLW) is becoming more popular in the USA. The idea of the infant feeding practice is to wait until around 6 months old, then introduce finger foods to the baby. Waiting that long is recommended by both the World Health Organization and the American Academy of Pediatrics. The waiting is based on the observations that most babies don’t need extra nutrition until then and most babies are developmentally ready by that age. Gone is the recommendation to spoon feed the baby rice cereal at 4 months old. The term “baby-led” is something of a misnomer. The parent/caregiver still leads the feeding experience, but the infant is more of a partner. The baby’s likes and dislikes are observed and followed. The baby controls the speed of the process. A favorite food might be eaten more quickly, while a food the baby is still pondering the merits of will be consumed more slowly. Th...

We report 4 cases of primary ciliary dyskinesia in unrelated, indigenous North American children caused by identical, homozygous, likely pathogenic deletions in the DNAL1 gene. These shared DNAL1 deletions among dispersed indigenous populations suggest that primary ciliary dyskinesia accounts for more lung disease with bronchiectasis than previously recognized in indigenous North Americans. source https://www.jpeds.com/article/S0022-3476(23)00121-X/fulltext?rss=yes

We read with interest the review by Dr. Wright and coworkers. (1) The authors provide a comprehensive overview to encourage optimizing use of non-invasive ventilation and exogenous surfactant in babies born preterm in order to enhance outcomes and to address limitations inherent in diagnosing respiratory distress syndrome (RDS). However, we would like to advocate for a tool mentioned by the authors. When addressing the need for a customized surfactant replacement, they state: “…whether lung ultrasound examination can help to tailor exogenous surfactant therapy when less inclusive treatment criteria are used remains to be tested“ citing four references that do not deal with lung ultrasound. source https://www.jpeds.com/article/S0022-3476(23)00123-3/fulltext?rss=yes

To assess whether viral, bacterial, metabolic, and autoimmune diseases are missed by conventional diagnostics among children with severe acute encephalopathy in sub-Saharan Africa. source https://www.jpeds.com/article/S0022-3476(23)00119-1/fulltext?rss=yes

To assess in newborns with neonatal encephalopathy (NE), presumptively related to a peripartum hypoxic-ischemic event, the frequency of dysglycemia and its association with neonatal adverse outcomes. source https://www.jpeds.com/article/S0022-3476(23)00109-9/fulltext?rss=yes

We would like to thank Drs. Raimondi, De Luca, Elsayed, Alonso-Ojembarrena, and Sanchez Luna for both reading our manuscript and taking the time to evaluate critically our assessment of the role of lung ultrasound (LUS) in guiding surfactant therapy in preterm infants with respiratory distress syndrome. This is an extremely important issue, and we appreciate the opportunity to clarify our assessment of the available data. source https://www.jpeds.com/article/S0022-3476(23)00122-1/fulltext?rss=yes

  Last June, the Centers for Disease Control and Prevention approved the use of COVID-19 vaccines down to 6 months of age. But that doesn’t mean younger infants are out of luck. Hanna Webster found a new study confirming prior research (covered here on The PediaBlog ) demonstrating powerful protection in breast milk: A mother’s milk is good for more than just providing essential nutrients — it also has antibacterial properties, and a recent study found more evidence that mothers vaccinated against COVID-19 passed immunity on to their infants, who are too young to be vaccinated against the virus themselves. The study by the University of Florida was a follow-up of previous research there in 2021 that found evidence of antibodies against the coronavirus in breast milk. This hinted at a link to babies acquiring what they called “passive immunity” against the virus, but the new study took it further and measured infants’ stool for those same antibodies.   Pedi...

Using an EHR-based algorithm we identified children with COVID-19 based exclusively on serologic testing from 3/2020 through 4/2022. The 2,714 serology-positive children were more likely to be inpatients (24% vs. 2%), have chronic conditions (37% vs 24%), or a MIS-C diagnosis (23% vs. <1%) than the 131,537 PCR-positive children. Identification of children who could have been asymptomatic or paucisymptomatic and not tested is critical to define the burden of PASC in children. source https://www.jpeds.com/article/S0022-3476(23)00117-8/fulltext?rss=yes

To use growth data from electronic health records to describe and model infant growth (weight velocity and peak BMI) characteristics. source https://www.jpeds.com/article/S0022-3476(23)00115-4/fulltext?rss=yes

To examine fluidity in sexual orientation identity and behavior among cisgender youth. source https://www.jpeds.com/article/S0022-3476(23)00114-2/fulltext?rss=yes

To Thine Own Breastmilk Be True   By Brian W. Donnelly, M.D., F.A.B.M. AHN Pediatrics Northland   In a recent article from the Turkish Archives of Pediatrics , the uses of breastmilk for non-feeding purposes are examined. As we know, breastmilk is more than just milk. It contains white blood cells that fight infection, enzymes, and anti-inflammatory agents. Some of these properties can be utilized in places other than the baby’s alimentary tract. Breastmilk has been used effectively in babies’ eyes. It has been shown to treat conjunctivitis, and one study showed it helped prevent its occurrence. It also helps decrease the symptoms associated with a blocked tear duct. Skin problems have responded to the application of human milk. Both diaper rash in the baby and perineal rash in the mother have been effectively treated with breastmilk. Many mothers know it can be applied to sore nipples to speed the healing. In addition, one small study even showed it was as useful as ...

An 8-year-old boy presented with a non-healing skin pit and purulent drainage near the medial canthus of the right eye. The lesion developed after the excision of a cyst containing sebaceous material and hairs. A sinus with sebaceous secretion was also present at the nasal tip (Figure 1). Subsequent imaging (Figure 2) and management established the diagnosis of recurrent nasal dermoid fistula source https://www.jpeds.com/article/S0022-3476(23)00116-6/fulltext?rss=yes

A 12-month-old girl presented to the emergency department with a 4-day history of a pruritic rash over her face, torso, and extremities along with 1-day of fever and swelling of the face and extremities. The child was initially diagnosed with an allergic reaction and subsequently erythema multiforme. She received diphenhydramine and antibiotics without improvement. One week prior to the onset of the rash, the child received her 6-month catch-up immunizations. Physical examination revealed generalized annular, erythematous wheals with dusky centers. source https://www.jpeds.com/article/S0022-3476(23)00112-9/fulltext?rss=yes

Among 365 children diagnosed as having Kawasaki disease (KD), only five children (1.4%) presented with splenomegaly: two complicated by macrophage activation syndrome (MAS) and three ultimately received a diagnosis of alternative systemic illness. Splenomegaly is atypical in KD and a potential marker of an underling complication, namely MAS, or diagnosis other than KD. source https://www.jpeds.com/article/S0022-3476(23)00118-X/fulltext?rss=yes

  I have to say I never expected The PediaBlog would have a run like this. Now here we are, more than 10 years and 4,000 posts later (the latter milestone was reached this past Saturday) and still trying to communicate important topics unique to pediatrics in “an informative and, hopefully, entertaining way,” as we envisioned our mission in The PediaBlog’s very first post  on August 20, 2012: Our target audience is varied: parents who expect helpful and accurate answers to the variety of questions we get in our offices every day; their children (our patients) who seek the answers to different questions communicated in different (and, perhaps, more tech-savvy) ways; grandparents, who may be parenting two or even three generations of children (!); other pediatricians and physicians who may search for topics in pediatric medicine that interest them; and practically anyone else who is interested in children’s health.   The PediaBlog wouldn’t exist today without the ...

BC by Mastroianni and Hart ( Arcamax.com/thefunnies )             source https://www.thepediablog.com/2023/02/19/sunday-funnies-545/

At home / A Journey Back to Greece from Nick Kontostavlakis on Vimeo: I am Nick, a freelance photographer. In the past 10 years I‘ve been travelling and photographing around the world. What I realized, though, was that I had gradually stopped seeking new destinations. I found a place that offered me a sense of stability and warmth where my inspiration and creativity amplified. Nature in all its’ forms was still surrounding me: Snowy landscapes, deep canyons, lakes and rivers, vast forests and of course the sea. In the end, I think I found my destination, a place that has nurtured me, and has always been so close to me. That makes me feel home! Greece.     source https://www.thepediablog.com/2023/02/18/cool-video-of-the-week-546/

The United States Food and Drug Administration (FDA) implemented the Pregnancy and Lactation Labeling Rule (PLLR) in 2015, with new requirements for data in prescription drug labeling. Our purpose is to explore the extent and type of pregnancy and lactation data of newly approved prescription drugs and assess if the presented recommendations are data driven. source https://www.jpeds.com/article/S0022-3476(23)00053-7/fulltext?rss=yes

*This post originally appeared on The PediaBlog on February 17, 2017.   No-Phone Zones     Parents commonly worry that their kids spend too much time in front of screens (TV, computers, tablets, mobile devices) and not enough time exercising. Or reading. Or doing their chores. Or engaging in meaningful hobbies. But pediatrician Perri Klass reminds us that the apple doesn’t fall far from the tree: A 2016 survey by Common Sense Media, a nonprofit children’s advocacy and media ratings organization, asked almost 1,800 parents of children aged 8 to 18 about screen time and electronic media use by the parents. The average amount of time that parents spent with screen media of all kinds (computers, TVs, smartphones, e-readers) every day: 9 hours and 22 minutes. And on average, only an hour and 39 minutes of that was work-related; 7 hours and 43 minutes were personal.   Admitting she could set a better example herself, Dr. Klass suggests that the parents of her...

  A new study published in JAMA Network Open last week found that adequate physical activity and lower screen time during adolescents appears to be an important recipe for maintaining normal body weight. Importantly for teenagers, one without the other doesn’t do it. We already know that sedentary behavior increases the risk of developing overweight and obesity, which the National Institutes of Health recognizes as a chronic disease . For teenagers especially, the behavior and the consequences only got worse during the pandemic: Currently, the Physical Activity Guidelines for Americans published by the US Department of Health and Human Services recommends 60 minutes of moderate to vigorous intensity physical activity per day for adolescents; however, in the last 5 years, the proportion of US adolescents meeting these guidelines decreased to lower than 25%, with subsequent reductions to lower than 10% during the onset of the COVID-19 pandemic. This decrease in physical ...

To determine the incidence of seizure-like events in a cohort of infants born preterm as well as the prevalence of associated vital sign changes (heart rate [HR], respiratory rate [RR] and pulse oximetry [SpO2]). source https://www.jpeds.com/article/S0022-3476(23)00107-5/fulltext?rss=yes

  Last September, the federal government launched a National Strategy on Hunger, Nutrition, and Health with the goal of “ending hunger and increasing healthy eating and physical activity by 2030 so fewer Americans experience diet-related diseases — while reducing related health disparities.” The national strategy consists of five pillars: • Improving food access and affordability • Integrating nutrition and health • Empowering all consumers to make and have access to healthy choices • Supporting physical activity for all • Enhancing nutrition and food security research   Approximately 10% of American households experienced food insecurity in 2021. Melissa Jenco says food insecurity and hunger “can take a devastating toll on children’s physical, mental and behavioral health.” “Healthy nutrition in childhood sets the foundation for lifelong health,” [AAP President Dr. Moira] Szilagyi said. “Pediatricians play a vital role in identifying nutrition insecurity in...

To describe menstrual cycle patterns in concussed adolescents and investigate whether menstrual cycle phase at injury influenced post-concussion cycle pattern changes or concussion symptoms. source https://www.jpeds.com/article/S0022-3476(23)00108-7/fulltext?rss=yes

What do Neurologists do? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#duties from University of Medicine and Health Sciences https://www.youtube.com/watch?v=HQk-0yALVBA via UMHS YouTube Channel

What do Neurologists do? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#duties from University of Medicine and Health Sciences https://www.youtube.com/watch?v=HQk-0yALVBA via UMHS YouTube Channel

  What the world needs now is love sweet love It’s the only thing that there’s just too little of What the world needs now is love sweet love No, not just for some, but for everyone — “What the World Needs Now” by Burt Bacharach and Hal David.   Today — Valentine’s Day — and every day, the American Academy of Pediatrics suggests 14 ways parents can show their child love. Here is one of our favorites: Think Hugs First When your child is angry, grouchy or in a bad mood, try not to take it personally. Calm your own emotions first, perhaps by taking a deep breath, and then give a quick hug, cuddle, pat, secret nod or other sign of affection. Once they are also calm and feeling better, consider talking with them about the event and how they might better manage those strong emotions next time.   Together-time matters. Even when the timing is inconvenient, setting aside enough time each day to read together, play together, or just talk with one another helps ki...

What is a Neurologist? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#definition from University of Medicine and Health Sciences https://www.youtube.com/watch?v=NILHYbi672g via UMHS YouTube Channel

What is a Neurologist? https://www.umhs-sk.org/blog/how-to-become-a-neurologist#definition from University of Medicine and Health Sciences https://www.youtube.com/watch?v=NILHYbi672g via UMHS YouTube Channel

  Burns are injuries to skin and other tissues caused by heat, friction, electricity, radiation, or chemicals. Hot liquid or steam can cause burns called scalds. Burns are classified according to how seriously tissue has been damaged, according to the CDC: • A first degree burn causes redness and swelling in the outermost layers of the skin. • A second degree burn involves redness, swelling, and blistering. The damage may extend to deeper layers of the skin. • A third degree burn destroys the entire depth of the skin. It can also damage fat, muscle, organs, or bone beneath the skin. Significant scarring is common, and death can occur in the most severe cases.   According to the American Burn Association’s most recent statistics : • More than half-a-million adults and children in the United States suffer burns severe enough to require medical attention. • About 40,000 are hospitalized from their burns, 30,000 in one of 128 specialized burn centers located around t...

Baby Blues by Rick Kirkman & Jerry Scott ( GoComics.com )                   source https://www.thepediablog.com/2023/02/12/sunday-funnies-544/

Georgia Astle: Flip The Switch from Scott Secco on Vimeo : If you don’t have role models to look up to, it’s harder to progress as a rider. Georgia Astle grew up chasing her older brother. “If he could do it, I could do it” she figured. But that could only take her so far. As Geo developed as a racer, she learned to push herself. She got comfortable “flipping the switch” and pushing against the clock. But when Geo looked beyond racing, there weren’t a lot of women pushing the limits of freeride. Until all of a sudden, there was. Watch Georgia Astle explore some of British Columbia’s most striking landscapes, on a search for terrain to push her riding, inspired by a rising tide of female freeriders around the world.     source https://www.thepediablog.com/2023/02/11/cool-video-of-the-week-545/

To describe the clinical presentation, management and outcomes of Kawasaki disease (KD) in Latin America and to evaluate early prognostic indicators of coronary artery aneurysm (CAA). source https://www.jpeds.com/article/S0022-3476(23)00105-1/fulltext?rss=yes

*This post originally appeared on The PediaBlog on February 10, 2020.   “Get It From The Tap”     Tooth decay and cavities are one of the most common chronic diseases in humans. A cavity develops when acids and bacteria break down the outer covering of the tooth’s surface (enamel). Once they form, cavities can cause pain, infections, and problems eating, speaking, and learning. As recently as 2012, 21% of children aged 6-11 years had at least one cavity in their permanent teeth. This is despite the fact that cavities are highly preventable by proper brushing with fluoride toothpaste twice a day beginning with the first tooth, applying dental sealants and fluoride varnishes in early childhood, consuming tooth-healthy foods and beverages, and visiting a dentist on a regular basis. 2020 marks the 75th anniversary of community water fluoridation, a practice that has been hailed as one of the top-10 public health achievements of the 20th century. This February, the Am...

To compare the characteristics and healthcare utilization of children with medical complexity (CMC) who receive paid certified nursing assistant (CNA) care by a family member (family CNA) and by a traditional non-family member (non-family CNA). source https://www.jpeds.com/article/S0022-3476(23)00106-3/fulltext?rss=yes

  February is National Children’s Dental Health Month. In its recently published clinical report , “Maintaining and Improving the Oral Health of Young Children,” the American Academy of Pediatrics acknowledges what we learned yesterday on The PediaBlog : Tooth decay is the most common chronic disease of childhood. Oral health is an integral part of the overall health of children. Dental caries is a common and chronic disease process with significant short- and long-term consequences. The prevalence of dental caries remains greater than 40% among children 2 to 19 years of age.   The AAP explains why children’s oral health plays a huge part in pediatric health care: Although dental visits have increased in all age, race, and geographic categories in the United States, disparities continue to exist, and a significant portion of children have difficulty accessing dental care. As health care professionals responsible for the overall health of children, pediatricians freq...