Pediatrics
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Study of Epidural Analgesia Stirs Controversy
Several groups stand in strong opposition to a group of researchers’ recent conclusion about possible connection to autism risk.
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Food-Insecure Infants at Higher Risk for Obesity
Poor nutrition and overfeeding are possible reasons for the association.
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PEACE Rounds Promote Better Communication in Neonatal ICU
Conflicts can happen between nurses and physicians, families and physicians, and social workers and families. Weekly Patient Experience and Communication Excellence (PEACE) rounds, implemented in 2016 in the pediatric intensive care unit at Riley Hospital for Children at Indiana University Health, has ameliorated healthcare providers’ moral distress and shortened length of stay for some patients.
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Pediatric Asthma Management in the Emergency Department
Asthma is the most common chronic disease of childhood. Children with asthma frequently present in the acute care setting with disease ranging from mild to severe. Accurately assessing children with asthma and providing escalating care as needed improves outcome. The authors provide a current review of asthma and evidence-based care.
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Improving the ED Care Experience for Young Patients with Sensory Sensitivities
A growing number of pediatric emergency departments have made environmental changes, and staff members are learning how to better engage and communicate with patients diagnosed with autism or other sensory sensitivities.
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USPSTF Releases Draft Recommendations for Healthier Diets, More Physical Activity
The panel suggests using behavioral counseling to promote overall better lifestyles, prevent cardiovascular disease.
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Further Research Warranted on Low-fat Diets with Fish Oil Supplementation for Prostate Cancer Patients
A prospective, randomized controlled trial measured the impact of a low-fat diet that included high levels of omega-3 fatty acids from fish oil on biomarkers for prostate cancer. No significant differences were found for the primary outcome during an interim analysis and the trial was stopped early. Analysis of secondary endpoints showed some significant differences between the groups, although other biomarkers did not differ. -
A Cool Head: Hypnosis and Hot Flashes
A randomized controlled trial of weekly clinical hypnosis sessions plus home self-hypnosis practice over 5 weeks for breast cancer survivors with hot flashes resulted in significant symptomatic improvement when compared to a matched group of women who received no additional treatment. -
A Review of the Clinical Effects of Green Tea: Up-to-date Reasons to Imbibe
We all know that we should be drinking more green tea; every few days, either the media or medical journals are touting a new use for the Asian staple. Can it really cure breast cancer while preventing liver disease, simultaneously increasing knee range of motion in people suffering from osteroarthritis? The answer is "possibly, yes," but an evidence-based review refines the glowing reports with some clinical pearls, dosing specifics, and hopeful avenues of future research, as detailed below. -
Tea Totaling: Green Tea and Cholesterol
A well-done meta-analysis showed that green tea, either as a beverage or as a supplement, could help lower total and LDL cholesterol levels in a statistically significant manner, but has no effect on HDL. The degree of clinical impact is debatable; what is not debatable is the poor quality of most studies on green tea and cholesterol.