Encouraging Parental Reflective Functioning in Caring for the Adolescent Patient: Opportunities to Foster Connection.

Parental reflective functioning is the capacity for parents to understand how their actions and those of their children are affected by both their thoughts and emotions. Strong reflective functioning skills can be especially helpful for families of adolescents, to build understanding and connection during a time of great developmental change. This article offers pediatricians ways that they can encourage and strengthen parental reflective functioning while providing anticipatory guidance and supporting families through times of conflict or stress.

Identifying pediatric emergency department visits for aggression using administrative claims data.

Objective: Violence and aggressive behaviors among youth are a leading cause of Emergency Department (ED) mental health (MH) encounters. A consistent method is needed for public health research, to identify ED encounters associated with aggression. The aim of this study was to develop such a screening procedure.

Calvarial defects and skeletal dysplasia in patients with neurofibromatosis Type 1.

Object: Skull defects, including sphenoid dysplasia and calvarial defects, are rare but distinct findings in patients with neurofibromatosis Type 1 (NF1). The underlying pathophysiology is unclear. The goal of this study was to identify the clinical characteristics and natural history of skull defects in patients with NF1.

Treatment of delayed Chiari malformation and syringomyelia after lumboperitoneal shunt placement: Case report and treatment recommendations.

Background: Delayed Chiari malformation with syringomyelia is an uncommon and sparsely reported complication after lumbar cisternal shunting. A number of treatments have been implemented with varying degrees of success. After review of these modalities, a treatment plan was devised and implemented.