Bisphenol A and cardiometabolic risk factors in obese children.

Background And Objective: Bisphenol-A (BPA) is an endocrine disruptor (ED) that has been associated with obesity and metabolic changes in liver in humans. Non-alcoholic fatty liver disease (NAFLD) affects 40% of all obese children in the United States. Association of BPA with NAFLD in children is poorly understood.

Care of the chronically ill patient with a bleeding disorder.

Purpose: This article provides an overview of hemophilia, a chronic bleeding disorder.

Design: The epidemiology, diagnosis, treatment, complications, and management of hemophilia are described. Collaborative care using the Hemophilia Treatment Center (HTC) Comprehensive Care Model is presented in a case study.

Efficacy of intravenous lidocaine to reduce pain and distress associated with propofol infusion in pediatric patients during procedural sedation.

Background: Research suggests that young children experience an increased incidence and severity of discomfort during propofol infusion. Evaluations of varied interventions to reduce or eliminate this discomfort with adult subjects suggest that premedication with intravenously administered lidocaine (0.5 mg/kg) offers the best overall effectiveness.

Common childhood bacterial infections.

Children with infectious diseases are commonly encountered in primary care settings. Identification of the subset of patients with bacterial infections is key in guiding the best possible management. Clinicians frequently care for children with infections of the upper respiratory tract, including acute otitis media, otitis externa, sinusitis, and pharyngitis.

Diffuse infantile hemangiomatosis of the ileum presenting with multiple perforations: a case report and review of the literature.

Hemangiomas of the small intestine are rare, accounting for only 0.05% of all intestinal neoplasms (Jarvi et al. J Pediatr Gastroenterol Nutr.

Subcutaneous scalp emphysema, pneumo-orbitis and pneumocephalus in a neonate on high humidity high flow nasal cannula.

High humidity high flow nasal cannula has become a widely used alternative for nasal continuous positive airway pressure for the treatment of apnea of prematurity. We describe our experience of one incident of subcutaneous scalp emphysema, pneumo-orbitis and pneumocephalus with concomitant use of the high-flow nasal cannula.

Implementation of a nursing professional practice model of care in a pediatric hospital.

Professional nursing practice models provide a theoretical and conceptual framework that nurses can use as a foundation for practice. The utilization of a practice model helps establish professional identity and improves quality outcomes. A freestanding children's hospital sought to identify and adopt a professional practice model to optimize outcomes for patients and families, the nursing staff, and the organization.

Inconsistency among American states on the age at which minors can consent to substance abuse treatment.

In a recent publication, the lack of consensus among U.S. laws regarding the age at which minors may consent to confidential treatment for abuse of illegal substances was highlighted.