Category Archives: Pediatrics

Pediatrics

Chordae Tendinea Rupture and Pulmonary Valve Vegetation in Pediatric Endocarditis: A Rare Condition – Cureus

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Chordae Tendinea Rupture and Pulmonary Valve Vegetation in Pediatric Endocarditis: A Rare Condition - Cureus

Pediatrics

Pruitt named director of academic pediatrics division Washington University School of Medicine in St. Louis – Washington University School of…

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Recognized for developing, leading growth of clinical programs

Cassandra M. Pruitt, MD, has been named director of the Division of Academic Pediatrics in the Department of Pediatrics at Washington University School of Medicine. A professor of pediatrics, Pruitt has served as interim director since July 2022.

Cassandra M. Pruitt, MD, a professor of pediatrics, has been named director of theDivision of Academic Pediatricsin theDepartment of Pediatrics at Washington University School of Medicine in St. Louis. She had served as interim director since July 2022.

The academic pediatrics division is home to the universitys Complex Care Clinic, which offers primary care to children with complex medical needs, and the General Academic Pediatrics Clinic, which provides a range of services, including well-child visits, immunizations and same-day visits for illness and other concerns. The division also offers physicians who specialize in developmental and behavioral pediatrics, which includes medical and psychosocial aspects; and physicians who specialize in pediatric physical medicine and rehabilitation, including musculoskeletal and neurologic conditions.

The division also houses the community pediatrics section, which provides a connection between community physicians to university specialists and St. Louis Childrens Hospital.

Beginning in 2019, Pruitt led the development and growth of the clinics and services in her role as medical director for the Complex Care Clinic and the General Academic Pediatrics Clinic. In her new role, Pruitt will continue to oversee development of the entire division in the Department of Pediatrics.

Dr. Pruitt brings a wealth of administrative, educational and clinical experience to this role, saidGary A. Silverman, MD, PhD, the Harriet B. Spoehrer Professor and head of the Department of Pediatrics. She is a dynamic leader who has already made significant contributions to the expansion and influence of the academic pediatrics division. With her extensive experience in leading the development of clinical programs, she is well-positioned to spearhead and propel the success of new initiatives.

A member of the School of Medicine faculty since 2010, Pruitt has worked as a pediatric hospitalist at St. Louis Childrens Hospital. As medical director for pediatrics at Progress West Hospital for eight years, she led the development of the pediatric hospitalist program and spearheaded improvements in clinical protocols and standardization of care for various medical conditions affecting newborns and patients being seen in the emergency room. She also has been a leader in quality-improvement projects with the American Academy of Pediatrics and the BJC HealthCare Center for Clinical Excellence.

In her role as vice chair of outpatient health in the Department of Pediatrics, she serves as medical director for Washington Universitys pediatric subspecialty clinical spaces. These include Memorial Hospital Shiloh in Shiloh, Ill.; Northwest HealthCare in Florissant, Mo.; and the Specialty Care Centers in west and south St. Louis County. She sees patients at St. Louis Childrens Hospital.

Pruitt earned her bachelors degree from Emory University in Atlanta and her medical degree from Texas Tech University Health Sciences Center School of Medicine in Lubbock, Texas. She completed her residency in pediatrics at the University of Texas Medical Branch Childrens Hospital in Galveston, Texas, where she also served as chief resident.

About Washington University School of Medicine

WashU Medicine is a global leader in academic medicine, including biomedical research, patient care and educational programs with 2,900 faculty. Its National Institutes of Health (NIH) research funding portfolio is the second largest among U.S. medical schools and has grown 56% in the last seven years. Together with institutional investment, WashU Medicine commits well over $1 billion annually to basic and clinical research innovation and training. Its faculty practice is consistently within the top five in the country, with more than 1,900 faculty physicians practicing at 130 locations and who are also the medical staffs of Barnes-Jewish and St. Louis Childrens hospitals of BJC HealthCare. WashU Medicine has a storied history in MD/PhD training, recently dedicated $100 million to scholarships and curriculum renewal for its medical students, and is home to top-notch training programs in every medical subspecialty as well as physical therapy, occupational therapy, and audiology and communications sciences.

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Pruitt named director of academic pediatrics division Washington University School of Medicine in St. Louis - Washington University School of...

Pediatrics

Researchers Show Injury Prevention Program Reduces Injuries in Young Children | Newsroom – UNC Health and UNC School of Medicine

The University of North Carolina at Chapel Hill was one of four academic medical centers on the study, which shows that an intervention program developed by the American Academy of Pediatrics can dramatically reduce injuries in young children.

CHAPEL HILL, N.C. Unintentional injuries are a leading cause of pain and death among young children. While injuries can range in severity from cuts and burns to drownings and poisonings clinicians agree that many are preventable.

A new study, led by researchers at Johns Hopkins Childrens Center and done in coordination with colleagues at four academic medical centers in the United States, shows that an intervention program developed by the American Academy of Pediatrics (AAP) can dramatically reduce injuries in young children. The findings were published April 1 in the journal Pediatrics.

This study shows that prevention counseling during regular checkups can play an important part in keeping young children safe and healthy, said Kori Flower, MD, MS, MPH, Division Chief and professor of general pediatrics and adolescent medicine at the UNC School of Medicine and a lead investigator at the research site at the University of North Carolina at Chapel Hill.

The Injury Prevention Program (TIPP) was developed by the AAP in 1983 and is used throughout the United States. The program provides pediatricians with guidelines on how to advise and educate parents about injury prevention, such as installing safety gates before children learn to walk to prevent falls.

While studies have shown that injury prevention programs can help parents gain knowledge and adopt safety practices, few studies have looked at whether this and other similar programs actually reduce injuries, as well as the type of injuries children experience or whether parents seek medical care.

To study TIPPs effectiveness, a research team led by Eliana Perrin, MD, MPH, the Bloomberg Distinguished Professor of Primary Care in the Department of Pediatrics at the Johns Hopkins University School of Medicine and School of Nursing, conducted a trial at four academic medical centers in the United States, including University of North Carolina at Chapel Hill, New York University/Bellevue Hospital Center, Vanderbilt University/Vanderbilt University Medical Center, and University of Miami/Jackson Memorial Medical Center.

At two of the centers, pediatrics residents were trained on TIPP and used the TIPP screening and counseling materials at all well-child checkups for patients from 2 to 24 months old. The two other centers did not use TIPP and instead implemented a separate, unrelated intervention program called the Greenlight Study. A total of 781 parent and infant pairs were enrolled in the study.

The majority of parents were Hispanic (51%) or Black (28%), and most were insured by Medicaid (87%).

Michael Steiner, MD, MPH, the Michael F. Durfee Distinguished Professor of Pediatrics and the Pediatrician in Chief at the UNC Childrens Hospital, made substantial contributions to the studys conception and design.

Researchers found that as children aged from 2 months to 24 months, the number of injuries reported also increased. For example, 9% of parents reported injuries since the last well-child check when their child was 6 months old, compared with 40% who reported injuries at 24 months.

The most common injuries reported were falls, other miscellaneous injuries, such as scratches, and burns. Injuries requiring medical attention also increased over the two years of life, but were only 16% of all reported injuries.

The findings also show that sites using TIPP reported significantly fewer injuries in young children with an estimated risk of reporting injuries across each of the well-child checkups of only 14% in the participants in the academic medical centers that used TIPP as opposed to more than double that (30%) in the control group. Researchers say their findings show that TIPP was able to significantly prevent injuries in young children, and that the benefits of TIPP improved as children got older.

From this large study, we learned that a relatively simple intervention in pediatric offices really helps parents keep their children safe, said Perrin, who was the first and corresponding author of the study. TIPP uses what we know about how children develop to tailor the advice we give to parents at each stage, and it works.

For media inquiries, contact Eliana Perrin, MD, MPH at (919) 593-2100.

Media contact:Kendall Daniels, Communications Specialist, UNC Health | UNC School of Medicine

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Pediatrics

Provident Healthcare Partners Advises SouthernMED Pediatrics and Sweetgrass Pediatrics in a Partnership with U.S. … – PR Newswire

BOSTON and NEW YORK, April 4, 2024 /PRNewswire/ -- Provident Healthcare Partners("Provident"), a leading healthcare investment banking firm, announced it has advised SouthernMED Pediatrics ("SouthernMED") and Sweetgrass Pediatrics ("Sweetgrass") in a partnership with U.S. Pediatric Partners.

SouthernMED and Sweetgrass are two of the leading pediatric primary care providers in South Carolina and combined, one of the largest pediatric primary care platforms across the country. Together, their 90 providers extend services to 17 locations across 13 counties.

The professionalism and expertise of Provident guided us to a successful outcome.

This landmark transaction combines two clinically-driven organizations that are well-positioned to deliver high-quality pediatric care and capitalize on the robust value-based care environment across South Carolina.

Provident's deal team was led by Managing Director Craig Sager. Husch Blackwell served as legal counsel to Sweetgrass and SouthernMED, and Goodwin served as legal counsel to U.S. Pediatric Partners.

"When you start your company from nothing, you feel like you know everything about it, and certainly don't lack passion. However, when you start engaging in M&A discussions, it becomes crucial to have representation that not only helps you better understand your company, but also shares your level of passion. From the start, Provident placed us in the right rooms with the right people leading to the ideal partner to advance our company to the next level. We recommend Provident without hesitation to assist in taking the next steps for any healthcare organization," commented Dr. Kyle Guyton, Co-Founder and CFO of SouthernMED.

"We feel very fortunate to have navigated through this journey with Provident. We put our heart and soul into building our business from the ground up and entrusted Provident to negotiate on our behalf with an appreciation for this sentiment. The professionalism and expertise of Provident guided us to a successful outcome. We highly recommend the Provident Healthcare Partners team," stated Dr. Colleen Boylston, Founder and Clinical Manager of Sweetgrass.

"SouthernMED and Sweetgrass have longstanding reputations as high-quality pediatric providers across the fragmented market of South Carolina. Through this merger and expanded partnership with U.S. Pediatric Partners, both organizations are poised to extend their reach and amplify their mission, and we could not be happier for Dr. Guyton, Dr. Boylston, and their teams. They will be in good hands with U.S. Pediatric Partners," noted Sager.

About SouthernMED PediatricsSouthernMED is a leading pediatric primary care practice devoted to delivering compassionate healthcare services to children and young adults in South Carolina. Established in 2008 by Dr. Joseph Delaney and Dr. Kyle Guyton as a sole pediatric practice in Lexington, the company has flourished and expanded to 11 locations. For more information, visit https:// southernmedpeds.com.

About Sweetgrass PediatricsSweetgrass Pediatrics is a premier pediatric practice dedicated to providing comprehensive care for children and young adults in South Carolina. Sweetgrass Pediatrics offers convenient access to quality healthcare services across the greater Charleston area through six clinics. Established in 2002 by Dr. Colleen Boylston, Sweetgrass Pediatrics was founded with a mission to provide a comprehensive suite of pediatric health services to the communities it serves. For more information, visit https://sweetgrasspediatrics.com.

About U.S. Pediatric PartnersU.S. Pediatric Partners is a physician-led organization set out to form partnerships with the nation's leading pediatric practices. By bringing together passionate, forward-thinking clinicians, health groups, and strategic payor partnerships under innovative new care models, the company strives to make care accessible for all, encourage preventative medicine, decrease fragmentation, and improve quality of care. For more information, visit https://uspediatricpartners.com/.

About Provident Healthcare PartnersProvident is a leading healthcare investment banking firm specializing in merger and acquisition advisory, strategic planning, and capital formation services for healthcare companies. The firm has a comprehensive knowledge of market sectors and specialties, including primary care and pediatrics. Provident also has unsurpassed experience and insight into the M&A process, which includes working with a multitude of investors such as private equity firms and strategic consolidators. For additional information, visit http://www.providenthp.com or follow Provident on LinkedIn.

Contact: Provident Healthcare Partners Gina Casiello 877-742-9800 [emailprotected]

SOURCE Provident Healthcare Partners LLC

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Pediatrics

Online child safety laws could help or hurt 2 pediatricians explain what’s likely to work and what isn’t – The Conversation

Society has a complicated relationship with adolescents. We want to protect them as children and yet launch them into adulthood. Adolescents face risks from testing out independence, navigating peer relationships, developing an identity and making mistakes in these processes.

Todays teens have new areas of risk and opportunity as they navigate the digital world, and this has led to debate over their social media use.

Concern about social media use by 13- to 17-year-olds has led to a patchwork of state initiatives as well as proposed federal legislation. Following the Surgeon Generals Advisory on Social Media and Youth Mental Health, issued on May 23, 2023, the Biden administration convened the Kids Online Health and Safety Task Force.

We are pediatricians who study child online behavior, and we are co-directors of the American Academy of Pediatrics Center of Excellence on Social Media and Youth Mental Health.

As we consider the role of the federal government in regulating teen social media use, we believe it is important to consider how to support adolescents drive for independence and social interactions, while protecting them from serious harm or having their identities commodified by powerful technology companies.

Without commenting on any specific piece of active legislation, here are the elements of any potential policy related to children and technology that we believe would be helpful, and those we are concerned could be harmful.

Key to any effective online child safety legislation is accountability, so that platforms are designed with the needs of children and adolescents in mind, rather than being driven by engagement and revenue goals.

Default privacy protections are also crucial. Young people often receive and dont want contact from unknown adults. These are typically marketers or random strangers, dubbed randos. Teens often teach each other ways to try to be safe, leading to widespread practices that may or may not be effective.

Methods for stopping online child sexual exploitation are not adequate, and elements of proposed legislation could help by limiting who can contact teens outside of their known social circles. Making young users accounts private by default would allow them to have online interactions just with friends and communities they seek out. Encouraging collaboration among technology platforms to flag social media users who pose a threat and identify problematic practices is also crucial.

Another helpful element of child online safety legislation is requiring better access to and control over platform settings. One challenge for social media users of all ages is to find and navigate the different available settings. These could be standardized to be readily accessible rather than requiring multiple clicks to find protections buried in an apps settings. Young people describe wanting more control in their platform use, including the ability to control their content, reset or update their algorithms, and delete data or accounts.

Prohibiting data collection from young people would also help. Behavioral data from digital breadcrumbs reveals a lot about users, which allows technology companies to sort them into categories to predict what they might buy or click on next. This practice is unethical because it can be used to exploit susceptibility to self-harm and low impulse control. It also is incompatible with the adolescent development ideal of exploration teens are supposed to test things out, push boundaries and change. Teens are harmed when apps and sites nudge them in particular directions in order to profit from them.

Legislation could also require technology companies to take user-reported problems more seriously. The companies could make clear the process for reporting problematic content or people, and what steps they will take after a report. Anecdotally, we have both heard in our pediatric clinical practices that teens dont make these reports because they dont trust that anything will happen in response. There are several possible approaches, including direct reporting to platforms as well as designating an intermediary to receive reports about problematic interactions on platforms.

Legislation could also focus on limiting the impact of misinformation. Misinformation is another problem teens encounter that is likely to grow with generative artificial intelligence. Platforms could mandate watermarking of AI-generated content. Platforms could also prevent the spread of untrustworthy content by identifying super-producers and applying rate limits so that they cant clog everyones feeds.

The federal government could also fund additional research. Despite the past decade of prolific social media research, there remains a lack of common data formats, metrics to measure key concepts, and interventions to promote well-being. Funding to support research, including projects that include investigators from government, academia and industry, should lead to progress and innovation in this area.

Finally, legislation could help advance age verification. To enhance protections for adolescents, platforms need to know if a user is a young person. Age assurance and age verification are complicated topics that researchers, policymakers and technology developers are studying to determine how to accomplish it without compromising privacy. One option could be a new setting that allows a device to indicate to platforms, browsers and apps what age range the user is in and implement age-appropriate protections for young users.

Requiring parent permissions would be harmful. This restrictive approach would limit access to safe places for many young people and exclude teens who are in unsupportive family settings. These approaches also put the burden on parents to be gatekeepers for every decision about platform access, which has the potential to increase family conflict.

Shutting down particular social media is also problematic. Singling out individual platforms does not address the systemic revenue-driven designs and business models that exist throughout the industry.

Thirteen is a common minimum age for social media platforms. Imposing age limits from 13 to 16 would also not be helpful. This proposal is not supported by clear evidence about what age range is best for all teens. It is developmentally appropriate for 13-year-olds to want to connect with their peers online.

Adolescents themselves support needing to meet developmental milestones to be allowed to use social media, and they acknowledge that individual teens may meet these at different ages. In other words, some teens have no problems at age 13, while others will continue to have problems with social media at age 17. Age restrictions may serve to distract from making sure platforms are following guidelines and best practices for all ages.

Young people often navigate online interaction with little help from adults. Theres a need for additional approaches to engage, educate and involve parents and other adults who work with and care for young people in supporting young people as they enter the online world.

There are numerous other critical areas of work, including bullying, mental health and parent burnout that need separate consideration. These areas are likely to need distinct policy approaches. But policy alone is not likely to solve all of these complex, intertwined issues that intersect in the digital world.

Legislation is a powerful approach to increase safety for young people online. It is important to recognize that teens themselves, as super-users in these spaces, have thoughtful ideas of their own about possible legislative and design elements to enhance their safety.

Families and adults who work with youth also need resources to better support adolescents. The Center of Excellence on Social Media and Youth Mental Health seeks to provide those resources through a Q&A portal, ongoing learning opportunities and resources.

Finally, adults must also be accountable for their own social media and technology use. Many teens report that parents social media use distracts from parent-child interaction and that adult social media use negatively affects them. To support young people, adults should model appropriate online behavior including being able to set their own phones down to be present for the critical, often tumultuous, yet amazing stage of their adolescents development.

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Pediatrics

New NIAID report on maternal COVID-19 vaccination offers direct evidence of protection for newborns – Contemporary Pediatrics

New NIAID report on maternal COVID-19 vaccination offers direct evidence of protection for newborns | Image Credit: 395077344 - stock.adobe.com.

Vaccination against the SARS-CoV-2 virus during pregnancy has been demonstrated in multiple studies to offer a protective effect for both mothers and babies, but a new study led by the National Institute of Allergy and Infectious Diseases (NIAID) provides further evidence of just how far this protection goes.1

The CDC already recommends vaccination during pregnancy for the protection of expectant mothers, citing data on the safety and efficacy of COVID-19 vaccines during pregnancy. CDC guidance also suggests that vaccination during pregnancy can pass valuable protection on to newborns in the first months of lifebefore they are eligible to receive a COVID-19 vaccine themselves.2

Numerous studies have shown that COVID-19 vaccination during pregnancy can elicit an immune response in infants for months after birth, but these reports have relied on retrospective data. The new NIAID report is the first to provide direct evidence that maternal vaccination during pregnancy can create measurable antibody levels for months after birth, says Cristina Cardemil, MD, MPH. Cardemil is a medical officer in the NIAID Division of Microbiology and Infectious Diseases and was lead author of the new report, published in Pediatrics in February 2024.

Previous retrospective studies on maternal COVID-19 vaccination lacked direct measurements of antibodies in mother/infant pairs over time to see who was getting sick, she explains. Previous research was also unclear when it came to determining how long protection from maternal vaccines would last.

What we did know 6 months or a year ago is there were studies showing antibodies at delivery in vaccinated mothers, and the suggestion was that the protection could last for some time. But it was more of an open-ended question as to how long it would last, Cardemil explains.

The new study shows that there were high levels of antibodies at birth in infants whose mothers had been vaccinated or received a booster during pregnancy. Specifically, mothers who received 2 or 3 doses of messenger RNA COVID-19 vaccines during pregnancy had measurable levels of full-length spike immunoglobulin G, pseudovirus 614D, live virus D614G, and Omicron BA.1 and BA.5 neutralizing antibodies at birth. Those infants were followed throughout 2021 and 2022, and infants born to those boosted mothers were 56% less likely to develop a COVID-19 infection in the first 6 months of life compared with infants of nonboosted mothers.1

The protection can last at least 6 months, according to the report, offering protection until infants can receive their own dose of a COVID-19 vaccine.

At this point in the pandemic, millions of pregnant individuals have received COVID-19 vaccines. We have a lot of data to indicate its a very safe and effective vaccine during pregnancy, says Cardemil. We know that moms who are infected during pregnancy are at a real risk for complications both for themselves and their unborn children.

Other new data from the study show how vaccine protection could fluctuate by variant. In this study, researchers tested for 5 different antibodies at birth, some that bind to the virus and others that neutralize the virus. All the antibodies were produced as a result of vaccination with the original COVID-19 vaccines formulas, she says, adding there were no bivalent or updated vaccines available at the time the study cohort was immunized.

This is an especially important finding, Cardemil adds, considering that even those original vaccines were able to offer protection against Omicron and other newer variants that emerged long after the initial maternal vaccination. Cardemil says this finding also indicates that even older versions of COVID-19 vaccines could offer mothers and their babies protection against new and emerging variants that are not technically covered by the vaccine that was administered.

Thats a very strong finding that shows these vaccines that were created against the original variant that has evolved several times still provide protection that we are looking for, she says. It doesnt have to be the perfect match to what is circulating that minute. The vaccines are broad enough to protect against future circulating viruses.

For clinicians, Cardemil says the study helps to demonstrate the importance and benefit of maternal vaccination. Natural immunity from a previous COVID-19 infection can wane over time, and as the years pass since the pandemic it can be easy to lose sight of the toll the virus can take on infants, Cardemil says.

I think from my perspective, now that were several years into the pandemic and we have both prevention and treatment methods, people have lost sight of how COVID-19 can still land you in the hospital, she says.

Infections in older adults and other vulnerable populations often get the most attention when it comes to COVD infections, but Cardemil says that infants under age 1 year have the same rates for hospitalization and death as older adults. That fact that older adults can receive the COVID-19 vaccine while infants younger than 6 months cannot makes the threat of a COVID-19 infection more severe in the newborn group, she says.

The group thats most vulnerable for COVID-19 are potentially unprotected, Cardemil says. For newborns up to 6 months of age, thats a gap in immunity. But now we know we can fill that gap through maternal vaccination.

Click here for more from the April issue of Contemporary Pediatrics.

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New NIAID report on maternal COVID-19 vaccination offers direct evidence of protection for newborns - Contemporary Pediatrics

Pediatrics

Pediatricians can help teens quit vaping and using tobacco – Odessa American

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Tobacco use is the leading cause of preventable death and disease in the United States and it almost always begins during adolescence. According to leading medical advocates, pediatricians have a role to play in getting kids to quit vaping electronic cigarettes and using other tobacco products.

Ten percent of American students report using tobacco products, according to the FDA. And while there have been declines in the use of cigarettes among adolescents, the popularity of e-cigarettes and other smokeless tobacco and nicotine products is on the rise. Smoking and vaping are both harmful to health, particularly to youth, whose brains are still developing and who are uniquely vulnerable to nicotine dependence.

Thats why the American Academy of Pediatrics (AAP) has developed the Youth Tobacco Cessation Progressive Web App. This new, free clinical decision resource, which can be used on a computer, tablet or offline mobile app, leads physicians through the following steps:

1. Ask: Screen for tobacco use with all youth, during every clinical encounter.

2. Counsel: Advise all youth who use tobacco to quit and have them set a quit date within two weeks.

3. Treat: Link adolescents to behavioral treatment extenders and prescribe pharmacologic support when indicated. After the visit, follow up to assess progress and offer support.

The web app also provides a flowchart for clinical interactions, links to product descriptions, an AAP policy and clinical report, sample counseling statements, behavioral support options, such as texting services, quitlines and online resources, and detailed information on pharmacologic support, including nicotine replacement therapy.

There is currently little data on successful youth tobacco treatment strategies. In the meantime, clinicians can leverage existing literature and promising practices to support tobacco cessation in young people. To learn more and to access the Youth Tobacco Cessation Progressive Web App, visit aap.org/HelpKidsQuit.

Tobacco use and nicotine dependence are significant health concerns. Pediatricians can use their vital, trusted role as a source of expertise, support and guidance to provide teens with confidential tobacco cessation care.

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CUTTING-EDGE RESEARCH SHAPING CHILDREN’S HEALTH SHOWCASED AT THE PEDIATRIC ACADEMIC … – PR Newswire

Innovations and expertise take center stage at the world's leading pediatric conference

TORONTO, April 4, 2024 /PRNewswire/ -- Pediatric Academic Societies (PAS) Meetingconnects thousands of leading pediatric researchers and other healthcare providers worldwide united by a common mission: Connecting the global academic pediatric community to advance scientific discovery and promote innovation in child and adolescent health.

More than 7,500 researchers, clinicians, and medical educators, including over 2,100 trainees from around the globe will gather at the Metro Toronto Convention Centre, May 2-6 to share research, network, explore new ideas, and collaborate on projects. Research on neonatology,artificial intelligence, adolescent obesity, mental health, infectious diseases, and other health issues will be featured at the PAS 2024 Meeting.

This unique meeting represents over 70 pediatric specialties andincludes more than 350+ sessions, 687 oral abstracts, and 3,300+ posters on general and specialty pediatric health topics, as well as nine Friday pre-conference programs featuring topics on pediatric bioethics, perinatal stroke, kidney health, and more. Attendees can access sessions, posters, and more through the online program guideand the PAS Meeting mobile app.

"This is the premier forum for pediatric researchers and providers to share the latest research on global and public health issues," saidJudith Shaw, PAS program chair. "The knowledge and expertise shared will help the world meet current and future pediatric healthcare challenges and innovations."

Zulfiqar A. Bhutta, MB, BS, PhD,a renowned humanitarian, will deliver the keynote address at the Opening General Session on Friday, May 3. Dr. Bhutta is known for his research and innovation in reproductive, maternal, newborn, child, and adolescent health. He is co-director of SickKids Centre for Global Child Health and founding director of the Centre of Excellence in Women & Child Health and the Institute for Global Health & Development at The Aga Khan University in Pakistan.

Benard P. Dreyer, MD, FAAP,will be honored with the 2024 Joseph W. St. Geme, Jr. Leadership Award on Friday, May 3. The award recognizes Dr. Dreyer's significant contributions to pediatrics, including in health equity, child poverty, child development, and advocacy for minoritized communities. He is the director of developmental-behavioral pediatrics and vice chair for diversity, equity, and inclusion at the NYU Grossman School of Medicine and director of pediatrics at Bellevue Hospital Center in New York City.

On-demand content will be available beginning May 7 August 1and will include the opportunity for physicians to claim CME credits.

PAS 2024 is grateful to its sponsors for their support, including Platinum Sponsors Reckitt/Mead Johnson Nutrition and Abbott, and Gold Sponsor Seattle Children's.

Registration:

About the Pediatric Academic Societies Meeting Pediatric Academic Societies (PAS) Meetingconnects thousands of leading pediatric researchers, clinicians, and medical educators worldwide united by a common mission: Connecting the global academic pediatric community to advance scientific discovery and promote innovation in child and adolescent health. The PAS Meeting is produced through the partnership of four leading pediatric associations; the American Academy of Pediatrics (AAP), the Academic Pediatric Association (APA), the American Pediatric Society (APS), and the Society for Pediatric Research (SPR).For more information, please visitwww.pas-meeting.org. Follow us on X@PASMeetingand like us on FacebookPASMeeting.

CONTACT: Toby Howard, [emailprotected], (571) 201-7409

SOURCE Pediatric Academic Societies

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Pediatrics

Navigating Pediatric Diabetes: A Q&A With Leading Expert David Maahs, MD – Stanford Medicine Children’s Health Blog – Stanford Children’s Health

Diabetes management in pediatric patients has come a long way, with advancements such as continuous glucose monitors and automated insulin delivery systems. In a recent interview, David Maahs, MD, professor of pediatrics and division chief of pediatric endocrinology at Stanford Medicine and Lucile Packard Childrens Hospital Stanford, sheds light on the current state of diabetes care for children and adolescents.

The following Q&A is drawn from Stanford Medcast, Episode 71: Hot Topics Mini Series: Diabetes UnpackedMyths, Facts, and Tips, a podcast hosted by Ruth Adewuya, MD, CHCP, Managing director of the Stanford Center for Continuing Medical Education.

How has diabetes management for pediatric patients evolved, and what advancements are making a significant impact?

David Maahs, MD: Over time, there has been notable progress in diabetes care for children and adolescents. Continuous glucose monitoring (CGMs) have proven highly effective compared to traditional methods, with approximately 70% to 80% of our patients with type 1 diabetes now utilizing CGMs. Additionally, there are now five approved automated insulin delivery systems, providing diverse options for parents. While not everyone may embrace these technologies immediately, the overall landscape is consistently improving.

What are the primary goals in managing diabetes for pediatric patients, and do these goals vary with age or other factors?

The three main goals in pediatric diabetes care are maintaining a low A1C (a measure of your average glucose over the last three months), minimizing hypoglycemia, and prioritizing a good quality of life. Weve adapted to use continuous glucose monitoring metrics, focusing on achieving an average glucose or time in range between 70 and 180. Balancing these goals has become more achievable with the advancements in CGMs.

How do acute and long-term complications factor into pediatric diabetes management, and have there been improvements in addressing these concerns?

Acute concerns such as hypoglycemia have improved significantly with continuous glucose monitors and automated insulin delivery systems. For longer-term complications like damage to the eyes, nerves, kidneys, and heart, reducing A1C levels is crucial. The introduction of these new diabetes technologies and lower A1Cs will reduce these risks over time.

Engaging pediatric patients in their care is vital. How does the multidisciplinary team at Stanford Childrens approach this, and what challenges do you most commonly face?

We are fortunate to have a multidisciplinary team at Stanford Medicine Childrens Health, including certified diabetes care and education specialists, dietitians, social workers, psychologists, an exercise physiologist, and pediatric endocrinologists. Diabetes educators play a vital role in educating families, and the team works closely with patients during regular follow-up appointments. The challenges include the 24/7 nature of diabetes management, but continuous support and periodic monitoring help address these difficulties.

Transitioning from pediatric to adult care is a critical phase. How does Stanford Childrens ensure a seamless transition, and what are the key considerations during this process?

Transitioning from pediatric to adult care poses challenges across various health conditions. Our guided transfer program aims to facilitate this transition by introducing patients to adult care while still in the pediatric clinic, ensuring a warm handoff to the adult diabetes clinic. The approach minimizes the risk of patients getting lost during this crucial life phase.

Reflecting on your experience, what are the most rewarding aspects of working with pediatric patients with diabetes?

One of the joys of pediatrics is getting to know the families. Witnessing the growth of children, often entering their lives during a crisis, and seeing them thrive with the advancements in diabetes care is rewarding. The focus is not only medical management, but also on supporting the general well-being and quality of life of these young patients.

The pediatric endocrinology team at Stanford Medicine Childrens Health is ranked in the top 10 in Diabetes & Endocrinology by U.S. News & World Report and treats children with endocrine disorders at convenient locations throughout the Bay Area.

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Navigating Pediatric Diabetes: A Q&A With Leading Expert David Maahs, MD - Stanford Medicine Children's Health Blog - Stanford Children's Health