Global Infections And Child Health An Issue Of Pediatric Clinics Of North America

Pediatricians in the Unites States and around the World continue to face a myriad of global health threats affecting child and adolescent health including: 1) infectious diseases of poverty [e.g. human immunodeficiency virus (HIV), tuberculosis, malaria, and neglected tropical diseases] in low-and middle-income countries (LMIC), especially in sub Saharan Africa; 2) emerging and reemerging infectious diseases (such as Ebola); 3) rise of non-communicable diseases (e.g. common mental disorders); 4) unintentional injuries; and 5) environmental health hazards (e.g. climate change). Despite the promising news about rapid declines in maternal and child mortality in the era of Millennium Development Goals (MDGs), which originated from the United Nation (UN) Millennium Declaration in 2000, only 20% and 7% of LMIC are currently on track to attain the maternal and child mortality targets. For example, 44% of deaths in children younger than 5 years occur in neonates. Besides discovery of life-saving interventions (e.g. development of new and improved vaccines) for maternal and child health, we also need to do a better job at bridging the knowledge-implementation gap and increase the effectiveness of proven interventions. For example, despite the availability of effective vaccines to prevent pneumococcal pneumonia, rotavirus gastroenteritis, and human papilloma virus-related diseases (e.g. cervical cancer), use of these vaccines remain suboptimal in LMIC. We need to recognize that global health is also local public health. For example, improving access, equity and quality of care for orphans and vulnerable children, immigrant and newly arrived refugee children in the U.S. remains a challenge. Timely access to psychiatric care for children and adolescents with mental illness is a major concern. The explosion of new age technology (such as the internet) also poses a considerable risk to children and adolescents. Pediatricians also need to be aware of diverse socio-cultural determinants of health and ethical issues in global health service and delivery. This issue of Pediatric Clinics of North America aims to address the above crucial global health challenges affecting children and adolescents. As practicing pediatricians, we have the unique opportunity to influence local and global public health. In the post-MDG era (beyond 2015), collaborative partnerships between various disciplines and across research, education and service is vital to reduce health inequities in children worldwide.

In this issue of Pediatric Clinics, guest editors Chokechai Rongkavilit and Fouzia Naeem bring their considerable expertise to the topic of infectious pediatric diseases around the globe. Top experts in the field cover key topics such as pediatric tuberculosis, important nematodes in children, malaria, and more. Contains 12 relevant, practice-oriented topics including Prevention of Mother-to-Child HIV Transmission in Resource-Limited Countries; Multidrug-Resistant Bacteria in the Developing World; Pediatric Care for Internationally-Adopted Children and Migrant Children; Vaccines for International Pediatric Travelers; Prevention of Emerging Infections in Children; and more. Provides in-depth clinical reviews on infectious pediatric diseases around the globe, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Children in developing countries continue to be susceptible to infectious and non-infectious disorders that lead to growth retardation, cognitive impairment and high infant and childhood mortality. Clinical, epidemiologic and pathogenetic studies are providing opportunities to intervene against these disorders as never before. In this issue, international experts in child health offer their perspectives on the problems of greatest import to the health of children growing up in impoverished environments. Opportunities for research and intervention are particularly emphasized. Articles are specifically devoted to the following topics: Child Health and Survival in a Changing World; Childhood Nutrition and Growth; Children with Disabilities in the Developing Nations; The Burden of Enteropathy and Subclinical Infections; Malaria in Children; The Unholy Trinity: Nematode Infections in Developing Countries; The Burden and Etiology of Diarrheal Illness in Developing Countries; Intestinal Protozoal Infections; Pneumonia and Respiratory Infections; Primary Bacteremia and Meningitis in Developing Countries; Neonatal and Perinatal Infections; HIV in Developing Countries; and Tuberculosis in Children.

The Guest Editors have compiled a comprehensive issue that addresses the current clinical diagnosis, treatment,and management of infections in children. Top authors in their field have written review articles on the following topics: Update on Varicella Zoster Virus in Children; Emerging Respiratory Viruses in Children; Bronchiolitis in Children; Antimicrobial resistance in pediatrics in Children; New updates in influenza vaccination in Children; Changing epidemiology of CAP in Children; Zika Virus in Children; Ebola Virus in Children; Infections in Children on biologics; New rapid diagnostics in Children; Infections in HSCT Children; Changing epidemiology of H. influenzae infections in Children; Norovirus in Children; PEP in children; Syphilis in Children; Encephalitis in Children; and Malaria in Children. Infectious disease physicians will have the most current and up-to-date best practice information in their field.

Pediatric Infections, An Issue of Infectious Disease Clinics of North America, E-Book

This issue of Otolaryngologic Clinics, guest edited by Drs. James E. Saunders, Susan R. Cordes and Mark E. Zafereo, is devoted to Global Health in Otolaryngology. Articles in this outstanding issue include: Surgical Care and Otolaryngology in Global Health; Otolaryngology and the Global Burden of Disease; Health Organization and Otolaryngology; Otolaryngology in Low-Resource Settings: Practical and Ethical Considerations; Using Technology in Global Otolaryngology; Educational Resources for Global Health in Otolaryngology; Global Hearing Loss Prevention and Services; Management of Chronic Ear Disease and Otosclerosis; An Evidenced-Based Practical Approach to Pediatric Otolaryngology in the Developing World; Outcome of Head Neck Squamous Cell Cancers in Low Resource Settings: Challenges and Opportunities; Thyroid Disease Around the World; Workforce Considerations, Training and Diseases in Africa; Workforce Considerations, Training and Diseases in Latin America; Workforce Considerations, Training and Diseases in Asia/Pacific; Workforce Considerations, Training and Diseases in the Middle East; Workforce Considerations, Training and Diseases in Europe; and Overview of Otolaryngology-related Disorders in Underserved Populations, Otolaryngology Training, and Workforce Considerations in North America.

The Guest Editors have tapped top key opinion leaders to provide current reviews on the clinical diagnosis and treatment of gastrointestinal disease in children. They have focused on topics related to GERD; Celiac Disease and Gluten Sensitivity; IBD; Motility Disorders; GI Bleeding and Management; Pancreatic Disorders; Hepatitis B and C; Liver Transplant; Abdominal Pain; Complications from Obesity; and Neonatal Cholestasis.These articles will provide a state-of-the-art overview of diagnosis and treatment of GI diseases that are impactful for the general pediatrician.

The topics in this issue represent the most current research areas of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Collaborative Pediatric Critical Care Research Network (CPCCRN). The CPCCRN is a national pediatric critical care research network that is charged with investigating the efficacy of treatment and management strategies to care for critically ill and injured children, as well as to better understand the pathophysiological basis of critical illness and injury in childhood. The proposed authors are past and present principal and co-investigators affiliated with the CPCCRN; the proposed topics represent the individual author’s area of clinical and research expertise. Each review article is an up-to-date review of the topic relevant to practicing clinicians and trainees in critical care medicine, with incorporation of the most recently published research findings pertinent to the topic, some of which may be the author’s own. The specific articles are devoted to the following topics: Cardiopulmonary resuscitation in pediatric and cardiac ICU; Approach to the critically ill pediatric trauma patient; Transfusion Decision Making in Pediatric Critical Illness; Pathophysiology and management of ARDS in children; Ventilator associate pneumonias in critically ill children; Mechanical ventilation and decision support in pediatric intensive care; Inflammation, pathobiology, phenotypes and sepsis: From meningococcemia to H1N1-MRSA, to Ebola; Immune paralysis in pediatric critical care; Molecular biology of critical illness; Sedation in pediatric critical illness; Delirium in pediatric critical illness; Challenges of drug development in pediatric intensive care; Potential of All Steroid Hormone Subclasses as Adjunctive Treatment for Sepsis; Morbidity: Changing the outcome paradigm; and End-of-Life and Bereavement Care in Pediatric Intensive Care Units.