Vulnerable Children In The United States An Issue Of Pediatric Clinics Of North America

Together with Consulting Editor Dr. Bonita Stanton, Drs. Steven Kairys and Arturo Brito have put together a comprehensive issue that addresses Vulnerable Children in the United States. Expert authors have contributed clinical review articles on the following topics: Adverse Childhood Experiences and Outcomes; Abuse and Neglect/Foster Care/Family Violence; Homelessness/Street/Children/Undocumented/Community Violence; 20 Questions (and Answers) About Media Violence and Cyberbullying; Autism as a Representative of Disability; Addiction including Tobacco and Drugs in Children; Food Insecurity and the Impact on Child Health; Guns and School Violence; The Vulnerability of Children; The Vulnerability of LGBTQ Children; Implicit Bias Impact on Children; Supporting Immigrant Children and Youth: What Pediatricians Can Do; and Human Trafficking. Readers will come away with the information they need to improve outcomes in vulnerable pediatric patients.

Together with Consulting Editor Dr. Bonita Stanton, Drs. Steven Kairys and Arturo Brito have put together a comprehensive issue that addresses Vulnerable Children in the United States. Expert authors have contributed clinical review articles on the following topics: ?Adverse Childhood Experiences and Outcomes; Abuse and Neglect/Foster Care/Family Violence; Homelessness/Street/Children/Undocumented/Community Violence; 20 Questions (and Answers) About Media Violence and Cyberbullying; Autism as a Representative of Disability; Addiction including Tobacco and Drugs in Children; Food Insecurity and the Impact on Child Health; Guns and School Violence; The Vulnerability of Children; The Vulnerability of LGBTQ Children; Implicit Bias Impact on Children; Supporting Immigrant Children and Youth: What Pediatricians Can Do; and Human Trafficking. Readers will come away with the information they need to improve outcomes in vulnerable pediatric patients.

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.

Together with Consulting Editor, Dr. Bonita Stanton, the Guest editors of this issue, from the University of Colorado School of Medicine, have secured expert authors to provide updated clinical review articles in the area of pediatric cardiology. Specific topics include: Evaluation of Cardiac Murmur and chest pain; Palpitations and Syncope; Update on Management of Kawasaki Disease; Rheumatic Heart Disease; Myocarditis/Pericarditis; Update on Infective Endocarditis; Update on Pediatric Heart Failure; Update on Pediatric Pulmonary Hypertension; Update on Preventative Cardiology; Common Left to Right Shunt Lesions; Outcomes in Hypoplastic Left Heart Syndrome; Outcomes in Adult Congenital Heart Disease (Neurocognitive Issues and Transition); Innovations in Pediatric Cardiology; The Next Frontier in Pediatric Cardiology: Artificial Intelligence. Readers will come away with the latest clinical coverage of diagnosis and treatment for pediatric cardiology issues.

In collaboration with Consulting Editor Dr. Bonita Stanton, the Guest Editors of this issue of Pediatric Clinics of North America have comprehensively review the current and future opportunities for implementing telehealth into pediatric practice. Expert authors have written review articles that provide information based on current knowledge of implementation of technologies but also ask questions about how to implement and what potential challenges there will be. Articles are specifically devoted to: Overview of Telehealth for Pediatricians; Role of Doctor—Patient Relationship in Telehealth; Design Purpose and Design Thinking for Telehealth; How to Implement Telehealth in Pediatrics; Issues Related to Adoption of Health Apps and Telemedicine Programs; Workforce Trends and Business Model for Telehealth; Moral, Political and Economic and Social Dilemmas of Telehealth; Automated Digital Health with Big Data, Predictive Analytics and AI; Tele-rounds and Cased-Based Training; Role of Text-messaging and Messaging apps in telehealth; High-Quality Telehealth Training Programs; Technical and Regulatory Issues of Telehealth Medicine; and Global Health Perspective on Telehealth. Pediatricians will come away with the information they need to employ telemedicine in their clinical practice

In collaboration with Consulting Editor, Dr. Bonita Stanton, Dr. Paul Haynes has assembled expert authors to bring current information to pediatricians on the topic of Pediatric Orthopedics. The issue provides a general overview of evaluation and treatment of the pediatric orthopedic patients. Specific articles are devoted to the following topics: Evaluation: Pediatric Orthopedic Exam; Genetic and Metabolic Conditions; Musculoskeletal Infections; Neuromuscular Conditions - Orthopedic Manifestations; Pediatric Anesthesia as Related To Orthopedic Procedures -Perioperative Management; The Limping Child; Pediatric Orthopedic Trauma; Hand and Upper Extremity; Hip and Pelvis; Knee and Lower Extremity; Foot and Ankle; Pediatric Spine; Pediatric Sports Injuries; Concussions and Chronic Overuse Injuries And Injury Prevention; and Tumors and Tumor-Like Conditions. Readers will come away with the most current information on this important topic.

Consulting Editor, Dr. Bonita Stanton has worked closely with Guest Editors Drs. David R. Rosenberg and Leslie H. Lundahl to create a current issue devoted to substance abuse in children. Expert authors have written clinical review articles with the goal of providing the pediatrician with the latest information on substances and addiction medicine. The first half of the issue focuses on the following substances: Nicotine Use Disorders in Adolescents; Alcohol Use Disorders in Adolescents; Cannabis Use and Consequences; Medical and Non-Medical Use of Opiates; Stimulant Use and Cognitive Enhancement; and Club Drugs. The second half of the issue focuses on special topics important to pediatricians: Contingency Management for Substance Use Disorders; Behavioral Addictions: Gambling, Gaming, Internet; Juvenile Drug Court: Novel Approach to Treatment; Computer-Assisted Approaches to Substance Abuse Treatment; Co-Morbid Substance Use and Other Psychiatric Disorders; and Drug Use in Pregnant Teens. Readers will come away with the information they need to stay current on this changing field and to improve patient outcomes.

Together with Consulting Editor Dr. Bonita Stanton, Dr. Elizabeth Secord has put together a comprehensive issue that discusses the updates in pediatric immunology and allergy. Expert authors have contributed clinical review articles on the following topics: Humoral Immune deficiency in childhood; Neutrophil deficiencies; Newborn screening for severe combined immune deficiency (SCID); New treatments for asthma; New insights and treatments in Atopic Dermatitis; Food allergy avoidance and treatments; Eosinophilic Esophagitis; Inner City Asthma; Allergic rhinitis; Anaphylaxis in children and adolescents; Biologic therapy induced immune deficiency; Drug Allergies and Sensitivities in children; and Secondary immune deficiency. Readers will come away with the information they need to improve outcomes in pediatric patients with immunologic and allergic conditions.