Pub Date : 2025-03-01DOI: 10.1016/j.cppeds.2025.101752
Arnikka Rubia , Ariel Tassy Nunez
Alcohol use and abuse among children and adolescents remains an ongoing and significant concern in our society—one that has persisted for decades. Despite the rise in popularity of other illicit substances, alcohol continues to be a major and consistent contributor to negative health and social outcomes. As such, it is essential that physicians and other healthcare providers caring for young people be proactive. This includes routinely screening for alcohol use, providing appropriate anticipatory guidance, and referring patients for treatment when alcohol use disorder is identified.
{"title":"Alcohol use in adolescents","authors":"Arnikka Rubia , Ariel Tassy Nunez","doi":"10.1016/j.cppeds.2025.101752","DOIUrl":"10.1016/j.cppeds.2025.101752","url":null,"abstract":"<div><div><span>Alcohol use and abuse among children and adolescents remains an ongoing and significant concern in our society—one that has persisted for decades. Despite the rise in popularity of other illicit substances, alcohol continues to be a major and consistent contributor to negative health and social outcomes. As such, it is essential that physicians and other healthcare providers caring for young people be proactive. This includes routinely screening for alcohol use, providing appropriate anticipatory guidance, and referring patients for treatment when </span>alcohol use disorder is identified.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 3","pages":"Article 101752"},"PeriodicalIF":3.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/S1538-5442(25)00046-X
{"title":"Editorial Board Page","authors":"","doi":"10.1016/S1538-5442(25)00046-X","DOIUrl":"10.1016/S1538-5442(25)00046-X","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 3","pages":"Article 101772"},"PeriodicalIF":3.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.cppeds.2025.101753
Sara Haque MD , Nadia Saldanha MD
While traditional cigarette use has been on the decline among adolescents, other products, including e-cigarettes and oral nicotine have seen an uptick in use among this age group. These products have been marketed to younger age groups, with social media playing a role. E-cigarettes and oral nicotine have negative physical and health effects, despite e-cigarettes in particular being marketed as a safer alternative to traditional cigarettes. Awareness of these products, their health effects, and how to help with cessation is necessary for all providers taking care of adolescents.
{"title":"An update on nicotine use in adolescents","authors":"Sara Haque MD , Nadia Saldanha MD","doi":"10.1016/j.cppeds.2025.101753","DOIUrl":"10.1016/j.cppeds.2025.101753","url":null,"abstract":"<div><div>While traditional cigarette use has been on the decline among adolescents, other products, including e-cigarettes and oral nicotine have seen an uptick in use among this age group. These products have been marketed to younger age groups, with social media playing a role. E-cigarettes and oral nicotine have negative physical and health effects, despite e-cigarettes in particular being marketed as a safer alternative to traditional cigarettes. Awareness of these products, their health effects, and how to help with cessation is necessary for all providers taking care of adolescents.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 3","pages":"Article 101753"},"PeriodicalIF":3.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/S1538-5442(25)00020-3
{"title":"Editorial Board Page","authors":"","doi":"10.1016/S1538-5442(25)00020-3","DOIUrl":"10.1016/S1538-5442(25)00020-3","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 2","pages":"Article 101746"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.cppeds.2025.101733
Arthur H. Fierman M.D. (Editor-in-Chief)
{"title":"Foreword: Integrated behavioral and mental health in pediatric primary care: Challenges and solutions–Part II","authors":"Arthur H. Fierman M.D. (Editor-in-Chief)","doi":"10.1016/j.cppeds.2025.101733","DOIUrl":"10.1016/j.cppeds.2025.101733","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 2","pages":"Article 101733"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.cppeds.2025.101734
Roberta Guimaraes De Oliveira, Ian Christopher Carroll
Collaborative Care is well accepted as an evidence-based model to manage depression and anxiety in pediatric primary care. However, symptoms of attention-deficit hyperactivity disorder (ADHD), traumatic stress, and grief are common in primary care and can also be identified by pediatricians and treated within this model. Attention-deficit hyperactivity disorder (ADHD) is the most common childhood-onset neurodevelopmental disorder with a prevalence of 10.2 %.1 Trauma-spectrum disorders are another cluster of disorders that will often be seen first by the pediatrician, and, potentially, only by the pediatrician. In some urban pediatric centers, the rate of children who have been exposed to traumatic events is as high as 90 %.2 Similarly, symptoms of grief are often first identified by the pediatrician. Considering that the COVID-19 pandemic alone has claimed >760,000 parents, custodial grandparents, and other caregivers to children in the US, the number of children and teenagers affected by trauma and loss overwhelms the mental health care system's capacity. In light of the shortage of child and adolescent psychiatrists in the United States and the increased demand for mental health services, it is essential to broaden the scope of what collaborative care initiatives can accomplish in pediatrics. This paper shares insights from a collaborative care model implemented in a New York City safety net hospital center to illustrate how ADHD, traumatic stress, and grief can be identified and managed in pediatric primary care. Lastly, we will discuss the potential for collaborative care models to increase access to care for immigrant families.
{"title":"Beyond depression and anxiety in pediatric primary care: Current insights from the collaborative care model","authors":"Roberta Guimaraes De Oliveira, Ian Christopher Carroll","doi":"10.1016/j.cppeds.2025.101734","DOIUrl":"10.1016/j.cppeds.2025.101734","url":null,"abstract":"<div><div>Collaborative Care is well accepted as an evidence-based model to manage depression and anxiety in pediatric primary care. However, symptoms of attention-deficit hyperactivity disorder (ADHD), traumatic stress, and grief are common in primary care and can also be identified by pediatricians and treated within this model. Attention-deficit hyperactivity disorder (ADHD) is the most common childhood-onset neurodevelopmental disorder with a prevalence of 10.2 %.<sup>1</sup> Trauma-spectrum disorders are another cluster of disorders that will often be seen first by the pediatrician, and, potentially, only by the pediatrician. In some urban pediatric centers, the rate of children who have been exposed to traumatic events is as high as 90 %.<sup>2</sup> Similarly, symptoms of grief are often first identified by the pediatrician. Considering that the COVID-19 pandemic alone has claimed >760,000 parents, custodial grandparents, and other caregivers to children in the US, the number of children and teenagers affected by trauma and loss overwhelms the mental health care system's capacity. In light of the shortage of child and adolescent psychiatrists in the United States and the increased demand for mental health services, it is essential to broaden the scope of what collaborative care initiatives can accomplish in pediatrics. This paper shares insights from a collaborative care model implemented in a New York City safety net hospital center to illustrate how ADHD, traumatic stress, and grief can be identified and managed in pediatric primary care. Lastly, we will discuss the potential for collaborative care models to increase access to care for immigrant families.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 2","pages":"Article 101734"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.cppeds.2025.101731
Joseline M. Cruz Vazquez MPH , Agartha Kankam BS , Kara Jordon MD
Rates of food allergy are rising worldwide, with a disproportionate amount of disease burden found in patients of Black, Asian, and Latinx descent. Recent guidelines have recommended early introduction of allergens as early as 4-months-old to mitigate the development of food allergy. However, non-White children continue to have significantly poorer outcomes with higher rates of food allergy-related emergency department visits for anaphylaxis without having equivalent access to epinephrine auto-injectors. With only half of allergists accepting Medicaid in the United States, and only one-third of Medicaid-enrolled children with food allergies having seen an allergist, underserved populations are less likely to have access to subspecialty care — a major determining factor in allergy health outcomes. In this review, we examine the health disparities that contribute to food allergy as well as possible solutions for physicians to combat inequity in allergy care.
{"title":"Health disparities in food allergy","authors":"Joseline M. Cruz Vazquez MPH , Agartha Kankam BS , Kara Jordon MD","doi":"10.1016/j.cppeds.2025.101731","DOIUrl":"10.1016/j.cppeds.2025.101731","url":null,"abstract":"<div><div>Rates of food allergy are rising worldwide, with a disproportionate amount of disease burden found in patients of Black, Asian, and Latinx descent. Recent guidelines have recommended early introduction of allergens as early as 4-months-old to mitigate the development of food allergy. However, non-White children continue to have significantly poorer outcomes with higher rates of food allergy-related emergency department visits for anaphylaxis without having equivalent access to epinephrine auto-injectors. With only half of allergists accepting Medicaid in the United States, and only one-third of Medicaid-enrolled children with food allergies having seen an allergist, underserved populations are less likely to have access to subspecialty care — a major determining factor in allergy health outcomes. In this review, we examine the health disparities that contribute to food allergy as well as possible solutions for physicians to combat inequity in allergy care.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 1","pages":"Article 101731"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.cppeds.2025.101729
Ashley Sang Eun Lee MD , Sara Dehbozorgi MD , Michele Beaudoin MD , Mary Grace Baker MD, MS
There has been an increase in the prevalence of food allergy among children in the United States. Pediatricians play a pivotal role in caring for children with food allergy, as they are often the first point of contact and enjoy longitudinal relationships with families. In this review, we discuss the epidemiology, risk factors, presentation, diagnosis, and management of food allergy. We also discuss special considerations for patients with food allergy, including nutritional risks and psychosocial stressors that may negatively influence children's wellbeing. Our goal is to provide a concise yet comprehensive guide for general pediatricians so they may feel confident providing high-quality care for patients with food allergy.
{"title":"A comprehensive guide to food allergy management for the general pediatrician","authors":"Ashley Sang Eun Lee MD , Sara Dehbozorgi MD , Michele Beaudoin MD , Mary Grace Baker MD, MS","doi":"10.1016/j.cppeds.2025.101729","DOIUrl":"10.1016/j.cppeds.2025.101729","url":null,"abstract":"<div><div>There has been an increase in the prevalence of food allergy among children in the United States. Pediatricians play a pivotal role in caring for children with food allergy, as they are often the first point of contact and enjoy longitudinal relationships with families. In this review, we discuss the epidemiology, risk factors, presentation, diagnosis, and management of food allergy. We also discuss special considerations for patients with food allergy, including nutritional risks and psychosocial stressors that may negatively influence children's wellbeing. Our goal is to provide a concise yet comprehensive guide for general pediatricians so they may feel confident providing high-quality care for patients with food allergy.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 1","pages":"Article 101729"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.cppeds.2025.101732
Noor Hamideh , Lydia Su Yin Wong
Food allergy therapy has experienced rapid growth over the past five years. In addition to avoidance measures and reactive treatment of accidental exposures, physicians can now offer patients multiple therapies for reducing the risk of severe reactions upon accidental exposure, and potentially achieving sustained remission. Many promising therapies are also in the pipeline.
In this review, we outline the clinical management of food allergy, including mainstream non-pharmaceutical therapies, such as food oral immunotherapy (OIT), as well as three FDA-approved therapies: Palforzia (pharmaceutical peanut oral immunotherapy), omalizumab (anti-IgE monoclonal antibody), and Neffy (intranasal epinephrine).
We also discuss emerging therapies, including novel routes of immunotherapy administration (epicutaneous, subcutaneous, sublingual, oral mucosal) and existing immunomodulatory therapies undergoing trials for use in food allergy, including dupilumab (anti-IL-4 and IL-13 monoclonal antibody), abrocitinib (oral JAK inhibitor) and abatacept (IgG-CTLA-4 fusion protein).
{"title":"Emerging therapeutics in the management of food allergy","authors":"Noor Hamideh , Lydia Su Yin Wong","doi":"10.1016/j.cppeds.2025.101732","DOIUrl":"10.1016/j.cppeds.2025.101732","url":null,"abstract":"<div><div>Food allergy therapy has experienced rapid growth over the past five years. In addition to avoidance measures and reactive treatment of accidental exposures, physicians can now offer patients multiple therapies for reducing the risk of severe reactions upon accidental exposure, and potentially achieving sustained remission. Many promising therapies are also in the pipeline.</div><div>In this review, we outline the clinical management of food allergy, including mainstream non-pharmaceutical therapies, such as food oral immunotherapy (OIT), as well as three FDA-approved therapies: Palforzia (pharmaceutical peanut oral immunotherapy), omalizumab (anti-IgE monoclonal antibody), and Neffy (intranasal epinephrine).</div><div>We also discuss emerging therapies, including novel routes of immunotherapy administration (epicutaneous, subcutaneous, sublingual, oral mucosal) and existing immunomodulatory therapies undergoing trials for use in food allergy, including dupilumab (anti-IL-4 and IL-13 monoclonal antibody), abrocitinib (oral JAK inhibitor) and abatacept (IgG-CTLA-4 fusion protein).</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 1","pages":"Article 101732"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.cppeds.2025.101730
Katherine Herman, Kirsi M. Järvinen
Physiologic infant behaviors and symptoms of pathologic conditions such as gastroesophageal reflux disease, IgE-mediated food allergy, eosinophilic esophagitis, and other non-IgE-mediated food allergy (including food protein-induced allergic proctocolitis, acute and chronic forms of food protein-induced enterocolitis syndrome, and food protein-induced enteropathy) may have significant overlap, leading to diagnostic uncertainty for primary care physicians and pediatric subspecialists alike. Here we explore the clinical features of gastroesophageal reflux disease and IgE-mediated and non-IgE-mediated food allergy in infants, highlighting the considerable similarities in symptomology and difficulties in ascertaining an accurate diagnosis. Utilizing case studies, we discuss diagnostic and management pearls and review the ramifications of delayed diagnosis or misdiagnosis of infant food allergy for both infants and their caregivers.
{"title":"Approach to the spectrum of infant non-IgE-mediated food allergy manifestations and physiologic infant behaviors","authors":"Katherine Herman, Kirsi M. Järvinen","doi":"10.1016/j.cppeds.2025.101730","DOIUrl":"10.1016/j.cppeds.2025.101730","url":null,"abstract":"<div><div>Physiologic infant behaviors and symptoms of pathologic conditions such as gastroesophageal reflux disease, IgE-mediated food allergy, eosinophilic esophagitis, and other non-IgE-mediated food allergy (including food protein-induced allergic proctocolitis, acute and chronic forms of food protein-induced enterocolitis syndrome, and food protein-induced enteropathy) may have significant overlap, leading to diagnostic uncertainty for primary care physicians and pediatric subspecialists alike. Here we explore the clinical features of gastroesophageal reflux disease and IgE-mediated and non-IgE-mediated food allergy in infants, highlighting the considerable similarities in symptomology and difficulties in ascertaining an accurate diagnosis. Utilizing case studies, we discuss diagnostic and management pearls and review the ramifications of delayed diagnosis or misdiagnosis of infant food allergy for both infants and their caregivers.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 1","pages":"Article 101730"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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