What is brand-new in pediatrics?

 


Sports medicine and orthopedics

Pain management and comfort are the goals of treatment. The usual method is to immobilize the patient using a splint. In a significant multicenter randomized trial, patients allocated to soft elastic bandage immobilization versus splint immobilization experienced comparable discomfort at three days and during the following 42 days. In both groups, functional recovery was comparable. According to these findings, a short-arm splint or a soft elastic bandage is an adequate treatment for torus fractures, and the choice of treatment should be based on the patient's or caregiver's preferences.

ADOLESCENT MEDICINE AND GENERAL PEDIATRICS

Treatment of teenage obesity with semaglutide

Adults with type 2 diabetes and/or obesity may benefit from the use of glucagon-like peptide (GLP-1) analogues. Patients who received weekly subcutaneous semaglutide, a GLP-1 analogue, had significant weight loss compared to those who received only lifestyle counselling in a 68-week randomised trial of 201 obese adolescents (placebo-adjusted change in body mass index -6 kg/m2 [95% CI -7.3 to -4.6]; change in weight -17.7 kg [95% CI. Compared to a study of liraglutide in teenagers, this therapeutic impact is significantly stronger. Both the semaglutide and placebo treatment groups frequently had gastrointestinal side effects, however they were typically minor and infrequently resulted in treatment termination. In light of these findings, subcutaneous semaglutide may, subject to regulatory clearances, represent a significant therapy option for adolescents with type 2 diabetes and/or obesity.

Teenagers who use artificial ("tobacco-free") oral nicotine products

There are several new synthetic nicotine products on the market, including gum, lozenges, candy, and pouches. Features including accessibility in enticing tastes, easily hidden forms, and marketing claims like "tobacco-free" that indicate low risk may encourage increased usage among young people. These items were more prevalent than combustible tobacco and the second-most popular source of nicotine (behind e-cigarettes). Manufacturers and merchants have received letters of warning from the US Food and Drug Administration for the illegal marketing of several of these items.

Child sex assault in medical facilities

The American Academy of Pediatrics recently published a new policy to support organizations and health care professionals in their efforts to stop child sexual abuse in healthcare settings and to ensure a proper institutional response to claims of sexual abuse committed by a health care worker. All employees should receive education regarding staff-patient boundaries, chaperone use during examinations of sensitive body regions (such as the perineum and, in the case of adolescent females, the breast examination), and the individual responsibility to report concerns about sexual abuse by other health care providers to the appropriate authorities. These are just a few of the key actions that health care organizations should take to protect children.

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