VUR updates: Q&A with a pediatric urologist

VUR-leadThe American Urological Association (AUA) recently reviewed and validated the 2010 clinical guidelines, Management and Screening of Primary Vesicoureteral Reflux (VUR) in Children.

Although the guidelines remain intact, the AUA expanded its scope to include guidelines for the screening of siblings of children with VUR and of infants diagnosed prenatally with hydronephrosis.

Boston Children’s Urologist and Director of Quality and Safety, Caleb Nelson, MD, MPH, provides guidance on the detection and treatment of reflux in children, and offers clinical insight on the screening of siblings and those diagnosed prenatally with hydronephrosis. …Read More

Update on concussion return to play guidelines: Q&A with a sports medicine physician

female soccer athletes concussion management

The 5th International Conference on Concussion in Sport was recently held in Berlin, Germany. The purpose of the conference was to bring together physicians and researchers from around the globe in order to enhance understanding of sport-related concussions and how they’re treated.

One of the accomplishments of the conference was a shift in the international concussion return to play guidelines. The shift was based on scientific consensus from multiple institutions.

William Meehan, MD, of Boston Children’s Division of Sports Medicine explains the changes and how Boston Children’s helped make these advancements possible.

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Clinical Consult: Celiac and other gluten-related disorders


Interest in gluten—and in particular, avoiding it — continues to be on the rise. The gluten-free market has become a billion dollar business as more and more adults and children trial this restrictive diet. Many go gluten-free as a lifestyle choice.

However, many turn to a gluten-free diet for medical reasons and for relief of specific symptoms. It is estimated that roughly 10 percent of the population have gluten-related disorders. Figuring out whether an individual needs to be gluten-free and where she lies on the spectrum of gluten-related disorders can be hard, but is an important endeavor. …Read More

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Managing daytime wetting: Q&A with the Voiding Improvement team

Pediatricians and clinical staff manage patients with urinary incontinence on a regular basis. In fact, an estimated 20 percent of boys and 17 percent of girls, ages 6 to 7 years old experience some form of daytime or nighttime wetting.

Because of the highly personal and private nature of the condition, many children and families are reluctant to talk about wetting with their pediatricians.

Notes discussed the condition with Carlos Estrada, Jr., MD, urologist and director of the Voiding Improvement Program (VIP) at Boston Children’s Hospital, along with Nursing Program Director Pamela Kelly, MS, RN, CPNP, and they offer the following insight on the overall diagnosis and treatment of daytime wetting in children.

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