#pediatrics

School ager with fever+left flank pain Coronal CT without contrast (above) shows enlarged left kidney with associated perinephric fat around its inferior pole.

The association of urinary levels of heavy metals with childhood acute leukemia and its socio-environmental risk factors: A case-control study (sciencedirect.com)

#childhoodcancer #publichealth #pediatrics #immunology #ecotoxicology #exposome Urinary levels of arsenic (As), cadmium (Cd), and lead (Pb) in children with acute leukemia were significantly higher than in controls. . www.sciencedirect.com/science/arti...

Research Article The Ecological Relationship Between Food Access and Disease Activity in Canadian Children Newly Diagnosed With Juvenile Idiopathic Arthritis 📖 www.jrheum.org/cgi/content/... @schulichmeddent.bsky.social @westernu.ca

With 101 new cases, US measles total tops 2,500 (cidrap.umn.edu)

We've exceeded the 2025 measles case count. via @cidrap.bsky.social

Changes to NVAC Trigger Concerns (medscape.com)

HHS' National Vaccine Advisory Committee is getting an overhaul, which concerns people like past chair Bob Hopkins. @aradultimmdoc.medsky.social @nfidvaccines.bsky.social @ameracadpeds.bsky.social

Redirecting (doi.org)

New research from WSU EACPHS collaborators proposes a neonatal PAIN ladder to help clinicians assess and manage pain in newborns using evidence-informed, stepwise interventions tailored to pain severity. doi.org/10.1016/j.cl...

Experts: States Not Likely to Change Vaccine Policy After EO (medscape.com)

My story for @medscape.com -- will states knuckle under to White House pressure to change vaccine policy?

How Immigration Raids Emptied a Local Pediatric Clinic (medscape.com)

How ICE Enforcement Kept Kids From Care -- via @medscape.com

Neonatal Sepsis

Newborn who not moving their legs very much AP radiograph of pelvis at day of life 14(above left) is unremarkable. AP radiograph at day of life 28(below left) shows boney destruction+fragmentation at bilateral proximal femoral metaphyses.

At least 6 kids sickened by measles in Delaware as outbreak grows (delawareonline.com)

20 people in Delaware have measles, most over age 20, but 6 are in children under 9. All in Kent County, surrounding Dover.