Authors
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Caring for the uncircumcised penis: What parents (and you) need to knowA declining circumcision rate means that more and more parents need to be educated about care of their son&s foreskin and that you need to be prepared to manage problems associated with an uncircumcised penis.
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Challenges in breastfeeding: Maternal considerationsWhen a newborn or his mother is too ill for him to nurse, the pediatrician can do much to help her pump properly, maintain her milk supply, initiate breastfeeding, and more.
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It's an adverse food reaction--but is it allergy?The term food allergy is often applied to adverse reactions that are not immunologic responses to food. This practical guide describes true hypersensitivity reactions and how to diagnose them.
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Painful lumps: Cause for concern?Lumps in children that cause pain have six basic causes. Here's how to differentiate among them and determine which require further investigation.
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Help parents quit smoking--for the good of your patients!Persistence coupled with effective counseling and pharmacotherapy are the keys to good results without a huge investment of time.
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Ring in the New Year with a bounty of Clinical TipsGet off to a good start with these helpful hints for your practice.
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Meeting the challenge of rising vaccine costsThe high cost of purchasing and administering vaccines has been a topic of discussion by pediatricians for some time. New vaccines cost much more than the older ones, and even the old vaccines have consistently increased in cost over the years. This has caused some pediatricians to consider dropping vaccines from their practices altogether.
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Unearthing good evidence for better care of acute asthma attacksThe Web is the place to go when you need to examine literature that addresses a specific clinical question. The authors illustrate what this tool reveals about novel protocols for treating acute attacks of asthma.
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Managing concussion in a young athleteA "rung bell" is common and can do significant acute and long-term harm to a developing brain. Because no guideline or protocol has been adequately studied for application to children and adolescents, take a cautious approach to management of concussion in youth, the author advises.
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Educating children with disabilities: How pediatricians can helpEducational opportunities for children with disabilities were greatly expanded by the Individuals with Disabilities Education Act. Your advocacy can determine whether your patients who need special education services benefit from those opportunities.
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Trauma to primary teeth: Setting a steady management course for the officeEvaluate and treat a toddler&s injured loose tooth or lacerated gum in your practice? Or refer these cases to a dental specialist? It all depends?on the injury, the child, and you.
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Educating children with disabilities: How pediatricians can helpEducational opportunities for children with disabilities were greatly expanded by the Individuals with Disabilities Education Act. Your advocacy can determine whether your patients who need special education services benefit from those opportunities.
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Decorating the "human canvas": Body art and your patientsTattoos and body piercing have caught on as teenage, and even preteen, fashion statements. Here&s how to help your patients avoid the pitfalls of this form of self-expression.
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When parents resist immunizationsMany families feel that pediatricians just don't listen when they try to voice concerns about vaccines. Our recommendation: Identify each family's specific issues, target your response accordingly, and use a nonconfrontational approach. Time-consuming lectures on big subjects like immunology generally aren't needed.
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Influenza: Update on strategies for managementAdvances in rapid diagnostic tests and antiviral therapy for influenza have given pediatricians new options for identifying and fighting this old and resilient foe.
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CME: New hope for children with cyclic vomiting syndromeResearch is shedding light on the mysteries of this distressing disorder, which isn&t as rare as you might think. Once the diagnosis is made, antiemetic and antimigraine drugs provide reasonably effective relief.
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Caring for the uncircumcised penis: What parents (and you) need to knowA declining circumcision rate means that more and more parents need to be educated about care of their son&s foreskin and that you need to be prepared to manage problems associated with an uncircumcised penis.
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CME: Chronic fatigue syndrome in youth: Maybe not so chronic after allChronic fatigue in children and adolescents shares many features with the adult variant of the syndrome. The most important differences for younger patients? A shorter course and better outcome.
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Tough seizures: When the first anticonvulsant failsChildren with epilepsy can usually achieve seizure control, but not always with the first medication prescribed. General pediatricians can learn from a child neurologist&s approach to this problem.
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"Stop the car, Mom, I'm going to be sick!"Parents often ask for help with their child&s motion sickness, a condition that has become increasingly common. Is prescribing an antihistamine or a complementary therapy a good idea? Or is prevention the best route?
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Your role in the spectrum of adolescent cancerYou can play a pivotal role in interpreting the diagnosis, understanding how deeply the disease affects psychosocial development, acting as liaison between family and oncologist, and?if treatment fails?supervising end-of-life care
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"Stop the car, Mom, I'm going to be sick!"Parents often ask for help with their child&s motion sickness, a condition that has become increasingly common. Is prescribing an antihistamine or a complementary therapy a good idea? Or is prevention the best route?
Latest:
Unearthing good evidence for better care of acute asthma attacksThe Web is the place to go when you need to examine literature that addresses a specific clinical question. The authors illustrate what this tool reveals about novel protocols for treating acute attacks of asthma.
Latest:
CME: New hope for children with cyclic vomiting syndromeResearch is shedding light on the mysteries of this distressing disorder, which isn&t as rare as you might think. Once the diagnosis is made, antiemetic and antimigraine drugs provide reasonably effective relief.
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Pediatric Puzzler: Vomiting and abdominal discomfortGrunting, hot, and vomiting:What's the bother in Baby's belly?
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Educating children with disabilities: How pediatricians can helpEducational opportunities for children with disabilities were greatly expanded by the Individuals with Disabilities Education Act. Your advocacy can determine whether your patients who need special education services benefit from those opportunities.
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CME: A practical approach to the child who limpsLimping takes many forms, and the cause is not always obvious. The keys to diagnosis are careful observation of the gait disturbance and systematic evaluation, especially high-quality radiographs.
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An emerging dyslipidemia: New NHLBI and NLA treatment guidelinesElevated blood lipids in childhood are risk factors for cardiovascular disease in young adults. New guidelines for universal lipid screening and treatment of dyslipidemia in children will help clinicians to identify these patients and establish treatment goals that will reduce overall cardiovascular risk factors later in life.
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Bronchiolitis dilemma: A happy wheezer and his unhappy parentA baby who is wheezing but in no apparent respiratory distress and a nasal antigen test positive for respiratory syncytial virus. What to do? Or, perhaps more important, what not to do?
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CME: Chronic fatigue syndrome in youth: Maybe not so chronic after allChronic fatigue in children and adolescents shares many features with the adult variant of the syndrome. The most important differences for younger patients? A shorter course and better outcome.
