
Intense bilateral frontal headache accompanied by severe retching followed by frequent bouts of emesis despite a normal neurological exam. What is going on in this 10-year-old?

Intense bilateral frontal headache accompanied by severe retching followed by frequent bouts of emesis despite a normal neurological exam. What is going on in this 10-year-old?

The developers of a dedicated, Internet-based therapeutic application for adolescents with chronic fatigue syndrome-myalgic encephalomyelitis-say that in a study of treatment through the Fatigue In Teenagers on the interNET program, 63% of adolescents reported having recovered after 6 months, almost 8 times as many as those given standard care. Now effective treatment for adolescents suffering with chronic fatigue could be as close as their laptops.

Sweet-tasting solutions such as glucose and sucrose are commonly used to alleviate pain in infants undergoing minor invasive procedures. Expressed breast milk may be an alternative to sweet solutions, but evidence of its analgesic efficacy is limited. Two new studies look at what works for neonatal pain relief.

A recent study suggests that health outcomes of moderate or late preterm and early term infants are worse than those of full-term infants in the early years of life and that babies born even a few weeks early have worse health outcomes. What are the implications for long-term health outcomes of preterm births on future health care services for infants and children?

Vitamin D intake can cut the risk of stress fractures in adolescent girls in half, especially in those who engage in increased levels of high-impact activity, according to new study results. Could high calcium intake do the same?

The electrocardiogram (ECG) and the echocardiogram are acceptable screening tools for detecting common causes of sudden cardiac death (SCD) in children, according to a recent meta-analysis of the literature. However, more data are needed before adopting screening programs for asymptomatic children as public policy. Find out what concerns remain about widespread screening.

Low muscle tone, delayed motor milestones, and failure to gain weight. The mother was 38 at the time of delivery, but nothing else is noteworthy about this 9-month-old.

Two laws promoting pediatric drug studies have provided clinicians with a wealth of data on drug efficacy and safety in children, but a new report from the Institute of Medicine suggests that several improvements are needed before they are reauthorized this year. Read how the findings could help Congress strengthen the scope of the current laws to continue critical advances in drug studies that benefit the nation?s children.

Children who snore or who have other sleep-related breathing problems in the first years of life are more likely to have behavioral problems years later, according to new research. Addressing these problems early may prevent adverse behavioral outcomes.

Zinc supplementation reduces children?s risk of pneumonia, but it has only marginal effect as adjuvant therapy for severe pneumonia in young children, according to a new study. Could there be other factors affecting study results?

The Centers for Disease Control and Prevention (CDC) is investigating another outbreak of human Salmonella enterica infections associated with pet turtle exposures in Pennsylvania. Here's what you can tell parents and caregivers about the hidden health risks associated with these tiny creatures.

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A gut reaction : Treating chronic abdominal pain When the pill isn't right : Understanding alternative long-term contraception in adolescents Dermcase : Omphalitis in a newborn Puzzler : More than a Moro - The case of a twitching infant.

Daily fish oil supplementation during the first 5 years of life may reduce the risk of later cardiovascular disease in those with impaired fetal growth.

The first influenza vaccine to contain 2 strains of influenza A virus and 2 strains of influenza B has been approved by the US Food and Drug Administration for use in healthy children aged 2 years and older and adults to age 49 years.

Updated recommendations from the AAP include routine use of the HPV vaccine for boys as well as girls.

Toddlers of African American, Asian, and Hispanic descent are less likely to be diagnosed early in life with autism spectrum disorders than their white peers.

A new policy statement by the American Academy of Pediatrics reaffirms its support for exclusive breastfeeding for about 6 months, with continuation of breastfeeding for 1 year or longer after solid foods are introduced as desired by mother and infant.

The first meeting of the Committee on Assessment of Studies of Health Outcomes Related to the Recommended Childhood Immunization Schedule was held in February in Washington, DC, at the Pew Charitable Trust.

A breath test that detects Helicobacter pylori infection has been approved by the US FDA for use in children aged 3 to 17 years.

Physicians meeting a child and family for the first time must inspire confidence, display empathy, and develop trust while providing knowledgeable, evidence-based care, meeting diagnostic challenges, and, often, coordinating consultation from multiple services.

Significant economic and educational issues surround teenage pregnancy, the goal being to avoid as many unplanned pregnancies as possible.

The US Food and Drug Administration has notified medical care organizations and health care professionals about a class 1 safety recall on certain models of perinatal pediatric hospital bassinets because of defects that may put infants at risk.

The mother of a 17-day-old boy with Down syndrome calls the physician over the weekend worried about increasing swelling, redness, warmth, and yellowish-brown drainage from the umbilicus over the last 8 hours.

Functional abdominal pain in children can be a tough nut to crack. Organic causes should always be excluded, but after that, treatment modalities are many and varied.

It's time for Dr Michael Burke's annual list of the 10 best articles he's reviewed for Journal Club over the past 12 months.

Investigators sought to determine how often emergency department providers, pediatric residents, and nurses document screening for secondhand smoke exposure, an important cause of mortality and morbidity among children.

A study conducted in a hospital-based clinic serving mostly low-income families shows that mothers and other infant caregivers generally accept free Tdap vaccine when it is offered during an infant's 2-week well-child visit.