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Daily consumption of calorie-loaded soft drinks and snack foods that contain high fructose corn syrup or refined beet or cane sugar now account for one-fifth of adolescents' daily sources of energy, putting this age group at increased risk for cardiovascular disease as adults, according to a new study.

An 11-year-old girl has had a long history of chronic abdominal pain without radiation to her back, flanks, or groin that lasts 2 to 3 days at least twice a month.

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The FDA has approved Natroba Topical Suspension 0.9% for treating head lice in patients 4 years of age and older. This prescription product should be used in conjunction with an overall lice management program.

Half of all children who survive bacterial meningitis may experience long-term complications from the infection in their lifetimes, including seizure disorders, other neurologic deficits, hearing and vision loss, behavior problems, motor delay, and impaired cognitive functioning, according to a study published in Pediatrics. These new findings may bolster the recommendation for vaccination of children against the disease.

Parents of preverbal children with acute otitis media (AOM) look at their child?s observable behaviors to determine their pain level. Although no specific symptom dictates parental assessment of pain, ear tugging and fussiness appear to be the symptoms that most influence parental perception of pain. However, interpretation of these behaviors is influenced by other factors, like socioeconomic status, according to a study published in the Journal of Pain.

Use of medical diagnostic or therapeutic imaging procedures in children requires balancing the long-term risks of ionizing radiation exposure with the necessity of making clinical decisions, according to a study published in the Archives of Pediatric and Adolescent Medicine.

The recent murders in Arizona are horrific. That a 9-year-old girl was one of the victims magnifies the horror even more. Of course, it is natural to seek explanations for why someone would lash out like this. However, when rationalizing random acts of violence, it is important to consider the path leading up to the tragic event and be wary of current opinions propagated in the media.

A 4-year-old boy who is new to your practice presents for a well-child visit. His parents report that he has had brownish patches on his torso and back since early infancy. The lesions have decreased in size and number as he has aged. The rash is intermittently pruritic, especially when anyone touches the individual lesions.

Even more information has emerged about the 1998 Andrew Wakefield measles/mumps/rubella (MMR) study that is important for you to communicate to parents, especially those who are concerned about their perceived risk of autism. Here are highlights of the latest reports in the British Medical Journal (BMJ) discrediting Wakefield,s work (originally published in the Lancet), which make the case that Wakefield purposely set out to skew data and present fraudulent information to support an association between vaccination and the onset of developmental and behavioral problems in British children.

Childhood obesity : Challenging pediatricians with averting this epidemic even in their littlest patients Catalyst for change : Motivational interviewing can help parents to help their kids Dermcase : Navel battles! Puzzler : An odd case of pallor and splenomegaly Updates : Varicella vaccine, AEs with CAM use, Food allergies, Meningococcal vaccination

Navel battles!

The mother of a 7-month old boy was worried about a nontender, firm, irreducible lump that appeared on his navel 2 months ago.

Five national groups came together in December to call attention to their assertion that little media attention is given to child abuse deaths, despite the numbers being far higher than many other issues that do make the national news.