CDC issues new influenza guidance for public agencies, schools
August 10th 2009Public health agencies and schools have new federal guidance at their disposal for how to respond to 2009 H1N1 influenza in schools, thanks to recommendations from the Centers for Disease Control and Prevention. Recommendations encourage officials to weigh the risk of community-acquired flu with the decision to close schools or community functions.
Journal Club: A better BP table, choosing your rehydration method, and weight stereotypes
August 1st 2009Reviews of three pediatric articles: a quicker way to evaluate a child's blood pressure, giving parents a choice of oral or IV fluids for their kids, and a study on early weight-based stereotyping.
Reversibility of TPN-Induced Cholestasis
July 27th 2009A 6-month-old boy was hospitalized because of fever and suspected central line sepsis. He had been receiving total parenteral nutrition (TPN) since shortly after birth following a small-bowel resection, which was performed to repair a midgut volvulus. Abdominal ultrasonographic findings after the procedure were normal. The infant was born at term after an uneventful pregnancy and delivery. Alkaline phosphatase and γ-glutamyl transpeptidase levels were elevated, without hyperbilirubinemia. An ultrasonogram showed hyperhomogeneous and nonhomogeneous echogenicities of the liver, consistent with fatty changes and fibrosis.