A 16-year-old boy with Down syndrome was referred for evaluation of nonspecific symptoms, including difficulty in breathing on standing up from a sitting position, dizziness, frequent abdominal pain, and diarrhea after ingesting fatty foods and milk. He had intermittent asthma exacerbations for which he occasionally used a β-agonist. He had no history of trauma, surgery, or allergies.
Impoverished parents who spank their one-year-old children may encourage aggressive behaviors and cognitive delays in their children for the next two years.
The American Academy of Pediatrics (AAP) recently doubled the amount of vitamin D that it recommends all infants, children, and adolescents receive each day-from 200 to 400 IU. Also new is the academy's recommendation that vitamin D supplementation begin as soon after birth as possible. Supplementation is recommended in infants who do not receive 400 IU per day from formula.
For years, pediatricians have discussed with parents the important role that reading to their children plays in the development of language skills. We have encouraged talking to children about things around them, describing objects and events, and telling stories.
My teenaged patient has celiac disease and type 1 diabetes, both of which are well controlled. The patient’s mother is concerned that her son’s risk of a bowel malignancy or other celiac-related complication later in life would be significantly increased if he ingested small amounts of gluten for 5 to 7 days while at camp or on a church trip. As a result, the youngster is not allowed to participate in such outings, since it is not always possible to pack one’s own food for such trips and the available food options are usually limited.
Prune belly syndrome is a rare condition, classically referred to as a triad of abdominal wall musculature deficiency, bilateral cryptorchidism, and other urological abnormalities, although the clinical presentation can vary. A case history here.
Certain birth control pills seem to inhibit growth of bone mineral density in adolescent girls, a new study shows.
The FDA approved the H1N1 influenza vaccines from four different companies, ensuring a robust stockpile for the upcoming fu season.
A total of 38 states will receive $38 million in incentives from HHS because of their efforts to raise the number of foster care-related adoptions.
To avoid retesting and possible antibiotic overuse, follow these four tips when drawing blood for a suspected case of community-acquired pneumonia.
Codeine use for child tonsillectomies is being scrutinized after the surprise death of a Canadian child whose system metabolized codeine into morphine at an abnormally high rate.
As many as 12% of subarachnoid hemorrhages are misdiagnosed at the ED, leading clinicians to look past the classic symptoms to CT scans and lumbar punctures for proof.
The death of a Calif. nurse from H1N1 flu sparked both protests by fellow nurses as well as concern over the issue of healthcare worker safety during a flu pandemic.
Winchester, VA's Valley Health has established a community case management program to prevent hospitalizations and ED visits for frail patients who live alone.
How does a vaccine supply get doubled overnight? By finding out that the second dose isn't needed to get efficacy.
In the wake of the ongoing H1N1 flu outbreak and the start of the latest round of seasonal flu, the word to parents of all children is to vaccinate sooner than later.
Gardasil, the human papillomavirus vaccine approved for females, may soon be approved for males as well.
Parents who start early in building the concept of relational connections or affiliations with infants can assist in fostering altruistic behaviors down the road, new research shows.
For CS Mott Children's Hospital new poll on schools, appropriately enough, it put out a report card.
The FDA has approved a new type of drug, an alpha-2A adrenergic receptor agonist, to treat ADHD in children as young as six.
A large study found that the mortality rates for home births were actually better than those in a hospital.
Asthma is the most prevalent chronic disease in children. In the United States, asthma affects approximately 1.4 million children younger than 5 years and causes frequent activity limitations and hospitalizations.
Three cabinet offices have allied to fight the H1N1 virus, and they?ve recruited Elmo the Muppet to help.
Follow the treatment and education of a newly diagnosed type 2 diabetes patient: taking a case history, making a diagnosis, and teaching the patient how to monitor and control blood sugar.
An Archives of Internal Medicine study reported that older diabetes patients who started antipsychotic drug therapy had higher overall likelihoods of hyperglycemia.
Group medical appointments-in which multiple patients meet with physicians, nurses, and specialists-can restore the team approach to treatment and foster mutual support.
Nurse manager offers praise for August 2009 RN bullying feature; retired nursing instructor links nursing shortage with lack of preventive care in the U.S. healthcare system; our August 2009 Reflections piece reminds a nurse of her own training in keeping patient care her primary focus.
Responding to RN's June 2009 cover story, RNs offer opinions on how hospitals should assist, or employ in different capacities, nurses who become injured or disabled on the job.
A recent study showed that non-invasive oxygen ventilation reduced rates of respiratory failure and reintubation in recently extubated, at-risk patients more effectively than convention oxygen therapy.
A Catholic nurse in New York City is suing her hospital over allegations that she was forced to assist in an abortion; a Chicago-area facility has begun a nurse-led "laughter therapy" program for its disabled and mentally ill patients; nursing organizations are protesting the indictment of two Texas nurse whistleblowers.
