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Children continue to be the innocent victims of prescribing, dispensing, and medication administration errors, whether as inpatients, outpatients, or in their own homes.

Alignment. Accommodative esotropia is treated initially with glasses. The glasses may not improve visual acuity. They are used so the child does not have to make the accommodative effort; the eyes may not "turn in" and the child can use the eyes together, binocularly. If the eyes are aligned with spectacle correction, surgery may never be required. However, if the eyes are not aligned with glasses and/or bifocals, or if the child cannot be weaned from bifocals as he or she grows, then surgery may be indicated. We all lose our ability to accommodate for near tasks as time goes by-the loss of accommodative effort over time is of benefit to children with accommodative esotropia, because they may outgrow the need for glasses and avoid muscle surgery.

The U.S. Food and Drug Administration has issued a public health advisory alerting patients and health care providers to make the switch to hydrofluoroalkane (HFA)-propelled albuterol inhalers because chlorofluorocarbon (CFC)-propelled inhalers will no longer be available in the United States after December 31, 2008.

Vitamin D supplementation to children and adolescents at the equivalent of 2,000 IU/day is safe for as long as a year and increases serum vitamin D to desirable levels, according to study results released online April 29 in advance of publication in the Journal of Clinical Endocrinology & Metabolism.

Medical students who understand the value of physical activity on a personal and professional level may be more likely to subsequently "prescribe" exercise to patients in their practices, according to a study presented this week at the annual meeting of the American College of Sports Medicine in Indianapolis.

Childhood exposure to secondhand tobacco smoke, particularly during the first 6 months of life, increases the risk of being hospitalized for infectious illness, according to research published online May 27 in Tobacco Control.

In children with acute viral gastroenteritis, flat fizzy drinks such as cola contain too few electrolytes, too little water and possibly too much glucose to provide adequate rehydration, according to an article published online May 27 in the Archives of Disease in Childhood.

Revised physician labeling for prescription drugs to enhance safety information for use during pregnancy and breast-feeding have been proposed by the U.S. Food and Drug Administration. Although the changes are for information targeted at physicians, the same information is sometimes used in an adapted format for patients.

The percentage of preterm singleton births in the United States has risen to nearly 11 percent, with most of the increase due to higher rates of Caesarean section deliveries, according to a report in the June issue of Clinics in Perinatology.

Cancer patients receiving radiation therapy or chemotherapy should not take supplemental antioxidants due to a lack of clear data on their effects on cancer treatment, according to a review published online May 27 in the Journal of the National Cancer Institute.

Children who have severe problems with bed wetting may sleep more lightly due to higher brain arousability but cannot completely awaken, and have an overactive bladder, according to a report in the May 29 issue of the New England Journal of Medicine.

The proportion of U.S. children with a high body mass index did not change significantly between 1999 and 2006, according to an article published in the May 28 issue of the Journal of the American Medical Association.

Coxsackievirus B1 is increasingly associated with severe enterovirus infections in neonates, according to a report published in the May 23 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Because food colorings and preservatives can increase hyperactive behavior in children with and without attention-deficit/hyperactivity disorder, pediatricians should consider recommending the elimination of these substances from the diets of some children, according to an editorial published in the May 24 issue of BMJ.

In patients with Ewing's sarcoma, a chemotherapy regimen administered every two weeks produces better outcomes than a regimen administered every three weeks, and is not associated with increased toxicity, according to an early release on research to be presented May 30-June 3 at the annual meeting of the American Society of Clinical Oncology in Chicago.

Obstructive sleep apnea (OSA) in very young children can predict adverse cardiovascular effects later in life, according to findings presented at the American Thoracic Society's 2008 International Conference in Toronto.

Survivors of childhood and adolescent cancer are up to 10 times as likely as their healthy siblings to develop heart disease in early adulthood, according to an early release on research to be presented May 30-June 3 at the annual meeting of the American Society of Clinical Oncology in Chicago.