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Q and A with Alain Joffe, MD about current recommendations for adolescent vaccinations.

An office newsletter is an ideal way to teach parenting skills, announce practice policies, pass on health care recommendations, and reinforce instructions on managing a child's illness.

Eating away allergies

Research into the progression of allergic diseases among infants shows that feeding choices can have an impact.

Counseling teenage patients on contraceptive options can and should be part of a day's work. Here's what you need to know.

You are asked to evaluate a 2 ;½-year-old healthy boy with a 2-day history of a generalized asymptomatic skin eruption.

A 3-year-old presented to the ED with "butt and penis pain". His parents reported that he had a gradual decrease in frequency of stools, increased straining, and development of small, hard "balls" of stool.

This baby boy was born at term to an 18-year-old primigravida via spontaneous vaginal delivery. The membranes ruptured about 6 hours before delivery. The amniotic fluid was heavily stained with meconium. Forceps were not used during the delivery. The newborn initially had poor tone and no spontaneous respirations, but his heart rate exceeded 100 beats per minute. Bulb and deep suctioning as well as supplemental oxygen were provided. Apgar scores were 3 and 8 at 1 and 5 minutes.

This happened over 25 years ago, but she remembers it clearly. . . . at the time, she was a pregnant intern on the infant-toddler ward of the busiest children's hospital in the Midwest. It was December, and the ward was jumping. One of her patients, Tony, a 3-month-old with tracheomalacia and severe croup was sick and not improving much. Tony's mother was worried mainly about her son, but there were other things. She had recently come north after being laid off in Alabama. Her unemployment had quickly led to homelessness. She had a brother in town, and she had moved in with him. When she arrived, she found out that he was a heroin addict. He was uninterested in her and her son, and his house was unsafe.

This podcast takes a look at what parental refusals of immunization can mean for the child and the community. Hear how you can respond and hopefully work through these issues with parents. Dr. Lise Johnson, host of Contemporary Pediatrics Radio, interviews Dr. Douglas Diekema, from the AAP Committee on Bioethics, and author of their report "Responding to Parental Refusals of Immunization of Children."

Shelhigh, Inc. has agreed to stop distributing its implantable medical devices, used in heart surgery and other procedures, until the company brings its production processes in line with Food and Drug Administration (FDA) standards [more].