News

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Here are some fast facts to help parents in the event of a seizure.

Letters to the Editor

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Recent federal news on SCHIP funding * National Children's Study * ACIP vaccine recommendations * FDA guidelines for fresh produce, and more * MedPAC recommendations on reimbursement

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Potty Monkey trainer * WeeSpecs Supreme phototherapy mask * Ultra Young Soles orthotics

Flu vaccine * Internet exposure * Vesicouretal reflux * Glucose control

Breastfeeding's benefits easily outweigh the costs. So why do pediatricians (and obstetricians) always seem to be fighting an uphill battle with it? As with smoking cessation, breastfeeding is always worth the extra minutes of advocacy.

Not every child who has a first or second seizure will have a third, but some some will. These sites will hopefully help an epileptic child grow up to be the next Socrates, Van Gogh, or Dostoyevsky–all of who had epilepsy as well

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The occurrence of seizures in children can generate tremendous levels of anxiety for children, parents, and pediatricians alike. Allaying these concerns and providing the right treatment rests on a systematic approach.

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Discharging a newborn from the hospital is a golden opportunity for anticipatory guidance. Here's a 12-point approach, based on years of experience.

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A discussion of the importance of newborn screening panels in the United States to identify various metabolic, endocrine, and hematologic disorders.

Case report dealing with an autistic child and a vitamin deficiency

A 16 year old African American teenager complains of itchy bumps on the back of his neck for a 2-year period. What's the diagnosis?

SCHIP * Binge drinking * Cafeteria safety

Discussion of the future of pediatric hospitalists

CME opportunities available on Modern Medicine.

Severe disability and even death can result from the inappropriate diagnosis and treatment of a young child's wheezing, which is heterogeneous in its origins and expression. Consequently, a differential diagnosis is necessary to determine the cause and to develop an effective management strategy. Viral-induced wheeze, especially from respiratory syncytial virus (RSV), manifests as a bronchiolitis. Recent reports show that the cysteinyl leukotrienes are an important mediator of the airway effects of RSV infection and that leukotriene receptor antagonists reduce postrespiratory syncytial virus lung symptoms. Exercise-induced bronchoconstriction manifests as wheezing and can be treated or pretreated short-term with inhaled bronchodilators or cromolyn: long-term therapy includes inhaled corticosteroids and leukotriene receptor antagonists. Allergic rhinitis-associated wheeze may be the result of acute exposure to an allergen or simply from nasal dysfunction. Control of allergic rhinitis with intranasal steroids, antihistamines, or leukotriene receptor antagonists could relieve the wheezing. Asthma-associated wheeze requires long-term use of 1 or more daily controller medications. The primary goal is to navigate the child safely through the first episode of wheezing, consider the causes of the wheeze, and then evaluate the need for further therapy. All apparent causes of wheeze should be treated with the idea that if the apparent cause turns out not to be the actual cause, treatment can be safely discontinued.

Oral contraceptive (OC) pills are frequently prescribed for a variety of clinical purposes. These medications--which contain varying amounts of estrogen- and progestin-based compounds--essentially "override" a woman's innate hypothalamic-pituitary-ovarian axis and frequently help ameliorate the effects of a maturing reproductive system while preventing pregnancy.

Several hours before he was seen in the office, a 2-year-old boy passed stool that contained a large intact sunflower seed. He had poor appetite and abdominal cramps but no recent history of emesis or fever.

This young girl is brought to your office with a rash that her mother thinks is triggered by sunlight. The mother is concerned because her own aunt has lupus erythematosus. The mother also reports that several children at her daughter's school have a similar eruption.