Clinical trials and life care plans in pediatric practice: New roles, two opportunities
March 1st 2006Even at a young age, a child with a serious or disabling health problem might need a blueprint for lifelong care. Creating that plan has become a business that benefits your patients. Participating in a clinical trial allows you to bring innovative treatments and state-of-the-art therapeutics to your patients, as well as necessary care to those whose families cannot otherwise afford it.
Take a comprehensive approach to obesity control and prevention
March 1st 2006Although motivating a family to lead a healthful lifestyle is difficult, with the right approach you can often make a difference. Failing to recognize or address overweight in children is no longer acceptable. Includes two Guides for Parents.
Answers to key questions about childhood leukemia--for the generalist
March 1st 2006What goes wrong with blood cells and genes of children who suffer this grim disease? And how has a high cure rate revealed late effects of treatment? Answers to these (and more) questions shape your ongoing basic care of patients at the onset of, during, and after their illness.
What bug, which drug? Optimizing empiric antimicrobial therapy
March 1st 2006How do you choose an antimicrobial agent wisely when the clinical situation necessitates it yet neither the pathogen nor its susceptibility is apparent? The authors organize the principles, and pitfalls, of empiric prescribing into a practical outpatient and inpatient guide.
Progress in preventing cervical cancer and other HPV-related diseases, Part 1
March 1st 2006Expanding knowledge, new screening technologies, and effective vaccines have opened new horizons in, and put pediatricians at the forefront of, preventing cervical cancer and other diseases caused by human papillomavirus. Here's what we know now and what it means for your patients. First of two parts.
Photoclinic: Hirschsprung Disease
March 1st 2006A 30-hour-old boy--born to a 36-year-old gravida 3, para 3, at full term via a spontaneous vaginal delivery--was noted to a have a mildly distended abdomen while in the newborn nursery. He had been breast-feeding every 2 to 3 hours and initially was spitting up about a quarter of the volume he had consumed. During the last 3 or 4 feedings, he had been spitting up most of the milk. There was no bilious emesis. He had not passed meconium.