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Eye on Washington

Older anti-flu meds are sidelined. New drug approvals fall off. Is "D" for "disaster" in the Medicare drug plan? Amid all, Justice Alito takes a seat.

During their physical examination of this infant who had been born at term via cesarean section, Richard W. Hartmann, Jr, MD, and J. Christiane Salansky, MD, of Halifax Medical Center, Daytona Beach, Fla, found no evidence of an external anal opening (A). A soft bulge was present at the anal site, and the external sphincter was palpable. The median raphe was thick; a drop of meconium was noted on the surface of the perineum midway from the anus to the base of the scrotum (B). The remainder of the examination findings were normal.

Two separate studies show that Merck & Co.'s and GlaxoSmithKline's human papillomavirus (HPV) vaccines appear highly effective in preventing cervical cancer, vulvar cancer, and genital warts.The recently completed trials involved Merck's Gardasil and GlaxoSmithKline's experimental vaccine. Earlier studies showed that Gardasil also protects against cervical intraepithelial neoplasia (CIN)-precancerous lesions that can develop into cervical cancer.

Parents' complaints about sudden mood swings of teenagers are common, but new research shows that children who experience early-life stresses such as abuse, neglect, or loss of a parent have an increased risk in adolescence of behavioral and emotional disorders. The research, conducted on rhesus macaque monkeys at the Oregon National Primate Research Center at Oregon Health & Science University and at the University of Pittsburgh, suggests that adolescents who have been exposed to early-life stress have a greater incidence of developing an attachment disorder, attention deficit hyperactivity disorder, conduct disorder, anxiety, depression, suicide, drug abuse, and post-traumatic stress disorder.

The US Food and Drug Administration in December approved the use of Tamiflu (oseltamivir phosphate) for preventing seasonal influenza in children 1 to 12 years old. Tamiflu's labeled use had previously been for prevention and treatment of flu in children 13 years and older, as well as in adults.

This is the time of year when over-the-counter cold and flu preparations fly off store shelves as parents administer these products to their cough-, runny nose-, and congestion-plagued children. But a word to the wise from you can be key: Parents need to know that, just because these medications are sold over-the-counter, doesn't mean they shouldn't be used according to directions on the bottle or box.

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Questioning the data on outcomes and satisfaction with PNP care. Bedwetting dishonesty can't be justified. Prevalance of autism: What the data show.