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Valuable as they are, available vaccines have limitations, which keeps the search for new ones going. Here is a preview of what to look forward to in this corner of therapeutics.

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Looking for scientific evidence to support our day-to-day clinical decisions

You meet your patient late one evening in the emergency department: a 6-year-old boy comfortably asleep as his mother relates their day's events to you.

Q One of my patients is an 11-year-old boy diagnosed with mild mental retardation who, his mother says, is very hard to discipline.

Q Over the past few years, I have seen several children who presented with a history of exaggerated inspiration.

Not until 1980 did experiences in the care of teenagers become a requirement of pediatric residency training, and not until 1997 was a month-long rotation in adolescent medicine made a mandatory part of residency training.

Utility of ADHD management guidelines questioned/Recalling a peculiar and long-ago medical practice

A 6-year-old girl, who went on a weekend trip with her family and stayed at a "famous" downtown hotel, awoke in the morning to find an itchy rash on her arms and legs. Several other family members had similar, but more limited, eruptions on exposed areas of skin. Topical steroids and antibiotics offered little relief.

Toilet training done badly can lead to medical complications. This second of two articles describes in detail how to treat toilet training problems before they cause harm. Includes three Guides for Parents.

Nearly a half million children in the US are believed to have an elevated blood lead level. Pediatric health-care providers can intervene in a variety of ways. Includes a Guide for Parents.

Specialists in adolescent medicine show you how to evaluate your sexually active female patients for PID and manage this common complication of sexually transmitted disease.

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