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Helping us help you

Several times a year, Contemporary Pediatrics asks its readers for help. The publication's research staff sends a survey to a sample of several hundred pediatricians, asking for their reaction to articles that we've published in a particular issue and for suggestions about topics for upcoming issues. We continue to be gratified by readers' enthusiasm for our publication, and we want to do all we can to maintain that enthusiasm.

A child's health problem--temporary or chronic--puts an incredible strain on physician-parents. Here's how a few have learned to cope.

Adoptions of foreign-born children by families in the United States, which more than tripled over the past 25 years, may raise medical, developmental, psychosocial, and legal concerns. Pediatricians who understand those concerns can better serve international adoptees and their new-found families.

Eye on Washington

With the election of Senator Bill Frist, MD (R-Tenn.), as leader of the Senate, physicians can expect health-related issues to receive intense and sympathetic attention in Congress.

Q I have a patient, a 9-year-old boy, whose family recently moved to a new neighborhood. Every morning since the boy started attending his new school, he has complained of nausea and had at least one episode of emesis, either before leaving for school or on the way there.

Q It seems that my patients are becoming larger, stronger, and more belligerent. Recently, a number of patients 9 to 16 years of age became uncooperative and actually combative when we performed procedures such as fingersticks for hemoglobin tests or administered vaccines.

With a combination vaccine that protects against five diseases now approved for use in the US--and other such vaccines on the horizon--pediatricians need answers to new questions: How should these vaccines be used for infants at various stages of immunization? Is it safe to give extra doses?