News

Pediatricians increasingly are being asked about PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococci) by parents who read about this entity on the Internet and in the lay press. An association with group A streptococcal infection remains to be confirmed.

Updates

AIDS threatens the world's children, Preventing the complications of childhood diabetes, On the vaccine front; Eye on Washington

In the last few years, a growing number of physicians have started using procedural sedation and analgesia to help children tolerate unpleasant therapeutic and diagnostic procedures. This review will familiarize you with the sedatives used, when and how they're administered, and what type of monitoring patients require.

Parents look to pediatricians for advice on bathing their newborn and avoiding diaper rash. Discolorations and lesions (usually benign) are another concern. This review also updates the best way to care for the umbilical cord and addresses special skin-care considerations in premature infants.

Minimizing risk

Comments on specific factors that protect children from risky adolescent behavior.

Updates

New medicines for children; On the little screen; Get the lead out; AAP recommends conjugate pneumococcus vaccine

General pediatricians can perform the initial evaluation of newborns with bleeding disorders and, often, reach a diagnosis and make treatment decisions. Sometimes, however, it's best to call in a specialist.

Journal Club

Persistent fever in UTIs: What does it mean?; Kawasaki disease vs. adenoviral infection; Urban teens speak out on pregnancy prevention

Advice about teens' acceptance of themselves and the adults, particularly pediatricians, who should be helping them do just that.

Many families feel that pediatricians just don't listen when they try to voice concerns about vaccines. Our recommendation: Identify each family's specific issues, target your response accordingly, and use a nonconfrontational approach. Time-consuming lectures on big subjects like immunology generally aren't needed.

Diabetic ketoacidosis is one of the most common, and dangerous, complications of both insulin- and noninsulin-dependent diabetes. The patient's life depends on a complex therapeutic juggling act to restore metabolic, acid-base, fluid, and electrolyte balances.

Updates

A pediatrician for all seasons, Diagnosing ADHD, Hazards; Eye on Washington

The eosinophil can either enhance or suppress immune function, and it's associated with a wide variety of diseases. Little wonder a finding of eosinophilia often leaves pediatricians scratching their heads.

Diabetic ketoacidosis is one of the most common, and dangerous, complications of both insulin- and noninsulin-dependent diabetes. The patient's life depends on a complex therapeutic juggling act to restore metabolic, acid-base, fluid, and electrolyte balances.

Questions about Elian Gonzales and his custody problems and how they relate to the wellbeing of all children.