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Q&A's about multiple birthsThese days, most pediatricians have at least one set of twins among their patients, and triplets or even higher order multiples are not uncommon. Here's what you need to know to meet the special needs of these children and counsel their parents appropriately.
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"Natural" remedies for depression: Are they safe? Do they work?When parents ask about supplements and other so-called natural remedies for depression, what do you tell them? This review of what is known about herbal and dietary treatments for depression in pediatric patients will help you provide an informed response.
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ADHD in adolescents: Will you know it when you see it?Attention deficit hyperactivity disorder doesn&t disappear in teens. But it does look different, and failure to recognize and treat it can have a devastating impact.
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"Natural" remedies for depression: Are they safe? Do they work?When parents ask about supplements and other so-called natural remedies for depression, what do you tell them? This review of what is known about herbal and dietary treatments for depression in pediatric patients will help you provide an informed response.
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Implementing developmental surveillance and screening for identifying issues earlyTo encourage accurate and early identification of children with delays, disabilities, and emerging problems, in 2006 the American Academy of Pediatrics (AAP) updated its policy statement on developmental surveillance (DS) and screening to include a decision-making paradigm.
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Thyroid testing: When to worry (not often) and when to reassureThyroid problems can be worrisome, but relatively few children referred for workup for an abnormal thyroid test have clinically significant disease. Choosing the right screening tests can prevent these costly encounters without compromising children whose test results warrant close follow-up and possible intervention.
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Performance-enhancing substances in teensThe pressures to perform and improve physical appearance are driving teens to experiment with performance-enhancing agents. This review bring pediatricians up to speed about this unsafe trend.
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Transitioning adolescents to adult care and adulthood: Is it time yet?Adolescent and young adult patients need help with the process of transitioning to adult care, in which patients are more responsible for their own healthcare.
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Should we teach testicular self-exam?The eighth in a year-long series of commentary reviewing topics published in Contemporary Pediatrics 25 years ago. This month's review reexamines the evidence for teaching testicular self-exams to young men.
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Vitamin D: Benefits for bone, and beyondWe are not yet sure how much vitamin D a growing child needs, but we do know that most need more than they get. New recommendations are forthcoming but, until they are formulated, pediatricians should encourage maximal vitamin D intake from food, supplements, and outdoor activities whenever possible.
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Vitamin D: Benefits for bone, and beyondWe are not yet sure how much vitamin D a growing child needs, but we do know that most need more than they get. New recommendations are forthcoming but, until they are formulated, pediatricians should encourage maximal vitamin D intake from food, supplements, and outdoor activities whenever possible.
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What you need to learn about homeschoolingEffective health care for the homeschooled child requires understanding of the issues, an open line of communication to parents, and the vigilance to ensure that children not covered by the safety net of school screening get the care they need.
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What you need to learn about homeschoolingEffective health care for the homeschooled child requires understanding of the issues, an open line of communication to parents, and the vigilance to ensure that children not covered by the safety net of school screening get the care they need.
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Ingested and aspirated foreign bodies: Making sure that what went in comes outThe event may or may not be witnessed; the child may or may not have classic symptoms. A high index of suspicion and knowledge of the many possible presentations are your best insurance against the hazards of a missed or delayed diagnosis.
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"In the deep midwinter," a teenager's headache and cranial-nerve findings leave you coldAn adolescent girl complains of headaches and presents with lateral-gaze paralysis of the right eye. Can you solve this mystery?
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"In the deep midwinter," a teenager's headache and cranial-nerve findings leave you coldAn adolescent girl complains of headaches and presents with lateral-gaze paralysis of the right eye. Can you solve this mystery?
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"In the deep midwinter," a teenager's headache and cranial-nerve findings leave you coldAn adolescent girl complains of headaches and presents with lateral-gaze paralysis of the right eye. Can you solve this mystery?
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Your role in the spectrum of adolescent cancerYou can play a pivotal role in interpreting the diagnosis, understanding how deeply the disease affects psychosocial development, acting as liaison between family and oncologist, and?if treatment fails?supervising end-of-life care
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Type 2 diabetes mellitusType 2 diabetes in children was unheard of a generation ago. Even though very rare event today, the obesity epidemic is placing kids at risk.
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Painful lumps: Cause for concern?Lumps in children that cause pain have six basic causes. Here's how to differentiate among them and determine which require further investigation.
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Caring for the uncircumcised penis: What parents (and you) need to knowA declining circumcision rate means that more and more parents need to be educated about care of their son&s foreskin and that you need to be prepared to manage problems associated with an uncircumcised penis.
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Vitamin D: Benefits for bone, and beyondWe are not yet sure how much vitamin D a growing child needs, but we do know that most need more than they get. New recommendations are forthcoming but, until they are formulated, pediatricians should encourage maximal vitamin D intake from food, supplements, and outdoor activities whenever possible.
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A newborn with a urinary tract anomaly: What role for the general pediatrician?Being familiar with urinary tract anomalies identified on fetal sonography enables you to take steps to prevent problems in the newborn.
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Anxiety disorders in adolescentsOnce you have identified that your adolescent patient has an anxiety disorder, it's time to assess the depth of the problem to discover the best treatment.
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Known HRV infection may not decrease risk of IBIInfection with human rhinovirus (HRV) confirmed by polymerase chain reaction (PCR) does not decrease the likelihood of concurrent urinary tract infection (UTI) in infants aged from 1 to 90 days old, according to a study in well-appearing febrile infants in this age group.
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Prepare your office for a medical emergencyEmergencies in pediatric offices are not uncommon, but practices are seldom prepared to respond. Implementing an emergency office protocol and a mock code program?like those detailed here?might save a life.
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"Stop the car, Mom, I'm going to be sick!"Parents often ask for help with their child&s motion sickness, a condition that has become increasingly common. Is prescribing an antihistamine or a complementary therapy a good idea? Or is prevention the best route?
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Take time today to prepare your patients for their golden yearsYour young patients are more likely to survive to very old age than did previous generations. Will they flourish as senior citizens or be limited by illness and disability? In large measure, that depends on whether their families put into practice the advice you give—advice that comes out of an expanding body of remarkable, illuminating research.
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Educating children with disabilities: How pediatricians can helpEducational opportunities for children with disabilities were greatly expanded by the Individuals with Disabilities Education Act. Your advocacy can determine whether your patients who need special education services benefit from those opportunities.
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Trauma to primary teeth: Setting a steady management course for the officeEvaluate and treat a toddler&s injured loose tooth or lacerated gum in your practice? Or refer these cases to a dental specialist? It all depends?on the injury, the child, and you.
