Prioritizing safe sleep practices
October 26th 2015Sudden infant death syndrome (SIDS) remains an important public health issue as it ranks as the third leading cause of infant mortality, but co-sleeping is a reality. A session discusses how to effectively communicate safe sleeping practices with adults.
Avoiding overdiagnosis pitfalls
October 25th 2015The issue of overdiagnosis in medicine has been brought to center stage by recent and proposed changes to screening guidelines for prostate and breast cancer. Overdiagnosis, however, is also a problem in the pediatric population, cautioned Eric Coon, MD, assistant clinical professor of pediatrics, University of Utah School of Medicine, Salt Lake City, Utah.
Optimizing care for children with constipation
October 25th 2015There is no question that pediatricians are experienced in managing constipation considering its prevalence among children. Research shows, however, that the majority of pediatricians are not aware of recently released evidence-based recommendations for both the diagnostic evaluation of children with constipation and the treatment of functional constipation, said Samuel Nurko, MD, MPH, associate professor of pediatrics, Harvard Medical School, Boston, Massachusetts.
Is the IQ-increasing power of breastfeeding overexagerrated?
October 22nd 2015Breastfeeding may not make smarter babies, according to a new report from the UK, but CDC says it still makes healthier babies overall and hospitals have more work to do in order to provide optimal support for nursing mothers.
Hepatitis B vaccination in high-risk infants
October 21st 2015The CDC now recommends that high-risk infants undergo postvaccination serologic testing between 9 and 12 months, updated from 9-18 months. The new vaccination interval can better cover at risk infants from HBV infection and also help ensure a higher adherence to the immunoprophylaxis protocol.
How to counsel patients after sexual assault
October 15th 2015Roughly a quarter of all college students are sexually victimized in some way, but many will never report their crime. Pediatricians can counsel college-bound patients about the risks and prevention strategies, and should learn to recognize the signs of unreported abuse.
AAP care recommendations for foster care children
October 13th 2015Children in foster care suffer from a wide range of physical, emotional, and developmental impairments but generally receive inadequate care before, during, and after foster care placement. Early and frequent intervention by pediatricians is key to mitigating the trauma these children suffer and to improve long-term outcomes.
Staphylococcus aureus infections in atopic dermatitis
October 1st 2015Staphylococcus aureus plays an important role in the pathogenesis and course of atopic dermatitis. Compared to the normal pediatric population, atopic patients are especially susceptible to colonization and recurrent infections of S aureus.
Growing asymptomatic birthmark on boy’s left ankle
October 1st 2015A healthy 10-year-old boy is brought to your office by his worried father for evaluation of an asymptomatic birthmark on his left ankle. It has grown proportionately and does not cause pain or interfere with normal function. What’s the diagnosis?
Advice mothers receive is often inadequate in quality and quantity
October 1st 2015A nationally representative survey of more than 1000 mothers of infants aged 2 to 6 months showed that mothers report receiving little or inappropriate advice-even from physicians-about 5 key infant care practices: immunization, breastfeeding, sleep position, sleep location, and pacifier use.
Maternal substance abuse tied to risk of sudden neonatal death
October 1st 2015Of 32 neonates who died suddenly at a hospital in the United Kingdom and whose deaths remained unexplained after a thorough postmortem, 12 (37.5%) were born to mothers with a history of methadone use or use of drugs of addiction during pregnancy.
4 behavior targets help prevent obesity
October 1st 2015A 3- to 5-minute intervention delivered during routine pediatric visits and targeting 4 behaviors related to obesity-milk consumption, juice and sugar-sweetened beverage consumption, television/screen time, and physical activity-decreased the rate at which body mass index (BMI) percentile increased in young children in a recent trial.