Opening up the emergency contraception talk
September 8th 2015Since its approval nearly 20 years ago, emergency contraception therapies have changed a lot. One in 5 physicians hesitates to discuss them with their patients, but a new bulletin from the American College of Obstetrics and Gynecology seeks to open the discussion.
Physician-provided oral health services reduce caries in kindergarteners
September 1st 2015Comprehensive preventive oral health services (POHS) provided by primary care clinicians can help improve the oral health of Medicaid-enrolled children, a retrospective study in more than 29,000 kindergarten students in North Carolina showed.
Beta-lactam or macrolide monotherapy for CAP?
September 1st 2015Empiric beta-lactam and macrolide monotherapy are similarly effective in outpatient management of children with community-acquired pneumonia (CAP), according to results of a multicenter retrospective study in 1164 children treated for CAP at primary care pediatric clinics in Pennsylvania.
Can sports mitigate antisocial behavior?
September 1st 2015Participation in high school sports may curb persistent antisocial behavior. Investigators assessed almost 1000 boys and girls aged younger than 15 years for the presence of conduct disorder (CD) and questioned them about their involvement in sports and other extracurricular activities.
Office rapid strep tests: State of the art
September 1st 2015When I started my pediatric practice in 1986, we tested patients for strep throat by performing a throat culture, which was placed in a small office incubator for 48 hours. Typically, we put patients on an antibiotic pending culture results and would stop antibiotics if the culture proved negative. In my first year of practice, an interesting new technology arrived-rapid antigen detection tests (RADTs). These tests were reasonably accurate and enabled us to make a diagnosis at the time of the visit.
'Through a glass, darkly': Pediatric body dysmorphic disorder
September 1st 2015Body dysmorphic disorder (BDD) can be a chronic and severe condition that often starts in adolescence. The telltale sign: children’s preoccupation with the idea that there’s something wrong with how they look, when in reality the imperfections they perceive in their appearance are slight or nonexistent.
Dying to be thin: Body image and disordered eating
September 1st 2015This article briefly discusses theories on why poor body image develops and the strong link to disordered eating; ways to screen for poor body image and eating disorders in children and adolescents; and some efforts under way to prevent and intervene in children at risk of, or who have developed, poor body image.
‘F’ for ‘Fat’: Grading Weight Report Cards
September 1st 2015In hopes of reversing the alarming trend of childhood obesity, 25 states currently have instituted BMI (Body Mass Index) surveillance and screening programs in schools-and 9 of those states require BMI “report cards” be sent home to parents.
Uncertainty about autism screening efficacy
August 20th 2015A federal panel is asking for more research to support regular autism screening, stating in new draft guidance that there is not enough evidence that early, routine screenings recommended by the American Academy of Pediatrics and many others are worthwhile.
New support for nonsurgical OME intervention
August 18th 2015Antibiotics and other medications don’t do any good and surgery is sometimes an extreme fix for otitis media with effusion (OME). Now, a United Kingdom researcher is giving new credence to a nonsurgical treatment that children can do on their own at home.
Proactive response diagnoses ASD earlier
August 1st 2015Although parents of children who turn out to have a diagnosis of autism spectrum disorder (ASD) often express concerns about their child’s development early on, providers are far less likely to respond proactively to these concerns-instead delivering a reassuring/passive response-than to address parental concerns about intellectual disability/developmental delay (ID/DD).
Juiced: What kids do to compete
August 1st 2015Pediatric sports and activity participation is on the rise. It is estimated that up to 45 million children are involved in some form of athletics.1 On the whole, exercise is something to be encouraged in today’s children, with benefits of improving physical fitness, increasing social interaction with peers, decreasing stress, achieving self-efficacy, and gaining experience in goal setting, teamwork, and commitment.