Journal Club: College athletes at risk for waterpipe tobacco smoking
February 1st 2010Given that college athletes are up to half as likely as their peers to smoke cigarettes, investigators explored whether varsity, club, and intramural athletes also are less likely than nonathletes to engage in waterpipe smoking
Committee proposes quality measures for Medicaid, children's insurance
February 1st 2010Through an intense process, a subcommittee advising the federal government has selected 24 areas by which to measure healthcare quality for children covered by Medicaid and the Children's Health Insurance Program.
Children With Head Trauma: To CT or Not to CT?
January 20th 2010To determine which children who had sustained head injuries would not benefit from CT scans, Kuppermann and colleagues3 conducted a prospective cohort study of more than 42,000 children from 25 North American emergency departments (EDs).
Countering "Urban Myths" About Pediatric Tuberculosis
January 11th 2010am writing in reference to “Diagnostic Challenges Associated With Pediatric Tuberculosis: 2 Cases,” (Consultant For Pediatricians, August 2009, page 300). At our pediatric TB Clinic, we try to counteract the various “urban myths” about TB that have been inculcated into the residents on their other rotations. We also provide our residents with hopefully a better understanding of the pathophysiology of TB in children so that they can make more educated risk/benefit decisions about the workup and treatment of patients.
When to Consider Surgery for an Obese Teen
January 7th 2010My daughter has been overweight her whole lifeand is always the largest kid in class. She’s juststarted high school and wants so badly to feelattractive, yet she cannot bear trying anotherweight loss program. At 5 ft 6 in, she weighs262 lb. Can you refer her to a surgeon so she canhave the operation that helps her lose weight?
Book Reviews: Updates on four pediatric-related texts
January 1st 2010Read reviews of "Caring for Your Baby and Young Child: Birth to Age 5;" "Mental Health, Naturally: The Family Guide to Holistic Care for a Healthy Mind and Body;" "Raising Twins: From Pregnancy to Preschool;" and books by Mary Mahony.
Journal Club: Subcutaneous rehydration trial has promising results for dehydrated children
January 1st 2010The first pediatric study of recombinant human hyaluronidase (rHuPH20)-facilitated subcutaneous hydration demonstrated that the procedure is safe, well tolerated, and effective in children with mild-to-moderate dehydration.
Adolescent girl is diagnosed with acute abdomen and shock
January 1st 2010You are the senior resident covering the pediatric intensive care unit (PICU) when you receive a call from the emergency department (ED) regarding a nearly 14-year-old Caucasian female patient with a diagnosis of "acute abdomen and suspected septic shock." Ten days before admission, she had had a lipoma removed from her back under general anesthesia.
Viewpoint: Consider nonaccidental trauma, bleeds in differential diagnosis of seizures
January 1st 2010I really enjoyed Drs Ewasiuk and Andrew's article, "When is a febrile seizure something else?" (Puzzler, November 2009). Haemophilus influenzae A and H influenzae B are diagnoses that young practitioners need to consider in their differentials, since many of us have not seen H influenzae illness firsthand.
Journal Club: Does antibiotic prophylaxis prevent recurrent urinary tract infections?
January 1st 2010A recent study demonstrated that long-term, low-dose trimethoprim-sulfamethoxazole (TMP-SMX) was associated with a modest decrease in urinary tract infections (UTIs) in children who had had at least 1 such symptomatic infection in the past.