Hypotonic baby experiences failure to thrive
February 1st 2010A mother in your practice, whose newborn is being treated at a community hospital where you do not have privileges, calls you with concerns. Three weeks previously, the mother had delivered her full-term baby at home after less than 20 minutes of labor. The mother kept the baby wrapped in clean towels until the local EMS arrived. The paramedics found the baby to be acrocyanotic but alert and crying.
Journal Club: Antibody testing tied to increased incidence of celiac disease
February 1st 2010Investigators at a hospital in Alberta, Canada, planned to determine the effect of immunoglobulin A endomysial antibody (IgA-EMA) testing on the incidence and clinical presentation of childhood celiac disease.
Journal Club: "Back to sleep" gains have reached plateau
February 1st 2010An analysis of data from the National Infant Sleep Position Study, an annual national telephone survey of about 1,000 caretakers of infants aged up to 7 months, shows that from 1993 to 2001, supine sleep increased for all infants.
Use of term "concussion" in emergency settings called into question
February 1st 2010When the medical diagnosis of "concussion" is given to explain injuries in children, it may be misleading to parents and physicians, causing them not to realize the potential severity of brain injuries in children, according to a study published in Pediatrics.
Physicians beware of high lipid levels in youth
February 1st 2010High lipid levels may be a common theme among 20% of US children and teenagers, as reflected by high low-density lipoprotein (LDL) cholesterol levels, low high-density lipoprotein (HDL) cholesterol levels, or high triglycerides, according to the CDC.
Journal Club: Physically abused children should be screened for occult abdominal trauma
February 1st 2010An examination of the charts of 244 children evaluated for physical abuse in an urban hospital showed that about one-fifth of the patients had 1 or more screening tests for occult abdominal trauma.
Recall issued on baby food that contains packaging flaw
February 1st 2010Nurture, Inc, prompted by the FDA, has alerted healthcare providers to a voluntary recall of specific varieties and date codes of Happytot Stage 4 and Happybaby Stage 1 and Stage 2 pouch meals with expiration dates between November 2010 and January 2011.
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?