Pesticides in Children: Exposures, Health Effects, and Prevention
October 14th 2008Lab technicians can run a test for lead, and for ammonia, but not for pesticides. They’re concocted from a mix of chemicals in different quantities, with different properties and tolerance levels. If only the difficulty of tracking them down in the bloodstream was their only downside.
What can and can’t be done with stem cells -- yet
October 14th 2008The stem cell’s pluripotency is an almost mythical mutability, able to turn into a nerve cell, a bone marrow cell, a muscle cell, a hepatic cell–anything. Turning that myth into a reality is the work of George Q. Daley, of the Harvard School of Medicine.
AAP: Vitamin D recommendation doubled
October 14th 2008A new American Academy of Pediatric (AAP) clinical report, “Prevention of Rickets and Vitamin D Deficiency in Infants, Children, and Adolescents,” recommends all children receive 400 IU a day of vitamin D, beginning within the first few days of life.
AAP: CA-MRSA: What we know and what to do
October 14th 2008Speaking to an overflow audience at this year’s AAP Conference, Robert Frenck, MD, a professor of infectious diseases (ID) at Cincinnati Children’s Hospital Medical Center, prefaced his talk on community-associated methicillin-resistant Staphylococcus aureus (CA- MRSA) management by saying, “we just don’t know the all answers yet.”
AAP: Are you looking at a genetic syndrome?
October 14th 2008A 14-year-old boy who recently moved to the area comes to your practice for a sports physical. When you enter the exam room, you are immediately struck by his stature; he is tall and thin, with long arms and legs. He is also wearing glasses. You greet your patient first, and then stretch out your hand to greet Mom, who rises from a chair in the exam room. You note that Mom is markedly tall as well. The question for you is: Is this Marfan syndrome, or is your patient simply near-sighted and naturally tall?
AAP: Identifying the child with hypertension
October 14th 2008Over the last few years, the incidence of hypertension (HTN) in children has risen, noted Beth Vogt, MD, of Rainbow Babies and Children’s Hospital in Cleveland, as she spoke in Boston to a packed room of concerned pediatricians. In addition to a rise in HTN, the average blood pressure (BP) of American children is also increasing. Several studies have shown that elevated blood pressure is under-recognized; the increase in HTN may also be associated with the childhood obesity. The recommendations below offer some insight in how to identify the child with elevated BP, and how to approach treatment.
AAP: Late pre-term births: what can be done?
October 13th 2008When is a one-week-old newborn not one week old? When she’s a late preterm baby, delivered before 37 weeks-gestation. Late preterm children often have slower biological development, are at greater risk for cerebral palsy, and suffer cognitive deficits, said Marliee C. Allen, MD, of Johns Hopkins School of Medicine.
AAP: What we see when we peek into a child’s brain
October 13th 2008“The mind is what the brain does,” said Massachusetts Institute of Technology’s John D. E. Gabrieli, PhD, leading off Sunday’s connected plenary sessions on the brain and early childhood development. His focus was on how functional magnetic resonance imaging (fMRI) has changed what we know about how child brains differ from adult brains.
AAP: A weighty matter: Strength training in youth
October 13th 2008In April 2008 the American Academy of Pediatrics (AAP) came out with its latest policy statement on strength training by children and adolescents. The statement considers weight training or resistance training safe, with the proper supervision and technique. However, longer-term injury data is needed, and weight training is not recommended for the general population. The AAP policy also states that it is against competitive power lifting and body building.
AAP: Managing the risk of malpractice claims in the pediatric office
October 13th 2008The respective roles of communication, phone triage management, and documentation are essential if pediatricians want to protect themselves from possible costly malpractice lawsuits, emphasized Gary N. McAbee, DO, JD, Professor of Pediatrics (Neurology) at the Robert Wood Johnson School of Medicine in Camden, N.J.
AAP: Culturally effective and sensitive approaches in pediatric care
October 12th 2008While they may be a part of American culture, a simple handshake or thumbs up may offend some of your patients and their parents. That’s one of the take-home messages of a talk presented by anthropologists Geri-Ann Galanti, PhD, California State University, Los Angeles, and David Katz, PhD, US Naval War College, Newport, R.I. to pediatricians at this year’s American Academy of Pediatrics meeting in Boston.
AAP: What to watch for in pediatric dental trauma
October 12th 2008Martha Ann Keels, DDS, PhD, of Children’s Pediatric Dentistry at Duke University, provided a case-based overview of the management of pediatric dental trauma at the 2008 American Academy of Pediatrics’ National Conference and Exposition in Boston.
AAP: HL7: A framework for medical information
October 12th 2008Wouldn’t it be great if your patient’s medical records preceded her to the emergency room? Or your patient’s surgical procedure arrived in his medical record prior to a follow-up visit with you? That’s the dream of electronic health records (EHRs).
CHPA: Children younger than 4 should not use OTC cough/cold medicines
October 8th 2008The Consumer Healthcare Products Association (CHPA) said that the drug companies it represents are voluntarily changing product labels of cough and cold medicines to warn against use of these products in children younger than 4.