Clinical Tip: Preventing labial adhesions during catheterization
March 1st 2008I work in a pediatric emergency department, and nurses frequently tell me they are unable to catheterize female infants and toddlers due to labial adhesions. Since we need to obtain sterile catheterized specimens for workups for fever, here is an easy way to remove adhesions.
Measuring bone density in children (CME)
March 1st 2008Growing bones and shifting hormone levels make determining a child's bone density much like hitting a moving target. Fortunately, technologies are evolving to make this measurement more accurate. Evidence on which patients warrant this procedure is also building.
Radiographic Findings in Child Abuse
March 1st 2008These images were obtained from a 5-month-old boy who was brought to the emergency department (ED) by his parents who noted new-onset rectal prolapse. The prolapse promptly recurred following initial successful reduction under sedation in the ED. A surgical consultation was obtained and abdominal radiographs were requested.
The Benefits of Frequent Family Meals
March 1st 2008In today's hectic world, where parents and children alike are rushing fromone activity to the next, it is difficult to get meals organized-let alone tofind time to eat together as a family. While this only gets more complicatedas children reach their adolescent years, recent studies have stressedthe importance of these joint meals, especially for teenagers.
Maternal Antibodies May Play Role in Autism
February 29th 2008Mothers of children with autistic disorder tend to have antibodies that react differently against fetal brain tissue than women with unaffected children, according to research released online in December in advance of publication in the Journal of Neuroimmunology.
Childhood Immunization Rates in Britain Could Be Better
February 29th 2008Although the majority of British children are immunized with the combined measles, mumps and rubella (MMR) vaccine, a substantial proportion remain susceptible to infection due to the conscious decision of their parents not have them immunized, according to an article published Feb. 28 in BMJ Online First.
Obese Hispanic Adolescents Have Subclinical Inflammation
February 28th 2008Overweight Hispanic children and adolescents with normal glucose tolerance have higher levels of plasma markers of endothelial dysfunction and inflammation as well as high blood pressure, high triglycerides and insulin resistance, researchers report in the March issue of Diabetes Care.
Cystic Fibrosis Incidence Decreasing in Massachusetts
February 27th 2008Fewer newborns are being born with cystic fibrosis in Massachusetts, a decrease that researchers attribute to increased preconception and prenatal screening for the genetic disease, according to an article published in the Feb. 28 issue of the New England Journal of Medicine.
Obese Children More Likely to Have Anesthesia Trouble
February 27th 2008Anesthesia providers should be aware of perioperative complications that are more likely to occur with children who are obese, including major oxygen desaturation and critical airway events, according to research published in the March issue of Anesthesiology.
Ciprofloxacin-Resistant Meningitis Identified
February 27th 2008The first reported North American cluster of ciprofloxacin-resistant meningoccocal disease occurred in 2007-2008 in North Dakota and Minnesota, according to a report published in the Feb. 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
SSRI-Resistant Teens Helped By Change in Regimen
February 26th 2008Chronically depressed adolescents who fail to respond to a first selective serotonin reuptake inhibitor (SSRI) may be successfully treated with cognitive behavioral therapy and a switch in antidepressant medication, a combination that appears to be more efficacious than switching medications alone, researchers report in the Feb. 27 issue of the Journal of the American Medical Association.
High Risk of Leukemia in Rare Immune Disorder Elucidated
February 25th 2008Nearly half of patients with severe congenital neutropenia, a rare genetic disorder, possess mutations in the gene encoding granulocyte colony-stimulating factor receptor, and new research elucidates how stem cells bearing this mutation gain clonal advantage over other bone marrow cells, leading to leukemia, according to an article published online Feb. 21 in the Journal of Clinical Investigation.