Anxiety among youth, Part 1 (Don't Use)
July 1st 2007While we often think of childhood as a carefree time of life, children and adolescents do in fact experience high levels of stress and anxiety-sometimes on a debilitating scale. For the clinician addressing these issues, recognizing the varying types and causes of anxiety is only half the battle.
Pediatric residency training: One size doesn't fit all
July 1st 2007Pediatric residency training needs more flexible, and more appropriate training. Barriers to these needs include the mechanism by which residency training is funded; the difficulty designing and implementing individualized schedules while maintaining patient services; and the need to design assessments of competence to allow certification of physicians whose training is individualized.
Typhoid and Malaria: Now in Your Waiting Room
July 1st 2007We frequently see children who have just returned from India with fever, diarrhea, and constitutional symptoms. It is our job to determine whether they have a benign viral illness or something more serious. Some of the children have received malaria prophylaxis (usually mefloquine [Lariam] and occasionally atovaquone and proguanil [Malarone]). The number of children who have been vaccinated against hepatitis A infection is certainly on the rise, but few have been vaccinated against typhoid fever.