WHAT'S YOUR DIAGNOSIS? CLOACAL EXSTROPHY
September 30th 2005Female infant born to a gravida II, para I, 23-year-old mother at 38 weeks' gestation. Pregnancy complicated by oligohydramnios. Cesarean delivery performed because of prolonged time after rupture of membranes and fetal distress. Apgar scores, 3 and 6 at 1 minute and 5 minutes, respectively.
Nurses are in a prime position to prevent pediatric medication errors
September 1st 2005The inability to calculate therapeutic dosages for children accounts for the majority of pediatric drug errors, according to Ronda G. Hughes, PhD, MHS, RN, and Elizabeth A. Edgerton, MD, MPH, of the Agency for Healthcare Research and Quality. But there are practical ways for nurses-who often have primary responsibility for ensuring patient safety in the hospital and are usually the providers who administer the medications-to reduce the likelihood of a mistake.
Let's get discussion of what causes autism back on track!
September 1st 2005Lately, I've spent a lot of time talking about the alleged link between thimerosal in pediatric vaccines and autism. Most of you have been asked by parents whether immunizations pose a risk of autism as well, and some parents are so frightened by rumors, press reports, and information on the World Wide Web that they forgo immunizations for their children altogether.
If we don't ask, they aren't going to tell: Screening for domestic violence
September 1st 2005Let all the families you care for know that domestic violence is an issue of concern to pediatricians by screening for it-consistently. Here's how to do that, and how to manage dilemmas that can arise as a result.
The District provides a lively mix of American history, music, theater, and dining
September 1st 2005When Pierre L'Enfant first viewed the land along the banks of the Potomac in 1791, he must have been a little disappointed. He faced a daunting design task. Much of the land was uninhabitable swampland ceded from Maryland and Virginia. (Later, the land originating in Virginia was given back to that commonwealth.) There are several hills (other than Capitol Hill), but you'll never get any higher than 420 feet above sea level no matter where you go in the District of Columbia.