More bitter pills for the pharmaceutical industry
July 5th 2005These continue to be less-than-happy times in certain corners of the pharmaceutical industry. Day by day, bad news accumulates. Even the industry's trade organization, the Pharmaceutical Research and Manufacturers Association (PhRMA), acknowledges that something has to give. Where are the unpleasantness and pressure coming from?
Fight is on against childhood obesity
July 5th 2005The American Medical Association (AMA) has released new directives to help fight childhood obesity and promote healthier lifestyles in schools across the country. In one of the planned efforts, AMA will develop a school health advocacy agenda that includes funding for school-based health programs, physical education and exercise (with stricter limits on declining participation), alternative polices for vending machines to promote healthy diets, and standards for healthier school lunches. The directives also encourage physicians to collaborate with communities to help develop health programs in schools."Children spend the majority of their productive time in the classroom, so we must improve access to healthy food and encourage more physical activity in school," said AMA Trustee Ronald M. Davis, MD. "Focusing our efforts on nutrition and exercise in schools can help prevent obesity and overweight in many children who may be at risk."
Adolescent patients and their confidentiality: Staying within legal bounds
July 1st 2005What right does a teenager have to confidential health care? What influence does HIPAA exert on that right? How you apply the answers in your practice could determine whether an adolescent seeks health services-or forgoes necessary care.
Fighting a rising tide of MRSA infection in the young
July 1st 2005The incidence of community-based methicillin-resistant Staphylococcus aureus (MRSA) infection in healthy children is increasing. This review discusses possible reasons for that rise, reviews antibiotic susceptibility patterns, and presents management guidelines.
The unbroken chain of pediatricians
July 1st 2005Anyone who is instrumental in helping a resident achieve the goals of learning enough to be an excellent pediatrician while doing everything possible to provide knowledgeable care for sometimes extremely ill patients, is an important link in the chain from one class of new pediatricians to the next.
Mental illness starts in childhood but treatment lags by many years
June 20th 2005Mental illness is—or should be—a pediatric concern. According to a new survey supported by the National Institute of Mental Health, one half the cases of mental illness in the United States developed by the time the patient was 14 years old. The really bad news? Treatment for most of these children didn't start until years—even decades—after symptoms first appeared, rendering their illness more severe and more difficult to treat.
"Back to sleep" just may not be sufficient
June 20th 2005Arizona researchers who studied infant death records in that state have concluded that sleep-associated events—not sudden infant death syndrome (SIDS) alone, but suffocation and asphyxiation during sleep as well—are the number-one cause of death in infancy. What's more, those researchers say, three quarters of such deaths are preventable.
Vaccinate teenagers against pertussis?
June 20th 2005Adolescents can be immunized against pertussis; just last month, the Food and Drug Administration put its seal of approval on not one but two such vaccines-Adacel (Sanofi Pasteur) and Booxtrix (GlaxoSmithKline). Whether all teenagers should be vaccinated is another question, however, and one of supreme interest to pediatricians.
Mental illness starts in childhood but treatment lags by many years
June 20th 2005Mental illness is—or should be—a pediatric concern. According to a new survey supported by the National Institute of Mental Health, one half the cases of mental illness in the United States developed by the time the patient was 14 years old. The really bad news? Treatment for most of these children didn't start until years—even decades—after symptoms first appeared, rendering their illness more severe and more difficult to treat.