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Q As a pediatric pulmonologist, I treat quite a few children and adolescents who have exercise-induced asthma and other causes of exercise limitation. The younger children often are reluctant to talk about their experiences with sports, but their parents enthusiastically carry the conversation. In many instances, I have noticed that, when sports are involved, a parent's enthusiasm can go well beyond the usual parental pride. Such parents actually seem far more interested and invested in the sport than the child is. The child may even appear weary and disinterested when the subject comes up.

Far more people have heard of Tourette syndrome than know what it actually looks and sounds like - or how it feels to the person who has it. That's a major reason the diagnosis of this condition - the most severe tic disorder - is often missed. This is part one of a two-part series. See Tourette syndrome--Much more than tics, part 2: Management

What do physicians need to meet the challenge of providing high-quality patient care in this century? A set of well-defined competencies and a system for maintaining them throughout the course of professional practice. Part two of a three-part series.

Far more people have heard of Tourette syndrome than know what it actually looks and sounds like - or how it feels to the person who has it. That's a major reason the diagnosis of this condition - the most severe tic disorder - is often missed. This is part one of a two-part series. See Tourette syndrome--Much more than tics, part 2: Management

Your Voice

More approaches to toilet training/Did this infant receive proper care?

Miracles happen in children's hospitals every day, but some attempts at miracle-making don't succeed. In this hospital, now, there are children for whom even the most advanced treatments haven't been enough

Does interactive metronome treaining help ADHD?/Nail biting in a toddler: Can it be stress?

What role do environmental exposures play in the rising prevalence and severity of asthma? The authors examine the latest evidence and propose some measures pediatricians can take to protect their patients. Includes a Guide for Parents.

You took a thorough history, performed a solid physical examination, made a reasonably good diagnosis, decided on a proper course of treatment, and wrote a prescription for your young patient. All done? Not so, unless you asked yourself:

Eye on Washington

Tackling threats from dirty air, mad cows, and food allergens

Removing ticks is often difficult, especially if the patient or parent breaks off the body from the head when trying to dislodge the tick.

You took a thorough history, performed a solid physical examination, made a reasonably good diagnosis, decided on a proper course of treatment, and wrote a prescription for your young patient. All done? Not so, unless you asked yourself:

Putting their baby in day care is an emotional occasion for parents, as well as a subject that often comes up during office visits. You're in an opportune position to provide advice and support on returning to work and finding the best child-care arrangement for the family.

Clavicle fractures in the pediatric population are very common. Clavicle fractures in the pediatric population are very common. Clinical manifestations include decreased movement of the arm on the affected side, crepitus, and/or bony irregularity at the fracture site. Here, a review of fracture in newborns and older children.

Your Voice

Lead poisoning: The correct therapy, possible sources / Two views on exaggerated inspirations / Virginity pledges: Some value after all / Keep euphemisms out of the medical office

Bookshelf

The Reach Out and Read program and how to promote early literacy through the pediatrician's office.

Fifty years have witnessed unprecedented progress in the pediatrician's ability to diagnose, treat, and prevent illness. What lies ahead for you and your colleagues? Part One of a three-part series.

Congenital lesions originally thought to be a hemangioma often are something else. These experts in vascular abnormalities show you how to differentiate such tumors and malformations.