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Pediatric News

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Coping with the death of a child.(The Rest of Your Life)
Physicians' reactions to death vary, says Dr. Robert S. McKelvey, author of "When a Child Dies: How Pediatric Physicians and Nurses Cope" (Seattle: University of Washington Press, 2007). Patient . . .

TV sex tied to teen pregnancy.(Policy & Practice)
Teen pregnancy may be somehow linked to the amount of sex teens see on television, according to a provocative new study in the November issue of Pediatrics. The more exposure teens had to sexual . . .

U.S. gets 'D' on prematurity rate.(Policy & Practice)
The United States received a "D" on the Premature Birth Report Card issued recently by the March of Dimes. The report card compares actual preterm birth rates in each state with the . . .

WVU creates pediatric institute.(Policy & Practice)
West Virginia University has launched the multimillion-dollar WVU Pediatric Research Institute, using a bequest from a well-known state physician and unclaimed settlement money from a class action . . .

Hawaii ends child health care plan.(Policy & Practice)
Hawaii has stopped funding the only state universal child health care program in the country. The Keiki Care Plan (Keiki is the Hawaiian word for child) pilot project was intended to provide free . . .

Diabetes prescriptions double.(Policy & Practice)
Children and teenagers aged 5-19 years doubled their use of type 2 diabetes medications between 2002 and 2005, according to a study published in the journal Pediattics. The rise in diabetes . . .

Serving those who serve.(On the Learning Curve)
Spending the past 4 months home on maternity leave has given me time to think about many things in a different way or just with a little more focus. This November, I was able to think more . . .

Canadian hospital staff hesitant on pertussis shots.(Practice Trends)
WASHINGTON -- In a recent survey of Canadian hospital workers, most said they would be willing to be immunized against pertussis for free, but only a third said they would do so if the vaccine cost . . .

Asymptomatic proteinuria: transient or fixed?(Clinical Rounds)
STANFORD, CALIF. -- Rule out transient or benign orthostatic cases of asymptomatic proteinuria in children and adolescents before considering whether to refer them to a nephrologist. The American . . .

Too little sleep in childhood ups risk of obesity.(Clinical Rounds)
Too little sleep in childhood increases the long-term risk for obesity, and ensuring that children get adequate sleep may be a useful strategy for stemming the current obesity epidemic, results of . . .

Dramatic skin changes with vascular tumor history may be Kasabach-Merritt.(Clinical Rounds)
DESTIN, FLA. -- When Kasabach-Merritt phenomenon usually has a delayed presentation, it can look somewhat like cellulitis, so it should be considered in the differential diagnosis in young children . . .

Take one for the team? Document it.(Clinical Rounds)
Some young athletes simply won't take no for an answer. "There will always be kids and parents who are willing to disregard medical advice against participation," said Dr. Rice. "When this happens, . . .

AAP advises on sports for kids with medical issues: the updated policy statement on participation 'is not meant to replace' the
BOSTON -- The American Academy of Pediatrics" revised policy statement regarding medical conditions that affect sports participation is a resource to help physicians assess whether and under . . .

Apidra, Acanya Gel.(New & Approved)
Apidra (insulin glulisine, Sanofi-Aventis) The Food and Drug Administration approved a new pediatric indication for Apidra (insulin glulisine [rDNA origin] solution for injection). The . . .

Serial celiac screening urged in type 1 diabetes.(Clinical Rounds)
KEYSTONE, COLO. -- All patients with new-onset type 1 diabetes should be screened for serologic evidence of celiac disease in the form of IgA tissue transglutaminase autoantibodies and, if . . .

Analyze for GERD after an apparent life-threatening event.(Clinical Rounds)
DENVER -- A careful physical examination and history, with special attention to the family history, will detect most infants with gastroesophageal reflux disease who need an intensive workup . . .

Gatekeeper in the growing flood of CAMs.(Special Needs: Realizing Potential)
All parents want to make sure they leave no stone unturned in the care of their sick child. This often leads to the use of complementary and alternative medicine, particularly for families of . . .

Where's the point?(Letters From Maine)
If you have given more than a thousand intramuscular injections, you have probably hit bone at least once or twice. This is not the "Eureka!" kind of discovery that one gets from striking oil . . .

Homeroom.(Honorable Mentions)
My patients' medical home and my personal home are one and the same, and I've never regretted it. Since starting my medical practice in 1986, I have had an exam room in my home. Well visits . . .

Home base.(Honorable Mentions)
The cozy warmth of a fireplace, cookies baking in the oven, and feelings of contentment and safety are but a few ingredients that make a house a home. In our attempt to make our pediatric office . . .

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