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General Pediatrics

:: Jun-Jul 2008


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View all Treatment articles in our Treatment Report . The most recent articles are listed on top (not in alphabetical order). Click on the Topic on our home page and then the subtopic - Treatment Report. Stay updated on drugs and their side effects, and various other treatments, including exercise, nutrition, and supplements.

Highlighted Article

Moderate-to-Vigorous Physical Activity From Ages 9 to 15 Years (JAMA 2008) “Conclusion In this study cohort, measured physical activity decreased significantly between ages 9 and 15 years. “

Clinical Guidelines

AAP Revises Cholesterol Screening Guidelines for Children “One recommendation in particular, however, has raised concern among physicians and consumer health advocates: the possibility of pharmacologic intervention beginning at age 8 years — 2 full years earlier than previously recommended. "For patients 8 years and older with [a low-density lipoprotein (LDL)] concentration of =190 mg/dL (or =60 mg/dL with a family history of early heart disease or =2 additional risk factors present or =130 mg/dL if diabetes mellitus is present), pharmacologic intervention should be considered," the guidelines recommend. “

Academy of Breastfeeding Medicine (Protocols - Guidelines)

CDC - Recommended Childhood and Adolescent Immunization Schedule: United States 2006

Guidelines for Adolescent Depression in Primary Care (GLAD-PC): I. Identification, Assessment, and Initial Management (PEDIATRICS 2007)

Guidelines Updated for Influenza Immunization in Children (2008)

Guidelines Updated for Mumps Immunization (2006)

Guidelines Updated for Varicella Prevention in Children, Teens, Adults

NGC - Abrasion and laceration wound care: pre-school through grade twelve. (2006)

NGC - Chronic abdominal pain in children. (2005)

NGC - Evidence-based guidelines for cardiovascular disease prevention in women: 2007 update. (2007)

NGC - General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). (2006)

NGC - Guideline on the use of ipecac syrup in the out-of-hospital management of ingested poisons. (2005)

NGC - Immunizations (2005)

NGC - (1) Immunizations. (2) Immunizations update. (2006)

NGC - Managing asthma long term in children 0-4 years of age and 5-11 years of age: Expert panel report 3: guidelines for the diagnosis and management of asthma. (2007)

NGC - Managing asthma long term in youths >12 years of age and Adults: Expert panel report 3: guidelines for the diagnosis and management of asthma. (2007)

NGC - OTITIS MEDIA WITH EFFUSION (GUIDELINE SYNTHESIS)

NGC - Postnatal care. Routine postnatal care of women and their babies. (2006)

NGC - Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders. (2007)

NGC - Practice parameter for the assessment and treatment of children and adolescents with bipolar disorder. (2007)

NGC - Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder. (2007)

NGC - Practice parameter for the assessment and treatment of children and adolescents with reactive attachment disorder of infancy and early childhood. (2005)

NGC - Practice parameter: pharmacological treatment of migraine headache in children and adolescents: report of the American Academy of Neurology Quality Standards Subcommittee and the Practice Committee of the Child Neurology Society. (2004)

NGC - Preventing tetanus, diphtheria, and pertussis among adolescents: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccines. Recommendations of the Advisory Committee on Immunization Practices (ACIP). (2006)

NGC - Prevention and identification of childhood overweight. (2006)

NGC - Prevention of influenza: recommendations for influenza immunization of children, 2006–2007. (2007)

NGC - Prevention of pertussis among adolescents: recommendations for use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine. (2006)

NGC - Preventive services for children and adolescents. (2004)

NGC - Recommended childhood and adolescent immunization schedule: United States, 2006.

NGC - Screening for speech and language delay in preschool children: recommendation statement.

NGC - Sinusitis--child. (2006)

NGC - The changing concept of sudden infant death syndrome: diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consider in reducing risk. (2005)

Practice Guideline for Diagnosis and Management of Migraine Headaches in Children and Adolescents: Part Two (J Pediatr Health Care. 2008)

Recommendations Updated for Universal Administration of Hepatitis A Vaccination in US Children

Recommended Immunization Schedules for Children and Adolescents—United States, 2007. (2007)

Surveillance Guidelines for Smallpox Vaccine (vaccinia) Adverse Reactions (MMWR 2006)

Internet Sites

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ADD - ADHD

A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder. (J Am Acad Child Adolesc Psychiatry. 2005) "OBJECTIVE: To determine the empirical evidence for deficits in working memory (WM) processes in children and adolescents with attention-deficit/hyperactivity disorder (ADHD). ? CONCLUSION: Evidence of WM impairments in children with ADHD supports recent theoretical models implicating WM processes in ADHD."


Behavioral - Learning Disorders

Sleep-disordered breathing symptoms are associated with poorer cognitive function in 5-year-old children. (J Pediatr. 2004) "OBJECTIVE: To assess the relation of sleep-disordered breathing (SDB) symptoms in children to neurocognitive function. ? CONCLUSION: Even in the absence of OSA, SDB symptoms are associated with poorer executive function and memory skills and lower general intelligence in 5-year-old children."

 

Diagnosis, Imaging, and Screening

Usefulness of waist circumference for the identification of childhood hypertension. (J Hypertens. 2008) “CONCLUSION: High blood pressure is strongly associated with excess weight. Waist circumference improves the ability of BMI to identify hypertension in obese children. Waist circumference is related to absolute blood pressure values in all weight classes.”

 

Diseases and Conditions

A terrible ache that's not all in the head “ "The primary difference in children is that they can have migraine without headache pain. They are likely to have what's called 'abdominal migraine' which could be stomach ache in the navel area, loss of appetite, nausea and vomiting." Young children find it hard to explain their migraine symptoms, and are less likely to be able to push for treatment, adds Little. "There's a lot of stigma attached to it as well. People think it's attention seeking without realising how serious it is," he says. "It can affect their lives very seriously and particularly their studies, so we target teachers with information to get them to recognise the effect it can have on young people and there are allowances in exams. … If your child has migraine, it's important to talk to the school and make them aware of the child's condition, particularly if it is likely to cause absence. The Migraine Association of Ireland also encourages parents to help their children learn the signs that a migraine is coming, so they can let the teacher know and better manage the attack if it happens in school. And they offer the following tips for approaching schoolwork: • Take frequent breaks from long periods of studying, particularly if using a computer screen or if the work is stressful • Eat regularly throughout the day • Get some exercise and fresh air during the day - walk or cycle to school if possible • Watch caffeine intake (present in coffee and some soft drinks) - drink plenty of water instead • Make the study environment as comfortable as possible: keep good posture, light the area well and do stretching exercises to avoid stiffness and tension …“

Allergic rhinitis in children. (Mo Med. 2008)

Anxiety and Somatic Complaints in Children with Recurrent Abdominal Pain and Anxiety Disorders. (J Pediatr Psychol. 2008)

Asthma mortality among Swedish children and young adults, a 10-year study. (Respir Med. 2008)

Pathogens Causing Recurrent and Difficult-to-Treat Acute Otitis Media, 2003-2006. (Clin Pediatr (Phila). 2008)

Pediatric Hypertension: Does It Have an Impact on Cognition? (Medscape Cardiology. 2008)

The role of extraesophageal reflux in otitis media in infants and children. (Laryngoscope. 2008)

 

General Information

Grandma And Grandpa Are Good For Children “The survey reveals that grandparents often have more time than working parents to support young people in activities and are well placed to talk to their grandchildren about any problems the young people may be experiencing. They were also found to be involved in helping to solve the young people’s problems, as well as talking with them about plans for their future.”

Lawmakers Agree to Ban Toxins in Children's Items

Longitudinal risk factors for persistent fatigue in adolescents. (Arch Pediatr Adolesc Med. 2008)

Radiology and Children: Extra Care Required

Tantrums — Understanding, Preventing and Surviving Them

 

Immunization

How Independent Are Vaccine Defenders? “The vaccine industry gives millions to the Academy of Pediatrics for conferences, grants, medical education classes and even helped build their headquarters. The totals are kept secret, but public documents reveal bits and pieces.”

How to Stop the Hurt -- Sucrose Prior to Infant Vaccinations: A Best Evidence Review

Influenza Guidelines Updated “The main new recommendation from the ACIP involves influenza vaccination for children. The previous recommendation called for routine vaccination of children from 6 months through 59 months of age. The new recommendation calls for routine vaccination of children from 6 months to 18 years of age. Vaccination of this age group should begin in 2008 to 2009, with a goal of wider vaccination during the 2009 to 2010 influenza season. • Routine vaccination of children between the ages of 6 and 59 months should continue to be a primary focus of influenza prevention because these children are at higher risk for complications of influenza. • Children between the ages of 6 months and 8 years should receive 2 doses of influenza vaccine, separated by at least 4 weeks, if they have not been vaccinated against influenza during previous influenza seasons. If a child was previously vaccinated but received only 1 dose of vaccine, 2 doses are still required. “

Kids' combination vaccines cut number of required shots “The Food and Drug Administration in June approved a pair of vaccines that provide as many as five childhood immunizations in one shot. The Advisory Committee on Immunization Practices followed up on this action by recommending that the vaccines be incorporated into the regular immunization schedule.”

Prevention of pertussis, tetanus, and diphtheria among pregnant and postpartum women and their infants. Recommendations of the Advisory Committee on Immunization Practices (ACIP). (2008)

 

Risk Factors

Is pacifier use a risk factor for acute otitis media? A dynamic cohort study. (Fam Pract. 2008) “CONCLUSION: Pacifier use appears to be a risk factor for recurrent AOM. Parents should be informed about the possible negative effects of using a pacifier once their child has been diagnosed with AOM to avoid recurrent episodes.”

Prenatal Exposure to Maternal Infections and Epilepsy in Childhood: A Population-Based Cohort Study (PEDIATRICS 2008) “CONCLUSIONS. Prenatal exposure to some maternal infections was associated with an increased risk for epilepsy in childhood.”

Torn ACLs, Other Big Injuries Hit Little Athletes

 

Risk Reduction

Protect Your Baby from Group B Strep “If you are pregnant—or know anyone who is—you need to know about “group B strep”. Group B streptococcal bacteria (also called GBS, group B strep, or baby strep) is very common to all types of women and can be passed on to a baby during childbirth. Your baby can get very sick and even die if you are not tested and treated.”

 

SIDS
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