InfoMedSearch Newsletters
General Pediatrics

:: June 2009


Welcome to our Monthly Online Newsletter!


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

Health and well-being in school-age children following persistent crying in infancy. (J Paediatr Child Health. 2009) “CONCLUSION: At school-age, children with a history of hospitalisation for persistent crying in infancy had a significantly higher prevalence of mental health problems and mental disorders, as compared with community samples.”

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. (2008)

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 - Prevention of rotavirus gastroenteritis among infants and children. Recommendations of the Advisory Committee on Immunization Practices (ACIP). (2009)

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

Related InfoMedSearch Topics

Related InfoMedSearch Topics

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

 

Diseases and Conditions

Depression, Anxiety Pass from Parents to Kids “Children of parents with anxiety disorders are up to seven times more likely than others to develop anxiety problems themselves, research shows, and children of depressed parents also are at high risk for becoming depressed. Two new studies suggest that talking to therapists can break the cycle, reducing the risk of mental health problems in children and teens. Both studies released this week focused on "cognitive behavior therapy," in which patients learn to reframe the way they think about upsetting events to avoid falling into a depressive spiral. Adolescence could be the best time to try to prevent depression, because most depressed adults say their problems started in their teen years, says Judy Garber of Nashville's Vanderbilt University, author of a study in today's Journal of the American Medical Association. About one in five teens experience depression by age 18.”

Earliest symptoms discriminating juvenile-onset bipolar illness from ADHD. (Bipolar Disord. 2009)

Sinus infections may cause toxic shock in children “"It is imperative that physicians, particularly those who are providing intensive care to children, recognize that rhinosinusitis can be the sole cause of toxic shock syndrome in children," Chan and colleagues wrote.”

 

General Information

Abused Kids Face Higher Cancer Risk “"One important avenue for future research is to investigate dysfunctions in cortisol production -- the hormone that prepares us for 'fight or flight' -- as a possible mediator in the abuse-cancer relationship," she said in a news release from the university. "Few talk about childhood physical abuse and cancer in the same breath," Esme Fuller-Thomson, of the University of Toronto's faculty of social work and department of family and community medicine, said in the news release. "From a public health perspective, it's extremely important that clinicians be aware of the full range of risk factors for cancer. This research provides important new knowledge about a potential childhood abuse-cancer relationship." “

Canada to ban phthalates in toys, vinyl bibs: Chemical can cause liver, kidney damage in young children

Early Bedtime May Help Stave Off Teen Depression “Teens whose parents pack them off to bed at 10 p.m. are less apt to become depressed or have suicidal thoughts than their peers who stay up much later, recent research shows. "This study bolsters the argument that a lack of sleep can cause depression," said study author James Gangwisch, an assistant professor of psychiatry at Columbia University Medical Center in New York City. "Teens with earlier parental-mandated bedtimes were less likely to suffer from depression and suicidal thoughts." “

 

Immunization

 

Risk Factors

Newborn weights affected by environmental contaminants “Recent epidemiological studies have revealed an increase in the frequency of genital malformations in male newborns (e.g., un-descended testes) and a decrease in male fertility. The role played by the growing presence in our environment of contaminants that reduce male hormone action could explain this phenomenon.”

People With Parents Who Fight Are More Likely To Have Mental Health Problems In Later Life

Pesticide Susceptibility In Children Lasts Longer Than Expected “"Current EPA standards of exposure for some pesticides assume children are 3 to 5 times more susceptible than adults, and for other pesticides the standards assume no difference," said Nina Holland, UC Berkeley adjunct professor of environmental health sciences and senior author of the paper. "Our study is the first to show quantitatively that young children may be more susceptible to certain organophosphate pesticides up to age 7. Our results suggest that the EPA standards need to be re-examined to determine if they are adequately protecting the most vulnerable members of the population." “

Studies Suggest Physicians Should Be Vigilant for Serious H1N1 Infection in Young “The pattern of the swine-origin influenza A (H1N1) virus (S-OIV) seen in March and April of this year suggests that people exposed to H1N1 strains during childhood before the 1957 flu pandemic will be relatively protected from severe illness, according to a study in the June 29 Online First issue of The New England Journal of Medicine. The study, which appears along with a case series describing some of the first patients to be hospitalized with confirmed H1N1 and pneumonia, paint a picture of the early days of the pandemic and highlight that the virus can cause serious illness in a younger population. “

Teens who move a lot have twice suicide risk

 

Risk Reduction
SIDS

Sudden infant death syndrome. (Am Fam Physician. 2009)

 

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