MEDSCAPE's Pediatrics MedPulse 8-31-01

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MedPulse is a weekly index of key news and features on Medscape's

specialty sites compiled by Medscape's Editors.

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___________________ NEW FEATURE ARTICLES THIS WEEK ____________________

MODULAR ENDOPROSTHESES FOR CHILDREN WITH MALIGNANT BONE TUMORS

The surgical management of skeletally immature children with malignant tumors of bone is challenging.

Cancer Control; JMCC 8(4):344-348, 2001.

http://pediatrics.medscape.com/42203.rhtml?srcmp=ped-083101

PEER-RUN GROUP ADVISES HARM-REDUCTION STRATEGY

A controversial peer-lead program aimed at reducing the risks involved with ecstasy (MDMA) use is drawing strong reactions from both sides of the anti-drug war debate.

Psychopharmacology Update 12(8):1, 4-5, 2001

http://pediatrics.medscape.com/42233.rhtml?srcmp=ped-083101

N.J. AIMS FOR FIRST STATEWIDE INTEGRATED SYSTEM FOR CHILDREN

After several years of planning and a four-month delay in a reassessment of the program, New Jersey's statewide plan for coordinating children's services under a wrap-around model is now under way.

Mental Health Weekly 11(30):1, 4-6, 2001

http://pediatrics.medscape.com/42244.rhtml?srcmp=ped-083101

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___________________________________ NEWS ______________________________

ASTHMA SPECIALISTS MORE LIKELY TO FOLLOW BEST PRACTICE GUIDELINES

Asthma specialists are more likely to follow treatment guidelines established by the National Heart, Lung, and Blood Institute's National Asthma Education and Prevention Program, which decreases the risk of ER visits and patient hospitalization.

http://pediatrics.medscape.com/42209.rhtml?srcmp=ped-083101

WHEEZING OFTEN UNREPORTED IN ADOLESCENTS WITH FAMILY HISTORY OF ALLERGY

Unrecognised and untreated wheezing appears to be just as common among adolescents with a family history of allergy as it is in the general adolescent population.

http://pediatrics.medscape.com/42109.rhtml?srcmp=ped-083101

USE OF BUCKWHEAT HUSK PILLOWS LINKED TO CHILDHOOD NOCTURNAL ASTHMA

Small amounts of buckwheat flour attached to buckwheat husk pillows may induce sensitization to buckwheat and nocturnal asthma in children.

http://pediatrics.medscape.com/42142.rhtml?srcmp=ped-083101

FIRST-TIME SIMPLE FEBRILE SEIZURES NOT LINKED WITH INCREASED RISK OF

SERIOUS BACTERIAL INFECTION

Children with first-time simple febrile seizures appear to be no more likely than febrile children without seizures to develop a serious bacterial illness.

http://pediatrics.medscape.com/42062.rhtml?srcmp=ped-083101

SOCIAL STATUS AND MATERNAL BMI LINKED WITH ADULT OBESITY RISK

Children born to obese mothers or into families with lower socioeconomic status appear to have a greater risk of obesity later in life.

http://pediatrics.medscape.com/42073.rhtml?srcmp=ped-083101

BREASTFEEDING MAY AID COGNITIVE DEVELOPMENT

Breastfeeding for at least 6 months appears to have a positive effect on cognitive development.

http://pediatrics.medscape.com/42168.rhtml?srcmp=ped-083101

THREE CHILDREN'S STUDIES SHED LIGHT ON DISORDERS

Three unrelated children's studies that have recently been published or presented shed light on bipolar disorder, attention-deficit/hyperactivity disorder (ADHD) and autism.

Mental Health Weekly 11(28):3-4, 2001

http://pediatrics.medscape.com/42198.rhtml?srcmp=ped-083101

DEVELOPMENTALLY APPROPRIATE TREATMENTS NEEDED FOR PEDIATRIC DEPRESSION

The treatment of depression in children and adolescents needs to be individualized, taking into account age, sex and cultural background.

http://pediatrics.medscape.com/42092.rhtml?srcmp=ped-083101

ORAL TYPE II COLLAGEN THERAPY SHOWS PROMISE IN TREATMENT OF JUVENILE ARTHRITIS

Oral type II collagen therapy appears to reduce the autoimmune process of juvenile rheumatoid arthritis and promote clinical improvement.

http://pediatrics.medscape.com/42138.rhtml?srcmp=ped-083101

DTP, MMR VACCINATION NOT ASSOCIATED WITH LONG-TERM ADVERSE OUTCOMES

Immunization with the diphtheria, tetanus, and pertussis (DTP) vaccine or the measles, mumps, and rubella (MMR) vaccine increases the risk of febrile seizures initially but does not appear to have any long-term adverse consequences.

http://pediatrics.medscape.com/42182.rhtml?srcmp=ped-083101

CHILDREN ON MEDICAID OFTEN LACK DENTAL CARE

Children enrolled in state Medicaid programs are less likely to visit the dentist than their peers with private insurance.

http://pediatrics.medscape.com/42181.rhtml?srcmp=ped-083101

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ALL INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR LEGAL ADVICE. THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.