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(NAPNAP) 23RD ANNUAL NURSING CONFERENCE OF PEDIATRIC PRIMARY CARE Read new summaries on vaccine controversies, reimbursement and credentialing for PNPs, and judicious use of antibiotics in these reports based on the recent meeting of the National Association of Pediatric Nurse Associates and Practitioners. http://www.medscape.com/viewprogram/1842?srcmp=ped-051702

METFORMIN FOR THE PREVENTION OF DIABETES IN AN OBESE TEENAGER? The parents of an obese teenager are concerned that their son is at risk for diabetes. Is there a role for metformin? Medscape Diabetes & Endocrinology 4(1) 2002 http://www.medscape.com/viewarticle/433390?srcmp=ped-051702

Relationships with pharmaceutical companies are explored. Medscape Psychiatry & Mental Health eJournal 7(3) 2002 http://www.medscape.com/viewarticle/433017?srcmp=ped-051702

Article topics include bubonic plague in Madagascar, HHV-6 and BMT, and overcoming penicillin allergy. Medscape Infectious Diseases 4(1) 2002 http://www.medscape.com/viewarticle/433154?srcmp=ped-051702

LISTERIA MONOCYTOGENES INFECTION IN ISRAEL AND REVIEW OF CASES WORLDWIDE In this series, 43% were perinatal infections, with a fetal mortality rate of 45%. Emerg Infect Dis 8(3) 2002 http://www.medscape.com/viewarticle/432068?srcmp=ped-051702

EFFECTS OF CHANGING HEALTH CARE FINANCIAL POLICY ON VERY LOW BIRTHWEIGHT NEONATAL OUTCOMES Are referral patterns and clinical outcomes for VLBW infants affected by changes in Medicaid financial policies? South Med J 95(4) 2002 http://www.medscape.com/viewarticle/432435?srcmp=ped-051702

ANGELS ON THE WEB: HELPING CHILDREN AND THEIR FAMILIES COPE WITH AIDS Children with AIDS have needs that go beyond those of HIV-infected adults. Medscape Infectious Diseases 4(1) 2002 http://www.medscape.com/viewarticle/433150?srcmp=ped-051702

Can you suggest the possible cause of biliary peritonitis in a patient with no obvious source of biliary leakage? Medscape Surgery 4(1) 2002 http://www.medscape.com/viewarticle/432412?srcmp=ped-051702

These patients often encounter barriers to receiving appropriate care, including perceived opiate addiction. Pharmacotherapy 22(4) 2002 http://www.medscape.com/viewarticle/432395?srcmp=ped-051702

PUBLIC HEALTH DISPATCH: PERTUSSIS IN AN INFANT ADOPTED FROM RUSSIA -- MAY 2002 The airline is identifying passengers potentially exposed during flights from Moscow to JFK and North Carolina on 4/24. MMWR 51(18) 2002 http://www.medscape.com/viewarticle/433434?srcmp=ped-051702

Are parents effectively using alternate measures of sun prevention, such as using shade or protective clothing? J Am Board Fam Pract 15(3) 2002 http://www.medscape.com/viewarticle/432575?srcmp=ped-051702

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Laryngeal examination is needed to diagnose laryngeal reflux. MedscapeWire 2002 http://www.medscape.com/viewarticle/433482?srcmp=ped-051702

The generalized movements preterm infants display in the first few months of life can predict their risk of developing cerebral palsy later in life, according to a report published in the May issue of the Archives of Pediatrics and Adolescent Medicine. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433659?srcmp=ped-051702

BETTER ASTHMA CARE, EDUCATION AND INSURANCE CAN IMPROVE PATIENT OUTCOME Hoping to reverse the growing epidemic of asthma among children in the US, a panel of 10 nationally recognized childhood asthma experts is calling for more spending on primary care, self-management education, and insurance benefits for children. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433561?srcmp=ped-051702

Continuing to breast-feed infants while introducing them to certain foods may cut their risk of developing celiac disease, new study findings suggest. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433468?srcmp=ped-051702

Global efforts to fight HIV and AIDS must focus on children, the chief of the United Nations' office on the disease told world leaders Friday on the final day of the UN Special Session on Children. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433450?srcmp=ped-051702

BRIEF NEONATAL EXPOSURE TO COWS' MILK NOT ASSOCIATED WITH ATOPIC DISEASE There is no association between brief neonatal exposure to cows' milk in breast-fed children and atopic disease or allergic symptoms up to age 5 years, according to a report in the May issue of the Archives of Disease in Childhood. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433452?srcmp=ped-051702

Offspring of untreated epileptic women not at increased risk for defects. MedscapeWire 2002 http://www.medscape.com/viewarticle/433386?srcmp=ped-051702

An improvement in an electrolyte solution used for 25 years to treat serious diarrhea in infants will save the lives of millions of additional children in years to come, United Nations officials said on Wednesday. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433391?srcmp=ped-051702

More British mothers breastfed in 2000 than 5 years earlier, a government survey released Monday indicates, but the United Nations Children's Fund (UNICEF) said the increase was too slight and called for a national breastfeeding strategy. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433492?srcmp=ped-051702

US adolescents who follow a vegetarian diet are more likely than adolescents who are not vegetarians to meet the Healthy People 2010 dietary objectives established by the US Department of Health and Human Services, researchers report. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433499?srcmp=ped-051702

Most children and adolescents with non-Hodgkin's lymphoma (NHL) arising in bone do very well, with event-free survival rates often reaching 100%, according to a report published in the May 1st issue of the Journal of Clinical Oncology. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433501?srcmp=ped-051702

NASAL SWABS PROVIDE RAPID PAINLESS DIAGNOSIS OF VIRAL RESPIRATORY INFECTION For diagnosis of viral acute respiratory infections in children, lower nasal swabs are as effective as high nasopharyngeal swabs and significantly less painful. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433514?srcmp=ped-051702

POSTNATAL GROWTH, NOT FETAL GROWTH, LINKED WITH HYPERTENSION Regression models based on a large birth cohort database from New Zealand fail to support the fetal origins hypothesis of high blood pressure, according to a report in the May 1st issue of the American Journal of Epidemiology. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433641?srcmp=ped-051702

PIMECROLIMUS SHOWS LONG-TERM EFFICACY AGAINST ECZEMA IN INFANTS The non-steroid dermatologic cream pimecrolimus (Elidel; Novartis AG) shows long-term efficacy against eczema in infants, the Novartis officials said on Thursday. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433726?srcmp=ped-051702

KNOWLEDGE OF EMERGENCY CONTRACEPTION DOES NOT ALTER TEEN SEXUAL BEHAVIOR An educational intervention programme significantly improves the knowledge UK students have about the time limits of emergency contraception but does not alter sexual behaviour or emergency contraception use, UK researchers report. Reuters Health Information 2002 http://www.medscape.com/viewarticle/433703?srcmp=ped-051702

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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.