MEDSCAPE's Pediatrics MedPulse 10-05-01

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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 ____________________

ANGELS IN OUR MIDST: SUMMER CAMP FOR CHILDREN WITH HEART DISEASE

Starting from scratch, a physician and nurse built a free camp so that children with heart disease can experience the joys of being a child.

Medscape Infectious Disease, 2001

http://pediatrics.medscape.com/43435.rhtml?srcmp=ped-100501

ASK THE EXPERTS - VACCINATIONS FOR ASPLENIC CHILDREN

What vaccinations are indicated for a child post-splenectomy? What would be the vaccine schedule?

http://pediatrics.medscape.com/43437.rhtml?srcmp=ped-100501

WHEN DISASTER STRIKES: THE OUT-OF-TOWNERS

Doctors visiting New York mobilize during the World Trade Center attacks.

http://pediatrics.medscape.com/43421.rhtml?srcmp=ped-100501

HOW TO HELP CHILDREN WHEN DISASTER STRIKES

We Americans are no longer strangers to terribly frightening occurrences in our midst.

Brown Univ Child & Adol Behav Ltr 17(10):1, 3-4, 2001

http://pediatrics.medscape.com/43440.rhtml?srcmp=ped-100501

OBESITY AND HYPERTENSION: A GROWING PROBLEM

The prevalence of obesity has increased markedly in the U.S. and other countries in the past 20 years.

J Clin Hypertens 3(4):252-254, 2001

http://pediatrics.medscape.com/43426.rhtml?srcmp=ped-100501

CONSIDER BOTH THE UNBORN CHILD AND THE MOTHER WHEN TREATING HYPERTENSION IN PREGNANCY

Hypertension in pregnancy is a common cause of maternal and perinatal morbidity and mortality.

Drug & Ther Perspect 17(18)11-15, 2001

http://pediatrics.medscape.com/43322.rhtml?srcmp=ped-100501

ANTIBIOTIC PROPHYLAXIS FOR NEONATAL GROUP B STREPTOCOCCAL DISEASE

Group B streptococcal disease in neonates has declined by more than 65% in the last decade, but it remains an important cause of morbidity and mortality.

Infect Med 18(9):419-427, 2001

http://pediatrics.medscape.com/43431.rhtml?srcmp=ped-100501

RADIOLOGICAL CASE OF THE MONTH

A preterm neonatal male was born at 30 weeks gestation with frequent jerking movements of all extremities and poor responsiveness to stimulation.

Applied Radiology 30(9):54-56, 2001

http://pediatrics.medscape.com/43416.rhtml?srcmp=ped-100501

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___________________________________ NEWS ______________________________

NASAL SUMATRIPTAN EFFECTIVE FOR YOUNG CHILDREN

In young children with migraine, nasal sumatriptan appears to be effective and well tolerated, researchers report.

http://pediatrics.medscape.com/43248.rhtml?srcmp=ped-100501

NICOTINE PATCH ENHANCES EFFECTIVENESS OF NEUROLEPTICS FOR TOURETTE'S SYNDROME

The use of a nicotine patch potentiates the effectiveness of neuroleptics used to treat Tourette's syndrome in children.

http://pediatrics.medscape.com/43251.rhtml?srcmp=ped-100501

DUST MITE ALLERGEN PREVALENT IN US DAY CARE CENTERS

If a study out of Tampa, Florida, is any indication, day care centers around the US may harbor high levels of dust mite allergen.

http://pediatrics.medscape.com/43261.rhtml?srcmp=ped-100501

MANAGED CARE APPROACH MAY HAVE EDGE IN PEDIATRIC ASTHMA

A study of almost a thousand children receiving emergency department asthma treatment indicates that those without insurance have consistently poorer quality of care.

http://pediatrics.medscape.com/43304.rhtml?srcmp=ped-100501

PARENTING DIFFICULTIES AFTER BIRTH LINKED TO ASTHMA YEARS LATER IN

CHILDREN AT RISK

In children genetically at risk for asthma, problems with infant caregiving, postpartum depression, and inadequate marital support are associated with asthma at school age.

http://pediatrics.medscape.com/43338.rhtml?srcmp=ped-100501

NEW TREATMENT GUIDELINES INCLUDE MEDICATION PLUS BEHAVIOR THERAPY FOR ADHD

New guidelines from the American Academy of Pediatrics suggest treatment with stimulant medication and/or behavioral therapy as appropriate for children between the ages of 6 and 12 years old who have been diagnosed with ADHD.

http://pediatrics.medscape.com/43305.rhtml?srcmp=ped-100501

STRONG LINK NOT FOUND BETWEEN THIMEROSAL AND NEURODEVELOPMENTAL

DISORDERS

The use of pediatric vaccines containing thimerosal should be avoided, even though there is no hard evidence connecting the mercury-containing preservative to autism or other neurodevelopmental disorders.

http://pediatrics.medscape.com/43311.rhtml?srcmp=ped-100501

NVIC SAYS IOM REPORT CONFIRMS 1999 FDA/EPA ORDER FOR MERCURY-FREE

VACCINES

The recent IOM report confirmed that the FDA and EPA were justified in ordering drug companies to take mercury out of childhood vaccines in 1999.

http://pediatrics.medscape.com/43415.rhtml?srcmp=ped-100501

POLIO ERADICATION STILL A PRIORITY IN FOUR AFRICAN COUNTRIES

Despite progress in eradicating polio in Africa, transmission continues to be a concern in four countries: Nigeria, Ethiopia, Angola, and the Democratic Republic of Congo.

http://pediatrics.medscape.com/43263.rhtml?srcmp=ped-100501

PARENTAL EDUCATION CAN REDUCE RISK OF PEDIATRIC ACETAMINOPHEN OVERDOSE

A new report by the American Academy of Pediatrics recommends ways pediatricians can lower the risk of acetaminophen overdose in children.

http://pediatrics.medscape.com/43326.rhtml?srcmp=ped-100501

NICOTINE REPLACEMENT THERAPY TO BE TESTED IN CHILD SMOKERS

Children as young as 12 years old in Britain will be given nicotine replacement therapy in a new drive to help them quit smoking.

http://pediatrics.medscape.com/43348.rhtml?srcmp=ped-100501

BETA-1-ADRENERGIC ANTAGONIST IMPROVES BEHAVIOR IN SMITH-MAGENIS SYNDROME

Acebutolol may be the first effective treatment for the behavioral and sleep disturbances exhibited by children with Smith-Magenis syndrome.

http://pediatrics.medscape.com/43361.rhtml?srcmp=ped-100501

KETOGENIC DIET CONTROLS 'INTRACTABLE' SEIZURES IN SOME CHILDREN

A ketogenic diet is so effective for some children with difficult to treat seizures that many can go off of all medications.

http://pediatrics.medscape.com/43367.rhtml?srcmp=ped-100501

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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.