jueves 8 de noviembre de 2007

AAP Recommends Autism Screening for All Infants


Alpha-2 Agonists in the Treatment of ADHD
How do weakened prefrontal cortical circuits cause ADHD symptoms? Which agents strengthen this network? Can targeted treatment improve working memory and executive function?

Top Stories
CME/CE AAP Recommends Autism Screening for All Infants
American Academy of Pediatrics (AAP) 2007 National Conference & Exhibition
Healthy Foods for Healthy Kids
Wyeth Recalls Cough and Cold Products With Faulty Cups
Feature Articles
Featured CME of the Week
CME/CE Pandemic Influenza
The avian influenza pandemic threat requires clinicians to apply knowledge of disease epidemiology, treatment, and infection control. This activity reviews the data and guidelines to improve outcomes.
Medscape Infectious Diseases 2007


Healthy Foods for Healthy Kids
Harvey V. Fineberg, MD, PhD, President of the Institute of Medicine in Washington, DC, describes how to change unhealthy food for kids into healthy food.
Medscape General Medicine 9(4) 2007

Should Diabetes Healthcare Abandon Its Gold Standard?
Hemoglobin A1c should remain the gold standard. We should refine it to incorporate sensible assumptions about the correlation between successive data values.
Medscape General Medicine 9(4) 2007

The Safety of Oseltamivir in Patients with Influenza: Analysis of Healthcare Claims Data from Six Influenza Seasons
This Original Article explores the influence of oseltamivir treatment on central nervous system (CNS)-related and neuropsychiatric events in adults, children, and adolescents with influenza.
Medscape General Medicine 9(4) 2007

Healthcare in America: Getting Better But Still Not Good Enough
Carolyn Clancy, MD, Director, Agency for Healthcare Research and Quality, Rockville, Maryland, teaches us about quality, disease management, and prevention opportunities still available.
Medscape General Medicine 9(4) 2007

Viewpoint
After a Child's Death: Physician-Parent Conferences
Most parents would like to meet with physicians after the ICU death of their child, according to a study published in the June 2007 issue of the Journal of Pediatrics.
Medscape Pediatrics 2007

Conference Coverage
American Academy of Pediatrics (AAP) 2007 National Conference & Exhibition
Read clinically focused news coverage of key developments from the meeting.

Opinion Poll
Lack of Sleep and Emotional Problems
A study in the October 22 edition of Current Biology shows that sleep deprivation leads to emotional instability, even in healthy subjects. Certain "pathological psychiatric patterns" arise, even after one night of sleep deprivation. On the basis of these results, how likely or not likely are you to screen your patients for inadequate sleep? To vote or view results of the poll, click on the title above.

More Features this Week
High-Rising Epiglottis in Children: Should It Cause Concern?
A 3-year-old girl complaining of an intermittent foreign body sensation in her throat.
J Am Board Fam Med 20(5) 2007

Challenges of Diagnosis of Long-QT Syndrome in Children
A description of the clinical and genetic characteristics of a family in which the diagnosis of LQT1 had been made.
Pacing Clin Electrophysiol 30(9) 2007

Maternal Residence Near Agricultural Pesticide Applications and Autism Spectrum Disorders Among Children in the California Central Valley
Agricultural pesticides, many with neurotoxic effects, are detectable in the air at residences near sites of application. Might gestational exposure in these areas be related to autism development?
Environ Health Perspect 115(10) 2007

Associations Between Prenatal Exposure to Polychlorinated Biphenyls and Neonatal Thyroid-Stimulating Hormone Levels in a Mexican-American Population, Salinas Valley, California
Prenatal exposure to polychlorinated biphenyls (PCBs) may alter neurodevelopment in humans. Might prenatal exposure to PCBs also affect thyroid hormone levels? How?
Environ Health Perspect 115(10) 2007

Immunoglobulin E Blockade in the Treatment of Asthma
IgE-targeted therapy improves symptoms, reduces exacerbations, and improves quality of life in certain patient populations.
Pharmacotherapy 27(10) 2007

Dark Clouds on the Horizon: Preparing for the Next Influenza Pandemic, Part 1
Was the Great Plague of Athens (ca. 430 BC) the first recorded influenza pandemic? Was the SARS outbreak of 2003 the latest warning? Could avian influenza H5N1 virus usher the next influenza pandemic?
Medscape Infectious Diseases 2007

Obstacles to Health Care: A Nurse's Experience in Sudan
Read about the experiences of a nurse volunteer in pediatrics at a teaching hospital in Khartoum, Sudan.
Urol Nurs 27(5) 2007

Maintenance of Certification: Keeping Physicians Current in their Medical Specialty
A Medscape Interview on MOC with David L. Nahrwold, MD and Stephen H. Miller, MD.
Medscape Internal Medicine 2007

News

CME/CE AAP Recommends Autism Screening for All Infants
Two new clinical reports address screening and management of autism spectrum disorders by pediatricians; they replace the American Academy of Pediatrics 2001 policy statement and technical report.
Medscape Medical News 2007

CME/CE Removal of Objects From Ears, Nose, or Throat of Children Reviewed
The authors suggest a variety of approaches to remove objects, such as beads or small toys, from the ears, nose, or throat of children who present to the primary care setting.
Medscape Medical News 2007

CME Use of Opiates in Children With Suspected Appendicitis Not Contraindicated
In a randomized, double-blind, placebo-controlled trial, use of opiates in children with abdominal pain suggesting appendicitis did not delay the surgical decision.
Medscape Medical News 2007

CME Breast-Feeding by Mothers With Asthma Reduces Lung Function in Children
A study shows reduced lung function in children with prolonged breast-feeding by mothers with asthma and atopy vs offspring of mothers without asthma and atopy.
Medscape Medical News 2007

CME Exhaled Nitric Oxide May Help Screen for Asthma in Young Adults
The fraction of exhaled nitric oxide measurement with a portable analyzer was an effective tool to screen for asthma in young adults.
Medscape Medical News 2007

More News this Week
Wyeth Recalls Cough and Cold Products With Faulty Cups
Wyeth said on Monday it was recalling several of its Robitussin cough, cold and congestion products and its Children's Dimetapp Cold & Chest Congestion medicine because their dosage cups lack a measurement mark for young children.
Reuters Health Information 2007

Physicians Rely on Psychiatric Drugs to Treat Autism Spectrum Disorders
Of children diagnosed with autism or Asperger disorder, 80% are treated with at least 1 psychiatric drug.
Medscape Medical News 2007

Few Diabetic Children With Infusion Pumps Achieve Optimal HgA1C
Only a minority of children with type I diabetes reach their target level of glycated hemoglobin, even when using "the best insulin delivery system currently available," according to a study conducted at the University of Wisconsin School of Medicine in Madison.
Reuters Health Information 2007

BNP Assay Aids Emergency Diagnosis of Critical Heart Disease in Infants
B-type natriuretic peptide testing may help emergency department staff quickly assess whether critically ill infants have heart disease.
Medscape Medical News 2007

AMP May Be Better Than Methacholine in Pediatric Asthma Assessment
Bronchial hyperresponsiveness (BHR) to challenge with adenosine 5'-monophosphate (AMP) may yield more informative results in young children than does response to methacholine challenge, according to Korean researchers.
Reuters Health Information 2007

Loss of Immune Control of Epstein-Barr Virus Tied to Epstein-Barr Virus Risk
An abnormal reactive serological pattern to Epstein-Barr virus (EBV) infection, indicating impaired immune control of latent virus, appears to be associated with an increased the risk of lymphoma, according to European researchers.
Reuters Health Information 2007

Motivating Staff Members Cuts Mortality in Children With Malaria
In low-income countries, poorly compensated hospital personnel given higher pay provide a higher standard of care and improve outcomes in children with malaria, according to award-winning research conducted in Guinea-Bissau.
Reuters Health Information 2007

Hemiparkinsonism-Hemiatrophy Syndrome Often Linked to Early Cerebral Injury
Although the varied clinical presentations of hemiparkinsonism-hemiatrophy syndrome (HPHA) suggest a heterogeneous pathogenesis, perinatal and early childhood cerebral injury may play an important role in about half of cases, new findings suggests.
Reuters Health Information 2007