miércoles 21 de noviembre de 2007

Management Approaches for Pediatric Obesity

Top Stories
CME Management Approaches for Pediatric Obesity
CME/CE American Academy of Pediatrics Issues Guidelines for Depression in Teens
Helicobacter pylori May Protect Children From Asthma
Feature Articles
Featured CME of the Week
CME Management Approaches for Pediatric Obesity
Overweight and obesity among children continue to grow in prevalence in the US and worldwide. Risk factors, possible causes, and prevention and management strategies for pediatric obesity are explored.


Risk for Second Nonlymphoid Neoplasms in Chronic Lymphocytic Leukemia
Improvements in selection of chemotherapeutic and/or immunotherapeutic regimens will hopefully reduce long-term complications and will allow their curative potential to be utilized.
Medscape General Medicine 9(4) 2007

Medical Tourism: Globalization of the Healthcare Marketplace
Medical tourism presents concerns and challenges as well as opportunities. This trend will have an impact on the healthcare landscape in industrialized and developing countries around the world.
Medscape General Medicine 9(4) 2007

Editorial: Antimicrobial Use in Hospitals: Managing a Medical Treasure
Robert Gaynes, MD, Associate Professor of Medicine/Infectious Diseases, Emory University School of Medicine and CDC, Atlanta, Georgia, details how to rescue antimicrobials for continued use.
Medscape General Medicine 9(4) 2007

Editorial: Enabling People With Disabilities
Harvey V. Fineberg, MD, PhD, President, Institute of Medicine, Washington, DC, shares the IOM's position on handling disabilities.
Medscape General Medicine 9(4) 2007

Conference Coverage
CME NMA and Pay for Performance: What's the Solution to Potential Inequities?
NMA 2007: Practitioners who serve underserved communities do not have the resources necessary for optimal reimbursement under P4P. What's the answer?
Medscape Internal Medicine 2007

More Features this Week
Helicobacter pylori May Protect Children From Asthma
Recent data suggest that the bacteria that causes stomach ulcer may, at the same time, protect children from asthma.
Expert Rev Clin Immunol 3(6) 2007

Epidemiology of Adolescent Spinal Pain: A Systematic Overview of the Research Literature
Idiopathic adolescent spinal pain (IASP) has been suggested to be related to the incidence of adult spinal pain. What is currently known about IASP prevalence, incidence, impact, and potential causes?
Spine 32(23) 2007

Non-A Hepatitis B Virus Genotypes in Antenatal Clinics, United Kingdom
Intervention to prevent maternal-to-infant infection is a key part of the global program of hepatitis B control.
Emerg Infect Dis 13(11) 2007

Long-Term Effect of Bosentan in Adults Versus Children With Pulmonary Arterial Hypertension Associated With Systemic-to-Pulmonary Shunt: Does the Beneficial Effect Persist?
Do adults or children benefit most from bosentan, and for how long?
Am Heart J 154(4) 2007

Unspecified Abdominal Pain in Primary Care: The Role of Gastrointestinal Morbidity
How can you best manage abdominal pain in primary care?
Int J Clin Pract 61(10) 2007

News

CME/CE American Academy of Pediatrics Issues Guidelines for Depression in Teens
The American Academy of Pediatrics has issued guidelines to assist primary care clinicians in the identification, initial management, and ongoing treatment of depression in adolescents.
Medscape Medical News 2007

CME Topical Olopatadine Tackles Indoor and Outdoor Ocular Allergies
In a pooled analysis, topical olopatadine 0.2% was effective for conjunctivitis caused by both indoor and outdoor allergens.
Medscape Medical News 2007

CME Music Eases Anxiety of Children in Cast Room
In a small randomized prospective trial, children who heard music while undergoing cast application or removal had heart rate declines, while those who did not hear music had heart rate increases.
Medscape Medical News 2007

CME Exercise Training Program Benefits Children With Cerebral Palsy
In a randomized controlled trial, an exercise training program improved physical fitness, participation level, and quality of life in children with cerebral palsy when added to standard care.
Medscape Medical News 2007

CME Single-Dose Tenofovir and Emtricitabine at Delivery Helpful for Perinatal HIV
This intervention reduced resistance to nonnucleoside reverse transcriptase inhibitors at 6 weeks after delivery by half, suggesting it should be considered as an adjuvant to intrapartum nevirapine.
Medscape Medical News 2007

CME Guidelines Issued for Cystic Fibrosis
Systematic and Cochrane reviews led to evidence-based recommendations regarding long-term use of medication for maintenance of lung function in patients with cystic fibrosis.
Medscape Medical News 2007

CME Oral Contraceptives Increase Risk of Plaques
Otherwise healthy young women who are past users of oral contraceptives have a 20% to 30% increased risk for carotid or femoral atherosclerosis vs women who have never used the pill.
Medscape Medical News 2007

CME Current Management Strategies Evaluated for Neonatal Community-Acquired Infection
Current treatment strategies for community-acquired Staphylococcus aureus infection in neonates were assessed in a study, with recommendations for prospective studies to determine optimal strategies.
Medscape Medical News 2007

CME Bupropion, Brief Counseling May Help Teens Stop Smoking in the Short Term
In a randomized controlled trial, sustained-release bupropion at 300 mg/day and brief counseling were effective for smoking cessation in adolescents in the short term.
Medscape Medical News 2007

CME People May Get Booster Shots When Their Immunity Levels Do Not Require It
When multiple exposures or repeated vaccinations occurred during longitudinal follow-up for more than a decade, memory B-cell numbers did not always correlate with antibody titers.
Medscape Medical News 2007

More News this Week
Newborns With Congenital Heart Disease Have Widespread Brain Abnormalities
A new study shows term infants with congenital heart disease who underwent brain imaging prior to corrective surgery showed widespread brain abnormalities similar to those seen in premature infants.
Medscape Medical News 2007

Low Interferon-Gamma Production in Infancy Predicts Wheeze in Childhood
Low interferon (IFN)-gamma production in the first year of life is associated with an increased likelihood of wheeze during childhood, according to a report in the October issue of the Journal of Allergy and Clinical Immunology.
Reuters Health Information 2007

Fluconazole Prophylaxis Appropriate in High-Risk Babies
Selective fluconazole prophylaxis can reduce the incidence of invasive fungal infection in at-risk infants in neonatal intensive care units, without leading to fluconazole resistance, according to UK researchers.
Reuters Health Information 2007

Meningitis in Infancy Affects Subsequent Academic Achievement
Compared to others, children who survived meningitis in infancy are significantly less likely to pass school-graduation exams, according to a study published in the November issue of the Archives of Disease in Childhood. Even meningitis survivors who seemed to be normal at age 5 are at increased risk for poor academic performance.
Reuters Health Information 2007

SIDS Risk Higher in Infants of HIV-Positive Women Who Use Opiates
Risk for sudden infant death syndrome (SIDS) is 69 times higher for babies of HIV-positive women who used opiates during pregnancy than in the general population of similarly aged infants, Swiss researchers report in the November issue of the Archives of the Disease in Childhood.
Reuters Health Information 2007

Lactobacilli Do Not Seem to Benefit Infants With Atopic Dermatitis
Probiotic dietary supplementation with Lactobacillus rhamnosus GG (LGG) appears to be ineffective in the treatment of atopic dermatitis in infancy, German researchers report in the November issue of Allergy.
Reuters Health Information 2007

Car-Seat Trial Does Not Accurately Detect Breathing Problems in Preterm Infants
Preterm infants may exhibit respiratory instability in cots and car seats, but a nurse-led car-seat test does not accurately identify at-risk infants, according to a study published in the November issue of the Archives of Disease in Childhood, Fetal and Neonatal Edition.
Reuters Health Information 2007

DTaP Booster Raises Waning Antibody Levels in Children on HAART
Booster doses of the diphtheria-tetanus-acellular pertussis (DTaP) vaccine help to keep protective antibody levels up in HIV-infected children on highly active antiretroviral therapy (HAART) without significant adverse effects, investigators report.
Reuters Health Information 2007

Drug Errors Common in Children Treated in Rural Emergency Departments
There is a high incidence of medication errors among acutely ill and injured children treated in rural emergency departments in northern California, study findings suggest.
Reuters Health Information 2007

Training Improves Disrupted Sound Processing, Reading in Dyslexic Children
Dyslectic children had suboptimal brain activation in response to fast-changing sounds, but training improved brain activation and reading, in a recent study.
Medscape Medical News 2007

Polyethylene Glycol and Electrolytes Helpful in Constipated Children
Polyethylene glycol 3350 plus electrolytes (PEG+E) is effective and well tolerated in children with chronic constipation, UK researchers report in the November issue of the Archives of Disease in Childhood.
Reuters Health Information 2007

Risk of Type 1 Diabetes in Childhood Not Affected by Tonsillectomy, Adenoidectomy
Tonsillectomy and adenoidectomy are not associated with an altered risk of childhood-onset type 1 diabetes, according to findings published in the October issue of Diabetes Care.
Reuters Health Information 2007

Peanut Flour Immunotherapy May Protect Against Anaphylaxis
At up to 30 months of follow-up, none of the patients with peanut allergy have experienced anaphylaxis, even after accidental peanut exposure, according to a small study.
Medscape Medical News 2007

Childhood Psychiatric Disorders Predict 1 Path to Young-Adult Crime
About half of young-adult offenders had a childhood psychiatric illness, and the most violent offenders had emotional and behavioral disorders, in a recent study.
Medscape Medical News 2007

News and Approvals from the FDA
CME FDA Approvals: Abilify, Doribax, Aptivus
The FDA has approved an expanded indication for aripiprazole (Abilify), doripenem injection (Doribax), and full approval for tipranavir capsules (Aptivus).
Medscape Medical News 2007