Pediatric News articles from August 2007

Pediatric News archives from August 2007

Even mild asthma can lead to ICU.(News)(intensive care unit)(Clinical report)
August 1, 2007... TORONTO -- Current classifications of pediatric asthma fail to capture the potential for severe exacerbations in patients with mild disease, according to Dr. Christopher Carroll of Connecticut Children's Medical Center in Hartford. In a...

Lisdexamfetamine, guanfacine show benefit for ADHD: new studies affirm efficacy of both drugs.(News)(attention deficit hyperactivity disorder)(Clinical report)
August 1, 2007... SAN DIEGO -- Lisdexamfetamine, the recently approved once-daily medication for ADHD that appears to have low abuse potential, was safe and effective when given for a full year, and guanfacine, an investigational alpha2A-adrenoreceptor, produced...

Pilot program streamlines child psychiatry training.(News)
August 1, 2007... Starting next summer, pediatricians will have a new pathway to receive training in child and adolescent psychiatry. Pediatricians who have completed residency programs approved by the Accreditation Council for Graduate Medical Education...

No specific birth defects linked to maternal diabetes.(News)(Report)(Brief article)
August 1, 2007... CHICAGO -- Pregnant women with diabetes have a two- to four-times higher risk of having a child with a birth defect, but a thorough review of a national birth defects registry does not show that any one type of defect is associated with...

Anaphylaxis reports spur stricter Xolair rules.(News)
August 1, 2007... Patients treated with Xolair for asthma must now receive injections under direct medical supervision in a health care setting so they can be monitored for signs of anaphylaxis. Last month, the Food and Drug Administration announced this and...

Tilt-table test for syncope falling out of favor.(News)(Survey)(Brief article)
August 1, 2007... DENVER -- Tilt-table testing is seen as increasingly irrelevant in the evaluation of syncope in children, according to a survey of Pediatric Electrophysiology Society members. Survey respondents indicated they think tilt-table testing has...

MODY seen in 5% of antibody-negative diabetes.(News)(maturity-onset diabetes of the young)
August 1, 2007... CHICAGO -- Approximately 5% of antibody-negative /C-peptide-positive children and adolescents who are diagnosed with diabetes in the United States may have maturity-onset diabetes of the young rather than type 2 diabetes, Dr. Lisa Gilliam...

Child abuse rate rises with combat deployment.(News)(Report)
August 1, 2007... The rate of child abuse in U.S. Army families that are prone to such maltreatment rises significantly when the soldiers are deployed for combat, researchers reported. Most of this increase is attributable to civilian wives of the Army...

SCHIP bills ready for House/Senate conference.(News)(State Children's Health Insurance Program)
August 1, 2007... With Congress returning from its August recess, the fate of the State Children's Health Insurance Program reauthorization is up in the air, and so is the fate of physician pay relief. As a planned Oct. 6 adjournment looms, a House/Senate...

ACIP backs rotavirus vaccine for kids with HIV.(Infectious Diseases)(Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention)
August 1, 2007... ATLANTA -- Physicians now have formal approval to vaccinate HIV-exposed or HIV-infected infants and children against rotavirus. The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) voted at...

Varicella breaks out despite double doses of vaccine.(Infectious Diseases)(Clinical report)
August 1, 2007... ATLANTA -- Children who had received two doses of varicella vaccine comprised nearly a third of the cases in a varicella outbreak among elementary school children in Arkansas. "This was one of the largest varicella outbreaks investigated...

CDC ties hepatitis A infections to adopted Ethiopian children.(Infectious Diseases)(Centers for Disease Control and Prevention)
August 1, 2007... The Centers for Disease Control and Prevention issued a health advisory urging families who adopt children from Ethiopia to make sure all family members are vaccinated for hepatitis A, which is endemic throughout the African continent. The...

Questioning antibiotic prophylaxis for UTI.(ID Consult)(urinary tract infection)(Clinical report)
August 1, 2007... Emerging evidence suggests that we shouldn't be prescribing prophylactic antibiotics for every child with recurrent urinary tract infection, even when vesicoureteral reflux is present. Just as the pendulum has swung over the last decade...

Community-acquired MRSA, spider bites present similarly.(Infectious Diseases)(methicillin-resistant Staphylococcus aureus)
August 1, 2007... PHOENIX -- When a child presents with what looks like a spider bite, but the family can't fend a spider, Dr. Lawrence F. Eichenfield considers community-acquired methicillin-resistant Staphylococcus aureus. "Most pediatric cases we see are...

Palivizumab prophylaxis cuts later wheezing in preemies.(Infectious Diseases)(Clinical report)
August 1, 2007... Palivizumab prophylaxis against respiratory syncytial virus in premature infants without chronic lung disease significantly reduces the incidence and severity of recurrent wheezing, compared with preterm infants not on the preventive therapy,...

Investigational antibody effective against RSV.(Infectious Diseases)(respiratory syncytial virus)(motavizumab)
August 1, 2007... TORONTO -- The investigational drug motavizumab may offer high-risk infants additional protection against respiratory syncytial virus disease, Dr. Xavier Carbonell-Estrany reported in a poster presentation at the annual meeting of the Pediatric...

Higher respiratory syncytial virus load could be protective.(Infectious Diseases)(Clinical report)
August 1, 2007... TORONTO -- Contrary to conventional thinking, a high respiratory syncytial viral load may be protective against progression of bronchiolitis. Elevated respiratory syncytial viral (RSV) load was unexpectedly associated with less severe...

FDA warns on antibiotic, calcium solution interaction.(Infectious Diseases)(Food and Drug Administration)
August 1, 2007... Fatal cases of calcium-ceftriaxone precipitates in the lungs and kidneys of both term and premature newborns have prompted a warning and a new contraindication regarding concomitant use of the intravenous antibiotic ceftriaxone with calcium or...

Adherence to protocol cuts line sepsis in NICU.(Infectious Diseases)(neonatal intensive care unit)
August 1, 2007... PHILADELPHIA -- A central venous line hub access protocol using 2% chlorhexidine was linked to an almost 50% decline in overall line infections in an urban neonatal intensive care unit. It's unclear whether the decrease in line sepsis was...

CDC emphasizes flu shots for 6 months to 8 years.(Infectious Diseases)(Centers for Disease Control and Prevention)
August 1, 2007... The Centers for Disease Control and Prevention's updated recommendations for the 2007-2008 flu season emphasize vaccinating health care personnel and catching up previously unvaccinated children aged 6 months to 8 years with two doses of...

DTaP-HepB-IBV can be given with Hib, PCV-7.(Infectious Diseases)(Clinical report)
August 1, 2007... coadministering the seven-valent pneumococcal conjugate vaccine and a Haemophilus influenzae type b conjugate vaccine with the pentavalent diphtheria, tetanus, acellular pertussis, hepatitis B, and polio combination vaccine in infants does not...

Chlamydia screening guides closer to agreement.(Infectious Diseases)(Brief article)
August 1, 2007... Updated U.S. Preventive Services Task Force guidelines on chlamydial infection detection recommend screening all sexually active, nonpregnant women aged 24 years and younger, as well as older women at increased risk and all pregnant women aged...

Teens' urinary complaints not checked for STI.(Infectious Diseases)(Clinical report)
August 1, 2007... TORONTO -- Despite guidelines to the contrary, 55% of adolescents presenting to the emergency department with urinary complaints were not investigated for a sexually transmitted infection in one study, Dr. Najah Musacchio said at the annual...

Accurate developmental screening saves.(Guest Editorial)
August 1, 2007... To help judge effectiveness in identifying children with developmental and behavioral problems, clinicians should ask themselves the provocative question, "What is my referral rate?" If that rate is less than 16% (1 out of 6), such problems...

Wake-up call for pediatric psychiatry.(Letters)(Letter to the editor)
August 1, 2007... As a practicing clinician in southwest Virginia, I feel compelled to make an observation and, hopefully, a call to action for all pediatricians. April 16, 2007, will live on in many memories as the most unspeakably horrific and unexpected...

Cruel waits to see subspecialists.(Letters)(Letter to the editor)
August 1, 2007... Since I started practicing in Orange County, California, in 1976, I have seen a profound decline in the availability of subspecialty pediatricians in our area ("In Short Supply," Letters from Maine, April 2007, p. 29). The current average...

We can help with school readiness.(Adviser's Viewpoint)
August 1, 2007... Large numbers of children show up not ready for kindergarten and first grade. This is a problem troubling all who care for children; it is of particular concern for us as pediatricians and developmental specialists. As we become more aware...

The right stuff.(Letters From Maine)
August 1, 2007... One of the perks that a maturing physician can enjoy is a declining frequency of unexpected clinical outcomes. As the face-to-face patient encounters accumulate over the years, repeating patterns begin to emerge. Ironically, while the older...

Training, protocol increase use of developmental screening tools.(Behavioral Pediatrics)
August 1, 2007... TORONTO -- Implementing routine developmental screening at every well-child visit does not have to eat up valuable time in a busy pediatric practice, said Dr. Alison Schonwald, a pediatrician at Children's Hospital in Boston. "This is a...

Russian adoptees close gap on speech skills.(Behavioral Pediatrics)
August 1, 2007... TORONTO -- Within 4 months of their arrival in the United States, adopted children from Russia have similar expressive speech skills to children adopted from either China or Guatemala, even though they had lagged significantly in speech in the...

Child abuse victims' siblings seldom medically investigated.(Behavioral Pediatrics)(Report)
August 1, 2007... TORONTO -- Only about one-quarter of children who are living with a physically abused child are medically investigated for signs that they too might be abused, according to Dr. Kristine A. Campbell of the University of Utah, Salt Lake City. ...

Spotting selective mutism.(Behavioral Consult)
August 1, 2007... The quietest children are often the ones who make our office hours run smoothly. They're in and out during well-child visits, letting Mom or Dad field the questions as they peek out from behind bangs or tucked heads. When the clock is ticking...

Some autistic children may be prone to violence.(Behavioral Pediatrics)
August 1, 2007... SANTA FE, N.M. -- Virginia Tech gunman Seung Hui Cho may be the latest actor in a subset of people with autism who are prone to violent crime, Dr. J. Arturo Silva said at the annual meeting of the American College of Forensic Psychiatry. ...

Functional abdominal pain linked to depression.(Behavioral Pediatrics)
August 1, 2007... MILWAUKEE -- A case-control study has found that children with functional abdominal pain are more likely to have anxiety and depression, and their mothers also are more likely to have these disorders, Dr. John V. Campo reported at an...

Rethinking Rituximab for refractory pediatric SLE.(Clinical Rounds)
August 1, 2007... MIAMI BEACH -- Rituximab treatment appears safe and efficacious for refractory systemic lupus erythematosus in children, Dr. Obioma Nwohi and colleagues reported in a poster at the annual Masters of Pediatrics conference sponsored by the...

Addressing sexuality in spina bifida.(Special Needs: Realizing Potential)
August 1, 2007... There is plenty to talk about when treating children and adolescents with spina bifida without ever talking about sex. Bladder and bowel functions alone can occupy most of the clinical visit. But it's important for pediatricians to be vigilant...

Botulinum toxin aids drooling in neurologic disorders.(Clinical Rounds)
August 1, 2007... PHOENIX -- Drooling by adults and children with neurologic disorders is an underrecognized problem that can be treated with botulinum toxin types A or B, Dr. Phillip C. Song said at a clinical dermatology conference sponsored by Medicis. ...

Valsartan found safe and effective in young hypertensive children.(Clinical Rounds)
August 1, 2007... CHICAGO -- Valsartan significantly reduced both systolic and diastolic blood pressure without significant adverse events in the first trial of an angiotensin II receptor blocker in children younger than 6 years. Valsartan is indicated for...

Terbinafine granules benefit tinea capitis.(Clinical Rounds)
August 1, 2007... CHICAGO -- A new oral formulation of the antifungal drug terbinafine significantly improved tinea capitis in children aged 4-12 years compared with griseofulvin oral suspension, based on efficacy data from 1,286 children in the largest study of...

Genetic basis likely behind pediatric psoriasis.(Clinical Rounds)
August 1, 2007... MONTREAL -- Pediatric psoriasis is "'not just psoriasis in little people," and its differences from adult psoriasis are important to recognize, Dr. Danielle Marcoux said at Dermatology Update 2007. "There are unmet treatment needs" for the...

Oral steroids superior for infant hemangioma.(Clinical Rounds)
August 1, 2007... TORONTO -- Oral corticosteroids offer more clinical benefit than do high-dose pulsed intravenous corticosteroids in children with problematic infantile hemangiomas, but with an increased risk of adverse effects, Dr. Miriam Weinstein reported in...

Think systemic Rx for teens' severe AD.(Clinical Rounds)(atopic dermatitis)(Brief article)
August 1, 2007... CHICAGO -- Assume noncompliance when treating atopic dermatitis in teenage patients, said Dr. Jon M. Hanifm, a dermatologist at Oregon Health and Science University in Portland. "Managing atopic dermatitis in teenagers is not for the faint...

Filaggrin mutation blamed for atopy predisposition.(Clinical Rounds)(Clinical report)
August 1, 2007... VIENNA -- Genetically determined loss of epidermal barrier function has emerged as a major predisposing factor for atopic dermatitis, Dr. Alan D. Irvine reported at the 16th Congress of the European Academy of Dermatology and Venereology. ...

Don't miss neonatal nesiculopustular disorders.(Clinical Rounds)
August 1, 2007... MIAMI BEACH -- Several neonatal vesiculopustular disorders can be life-threatening, yet easy to miss, Dr. Ronald C. Hansen said at the annual Masters of Pediatrics conference sponsored by the University of Miami. Neonatal herpes simplex is...

With topical steroids for AD, follow age-specific indications.(Clinical Rounds)(atopic dermatitis)
August 1, 2007... MAUI, HAWAII -- A thorough familiarity with the age-specific indications for topical steroids in children with atopic dermatitis has become essential in the aftermath of the Food and Drug Administration's black box warning on topical...

Headaches, migraine prevalent in older teens.(Clinical Rounds)(Report)
August 1, 2007... BOSTON -- Approximately one in four adolescents aged 16-18 years in the United States is affected by severe headache or migraine, Dr. Tarannum Lateef reported in a poster presentation at the annual meeting of the American Academy of Neurology....

Use of migraine medications found to vary by age, income.(Clinical Rounds)(Report)
August 1, 2007... BOSTON -- The use of preventive and acute prescription medication to treat migraine varies by age and household income, according to a study presented today at the annual meeting of the American Academy of Neurology. The findings confirm...

Stroke risk not elevated in pediatric migraine patients.(Clinical Rounds)(Clinical report)
August 1, 2007... CHICAGO -- Most children with migraine accompanied by neurologic symptoms aren't at increased risk for stroke, Dr. Catalina Cleves said at the annual meeting of the American Headache Society. "Headache with neurologic symptoms in children...

Gemfibrozil aids severe metabolic syndrome.(Clinical Rounds)(Brief article)(Clinical report)
August 1, 2007... NEW ORLEANS -- Gemfibrozil produces multiple benefits in children with severe metabolic syndrome, including a sharp reduction in triglyceride levels, increased HDL cholesterol levels, and a decrease in elevated liver enzymes, Courtney M....

Few pediatric palm burns need surgery.(Clinical Rounds)(Brief article)(Clinical report)
August 1, 2007... SAN DIEGO -- The majority of pediatric palm burns healed without the need for acute or reconstructive surgery in a large single-center study. The finding is important because many burn centers support immediate excision with full-thickness...

'Risk-based care' advocated in cancer survivors.(Clinical Rounds)
August 1, 2007... MIAMI -- Children with cancer should be treated according to "risk-based care'" to prevent or minimize adverse effects that often emerge 5 or more years after initim therapy, Dr. Melissa M. Hudson said at a pediatric update sponsored by Miami...

Cancer incidence, survival both rise.(Clinical Rounds)(Report)
August 1, 2007... LOS ANGELES -- The incidence of many childhood cancers has increased in the United States since 1973, but so have survival rates, Amy M. Linabery and Julie A. Ross, Ph.D., reported in a poster presentation at the annual meeting of the American...

Growth hormone may be needed beyond teens.(Clinical Rounds)
August 1, 2007... SEATTLE -- Many adolescents who have been treated with recombinant growth hormone probably need to continue their treatment into adulthood, Dr. David M. Cook said at the annual meeting of the American Association of Clinical Endocrinologists....

Extina, flovent dose counter.(NEW & APPROVED)(Drug overview)
August 1, 2007... Extina (ketoconazole foam 2%, Stiefel Laboratories Inc.) The Food and Drug Administration approved Extina (ketoconazole) Foam, 2%, for the treatment of seborrheic dermatitis in patients aged 12 years and older. This product features...

Preemies given TPN on day 1 gained more before discharge.(Clinical Rounds)(total parenteral nutrition for premature babies)(Clinical report)
August 1, 2007... PHILADELPHIA -- Premature babies who received protein- and fat-enriched total parenteral nutrition beginning on the day of delivery gained more weight each week and were discharged at heavier weights than those who got a standard lower protein...

Metformin gives teens 'modest' weight losses.(Clinical Rounds)(Clinical report)
August 1, 2007... CHICAGO -- The use of metformin for weight loss in nondiabetic, obese adolescents--a practice that is becoming increasingly popular--produces about a 6-to 7-pound loss over 1 year, according to a study presented at the annual scientific...

Bariatric surgery rare but on rise among U.S. adolescents.(Clinical Rounds)(Report)
August 1, 2007... SAN DIEGO -- Less than 1% of patients who underwent bariatric surgery at academic medical centers in the United States between 2002 and 2006 were adolescents, but the number of adolescents who underwent bariatric surgery increased nearly...

Laparoscopic gastric banding yields safe weight loss in teens.(Clinical Rounds)(Clinical report)
August 1, 2007... ORLANDO -- Sustained weight loss with few complications was achieved after gastric banding placed laparoscopically, according to a single-center series of 73 adolescents after 2 years of follow-up. "Weight loss with laparoscopic adjustable...

Topiramate aids basilar migraine in small study.(Clinical Rounds)(Clinical report)
August 1, 2007... CHICAGO -- Topiramate reduced the frequency of basilar migraine by up to 75% in almost 90% of children who took the drug for migraine prevention, Dr. Donald Lewis reported in a poster presentation at the annual meeting of the American Headache...

Hypertension linked to more severe Guillain-Barre course.(Clinical Rounds)(Clinical report)
August 1, 2007... PHILADELPHIA -- Hypertension appears to predict a more severe course of Guillain-Barre syndrome in children and, because it appears within 24-48 hours of the onset of maximum motor disability, might be a valid prognostic marker for these...

Patient selection key in monitor/pump combo.(Clinical Rounds)(Clinical report)
August 1, 2007... CHICAGO -- Findings from a recent study suggest that the combined real-time continuous glucose monitor/insulin pump system reduces glycemic variability and improves glucose control in selected insulin pump users with type 1 diabetes, Dr. Irl B....

Very-low-dose glucagon may prevent nocturnal hypoglycemia.(Clinical Ronds)(Clinical report)
August 1, 2007... CHICAGO -- Nocturnal administration of very-low-dose glucagon appears to prevent hypoglycemia in patients with type 1 diabetes, Dr. Steven V. Edelman reported at the annual scientific sessions of the American Diabetes Association. ...

Travel health: CDC 'Yellow Book'.(FYI)(Centers for Disease Control and Prevention)(Brief article)
August 1, 2007... An updated edition of "Health Information for International Travel," the so-called Yellow Book released by the Centers for Disease Control and Prevention, is available at bookstores and flee online. New features include an expanded section on...

Fighting childhood obesity.(FYI)(Brief article)
August 1, 2007... The Food and Drug Administration's Center for Food Safety and Applied Nutrition has launched a public education program, "Spot the Block," that urges "tweens" (youth aged 9-13 years) to read the "'Nutrition Facts" block on food labels in order...

For teachers: DVD on stuttering.(FYI)(Brief article)
August 1, 2007... The Stuttering Foundation is offering a 20-minute DVD, "Stuttering: Straight Talk for Teachers." The DVD helps teachers and parents understand how stuttering affects classroom behavior in all grades. It costs $10.00, and comes with a 42-page...

CDC's flu vaccination clinic tips.(FYI)(Centers for Disease Control and Prevention)(Website overview)(Brief article)
August 1, 2007... The Centers for Disease Control and Prevention's Web site provides detailed guidelines to help physicians plan for large-scale flu vaccinations. The guidelines address a range of issues associated with large-scale vaccination, including clinic...

ACIP's updated information web site.(FYI)(Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention)(Website overview)(Brief article)
August 1, 2007... The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has revised its Web site. The site is user-friendly for health professionals and the general public and includes ACIP vaccine recommendations...

Healthy lifestyles for adolescent girls.(FYI)(BodyWorks)(Brief article)
August 1, 2007... BodyWorks is a new national program developed by the Department of Health and Human Services Office on Women's Health to help parents and caregivers of young adolescent girls aged 9-13 improve family eating and activity habits. The program...

Survey: physicians not heeding AOM guidelines.(Practice Trends)(acute otitis media)(Survey)
August 1, 2007... Many pediatricians and family physicians are not following recommended guidelines on the management of acute otitis media set by their professional organizations, results from a survey suggest. Dr. Louis Vemacchio of the Slone Epidemiology...

Food companies limit ads.(Policy & Practice)
August 1, 2007... Eleven of the country's largest food companies have announced plans to voluntarily limit advertisements and promotions to children younger than 12 years old. The steps were announced at a forum held by the Federal Trade Commission. The limits...

Most U.S. babies receive screening.(Policy & Practice)(Report)(Brief article)
August 1, 2007... Nearly 88% of all babies born in the U.S.--more than double the percentage in 2005--live in states that require screening for at least 21 life-threatening disorders, according to the most recent March of Dimes newborn screening report card. A...

Teens steady on drug use, sex.(Policy & Practice)(Report)(Brief article)
August 1, 2007... The percentages of 8th, 10th and 12th grade students reporting illicit drug use in the past 30 days remained stable from 2005 to 2006, although use among all three grades has declined since 1997, according to a report by the Federal Interagency...

Feds release medicaid drug rule.(Policy & Practice)(Brief article)
August 1, 2007... The Centers for Medicare and Medicaid Services has unveiled a new method of setting limits on what the federal government will reimburse state Medicaid agencies for prescription drug payments. As part of the new regulation, states will be...

U.S. lacks pediatric rheumatologists.(Policy & Practice)(Brief article)
August 1, 2007... There is a serious shortage of pediatric rheumatologists in the United States and a 75% increase in their numbers is needed to meet patient needs, according to a report from the Health Resources and Services Administration. There are fewer than...

Leaders aim to break barriers to vaccination.(Practice Trends)
August 1, 2007... ATLANTA -- Concerns about removing financial barriers to childhood vaccination took center stage at an immunization congress sponsored by the American Academy of Pediatrics and the American Medical Association, Dr. Walter Orenstein reported at...

Funding woes curb childhood vaccination efforts.(Practice Trends)
August 1, 2007... ATLANTA -- The current vaccine financing system in the United States continues to derail vaccinations for underinsured children, based on new survey data from state immunization program managers. "Limitations in 317 funding and state...

Simple questionnaire identifies pediatric drug reactions.(Practice Trends)
August 1, 2007... SAN FRANCISCO -- A simple screening tool administered to parents helped identify a number of potentially serious drug reactions in their hospitalized children, Dr. Michael S. Leonard reported at meeting sponsored by the National Initiative for...

Transitioning kids with chronic diseases is tough.(Practice Trends)(Report)
August 1, 2007... TORONTO -- Time and reimbursement are among the biggest concerns for physicians involved in helping patients with childhood-onset chronic diseases make the transition from pediatric to adult care, according to Dr. Megumi Okumura of the...

Family doctoring.(On The Learning Curve)
August 1, 2007... My husband, who is also a pediatrician, and I both have younger brothers who are resident physicians. When my brother began his emergency medicine residency and, more recently, my brother-in-law began his internal medicine residency, we both...

The battle for SCHIP.(Health Policy: The Fine Line)(State Children's Health Insurance Plan)
August 1, 2007... My local newspaper has been reporting on the upcoming reauthorization of the State Children's Health Insurance Plan in Congress. My local American Academy of Pediatrics chapter has been urging me and my colleagues to write supportive letters to...

Advocating advocacy.(Efficient Pediatrician Practices)
August 1, 2007... This article will take a slightly different direction from my usual column. "Advocacy" may not make your office run better, but it is a worthwhile endeavor that we all should undertake to some degree. One of the main pillars supporting the...

Bronchopulmonary dysplasia clinic reduces readmissions, saves money.(Practice trends)
August 1, 2007... TORONTO -- The establishment of an interdisciplinary outpatient clinic for patients with bronchopulmonary dysplasia can significantly improve care and decrease hospital readmissions, reported Dr. Stephen Welty of Columbus Children's Hospital....