Pediatric News articles from December 2003

Pediatric News archives from December 2003

Pediatric ERs are gaining popularity: referring physicians approve.(News)
December 1, 2003... Hospitals across the country are investing in pediatric emergency rooms that specifically cater to children's medical and psychological needs. Emergency rooms are scary enough for children without having to come in contact with sick...

Black-white gap in pneumococcal disease closing: vaccine appears to be reaching both groups: prevnar led to a 92% drop in the disease in black children from 1998 to 2002.(News)
December 1, 2003... SAN DIEGO -- The introduction of the 7-valent pneumococcal conjugate vaccine has significantly reduced the disparity between black and white children in rates of invasive pneumococcal disease, Brendan Flannery, Ph.D., reported at the annual...

Poor coding practices cheat you out of money: crack the code: pediatricians routinely misuse two codes.(Brief Article)
December 1, 2003... NEW ORLEANS -- Pay more attention to billing codes to increase revenue, Dr. Stephen Berman said at the annual meeting of the American Academy of Pediatrics. Pediatricians "in our clinic, and pediatricians as a whole too frequently code for...

FDA panel backs silicone breast implants: 9-6 vote for recommending approval.(News)
December 1, 2003... GAITHERSBURG, MD. -- A federal advisory panel recommended the approval of one brand of silicone gel-filled breast implants in a 9-6 vote. But when the Food and Drug Administration's General and Plastic Surgery Devices Panel backed the...

Vaccine could restrain severe flu season: variant, virulent strain identified.(News)
December 1, 2003... Early influenza infections, many of them caused by a more virulent strain not included in this year's vaccine, have federal officials calling for increased rates of vaccination to forestall what could be a severe flu season. The variant...

FDA issues advisory on suicide, antidepressants: expert panel meeting next year.(News)
December 1, 2003... The Food and Drug Administration's public health advisory about the reports of suicidality among pediatric patients treated with antidepressant drugs for major depressive disorder is a result of a preliminary review of such reports in patients...

Alcohol-based hand gels thwart disease at home: secondary respiratory illness.(News)
December 1, 2003... SAN DIEGO -- Use of alcohol-based hand gels appears more effective at preventing secondary respiratory illness transmission in the home, compared with more traditional methods such as washing hands with warm water and soap, Dr. Grace M. Lee...

New warnings on nafcillin label due to adverse events: posted on medwatch site.(News)(nafcillin sodium; Nallpen )(Brief Article)
December 1, 2003... The Food and Drug Administration's Safety Information and Adverse Event Reporting Program stated on the MedWatch Web site that serious and occasionally fatal hypersensitivity (anaphylactoid) reactions have been reported in patients on...

Pneumococcal vaccine effective despite some missed doses: data from eight CDC sites.(News)
December 1, 2003... CHICAGO -- The heptavalent pneumococcal conjugate vaccine is effective in children even if they miss doses or start the series later than recommended, reported Dr. Tamar Pilishvili and her colleagues of the Centers for Disease Control and...

Prevnar 'herd immunity' tied to drop in pneumococcal disease: results from large California study.(News)
December 1, 2003... SAN DIEGO -- Postlicensure surveillance of pneumococcal heptavalent conjugate vaccine (Prevnar) has shown a striking decrease in invasive pneumococcal disease incidence without evidence of replacement, especially among adults of parenting age...

Screening will ID much asymptomatic gonorrhea: urine test is best for boys.(Infectious Diseases)
December 1, 2003... NEW ORLEANS -- Routine annual screening of adolescents is likely to identify numerous asymptomatic gonococcal infections, Dr. Cynthia Holland-Hall said at the annual meeting of the American Academy of Pediatrics. "I diagnose so much...

New hepatitis A vaccine efficacy may last 21 years: few local side effects.(Infectious Diseases)(Brief Article)
December 1, 2003... CHICAGO -- A novel virosomal aluminum-free hepatitis A vaccine appears to provide protective titers of antibody for at least 21 years following administration to children as young as 18 months, Dr. Christian Herzog reported at the annual...

Synercid may aid failing vancomycin therapy: pilot study on treating MRSA.(Infectious Diseases)(methicillin-resistant Staphylococcus aureus )
December 1, 2003... CHICAGO -- An attractive solution to vancomycin's worrisome dwindling efficacy against methicillin-resistant Staphylococcus aureus is to combine the drug with quinupristin/dalfopristin when vancomycin alone is not working, Jerome J. Schentag,...

Use antibiotics selectively for sinusitis, bronchitis: reduces resistance risk.(Infectious Diseases)(Brief Article)
December 1, 2003... SAN DIEGO -- Judicious use of antibiotics in cases of sinusitis, pharyngitis, and bronchitis can help reduce the spread of antibiotic-resistant bacteria, Dr. Richard F. Jacobs said at a meeting sponsored by the Los Angeles Pediatric Society....

Athletes may be asymptomatic ringworm carriers: wrestling with infection.(Infectious Diseases)(Brief Article)
December 1, 2003... SAN DIEGO -- Some high school and college wrestlers are asymptomatic carriers of ringworm infection, Dr. Thomas D. Kohl said at the annual meeting of the American Medical Society for Sports Medicine. In a prospective cohort study conducted...

Meropenem combo better for CF exacerbations: but advantages are short term.(Infectious Diseases)(cystic fibrosis)
December 1, 2003... CHICAGO -- The combination of meropenem and tobramycin was superior to ceftazidime and tobramycin in treating acute pulmonary exacerbations of cystic fibrosis, Dr. Jeffrey L. Blumer reported at the annual Interscience Conference on...

Combined hexavalent vaccine good for preemies: DTaP-HBV-IPV/HiB vaccine.(Infectious Diseases)(Brief Article)
December 1, 2003... CHICAGO -- Preterm infants who are immunized with a combined DTaP-hepatitis B virus-inactivated polio vaccine/Haemophilus influenzae type B vaccine hexavalent vaccine at chronologic 2, 4, and 6 months of age, with a booster dose at 18-20...

Two-dose hepatitis A, B vaccine combo appears effective: investigational drug.(Infectious Diseases)(Brief Article)
December 1, 2003... CHICAGO -- A two-dose schedule of a combined hepatitis A and B vaccine is well tolerated and highly immunogenic in children aged 1-11 years, Dr. Michel Stoffel said at the annual Interscience Conference on Antimicrobial Agents and Chemotherapy....

S. pneumoniae resistance is high, but not rising: analysis of 2002-2003 respiratory season.(Infectious Diseases)
December 1, 2003... CHICAGO -- There is both good and bad news regarding the latest trends in Streptococcus pneumoniae antimicrobial resistance, Daniel E. Sahm, Ph.D., announced at a satellite symposium held in conjunction with the annual Interscience Conference...

SARS appears to be less virulent in children: may be true of West Nile virus, too.(Infectious Diseases)(sudden acute respiratory syndrome )
December 1, 2003... CHICAGO -- The good news regarding sudden acute respiratory syndrome is that children appear to be spared the most serious manifestations, according to experts at the annual Interscience Conference on Antimicrobial Agents and Chemotherapy. ...

What about the pain of AOM?(ID Consult)(acute otitis media)
December 1, 2003... I wonder if we need to carefully reexamine the "no-treatment" option in young children with acute otitis media. Increasing concerns about antimicrobial resistance have prompted a shift in thinking among some thought leaders on the...

Steroid doesn't stop wheezing.(Clinical Capsules)(prednisolone)(Brief Article)
December 1, 2003... Prednisolone failed to improve viral wheezing in a cohort of children aged 15 years, said Dr. Abraham Oommen of the Leicester (England) Children's Asthma Centre and his colleagues. In a double-blind, randomized, controlled study of children...

Infection strikes infants later.(Clinical Capsules)(Brief Article)
December 1, 2003... The majority of neonates infected with Streptococcus pneumoniae presented at 2-3 weeks in a small study, rather than in the first few days of life as reported in previous smaller studies, said Dr. Jill A. Hoffman of the University of Southern...

Measles outbreak in Italy.(Clinical Capsules)(Brief Article)
December 1, 2003... Inadequate vaccination coverage in children younger than 15 years led to an epidemic of measles in the Campania region of Italy in 2002, said Dr. M.L. Ciofi degli Atti of the National Center for Epidemiology, Surveillance, and Health Promotion,...

Palivizumab, RSV, heart disease.(Clinical Capsules)(respiratory syncytial virus infection )(Brief Article)
December 1, 2003... Palivizumab, given as a monthly intramuscular dose of 15 mg/kg, reduced hospitalizations related to respiratory syncytial virus infection by 45% in children with congenital heart disease, said Dr. Timothy F. Feltes of The Children's Hospital,...

Feed necrotizing enterocolitis.(Clinical Capsules)(Brief Article)
December 1, 2003... Preterm infants who started enteral feeding an average of 4 days after the onset of necrotizing enterocolitis had a significantly shorter time to complete enteral feeding than those who began an average of 10 days after onset, according to Dr....

Rapid cycling common in pediatric bipolar cases: between depression and hypomania.(Behavioral Pediatrics)
December 1, 2003... NEW ORLEANS -- Children and adolescents with bipolar disorder may be more likely than adults to exhibit rapid cycling that can propel them from hypomania to depression several times each day, Dr. Steven Pliszka said at the annual meeting of the...

Underage alcohol use linked with violence, suicide: social cost of $53 billion.(Behavioral Pediatrics)(Brief Article)
December 1, 2003... The social cost of underage drinking is an estimated $53 billion annually, according to a new report from the Institute of Medicine and the National Research Council. Underage alcohol use also is associated with violence, suicide, and...

Small amounts of GHB can be fatal to users: Gaba agents useful in Tx.(Behavioral Pediatrics)
December 1, 2003... SAN FRANCISCO -- Contrary to public perception about recreational Drugs, substantial morbidity and mortality, as well as serious risks of dependence and withdrawal, are associated with their use, Dr. David M. McDowell said at the annual meeting...

Teens less likely to drink when parents monitor: long-term protective effect noted.(Behavioral Pediatrics)
December 1, 2003... WASHINGTON -- Parental monitoring has a significant, long-term protective effect against teen drinking, Jennifer R. Boyle said at the annual meeting of the Society for Prevention Research. Ms. Boyle and her associates studied a group of 406...

Postop behavior issues reduced by midazolam: appears safe to give preoperatively.(Behavioral Pediatrics)
December 1, 2003... NEW ORLEANS -- Preoperative midazolam may prevent postoperative behavioral problems in children by reducing preoperative anxiety. It's natural for some children to be scared, anxious, or in a state of screaming, thrashing panic prior to...

Fess up: do some families make you mad?(Behavioral Consult)
December 1, 2003... I have a confession to make. There are families in my practice I just don't like. And I'll bet there are some in yours, too. I have one patient who really needs a certain medicine. No matter what I do, I can't convince her mother to give it...

Brain studies spotlight origins of self-control: adolescents vs. adults.(Behavioral Pediatrics)
December 1, 2003... PITTSBURGH -- The impulsivity, risk taking, and poor decision making of adolescence may reflect processes that optimize the brain to work at its best in adulthood, the results of studies comparing the behavior of adolescents and adults suggest....

Childhood experiences influence recovery from later traumas: healthy or unhealthy stress responses.(Behavioral Pediatrics)
December 1, 2003... VANCOUVER, B.C. -- The ability of people to move beyond traumatic events might depend heavily on how they learned to cope with stress during childhood, Dr. John Briere said at a conference on posttraumatic stress disorder sponsored by Vancouver...

Atomoxetine doesn't appear to affect sleep onset: children and adolescents with ADHD.(Behavioral Pediatrics)(attention-deficit hyperactivity disorder)
December 1, 2003... MIAMI -- Twice daily atomoxetine had virtually no effect on time to onset of sleep, compared with methylphenidate administered three times daily in a study of children and adolescents with attention-deficit hyperactivity disorder. ...

Local violence leads to aggressive behavior: years later.(Behavioral Pediatrics)(Brief Article)
December 1, 2003... Children who witnessed more community violence were more likely to act aggressively years later, compared with children who witnessed less local violence, said Nancy G. Guerra, Ph.D., of the University of California, Riverside, and associates....

Just the facts, doc.(Letters From Maine)
December 1, 2003... Although my undergraduate major in art history clearly places me somewhat to the left of center on the art science continuum that describes the practice of medicine, my medical education began at a place and time when research was king (or...

Malpractice reform.( )(Editorial)
December 1, 2003... The current malpractice crisis has generated heated debate among physicians, and just a little finger-pointing at the plaintiffs' lawyers. Finger-pointing is not hard to understand when pediatricians face runaway premiums. In addition, many of...

Diagnosis lacking.( )(Letter to the Editor)
December 1, 2003... I read with interest Dr. Robert Giusti's Diagnostic Dilemma, and I have a similar case that has me stumped (August 2003, p. 47). I have a 3-year-old who transferred into my practice about 5 months ago with a history of recurrent respiratory...

Name that 'scopy'.(Letter to the Editor)
December 1, 2003... The Diagnostic Dilemma on a case of tracheal web (August 2003, p. 47) had one very puzzling bit of contradictory information: The patient allegedly had already undergone bronchoscopy. Was it actually laryngoscopy? How could someone...

Many problems, one solution.(Letter to the Editor)
December 1, 2003... It looks like critics of a single-payer plan have it backward ("Doctors Try to Reignite Single-Payer Plan Debate," September 2003, p. 51). We would not "be trading one problem for a whole set of others," as American Medical Association...

HIPAA helping the HMOs.(Letter to the Editor)
December 1, 2003... In "Pro & Con: Is HIPAA helping in any way?" Both Dr. Richard Sacks-Wilner and Dr. David Kibbe seemed to skirt the real issues. They made certain rather blatant points, but then missed the forest for the trees (October 2003, p. 32). The...

Elestat.(New & Approved)
December 1, 2003... (epinastine HCl ophthalmic solution 0.05%, Allergan Inc.) The Food and Drug Administration approved the antihistamine Elestat ophthalmic solution 0.05% for prevention of itching associated with allergic conjunctivitis in children aged 3...

Endal HD.(New & Approved)(Brief Article)
December 1, 2003... (hydrocodone bitartrate/phenylephrine HCl/diphenhydramine HCl, PediaMed Pharmaceuticals Inc.) Endal HD is indicated for the symptomatic relief of cough, nasal and eustachian tube congestion, and discomfort associated with the common cold,...

Beware adrenal suppression when using topical steroids for eczema: asymptomatic side effect to treatment.(Clinical Rounds)
December 1, 2003... GAITHERSBURG, MD. -- Educational materials and perhaps a black box warning in the patient package insert are needed to alert physicians and parents that use of topical steroids to treat pediatric atopic dermatitis may result in asymptomatic,...

Box warning needed to correct calcineurin inhibitors misuse: FDA panel advisory.(Clinical Rounds)
December 1, 2003... GAITHERSBURG, MD. -- Topical calcineurin inhibitors' labeling needs to be changed to include a box warning reiterating that these agents should not be used in children younger than 2 years, according to a Food and Drug Administration advisory...

Anatomy ups adrenal suppression risk: misuse is contributor.(Clinical Rounds)(misuse of topical corticosteroids may cause adrenal suppression)(Brief Article)
December 1, 2003... GAITHERSBURG, MD. -- Children are more likely than adults to absorb high levels of topical corticosteroids because of their large ratio of body surface area to total body mass, according to speakers at a meeting of the pediatric subcommittee of...

Attempts to stop myopia progression: mixed bag: atropine works, exercises do not.(Clinical Rounds)
December 1, 2003... SAN FRANCISCO -- Several medical and nonmedical interventions effectively slow the progression of myopia in children, but others are a waste of time, effort, and money, Dr. Douglas P. Fredrick said at a meeting on clinical pediatrics sponsored...

Vision loss in a child with red eyes is always a danger sign: anterior uveitis, one type of glaucoma.(Clinical Rounds)(Brief Article)
December 1, 2003... HILTON HEAD ISLAND, S.C. -- Vision loss is always an ominous sign in a child with red eyes, Dr. Irene Tien said at a meeting on clinical pediatrics sponsored by Boston University. Two specific diagnoses--anterior uveitis and acute...

Check infants who have neurofibromatosis for gliomas: chemotherapy under development.(Clinical Rounds)
December 1, 2003... SEATTLE -- Contrary to current guidelines, infants with neurofibromatosis should be screened for optic pathway gliomas, Dr. Richard Lewis argued at the annual meeting of the Society for Pediatric Dermatology. At Texas Children's Hospital,...

Diabetes risk and giving infants cereal early, late: autoantibodies to pancreatic islet cells.(Clinical Rounds)
December 1, 2003... Timing is everything when it comes to introducing cereal to infants at risk for developing diabetes, results of two prospective studies suggest. Among 1,183 newborns with a genetic or familial predisposition to type 1 diabetes mellitus,...

Vesicoureteral reflux highly responsive to Deflux: 76% resolution with one injection.(Clinical Rounds)
December 1, 2003... CHICAGO -- A single injection of dextranomer/hyaluronic acid copolymer was able to resolve vesicoureteral reflux in 76% of 84 pediatric patients, Dr. James M. Elmore said at the annual meeting of the American Urological Association. The...

Some voiding cystourethrographies unnecessary: low-grade vesicoureteral reflux, no scars.(Clinical Rounds)
December 1, 2003... CHICAGO -- Follow-up voiding cystourethrography may not be necessary in children with low-grade vesicoureteral reflux and no renal scarring, Dr. Paul Merguerian said at the annual meeting of the American Urological Association. Voiding...

Rare immunologic disease: gene therapy may help: four patients doing well.(Clinical Rounds)(severe combined immunodeficiency)(Brief Article)
December 1, 2003... WASHINGTON -- Researchers have improved the immune function of patients with a rare immunologic disease by using retroviruses to insert a corrective gene into a patient's own stem cells, according to a study presented at the annual meeting of...

Cystic fibrosis research may change patient care: seminal articles of the year.(Clinical Rounds)
December 1, 2003... SCOTTSDALE, ARIZ. -- The profiles of few other diseases have been altered as much as that of cystic fibrosis by the development of advanced molecular research, Dr. Jeffrey S. Wagener said at a pediatric pulmonology meeting sponsored by the...

Adequate nutrition one of four key Tx tactics for CF infants: impact can be dramatic.(Clinical Rounds)(cystic fibrosis)
December 1, 2003... SCOTTSDALE, ARIZ. -- Four treatment measures can make an important, lasting difference to infants with cystic fibrosis, even those who are minimally symptomatic or who have no symptoms, Dr. Jeffrey S. Wagener said at a pediatric pulmonology...

Educate moms on breast-feeding preterm infants: promotional strategies.(Clinical Rounds)
December 1, 2003... STANFORD, CALIF. -- Don't expect the mother of a premature newborn to know when and how to breast-feed. Set up your health care system to promote breast-feeding for premature infants, Dr. Jane A. Morton said at a conference on perinatal...

Adolescent factors predict adult cardiovascular disease risk: Bogalusa, finnish studies.(Clinical Rounds)(Bogalusa Heart Study)
December 1, 2003... Cardiovascular risk factors identified in childhood and adolescence correlate with adult carotid intima-media thickness, a measure of cardiovascular risk, according to two new reports. In the Bogalusa Heart Study, childhood measures of...

Retired physicians: it may be costly to volunteer: malpractice insurance is a barrier.(Practice Trends)(more free clinics are requiring physician volunteers to have medical malpractice insurance)
December 1, 2003... Retired physicians across the country are discovering that it can get expensive to volunteer their services at a free clinic. Dr. Martin Gonzalez, a retired physician in Oak Park, Ill., was turned away from a homeless shelter after he...

Pediatric resident trends.(Policy & Practice)(increase of women pediatric residents)(Brief Article)
December 1, 2003... The percentage of women among pediatric residents increased steadily over a 6-year period to 69% in 2002, a study by the American Academy of Pediatrics says. The survey of 500 graduating residents each year also found that educational debt...

Kids, TV, and computers.(Policy & Practice)(analysis of time spent watching TV, using computers, and playing video games)(Brief Article)
December 1, 2003... American children aged 0-6 years spend as much time--2 hours a day--watching television, using computers, and playing video games as they do playing outside, a study commissioned by the Henry J. Kaiser Family Foundation says. "These are...

Hogwarts headaches.(Policy & Practice)(reading Harry Potter book in one sitting may cause tension headaches)(Brief Article)
December 1, 2003... For all its benefits at promoting reading among children, "Harry Potter and the Order of the Phoenix" might also be causing "Hogwarts headaches," according to Dr. Howard J. Bennett of George Washington University, Washington. Dr. Bennett...

Birth control barriers.(Policy & Practice)(distribution of teen birth control)(Brief Article)
December 1, 2003... Teenagers are more likely to receive free contraceptives they request under a direct distribution system than under a voucher system, according to a study. Researchers with the Minneapolis Department of Health and Family Support evaluated the...

Ecstasy a downer.(Policy & Practice)(Brief Article)
December 1, 2003... Concerned that parents are not adequately conscious of the dangers the drug Ecstasy poses to children, the Partnership for a Drug-Free America has begun an "Ecstasy Alert" campaign to beef up awareness of the problem. Backed by financial...

Teen health, here and abroad.(Policy & Practice)(Brief Article)
December 1, 2003... U.S. adolescents are more likely to have stomachaches, backaches, headaches, and difficulty sleeping, and to be tired in the morning than their European counterparts, but were less likely to smoke or to feel safe at school. That's according to...

Insurance premiums likely to rise again in 2004: pediatricians fourth on most sued list.(Practice Trends)(medical malpractice insurance rates)
December 1, 2003... NEW ORLEANS -- Pediatricians' malpractice premiums continue to rise and indemnity payments are larger for them than for other specialties, Dr. Charles H. Deitschel Jr. said at the annual meeting of the American Academy of Pediatrics. Since...

Data Bank tracks fraud, Medicare exclusions: up and running for 4 years.(Practice Trends)(Department of Health and Human Services )
December 1, 2003... Think the government is only tracking your malpractice convictions? Think again. For nearly 4 years, the Department of Health and Human Services has been building a data bank of information on any person or entity involved with health...

Child discipline book.(Products)(1-2-3 Magic, 3d ed.)(Brief Review)
December 1, 2003... The third edition of "1-2-3 Magic" by Thomas W. Phelan, Ph.D., is available. The book provides a three-step approach to child discipline. This edition contains several new chapters, including "When Do You Talk?," "Overparenting," and "Real...

Lice removal kit.(Products)(SafeTek Lice Removal Kit from Woodridge Labs Inc. )(Brief Article)
December 1, 2003... The SafeTek Lice Removal Kit includes a pesticide-free conditioning shampoo and a fine-toothed metal nit comb. The kit is available in food, drug, and discount stores and retails for $17.99. For more information, contact Woodridge Labs Inc.,...

CoaguChek strips recalled.(Products)(Roche Diagnostics Corp. recalls (lots 591 and 619) CoaguChek PT diagnostic test strips)(Brief Article)
December 1, 2003... The Food and Drug Administration has posted a recall notice for CoaguChek PT diagnostic test strips (lot numbers 591 and 619), which are used to determine blood clotting time. Some of the foil pouches enclosing the strips were sealed...

Amino acid injections.(Products)(Premasol sulfite-free injections from Baxter Healthcare Corp.)(Brief Article)
December 1, 2003... Premasol sulfite-free (amino acid) injections are approved for the nutritional support of infants and young children requiring total parenteral nutrition. The 6% and 10% injections provide a mixture of essential and nonessential amino acids....

Government recalls Web site.(FYI)(Consumer Product Safety Commission)(Brief Article)
December 1, 2003... A new Web site by the Consumer Product Safety Commission allows access to information about all federal government recalls, and features a medicine tab. For more information, go to www.recalls.gov.

Teen driving resources.(FYI)(Road Ready Teens web site from the Chrysler Group, National Safety Council, and Mothers Against Drunk Driving)(Brief Article)
December 1, 2003... Road Ready Teens is a safety initiative aimed at teenagers and parents. The Web site features a parent guide and a video driving game. Chrysler Group., the National Safety Council, and Mothers Against Drunk Driving sponsor the site. For more...

Protecting children's eyesight.(FYI)(Prevent Blindness America web site)(Brief Article)
December 1, 2003... Prevent Blindness America, a volunteer organization, offers several publications aimed at maintaining children's eye health. Publication topics include preventive measures, specific conditions, and signs of illness. To order, 800-331-2020, or...

Household products database.(FYI)(Brief Article)
December 1, 2003... The National Institutes of Health offers an online database of ingredients contained in over 4,000 household products, and their potential health effects. Visit http://house holdproducts.nlm.nih.gov for information.

Diagnostic dilemma.(Lorazepam toxicity)
December 1, 2003... A highly agitated 23-month-old boy presented at the emergency department screaming, ataxic, and picking at the air. His heart rate was 140 beats per minute, his respiratory rate was 28, and his blood pressure was normal. His pupils were...

Residents at risk of too little vitamin D: long-term risk to bone.(Brief Article)
December 1, 2003... VANCOUVER -- Medical residency: It's not just a job, it's an opportunity for poor skeletal health. Of 35 internal medicine house staff at Oregon Health Sciences University, Portland, 18 (51.4%) were found to be vitamin D deficient in...