Pediatric News articles from July 2007

Pediatric News archives from July 2007

Menactra urged for all aged 11-18 years.(Infectious Diseases)
July 1, 2007... ATLANTA -- The tetravalent meningococcal conjugate vaccine is now recommended for all 11- to 18-year-olds instead of select age groups, the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices voted at its...

Cost of medical care rising faster than other categories.(VITAL SIGNS)(Report)(Brief article)
July 1, 2007... Cost of Medical Care Rising Faster Than Other Categories Medical care 4.3% Other goods and services 3.5% Housing 3.0% Food and beverages 2.4% ...

Pediatric obesity guidelines stick with diet, exercise: select candidates for medications, surgery.(News)
July 1, 2007... TORONTO -- Diet and exercise remain the first-line treatment for overweight and obese children, according to guidelines on the diagnosis, treatment, and prevention of pediatric obesity developed by the Endocrine Society. Although selective...

Immunity via hepatitis B vaccine may wane at 15.(News)(Clinical report)
July 1, 2007... BALTIMORE -- Immunity to hepatitis B might wane 15 years after vaccination among those who received the vaccine series beginning at birth, Dr. Stephanie R. Bialek said at a conference on vaccine research sponsored by the National Foundation for...

Weight loss cuts headache frequency in children; gaining does the reverse.(News)(Clinical report)
July 1, 2007... CHICAGO -- Children with a higher body mass index who also suffer from headache appear to have a greater degree of improvement when they lose weight, said Dr. Andrew D. Hershey at the annual meeting of the American Headache Society. Dr....

ProQuad supply depleted, unavailable for rest of year.(News)
July 1, 2007... As of mid-June, stocks of ProQuad were depleted because of manufacturing issues, and the combination vaccine was not expected to be available for the rest of the year, according to the Centers for Disease Control and Prevention. ProQuad is...

FDA acts to remove unapproved timed-release guaifenesin agents.(News)(Food and Drug Administration)
July 1, 2007... With one exception, timed-release drug products available in the United States that contain the expectorant guaifenesin have not been approved by the Food and Drug Administration and should be taken off the market, according to an agency...

Infant age affects asthma risk in peak virus season.(News)(Brief article)(Clinical report)
July 1, 2007... SAN FRANCISCO -- Infants who area months old at the peak of the winter virus season have a 15% increased risk of developing asthma, Pingsheng Wu, Ph.D., reported in a poster presentation at the International Conference of the American Thoracic...

Cord blood infusion promising in type 1 diabetes.(News)(Clinical report)
July 1, 2007... CHICAGO -- Transfusion of stored autologous umbilical cord blood reduced disease severity in a small pilot study of children with newly diagnosed type 1 diabetes. The study represents the first use of cord blood as a potential therapy for...

Universal flu vaccination would strain delivery.(Infectious Diseases)(Report)
July 1, 2007... TORONTO -- Alternative settings, such as schools, should be considered if universal influenza vaccination is recommended for all U.S. school-age children, Dr. Cynthia Rand said in a poster presentation at the annual meeting of the Pediatric...

Pneumococcal vaccine urged in flu pandemic plan.(Infectious Diseases)
July 1, 2007... MONTREAL -- U.S. plans for an influenza virus pandemic should include a strong recommendation for bacterial pneumonia vaccination, as this measure has been shown to reduce influenza mortality by up to 50%, said Dr. Keith Klugman. "Among...

Key benefit number is 12 with flu immunizations.(Infectious Diseases)(Report)(Brief article)
July 1, 2007... TORONTO -- As few as 12 pediatric influenza immunizations and probably even fewer in each practice could prevent an outpatient visit for influenza later in the season, according to a poster presented at the annual meeting of the Pediatric...

Access and autonomy boost level of NICU staff influenza immunization.(Infectious Diseases)(neonatal intensive care unit)
July 1, 2007... TORONTO -- A 24/7 program allowing health care workers to vaccinate each other against influenza can dramatically increase staff immunization rates, bolstering the "cocoon effect" in the neonatal intensive care unit, Dr. Shetal Shah said in a...

New, ongoing concerns in otitis media.(ID Consult)(Report)
July 1, 2007... New research presented at the 9th International Symposium on Recent Advances in Otitis Media provides us with clinical insight into pathogenesis and treatment, but also illustrates that we still have far to go in reducing the burden of this...

Fungal infections dangerous after lung transplant.(Infectious Diseases)(Brief article)(Clinical report)
July 1, 2007... SAN FRANCISCO -- Children who contract pulmonary lung infections in the year after receiving a lung transplant are 70% more likely to die than are those with no such infections, Dr. Lara A. Danziger-Isakov reported in a poster presentation at...

Delaying surgery may aid perforated appendicitis.(Infectious Diseases)(Clinical report)
July 1, 2007... MIAMI -- The overwhelming majority of children with perforated appendidtis do well with immediate antibiotics and delayed surgery--a strategy called interval management, Dr. Cathy A. Burnweit said at a pediatric update sponsored by Miami...

ACIP endorses hep A vaccine for postexposure prevention.(Infectious Diseases)(Advisory Committee on Immunization Practices)
July 1, 2007... ATLANTA -- The hepatitis A vaccine should now be the first choice for postexposure prevention of hepatitis A infection in otherwise healthy people aged 12 months to 40 years. The Centers for Disease Control and Prevention's Advisory...

Largest study to date supports Gardasil's safety in first year of use.(Infectious Diseases)(Drug overview)(Clinical report)
July 1, 2007... ATLANTA -- Clinicians can be more confident about the safety of Gardasil, the quadrivalent human papillomavirus vaccine, because postlicensure safety data from the first year of widespread use confirm that serious adverse events associated with...

Bivalent HPV vaccine shows 90% efficacy.(Infectious Diseases)(human papillomavirus)
July 1, 2007... A bivalent vaccine for human papillomavirus manufactured by GlaxoSmithKline has shown greater than 90% efficacy against high-grade cervical intraepithelial neoplasia, according to interim results from a large, randomized controlled trial...

Don't hesitate to treat possible Kawasaki disease.(Infectious Diseases)
July 1, 2007... NEW YORK -- Physicians should never feel guilty about overdiagnosing and overtreating possible Kawasaki disease, Dr. Jeffrey R. Starke said at a meeting sponsored by the American College of Emergency Physicians. "If you look at the...

Kawasaki cases lead to RotaTeq label changes.(Infectious Diseases)
July 1, 2007... Several postmarketing reports of Kawasaki disease in recipients of the RotaTeq vaccine have prompted changes in the vaccine's label, but to date there is no known cause-and-effect relationship between the vaccine and these reports, according to...

Many parents undecided about teen vaccines.(Infectious Diseases)(Report)
July 1, 2007... TORONTO -- Parents' safety concerns about children's vaccines may negatively influence their decisions about vaccination, but physicians' recommendations can override that, study results show. These results might "make us pay a lot more...

Liver recipients face hepatitis B risk if titers dip.(Infectious Diseases)(Brief article)(Clinical report)
July 1, 2007... SAN FRANCISCO -- Children who receive living donor liver transplants are at risk of developing hepatitis B if they have low antibody titers, according to a poster presentation by Dr. Chih-Che Lin at the American Transplant Congress. In a...

What to do about guns and violence.(Guest Editorial)(Report)
July 1, 2007... Working in a trauma center, I see gunshot victims often. I see the devastation that guns cause. As I was working with a medical student on a Grand Rounds presentation on gunshot violence, I came across some of the following information....

Closure ... now or later?(Letters From Maine)
July 1, 2007... One of our newer physicians asked recently if I had any suggestions for increasing his efficiency. It's getting closer to the day his income will be based solely on productivity, and the handwriting on the wall is coming into clearer focus. ...

Are warnings on antidepressants backfiring?(Guest Editorial)
July 1, 2007... Our ability to recognize and effectively treat mental health conditions has improved over the last 20 years. As a result, suicide rates across all age groups had been on a steady decline since the early 1990s. But recent data show a disturbing...

Staff do screening, doctors interpret.(Letters)(Letter to the editor)
July 1, 2007... We applaud Dr. Suzanne C. Boulter's work with the family practice residents in Concord, N.H., as she and other faculty endeavor "... to give the resident the opportunity--free of time constraints--to focus on and learn about excellent...

Best tools needed to fight AIDS.(Letters)(Letter to the editor)
July 1, 2007... Dr. Harold Jaffe's comments regarding the HIV epidemic in the United States and the best tools to stem it are praiseworthy and should be an example for all physicians to follow ("Expert Warns of Omnious Signs in AIDS Fight," May 2007, p. 16)....

Another resource on contracts.(Letters)(Letter to the editor)
July 1, 2007... In Dr. Lee Savio Beers' column on employment contract negotiations, I saw a glaring omission in the mention of professional societies that offer online resources to "help physicians find and negotiate for the best job possible" ("Employment...

Timing of vaccines can be an issue.(Letters)(Letter to the editor)
July 1, 2007... I have placed many calls to the Centers for Disease Control and Prevention and to the Vaccines for Children program but have yet to get a reasonable explanation in response. I had recently given up until I saw Dr. Michael E. Pichichero's recent...

Video training tool improved ADHD symptoms.(Behavioral Pediatrics)(Attention Deficit Hyperactivity Disorder)(Clinical report)
July 1, 2007... BOSTON -- Working memory training significantly improved symptoms in adolescents receiving medical treatment for attention-deficit/hyperactivity disorder, Dr. Bradley S. Gibson said in a poster presentation at a meeting of the Society for...

Web site aids parents of special needs kids.(Behavioral Pediatrics)(Brief article)
July 1, 2007... Our Special Kids is a free resource for parents of children with special needs. The site (www.ourspecialkids.com) features book reviews, profiles of people making contributions to the special needs community, and articles on topics such as...

Do as I say and do: parental role modeling.(Behavioral Consult)
July 1, 2007... Parents model hundreds of behaviors for their children every day, often automatically perpetuating behaviors that their own parents modeled to them. If your father came home after work and changed his clothes before dinner, you probably...

Positive parenting practices help early-maturing gifts cope.(Behavioral Consult)
July 1, 2007... BOSTON -- Positive parenting practices can minimize the impact that negative peer influence has on early-maturing girls and thus can reduce the risk of externalizing problems, results of a study have shown. For this reason, psychosocial...

Comorbid mental illness, substance use common.(Behavioral Consult)
July 1, 2007... MIAMI -- Co-occurrence of mental health and substance use disorders is a substantial problem among American adolescents, Jorielle R. Brown, Ph.D., said at the annual conference of the American Society of Addiction Medicine. Many teenagers...

Brief screen for teen alcohol-use risk has merit.(Behavioral Consult)
July 1, 2007... MIAMI -- A one-page instrument to screen and identify adolescents at risk for alcohol use can be easily implemented in a primary care setting, although reimbursement and additional counseling time are concerns, Dr. John Femino said at the...

Temperament guides management of problems.(Behavioral Pediatrics)
July 1, 2007... MIAMI -- Assessment of the child who presents with behavioral problems is guided by how they fit into four basic temperaments, Dr. Barry Zuckerman said at a pediatric update sponsored by Miami Children's Hospital. Activity level,...

Head banging, breath holding typically go away.(Behavioral Pediatrics)
July 1, 2007... MIAMI BEACH -- Gaining a deeper understanding of preschool behavior problems such as head banging or breath holding is valuable and enriching for a pediatric practice, Dr. Barbara Howard said at the annual Masters of Pediatrics conference...

Rapid repeat pregnancies persist despite ECPs.(Behavioral Pediatrics)(emergency contraceptive pills )
July 1, 2007... ATLANTA -- Advanced provision of emergency contraceptive pills did not significantly decrease the rapid repeat pregnancy rate in a racially and ethnically diverse group of adolescents enrolled in a Colorado study "because many of the young...

Repeat skeletal surveys key in suspected abuse.(Behavioral Pediatrics)
July 1, 2007... NEW ORLEANS -- Follow-up skeletal surveys provided valuable additional information in roughly one-third of cases of suspected child abuse, Dr. Reena Isaac and Dr. Carole Jenny reported in a poster at the Southern regional meeting of the...

Ripple effect of parental discord on children starts early.(Behavioral Pediatrics)
July 1, 2007... TORONTO -- Parental discord as seemingly innocuous as frequent belittlement can significantly raise a child's risk of psychological maltreatment, according to results of a study presented at the annual meeting of the Pediatric Academic...

Lowest-dose OCs may affect teen bone health.(Clinical Rounds)(oral contraceptives)(Clinical report)
July 1, 2007... ATLANTA -- Impaired bone mass acquisition associated with certain oral contraceptives may be a hidden public health problem affecting adolescent girls, Dr. Barbara Cromer said at the annual meeting of the North American Society for Pediatric...

Obesity comorbidities often undiagnosed by generalists.(Clinical Rounds)
July 1, 2007... TORONTO -- Only about one-third of weight-related comorbidities were identified by generalist providers before referral to a weight management program, Dr. Moises Auron-Gomez reported at the annual meeting of the Pediatric Academic Societies....

Obesity prevention counseling is lacking.(Clinical Rounds)
July 1, 2007... WASHINGTON -- Even as pediatric obesity is on the rise, fewer than a third of nonobese children in the United States are likely to be receiving obesity prevention counseling at well-child visits, based on a representative sample presented in a...

Office-managed, low-carbohydrate diet effective in teens.(Clinical Rounds)(Clinical report)
July 1, 2007... TORONTO -- Overweight teens assigned to a 6-month low-carbohydrate diet experienced significant weight loss, decreased body mass index, and improved self-esteem while being managed in an office-based setting, Dr. Robert Siegel reported at the...

Early surgery may be best for shoulder dislocation.(Clinical Rounds)
July 1, 2007... QUEBEC CITY -- Adolescent and young adult athletic patients with a first-time shoulder dislocation might benefit from early surgical repair as opposed to conservative therapy, according to Dr. Robert McCormack, an orthopedic surgeon at the...

Expert urges sensible strength training for kids.(Clinical Rounds)
July 1, 2007... QUEBEC CITY -- Children as young as 6 years old can benefit from carefully supervised strength training, which can lay the foundation for an athletic future, either in competition or as part of a healthy lifestyle, according to Avery...

Limb discrepancies: identify, assess, treat (maybe).(Clinical Rounds)(Case study)
July 1, 2007... MIAMI -- To successfully evaluate the child who presents with a limb discrepancy, identify the etiology, understand normal limb growth, estimate the ultimate deficiency, and guide the family regarding intervention, Dr. Christopher A. Iobst...

Younger teens get fewer sports injuries, Canadian study says.(Clinical Rounds)
July 1, 2007... QUEBEC CITY -- Although sports injuries requiring medical treatment are less common in younger adolescents, compared with older teens, injuries requiring emergency attention occur more often in the younger age group, according to Carolyn Emery,...

Enemas fail to improve intractable constipation.(Clinical Rounds)(Clinical report)
July 1, 2007... MILWAUKEE -- Regular enemas did not reverse increased rectal compliance in children with intractable functional constipation, Dr. Marc Benninga reported at an international symposium sponsored by the International Foundation for Functional...

Behavioral therapy doesn't help in constipation.(Clinical Rounds)(Clinical report)
July 1, 2007... MILWAUKEE -- Intensive behavioral therapy with laxatives is no better than conventional therapy in the treatment of childhood constipation, data from a randomized controlled trial show. Little is known about the effectiveness of behavioral...

Supprelin LA, Xyzal tablets.(New & Approved)(Drug overview)
July 1, 2007... Supprelin LA (histrelin acetate, Indevus Pharmaceuticals Inc.) The Food and Drug Administration approved Supprelin LA (histrelin acetate subcutaneous implant) 50 mg for treatment of central precocious puberty in children. *...

Childhood-onset SLE's effects are shown by fMRI.(Clinical Rounds)(systemic lupus erythematosus )(Functional Magnetic Resonance Imaging )(Brief article)
July 1, 2007... TORONTO -- Cognitive impairment in patients with childhood-onset systemic lupus erythematosus can be identified with functional magnetic resonance imaging, Svetlana Lvovich, D.O., reported in a poster presentation at the annual meeting of the...

Nocturnal pulse oximetry aids OSAS diagnosis.(Clinical Rounds)(obstructive sleep apnea syndrome )(Clinical report)
July 1, 2007... SAN FRANCISCO -- A diagnostic algorithm employing nocturnal pulse oximetry before referring children to polysomnography can greatly reduce the costs of diagnosing obstructive sleep apnea syndrome, according to a poster presentation at the...

Congenital heart disease patients living longer.(Clinical Rounds)(Brief article)
July 1, 2007... NEW ORLEANS -- Over the past 2 decades, patients with congenital heart disease have increasingly lived to an older age, according to data collected on about 70,000 people with congenital heart disease living in the province of Quebec. The...

Shining a spotlight on siblings.(Special Needs: Realizing Potential)
July 1, 2007... Having a child with a disability affects everyone in a family. How could it not? Having a child whose needs loom larger than those of other people in the family, and who has to be the priority, affects everyone. An estimated 7 million...

For asthma, home improvement may equal medical intervention.(Clinical Rounds)
July 1, 2007... TORONTO -- Asthma symptoms improve in children whose homes are remodeled to reduce triggers such as dust mites, mold, mice, and cockroaches, Dr. Megan Sandel reported in a poster presentation at the annual meeting of the Pediatric Academic...

Elements of atopic triad commonly appear by age 3.(Clinical Rounds)(Clinical report)
July 1, 2007... LOS ANGELES -- Most children with atopic dermatitis also have asthma, seasonal allergy, or both in combinations that appear before 3 years of age, Dr. Roger Kapoor and his associates reported in a poster presentation at the annual meeting of...

For kids, ATV may mean "all too vulnerable".(Clinical Rounds)(all-terrain vehicles)
July 1, 2007... NEW ORLEANS -- Children riding all-terrain vehicles can suffer serious foot injury resulting in permanent disfigurement and disability, Dr. Tonya M. Thompson and colleagues reported in a poster presentation at the southern regional meeting of...

Sports participation desirable for kids with chronic conditions.(Clinical Rounds)
July 1, 2007... QUEBEC CITY -- Children with chronic health conditions should be encouraged to participate in sports, and soon there will be guidelines about physical activity in children with specific conditions, according to Dr. John Philpott, who is heading...

Acne medications' reformulations show promise.(Clinical Rounds)
July 1, 2007... MIAMI BEACH -- The latest trend in acne treatment is not new medications but innovative reformulations of existing agents, Dr. Dirk M. Elston said at a symposium sponsored by the Florida Society of Dermatology and Dermatologic Surgery. ...

Prenatal blood lead screening aids in risk ID.(Clinical Rounds)(identification )(Brief article)(Clinical report)
July 1, 2007... PHILADELPHIA -- Universal prenatal screening of maternal blood lead levels significantly increases the identification rate of women with abnormal levels, allowing earlier identification of infants born at risk, Dr. Tatyana Gabinsky said at the...

Bleach baths fight s. aureus infections in eczema patients.(Clinical Rounds)
July 1, 2007... MAUI, HAWAII -- Bleach baths are a greatly underused tool for reduction of Staphylococcus aureus skin colonization in patients with atopic dermatitis, pediatric dermatologists said at the annual Hawaii Dermatology Seminar sponsored by Skin...

Topical imiquimod may aid infantile hemangioma.(Clinical Rounds)(Clinical report)
July 1, 2007... MONTREAL -- Topical imiquimod 5% cream can dramatically reduce or resolve some infantile hemangiomas and could be a treatment option as early as the newborn phase, Dr. Marc Bourcier said at Dermatology Update 2007. This early, noninvasive...

Maintenance therapy for acne deserves special attention.(Clinical Rounds)
July 1, 2007... MAUI, HAWAII -- Selecting an acne patient's long-term maintenance regimen is at least as important a decision as the initial treatment phase, Dr. Hilary E. Baldwin said at the annual Hawaii Dermatology seminar sponsored by Skin Disease...

Inhaled insulin found safe in type 1 diabetes.(Clinical Rounds)(Clinical report)
July 1, 2007... SAN FRANCISCO -- Although inhaled human insulin has been approved by the FDA for use only in adults, it appears to be safe for use in children with type 1 diabetes, according to a poster presentation by Dr. Richard C. Ahrens at the...

Pediatricians said to lack savvy on food allergies.(Clinical Rounds)(Brief article)
July 1, 2007... TORONTO -- Pediatricians' knowledge about food allergy presentation and management "is not quite up to speed," according to Dr. Scott Krugman, chair of pediatrics at Franklin Square Hospital Center in Baltimore. In a poster presentation at...

Scrutinize international adoptees' medical history.(Clinical Rounds)
July 1, 2007... LYNNWOOD, WASH. -- The cardinal rule of adoption medicine is that all information should be taken seriously but should be considered suspect, Dr. Julia Bledsoe said at a conference sponsored by the North Pacific Pediatric Society. The...

Digital imaging for ROP diagnosis.(Products)(retinopathy of prematurity)(Brief article)
July 1, 2007... The RetCam Shuttle model of the RetCam II imager (Clarity Medical Systems, Pleasanton, Calif.) uses high-resolution digital imaging to test for retinopathy of prematurity (ROP), but is one-fourth the size and weight of the full-size machine and...

First formula with probiotics.(Products)(Brief article)
July 1, 2007... A new infant formula, Good Start Natural Cultures, is the first routine formula in the United States with probiotics for the promotion of immune health in infants. The added probiotic is Bifidobacterium lactis, often found in the intestinal...

Acne treatment for the back.(Products)
July 1, 2007... ClindaReach is indicated for the treatment of acne vulgaris in hard-to-reach places, such as the patient's back. Each package of this dermatological product contains an ergonomically designed applicator wand with a multidirectional pivotal...

Sunglasses for children, babies.(Products)(Brief article)
July 1, 2007... A new line of ophthalmologist-designed sunglasses specifically for infants and children aged 6 months to 6 years protects young children's eyes from the negative effects of ultraviolet, blue light, and infrared radiation. The sunglasses are...

Internet-based EMR service.(Products)(electronic medical records)(Brief article)
July 1, 2007... A new Web site is offering an Internet-based electronic medical records system that needs no special software purchase. Subscription plans vary and are available at an annual or monthly rate. Visit www.docpatient.com for more information.

UVA/UVB 6-hour sun protection.(Products)(Ultraviolet A/Ultraviolet B)(Brief article)
July 1, 2007... Luca sunscreen is the first to support a claim of being both UVA and UVB protective by having a wavelength value printed on the bottle of 383 nm, the highest value reported in the United States. Luca sunscreen is available for both children and...

Virginia children wait for Medicaid.(Policy & Practice)(Brief article)
July 1, 2007... More than half of Virginia children whose parents applied for Medicaid coverage waited for 4-6 months for their applications to be processed--and 90% went without coverage during that time--as a result of a new federal law requiring proof of...

Report disputes SCHIP numbers.(Policy & Practice)(State Children's Health Insurance Program )(Brief article)
July 1, 2007... An Urban Institute analysis of uninsured children eligible for the State Children's Health Insurance Program (SCHIP) indicates that far fewer children than previously thought may be eligible for SCHIR The new study focuses on children who were...

MDs should use the term 'obese'.(Policy & Practice)(Brief article)
July 1, 2007... Physicians should use blunt, clinical terms such as "overweight" and "obese" to describe conditions currently called "at risk for overweight" and "overweight," a panel of health experts representing 15 major medical associations said in a...

Improved ped Paxil settlement.(Policy & Practice)(Brief article)
July 1, 2007... Public Citizen said it has won greater compensation for parents of children who took the antidepressant Paxil but can't provide documentation of their purchase or related costs. In an earlier complaint (Hoormann et al. v. SmithKline Beecham...

Hawaii to offer kids free flu shots.(Policy & Practice)(Brief article)
July 1, 2007... This fall, Hawaii will become the first state to offer free influenza vaccinations to school children aged 5-13 years. The shots will be available October 2007-January 2008 at school during the school day. Funding for the estimated $2.5 million...

AAOS warns about wheeled shoes.(Policy & Practice)(American Academy of Orthopaedic Surgeons )(Brief article)
July 1, 2007... The American Academy of Orthopaedic Surgeons (AAOS) has warned that children who wear roller shoes or street gliders--shoes with wheels in the heel-should wear protective gear such as wrist guards and helmets to avoid injuries. According to...

Coverage rates higher with combo vaccines.(Practice Trends)
July 1, 2007... A study of more than 18,000 infant records in a Medicaid database und that use of combination vaccines significantly improved immunization coverage rates of the vaccines studied in children through age 24 months. This study "is the first...

Residents fail to address parental smoking.(Practice Trends)
July 1, 2007... Too few pediatricians in training are following best-practice guidelines for addressing parental smoking and the risks that secondhand smoke poses for their patients, said Bradley N. Collins, Ph.D., a public health expert at Temple University,...

Personal financial management.(On the Learning Curve)
July 1, 2007... The average pediatric resident starts internship $125,000 in debt. Many loans are deferred during residency, but nonetheless, this debt burden weighs heavily on many. Residency and the early stages of a career are stressful enough without the...

The limited-English patient.(Health Policy: The Fine Line)
July 1, 2007... A Spanish-speaking family presented to my of rice for a nonurgent primary care visit. What are my obligations, under federal law, to provide translation services? In June 2005, while vacationing in Mexico, I broke my right ankle. The...