Pediatric News articles from May 2003

Pediatric News archives from May 2003

New exanthems have viral roots. (Most Resolve on Their Own).(rash diagnosis)
May 1, 2003... MIAMI BEACH -- Prodrome symptoms and clinical presentations of skin eruptions can help prompt identification and correct diagnosis of five new exanthems in pediatric patients, Dr. Anthony J. Mancini said at a pediatric update sponsored by Miami...

Agents for peanut allergy face uncertain future: for patients allergic to peanuts, TNX-901 may provide a significant safety cushion. (Battle Over Which Drug to Study).
May 1, 2003... DENVER -- An experimental anti-IgE drug that for the first time provided patients with peanut allergy some protection against the development of anaphylaxis may or may not be shelved, as scientists from three companies negotiate its fate. ...

Combo tx fine for Asthma patients under age 5 years: teach the metered-dose inhaler method. (Low-Dose Steroids, Long-Acting [[beta].sup.2] - agonists).
May 1, 2003... DENVER -- For the first time, new data support a previous recommendation that children with asthma who are under 5 years of age be treated with a combination of low-dose inhaled corticosteroids and long-acting [[beta].sub.2]-agonists, Dr....

Vital signs.(Top 10 Diagnoses in Pediatric Office Visits in 2002 )
May 1, 2003... VITAL SIGNS Top 10 Diagnoses in Pediatric Office Visits in 2002 Condition % of Office Visits Routine Child Health Exam 21.5 Otitis Media NOS * 7.8 Acute Upper...

Persistent asthma symptoms may respond to macrolides. (Steroid-Sparing Effect).(Brief Article)
May 1, 2003... GREENWICH, CONN. -- Macrolides may benefit children with mild to severe persistent asthma who don't respond to conventional therapy Dr. Iain Gainov said in a poster presentation at a meeting of the Eastern Society for Pediatric Research. ...

Inhalant abuse advisory stresses unique Tx needs. (One in Five Teens Has Used Inhalants).
May 1, 2003... WASHINGTON -- Treating patients who abuse inhalants is more complicated than treating those who abuse other drugs, a new advisory says. That's because inhalant abuse patients often abuse other drugs and "have a chaotic family life, low...

Bar codes and pediatric doses. (Pediatric Briefs).(medication error prevention)(Brief Article)
May 1, 2003... A new Food and Drug Administration proposal to require bar codes in hospital settings on all prescriptions, some over-the-counter drugs, and vaccines would help prevent medication dosing errors in children, the FDA said. At a minimum, the bar...

Assessing asthma symptoms. (Pediatric Briefs).(Brief Article)
May 1, 2003... Asking adolescent asthma patients to keep a symptom diary is a better method for assessing symptoms than is relying on their recall, Dr. Marina Reznik said at a meeting of the Eastern Pediatric Research Society. Seventy-one patients (mean age...

Teens and TV. (Pediatric Briefs).(decrease in television watching time reported)(Brief Article)
May 1, 2003... Teenagers are watching less television today than they were decade ago, but racial differences are large, according to the independent re search group Child Trends. The percentage of adolescents watching only 1 hour or less of TV per weekday...

Child nutrition goals. (Pediatric Briefs).(Brief Article)
May 1, 2003... One goal of the Bush administration's plans for reauthorization of the federal child nutrition programs is to streamline programs such as school breakfast and lunch, summer feeding, and the Women, Infants, and Children (WIC) program to minimize...

Alcohol ads. (Pediatric Briefs).(Brief Article)
May 1, 2003... Alcohol marketing is extensive in certain store types frequented by teenagers, the Centers for Disease Control and Prevention said (MMVR 52[14]:310-13, 2003). Of 3,961 alcohol retailers located in communities with one or more public schools,...

Product safety. (Pediatric Briefs).(Brief Article)
May 1, 2003... The Consumer Product Safety Commission voted 2-1 to deny a petition to require product registration cards for children's products, deciding instead to examine a range of options for improving the current product recall system, which relies...

Imported poison. (Pediatric Briefs).(tetramethylenedisulfotetramine poisoning treatment)(Brief Article)
May 1, 2003... A previously healthy 15-month-old girl in New York City was rendered severely neurologically damaged after ingesting an imported rodenticide containing the convulsant poison tetramethylenedisulfotetramine (TETS), the CDC reported (MMWR...

More stress, anxiety over peanut allergy than diabetes. (Lower Quality of Life Cited).
May 1, 2003... DENVER -- Children with peanut allergy may feel more anxious and stressed out about their condition than children with diabetes, Natalie J. Avery reported at the annual meeting of the American Academy of Allergy, Asthma, and Immunology. ...

Children can outgrow peanut allergy. (Risk of Recurrence Low).
May 1, 2003... DENVER -- Children who outgrow peanut allergy probably do so permanently Dr. David M. Fleischer said at the annual meeting of the American Academy of Allergy, Asthma, and Immunology. Although peanut allergy once was considered to be a...

Supreme Court upholds Megan's Law statutes. (Identifying Convicted Sex Offenders).
May 1, 2003... WASHINGTON -- The U.S. Supreme Court has ruled to uphold Megan's Law statutes in two key decisions. Those rulings, made last month, mark the first by the high court on Megan's Laws, which are designed to ensure that the public can obtain...

Infection control key to limiting spread of SARS. (A Few Suspected Cases in Children, Teens).(severe acute respiratory syndrome )
May 1, 2003... Standard infection control precautions may have been key in minimizing the spread of severe acute respiratory syndrome in the United States, said Dr. Irwin M. Berlin, chief of pulmonary critical care at Elmhurst (N.Y.) Hospital Center. "In...

SARS experience different in U.S. than in Asia.(severe acute respiratory syndrome)(Brief Article)
May 1, 2003... While health care workers make up a large proportion of SARS victims in other countries, most U.S. cases have occurred in people with first-hand travel to affected regions, Dr. John Jernigan said at the annual meeting of the Society for...

Most antibiotics safe for pregnant women with SARS. (Three Babies Born to Women Ill With SARS).(severe acute respiratory syndrome)(Brief Article)
May 1, 2003... The Centers for Disease Control and Prevention has not released specific recommendations for the treatment of severe acute respiratory syndrome, but encourages empiric therapy to cover organisms associated with any community-acquired pneumonia...

OM recurrence? Not really. (Clinical Capsules).(acute otitis media)(Brief Article)
May 1, 2003... Acute otitis media infections recurring within a month after children complete antibiotic therapy are often new infections, said Dr. Eugene Leibovitz and his colleagues at Ben-Gurion University of the Negev, Beersheba, Israel. In a study of 834...

Tobramycin eases airways. (Clinical Capsules).(treatment of Pseudomonas aeruginosa infection in children with cystic fibrosis)(Brief Article)
May 1, 2003... A 28-day course of inhaled tobramycin significantly decreased Pseudomonas aeruginosa in the lower airways of young children with cystic fibrosis, said Dr. Ronald L. Gibson of the University of Washington, Seattle, and his colleagues. After 28...

WBC checks cut antibiotic use. (Clinical Capsules).(white blood cell)(Brief Article)
May 1, 2003... Selective use of white blood cell counts can reduce unnecessary use of antibiotics in children with upper respiratory infections, said Dr. Janet R. Casey and her associates at the University of Rochester, N.Y In a prospective, 3-year study of...

Bacteremia rare in outpatients. (Clinical Capsules).(pneumonia in children treated as outpatients)(Brief Article)
May 1, 2003... Young children with pneumonia who are well enough to be treated as outpatients are at low risk of bacteremia, said Dr. Samir S. Shah of the Children's Hospital of Philadelphia, and associates. In a retrospective cohort study of 580 children...

HIV in breast milk rarely risky. (Clinical Capsules).(risk of HIV transmission through breast milk is low)(Brief Article)
May 1, 2003... The overall probability of transmitting HIV through breast milk is very small, said Dr. Barbra A. Richardson of the University of Washington, Seattle, and her associates (J. Infect. Dis. 187[5]:736-40, 2003). In a randomized trial, 358...

How to handle suspected mono in athletes. (Keep Kids Benched if Energy is Low).(mononucleosis treatment)
May 1, 2003... KIAWAH ISLAND, S.C. -- Mononucleosis can present subtly, with fatigue as the only symptom, Dr. David Bernhardt said at a meeting on pediatric and adolescent sports medicine sponsored by the American Academy of Pediatrics. Telling a young...

Rapid flu testing cut costs, improved treatment. (Randomized, Controlled Trial).(Brief Article)
May 1, 2003... NEW ORLEANS -- Rapid influenza testing cut x-ray and lab costs plus significantly improved several other aspects of pediatric patient management in an emergency department setting, Dr. Aleta B. Bonner reported at the southern regional meeting...

Immunization status good in chronically ill. (Population-Based Survey).(Brief Article)
May 1, 2003... NEW ORLEANS -- Children with chronic medical conditions are more likely than their healthy counterparts to receive age-appropriate immunizations, data from nationally representative population-based surveys show. The findings, which...

Look for the subtle signs of neonatal HSV infection. (Fast Diagnosis, Treatment Imperative).(herpes simplex virus infection)
May 1, 2003... BAL HARBOUR, FLA. -- Prevention of morbidity and mortality associated with neonatal herpes simplex virus infection requires a high index of suspicion for the disease and an appreciation of subtle clinical presentations, Dr. Delia M....

Don't miss pediatric West Nile virus. (ID Consult).
May 1, 2003... West Nile virus has probably been missed in children since it first appeared in 1999. As the weather warms, physicians need to keep West Nile on their radar screens when confronted with a child who has flu-like or aseptic meningitis...

Immunodeficiency ills may be root of repeated infections. (Over Six to Eight Infections Per Year).
May 1, 2003... CAMBRIDGE, MASS. -- Children who come down with more than six or eight acute infections per year should probably be worked up for an underlying immunodeficiency disorder, Dr. Peggy Weintrub said at a meeting on pediatric infectious diseases...

Immunocompromise brings neutropenias, infections in its wake. (Knowing What to Expect).
May 1, 2003... MIAMI BEACH -- Treatment of immunocompromised children, particularly those with febrile neutropenia and/or bacteremia, is partially art and partially guided by recommendations, Dr. Christian C. Patrick said at a pediatric meeting sponsored by...

Refer to an ENT for tonsil problems, neck masses. (Expert Recommendations).(ear, nose and throat specialist)
May 1, 2003... BAL HARBOUR, FLA. -- Conditions best referred to an ear, nose, and throat specialist can range from complicated cases of otitis media to voice disorders to neck masses, Dr. Ramzi Younis said at the annual Masters of Pediatrics conference...

TB guidelines are evidence based for first time. (Emphasize Total Physician Committment).(tuberculosis)
May 1, 2003... New evidence-based tuberculosis guidelines emphasize the importance of physicians committing to complete treatment of patients. Patient-centered case management is the ideal strategy, whether patients are managed in hospitals, by private...

Dexamethasone may offer pharyngitis pain relief. (Preliminary Study in Children).
May 1, 2003... GREENWICH, CONN. -- Oral dexamethasone can help relieve the pain associated with moderate to severe pharyngitis in children and adolescents, Dr. Robert P. Olympia reported at a meeting of the Eastern Society for Pediatric Research. A...

Glucocorticoid use raises infection risk in NICU infants. (Retrospective Study).(neonatal intensive care unit )
May 1, 2003... CHICAGO -- Postnatal glucocorticoid therapy is associated with increased nosocomial infection in neonatal intensive care unit patients, Dr. Liza J. Cadnapaphornchai reported at the combined annual meeting of Midwestern medical organizations....

Updated guidance on strep throat treatment revealed. (Only 30% of Patients Will Have Group A).
May 1, 2003... CAMBRIDGE, MASS. -- A red, swollen, and purulent throat does not necessarily indicate a strep infection, and pediatricians shouldn't feel pressured to prescribe an antibiotic just to satisfy anxious parents, according to Dr. Edward O'Rourke....

Drop in perinatal transmission called sole HIV success story. (Complacency a Problem).
May 1, 2003... KEY LARGO, FLA. -- The good news regarding HIV infection in the United States is that the risk of perinatal transmission is now less than 2%. The bad news is that overall Americans are becoming complacent about HIV and AIDS, Dr. Mary J....

Look for these clues for eating disorders dx. (Patients Try to Hide Their Disorders).
May 1, 2003... TUCSON, ARIZ. -- Patients with anorexia nervosa or bulimia often attempt to hide their disorder, Dr. Chelsea L. Chesen said at a psychopharmacology conference sponsored by the University of Arizona. She offered the following list of factors...

Anorexia-associated cardiac damage occurs despite exercise. (Bradycardia Mistaken as Sign of Fitness).(Brief Article)
May 1, 2003... SEATTLE -- Anorexic girls often exercise vigorously and prodigiously, but even those who are athletes may show significantly impaired cardiac fitness, Dr. Suzanne Riggs reported at the annual meeting of the Society for Adolescent Medicine. ...

Web sites pushing anorexia dwarf sites on recovery. (Better Organized, More Comprehensive).
May 1, 2003... SEATTLE -- Web sites that promote anorexic behavior may outnumber sites with information on anorexia recovery by five to one, Dr. Eric B. Chesley reported at the annual meeting of the Society for Adolescent Medicine. Moreover, the anorexia...

Use routine visits to screen for drug abuse. (Identification and Approaches).
May 1, 2003... After a check of the heart, and maybe for hernia, adolescents are often dismissed from routine physicals with a quick "You're healthy" from their physicians. But, the checkup should not end there, advises Dr. Norman Wetterau, chairman of the...

Violence exposure raises rates of substance abuse. (International Self-Reported Data).
May 1, 2003... Witnessing or being a victim of violence significantly increases a teenager's risk for substance abuse, reported Dr. Robert Vermeiren of the University of Antwerp (Belgium) and his associates. This finding suggests that clinicians should...

New drug treatment guide for adolescents. (144 Programs Listed).(Brief Article)
May 1, 2003... WASHINGTON -- A new guide to adolescent drug programs lists 144 treatment centers nationwide where teens with substance abuse problems can go for help. The guide was created by Drug Strategies, a Washington, D.C.--based nonprofit research...

New asphyxial game erroneously seen as safe. (Gaining Popularity in 10- to 14-Year-Olds).
May 1, 2003... Whether it is called Space Monkey, Blackout, Rising Sun, or Knockout, there is a good chance your adolescent patients know the asphyxial game. 'While the game has received little attention in the clinical or lay press, it is gaining in...

Teasing about weight increases suicide risk. (Study of Adolescents).
May 1, 2003... SEATTLE - Adolescents who are teased about their weight may be twice as likely to think about and/or attempt suicide than their nonteased peers, Maria Eisenberg, Sc.D., reported at the annual meeting of the Society for Adolescent Medicine. ...

Aggressive response to TV violence tracks to adulthood. (Childhood Behavior Begets Adult Violence).(Brief Article)
May 1, 2003... Childhood exposure to television violence produces aggressive children who grow up to become violent adults, according to the findings of a longitudinal study, reported by L. Rowell Huesmann, Ph.D., and his associates at the University of...

Preventive medicine for toilet training. (Behavioral Consult).
May 1, 2003... Unlike in many cultures, toilet training is a big deal in the United States. Too often, children are pushed to learn before they are developmentally ready, setting up conflicts when the child fails to meet the expectations set by...

Letters.(High-Dose Albuterol)(Overhead, Underpaid)(Voiding Technique)(Name Is Just Not Reiter)(Letter to the Editor)
May 1, 2003... High-Dose Albuterol Dr. Robert Welliver said that bronchodilators aren't warranted and don't have any real benefit in children with wheezing associated with bronchiolitis ("Bronchodilators Not Indicated in Bronchiolitis Tx," March 2003, p....

Corrections.(Correction Notice)
May 1, 2003... An article on Tourette's syndrome ("Let Symptoms Guide Tourette Syndrome Therapy," February 2003, p. 14) should have said that Dr. Gerald Erenberg recommends starting patients on a dosage of 0.25 mg/day of haloperidol. Two paragraphs in...

If it isn't one thing, it's another. (Letters from Maine).
May 1, 2003... Near the top of my list of reasons for becoming a physician was my assumption that if I became a doctor, I would always have a job. As a card-carrying workaholic since the age of 7, when an elderly neighbor offered to pay me a quarter to walk...

Take the pain out of pediatrics.(Editorial)
May 1, 2003... A disappointed pediatrician called me recently regarding a 7-year-old who was seen in our pediatric emergency department the week before. At that visit, he required blood testing. Prior to the needle stick, he was given a new short-acting...

Preventing Lyme disease.(Editorial)
May 1, 2003... The bark of the deer tick is worse than its bite. Rarely is it necessary to administer antibiotics to a patient who has been bitten by a tick--even when it has been attached for longer than 48 hours. Yet, to allay the fears of some patients who...

Think obstructive sleep apnea when told a young child snores. (Adenotonsillectomy is Often the Cure).
May 1, 2003... SAN DIEGO -- Young children who snore have obstructive sleep apnea until proven otherwise, Dr. Veda Ackerman said at a pediatric meeting sponsored by the Children's Hospital and Health Center, San Diego. "In young children, snoring is...

Sleep apnea may be more common in Hispanic children. (Learning Problems Too).(Brief Article)
May 1, 2003... SAN DIEGO -- Sleep apnea, which has been identified as a risk factor for diagnosis of school behavorial problems and attention-deficit hyperactivity disorder; may be more common in Hispanic children than in white children, study results...

Bedtime routine can ease insomnia. (No TV, Video Games).(Brief Article)
May 1, 2003... Conditioning or behavior learned from repeated events is the number one reason for insomnia in children, said Dr. Neil Kavey at a seminar sponsored by the Children's Hospital of New York. And the solutions to problematic conditioning are...

When neonatal seizures strike, think stroke. (Kills Average 244 U.S. Children Each Year).
May 1, 2003... SAN FRANCISCO -- A healthy newborn whose arm starts shaking uncontrollably probably is having a stroke, which is causing the focal seizure, Dr. Donna M. Ferriero said at a press briefing sponsored by the American Academy of Neurology. ...

Walking boots can get athletes back in the game. (Treatment Tips for Stress Fractures).
May 1, 2003... KIAWAH ISLAND, S.C. -- Got kids with stress fractures? Give them the boot--on their feet, that is. Cross training is essential to treating stress fractures in sports-minded children and adolescents so they can stay in shape and return to...

Few athletic youths with asthma take bronchodilators to games. (Rescue Remedies Needed on the Sidelines).(Brief Article)
May 1, 2003... SAN FRANCISCO -- Among 80 asthmatic children playing on suburban soccer or baseball teams, 62 did not have a bronchodilator nearby during games, Dr. Ivan Cardona reported in a poster presentation at the annual meeting of the American Academy of...

Sports-related injuries requiring a visit to the Emergency Department.
May 1, 2003... Sports-Related Injuries Requiring a Visit to the Emergency Department Number of Percent of Percent of visits in visits in sports-related ...

Make mouth exam routine with disabled patients. (Abscesses Often go Unchecked).
May 1, 2003... SAN FRANCISCO -- Look inside children's mouths as a routine part of primary health care, especially when you see patients with developmental disabilities, who face increased risks for oral health problems, said Francisco J. Ramos-Gomez, D.D.S....

Sedatives may benefit developmentally disabled. (Do Trial Run in Advance of New Experiences).
May 1, 2003... SAN FRANCISCO -- Children with developmental disabilities commonly get distraught when they face a disorienting event such as traveling by plane or getting an Mm. Sedatives may help, but don't wait until a half hour before the event to medicate...

Treating dyslipidemia in chronic kidney disease. (Evidence-Based Guidelines).
May 1, 2003... DALLAS - Patients with chronic kidney disease-including adolescents-are among those at highest risk for cardiovascular disease and should be closely monitored for dyslipidemias, according to new practice guidelines presented at a meeting on...

New kidney disease guidelines focus on early dx. (Determining Type, Cause is Crucial).
May 1, 2003... DALLAS -- Early diagnosis is important for preventing adverse outcomes associated with chronic kidney disease in children, according to new guidelines presented at a meeting on clinical nephrology sponsored by the National Kidney Foundation....

Let symptoms be your guide in vulvovaginitis. (Never Use Speculum).
May 1, 2003... HOUSTON - Familiarity with prepubertal anatomy and an appropriate examination are your best tools for diagnosing pediatric vulvovaginopathies, according to Dr. Susan Pokorny. Signs and symptoms are less useful diagnostic aids but can help...

Try tissue adhesives: speedy with little pain. (Avoid Gluing Oneself to Patient).
May 1, 2003... VANCOUVER, B.C. -- Use of tissue adhesives for small, simple injuries avoids the additional trauma of suture placement and removal, and the cosmetic outcomes are usually excellent, Dr. Martin Pusic said at a conference sponsored by the North...

Take seriously persistent back pain reported by children. (Usually has an Identifiable Cause).
May 1, 2003... HILTON HEAD ISLAND, S.C. -- Back pain in children, unlike in adults, almost always has an identifiable cause, Dr. David Roye said at a meeting sponsored by the American Academy of Pediatrics. Therefore, it should be thoroughly investigated,...

New & approved: Alavert, Fuzeon.(loratadine; enfuvirtide)
May 1, 2003... Alavert (loratadine, Whitehall-Robbins). The Food and Drug Administration approved over-the-counter Alavert (loratadine) orally disintegrating tablets for the temporary relief of symptoms of hay fever and other upper respiratory...

All infants should get supplementary vitamin D. (AAP Committee Adopts New Guidelines).
May 1, 2003... Infants, whether they are breast-fed or not, should receive 200 IU of supplementary vitamin D daily from 2 months of age until they are drinking at least 17 ounces of vitamin D-fortified milk daily to prevent rickets, according to a policy...

Thunderstorms may whip up fungal spores, raise ED visits for asthma. (Not Associated with Grass Pollens).(Brief Article)
May 1, 2003... Emergency department visits for asthma occur more often on days with thunderstorms, due to what appears to be a dose-dependent response to an increase in airborne fungal spores, reported Dr. Robert E. Dales of the University of Ottawa (Ont.)...

Black box warning is added to lindane label. (Second-Line Treatment for Head Lice).
May 1, 2003... The Food and Drug Administration in March added strong new safety warnings to Lindane that could effectively end the pediculicide's use on most children, one expert said. Lindane, a second-line treatment for head lice and scabies, is...

Calendar management: DateBk5. (Digital Assistance).
May 1, 2003... Overview: DateBk5 is a highly compatible, full-featured calendar program for Palm OS handheld devices. Added calendar views, icon capability, advanced color management, and quick entry template lists are a few of the many enhancements provided...

Asthma attack awakens up to 78% at night. (Asthmatic Children).
May 1, 2003... DENVER -- Nocturnal symptoms affected 35%-78% of 122 asthmatic children, depending on the severity of the disease, Dr. Gregory B. Diette reported in a poster presentation at the annual meeting of the American Academy of Allergy, Asthma, and...

Understanding, use of asthma plan limited. (Guidance Unclear).
May 1, 2003... GREENWICH, CONN. -- Written asthma action plans may not give parents enough clear guidance for managing children with acute asthma, Dr. Ferrell Motlow said at a meeting of the Eastern Society for Pediatric Research. The National Asthma...

Abandon antibiotics in battle against acne. (Return to Older Regimens Warrranted).
May 1, 2003... ST. JULIAN'S, MALTA -- physicians should consider a return to benzoyl peroxide and retinoin for acne treatment because systemic and topical antibiotics-the preferred treatment for acne therapy--are becoming less and less effective and are...

Gene that causes progeria is discovered. (Human Genome Project Completed).(Brief Article)
May 1, 2003... The discovery of the gene that causes accelerated aging in children may not only help these children, but also may shed light on the phenomenon of natural aging and cardiovascular disease, according to Dr. Francis Collins. The latter would...

Severe, mild atopic dermatitis respond well to tacrolimus. (Good Safety Profile).
May 1, 2003... DENVER -- Tacrolimus ointment quickly and persistently improved atopic dermatitis and appeared to be safe in 4,396 patients with severe disease and in 404 patients with mild disease, investigators reported in two poster presentations at the...

Pimecrolimus soothes dermatitis. (Called Safe and Fast Acting).(Elidel)(Brief Article)
May 1, 2003... Pimecrolimus cream 1% appears to quickly and safely reduce atopic dermatitis in infants and young children, said Dr. Vincent C. Ho of the University of British Columbia, Vancouver, and his associates. In the placebo-controlled, double-blind...

Early intervention services: pediatric residents score badly. (Improved Curricula Needed).
May 1, 2003... SEATTLE -- Many pediatric residents appear to be ill equipped to work with early intervention services to help developmentally delayed or otherwise disabled children, according to results of a regional study presented at the annual meeting of...

Sir William Osler's writings continue to inspire physicians. ('The Quotable Osler').
May 1, 2003... "The practice of medicine is an art, not a trade; a calling, not a business; a calling in which your heart will be exercised equally with your head." --Sir William Osler The prolific writings of Sir William Osler have long provided a...

Information-giving is key in clinical trials. (Rapport Building not as Important).(Brief Article)
May 1, 2003... SEATTLE -- Physician-parent communication builds understanding and a sense of control during informed consent conferences for pediatric clinical trials, Victoria Miller reported at the annual meeting of the Society for Developmental and...

Pediatricians must give psych care. (Severe Shortage of Child Psychiatrists).
May 1, 2003... The plight of children in Maine needing psychiatric treatment is a microcosm of a nationwide problem, physicians working in Maine told this newspaper. This is a powerful call for primary care physicians and mental health professionals to...

HIPAA could hamper office-based research. (Privacy More Difficult, Risky).(Health Insurance Portability and Accountability Act)
May 1, 2003... ARLINGTON, VA. -- The now active privacy rule of the Health Insurance Portability and Accountability Act may make it more difficult and risky to conduct office-based research. The privacy rules regarding the use and disclosure of patient...

Diagnostic dilemma.(jimson weed poisoning)
May 1, 2003... A 14-year-old male is brought to the emergency department by his father because after the teen arrived home he began mumbling incoherently and stumbling. In the emergency department, he becomes combative and requires restraints. He has...

Coloring book explains surgery. (Products).("Sweet Dreams at the Hospital")
May 1, 2003... "Sweet Dreams at the Hospital" is a coloring and activity book for children about to undergo anesthesia and surgery. Available from the American Association of Nurse Anesthetists, the 27-page book includes pictures to color, connect-the-dots...