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Pediatrics
RECENT FEATURES

Key Factors in Weight Gain After Pediatric Tonsillectomy

There is concern that adenotonsillectomy may be associated with significant weight gain after surgery in children.

ACC.13

New research was presented at ACC.13, the Annual Scientific Sessions of the American College of Cardiology, from March 9-11, in San Francisco.

Evaluating & Managing Patients With Congenital Heart Disease

As survival rates in CHD have improved, the focus of clinical research has transitioned from striving for short-term survival to enhancing long-term morbidity.

OPINION ARTICLES

Evaluating & Managing Patients With Congenital Heart Disease

As survival rates in CHD have improved, the focus of clinical research has transitioned from striving for short-term survival to enhancing long-term morbidity.

Overnight Admissions After Younger Pediatric Tonsillectomy

In 1996, the American Academy of Pediatrics and the American Academy of Otolaryngology— Head and Neck Surgery (AAOHNS) released guidelines indicating that children younger than 3 be admitted overnight for postoperative observation. Studies had shown that young patients were at greater risk for postoperative complications that required readmission and inpatient care.…

Pediatric Surgery: Analyzing Informed Consent

When performing surgery in adults, the processes preceding the operation are often routine for surgeons and patients, but surgery is anything but routine for parents of pediatric patients undergoing surgery. Parents and guardians typically lack the experience and expertise of surgeons.…

BLOG

Should Docs Prescribe Day-After Pill in Advance?

Although the teenage birth rate in the US has declined substantially over the past 20 years, it still surpasses those in other industrialized nations.

In a continuing effort to reduce the number of unintended pregnancies, the American Academy of Pediatrics (AAP) released a policy statement, published in the December issue of Pediatrics, urging pediatricians to prescribe the emergency oral contraceptive – “the morning-after pill” – for girls under 16 before they actually need it.…

Newly Revised Guidelines for Strep

This week, the Infectious Diseases Society of America (IDSA) published newly revised guidelines for Group A streptococcal pharyngitis, or “strep,” in the journal of Clinical Infectious Diseases.

About 15 million people see the doctor every year complaining of a sore throat – but fewer than a third have strep throat (20-30% of children and 5-15% of adults).…

Are You Afraid To Be Wrong?

Richard Smith, a former editor of the British Medical Journal, wrote a thoughtful essay offering guidance for new medical students. (Full text here.) Although it was published in 2003, someone just brought it to my attention via Twitter.

Dr. Smith lists many pearls of wisdom in a scholarly and lightly humorous way.…

NEWS BRIEFS

Reducing Bacteremia in Critically Ill Children

The incidence of bacteremia appears to be lower among critically ill children who receive daily chlorhexidine gluconate (CHG) bathing when compared with those who receive standard bathing. An analysis of nearly 5,000 pediatric ICU admissions demonstrated that the incidence of bacteremia was lower with CHG when compared with standard practices in both intention-to-treat and per-protocol analyses.…

Trends in Inpatient Bariatric Surgery for Adolescents

The rate of inpatient bariatric procedures among adolescents appears to have plateaued since 2003, despite the worsening childhood obesity epidemic. The rate of these procedures per 100,000 increased from 0.8 in 2000 to 2.3 in 2003, but was 2.2 in 2006 and 2.4 in 2009.…

ED Visits in ADHD Patients Using Stimulants

A report from the Substance Abuse and Mental Health Services Administration indicates that the number of ED visits involving ADHD stimulants increased from 13,379 to 31,244 between 2005 and 2010. The report noted that no significant increases in such visits were observed among children younger than 18.…

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