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Pediatrics

Pediatrics in 2016: MoraleBetween MOC, your workload, your stress levels, and other job demands, morale was another "pain point" that we heard loud and clear in our annual Issues and Attitudes survey.
Pediatrics in 2016: MoneyIn our 4th annual Issue and Attitudes Survey, it was clear that money was one of your "pain points" for 2016.
National hospital initiative targets preventable injuriesUnintentional injury is ranked number one among the 10 leading causes of death in children. In fact, injuries, ranging from car and bike crashes to poisonings and gunshot wounds, kill more children than anything else, starting at age 1 year to age 44 years.
Does a tax on sugar-sweetened beverages work?A study conducted in Berkeley, California, the first US jurisdiction to implement an excise tax on sugar-sweetened beverages (SSBs), found that consumption of SSBs decreased 21% in that city after the tax was imposed.
Why aren’t pediatricians recommending HPV vaccination more strongly?In a recently published essay to address this question, the authors suggest that pediatricians may present human papillomavirus (HPV) vaccine as optional or less urgent than other adolescent vaccines because they do not often read or hear about their patients’ being affected by HPV-associated cancers, which generally strike older populations.
More time spent standing in school reduces BMIChildren who spent 2 consecutive years in classrooms outfitted with desks at which they worked standing (or while sitting on a stool) had a significantly lower body mass index (BMI) than their peers in classrooms with traditional standard desks, a recent study reported.
Oral syringes dose more accurately than cupsParents are less likely to make dosing errors when giving their child liquid medications if they use an oral syringe--rather than a cup-- to measure the dose, a recent trial showed.
Best tech for pediatrics: 2016At the American Academy of Pediatrics (AAP) National Conference and Exibition (NCE) in October, I again presented 2 workshops on office technologies, sponsored by the AAP’s Section on Advances in Technology and Therapeutics. I made every effort to make this year’s workshop a unique experience, showcasing some new technology while including some of my old favorites.
Newborn with persistent hypoglycemiaA full-term male infant was born to a 33-year-old gravida 3, para 3 mother. The prenatal course was uncomplicated, without gestational diabetes; the mother received prenatal care at an out-of-state institution. At the delivery, however, the baby was notably macrosomic, with shoulder dystocia and perinatal distress requiring positive pressure ventilation.
Infant’s disseminated rash is twice misdiagnosedA frustrated mother carries her 2-month-old son into the office for evaluation of a diffuse bright red rash with dramatic hypopigmentation. Scalp, neck, axillary, and diaper areas are involved.