http://contemporarypediatrics.modernmedicine.com/contpeds Peer-reviewed pediatric info from Contemporary Pediatrics. Practical clinical info for pediatricians & PNPs â€" immunization/vaccines, influenza, behavioral issues, asthma & CME. Diagnosis, treatment & disease management 2012-02-04T18:58:14Z http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Imported-measles-only-a-plane-ride-away/ArticleStandard/Article/detail/757537?ref=25 Measles outbreaks are at their worst level in more than a decade, with almost all transmissions caused by imported cases. The Centers for Disease Control and Prevention advises on steps clinicians can take to keep an imported measles case from transmitting to an outbreak. 2012-02-02T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/052012/757537null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Undiagnosed-chronic-fatigue-may-explain-frequent-s/ArticleStandard/Article/detail/757536?ref=25 Undiagnosed chronic fatigue syndrome/myalgic encephalomyelitis is an important but underappreciated cause of frequent school absence in secondary school children, British researchers report. Outcomes are better in children when their symptoms are identified in school-based clinics, but why? 2012-02-02T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/052012/757536null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Low-vaccination-rate-puts-teens-at-risk-for-hepati/ArticleStandard/Article/detail/757535?ref=25 Less than half of adolescents have been vaccinated against the hepatitis A virus, leaving a large segment of this population susceptible to the infection as they enter adulthood. Yet participation is higher when health care providers recommend the vaccine to their patients. Find out how you can make a huge difference for your teen patients by encouraging compliance. 2012-02-02T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/052012/757535null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Child-abuse-more-likely-suspected-in-patients-with/ArticleStandard/Article/detail/757534?ref=25 Socioeconomic status but not race may influence a physician?s willingness to consider abuse as a cause of an unwitnessed fracture in a child and to report the incident to child protection services. Do the physicians in your practice make decisions based on stereotypes? 2012-02-02T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/052012/757534null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Most-pediatricians-skip-ECG-before-starting-ADHD-s/ArticleStandard/Article/detail/757115?ref=25 Results of a survey of AAP members show that most US pediatricians bypass an ECG before starting children on stimulant medication for ADHD, opting for a routine cardiac history and physical examination instead. Find out how perceived barriers to cardiac screening influence clinical practice. 2012-01-26T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/042012/757115null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Contraception-used-half-the-time-in-unintentional-/ArticleStandard/Article/detail/757116?ref=25 Half of teen mothers who became pregnant unintentionally say that they did nothing to prevent the pregnancy, according to data from a Centers for Disease Control and Prevention survey. The data show that misperceptions still abound regarding contraception and pregnancy, and it is never a bad idea to have frank talks with your patients—boys and girls alike. 2012-01-26T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/042012/757116null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Childhood-obesity-rates-leveling-off/ArticleStandard/Article/detail/757117?ref=25 The latest data from the National Health and Nutrition Examination Survey show that the overall prevalence of obesity in children may be leveling off at about 17%, in contrast to the rapid increases seen in the 1980s and 1990s. Another study showed that the availability of junk foods had little effect on weight gain in middle-school children. Learn why efforts to promote healthy eating may have to extend beyond the classroom. 2012-01-26T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/042012/757117null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Co-occurring-conditions-sometimes-leads-to-a-chang/ArticleStandard/Article/detail/757118?ref=25 Certain characteristics of autism spectrum disorder (ASD) may change as a child ages. An analysis of a national survey of children’s health found that children with a current diagnosis of ASD were more likely to have a co-occurring neurodevelopmental or psychiatric condition, such as learning disability or depression, than those with a past (but not current) diagnosis of ASD. This is important information to have when arriving at an ASD diagnosis. 2012-01-26T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/042012/757118null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Recognizing-problems-behind-infant-formula-stretch/ArticleStandard/Article/detail/757119?ref=25 Stretching infant formula by dilution or reduced feedings exposes babies to serious developmental risks, yet it can be a monthly temptation for families receiving supplemental nutrition assistance. Find out how families forced to resort to formula stretching can be better identified and what other options can be offered to them. 2012-01-26T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/042012/757119null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Household-chemicals-can-make-vaccines-less-effecti/ArticleStandard/Article/detail/757114?ref=25 Common household chemicals such as those found in nonstick cookware, food packaging, and fabrics—even microwave popcorn bags—can reduce the immune response to routine childhood immunizations. According to newly released study results, the more children are exposed to perfluorinated compounds, the less likely they are to have a good immune response to vaccinations. These results may not entirely surprise you, but they might help you to figure out what is wrong when a child’s vaccination didn’t seem to work. 2012-01-26T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/042012/757114null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Corrective-lenses-patching-improves-acuity-in-hard/ArticleStandard/Article/detail/756536?ref=25 Amblyopia is the most common cause of visual impairment in children and adults. Myopic anisometropic amblyopia, a subtype of amblyopia perceived as difficult to treat, usually is managed by balancing the myopic eye optically and cosmetically and forgoing further treatment. Now new research shows that in these cases, refractive correction in combination with patching can improve visual acuity over refractive correction alone. 2012-01-19T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/032012/756536null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/CDC-panel-advises-lower-threshold-for-toxic-lead-e/ArticleStandard/Article/detail/756533?ref=25 A Centers for Disease Control and Prevention advisory panel is calling for a lower threshold for toxic lead exposure in children, which could more than double the number of children requiring care. Learn the reasons for this “historic” decision and how it could affect your practice. 2012-01-19T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/032012/756533null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Healthy-diet-may-help-children-with-ADHD/ArticleStandard/Article/detail/756535?ref=25 A new literature review suggests that a simple, healthy diet low in fat and high in fruits, vegetables, and fiber may be a useful alternative or complementary therapy for children with attention-deficit/hyperactivity disorder. Find out what foods may be beneficial for your patients and what foods they should avoid. 2012-01-19T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/032012/756535null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Sooner-is-better-than-later-for-pediatric-cochlear/ArticleStandard/Article/detail/756534?ref=25 Bilateral cochlear implants placed early and simultaneously have the greatest effect on speech development in children with prelingual hearing loss. Learn how early identification, early implantation, and using oral and auditory communication therapies can lead to the best outcomes for language skills in these children and adolescents. 2012-01-19T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/032012/756534null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Girls-see-need-for-safe-sex-even-after-HPV-vaccina/ArticleStandard/Article/detail/756532?ref=25 Adolescent girls believe that they are at less risk for human papillomavirus (HPV) infection after receiving their first HPV vaccination but also overwhelmingly believe in the need for continued safe sex behavior. One-fourth, however, perceive themselves to be at a lower risk for other sexually transmitted infections (STIs) after their first HPV vaccination. Find out why health care providers must talk to girls and their mothers about the limitations of HPV vaccine efficacy and the lack of protection from other STIs. 2012-01-19T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/032012/756532null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Response-to-risperidone-for-childhood-mania-is-hig/ArticleStandard/Article/detail/756094?ref=25 New research funded by the National Institute of Mental Health found that risperidone as a first-line treatment for childhood mania is more effective than other mood-stabilizing medications. However, be aware that potentially serious metabolic effects associated with this antipsychotic drug are raising concerns about long-term treatment. 2012-01-12T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/022012/756094null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Sleep-assessment-as-part-of-routine-care-of-your-p/ArticleStandard/Article/detail/756095?ref=25 Could sleep problems help explain why even adherent young patients with type 1 diabetes may have trouble maintaining blood glucose control? A new study suggests that poor sleep not only worsens blood glucose control but also quality of life in youth with diabetes. Perhaps it’s time to include routine sleep assessment in the clinical care of your young patients with type 1 diabetes. 2012-01-12T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/022012/756095null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/High-risk-teens-not-being-tested-for-HIV/ArticleStandard/Article/detail/756093?ref=25 Most sexually active US high school students have not been tested for human immunodeficiency virus, despite recommendations from the Centers for Disease Control and Prevention, the American Academy of Pediatrics, and other organizations calling for routine testing. Find out why health care providers must play a central role in increasing the number of teens being tested. 2012-01-12T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/022012/756093null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Ranitidine-use-in-neonatal-intensive-care-units-in/ArticleStandard/Article/detail/756096?ref=25 A new prospective study confirms previous suggestions that in very low-birth-weight newborns exposed to treatment with ranitidine for gastric acid suppression, the rate of infections is significantly higher, as are the risk of necrotizing enterocolitis, length of hospital stay, and fatal outcome. 2012-01-12T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/022012/756096null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/FDA-renews-warning-about-liquid-acetaminophen-for-/ArticleStandard/Article/detail/754963?ref=25 The recent introduction of a new, less concentrated form of liquid infant acetaminophen has prompted the US Food and Drug Administration to strengthen its warning about the potential for dosing errors if caregivers fail to read labels carefully before giving infants the over-the-counter medication for fever or pain. Physicians must be aware of which infant concentration parents should use to provide the best therapeutic effect and avoid unintentional overdose. 2012-01-05T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/012012/754963null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Mortality-and-morbidity-higher-for-extremely-prema/ArticleStandard/Article/detail/754964?ref=25 According to the results of an Australian study, boys who are born extremely preterm (before 29 weeks’ gestation) demonstrate lower hospital survival rates, higher incidences of neonatal morbidities, and poorer long-term neurologic outcomes as toddlers than do extremely premature girls. These findings could affect how pediatricians and other clinicians manage high-risk neonates. 2012-01-05T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/012012/754964null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Reading-skills-in-children-with-dyslexia-not-linke/ArticleStandard/Article/detail/754965?ref=25 All children with dyslexia should be eligible for special education services that will help them learn to read, concludes new research from the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health. The findings suggest that the traditional discrepancy model used as the criterion for classifying a child as learning disabled is no longer valid to determine which children will benefit from specialized reading instruction. 2012-01-05T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/012012/754965null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Strep-OCD-link-in-children-again-makes-the-news/ArticleStandard/Article/detail/753823?ref=25 Testing for streptococcal infections in children with obsessive-compulsive disorder (OCD) remains controversial. There is some evidence that Streptococcus is linked to the sudden onset of OCD symptoms and that antibiotics appear to resolve the neurologic problems associated with OCD, but experts are divided about when to test children with sudden OCD for strep and whether to treat them with antibiotics and for how long. New investigations now are underway. 2011-12-29T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753823null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/Treating-obesity-could-lower-teens-odds-for-hypert/ArticleStandard/Article/detail/753824?ref=25 Treating obesity may be essential to reducing adolescents? risk of developing hypertension, according to a new study that found that obesity dramatically increased high school students? odds for hypertension, adding yet more evidence that body mass index in youth is associated with hypertension in adulthood. 2011-12-29T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753824null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Obesity-increases-risk-for-pediatric-gallbladder-d/ArticleStandard/Article/detail/753471?ref=25 Among all the reasons pediatricians should counsel parents to help their children live healthy, active lifestyles, it now appears that there?s a strong link between childhood obesity and gallbladder disease. Rarely occurring in the past, the number of children needing gallbladder surgery has skyrocketed, and most children needing the surgery are overweight or obese. Learn about this and other risk factors to help you screen your patients for the disease. 2011-12-22T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753471null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Dating-violence-victimizes-most-teens/ArticleStandard/Article/detail/753472?ref=25 More than half of teens report being victims of dating violence, according to a recent study of adolescents presenting to a pediatric emergency department (PED). The finding suggests that a PED may be an appropriate venue to initiate prevention programs. Medical care providers should be screening adolescents for dating violence. Find here the unpleasant facts. 2011-12-22T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753472null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Depression-prevention-programs-appear-effective-in/ArticleStandard/Article/detail/753473?ref=25 Wondering what to do with a child who appears to be at risk for depression? According to a recent review of the literature, intervention and education programs to prevent the onset of depression in children and adolescents, whether universal or targeted to those at risk of developing depression, are of some immediate benefit, but these benefits appear to dwindle over time. Compared with no intervention, however, it appears these programs are effective at preventing the onset of depression. 2011-12-22T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753473null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Post-term-boys-more-likely-to-be-obese-as-teens/ArticleStandard/Article/detail/753481?ref=25 Here?s something else to screen patients for in the fight against the obesity epidemic. A study has found that boys born at more than 42 weeks? gestation run a much higher risk of rapid weight gain and obesity in adolescence than term boys, although no such correlation was found for girls. 2011-12-22T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753481null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Pediatriciansrsquo-role-key-in-HIV-prevention-and-/ArticleStandard/Article/detail/752626?ref=25 Human immunodeficiency virus (HIV) is among the top-10 leading causes of death in young adults. Pediatricians can play a key role in preventing and identifying HIV infection by promoting risk-reduction counseling and offering routine testing to adolescents. Learn why providing an environment of tolerance and open discussion will help your patients address their risk factors. 2011-12-15T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/512011/752626null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Girls-more-prone-to-headaches-after-pediatric-brai/ArticleStandard/Article/detail/752628?ref=25 Recovery from pediatric mild traumatic brain injury (TBI) is different between boys and girls, new research shows, with girls more likely to suffer recurring headaches in the year after injury. The findings support the theory of possible similarities in the pathophysiologies of headaches after TBI and migraines in adolescent girls. 2011-12-15T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/512011/752628null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/High-school-students-fall-short-on-fruit-and-veget/ArticleStandard/Article/detail/752627?ref=25 New data from the Centers for Disease Control and Prevention (CDC) confirm what many parents already suspect—that most US high school students do not consume recommended amounts of fruits and vegetables. 2011-12-15T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/512011/752627null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/State-concussion-laws-put-teeth-in-sports-injury-t/ArticleStandard/Article/detail/752625?ref=25 As awareness of sports-related concussions continues to climb and dozens of state concussion laws start to kick in, pediatricians are likely to see an increase in concussion-related visits. Four key recommendations stand out in a clinical report from the American Academy of Pediatrics Council on Sports Medicine and Fitness for the management of sports-related concussions. 2011-12-15T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/512011/752625null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Worries-about-antipsychotics-on-your-radar-but-ans/ArticleStandard/Article/detail/752047?ref=25 Children's use of antipsychotics is up more than 50% in a decade, with as much as half of it off-label. Worrisome reports reach practitioners about all kinds of resulting problems, but you can’t get straight answers because, frankly, there aren’t many, say the experts struggling with the problems. We help clear the confusion by sharing with you a source of startlingly candid conversations among those experts about the problems. 2011-12-08T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/502011/752047null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/High-cardiovascular-risk-is-not-destiny-among-over/ArticleStandard/Article/detail/752048?ref=25 The bad news is that obese children whose weight persists into adulthood have an increased cardiovascular risk, but the good news is that overweight or obese children who shed pounds by adulthood have a cardiovascular risk profile that is similar to persons who were never obese. Find out why it’s important to target obesity interventions to your at-risk patients. 2011-12-08T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/502011/752048null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Keeping-up-with-the-ultimate-type-1-insiders-your-/ArticleStandard/Article/detail/752046?ref=25 You’re probably aware that many parents of your patients stay current on juvenile diabetes issues. Although the holidays are a busy time, keeping up-to-date on low-glucose suspend systems and other type 1 device innovations—timed for release with National Diabetes Month—allows you to answer parents’ questions on type 1 advances, including the Holy Grail for type 1 insiders: the artificial pancreas. 2011-12-08T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/502011/752046null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Babies-sleep-better-after-an-afternoon-immunizatio/ArticleStandard/Article/detail/752050?ref=25 Infants who are immunized in the afternoon sleep better during the first 24 hours after immunization than those immunized earlier in the day, particularly if they have elevated temperatures. 2011-12-08T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/502011/752050null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Varicella-vaccination-program-cuts-infection-rate-/ArticleStandard/Article/detail/752049?ref=25 Add another reason to your list of encouragements for hesitant parents to get their kids vaccinated against infectious diseases. The US varicella vaccination program has substantial indirect benefits for infants, who are not eligible to receive the vaccine, a new report from the Centers for Disease Control and Prevention shows. 2011-12-08T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/502011/752049null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Why-dont-all-patients-with-asthma-respond-to-gluco/ArticleStandard/Article/detail/753670?ref=25 Response to glucocorticoid asthma treatment varies widely among patients, and up to 40% have no response at all. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753670null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Magnetic-field-exposure-during-pregnancy-linked-to/ArticleStandard/Article/detail/753669?ref=25 New epidemiologic evidence indicates that high levels of exposure during pregnancy to magnetic fields, including those produced by wireless devices as well as by traditional power lines and appliances, may increase the risk of asthma in offspring. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753669null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Its-winter-again-and-another-respiratory-season-is/ArticleStandard/Article/detail/753671?ref=25 Another respiratory virus season is on us. Respiratory syncytial virus hit Baltimore in early November, and our residents are already debating the use of bronchodilators, corticosteroids, and nebulized hypertonic saline to treat infants with bronchiolitis. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753671null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Intermittent-budesonide-equal-to-daily-dosing-for-/ArticleStandard/Article/detail/753676?ref=25 Intermittent high-dose inhaled budesonide was as effective as currently recommended daily low-dose budesonide ina select group of preschool children with recurrent wheezing. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753676null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Best-new-tech-products-for-2011/ArticleStandard/Article/detail/753663?ref=25 Even in turbulent economic times, there are many new exciting gadgets to present this year for physicians' consideration. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753663null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/CDC-soon-to-issue-draft-guidance-on-male-circumcis/ArticleStandard/Article/detail/753664?ref=25 The issue of circumcision may be a difficult one to bring to the public, as there is an advocacy movement against it. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753664null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Evidence-for-prenatal-origins-of-autism-study-find/ArticleStandard/Article/detail/753661?ref=25 Children with autism have more brain cells and heavier brains compared with typically developing children, according to a preliminary study. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753661null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Agitation-and-seizures-in-preteen-boy/ArticleStandard/Article/detail/753672?ref=25 An 11-year-old boy is admitted to the hospital for agitation and concern for psychiatric illness. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753672null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Jet-injectors-not-for-delivery-of-flu-vaccines/ArticleStandard/Article/detail/753667?ref=25 The US FDA recommends that jet injector devices not be used to administer inactivated influenza vaccines to patients but instead to use a sterile needle and syringe for intramuscular injection. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753667null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/New-treatment-for-acute-lymphoblastic-leukemia/ArticleStandard/Article/detail/753673?ref=25 The US FDA has approved asparaginase Erwinia chrysanthemi to treat patients with acute lymphoblastic leukemia who are allergic to Escherichia coli-delivered asparaginase or pegaspargase chemotherapy drugs. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753673null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Disordered-eating-in-boys/ArticleStandard/Article/detail/753668?ref=25 Screening for eating disorders in boys and providing effective care require not only a familiarity with formal diagnostic criteria but also an appreciation of the wide spectrum of struggles that occur and an understanding of how these often-hidden issues are different in boys and young men than in girls. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753668null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Recurrent-pelvic-inflammatory-disease-leads-to-chr/ArticleStandard/Article/detail/753660?ref=25 Recurring episodes of pelvic inflammatory disease significantly contribute to reproductive health morbidity in women, and adolescents are especially vulnerable. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753660null XML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Score-one-for-warm-ups-Leg-injuries-reduced-in-tee/ArticleStandard/Article/detail/750777?ref=25 Here’s a way to help your female teenagers avoid athletic injuries: During their sports physicals, tell them and their parents that coach-led neuromuscular warm-ups have been shown to reduce anterior cruciate ligament (ACL) and other leg injuries in teen girls who play soccer and basketball. Find out what a dramatic difference warm-ups made and how cost-effective they are. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/750777null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/13-valent-pneumococcal-vaccine-is-underused-CDC-fi/ArticleStandard/Article/detail/753659?ref=25 Only about one-third of children for whom a supplemental dose of the 13-valent pneumococcal conjugate vaccine was recommended actually received it, according to CDC researchers. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753659null XML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Possible-child-abuse-underreported-because-of-lack/ArticleStandard/Article/detail/750776?ref=25 Is lack of confidence keeping you from reporting possible child abuse? A new study suggests that could be the case. What other factors prevented pediatricians and other PCPs from reporting suspected child abuse? 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/750776null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Flu-like-symptoms-Inquire-about-swine-exposure/ArticleStandard/Article/detail/750773?ref=25 With 10 cases this year of swine-origin influenza reported, mostly in children, the CDC is urging pediatricians to screen patients presenting with fever and respiratory symptoms for contact with swine. It also said you shouldn’t rely on commercially available diagnostic tests to tell the difference between swine flu and seasonal influenza A viruses. Here’s why. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/750773null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Mortality-from-necrotizing-enterocolitis-reduced-b/ArticleStandard/Article/detail/750778?ref=25 Premature infants with the AB blood type who develop necrotizing enterocolitis are nearly 3 times more likely to die from it as preemies with other blood types, according to a recent study. A straightforward change in blood transfusion practice can reduce mortality, however. What do the researchers recommend? 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/750778null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Kids-with-household-smoke-exposure-miss-more-schoo/ArticleStandard/Article/detail/753675?ref=25 Children who live with smokers miss more days of school than children living with nonsmokers. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753675null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/HHS-releases-final-Healthy-People-Goals-for-2020/ArticleStandard/Article/detail/753674?ref=25 The Department of Health and Human Services released its final top 26 indicators for the nation's health goals for 2020. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753674null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Seizure-drug-for-children-as-young-as-2-years-appr/ArticleStandard/Article/detail/753665?ref=25 Clobazam has been approved as adjunctive oral antiepileptic therapy to treat seizures associated with Lennox-Gastaut syndrome in patients aged 2 years and older. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753665null XML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/HbAsub1csub-test-misses-many-cases-of-pediatric-di/ArticleStandard/Article/detail/750775?ref=25 Using a simple, nonfasting blood test to screen children for diabetes may be too good to be true. A new study found that hemoglobin A1c is not very effective for diagnosing diabetes in children and misses as many as 2 out of 3 cases. What tests did the researchers recommend instead? 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/750775null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Daily-corticosteroids-may-not-be-best-for-intermit/ArticleStandard/Article/detail/750774?ref=25 Although current clinical guidelines call for daily low-dose inhaled corticosteroid treatment for preschoolers who have recurrent wheezing and are at risk for developing asthma, that may not be the best course of action. You might be surprised at how few times a year treatment was necessary for respiratory symptoms that had caused wheezing in the past. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/750774null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Guidelines-call-for-universal-cholesterol-screenin/ArticleStandard/Article/detail/753666?ref=25 All children should be screened for high cholesterol before puberty and again before age 21, according to a new guidelines written by a National Heart, Lung, and Blood Institute expert panel and endorsed by the AAP. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753666null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Five-month-old-with-circular-scabby-lesions/ArticleStandard/Article/detail/753662?ref=25 A 6-week-old girl was diagnosed 2 weeks ago with tinea capitis and tinea corporis and started on oral fluconazole without improvement. Some of her previously developed lesions are now developing draining scabs. 2011-12-01T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/522011/753662null XML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Make-sure-teens-get-all-vaccines-at-once/ArticleStandard/Article/detail/749134?ref=25 Teenagers are much more likely to be up-to-date on their immunizations if all vaccinations are administered at 1 visit. Pediatricians need to do more to make that happen. That’s the recommendation of a study that found that coverage with the meningococcal conjugate vaccine; the tetanus, diphtheria, and acellular pertussis vaccine; and the human papillomavirus vaccine was increasing for adolescents but could be improved. What do researchers recommend you do to enhance vaccination rates? 2011-11-17T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/472011/749134null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Avoid-acetaminophen-use-in-children-with-asthma/ArticleStandard/Article/detail/749138?ref=25 When it comes to the possible link between acetaminophen and asthma, the most prudent response might be “first, do no harm.” That’s the advice offered in a review of recent clinical studies on the issue. Acknowledging the challenge facing pediatricians, policy makers, and professional organizations in the absence of incontrovertible evidence, the review advocates that physicians advise any child with asthma or a family history of asthma to avoid using acetaminophen. What clinical studies lead to that view? 2011-11-17T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/472011/749138null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Measles-outbreak-blamed-on-lower-vaccination-rate/ArticleStandard/Article/detail/749136?ref=25 No one would blame you if you wanted to call those vaccine-hesitant parents and say, “I told you so.” So far this year, the United States has seen 212 cases of measles, the largest number of cases in 15 years, according to the Infectious Diseases Society of America. Of those infected, 99% were unvaccinated or their vaccination status was unknown. You probably can guess what group of children was most endangered by the lack of herd immunity. 2011-11-17T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/472011/749136null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Autism-Diagnosis-can-vary-greatly-by-site-clinicia/ArticleStandard/Article/detail/749137?ref=25 Diagnosis is in the eye of the beholder, at least for autism spectrum classification, suggests a recent study. A wide variation in the assignment of specific diagnostic categories of autism spectrum disorders was found across 12 university-based centers, despite similar distribution of scores on standardized diagnostic instruments. Find out why researchers believe the results support eliminating the existing categories in favor of dimensional descriptions of affect, behavior, language, and cognition. 2011-11-17T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/472011/749137null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Can-you-get-paid-for-drug-screenings-without-viola/ArticleStandard/Article/detail/749135?ref=25 Here’s today’s challenge: Follow new recommendations to screen teenagers for drug use and get paid for it without violating your patient’s confidentially. A new policy statement from the American Academy of Pediatrics urges adding a drug screening to adolescent office visits. Persuading Mom or Dad to leave the room may not be enough to ensure your conversation is private. Here is what you need to watch out for when coding the visit. 2011-11-17T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/472011/749135null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Cholesterol-screening-should-be-done-on-all-childr/ArticleStandard/Article/detail/749133?ref=25 For the last 20 years, lipid screening has been recommended only for children with a family history of heart disease or high cholesterol. Now, you probably should add it to your routine screening list. The American Academy of Pediatrics has endorsed new government-issued guidelines that suggest that the older protocol misses too many children (from 30%-60%) and instead advocate universal screening. Find out when patients should be screened and the rare circumstances under which a statin should be prescribed. 2011-11-17T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/472011/749133null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/HIV-testing-for-teens-Check-state-laws-before-draw/ArticleStandard/Article/detail/748261?ref=25 A new policy statement calls for routine HIV testing of adolescent patients in some situations, but pediatricians need to be well aware of state laws before drawing any blood. What are some of the areas in which state laws differ, and how could that affect your screening? 2011-11-10T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/462011/748261null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Watch-out-for-cancer-in-patients-taking-TNF-blocke/ArticleStandard/Article/detail/748264?ref=25 Pediatricians and other health care providers are being asked to remain alert for malignancies in patients on tumor necrosis factor (TNF)-blocker therapy and to promptly report them. The US Food and Drug Administration is requiring enhanced safety surveillance for TNF blockers after reports of a rare cancer of white blood cells, hepatosplenic T-cell lymphoma. What information do you need to have at hand when reporting cancer that could be related to TNF blockers? 2011-11-10T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/462011/748264null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Pediatriciansrsquo-support-of-vaccines-high-but-in/ArticleStandard/Article/detail/748262?ref=25 Most pediatricians strongly support immunization, and some even turn away parents who refuse to allow their children to receive recommended vaccinations. Doubts about vaccines are growing among 1 cohort of pediatricians, however. Who are they, and why do they not feel as strongly about the need for vaccinations? 2011-11-10T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/462011/748262null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/No-EHR-decision-yet-Yoursquore-in-good-company/ArticleStandard/Article/detail/748265?ref=25 If your practice is like most in pediatrics, it has yet to adopt an electronic health record (EHR) system. And, if it is like most physician practices in general, even a decision on when to add the new technology remains up in the air. Find out what percentage of pediatric practices use an EHR and the most common barriers to entry. 2011-11-10T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/462011/748265null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Food-allergies-not-as-common-as-parents-report/ArticleStandard/Article/detail/748263?ref=25 Although the incidence of food allergies has grown dramatically in the last decade, it still is not as common as parents report to pediatricians. Even when children are allergic to some foods, they often don’t require as many restrictions as sometimes are imposed. Find out what else new guidelines say about diagnosing and treating food allergies. 2011-11-10T05:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/462011/748263null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Pediatric-knee-injuries-What-to-do-about-a-400-inc/ArticleStandard/Article/detail/747335?ref=25 Children and adolescents increasingly are being diagnosed with knee injuries. Although better diagnostic techniques may account for some of this, researchers suggest that greater participation in sports definitely played a part. What can you do to help young athletes avoid anterior cruciate ligament and meniscus tears? 2011-11-03T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/452011/747335null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/ADHD-in-young-children-better-treated-with-parenta/ArticleStandard/Article/detail/747341?ref=25 Commonly prescribed medications appear to be safe and effective in controlling symptoms of attention-deficit/hyperactivity disorder (ADHD) in older children, at least in the short term, but little evidence supports their use in children younger than 6 years, according to a recent government report. The report from the Agency for Healthcare Research and Quality recommends that pediatricians consider advocating formal training in parenting strategies instead of drug therapies for preschoolers. Find out how effective those interventions have been. 2011-11-03T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/452011/747341null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Teen-suicide-risk-linked-to-criminal-record/ArticleStandard/Article/detail/747338?ref=25 Here’s an effective way to find out which adolescents are at higher risk of suicide: Check their criminal records. Swedish study results show that the more convictions teenagers had, the more likely they were to commit suicide, with results peaking at 5 convictions. You might be surprised to find out how dramatically the risk increased for those who ran afoul of the law. 2011-11-03T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/452011/747338null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Children-at-increased-risk-for-invasive-melanoma/ArticleStandard/Article/detail/747339?ref=25 As dangerous and frightening as melanoma can be for any patient, a new study suggests that children may have a higher risk than adults for the deadly form of skin cancer to become invasive. The Johns Hopkins study raises some important questions about how biologic differences between children and adults can manifest in diseases such as cancer. What characteristics were found to be the strongest predictors of disease severity? 2011-11-03T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/452011/747339null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/HPV-vaccine-for-boys-Who-will-pay/ArticleStandard/Article/detail/747334?ref=25 With all the news coverage about a Centers for Disease Control and Prevention advisory committee recommending vaccination against human papillomavirus (HPV) for boys aged 11 to 12 years and “catch up” vaccination for young men through 21 years, you are likely to get calls and visits from parents who want to have their male children vaccinated immediately. One of the first questions you should ask is: Are you prepared to pay for it out of pocket? 2011-11-03T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/452011/747334null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Routine-statins-not-recommended-for-pediatric-pati/ArticleStandard/Article/detail/747337?ref=25 Should you routinely prescribe a common statin for pediatric patients with systemic lupus erythematosus (SLE)? The answer is a qualified no, based on the findings of a recent study. Atorvastatin therapy proved to be ineffective in reducing atherosclerotic progression in children and adolescents with SLE. The study, however, had some interesting observations about treatment with the statin for patients with more severe SLE who were not part of the trial. 2011-11-03T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/452011/747337null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Newborn-not-having-a-very-swell-time/ArticleStandard/Article/detail/751391?ref=25 The emergency department pages you about a 1-month-old girl recently transferred from an outside hospital for further evaluation of swelling over her posterior scalp. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751391null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/FFDAs-new-role-in-tobacco-control-Guidance-on-help/ArticleStandard/Article/detail/751395?ref=25 Discover how FDA's new Center for Tobacco Products is helping parents and you keep kids away from tobacco and tobacco-related products. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751395null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Does-inactivity-cause-overweight-or-is-it-the-othe/ArticleStandard/Article/detail/751394?ref=25 A study in more than 200 boys and girls undermines the common belief that a lack of physical activity leads to childhood obesity. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751394null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Image-Gently-Is-overuse-of-CT-in-the-emergency-dep/ArticleStandard/Article/detail/751393?ref=25 With the ability to more accurately diagnose acute injuries in the emergency department, it is no wonder that the use of computed tomography scanning has increased over the past decades. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751393null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/AAP-recommends-routine-substance-abuse-screening-f/ArticleStandard/Article/detail/751385?ref=25 A new American Academy of Pediatrics policy statement advocates that substance abuse education and screening be included as routine components of adolescent care. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751385null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Technology-in-the-trenches-Best-mobile-apps-for-pe/ArticleStandard/Article/detail/751390?ref=25 Pediatricians have become avid users of smartphone and tablet technology in their personal and professional lives. With many more apps to come, find here our picks for the most useful of the current batch. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751390null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Baby-with-squiggly-blue-line-on-dorsal-foot/ArticleStandard/Article/detail/751386?ref=25 The worried mother of a healthy 21-month-old girl asks you to evaluate a peculiar, squiggly blue line on the top of her daughter's right foot. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751386null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Clinical-guidelines-issued-for-community-acquired-/ArticleStandard/Article/detail/751384?ref=25 New clinical practice guidelines issued by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America provide detailed recommendations for prevention, diagnosis, and management of community-acquired pneumonia in otherwise healthy infants and children in the outpatient or inpatient setting. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751384null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Insight-into-regulation-of-switch-from-fetal-to-ad/ArticleStandard/Article/detail/751389?ref=25 Investigators designed a study to enhance understanding of the cis-regulatory sequences of the ?-globin locus required for silencing or activation of fetal hemoglobin. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751389null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Preemies-exposed-to-some-glucocorticoids-have-smal/ArticleStandard/Article/detail/751396?ref=25 Glucocorticoids may affect cerebellar development in preterm newborns and thus should be used with caution in this population, say researchers in a new study of glucocorticoid exposure in neonates. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751396null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Use-computed-tomography-scans-with-caution/ArticleStandard/Article/detail/751392?ref=25 The author recalls the first time she ordered a CT scan in the mid-1970s. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751392null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Acid-suppressing-drugs-overprescribed-in-infants/ArticleStandard/Article/detail/751388?ref=25 Proton pump inhibitors often are prescribed to treat infants with symptoms suspected as gastroesophageal reflux disease, but these acid-suppressing drugs are not safe for infants younger than 12 months. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751388null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Suppressive-acyclovir-improves-herpes-simplex-viru/ArticleStandard/Article/detail/751383?ref=25 According to two trials, suppressive oral acyclovir therapy for 6 months improved neurodevelopment outcomes in infants surviving HSV disease with CNS involvement. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751383null XML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Teething-sometimes-may-get-a-bum-rap/ArticleStandard/Article/detail/751387?ref=25 Tooth eruption has been held responsible for irritability, increased salivation, sleep disturbance, fever, diarrhea, and loss of appetite. 2011-11-01T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/492011/751387null XML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Childrenrsquos-chest-pain-seldom-caused-by-cardiac/ArticleStandard/Article/detail/746016?ref=25 Complaints of chest pain in children are common in pediatric offices and often are accompanied by highly anxious parents. Here’s how to comfort them: Tell them that chest pain in children is not related to heart disease 99% of the time, according to a recent study. What are the most common reasons for chest discomfort in youngsters? 2011-10-27T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/442011/746016null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/No-link-between-enlarged-adenoids-iHelicobacter-py/ArticleStandard/Article/detail/746015?ref=25 Recent studies are providing insight into causes of enlarged adenoids and their treatment. New research suggests that the bacteria that can cause stomach inflammation and ulcers do not seem to be related to overenlargement of adenoids, despite earlier studies reporting high colonization rates of Helicobacter pylori in adenoids. Why does another study argue that adenoidectomy, one of the most frequently performed surgical procedures in children in the Western world, often doesn’t have the intended results? 2011-10-27T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/442011/746015null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Pediatricians-strongly-influence-who-receives-HPV-/ArticleStandard/Article/detail/746017?ref=25 What is the single most important factor in the decision by adolescents and parents to initiate and complete the human papillomavirus (HPV) vaccination series? You are, according to a recent study that reports that a pediatrician’s recommendation often is the impetus for a teenager to be immunized. You might be surprised by how much of a difference your recommendation makes. 2011-10-27T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/442011/746017null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/SIDS-prevention-aided-by-breastfeeding/ArticleStandard/Article/detail/746012?ref=25 Although the Back to Sleep campaign has reduced mortality from sudden infant death syndrome (SIDS) by more than 50% since 1994, sudden unintended infant death still claims more than 4,500 lives each year—with half of those deaths attributable to SIDS. Find out why the new American Academy of Pediatrics policy statement emphasizes the importance of breastfeeding for SIDS risk reduction. 2011-10-27T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/442011/746012null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Screen-children-with-blocked-tear-ducts-for-amblyo/ArticleStandard/Article/detail/746013?ref=25 Amblyopia sometimes can be difficult to detect in infants and toddlers, yet early treatment can be critical for full correction. New study results offer some information that should help pediatricians focus on young patients who most need screening. How much increased risk for developing amblyopia was shown for children younger than 3 years with a nasolacrimal duct obstruction? 2011-10-27T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/442011/746013null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/ACIP-endorses-HPV-vaccine-for-boys-and-young-men/ArticleStandard/Article/detail/746011?ref=25 The Centers for Disease and Control and Prevention Advisory Committee on Immunization Practices (ACIP) has recommended that all boys aged 11 and 12 years be given the 3-dose quadrivalent human papillomavirus (HPV) vaccine and also has endorsed immunizing older boys and young men aged 13 to 21 years who have not yet been vaccinated. 2011-10-27T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/442011/746011null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/MS-risk-increased-in-teens-who-work-night-shifts/ArticleStandard/Article/detail/746014?ref=25 Flipping burgers on the late shift can present more danger to teenagers than a minor grease-splatter burn or a repetitive-motion injury. Results of a European study suggest that shift work before the age of 20 years could be associated with an increased risk of multiple sclerosis (MS). How increased was the risk? Is it associated with disruptions in circadian rhythm and sleep pattern? 2011-10-27T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/442011/746014null HTML http://contemporarypediatrics.modernmedicine.com/contpeds/ModernMedicine+Now/Hypertension-risk-greatly-increased-for-children-i/ArticleStandard/Article/detail/744981?ref=25 Children in the 85th percentile for body mass index (BMI) are at greatly elevated risk for high blood pressure and require regular monitoring as well as possible interventions, according to a new American Heart Association study. The study of 1,111 healthy Indiana school children found that the adiposity effect on blood pressure was minimal until patients reached the overweight category, when it increased 4-fold. Find out why researchers believe the hormone leptin may play a role in the relationship between weight and blood pressure. 2011-10-20T04:00:00Z http://contemporarypediatrics.modernmedicine.com/contpeds/data/articlestandard/contpeds/432011/744981null HTML