Factoring the metabolic X syndromeAlthough there is debate surrounding the definition of metabolic X syndrome in pediatrics and there are few long-term studies of outcomes in children with metabolic syndrome, pediatric metabolic syndrome needs to be on the radar of all pediatricians interested in ensuring a healthy adult life for their patients.
In this issue
Get smart about metabolic syndrome! February 01, 2017By Chrystal Wittcopp MDAs pediatricians we are all too aware of our nation’s struggle with childhood overweight and obesity. Approximately 1 of every 5 children that we see in the office every day is obese. Despite tremendous efforts to reverse this trend, it is clear we are in this battle for the long haul. New hope for eczema February 01, 2017By Lisette HiltonThe US Food and Drug Administration (FDA) has announced its approval of a new, corticoid-sparing ointment to treat mild to moderate atopic dermatitis in pediatric patients aged 2 years and older. How to test kids for diabetes February 01, 2017By Lisette HiltonTesting glycated hemoglobin (HbA1c) appears to predict children’s diabetes risk as well as fasting plasma glucose and 2-hour postload plasma glucose, according to a study on more than 2000 American Indian children. New guidelines for early peanut exposure February 01, 2017By Lisette HiltonNew recommendations for infant exposure to peanuts to prevent peanut allergy address something many pediatricians have long suspected: Early exposure to peanuts, even in infants that have eczema, could prevent development of peanut allergy.
Top 10 apps for pediatricsIt’s been a while since Dr Schuman reviewed medical applications for mobile devices, and many readers have requested an update. So, he looked at his iPhone and iPad and put together his recommendations for the best applications for pediatric providers.
Tight, shiny membrane encases newborn’s skinAfter a cesarean delivery at 30 weeks, a 1430-gram premature female neonate was noted to have generalized thick, dark brown scale forming a tight membrane over her entire skin surface. Her mother was a healthy 19-year-old gravida 1 with normal prenatal screening ultrasound and laboratory studies. Family history did not reveal any congenital malformations or genetic disorders.
Itchy blisters bother a 12-year-old girlThe mother of a 12-year-old girl brings her daughter to the office for evaluation of recurrent, itchy red bumps and blisters on her legs. The mother gets the same rash recurrently as well.
Eye on Washington
National snapshot of childhood obesity February 01, 2017By Kathryn FoxhallThe last year or so has given the nation mixed pictures on childhood obesity, with plenty of challenges ahead.
How best to reduce injection pain—lidocaine creamA comparison of 4 levels of pain management of routine vaccine injections found that of the remedies tried, only liposomal lidocaine applied at the injection site provided consistent relief. Are parents receptive to counseling about firearm safety? February 01, 2017By Marian FreedmanResults of a survey of more than 1360 parents conducted in pediatricians’ waiting rooms found that 75% of parents agree that pediatricians should advise about safe storage of firearms; those who disagreed were likely to be firearm owners. How to evaluate young febrile infantsA large retrospective study of how infants with fever without a cause are evaluated found that physicians are selective in deciding which of these babies will have blood, urine, or cerebral spinal fluid cultures. Limiting duration of antibiotics in OM limits their effectivenessTreating children with acute otitis media with amoxicillin-clavulanate for 5 days is less effective than following standard 10-day treatment, according to a study in 520 such children who were aged 6 to 23 months.
Met X and the toxic shopping cart
February 01, 2017Findings from a recent US Department of Agriculture report show that “sweetened beverages” were the number 1 category of items purchased by households participating in the federal Supplemental Nutrition Assistance Program (SNAP).