Gluten-free diet: Not for all childrenThe popularity of gluten-free diets continues to grow as people increasingly turn to diet as a way to manage copious symptoms from gastrointestinal disturbances, which can range from headaches to skin rashes, behavioral problems, and psychological difficulties.
In this issue
Zika virus: Top mosquito repellent recommendations June 01, 2016By Lisette HiltonWith summer here and concern growing about the spread of the Zika virus to the United States, pediatricians might notice more patients inquiring about how to safely repel mosquitoes and their disease-inducing bites. 5 baby steps to better nutritionPatients often want to make big changes to improve their health. However, there often is a disconnect between wanting to make a change and the ability to carry the change through and make it a habit. Hypoglycemia guidelines: AAP vs PES June 01, 2016By John JesitusThe topic of hypoglycemia in neonates and children has generated significant debate of late, with the American Academy of Pediatrics (AAP) and the Pediatric Endocrine Society (PES) having advanced apparently conflicting guidelines. Here's what community pediatricians need to know to avoid overscreening healthy infants and children without discharging babies who may have glucose-regulation problems beyond the first days of life.
Eye on Washington
Update: Medicaid mandates are now final June 01, 2016By Kathryn FoxhallIn late April, the Centers for Medicare and Medicaid Services (CMS) published the final rules for remaking Medicaid managed care, starting a huge reform process that will impact the majority of Medicaid recipients.
MOC reform: One year laterIt’s been over a year since the American Board of Pediatrics (ABP) announced its intentions to overhaul the maintenance of certification (MOC) process. In this reportorial article, Dr. Andrew Schuman brings you up-to-date with current MOC requirements and the changes likely to occur over the next year.
Hypothermia and emesis in a newbornThe patient, a 7-day-old, small-for-gestational-age female (birth weight, 2.21 kg), born by vaginal delivery at 37 weeks to a G1P0 mother, presented to the pediatric emergency department for hypothermia and emesis at the recommendation of her pediatrician.
Vesicular rash in an infant with eczemaThe parents of a healthy 6-month-old boy with eczema bring him to the office for evaluation of a rapidly progressive rash on his arms, legs, face, and back. He had a low-grade fever and loose stools for 2 days last week.
Parent mentors get uninsured kids insuredCompared with traditional Medicaid/Children’s Health Insurance Program (CHIP) outreach, the use of parent mentors (PMs) raises rates of insured minority children and improves healthcare access along with providing other benefits—including cost effectiveness—a new study shows. Too little sleep is tied to teenagers’ injury-related risk behaviorsHigh school students who report sleeping 7 hours or less on an average school night are significantly more likely than their peers who sleep up to 9 hours a night to engage in several injury-related risk behaviors: infrequent bicycle helmet use; infrequent seatbelt use; riding with a driver who has been drinking; drinking and driving; and texting while driving. Predicting hyperbilirubinemia in babiesNewborn babies are more likely to develop jaundice requiring treatment if they have significant hemolysis contributing to their bilirubin levels (ie, bruising, ABO blood group incompatibility, glucose-6-phosphate dehydrogenase [G6PD] deficiency). Impact of bottle size on formula consumption June 01, 2016By Marian FreedmanDo you really want to supersize that baby? Bottle size is significantly associated with the volume of formula an infant consumes.