Today's date: September 05, 2010
The exposure of children to violence is a concern for the pediatric community, and U.S. Attorney General Eric Holder made it clear Monday that it is a concern to him and the administration of Barack Obama. Read More...
Although nebulizers have been part of asthma treatment for many years, there are more efficient, less time-consuming and less expensive alternatives that should be considered for patients. Regardless of the selected alternative, it is critical to educate the patient and family on managing asthma. Read More...
Obesity has become an epidemic that affects all age groups, but is a growing problem among children – even babies — and Robert Lustig, MD, can pinpoint the problem — fructose. Read More...
National health care reform seems to get most of the attention when it comes to the discussion of legislative issues, but a lot of work on these issues is done at the state level. The status of those issues was reviewed in a session Monday. Read More...
Pre-participation physical evaluations (PPEs) for athletes should be a part of routine pediatric care. The new edition of the Academy's PPE monograph, to be published in spring 2010, makes new recommendations for physicians who counsel and treat young athletes. Read More...
Hey, Pediatric Heroes… Here we are at Day 4 of the NCE, a day that promises to be an action-packed finale. Read More...
Deciding when to be concerned about a child's headache depends on making the correct diagnosis. Two physicians outlined assessment techniques and evaluated various options for treatment during "Headaches – When Do I Worry?" (A2108) Sunday. Read More...
Tooth decay is the No. 1 chronic disease among children, occurring five times more often than asthma and seven times more frequently than hay fever. The high frequency of tooth decay and its effects on children's quality of life calls for enhanced relationships between pediatricians and pediatric dentists to provide optimum oral health care for children, said Rama Oskouian, DMD, MPH. Read More...
Surgery is the predominant treatment for children with cleft lip and palate, but as first-line care providers, all pediatricians should understand the issues involved with the initial management of these congenital anomalies that affect approximately one in 750 infants. Read More...
Late preterm infants, defined as those born at 34-0/7 to 36-6/7 weeks' gestation, are at higher risk than term infants for acute medical complications, re-admission to the hospital and mortality during the first year of life. Late preterm infants now account for approximately 70 percent of all preterm births. Read More...
Imaging studies are not needed for all children who present with a limp, but they can be a useful aid in determining the underlying diagnosis. The appropriate imaging studies for evaluation of a limp were the focus of Monday's "Clinical and Imaging Assessment of the Limping Child" (S3088). Read More...
The limping child is one of the most common orthopedic issues faced by pediatricians, who are often challenged for a diagnosis. Monday's session, "The Limping Child" (S3124) provided a foundation to help pediatricians facing such cases. Read More...
The increased use of prescription narcotics has led to a growing number of infants born with neonatal abstinence syndrome. As a result, it has become necessary for pediatricians to have the ability to identify and treat withdrawal in newborns. Read More...
Pediatricians often encounter parents who are concerned about their child's stature or apparent slow growth. Although there are many medical causes of short stature or slow growth, most short children are within the normal range for their genetic potential. Read More...
Pediatricians should exercise extra care when evaluating autistic children because their behaviors may mask some medical symptoms. A discussion of examining these children, focusing on gastrointestinal conditions, will be presented in "Autism and the Gastrointestinal Tract." Read More...
I am a mother of four children, who have all been patients of Dr. Bang for the last six years. I am amazed at the quality of care that he gives to his patients. In Opp, we have a lot of underprivileged and low-income families. He is there for them; he is their support and refuge. He goes above and beyond what I have ever experienced with any doctor. Read More...
Monday, October 19
The NCE is in the right place at the right time by being in Washington, DC, as Congress is about to begin the debate of health care reform legislation on the floors of the House and the Senate, according to Olson Huff, MD, FAAP. Read More...
Putting America's children in the center of the health care reform debate will take a concerted, public effort on the part of adults who care about them, said Marian Wright-Edelman, MD, FAAP (honorary), founder of the Children's Defense Fund, at the Sunday's plenary session. Read More...
When Dr Bartlett attended a symposium on early diagnosis of hearing loss almost 20 years ago, she saw how a deaf child's life can be changed by new technology available to screen newborns for hearing loss. By identifying a hearing loss at birth and providing immediate and appropriate intervention, a deaf child could learn to listen and talk rather than rely solely on sign language. She knew then that pediatricians see more children with hearing loss than any other childhood disease, and it became important to her to help other pediatricians identify it before it becomes a problem. Read More...
Office- and hospital-based pediatricians can play an important role in preparing their staffs to identify the early signs of illness in undiagnosed critically ill children during a well-child or hospital visit to ensure the children receive proper care right away. Read More...
Premature birth remains the leading cause of breathing problems for sleeping babies, but several other issues ranging from spina bifida to Arnold-Chiari malformations to a lack of knowledge about sleeping environments can be linked to sleep apnea. Read More...
An interactive group forum, "What You Always Wanted to Know About Breastfeeding, But They Forgot to Teach You in Residency" (I3075) will offer basic breastfeeding clinical support skills. Read More...
At Pediatrics for the 21st Century, Moira Szilagyi, MD, PhD, FAAP, spoke of the "Power of You." At the first plenary, Alma Powell spoke of the "Power of We," in which we enable a world that lets us answer the Maasai greeting, "How are your children?" with "Our children are well." Read More...
Counseling parents of children who present with hydrocephalus begins with listening carefully as they describe symptoms and changes, as well as keeping an open mind, said Mark Dias, MD, director of pediatric neurosurgery at Pennsylvania State University Children's Hospital. Read More...
The choices among antimicrobials — and their side effects — are as varied and individual as the case studies used to illustrate the complexity of this issue. Barbara Stechenberg, MD, FAAP, outlined scenarios Sunday that illustrated the challenges of antimicrobial therapy. Read More...
A comprehensive update on treatment strategies for the most common urological issues seen by pediatricians was presented Saturday by Hans Pohl, MD, FAAP, assistant professor of urology and pediatrics at the Children's National Medical Center. Read More...
An expert in pediatric infectious diseases will conduct a discussion Monday during "Use of Antiviral in General Pediatrics" (X3007) featuring an interactive, case-based format designed to promote awareness of the appropriate use of antiviral medications in routine clinical practice. The session will take place from 7:00 to 8:00 am in WCC Room 145. Read More...
Current AAP policy recommends that mothers breastfeed exclusively for approximately the first 6 months of an infant's life and that pediatricians support breastfeeding for the first year and beyond as long as mother and child mutually desire it. Read More...
We've all read or heard the stories about young athletes suddenly collapsing on the basketball court or football field due to an undiagnosed heart disease. Such stories point to the fact that children and adolescents with genetic cardiac diseases, such as hypertrophic cardiomyopathy or long QT syndrome, who play sports may be at risk of fainting during exercise and, sadly, of sudden death. Read More...
Pediatricians in office practice often need to use sedation to perform minor procedures for patients. Current AAP guidelines on sedation provide safety standards, and new research shows that intranasal short-acting sedation agents allow pediatricians to offer outpatient, office-based procedures quickly and safely. Read More...
Monday's "Meet The Red Book @ PREP Audio LIVE" promises to be one of the NCE's most popular sessions. Read More...
Sunday, October 18
Pediatricians play a key role in helping America's children to realize "five promises:" caring adults, safe places, a healthy start, an effective education and opportunities to help others. Alma Powell, chair of the America's Promise Alliance, discussed those promises and lauded the efforts of the pediatric community in her keynote address at the Saturday plenary session. Read More...
In his year as AAP president, David Tayloe Jr., MD, FAAP, identified the major challenges facing pediatricians, and he updated members on the progress in those four areas of challenge during his Presidential Address at the Saturday plenary session. Read More...
Dr. Scott Cohen, a general pediatrician and former Albert Schweitzer Fellow in Africa, founded Global Pediatric Alliance (GPA) on a simple premise: empowering lay health workers through education will improve child and maternal health in poor, rural areas. Read More...
Welcome to NCE Day 2. The weather may not be great, but today's NCE sessions promise to make your visit to DC worthwhile. Read More...
Pediatricians often treat children with shoulder and neck injuries, even though their residency may have offered little training in evaluating common musculoskeletal problems. Read More...
Good communication skills with adolescents can help obtain needed information and discourage high-risk behaviors, said Anisha Abraham, MD, MPH, FAAP, and Kirsten Hawkins, MD, MPH, FAAP, of the department of pediatrics at Georgetown University Hospital. Read More...
Using case presentations to illustrate diagnosis and treatment processes, two physicians discussed joint pain in children during a session Saturday that included discussions of injuries and juvenile idiopathic arthritis. Read More...
Get your own copy of the "2009-2010 Influenza Season Triage Algorithm for Children with Influenza-like Illness" Read More...
The recognition and treatment of several skin eruptions due to viral infections will be discussed during "Viral Exanthemas," which will be presented twice on Sunday. Read More...
Urticaria affects 20 percent of the population at some point in their lives, causing itching and swelling that can last for a week or a lifetime. Read More...
Acne can harm adolescents both physically and emotionally, but pediatricians can help their patients avoid those traumas by becoming familiar with the basics of treatment — from knowing which topical treatments work best on mild cases to when patients should be referred to a dermatologist. Read More...
Four generations currently populate the medical workforce, a fact that sometimes requires some conflict resolution. Read More...
Although puberty is a topic pediatricians are familiar with, some may not know how best to respond to early or late pubertal events. Read More...
Developmental delays in children reveal themselves in many different ways and require many more forms of additional testing to find the proper treatment, which will be addressed in "Medical Investigation of the Child with Delayed Development" (S2125). Read More...
There are myriad reasons to measure the quality of your medical practice — Medicaid and third-party payers require it under pay-for-performance processes, and pediatricians need to pass Maintenance of Certification (MOC) — but ultimately it is necessary to provide the best care for patients. Read More...
A hands-on workshop with workstations will teach pediatricians basic surgical skills that can be used in an office setting, such as burn treatment, replacing gastrostomy tubes, chemical cauterization of granulomas, and incision and drainage of abcesses. Read More...
Despite unprecedented success in the elimination and control of infectious diseases through vaccination, pediatricians now find themselves challenged to justify universal vaccine programs to parents. Read More...
Saturday, October 17
Pediatricians have a most important role in the lives of children in foster care, critical not only for the children, but for their foster parents and birth parents as well. The significant contributions pediatricians can make were discussed at the Pediatricians for the 21st Century program Friday. Read More...
Dr Joseph Peter is a pediatrician in the Crestview, FL, community, where he resides with his wife Bernadine and two children, Alex and Christine. Dr Peter was nominated by several families/patients and community leaders for his work to advance children's health in his community. Read More...
Anyone who read a newspaper or website early this summer noticed the national interest in bullying, which was ignited by the release of an Academy policy statement in June. Read More...
Immunization is the best way to prevent 2009 Influenza A (H1N1) virus infection. The good news is that monovalent 2009 Influenza A (H1N1) virus vaccines are now becoming available. All children should receive the monovalent H1N1 vaccine in addition to the seasonal influenza vaccine this year. Read More...
As one of the founders of the Constitution of the United States, James Madison, penned in 1834, "The Constitution of the United States was not, like the fabled Goddess of Wisdom, the offspring of a single brain. It ought to be regarded as the work of many heads and many hands. And so should the AAP 2009 National Conference & Exhibition, where pediatricians from many disciplines assembled to create an educational experience for you." Read More...
Where does a pediatrician begin when diagnosing the cause of a young child's chronic cough? Could it be an obstruction disease or does the child have asthma or one of the alternative diagnoses? Read More...
It's a tough call for pediatricians faced with either ordering tests for a child with a nonspecific complaint or sending a child home with concerned parents with a suggestion that they keep an eye on the condition. Read More...
Adolescents who have a positive screen for high-risk drug use or alcohol use are often closed to accepting help. By using motivational interviewing techniques, though, physicians may be able to crack the door open to communicating with a young patient. Read More...
With expanded screening of newborns and other early signs of genetic disorders, pediatricians have many opportunities to pick up on problems that if caught and treated early can greatly improve the lives of children with these problems. Read More...
Once thought to be a problem limited primarily to children with large adenoids and tonsils, researchers are beginning to learn how widespread obstructive sleep apnea (OSA) is for a growing number of children, especially as a complication of obesity. Read More...
Trends in drug use and abuse constantly change and the problems children face from drug use and poisoning are evolving. Pediatricians can update themselves on the latest concerns and changes in the world of toxicology in an education session on Saturday and again on Sunday. Read More...
The traditional diets of infants could change in the near future with the development of guidelines for introducing complementary foods, which are expected to call for an earlier introduction of meat in the infant's diet. At present, 80 percent of U.S. infants are receiving complementary foods by 6 months of age. Read More...
Children in special circumstances, such as living in foster care or having developmental disabilities, can benefit greatly from having a medical home. Two NCE sessions will discuss the advantages of the medical home concept and how it can be implemented. Read More...
It is time to implement the medical home as a way to improve the treatment of patients. As defined by the AAP, the medical home is an approach to providing comprehensive primary care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate and culturally effective. Helpful tips for developing a medical home will be shared Saturday in an interactive session, "The Medical Home in the 21st Century" (S1037). Read More...