MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Current Problems in Pediatric and Adolescent Health Care' source. Thu, 09 Feb 2012 01:09:29 +0100 http://www.medworm.com/index.php?rid=5599960&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS153854421100215X%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5599960 Wed, 18 Jan 2012 06:37:14 +0100 5599960 http://www.medworm.com/index.php?rid=5599959&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211002148%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5599959 Wed, 18 Jan 2012 06:37:14 +0100 5599959 http://www.medworm.com/index.php?rid=5599958&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211002136%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5599958 Wed, 18 Jan 2012 06:37:14 +0100 5599958 http://www.medworm.com/index.php?rid=5599957&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211002227%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5599957 Wed, 18 Jan 2012 06:37:14 +0100 5599957 http://www.medworm.com/index.php?rid=5599956&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001684%2Fabstract%3Frss%3Dyes This article reviews current classification challenges and strategies, the epidemiology of eating disorders in children and adolescents, key aspects of the history and physical examination, tips for prevention, and key features of evidence-based treatment. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5599956 Wed, 18 Jan 2012 06:37:14 +0100 5599956 http://www.medworm.com/index.php?rid=5599955&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001672%2Fabstract%3Frss%3Dyes These days, much of the dialogue surrounding disordered eating behaviors has focused on the childhood obesity epidemic. This month's issue of Current Problems in Pediatric and Adolescent Health Care focuses on those disorders of eating that are associated with undernutrition and weight loss and reminds us that these disorders continue to present tremendous challenges to pediatricians, patients, families, and our society. In this highly evidence-based review, Dr. Ellen Rome discusses the challenges in defining these often puzzling disorders and reviews their changing epidemiology. She shares her extensive clinical experience in diagnosing and treating anorexia nervosa, bulimia, and their variants and provides the reader with practical and nuanced recommendations for thorough history-taking ... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5599955 Wed, 18 Jan 2012 06:37:14 +0100 5599955 http://www.medworm.com/index.php?rid=5599954&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211002124%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5599954 Wed, 18 Jan 2012 06:37:14 +0100 5599954 http://www.medworm.com/index.php?rid=5562760&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001994%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5562760 Sun, 01 Jan 2012 05:00:00 +0100 5562760 http://www.medworm.com/index.php?rid=5562759&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001982%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5562759 Sun, 01 Jan 2012 05:00:00 +0100 5562759 http://www.medworm.com/index.php?rid=5562758&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001970%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5562758 Sun, 01 Jan 2012 05:00:00 +0100 5562758 http://www.medworm.com/index.php?rid=5562757&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211002069%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5562757 Sun, 01 Jan 2012 05:00:00 +0100 5562757 http://www.medworm.com/index.php?rid=5562756&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001866%2Fabstract%3Frss%3Dyes Obstructive sleep apnea in children is associated with serious neurocognitive and cardiovascular morbidity, systemic inflammation, and increased health care use, yet remains underdiagnosed. Although the prevalence of obstructive sleep apnea is 1-3% in the pediatric population, the prevalence of primary snoring (PS) is estimated to be 3-12%. The challenge for pediatricians is to differentiate PS from obstructive sleep apnea in a cost-effective, reliable, and accurate manner before recommending invasive or intrusive therapies, such as surgery or continuous positive airway pressure. The validity of polysomnography as the gold standard for diagnosing obstructive sleep apnea has been challenged, primarily related to concerns that abnormalities on polysomnography do not correlate well with adver... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5562756 Sun, 01 Jan 2012 05:00:00 +0100 5562756 http://www.medworm.com/index.php?rid=5562755&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001878%2Fabstract%3Frss%3Dyes Anthony Burgess was once famously quoted as saying “Laugh and the world laughs with you, snore and you sleep alone” (from “Inside Mr Enderby,” 1963). Snoring and its social consequences have long been a source of folklore and even comic commentary, with a multitude of remedies suggested. Snoring is also very common among adults, with anywhere from 25% to 50% of adults reporting snoring at some time. However, the potentially serious medical consequences of this common phenomenon were not recognized until the phenomenon of obstructive sleep apnea (OSA) was recognized in the 1960s. Although some 50 years have gone by, there is still much that needs to be understood about breathing disorders during sleep and their potential for causing harm. Even less definitive information is availabl... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5562755 Sun, 01 Jan 2012 05:00:00 +0100 5562755 http://www.medworm.com/index.php?rid=5562754&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001969%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5562754 Sun, 01 Jan 2012 05:00:00 +0100 5562754 http://www.medworm.com/index.php?rid=5326010&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001751%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5326010 Wed, 19 Oct 2011 04:14:09 +0100 5326010 http://www.medworm.com/index.php?rid=5326009&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS153854421100174X%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5326009 Wed, 19 Oct 2011 04:14:09 +0100 5326009 http://www.medworm.com/index.php?rid=5326008&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001738%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5326008 Wed, 19 Oct 2011 04:14:09 +0100 5326008 http://www.medworm.com/index.php?rid=5326007&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001829%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5326007 Wed, 19 Oct 2011 04:14:09 +0100 5326007 http://www.medworm.com/index.php?rid=5326006&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001477%2Fabstract%3Frss%3Dyes Twenty-five years ago, Robert Haggerty, MD, then newly elected as President of the American Academy of Pediatrics (AAP), made the formation of a national pediatric practice-based research network an integral part of his presidency. His reasons for promoting this idea were compelling. Family medicine already had begun recruiting and maintaining stable cohorts of practices to examine issues of importance in primary care. In pediatrics, however, primary care issues were being addressed largely by academic medical center investigators who did not have access to typical pediatric populations and who did their studies on samples drawn from the urban inner city environment. Inspired by the early work of a handful of family medicine networks, Dr Haggerty foresaw a stable network of pediatric pract... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5326006 Wed, 19 Oct 2011 04:14:09 +0100 5326006 http://www.medworm.com/index.php?rid=5326005&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001088%2Fabstract%3Frss%3Dyes As a general pediatrician in office practice over half of all my office visits involve a concern over an infectious disease. While most involve the final diagnosis of a viral disease process, a great many involve common bacterial infections. More importantly, almost all involve parental concerns of more serious bacterial infections. In terms of time spent in discussions with patients and their families, topics of infectious diseases dwarf any other area outside of issues of growth and development. One only needs to consider the amount of time dedicated to the discussion of immunizations in health supervision visits to realize the significance of infectious diseases in the general practice of pediatrics. In their review of common childhood bacterial infections, Drs Alter, Vidwan, Sobande, O... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5326005 Wed, 19 Oct 2011 04:14:09 +0100 5326005 http://www.medworm.com/index.php?rid=5326004&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001076%2Fabstract%3Frss%3Dyes Children with infectious diseases are commonly encountered in primary care settings. Identification of the subset of patients with bacterial infections is key in guiding the best possible management. Clinicians frequently care for children with infections of the upper respiratory tract, including acute otitis media, otitis externa, sinusitis, and pharyngitis. Conjunctivitis is not an uncommon reason for office visits. Bacterial pneumonia, urinary tract infections, and gastroenteritis are regularly seen. Over the last decade, a growing number of children have had infections of the skin and soft tissue, driven by the increased prevalence of infections caused by methicillin-resistant Staphylococcus aureus. The following review addresses the epidemiology and risk factors for specific infection... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5326004 Wed, 19 Oct 2011 04:14:09 +0100 5326004 http://www.medworm.com/index.php?rid=5326003&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS153854421100109X%2Fabstract%3Frss%3Dyes This issue rewards the reader with a practical compendium regarding the diagnosis and treatment of common childhood bacterial infections. Dr. Alter and his coauthors have taken care to identify not only the correct antibiotics for a wide variety of childhood bacterial infections but also the appropriate dose and duration of treatment. In addition, recent bacterial vaccines are addressed. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5326003 Wed, 19 Oct 2011 04:14:09 +0100 5326003 http://www.medworm.com/index.php?rid=5326002&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001726%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5326002 Wed, 19 Oct 2011 04:14:09 +0100 5326002 http://www.medworm.com/index.php?rid=5241076&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001520%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5241076 Thu, 22 Sep 2011 18:41:58 +0100 5241076 http://www.medworm.com/index.php?rid=5241075&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001519%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5241075 Thu, 22 Sep 2011 18:41:58 +0100 5241075 http://www.medworm.com/index.php?rid=5241074&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001507%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5241074 Thu, 22 Sep 2011 18:41:58 +0100 5241074 http://www.medworm.com/index.php?rid=5241073&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001593%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5241073 Thu, 22 Sep 2011 18:41:58 +0100 5241073 http://www.medworm.com/index.php?rid=5241072&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000915%2Fabstract%3Frss%3Dyes Many foods have been implicated in theories about the etiology of inflammatory bowel disease. While evidence has accumulated that nutritional factors as part of overall lifestyle changes may play a role in the growing incidence, no specific dietary recommendations except the promotion of breastfeeding can currently be given to decrease the risk of developing Crohn's disease or ulcerative colitis. For the treatment of Crohn's disease in children and adolescents, however, enteral feeding with a semi-elemental diet seems to be as effective as corticosteroids in inducing and maintaining remission. In the meta-analyses, advantages of one formula over the other are evened out, and more research is warranted into the anti-inflammatory properties of different nutrients, such as polyunsaturated fat... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5241072 Thu, 22 Sep 2011 18:41:58 +0100 5241072 http://www.medworm.com/index.php?rid=5241071&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000903%2Fabstract%3Frss%3Dyes Celiac disease affects about 1% of the European and North American population. The classical clinical presentation is with symptoms of malabsorption. Serologic studies demonstrate that most celiac patients present with oligosymptomatic (silent), latent, potential, and extraintestinal forms. The disease is defined as an immune-mediated systemic disorder of genetically disposed individuals (HLA-DQ2/8) induced by the alcohol-soluble fractions of cereals and characterized by gluten-dependent symptoms, celiac-specific antibodies (against tissue transglutaminase 2), and a Marsh 2-3 enteropathy. In the last 60 years, a strict and lifelong gluten-free diet has been demonstrated to be effective and safe, preventing most potential complications of the disease, including autoimmune disease, osteoporo... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5241071 Thu, 22 Sep 2011 18:41:58 +0100 5241071 http://www.medworm.com/index.php?rid=5241070&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000897%2Fabstract%3Frss%3Dyes The evidence is well established that breastfeeding results in a reduction of certain health risks. Debate has arisen, however, about the optimal duration of exclusive breastfeeding. The general recommendation is to breastfeed newborn babies for 6 months exclusively and then to introduce complementary foods and continue breastfeeding. In industrialized countries, earlier introduction of complementary foods is recommended for preventing food allergy. There are data suggesting such a risk reduction and therefore the argument must be taken seriously.Considering the evidence about earlier introduction of complementary foods, it remains unclear how long the children have been exclusively and partially breastfed. It may well be that children who are breastfed exclusively for 3 months or less ben... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5241070 Thu, 22 Sep 2011 18:41:58 +0100 5241070 http://www.medworm.com/index.php?rid=5241069&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000885%2Fabstract%3Frss%3Dyes In pediatric nutrition the most important overall theme is breastfeeding. While there is no alternative in most mammals—and offspring would die if the mother had no milk or could not feed the newborn—human mothers were offered alternative ways of infant feeding. Today restoring breastfeeding is a major goal for pediatricians, midwifes, and lactation advisers.Feeding the premature baby and adding long chain fatty acids and prebiotics to formula is an area of growing interest. Undernutrition is a special challenge for nutritional care because even in recent years severely undernourished children die of inadequate management with too much volume and too much protein in the initial phase.Much knowledge has been gained about parenteral nutrition for children with gut failure. Even children ... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5241069 Thu, 22 Sep 2011 18:41:58 +0100 5241069 http://www.medworm.com/index.php?rid=5241068&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001064%2Fabstract%3Frss%3Dyes As nutrition is an often neglected aspect of pediatric care, it is much welcomed that the editors of this series decided to dedicate 1 issue to nutrition in pediatrics. Focusing on nutrition by contrast means opening a wide field, from infant and child feeding, over feeding the premature baby until the various aspects of “clinical nutrition,” being it artificial feeding, including enteral and parenteral, or feeding the child with special needs, eg, metabolic disorders (eg, phenylketonuria), behavioral problems (eg, anorexia nervosa), food allergy and celiac disease, other forms of chronic diarrhea, inflammatory bowel disease, protein-losing nephropathy, and enteropathies. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5241068 Thu, 22 Sep 2011 18:41:58 +0100 5241068 http://www.medworm.com/index.php?rid=5241067&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000873%2Fabstract%3Frss%3Dyes Because nutrition is of fundamental importance to child health and development, clinicians who care for children should be well-trained to answer parents' and patients' questions about nutrition in health and disease and to use nutritional therapies. Many medical students, however, receive an inadequate amount of nutrition education in medical school. A survey conducted in 2008-2009 documented that only 27% of accredited US medical schools met the minimum 25 required hours set by the National Academy of Sciences. Many clinicians find themselves ill-prepared to fully incorporate nutritional interventions into clinical practice. Reading the nutrition literature and attending educational programs are useful ways of staying up to date on recent findings in the field of nutrition. In this issue... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5241067 Thu, 22 Sep 2011 18:41:58 +0100 5241067 http://www.medworm.com/index.php?rid=5241066&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001490%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5241066 Thu, 22 Sep 2011 18:41:58 +0100 5241066 http://www.medworm.com/index.php?rid=5112364&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001374%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5112364 Thu, 11 Aug 2011 07:11:17 +0100 5112364 http://www.medworm.com/index.php?rid=5112363&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001362%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5112363 Thu, 11 Aug 2011 07:11:17 +0100 5112363 http://www.medworm.com/index.php?rid=5112362&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001350%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5112362 Thu, 11 Aug 2011 07:11:17 +0100 5112362 http://www.medworm.com/index.php?rid=5112361&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001441%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5112361 Thu, 11 Aug 2011 07:11:17 +0100 5112361 http://www.medworm.com/index.php?rid=5112360&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000551%2Fabstract%3Frss%3Dyes Worldwide, the burden of suffering to children caused by tobacco does not just originate from exposure to tobacco smoke or smoking, but includes exposure to tobacco-friendly media, poverty associated with money spent on tobacco, increased incidence of tobacco-related fires, and the harms related to child labor in tobacco cultivation. Despite global efforts through human rights acts, the Framework Convention on Tobacco Control, and the MPOWER report, tobacco use continues to accelerate in most countries. While the efforts that have been taken, such as smoking bans in public, are worthy actions, not enough is being done to protect children and teens. More can be done at the policy level, by individuals, and by health care providers. (Source: Current Problems in Pediatric and Adolescent Healt... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5112360 Thu, 11 Aug 2011 07:11:17 +0100 5112360 http://www.medworm.com/index.php?rid=5112359&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS153854421100054X%2Fabstract%3Frss%3Dyes Each day, 1300 children in the US become regular smokers. The “Brown Plague” is spreading around the world: 80,000-100,000 children in the world become smokers each day. These new recruits are needed to replace older smokers who are dying of smoking-related diseases. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5112359 Thu, 11 Aug 2011 07:11:17 +0100 5112359 http://www.medworm.com/index.php?rid=5112358&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001349%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5112358 Thu, 11 Aug 2011 07:11:17 +0100 5112358 http://www.medworm.com/index.php?rid=5023312&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001179%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023312 Wed, 13 Jul 2011 23:24:09 +0100 5023312 http://www.medworm.com/index.php?rid=5023311&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001167%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023311 Wed, 13 Jul 2011 23:24:09 +0100 5023311 http://www.medworm.com/index.php?rid=5023310&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001155%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023310 Wed, 13 Jul 2011 23:24:09 +0100 5023310 http://www.medworm.com/index.php?rid=5023309&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001246%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023309 Wed, 13 Jul 2011 23:24:09 +0100 5023309 http://www.medworm.com/index.php?rid=5023308&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000538%2Fabstract%3Frss%3Dyes Human beings, as a species, possess a biological need for relatedness. This primal energy for development reflects an essential expression of our genetic code as well as a consequence of learned behavior. Relationships influence growth, development, organization, and function from the molecular to the social levels of human life. Indeed, integrative scientific research documents the occurrence of epigenetic changes on gene structure and expression resultant from sensitively timed stressors from the social or physical environment. These effects appear stronger and longer the earlier they occur in the life cycle. The collected essays in this important volume, starting with Fitzgerald et al's historical framework, include numerous examples of the interface between the physical genome and the ... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023308 Wed, 13 Jul 2011 23:24:09 +0100 5023308 http://www.medworm.com/index.php?rid=5023307&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000526%2Fabstract%3Frss%3Dyes Primary care pediatric health care clinicians can integrate basic principles and strategies of the field of infant mental health within the time constraints of their current practice, while advocating for additional resources to support the expansion of the preventive potential afforded by new scientific advances in this field. Infant mental health is a relatively young field with the potential to reduce human suffering and health care costs associated with early-onset developmental, emotional, and behavioral disorders. This will depend not only on primary care pediatric diagnostic acumen, but also on related investments in health care preventive screenings and interventions, training and infrastructure, as well as community supports. The health and development of infants, young children, ... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023307 Wed, 13 Jul 2011 23:24:09 +0100 5023307 http://www.medworm.com/index.php?rid=5023306&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000514%2Fabstract%3Frss%3Dyes This article addresses the barriers that influence the pediatrician's ability to engage in developmental guidance during regular well-child visits. Challenges related to the current structure of pediatric training programs are discussed, as well as the economics of extending time with families, and the real limitations associated with insurance reimbursement policies that make it difficult for pediatricians to focus on developmental preventive care related to social and emotional development. Recent changes in the public policy arena provide an opportunity to overcome barriers. Specific provisions are described within the Patient Protection and Affordable Care Act that have the potential to enhance opportunities to address social and emotional development through the provision of developme... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023306 Wed, 13 Jul 2011 23:24:09 +0100 5023306 http://www.medworm.com/index.php?rid=5023305&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000502%2Fabstract%3Frss%3Dyes The growth of infants' regulatory capacities is foundational to the capacity for resilience. Variations in the quality of early social--emotional experience can promote or undermine infants' regulatory capacities. Such capacities are also dynamically sculpted by the relationships among infant, parent, and contextual--cultural factors. Brief periods of disorganization in parent–infant relationships are inevitable, common, and reflect everyday demands on parents and infants. The uneven nature of parent–infant interactions fosters the emergence of new infant capacities. Parental depression and anxiety as well as infant medical, behavioral, and temperamental issues can result in prolonged periods of dyadic disorganization and maladaptive infant outcomes. Child health clinicians can help pa... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023305 Wed, 13 Jul 2011 23:24:09 +0100 5023305 http://www.medworm.com/index.php?rid=5023304&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000496%2Fabstract%3Frss%3Dyes This overview is a synthesis of our current understanding of parent–infant bonding, chiefly from the perspective of the parent's brain physiology. The parent–infant bond is central to the human condition, contributes to risks for mood and anxiety disorders, and provides potential resiliency and protection against the development of psychopathology throughout life. While the complex nature of the phenomena and experimental approaches leads to the consideration of many overlapping parenting brain systems, including sensory, emotion, and cognition to support behavior, a relatively small set of brain regions seem to be robustly involved. These include basal ganglia and related cortex for emotion and drive (striatum, amygdala, hypothalamus, and hippocampus), and regulatory cortical regions ... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023304 Wed, 13 Jul 2011 23:24:08 +0100 5023304 http://www.medworm.com/index.php?rid=5023303&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000484%2Fabstract%3Frss%3Dyes The purpose of this article is to summarize key findings in cross-cultural research to guide infant mental health practice in pediatric settings. This overview highlights 3 main themes: the distribution of care-giving in families and communities, the persistent and paramount importance of physical health and survival, and the need to understand diverse practices of infant socialization. In each of these areas, simple guidance that can be implemented by diverse clinicians is offered. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023303 Wed, 13 Jul 2011 23:24:08 +0100 5023303 http://www.medworm.com/index.php?rid=5023302&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000472%2Fabstract%3Frss%3Dyes This article explores child and parent risk factors that can affect the early parent–child relationship and highlights how a relational approach can be used in pediatric primary care to optimize early social–emotional development in the context of family-centered care. Risk factors, such as prematurity, parental mental illness, and a history of adverse care-giving experiences, can affect the parent–child relationship and influence later infant social–emotional development. The pediatrician, because of the ongoing relationship with the family, is in an optimal position to identify concerns, initiate interventions, and provide support and services to support the development of the early parent–child relationship. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023302 Wed, 13 Jul 2011 23:24:08 +0100 5023302 http://www.medworm.com/index.php?rid=5023301&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000460%2Fabstract%3Frss%3Dyes We review historical factors that led to the creation of the interdisciplinary field of infant mental health. The history of infant mental health is linked to transformations in scientific knowledge about infancy that emerged primarily in the 20th century, particularly with respect to social and emotional development. Contemporary challenges for the infant mental health field focus on research, practice, and policy issues that reflect these shifts and impact our understanding of the dynamic social, emotional, and cultural forces that shape early development. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023301 Wed, 13 Jul 2011 23:24:08 +0100 5023301 http://www.medworm.com/index.php?rid=5023300&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000770%2Fabstract%3Frss%3Dyes I remember, as I completed my pediatric training in the 1970s in Michigan, the early “glimmers” of professionals (mostly PhDs and other child therapists) who were beginning to organize around the issues related to mental health in infants. I was briefly on the Board of Directors for the Michigan Association for Infant Mental Health (MAIMH) in the 1980s before leaving for a faculty position at the University of Wisconsin–Madison. I returned to Ann Arbor several times for the annual meeting of the MAIMH in the 1990s and presented a workshop at one of the meetings. Hiram Fitzgerald, PhD, is a longstanding local, national, and international leader of this “movement” and the editorial board members of Current Problems in Pediatric and Adolescent Health Care are delighted that he agree... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023300 Wed, 13 Jul 2011 23:24:08 +0100 5023300 http://www.medworm.com/index.php?rid=5023299&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211001143%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=5023299 Wed, 13 Jul 2011 23:24:08 +0100 5023299 http://www.medworm.com/index.php?rid=4948038&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000964%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4948038 Tue, 21 Jun 2011 00:26:26 +0100 4948038 http://www.medworm.com/index.php?rid=4948037&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000952%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4948037 Tue, 21 Jun 2011 00:26:26 +0100 4948037 http://www.medworm.com/index.php?rid=4948036&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000940%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4948036 Tue, 21 Jun 2011 00:26:26 +0100 4948036 http://www.medworm.com/index.php?rid=4948035&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000988%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4948035 Tue, 21 Jun 2011 00:26:26 +0100 4948035 http://www.medworm.com/index.php?rid=4948034&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000265%2Fabstract%3Frss%3Dyes Dr. David Barker first popularized the concept of fetal origins of adult disease (FOAD). Since its inception, FOAD has received considerable attention. The FOAD hypothesis holds that events during early development have a profound impact on one's risk for development of future adult disease. Low birth weight, a surrogate marker of poor fetal growth and nutrition, is linked to coronary artery disease, hypertension, obesity, and insulin resistance. Clues originally arose from large 20th century, European birth registries. Today, large, diverse human cohorts and various animal models have extensively replicated these original observations. This review focuses on the pathogenesis related to FOAD and examines Dr. David Barker's landmark studies, along with additional human and animal model data... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4948034 Tue, 21 Jun 2011 00:26:26 +0100 4948034 http://www.medworm.com/index.php?rid=4948033&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000277%2Fabstract%3Frss%3Dyes “I am my mother's daughter.” “I am my mother's son.” (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4948033 Tue, 21 Jun 2011 00:26:26 +0100 4948033 http://www.medworm.com/index.php?rid=4948032&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000939%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4948032 Tue, 21 Jun 2011 00:26:26 +0100 4948032 http://www.medworm.com/index.php?rid=4666829&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000605%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4666829 Sat, 02 Apr 2011 01:52:37 +0100 4666829 http://www.medworm.com/index.php?rid=4666828&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000599%2Fabstract%3Frss%3Dyes Current Problems in Pediatric and Adolescent Health Care (ISSN: 1538-5442) is published monthly, except bi-monthly in May/Jun and Nov/Dec by Elsevier, 360 Park Avenue South, New York, NY 10010-1710. Periodicals postage paid at New York, NY and additional mailing offices. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4666828 Sat, 02 Apr 2011 01:52:37 +0100 4666828 http://www.medworm.com/index.php?rid=4666827&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000587%2Fabstract%3Frss%3Dyes Elena V. Wachtel, MD, MPH, FAAP Assistant Professor of Pediatrics (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4666827 Sat, 02 Apr 2011 01:52:37 +0100 4666827 http://www.medworm.com/index.php?rid=4666826&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000629%2Fabstract%3Frss%3Dyes – Food Allergies: Clinical Manifestations, Diagnosis, and Management Carla M. Davis (November 2009) (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4666826 Sat, 02 Apr 2011 01:52:37 +0100 4666826 http://www.medworm.com/index.php?rid=4666825&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002361%2Fabstract%3Frss%3Dyes My relationship with the Neonatology Service began at 4:30 AM on a rainy Saturday night, 4 hours after the joy of my first child's birth gave way to crisis. Twenty-four hours earlier, the onset of contractions signaled that we were about to reach the culmination of my wife's relatively easy pregnancy. Once at the hospital, her labor progressed initially without incident, but then an unexpected complication arose and her doctors decided that she would need a C-section. Though we entered the operating room excited and relaxed, the mood soon turned serious as it became clear the surgeons were having difficulty extracting the baby. Behind the surgical sheet wall, the proclamation of “baby's out” was muted by a deafening silence—the absence of a cry. CPR was performed; our baby was intuba... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4666825 Sat, 02 Apr 2011 01:52:36 +0100 4666825 http://www.medworm.com/index.php?rid=4666824&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS153854421000235X%2Fabstract%3Frss%3Dyes When your ankle is swollen, you put ice on it, so the idea of cooling our son's brain to keep it from swelling seemed logical. If we had thought about it more, maybe we would have questioned it, but all we could really do at the time was go with our guts and trust the doctors. We had only been parents for a few short hours and already we were making life and death decisions. It seemed unreal that we were even being consulted. The voice in my head said, “Yes, this is the right thing to do,” so we gave the OK and the Cool-Cap procedure was begun. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4666824 Sat, 02 Apr 2011 01:52:36 +0100 4666824 http://www.medworm.com/index.php?rid=4666823&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002348%2Fabstract%3Frss%3Dyes Neonatal encephalopathy after perinatal hypoxic-ischemic insult is a major contributor to global child mortality and morbidity. Brain injury in term infants in response to hypoxic-ischemic insult is a complex process evolving over hours to days, which provides a unique window of opportunity for neuroprotective treatment interventions. Advances in neuroimaging, brain monitoring techniques, and tissue biomarkers have improved the ability to diagnose, monitor, and care for newborn infants with neonatal encephalopathy as well as predict their outcome. However, challenges remain in early identification of infants at risk for neonatal encephalopathy, determination of timing and extent of hypoxic-ischemic brain injury, as well as optimal management and treatment duration. Therapeutic hypothermia ... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4666823 Sat, 02 Apr 2011 01:52:35 +0100 4666823 http://www.medworm.com/index.php?rid=4666822&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002336%2Fabstract%3Frss%3Dyes Neonatal encephalopathy, largely a result of perinatal asphyxia, remains a significant cause of neonatal death and long-term disability. As described in this month's article by Drs. Wachtel and Hendricks-Muñoz, as many as 10,000 babies born each year in the US will be given a diagnosis of neonatal encephalopathy, and infants with this diagnosis account for up to 25% of cases of developmental delay. Over the past 10 years, remarkable progress has been made in reducing the morbidity and mortality associated with this condition, largely because of the development of hypothermia therapy in combination with supportive intensive care management. The story of the development of hypothermia therapy as reviewed in this month's issue is an exciting reminder of how application of the scientific meth... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4666822 Sat, 02 Apr 2011 01:52:35 +0100 4666822 http://www.medworm.com/index.php?rid=4666821&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000575%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4666821 Sat, 02 Apr 2011 01:52:35 +0100 4666821 http://www.medworm.com/index.php?rid=4647357&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000356%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647357 Tue, 29 Mar 2011 21:18:47 +0100 4647357 http://www.medworm.com/index.php?rid=4647356&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000344%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647356 Tue, 29 Mar 2011 21:18:47 +0100 4647356 http://www.medworm.com/index.php?rid=4647355&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000332%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647355 Tue, 29 Mar 2011 21:18:47 +0100 4647355 http://www.medworm.com/index.php?rid=4647354&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS153854421100037X%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647354 Tue, 29 Mar 2011 21:18:47 +0100 4647354 http://www.medworm.com/index.php?rid=4647353&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002063%2Fabstract%3Frss%3Dyes As a parent, I read these stories with tears in my eyes. I found myself imagining either of my 2 sons with the problems faced by the children in these stories. I wondered if I would be as brave and forgiving as the authors had been. I doubt it. I don't think I would have come through such experiences as “intact” as the authors seem to have done. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647353 Tue, 29 Mar 2011 21:18:47 +0100 4647353 http://www.medworm.com/index.php?rid=4647352&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002154%2Fabstract%3Frss%3Dyes I am told one doctor said to another about a woman wanting to bear and deliver a child with known severe disabilities: “But who would want a child like that anyway?” Dear Doctor: (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647352 Tue, 29 Mar 2011 21:18:47 +0100 4647352 http://www.medworm.com/index.php?rid=4647351&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002142%2Fabstract%3Frss%3Dyes In the first days and weeks after our son Evan was born, at twenty-three weeks gestation, weighing only a pound, we heard the phrase a lot, “We're waiting for him to declare himself.” To the doctors the phrase meant the obvious: “Will his blood sugars level now that we're giving him glucose?” “Will his blood pressure increase with the dopamine?” “Will his white blood count lower with the antibiotics?” “Will his blood gases improve with the change in the vent settings?” (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647351 Tue, 29 Mar 2011 21:18:46 +0100 4647351 http://www.medworm.com/index.php?rid=4647350&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002208%2Fabstract%3Frss%3Dyes My baby boy threatened to be born at 25 weeks but was born at 28 weeks. I considered it my duty to demedicalize the situation, bid him “welcome to the world, son!” with as cheerful a voice as I could muster up when I first saw him, a hairy, withered-looking, feeble thing, not a father's dream of what his eldest son/heir to his manhood/road to immortality should look like. I tried to demedicalize him but found this rather a difficult task, as all around me were trying, it seemed, just the opposite. Nurses welcomed us into the unit daily with his laboratory reports, even though we stopped them every single day in midsentence, warning them that, although we ourselves were physicians, we were not interested in his laboratory results, just whether or not he was doing OK. Of course, some med... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647350 Tue, 29 Mar 2011 21:18:46 +0100 4647350 http://www.medworm.com/index.php?rid=4647349&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002191%2Fabstract%3Frss%3Dyes Before my son passed away, I always said that his birthday was the scariest day of my life. Now, his birthday is still a reminder of the horror we lived through. But it is more than that. It is a reminder of that fateful day, but now I remember things other than the horror. It was a day that changed our lives so permanently. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647349 Tue, 29 Mar 2011 21:18:46 +0100 4647349 http://www.medworm.com/index.php?rid=4647348&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002130%2Fabstract%3Frss%3Dyes I was born with a spina bifida meningocele and with a kyphoscoliosis. On the day of my birth, my parents were advised by their pediatrician not to see their infant daughter for fear that they would bond with a child who would not survive or, if she did, would be permanently paralyzed, afflicted with severe bowel and bladder problems, and serious learning disabilities. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647348 Tue, 29 Mar 2011 21:18:46 +0100 4647348 http://www.medworm.com/index.php?rid=4647347&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002129%2Fabstract%3Frss%3Dyes “When will Katie's autism go away?” My heart ached when my daughter's loving and accepting 9-year-old brother asked me this question. This was the moment I had been anticipating and dreading for years. Was this the day Ryan began rejecting his sister? (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647347 Tue, 29 Mar 2011 21:18:45 +0100 4647347 http://www.medworm.com/index.php?rid=4647346&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002117%2Fabstract%3Frss%3Dyes It has been 5 years since the summer of our daughter's 80-day life. Before that summer, my husband and I had lived a life that was just about perfect by most peoples' standards. I had married my high school sweetheart and our life together was better than we ever could have dreamed. We enjoyed excellent health. We were financially comfortable. We had five great kids at home who excelled in school and sports. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647346 Tue, 29 Mar 2011 21:18:45 +0100 4647346 http://www.medworm.com/index.php?rid=4647345&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002105%2Fabstract%3Frss%3Dyes “You have a beautiful baby,” the ultrasound technician said quietly. She was studying the flickering images on her screen, staring intently at the shadows of the tiny heart. I think she had already seen that our baby was going to die. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647345 Tue, 29 Mar 2011 21:18:45 +0100 4647345 http://www.medworm.com/index.php?rid=4647344&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002099%2Fabstract%3Frss%3Dyes Suddenly, I was a “them.” The moment that should have been the most joyous in my life became the most tragic. In the shift from health care professional to mother of a critically ill newborn, I learned things that redefined both my life and my professional identity. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647344 Tue, 29 Mar 2011 21:18:45 +0100 4647344 http://www.medworm.com/index.php?rid=4647343&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002087%2Fabstract%3Frss%3Dyes “Tell me about when I was born,” my grandson asks me on his fourth birthday. I tell him how beautiful he was. And how small he was, and that we were all there—his mommy and daddy, his other grandparents, and me. And that he made us all so happy by being born. All true. What I don't say is that it was also a time of terror and unspeakable sorrow. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647343 Tue, 29 Mar 2011 21:18:45 +0100 4647343 http://www.medworm.com/index.php?rid=4647342&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS153854421000218X%2Fabstract%3Frss%3Dyes “Are you telling me my son is dying?” said Gabriel's mother. Gabriel was three days old. His 19-year-old mother had delivered him at home at 27 weeks of gestational age. He was intubated by our transport team and stabilized and rushed to our hospital, but now had taken a turn for the worse. Mr. and Mrs. Petit never left Gabriel's bedside. I spoke to them every few hours. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647342 Tue, 29 Mar 2011 21:18:45 +0100 4647342 http://www.medworm.com/index.php?rid=4647341&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002075%2Fabstract%3Frss%3Dyes There are so many ways to tell this story about me and my sister, Beth. I remember looking up from the sidewalk outside the hospital, standing next to my brother, Mark. I am almost 7 years old, he is nearly 5. Our dad stands next to us. In front of us, 20 feet of grass and then the brick wall of the hospital rises one, two, three, four stories to the window where my mother waves down to us, holding our newborn sister up for us to see. In retrospect, that day marked for our family the high point of carefreeness. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647341 Tue, 29 Mar 2011 21:18:45 +0100 4647341 http://www.medworm.com/index.php?rid=4647340&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002178%2Fabstract%3Frss%3Dyes Editing this collection of essays was a complicated and stimulating task for me. I am neonatologist and I have a PhD in bioethics. I teach medical students, residents, and fellows how to care for babies and families. During my pregnancy in 2005, I had preterm labor, bleeding, and “bulging membranes” at 23 weeks of gestation. As Felicia Cohn writes, “I” became a “them.” It was really happening to me, and I was going through it, but I was also looking at myself from above, as if I was part of a movie, paralyzed. I did not want to make any decisions; I wanted to hide underneath the bed, melt in my blue hospital gown, disappear, and come back a year later to find out the end of the story. Death, survival, disability? Would there be a baby, a gravesite? (Source: Current Problems in... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647340 Tue, 29 Mar 2011 21:18:45 +0100 4647340 http://www.medworm.com/index.php?rid=4647339&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002051%2Fabstract%3Frss%3Dyes The question “what makes a good quality of life?” is a philosophical one which could be thought immune to scientific investigations. However, over the last few decades there has been great progress in developing tools to quantify quality of life (QoL) to make comparisons between different health states, evaluate the effectiveness of medical interventions, and describe the life trajectories of individuals or groups. Using a series of vignettes, we explore and review the biomedical literature to demonstrate how QoL is affected by chronic health conditions in childhood, and how it evolves as individuals pass into adulthood.Individuals experiencing serious chronic illnesses generally have reduced health-related QoL: their health status has significant repercussions of their everyday life, ... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647339 Tue, 29 Mar 2011 21:18:44 +0100 4647339 http://www.medworm.com/index.php?rid=4647338&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS153854421000204X%2Fabstract%3Frss%3Dyes This collection of essays addresses one of the most contentious topics in pediatrics and clinical ethics today, the assessment of quality of life. The topic is contentious because any assessment of quality of life necessarily incorporates value judgments about the subjective state of another human being. The stakes go up when such judgments are used to deny people access to medical care, or to justify the withholding or withdrawing life-sustaining treatment. Before making such significant decisions, we need to be clear about what, exactly, we are talking about and why we talk about it the way we do. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647338 Tue, 29 Mar 2011 21:18:44 +0100 4647338 http://www.medworm.com/index.php?rid=4647337&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000320%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4647337 Tue, 29 Mar 2011 21:18:44 +0100 4647337 http://www.medworm.com/index.php?rid=4467367&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000137%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4467367 Sat, 12 Feb 2011 20:10:41 +0100 4467367 http://www.medworm.com/index.php?rid=4467366&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000125%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4467366 Sat, 12 Feb 2011 20:10:41 +0100 4467366 http://www.medworm.com/index.php?rid=4467365&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000113%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4467365 Sat, 12 Feb 2011 20:10:41 +0100 4467365 http://www.medworm.com/index.php?rid=4467364&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000150%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4467364 Sat, 12 Feb 2011 20:10:41 +0100 4467364 http://www.medworm.com/index.php?rid=4467363&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002038%2Fabstract%3Frss%3Dyes Evidence-based decision-making is central to the practice of pediatrics. Clinical trials and other biomedical research provide a foundation for this process, and practice guidelines, drawing from their results, inform the optimal management of an increasing number of childhood health problems. However, many clinicians fail to adhere to guidelines. Clinical decision support delivered using health information technology, often in the form of electronic health records, provides a tool to deliver evidence-based information to the point of care and has the potential to overcome barriers to evidence-based practice. An increasing literature now informs how these systems should be designed and implemented to most effectively improve outcomes in pediatrics. Through the examples of computerized phys... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4467363 Sat, 12 Feb 2011 20:10:41 +0100 4467363 http://www.medworm.com/index.php?rid=4467362&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002026%2Fabstract%3Frss%3Dyes I consider myself an optimist. A “glass half full” type of person. I must admit, however, my frustrations over the years as health information technology (HIT) has evolved. HIT held great promise in the 1990s and yet never quite fulfilled all that I had hoped for. In this issue of Current Problems in Pediatric and Adolescent Health Care, Dr. Alexander Fiks gives us a fresh look at how the promise of HIT may yet be achieved. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4467362 Sat, 12 Feb 2011 20:10:41 +0100 4467362 http://www.medworm.com/index.php?rid=4467361&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544211000101%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4467361 Sat, 12 Feb 2011 20:10:41 +0100 4467361 http://www.medworm.com/index.php?rid=4365624&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002440%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4365624 Wed, 19 Jan 2011 19:03:38 +0100 4365624 http://www.medworm.com/index.php?rid=4365623&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002439%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4365623 Wed, 19 Jan 2011 19:03:38 +0100 4365623 http://www.medworm.com/index.php?rid=4365622&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002427%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4365622 Wed, 19 Jan 2011 19:03:38 +0100 4365622 http://www.medworm.com/index.php?rid=4365621&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002464%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4365621 Wed, 19 Jan 2011 19:03:38 +0100 4365621 http://www.medworm.com/index.php?rid=4365620&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001872%2Fabstract%3Frss%3Dyes Waterpipe tobacco smoking is a centuries old practice, influenced by cultural tradition in Eastern Mediterranean countries, the Middle East, and parts of Asia. It historically has been an activity enjoyed primarily by men. In the past 2 decades, however, this method of tobacco smoking has increased in popularity in other parts of the world, including the USA. Growing interest in this form of smoking can be traced, in part, to the advent of a flavored tobacco, called maassel. The combination of flavoring agents and the paraphernalia itself used in the smoking process, along with its mystic appeal, novelty, affordability, and the social atmosphere in which smoking often occurs, has made waterpipe smoking attractive to women as well as men, cigarette smokers and nonsmokers alike, and particul... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4365620 Wed, 19 Jan 2011 19:03:38 +0100 4365620 http://www.medworm.com/index.php?rid=4365619&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002166%2Fabstract%3Frss%3Dyes The fashions in tobacco use have changed through the centuries. In North America, tobacco use seems to have started with a twist (a tobacco twist that is). When Christopher Columbus arrived in the New World, he noted that some of the local people smoked twisted dried tobacco leaves rolled in palm or plantain leaves. The pipe and cigar were the predominant form of tobacco use in America until the early 20th century, when cigarette use started rising, in large part due to the invention of the cigarette-making machine and the cheaper cost of cigarettes. By the 1920s, cigarette smoking was the dominant form of tobacco use in the USA. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4365619 Wed, 19 Jan 2011 19:03:38 +0100 4365619 http://www.medworm.com/index.php?rid=4365618&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210002415%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4365618 Wed, 19 Jan 2011 19:03:38 +0100 4365618 http://www.medworm.com/index.php?rid=4129182&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001720%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4129182 Mon, 01 Nov 2010 00:00:00 +0100 4129182 http://www.medworm.com/index.php?rid=4129181&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001719%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4129181 Mon, 01 Nov 2010 00:00:00 +0100 4129181 http://www.medworm.com/index.php?rid=4129180&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001707%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4129180 Mon, 01 Nov 2010 00:00:00 +0100 4129180 http://www.medworm.com/index.php?rid=4129179&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001744%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4129179 Mon, 01 Nov 2010 00:00:00 +0100 4129179 http://www.medworm.com/index.php?rid=4129178&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001379%2Fabstract%3Frss%3Dyes Recent data from the US Census Bureau indicate that many of our youngest citizens live in poverty; the size of this population has been steadily increasing over time since the 1970s. There is a wide body of research documenting the importance of family income for children's health and well-being. Thus, trends in child poverty suggest that a growing share of children today are experiencing circumstances that are detrimental to their overall health and development and that could have lifelong consequences. In this article we use data from the Current Population Survey, March Annual Social and Economic Supplements, to describe the prevalence of child poverty in the US over time and the sociodemographic and geographic characteristics of children and their parents living in poverty. We also exp... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4129178 Mon, 01 Nov 2010 00:00:00 +0100 4129178 http://www.medworm.com/index.php?rid=4129177&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001367%2Fabstract%3Frss%3Dyes Childhood poverty in the USA remains an issue that concerns the child, the family, the community, each state, and the nation. It also is a topic that pediatricians must become cognizant of because of the impact it has on the children we care for daily. It goes beyond the specific income threshold that sets the federal poverty level; rather it impacts on the ability of families to acquire life's basic needs to allow their children the opportunity to reach their full potential. These basic needs include adequate nutrition to grow and develop in an optimal fashion and a secure and stable home in a safe neighborhood, which allows for play, exploration, and physical activity. It must also include access to health insurance coverage as well as a physician, health center, and health system to mee... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4129177 Mon, 01 Nov 2010 00:00:00 +0100 4129177 http://www.medworm.com/index.php?rid=4129176&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001355%2Fabstract%3Frss%3Dyes “Children are our greatest national resource…it is through them that we invest in the future of the economy, in the Nation's future security and in its future social health and stability.” Alan Pifer, President Emeritus, Carnegie Corporation of New York, made this assertion in the 1990s before the groundbreaking work of Nobel laureate James Heckman, PhD. As Dr. Oberg notes in this issue, helping children escape the scourge of chronic poverty has both a moral and an economic imperative. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4129176 Mon, 01 Nov 2010 00:00:00 +0100 4129176 http://www.medworm.com/index.php?rid=4129175&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001690%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4129175 Mon, 01 Nov 2010 00:00:00 +0100 4129175 http://www.medworm.com/index.php?rid=4008203&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001501%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4008203 Wed, 29 Sep 2010 17:00:20 +0100 4008203 http://www.medworm.com/index.php?rid=4008202&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001495%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4008202 Wed, 29 Sep 2010 17:00:20 +0100 4008202 http://www.medworm.com/index.php?rid=4008201&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001483%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4008201 Wed, 29 Sep 2010 17:00:20 +0100 4008201 http://www.medworm.com/index.php?rid=4008200&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001525%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4008200 Wed, 29 Sep 2010 17:00:20 +0100 4008200 http://www.medworm.com/index.php?rid=4008199&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001112%2Fabstract%3Frss%3Dyes Abstract: Prematurity is defined as birth before 37 weeks of gestation and is the major determinant of morbidity and mortality in newborns. The gestational ages known as near term or late preterm represent about 75% of preterm births and are the fastest growing subgroups of premature infants. These infants range in gestational age from 34 0/7 to 36 6/7 weeks and are at greater risk of morbidity, such as respiratory complications, temperature instability, hypoglycemia, kernicterus, feeding problems, neonatal intensive care unit admissions, and adverse neurological sequelae when compared with term infants. Long-term neurological and school-age outcomes of late preterm infants are concerns of major public health importance because even a minor increase in the rate of neurological disability a... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4008199 Wed, 29 Sep 2010 17:00:20 +0100 4008199 http://www.medworm.com/index.php?rid=4008198&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001100%2Fabstract%3Frss%3Dyes Infants born between 34 0/7 and 36 6/7 weeks of gestational age (so-called late preterm infants) present some challenges to the clinician and to both hospital and public health systems. As described in detail in this month's article by Drs. Mally, Bailey, and Hendricks-Muñoz, while most of these babies ultimately do very well, their risks for morbidity across a wide range of clinical issues are higher that those of full-term infants. Since late preterm infants represent a noticeable percentage (9%) of all births in the USA, even small increases in their clinical risk have large impacts at the population level. Studies have well documented that the risks increase steadily as gestational age declines from 40 to 34 weeks. We need to remind ourselves that even at 37-38 weeks gestational age, ... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4008198 Wed, 29 Sep 2010 17:00:20 +0100 4008198 http://www.medworm.com/index.php?rid=4008197&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001471%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=4008197 Wed, 29 Sep 2010 17:00:20 +0100 4008197 http://www.medworm.com/index.php?rid=3931352&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001227%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3931352 Tue, 31 Aug 2010 23:00:00 +0100 3931352 http://www.medworm.com/index.php?rid=3931351&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001215%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3931351 Tue, 31 Aug 2010 23:00:00 +0100 3931351 http://www.medworm.com/index.php?rid=3931350&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001203%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3931350 Tue, 31 Aug 2010 23:00:00 +0100 3931350 http://www.medworm.com/index.php?rid=3931349&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001240%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3931349 Tue, 31 Aug 2010 23:00:00 +0100 3931349 http://www.medworm.com/index.php?rid=3931348&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000933%2Fabstract%3Frss%3Dyes This article provides an extensive review of mercury exposure and children's health. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3931348 Tue, 31 Aug 2010 23:00:00 +0100 3931348 http://www.medworm.com/index.php?rid=3931347&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001070%2Fabstract%3Frss%3Dyes Acrodynia was recognized about 100 years ago and in the early part of the last century the condition was commonly seen in pediatric clinics. Teething powders containing calomel also were commonly recommended by physicians. It wasn't until an astute clinician noted the association between use of mercury-containing calomel in teething powders and the occurrence of acrodynia that mercury was suggested as the cause. In the 1940s the etiology was confirmed when elevated urine mercury concentrations were documented in children with acrodynia. Mercury was finally removed from teething powders in 1954, and acrodynia cases dropped precipitously. Deaths from acrodynia almost disappeared. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3931347 Tue, 31 Aug 2010 23:00:00 +0100 3931347 http://www.medworm.com/index.php?rid=3931346&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001264%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3931346 Tue, 31 Aug 2010 23:00:00 +0100 3931346 http://www.medworm.com/index.php?rid=3856714&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001021%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3856714 Sat, 31 Jul 2010 23:00:00 +0100 3856714 http://www.medworm.com/index.php?rid=3856713&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000970%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3856713 Sat, 31 Jul 2010 23:00:00 +0100 3856713 http://www.medworm.com/index.php?rid=3856712&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000969%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3856712 Sat, 31 Jul 2010 23:00:00 +0100 3856712 http://www.medworm.com/index.php?rid=3856711&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210001069%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3856711 Sat, 31 Jul 2010 23:00:00 +0100 3856711 http://www.medworm.com/index.php?rid=3856710&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS153854421000091X%2Fabstract%3Frss%3Dyes Abstract: Lower extremity musculoskeletal pain is a common complaint in the adolescent athlete. During rapid growth, several common biomechanical changes occur that may predispose to overuse injury. Unlike fractures, most of these office-based sports medicine complaints are initially evaluated by the primary care provider. This review discusses several of the most common complaints and briefly discusses some clinically significant conditions that masquerade as common injuries. The article discusses only the injuries unique to the growing athlete. The article's goal is to help develop a framework for the pediatric clinician to evaluate common complaints and formulate a plan that includes simple stretches and physical therapy recommendations. (Source: Current Problems in Pediatric and Adoles... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3856710 Sat, 31 Jul 2010 23:00:00 +0100 3856710 http://www.medworm.com/index.php?rid=3856709&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000908%2Fabstract%3Frss%3Dyes This article reviews the current understanding of the epidemiology, pathophysiology, and clinical presentation of concussion and discusses the unique factors involved in clinical management of concussion in the adolescent student-athlete. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3856709 Sat, 31 Jul 2010 23:00:00 +0100 3856709 http://www.medworm.com/index.php?rid=3856708&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000891%2Fabstract%3Frss%3Dyes About the same time that I began editing the articles by Dr Matthew F. Grady and Dr Arlene Goodman for this issue of Current Problems in Pediatric and Adolescent Healthcare, I began watching the Philadelphia Flyers in their pursuit of the 2010 Stanley Cup. In the first round of the playoffs with the New Jersey Devils, Ian Laperriere, the scrappy forward for the Flyers, took a puck to the face, intentionally blocking a slap shot from Paul Martin during the third period of the game. The injury required 70 stitches to close the wound above his right eye and subsequently it was determined that, although there was no loss of consciousness, he had suffered a brain contusion and a concussion. Laperriere is now wearing a full face shield during games! (Source: Current Problems in Pediatric and Ado... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3856708 Sat, 31 Jul 2010 23:00:00 +0100 3856708 http://www.medworm.com/index.php?rid=3856707&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000957%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3856707 Sat, 31 Jul 2010 23:00:00 +0100 3856707 http://www.medworm.com/index.php?rid=3760066&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000775%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3760066 Wed, 30 Jun 2010 23:00:00 +0100 3760066 http://www.medworm.com/index.php?rid=3760065&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000763%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3760065 Wed, 30 Jun 2010 23:00:00 +0100 3760065 http://www.medworm.com/index.php?rid=3760064&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000751%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3760064 Wed, 30 Jun 2010 23:00:00 +0100 3760064 http://www.medworm.com/index.php?rid=3760063&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000799%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3760063 Wed, 30 Jun 2010 23:00:00 +0100 3760063 http://www.medworm.com/index.php?rid=3760062&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000726%2Fabstract%3Frss%3Dyes The following corrections to the article by McCurdy, et al titled “Using Nature and Outdoor Activity to Improve Children's Health” (2010;5:102-177; doi 10.1016/j.cppeds.2010.02.003) published in the May/June issue of Current Problems in Pediatric and Adolescent Health Care, were submitted post production by the authors: (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3760062 Wed, 30 Jun 2010 23:00:00 +0100 3760062 http://www.medworm.com/index.php?rid=3760061&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000702%2Fabstract%3Frss%3Dyes Palliative care has always been a part of the care of children. It includes any intervention that focuses on relieving suffering, slowing the progression of disease, and improving quality of life at any stage of disease. In addition, for even the child with the most unpredictable disease, there are predictable times in this child's life when the child, family, and care team will be suffering in ways that can be mitigated by specific interventions.Rather than defining pediatric palliative care in terms of a patient base, severity of disease, or even a general philosophy of care, palliative care can best be understood as a specific set of tasks directed at mitigating suffering. By understanding these tasks; learning to identify predictable times and settings of suffering; and learning to col... Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3760061 Wed, 30 Jun 2010 23:00:00 +0100 3760061 http://www.medworm.com/index.php?rid=3760060&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000714%2Fabstract%3Frss%3Dyes Early in my career, palliative care was associated with a negative connotation. Palliation comes from the Latin word palliare meaning “to cloak.” Indeed, for me, palliative care meant I was covering up or alleviating symptoms most often for a child without hope for cure. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3760060 Wed, 30 Jun 2010 23:00:00 +0100 3760060 http://www.medworm.com/index.php?rid=3760059&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS153854421000074X%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3760059 Wed, 30 Jun 2010 23:00:00 +0100 3760059 http://www.medworm.com/index.php?rid=3451755&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS153854421000060X%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3451755 Fri, 09 Apr 2010 14:20:03 +0100 3451755 http://www.medworm.com/index.php?rid=3451754&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000593%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3451754 Fri, 09 Apr 2010 14:20:03 +0100 3451754 http://www.medworm.com/index.php?rid=3451753&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000581%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3451753 Fri, 09 Apr 2010 14:20:03 +0100 3451753 http://www.medworm.com/index.php?rid=3451752&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000623%2Fabstract%3Frss%3Dyes (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3451752 Fri, 09 Apr 2010 14:20:03 +0100 3451752 http://www.medworm.com/index.php?rid=3451751&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000441%2Fabstract%3Frss%3Dyes This article reviews the current evidence of the mental and physical health benefits associated with unstructured, outdoor activities and time spent in a natural environment such as a park or other recreational area. Pediatric health care providers should recommend outdoor activities for children and refer families to safe and easily accessible outdoor areas. Pediatric health care providers can incorporate this simple, lifestyle-based intervention into anticipatory guidance. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3451751 Fri, 09 Apr 2010 14:20:03 +0100 3451751 http://www.medworm.com/index.php?rid=3451750&cid=s_35502_33_f&fid=35502&url=http%3A%2F%2Fwww.cppah.com%2Farticle%2FPIIS1538544210000465%2Fabstract%3Frss%3Dyes Within just 1 generation, the definition of “play” has changed dramatically among children in industrialized countries. Before the first computer games became available in the early 1980s, when the weather was pleasant, children were usually encouraged to play outside. Organized games such as kickball and baseball were played in neighborhood parks and school yards; children also engaged in less organized play—building tree houses and exploring in and near rivers and ponds. Many parents had a hard time getting children to come indoors at dinnertime. (Source: Current Problems in Pediatric and Adolescent Health Care) Current Problems in Pediatric and Adolescent Health Care journals http://www.medworm.com/rss/comments.php?id=3451750 Fri, 09 Apr 2010 14:20:03 +0100 3451750