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Proposed FDA Guidance on Financial Disclosure and the Physician Payment Sunshine Regulations – Divergent Paths and Duplicated Efforts
Conclusion  The increased regulation and requirements to disclose FCOIs creates a tremendous burden for researchers and institutions that are repetitive, overlapping but not-identical, and time-consuming.  Nevertheless, institutions that receive PHS funding can manage FCOIs in a number of ways: (1) public disclosure of the FCOI (e.g., when presenting or publishing the research); (2) disclosure of the FCOI directly to human participants; (3) appointment of an independent monitor capable of taking measures to protect the design, conduct, and reporting of the research against bias resulting from the FCOI; (4) modification ...
Source: Policy and Medicine - May 17, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

An All-in-One, Life-Prolonging Gift for Your Child
Sometimes in the hubbub of today, we miss simple things that can have a lasting impact. This is true for parents and for doctors. As part of my ongoing board certification as a pediatrician, I was thrilled recently to see an important nutrition question: “A 5-year-old boy is brought to the physician for a health care supervision visit. The parents have no particular concerns. Which of the following interventions would be most likely to lead to a predicted decrease in mortality in a population of healthy 5-year-old children?” Decreased potassium intake Decreased sodium intake Increased caffeine intake Increased fluor...
Source: Conversations with Dr Greene - March 18, 2013 Category: Pediatricians Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Family Nutrition Top Blog Source Type: blogs

Too much sodium is bad. Hidden sources of sodium are worse!
Sometimes in the hubbub of today, we miss simple things that can have a lasting impact. This is true for parents and for doctors. As part of my ongoing board certification as a pediatrician, I was thrilled recently to see an important nutrition question: “A 5-year-old boy is brought to the physician for a health care supervision visit. The parents have no particular concerns. Which of the following interventions would be most likely to lead to a predicted decrease in mortality in a population of healthy 5-year-old children?” Decreased potassium intake Decreased sodium intake Increased caffeine intake Increased fluori...
Source: Conversations with Dr Greene - March 18, 2013 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Family Nutrition Top Blog Source Type: blogs

Preventing and Treating Severe Mosquito Bites
Dr. Greene’s Answer: Many kids (including my daughter Claire) develop large local reactions to mosquito bites – charmingly called Skeeter Syndrome. It’s a reaction to proteins in mosquitos saliva. There’s usually some reaction within hours of the bite, they progress over 8 to 12 hours or more, and have disappeared within 3 to 10 days. They can be quite dramatic, and occasionally even blister or bruise. It’s rare to get any whole-body symptoms from this. The most common age for it to start is somewhere between age 2 and age 4, and (good news!) once it develops, most kids only have this for several ...
Source: Conversations with Dr Greene - September 22, 2013 Category: Pediatricians Authors: Dr. Alan Greene Tags: Q&A Insect Bites & Stings Source Type: blogs

Mom’s Diet while Breastfeeding
Mom’s diet while breastfeeding can change the composition of her breast milk. It’s no wonder nursing mothers have questions about what they should and shouldn’t eat. Here’s a quick overview of the most commonly asked questions about mom’s diet while breastfeeding. How Many Calories Do Mom’s Need while Breastfeeding? One rule of thumb is to take in about (15 x your current weight) + 500 calories a day. So for a woman who weighs 125 pounds, this would be about 2375 calories a day. But this is just a rule of thumb. Choosing healthy foods, following your appetite, and paying attention to you...
Source: Conversations with Dr Greene - July 20, 2015 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Uncategorized Breastfeeding Breastfeeding Tips Source Type: blogs

Mom ’s Diet while Breastfeeding
Mom’s diet while breastfeeding can change the composition of her breast milk. It’s no wonder nursing mothers have questions about what they should and shouldn’t eat. Here’s a quick overview of the most commonly asked questions about mom’s diet while breastfeeding. How Many Calories Do Mom’s Need while Breastfeeding? One rule of thumb is to take in about (15 x your current weight) + 500 calories a day. So for a woman who weighs 125 pounds, this would be about 2375 calories a day. But this is just a rule of thumb. Choosing healthy foods, following your appetite, and paying attention to you...
Source: Conversations with Dr Greene - July 20, 2015 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Uncategorized Breastfeeding Breastfeeding Tips Source Type: blogs

Breast Feeding for New Moms: First Questions Answered
Breast feeding is a natural experience, but that doesn’t mean it’s always an easy one. Breast feeding for new moms can be overwhelming. If you’re having questions about breast feeding, you’re not alone. That’s natural, too. Here are answers to a few of the first questions many new moms ask. How do I know the baby is getting enough to eat? Top secret: The amount of breast milk a baby gets while nursing is hidden from view. It’s been a concern for many mothers everywhere. Thankfully, there are some great clues that your new baby is getting plenty: Content after feeding for 10 to 45 minutes on...
Source: Conversations with Dr Greene - June 5, 2015 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Uncategorized Breastfeeding Breastfeeding Tips Problems with Breastfeeding Top Breastfeeding Source Type: blogs

Blocking Mosquitoes and Ticks
Five bug repellents scored high marks for preventing bites, but three common choices didn’t make the grade in 2014 testing by Consumer Reports. As a parent and pediatrician, I want a mosquito and tick repellent that is safe, effective, and easy to use. It also helps if it doesn’t smell like bug spray. Why Is Blocking Mosquitoes and Ticks Important? Insect and arachnid bites aren’t just annoying; they are also the cause of hundreds of West Nile virus infections, about 1500 cases of malaria, and about 35,000 cases of Lyme disease diagnosed in the US each year – not to mention the million people who die from malaria...
Source: Conversations with Dr Greene - September 19, 2014 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Diseases & Conditions Insect Bites & Stings Insects & Animals Liver Outdoor Fun Safety Toxins Source Type: blogs

Garlic Oil for Ear Infection Pain
In this study of about 100 children, the herbal drops worked as well as the prescription drops. This is great news, except the study is from July 2001 and Otikon Otic Solution is no longer available, or at least not in the United States. From my perspective, eardrops of some type should play a large role in the management of ear infections. My favorite would be to use garlic oil for ear infections, in a potent high-quality extra virgin olive oil as a base. They would include mullein and other key organic and wild foraged herbs. Many ear infections can be safely managed without antibiotics if children are given pain relie...
Source: Conversations with Dr Greene - January 14, 2019 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Bambini Ear Infections Garlic Oil Remedies Source Type: blogs

Stuffy Nose and Cough Remedies for Kids
Kids are not small adults. That may seem like something so obvious that it goes without saying. Yet for decades the doses for many medicines, including over the counter cough and cold medicines were set by just starting with adult doses and reducing them according to children’s smaller size. It turns out, this often does not work. Before puberty, the hormonal environment within children’s bodies is significantly different than the hormonal environment in adults. Children’s bodies are set in the “rapid growth and development mode”. Young adults are in the “maintain and reproduce mode”. Medicines that work well...
Source: Conversations with Dr Greene - February 26, 2019 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Colds Cough Remedies Stuffy Nose Source Type: blogs

Itchy Eyes: Allergies are Crying Out for Attention
In many ways, the eyes are the windows of the body. When children have itchy eyes, it can disrupt their days – and nights. Itchy eyes often distract kids and decrease their ability to learn new material. If this weren’t bad enough, they can cause kids to sleep less well. For some kids, the difference in sleep can make them moody and hungry. Hangry is not what any parent, teacher or child wants. Why Do Kids Get Itchy Eyes? The human body is armed with an amazing immune system that includes an array of protection devices. The respiratory system tightens up when foreign particles are introduced. The nose secretes a flow o...
Source: Conversations with Dr Greene - March 10, 2019 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Allergies Hay fever Pollen Allergies Remedies Source Type: blogs

Are Essential Oils Essential?
When it comes to food, the colors you see in plants provide powerful information. They often signal the rich nutrient density of the plant. When you look at a blueberry and see that color, you see delphinidin-3-galactoside. When you look at a carrot and see that color, you see beta carotene. Our eyes are adapted to notice the critical nutrients in food. The flavor molecules that we taste and seek after in plants are often important molecules for our health. That’s why our tongue is adapted to taste them. The color in food can also be a sign that the plant is dangerous, like a poisonous berry. It’s meant to alert us...
Source: Conversations with Dr Greene - August 26, 2019 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Bambini Essential Oils Herbal Natural Source Type: blogs

Chemicals and Pregnant Women: Taking Care of Your Unborn Baby
This study is not a warning of a scary new epidemic of problems arriving with next year’s babies. Instead, it’s a peak behind the curtain at what might be the hidden story behind the marvelous kids we already see on today’s playgrounds across the country. Most are very healthy – among the healthiest kids in history. Yes, too many are overweight. Too many have asthma. Too many have allergies. Too many have learning problems. Too many start puberty early. More than half have some chronic illness. But this isn’t slowing kids down as much as the devastating infectious diseases of the past. It is a vib...
Source: Conversations with Dr Greene - May 25, 2020 Category: Child Development Authors: Alan Greene MD Tags: Uncategorized Source Type: blogs