:: November 2009

Welcome to our Monthly Online Newsletter!

View all Treatment articles in our Treatment Report . The most recent articles are listed on top (not in alphabetical order). Click on the Topic on our home page and then the subtopic - Treatment Report. Stay updated on drugs and their side effects, and various other treatments, including exercise, nutrition, and supplements.

Highlighted Article

For bubbly Va. 6-year-old, swine flu's attack came quick and strong “With seasonal flu, 90 percent of the people who die are older than 65; most of those victims are older than 85. The worst outbreaks of seasonal flu are usually reported in nursing homes. But with this year's H1N1 strain, the demographics are reversed. Now, most of those dying are younger than 65, the worst outbreaks are in schools and the highest hospitalization rate is among children younger than 4. Forty to 150 children die from the seasonal flu every year. The Centers for Disease Control and Prevention recently said that it had vastly underestimated the number of children who have died from swine flu. The number of pediatric deaths had previously been reported to be 129. Now, the government estimates that 300 to 800 children died between April 1 and Oct. 17. During that period, 14 million to 34 million Americans came down with swine flu, the CDC said. “

Clinical Guidelines

AAP Revises Cholesterol Screening Guidelines for Children “One recommendation in particular, however, has raised concern among physicians and consumer health advocates: the possibility of pharmacologic intervention beginning at age 8 years — 2 full years earlier than previously recommended. "For patients 8 years and older with [a low-density lipoprotein (LDL)] concentration of =190 mg/dL (or =60 mg/dL with a family history of early heart disease or =2 additional risk factors present or =130 mg/dL if diabetes mellitus is present), pharmacologic intervention should be considered," the guidelines recommend. “

Academy of Breastfeeding Medicine (Protocols - Guidelines)

ACIP Updates Recommendations for Routine Poliovirus Vaccination

Guidelines for Adolescent Depression in Primary Care (GLAD-PC): I. Identification, Assessment, and Initial Management (PEDIATRICS 2007)

Guidelines Updated for Influenza Immunization in Children (2008)

Guidelines Updated for Mumps Immunization (2006)

Guidelines Updated for Varicella Prevention in Children, Teens, Adults

NGC - Abrasion and laceration wound care: pre-school through grade twelve. (2006)

NGC - Chronic abdominal pain in children. (2005)

NGC - Evidence-based guidelines for cardiovascular disease prevention in women: 2007 update. (2007)

NGC - General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). (2006)

NGC - Guideline on the use of ipecac syrup in the out-of-hospital management of ingested poisons. (2005)

NGC - Immunizations (2005)

NGC - (1) Immunizations. (2) Immunizations update. (2006)

NGC - Managing asthma long term in children 0-4 years of age and 5-11 years of age: Expert panel report 3: guidelines for the diagnosis and management of asthma. (2007)

NGC - Managing asthma long term in youths >12 years of age and Adults: Expert panel report 3: guidelines for the diagnosis and management of asthma. (2007)

NGC - OTITIS MEDIA WITH EFFUSION (GUIDELINE SYNTHESIS)

NGC - Postnatal care. Routine postnatal care of women and their babies. (2006)

NGC - Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders. (2007)

NGC - Practice parameter for the assessment and treatment of children and adolescents with bipolar disorder. (2007)

NGC - Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder. (2007)

NGC - Practice parameter for the assessment and treatment of children and adolescents with reactive attachment disorder of infancy and early childhood. (2005)

NGC - Practice parameter: pharmacological treatment of migraine headache in children and adolescents: report of the American Academy of Neurology Quality Standards Subcommittee and the Practice Committee of the Child Neurology Society. (2004)

NGC - Preventing tetanus, diphtheria, and pertussis among adolescents: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccines. Recommendations of the Advisory Committee on Immunization Practices (ACIP). (2006)

NGC - Prevention and identification of childhood overweight. (2008)

NGC - Prevention of influenza: recommendations for influenza immunization of children, 2006–2007. (2007)

NGC - Prevention of pertussis among adolescents: recommendations for use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine. (2006)

NGC - Prevention of rotavirus gastroenteritis among infants and children. Recommendations of the Advisory Committee on Immunization Practices (ACIP). (2009)

NGC - Preventive services for children and adolescents. (2004)

NGC - Screening for speech and language delay in preschool children: recommendation statement.

NGC - Sinusitis--child. (2006)

NGC - The changing concept of sudden infant death syndrome: diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consider in reducing risk. (2005)

Practice Guideline for Diagnosis and Management of Migraine Headaches in Children and Adolescents: Part Two (J Pediatr Health Care. 2008)

Recommendations Updated for Universal Administration of Hepatitis A Vaccination in US Children

Surveillance Guidelines for Smallpox Vaccine (vaccinia) Adverse Reactions (MMWR 2006)

Updated Recommendations of the Advisory Committee on Immunization Practices (ACIP) Regarding Routine Poliovirus Vaccination (MMWR 2009)

Internet Sites

Featured site

Maternal and Child Health Library

Breastfeeding

NIH - Breast Feeding

NIH - Medical Encyclopedia: Breast milk

NIH - Medical Encyclopedia Breastfeeding

NIH - Medical Encyclopedia Breastfeeding - resources

NIH - Medical Encyclopedia Breastfeeding tips

NIH - Medical Encyclopedia Overcoming breastfeeding problems

NIH - Medical Encyclopedia: Breast-feeding mothers - self-care

NIH - Perinatal Transmission (Aids)

NIH - Research on Breastfeeding

Child-Adolescent Nutrition and Overweight

NIH - Child Nutrition

NIH - Medical Encyclopedia Weight problems and children

NIH - Obesity and Your Environment

NIH - Obesity in Children

NIH - Weight-control Information Network

Diseases and Conditions

NIH - Ear Infections: Facts for Parents About Otitis Media

NIH - Tickborne Diseases

General Pediatrics

AMERICAN ACADEMY OF PEDIATRICS

CDC - Childhood Lead Exposure

FDA - Dental Amalgam

FDA - Guidance for Industry: Nonclinical Safety Evaluation of Pediatric Drug Products

Maternal and Child Health Library

Immunization

CDC - National Immunization Program (NIP)

Infant Nutrition

NIH - Infant and Toddler Nutrition

NIH - Medical Encyclopedia Cow?s milk and children

NIH - Medical Encyclopedia Cow's milk for infants and children

Related InfoMedSearch Topics

ADD - ADHD

A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder. (J Am Acad Child Adolesc Psychiatry. 2005) "OBJECTIVE: To determine the empirical evidence for deficits in working memory (WM) processes in children and adolescents with attention-deficit/hyperactivity disorder (ADHD). ? CONCLUSION: Evidence of WM impairments in children with ADHD supports recent theoretical models implicating WM processes in ADHD."

Behavioral - Learning Disorders

Sleep-disordered breathing symptoms are associated with poorer cognitive function in 5-year-old children. (J Pediatr. 2004) "OBJECTIVE: To assess the relation of sleep-disordered breathing (SDB) symptoms in children to neurocognitive function. ? CONCLUSION: Even in the absence of OSA, SDB symptoms are associated with poorer executive function and memory skills and lower general intelligence in 5-year-old children."

In this newsletter:

Diagnosis, Imaging, and Screening
Diseases and Conditions
General Information
Immunization
Risk Factors
Risk Reduction
SIDS

	Diagnosis, Imaging, and Screening

	Diseases and Conditions
Biggest child-killers: pneumonia and diarrhea Depression, Anxiety Symptoms Common in Preschoolers “The longitudinal study of 1759 children, ranging in age from 5 months to 5 years, found that 15% of study participants had unduly high symptoms of depression and anxiety and that these children were more likely to have mothers with a history of depression. The study also found that difficult temperament at 5 months was the most important predictor of depression and anxiety in children. "As early as the first year of life, there are indications that some children have more risks than others of developing high levels of depression and anxiety. We also found that these symptoms increase in frequency during the first 5 years of life," one of the authors, Sylvana Côté, PhD, from the Université de Montréal in Quebec, told Medscape Psychiatry. “

	General Information
Baby's Sleep Position Is The Major Factor In 'Flat-Headedness' We Need to Put Vitamin D Back in Children and Adolescents

	Immunization

	Risk Factors
2.2 Million Drop-Side Cribs Recalled Lead, chemicals found in toys despite stricter law

	Risk Reduction

	SIDS