April 25th 2024
Research in AJOG: Maternal hyperoxygenation doesn't boost neonatal Apgar scores in pathologic fetal heart rate tracing, showing no FiO2 benefit.
Clinical Consultations™: Managing Depressive Episodes in Patients with Bipolar Disorder Type II
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Medical Crossfire®: Understanding the Advances in Bipolar Disease Treatment—A Comprehensive Look at Treatment Selection Strategies
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'REEL’ Time Patient Counseling: The Diagnostic and Treatment Journey for Patients With Bipolar Disorder Type II – From Primary to Specialty Care
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Clinical ShowCase™: Finding the Best Path Forward for Patients with COPD
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A Tethered Approach to Type 2 Diabetes Care – Connecting Insulin Regimens with Digital Technology
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Surv.AI Says™: What Clinicians and Patients Are Saying About Glucose Management in the Technology Age
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Why does the baby girl "quake and tremble all this day"?
May 1st 2005Your patient in the emergency department today is a 5-day-old girl brought in by her parents because of an episode of what they describe as "shaking." First, they tell you, she had an episode of choking and gagging during a feed, accompanied by noises resembling the hiccups. Shortly afterward, she developed rhythmic twitching of the arms and legs.
Taking the long view of new goals for immunization
April 1st 2005With the recent licensing of conjugated, quadrivalent meningococcal vaccine (MCV4) and likely approval of other "childhood" vaccines to prevent disease during adolescence and adulthood, the national immunization program ventures onto new ground.
Vaccine recommendations on the move
October 13th 2004Here is startling news: Much of what you know about childhood and adolescent vaccines is passing out of date. New vaccines in development and new mortality data mean that recommendations for vaccination against influenza, hepatitis A, meningococcal disease, varicella, human papillomavirus, and rotavirus are on the move.
Shin pain in an adolescent soccer player: A case-based look at "shin splints"
September 1st 2004A 14-year-old high school soccer player, referred by her pediatrician, has been brought to the sports medicine clinic reporting a one-year history of "shin splints." She describes shin pain in both legs that seems to increase with running and brisk walking, mostly over the "front" of her shins. She characterizes her pain as a "tightness" that "pinches" her legs and becomes noticeable five to seven minutes after she begins activity. The pain has become more intense the past two months--to the point where she is unable to run for more than 10 minutes at a time.
Shin pain in an adolescent soccer player: A case-based look at "shin splints"
September 1st 2004A 14-year-old high school soccer player, referred by her pediatrician, has been brought to the sports medicine clinic reporting a one-year history of "shin splints." She describes shin pain in both legs that seems to increase with running and brisk walking, mostly over the "front" of her shins. She characterizes her pain as a "tightness" that "pinches" her legs and becomes noticeable five to seven minutes after she begins activity. The pain has become more intense the past two months--to the point where she is unable to run for more than 10 minutes at a time.
Counseling parents on infant day care: How to do it effectively
August 1st 2004Putting their baby in day care is an emotional occasion for parents, as well as a subject that often comes up during office visits. You're in an opportune position to provide advice and support on returning to work and finding the best child-care arrangement for the family.
Newborn respiratory problems: When the grunting and flaring won't go away
June 1st 2004Respiratory signs and symptoms in newborns may reflect a problem that requires treatment or referral. A systems-based approach will help you recognize true respiratory distress and keep evaluation and management on track.
When should the possibility of a genetic disorder cross your radar screen?
May 1st 2004The role of the generalist pediatrician in the specialized field of genetics is key: Screen for genetic disorders; recognize when findings point to a genetic disorder and warrant referral to a geneticist; and counsel families.
Perinatal group B streptococcal disease: The next generation of prevention
September 1st 2003Increased use of intrapartum antimicrobial prophylaxis has greatly reduced the rate of invasive GBS disease. Universal implementation of updated guidelines for disease prevention will accelerate this important trend.