Modifying Well-Child Visits Based on Biopsychosocial Risk
SUMMARY AND COMMENT
An Internet-based screening tool helped physicians tailor well-child care.
Reviewing:
Bergman DA et al., Pediatrics 2009 Jul; 124:e37
Survival in Extremely Preterm Infants: Maybe We Can Do Better
SUMMARY AND COMMENT
In Sweden, 1-year survival in extremely preterm live-born infants is about 70%.
Reviewing:
Fellman V et al. for the EXPRESS Group., JAMA 2009 Jun 3; 301:2225
STIs in Children When Sexual Abuse Is Suspected
SUMMARY AND COMMENT
Comprehensive testing is important in such children. Nucleic acid amplification tests on urine specimens were more sensitive than culture for detecting C. trachomatis and N. gonorrhoeae.
Reviewing:
Girardet RG et al., Pediatrics 2009 Jul; 124:79
Black CM et al., Pediatr Infect Dis J 2009 Jul; 28:608
CNS Abnormalities in Infants with Congenital Heart Defects Might Start in Utero
SUMMARY AND COMMENT
Infants with congenital heart defects have an excess incidence of microcephaly.
Reviewing:
Barbu D et al., Am J Obstet Gynecol 2009 Jul; 201:43.e1
Sleep-Disordered Breathing in Children
SUMMARY AND COMMENT
Mild sleep-disordered breathing is common among elementary school children.
Reviewing:
Bixler EO et al., Sleep 2009 Jun 1; 32:731
Treatment of Children with Sinusitis
SUMMARY AND COMMENT
Sinusitis in children with respiratory symptoms is uncommon, but, for those who have sinusitis, antibiotics improve clinical outcomes.
CME
Reviewing:
Wald ER et al., Pediatrics 2009 Jul; 124:9
Increasing Chlamydia Screening Rates in Adolescent Girls
SUMMARY AND COMMENT
By redesigning work flow during urgent care visits, physicians can increase chlamydia screening rates among sexually active teens.
Reviewing:
Tebb KP et al., Arch Pediatr Adolesc Med 2009 Jun; 163:559
Evidence of Polycystic Ovary Syndrome Before Onset of Puberty
SUMMARY AND COMMENT
Many daughters of mothers with PCOS have increased ovarian volume and metabolic abnormalities before puberty.
Reviewing:
Sir-Petermann T et al., J Clin Endocrinol Metab 2009 Jun; 94:1923
Excellent Risk-Benefit Profile of Antimalarials in Treatment of Lupus
SUMMARY AND COMMENT
Results of a systematic review support use of antimalarials in patients with SLE during the entire course of the disease.
Reviewing:
Ruiz-Irastorza G et al., Ann Rheum Dis 2009 Jun 4
Vitamin D Might Help More Than Bones
SUMMARY AND COMMENT
Vitamin D levels in children were inversely associated with measures of allergy and asthma severity.
Reviewing:
Brehm JM et al., Am J Respir Crit Care Med 2009 May 1; 179:765
Devereux G et al., Am J Respir Crit Care Med 2009 May 1; 179:739