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Primary Care Medicine

  • Contemporary Pediatrics eConsult

    Spanking should not be used as discipline, says study



    Spanking used as discipline for children is increasingly linked to long-term negative behaviors in adults and even physical alterations of cognitive areas of the brain, say researchers from Canada. Their analysis of 20 years of published research suggests that physicians should reexamine the issue of physical punishment from a medical perspective and advise parents to seek alternative methods to modify their children’s behavior.

  • Contemporary Pediatrics eConsult

    Recent infections linked to high risk of stroke in children



    Assessing underlying risk factors for childhood stroke is important to survival and quality of life. New findings suggest that recent minor acute infections of the ear, upper respiratory tract, and urinary tract can pose a high risk of ischemic stroke in children. These are common pediatric occurrences, so how can you identify patients at risk?

  • Contemporary Pediatrics eConsult

    Early nurturing fosters healthy brain development



    Child psychiatrists and neuroscientists at Washington University found that children who are nurtured and shown love and affection from the earliest days of their lives have brains with a larger hippocampus, the key part of the brain involved with memory, stress response, and learning. Find out more about how this study and its provocative findings add to previous studies of nurturing.

  • Contemporary Pediatrics eConsult

    Specialized burn clinics care best for severely burned children



    Children with burns covering 60% or more of their total body surface area (TBSA) are at increased risk for complications and death and should be transferred immediately to specialized burn units, according to a new study. What critical factors determine prognosis in children with severe burns?

  • Contemporary Pediatrics eConsult

    Recognizing problems behind infant-formula stretching



    Stretching infant formula by dilution or reduced feedings exposes babies to serious developmental risks, yet it can be a monthly temptation for families receiving supplemental nutrition assistance. Find out how families forced to resort to formula stretching can be better identified and what other options can be offered to them.

  • Contemporary Pediatrics eConsult

    Co-occurring conditions sometimes leads to a change in ASD diagnosis



    Certain characteristics of autism spectrum disorder (ASD) may change as a child ages. An analysis of a national survey of children’s health found that children with a current diagnosis of ASD were more likely to have a co-occurring neurodevelopmental or psychiatric condition, such as learning disability or depression, than those with a past (but not current) diagnosis of ASD. This is important information to have when arriving at an ASD diagnosis.

  • Contemporary Pediatrics eConsult

    Childhood obesity rates leveling off



    The latest data from the National Health and Nutrition Examination Survey show that the overall prevalence of obesity in children may be leveling off at about 17%, in contrast to the rapid increases seen in the 1980s and 1990s. Another study showed that the availability of junk foods had little effect on weight gain in middle-school children. Learn why efforts to promote healthy eating may have to extend beyond the classroom.

  • Contemporary Pediatrics eConsult

    Household chemicals can make vaccines less effective



    Common household chemicals such as those found in nonstick cookware, food packaging, and fabrics—even microwave popcorn bags—can reduce the immune response to routine childhood immunizations. According to newly released study results, the more children are exposed to perfluorinated compounds, the less likely they are to have a good immune response to vaccinations. These results may not entirely surprise you, but they might help you to figure out what is wrong when a child’s vaccination didn’t seem to work.

  • Contemporary Pediatrics eConsult

    Contraception used half the time in unintentional teen pregnancies



    Half of teen mothers who became pregnant unintentionally say that they did nothing to prevent the pregnancy, according to data from a Centers for Disease Control and Prevention survey. The data show that misperceptions still abound regarding contraception and pregnancy, and it is never a bad idea to have frank talks with your patients—boys and girls alike.

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