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Management of Type 2 Diabetes in Youth: An Update - American Family Physician

Sep 1, 2007 - Although type 1 diabetes historically has been more common in patients eight to 19 years of age, type 2 diabetes is emerging as an important disease in this group. Type 2 diabetes accounts for 8 to 45 percent of new childhood diabetes. This article is an update from the National ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0901/p658.html

Clinical Presentations of Parvovirus B19 Infection - American Family Physician

Feb 1, 2007 - Although most persons with parvovirus B19 infection are asymptomatic or have mild, nonspecific, cold-like symptoms, several clinical conditions have been linked to the virus. Parvovirus B19 usually infects children and causes the classic

American Family Physician : Article

https://www.aafp.org/afp/2007/0201/p373.html

Amblyopia - American Family Physician

Feb 1, 2007 - Amblyopia, a decrease in visual acuity, is a major public health problem with a prevalence of 1 to 4 percent in the United States. It is thought to develop early in life during the critical period of visual development. Early recognition of amblyogenic risk factors such as strabismus, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0201/p361.html

Childhood and Adolescent Depression - American Family Physician

Jan 1, 2007 - Major depression affects 3 to 5 percent of children and adolescents. Depression negatively impacts growth and development, school performance, and peer or family relationships and may lead to suicide. Biomedical and psychosocial risk factors include a family history of depression, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0101/p73.html

Prevention of Unintentional Childhood Injuries - American Family Physician

Dec 1, 2006 - Injuries are the leading cause of death in children and teenagers in the United States. The leading causes of unintentional injury vary by age and include drowning, poisoning, suffocation, fires, burns, falls, and motor vehicle, bicycle, and pedestrian-related crashes. Most injuries are...

American Family Physician : Article

https://www.aafp.org/afp/2006/1201/p1864.html

Nutrition in Toddlers - American Family Physician

Nov 1, 2006 - Toddlers make a transition from dependent milk-fed infancy to independent feeding and a typical omnivorous diet. This stage is an important time for physicians to monitor growth using growth charts and body mass index and to make recommendations for healthy eating. Fat and cholesterol ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1101/p1527.html

Hirschsprung's Disease: Diagnosis and Management - American Family Physician

Oct 15, 2006 - Hirschsprung's disease (congenital megacolon) is caused by the failed migration of colonic ganglion cells during gestation. Varying lengths of the distal colon are unable to relax, causing functional colonic obstruction. Hirschsprung's disease most commonly involves the rectosigmoid ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1015/p1319.html

Kawasaki Disease: Summary of the American Heart Association Guidelines - American ...

Oct 1, 2006 - Kawasaki disease is an acute vasculitis of childhood that predominantly affects the coronary arteries. The etiology of Kawasaki disease remains unknown, although an infectious agent is strongly suspected based on clinical and epidemiologic features. A genetic predisposition is also ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1001/p1141.html

Promoting Medication Adherence in Children - American Family Physician

Sep 1, 2006 - The problem of getting children to follow a treatment regimen is widespread and is frustrating for physicians. The extent to which any patient adheres to a medical regimen is an essential determinant of clinical success. Strategies to improve adherence in children include using ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0901/p793.html

Rickets: Not a Disease of the Past - American Family Physician

Aug 15, 2006 - Rickets develops when growing bones fail to mineralize. In most cases, the diagnosis is established with a thorough history and physical examination and confirmed by laboratory evaluation. Nutritional rickets can be caused by inadequate intake of nutrients (vitamin D in particular); ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0815/p619.html

Evaluation and Treatment of the Child with Febrile Seizure - American Family Physician

May 15, 2006 - Up to 5 percent of children in North America and western Europe experience at least one episode of febrile seizure before six years of age. Most of these seizures are self-limited and patients do not require treatment. Continuous therapy after the seizure is not effective in reducing ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0515/p1761.html

Discharge Procedures for Healthy Newborns - American Family Physician

Mar 1, 2006 - Physicians should use a checklist to facilitate discussions with new parents before discharging their healthy newborn from the hospital. The checklist should include information on breastfeeding, warning signs of illness, and ways to keep the child healthy and safe. Physicians can ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0301/p849.html

Evaluation and Treatment of Constipation in Infants and Children - American Family ...

Feb 1, 2006 - Constipation in children usually is functional and the result of stool retention. However, family physicians must be alert for red flags that may indicate the presence of an uncommon but serious organic cause of constipation, such as Hirschsprung's disease (congenital aganglionic ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0201/p469.html

Cerebral Palsy: An Overview - American Family Physician

Jan 1, 2006 - The presentation of cerebral palsy can be global mental and physical dysfunction or isolated disturbances in gait, cognition, growth, or sensation. It is the most common childhood physical disability and affects 2 to 2.5 children per 1,000 born in the United States. The differential ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p91.html

Child Safety Seat Counseling: Three Keys to Safety - American Family Physician

Aug 1, 2005 - The number one cause of death for children younger than 14 years is vehicular injury. Child safety seats and automobile safety belts protect children in a crash if they are used correctly, but if a child does not fit in the restraint correctly, it can lead to injury. A child safety seat...

American Family Physician : Article

https://www.aafp.org/afp/2005/0801/p473.html

Foreign Body Ingestion in Children - American Family Physician

Jul 15, 2005 - Because many patients who have swallowed foreign bodies are asymptomatic, physicians must maintain a high index of suspicion. The majority of ingested foreign bodies pass spontaneously, but serious complications, such as bowel perforation and obstruction, can occur. Foreign bodies ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0715/p287.html

Childhood Asthma: Treatment Update - American Family Physician

May 15, 2005 - The prevalence of childhood asthma has risen significantly over the past four decades. A family history of atopic disease is associated with an increased likelihood of developing asthma, and environmental triggers such as tobacco smoke significantly increase the severity of daily asthma...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1959.html

A Practical Guide to Infant Oral Health - American Family Physician

Dec 1, 2004 - Early childhood caries is the most common chronic disease in young children and may develop as soon as teeth erupt. Bacteria, predominately mutans streptococci, metabolize simple sugars to produce acid that demineralizes teeth, resulting in cavities. Physicians should examine children's...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2113.html

Childhood Bullying: Implications for Physicians - American Family Physician

Nov 1, 2004 - Childhood bullying has potentially serious implications for bullies and their targets. Bullying involves a pattern of repeated aggression, a deliberate intent to harm or disturb a victim despite the victim's apparent distress, and a real or perceived imbalance of power. Bullying can ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1723.html

Infantile Colic - American Family Physician

Aug 15, 2004 - Infantile colic can be distressing to parents whose infant is inconsolable during crying episodes. Colic is often defined by the 'rule of three': crying for more than three hours per day, for more than three days per week, and for longer than three weeks in an infant who is well-fed and...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p735.html

Obstructive Sleep Apnea in Children - American Family Physician

Mar 1, 2004 - Obstructive sleep-disordered breathing is common in children. From 3 percent to 12 percent of children snore, while obstructive sleep apnea syndrome affects 1 percent to 10 percent of children. The majority of these children have mild symptoms, and many outgrow the condition. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1147.html

Viral Croup - American Family Physician

Feb 1, 2004 - Viral croup is the most common form of airway obstruction in children six months to six years of age. The frightening nature of croup often prompts parents and caregivers to seek physician consultation. For children with mild croup, symptomatic care and mist therapy may be all that is ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p535.html

School Refusal in Children and Adolescents - American Family Physician

Oct 15, 2003 - School refusal is a problem that is stressful for children, families, and school personnel. Failing to attend school has significant short- and long-term effects on children's social, emotional, and educational development. School refusal often is associated with comorbid psychiatric ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1555.html

Failure to Thrive - American Family Physician

Sep 1, 2003 - Failure to thrive is a condition commonly seen by primary care physicians. Prompt diagnosis and intervention are important for preventing malnutrition and developmental sequelae. Medical and social factors often contribute to failure to thrive. Either extreme of parental attention ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p879.html

Congenital Toxoplasmosis - American Family Physician

May 15, 2003 - Approximately 85 percent of women of childbearing age in the United States are susceptible to acute infection with the protozoan parasite Toxoplasma gondii. Transmission of T. gondii to the fetus can result in serious health problems, including mental retardation, seizures, blindness, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0515/p2131.html

Nocturnal Enuresis - American Family Physician

Apr 1, 2003 - Nocturnal enuresis is a common problem that can be troubling for children and their families. Recent studies indicate that nocturnal enuresis is best regarded as a group of conditions with different etiologies. A genetic component is likely in many affected children. Research also ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0401/p1499.html

Autism: A Medical Primer - American Family Physician

Nov 1, 2002 - Autistic disorder, a pervasive developmental disorder resulting in social, language, or sensorimotor deficits, occurs in approximately seven of 10,000 persons. Early detection and intervention significantly improve outcome, with about one third of autistic persons achieving some degree ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1101/p1667.html

Childhood Discipline: Challenges for Clinicians and Parents - American Family Physician

Oct 15, 2002 - Although childhood discipline is an important issue for parents, this topic is seldom emphasized by family physicians during well-child examinations. Behavior problems are relatively common but frequently under-recognized by physicians. Opportunities to counsel parents about safe, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1015/p1447.html

Prevention of Iron Deficiency in Infants and Toddlers - American Family Physician

Oct 1, 2002 - The prevalence of nutritional iron deficiency anemia in infants and toddlers has declined dramatically since 1960. However, satisfaction with this achievement must be tempered because iron deficiency anemia in infants and toddlers is associated with long-lasting diminished mental, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1001/p1217.html

Management of Newborns Exposed to Maternal HIV Infection - American Family Physician

May 15, 2002 - The management of infants whose mothers are infected with the human immunodeficiency virus (HIV) involves minimizing the risk of vertical transmission of HIV, recognizing neonatal HIV infection early, preventing opportunistic infections, and addressing psychosocial issues. Maternal ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0515/p2049.html

Neonatal Herpes Simplex Virus Infections - American Family Physician

Mar 15, 2002 - Neonatal herpes simplex virus infections can result in serious morbidity and mortality. Many of the infections result from asymptomatic cervical shedding of virus after a primary episode of genital HSV in the third trimester. Antibodies to HSV-2 have been detected in approximately 20 ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1138.html

Hyperbilirubinemia in the Term Newborn - American Family Physician

Feb 15, 2002 - Hyperbilirubinemia is one of the most common problems encountered in term newborns. Historically, management guidelines were derived from studies on bilirubin toxicity in infants with hemolytic disease. More recent recommendations support the use of less intensive therapy in healthy ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p599.html

Headaches in Children and Adolescents - American Family Physician

Feb 15, 2002 - Headaches are common during childhood and become more common and increase in frequency during adolescence. The rational, cost-effective evaluation of children with headache begins with a careful history. The first step is to identify the temporal pattern of the headache--acute, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p625.html

Gastroesophageal Reflux in Infants and Children - American Family Physician

Dec 1, 2001 - Gastroesophageal reflux is a common, self-limited process in infants that usually resolves by six to 12 months of age. Effective, conservative management involves thickened feedings, positional treatment, and parental reassurance. Gastroesophageal reflux disease (GERD) is a less common,...

American Family Physician : Article

https://www.aafp.org/afp/2001/1201/p1853.html

Evaluation and Treatment of ADHD - American Family Physician

Sep 1, 2001 - Symptoms of attention-deficit/hyperactivity disorder (ADHD) are present in as many as 9 percent of school-age children. ADHD-specific questionnaires can help determine whether children meet diagnostic criteria for the disorder. The recommended evaluation also includes documenting the ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0901/p817.html

Pneumococcal Conjugate Vaccine for Young Children - American Family Physician

May 15, 2001 - Streptococcus pneumoniae causes approximately 3,300 cases of meningitis, 100,000 to 135,000 cases of pneumonia requiring hospitalization and 6 million cases of otitis media annually in the United States. Pneumococcal conjugate vaccine, approved in 2000 for use in the United States, was ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0515/p1991.html

The Child With ADHD: Using the AAP Clinical Practice Guideline - American Family Physician

May 1, 2001 - The American Academy of Pediatrics developed an evidence-based clinical practice guideline that provides recommendations for the assessment and diagnosis of school-aged children with attention-deficit/hyperactivity disorder (ADHD). This guideline, the first of two guidelines to provide ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0501/p1803.html

Management of Asthma in Children - American Family Physician

Apr 1, 2001 - The prevalence of asthma in children has increased 160 percent since 1980, and the disease currently affects nearly 5 million children in the United States. The National Asthma Education and Prevention Program provides guidelines for improved asthma care. The goals of this program are ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0401/p1341.html

Depression in Children and Adolescents - American Family Physician

Nov 15, 2000 - Depression among children and adolescents is common but frequently unrecognized. It affects 2 percent of prepubertal children and 5 to 8 percent of adolescents. The clinical spectrum of the disease can range from simple sadness to a major depressive or bipolar disorder. Risk factors ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2297.html

The Undescended Testicle: Diagnosis and Management - American Family Physician

Nov 1, 2000 - Early diagnosis and management of the undescended testicle are needed to preserve fertility and improve early detection of testicular malignancy. Physical examination of the testicle can be difficult; consultation should be considered if a normal testis cannot be definitely identified. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1101/p2037.html

Sickle Cell Disease in Childhood: Part I. Laboratory Diagnosis, Pathophysiology and ...

Sep 1, 2000 - Over the past 25 years, morbidity and mortality have decreased significantly in children with sickle cell disease, and screening tests are now available to diagnose the disease in newborns. The incidence of sepsis caused by pneumococcal and Haemophilus influenzae infections has declined...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1013.html

Identification and Evaluation of Mental Retardation - American Family Physician

Feb 15, 2000 - Mental retardation in young children is often missed by clinicians. The condition is present in 2 to 3 percent of the population, either as an isolated finding or as part of a syndrome or broader disorder. Causes of mental retardation are numerous and include genetic and environmental ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1059.html

Dietary Therapy for Children with Hypercholesterolemia - American Family Physician

Feb 1, 2000 - Accumulating evidence clearly shows that atherosclerosis begins in youth. The National Cholesterol Education Program (NCEP) has recommended that children at high risk of developing coronary artery disease as adults be screened so that those with elevated low-density lipoprotein (LDL) ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p675.html

Osteochondritis Dissecans: A Diagnosis Not to Miss - American Family Physician

Jan 1, 2000 - Osteochondritis dissecans is the most common cause of a loose body in the joint space in adolescent patients. Because clinical findings are often subtle, diagnosis requires a high index of suspicion. Limited range of motion may be the only notable clinical sign. The diagnosis is made by...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p151.html

Anticipatory Guidance in Infant Oral Health: Rationale and Recommendations - American ...

Jan 1, 2000 - If appropriate measures are applied early enough, it may be possible to totally prevent oral disease. The American Academy of Pediatric Dentistry recommends that infants be scheduled for an initial oral evaluation within six months of the eruption of the first primary tooth but by no ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p115.html

Management of Acute Gastroenteritis in Children - American Family Physician

Dec 1, 1999 - Acute gastroenteritis is a common and costly clinical problem in children. It is a largely self-limited disease with many etiologies. The evaluation of the child with acute gastroenteritis requires a careful history and a complete physical examination to uncover other illnesses with ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1201/p2555.html

The Eye in Childhood - American Family Physician

Sep 1, 1999 - Normal visual development is rapid during the first six months of life and continues through the first decade. Young children are uniquely sensitive to conditions that interfere with vision and visual development. Amblyopia, or functionally defective development of the central visual ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p907.html

Heart Murmurs in Pediatric Patients: When Do You Refer? - American Family Physician

Aug 1, 1999 - Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p558.html

Protecting the Health and Safety of Working Teenagers - American Family Physician

Aug 1, 1999 - More than one third of high school students work during the school year, and many more are employed during the summer months. Teenage workers face a variety of health and safety hazards. Occupational injury and illness are largely preventable, and family physicians can play a crucial ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p575.html

Screening for Developmental Dysplasia of the Hip - American Family Physician

Jul 1, 1999 - Screening programs relying primarily on physical examination techniques for the early detection and treatment of congenital hip abnormalities have not been as consistently successful as expected. Since the 1980s, increased attention has been given to ultrasound imaging of the hip in ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p177.html

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