All rights reserved. 10.1016/j.jpeds.2010.01.001 A s pediatricians, our concern for the health of children and youth starts with our individual encounters with patients and their families and extends to the community in which they live and the broader systems of society that influence their health. This concept of a pediatrician is captured in one of the ‘‘bibles’’ of our profession and in the ...

For decades, emergency planning for natural disasters, public health emergencies, workplace accidents, and other calamities has been the responsibility of government agencies on all levels and certain nongovernment organizations such as the American Red Cross. In the case of terrorism, however, entirely new approaches to emergency planning are under development for a variety of reasons. Terrori...

be taken into account. Another relevant factor is that, apart from the quality of the x-rays themselves, the entire assessment was performed under ideal conditions, which makes the study appropriate to assess efficacy and not effectiveness.8 It can be further deduced that, under true working conditions, with time scarce and less wellqualified personnel, that interobserver variation would be gre...

Early identification of children with developmental delays is important in the primary care setting. The pediatrician is the best-informed professional with whom many families have contact during the first 5 years of a child’s life. Parents look to the pediatrician to be the expert not only on childhood illnesses but also on development. Early intervention services for children from birth to 3 ...

Discipline is one topic that virtually every ambulatory care pediatrician is frequently asked about. Although there is a tendency to provide parents with short, glib answers to questions about discipline, the literature on time-in, self-quieting skills, and independent play skills has rarely been addressed in the pediatric literature. It is, rather, covered in the research literature--a literat...

OBJECTIVE To instruct children and teenagers about safe transportation and about their behavior as cyclists and pedestrians. SOURCES OF DATA The MEDLINE and LILACS databases were searched, using the following terms, from 1995 to 2005: traffic accidents, child, adolescent, morbidity, mortality, age, and gender. Scientific articles on morbidity and mortality from traffic accidents, children in ...

it seems that every other week something is new in our medical offices; we are bombarded from all directions. Insurance claims, electronic health records (EHRs), medical boards, hospital privileges—change has become the norm and medicine has become a moving target. Meaningful Use, through its application to EHRs, hopefully has the potential to drastically change how we practice medicine in the ...