by Todd Neale Clinicians should actively persuade families not to participate in the ritual cutting of female genitalia, the American Academy of Pediatrics urged. However, the organization suggested that legislatures and doctors might ultimately consider legalizing ritual "nicks" to satisfy cultural or religious demands without more serious and problematic cutting. The centuries-old practice, which is illegal in the U.S. and several other developed countries, carries with it a host of physical and psychological ...

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by Kristina Fiore The scale of the obesity epidemic may be much worse than currently believed, because the usual measure, body mass index (BMI), is a very insensitive measure of excess body fat, researchers said. In a single-center study, 66% of patients classified as obese on the basis of DEXA scanning had BMI values in the nonobese range, according to Eric Braverman, MD, of New York Presbyterian Hospital/Weill Cornell Medical Center. Among more ...

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I’m a happy man. I wake up with peace in my heart, and hope for the future. Most days, anyway! It was not always so. For many years – decades – I lived under a dark cloud. Depression was a constant companion, so woven into my experience that I did not even know how bad off I was. I was so used to coping and managing around it, that most others had ...

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by Crystal Phend One of the most effective ways to prevent child abuse may be for pediatricians to identify domestic violence against a child's caregiver, according to a report from the American Academy of Pediatrics. Intimate partner violence in the home has a profound effect on kids, Jonathan D. Thackeray, MD, of Columbus Children's Hospital in Columbus, Ohio, and colleagues wrote in the May issue of Pediatrics. They pointed to elevated risk of ...

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Last week, I again had the privilege of teaching pediatricians in training. These students were very bright, challenging and asked excellent questions. They all agreed about the limit of the pediatric model of "giving advice." One resident, who had young children of her own, spoke of new mothers using blogs for emotional support. Many of these mothers speak less than kindly about their pediatricians, who they perceive as "not getting ...

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The role of autopsy in the medical profession is difficult to overestimate. Western medicine takes its roots from comparative studies between patient’s symptoms and the findings on autopsy. Participation in an autopsy was one of the most valuable lessons from medical school and residency. If you participated in the patient’s care, there is no greater educational tool than witnessing the postmortem exam. It is especially true if the cause of death ...

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There is a lot of focus on what elders with dementia can't do. But what about more discussion of what they can do? When you see a patient with dementia, how do you help family members maintain meaningful interactions with their loved ones? I am sad to admit that I don't do this nearly as well as I should. After all, this is not the type of thing we are taught ...

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by Michael Smith When cesarean section rates are lower than expected, adverse maternal or neonatal outcomes are higher, researchers said. But the converse isn't true -- higher-than-expected C-section rates aren't associated with a protective effect, according to Sindhu Srinivas, MD, of the University of Pennsylvania, and colleagues. The finding comes from an attempt to see if the risk-adjusted C-section rate can be used as a marker for the quality of obstetric care, Srinivas ...

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Beau Biden, son of Vice President Joe Biden, suffered a stroke today. beau bidenHe is 41-years old, and is expected to make a full recovery according to the medical director of the Center for Heart and Vascular Surgery at Christiana Care Health System:

Biden has what the doctors "believe to be a mild stroke," according to Gardner. "[He is] "fully alert, ...

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The heresy of one age becomes the orthodoxy of the next. -Helen Keller The patient returned to my clinic several years after her original thyroid cancer surgery. “The cancer blood test never went completely back to zero,” she told me. “We knew there was cancer in there somewhere. Finally, the new ultrasound machine found it! I guess it is time for more surgery!” I guess. In my patient’s situation, the latest high resolution diagnostic ...

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