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The Informed Parent

What’s Up Doc?

by John H. Samson, M.D., F.A.A.P.
Published on May. 03, 2010
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Let’s look at the printed word again and see how we can be better informed.

USE OF HOMEOPATHIC PREPARATION FOR “INFANTILE COLIC” AND AN APPARENT LIFE-THREATENING EVENT (ALTE) by Shraga Aviner, M.D., Ph.D. et.al. appeared in PEDIATRICS in February 2010, p. 375 in the abstract section.

They reported eleven cases of infants who presented with an ALTE after taking Gali-col Baby. This is a homeopathic agent given for colic.

Eleven of 115 infants admitted for ALTE had used this preparation. Three of eleven received an overdose. Eight of eleven were given the substance at manufacturer’s recommended dose. No controlled trials exist on the efficacy and safety of the product.

COMMENT:
Homeopathic preparations must be used with extreme caution since there are no mandated safety trials before use in patients.

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The clinical report, INJURIES IN YOUTH SOCCER that appeared in PEDIATRICS, February 2010, p. 410, points out that injuries can be reduced by appropriate enforcement of rules and emphasis on safe play.

Millions of children participate in this sport and it has a higher injury rate than many contact/collision sports. Injuries of the lower extremities are most common. Ankle injuries account for 16% to 29% of these.

Most injuries are minor and require no more than first aid or a maximum of one week’s absence from play. Other injuries are discussed in the statement. The authors correctly conclude that we should encourage children, teens and young adults to participate in all forms of physical activity, i.e. soccer, because it provides much needed physical activity.

COMMENT:
The encroachment of sedentary video games on the physically active recreation time of youths is  very disturbing. It not only detracts from their physical fitness activity, which enhances obesity, but it places them in the two-dimensional of the flat screen. Some experts feel this decreases the three-dimensional exposure necessary to develop creative skills.

The authors make a very valuable comment: “Violent behavior and aggressive infractions of the rules tend to increase the risk of injury and should be strongly discouraged.” They go on to say, “Pediatricians are encouraged to advocate for the enforcement of all rules and guidelines while strongly prompting sportsmanship and fair play to ensure maximum safety and enjoyment for the athletes.”

I would encourage all parents of soccer players to read this report in its entirety because it is appropriate for parents as well as pediatricians.




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