What’s Up Doc?
Scanning the Journals
Screening For Elevated Blood Lead Levels:
Pediatrics Vol. 97 #1, 1-96
The universal screening for elevated blood lead levels in children in an employed, urban population that gets routine well checks for their offspring is not warranted on the grounds of prevalence. A questionnaire to determine which children are truly at risk has not yet been completely developed. When it is, screening of those at risk will be warranted.
Does Your Child Wear A Bike Helmet?:
Pediatrics Vol. 97 #2, 2-96
Only one-fifth of children under 15 years of age regularly use helmets when they ride their bicycles. As parents we are clearly doing an inadequate job. The article shows that the rate improves yearly, but slowly. It is time for parents to assert themselves toward protecting their children. When your child is in an intensive care unit recovering from a bicycle-related head injury, it is too late to show concern.
Severe Breastfeeding Malnutrition in a Metropolitan Area:
Pediatrics Vol. 96 #6, Nov.95
Five cases of newborn malnutrition were reported in this article. Ages ranged from 28-38 days. The mothers were well motivated and intelligent. Yet, they failed to realize their new babies were being underfed since the infants did not complain. Instead, the newborns slept more than usual, sucked weakly and, unfortunately, did not cry. Three of the five developed severe complications to dehydration. None of the five saw a pediatrician within the first 7-10 days after birth. The mothers did not relate the quietness of the babies with underfeeding. They simply expected a hungry baby would cry. The oversight was due to lack of experienced observation. Inexperienced parents should always maintain a regular schedule of infant examinations, particularly in the early part of the baby’s life.