Weekly Updates in Pediatrics         November 14, 2012 

EDITOR:  Jack Wolfsdorf, MD, FAAP 


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Television viewing and externalizing problems in preschool children 

"Externalizing behaviors" are actions that direct problematic energy outwards to harm others. E.g. physical aggression, verbal bullying, defiance, theft and vandalism.


A population based sample of 3,913 normal children which examined television viewing time, content and patterns of exposure, indicates that high TV exposure increases the risk and persistence of externalizing problems in preschool children.  


Source:  Archives of Pediatrics & Adolescent Medicine via JAMA Network 

Younger sibling effects of participants in an early educational intervention program

 It appears that the participation of one sibling in an early education program does not benefit (observed IQ, behavior problems, relationship issues, etc.) younger siblings examined at 13.5 years.


Source:  Archives of Pediatrics & Adolescent Medicine via JAMA Network 

Chest physiotherapy in hospitalized children with community-acquired pneumonia (CAP) 

Chest physiotherapy is utilized to treat children with pneumonia without clear evidence to support its use.


A study of the efficacy of chest physiotherapy (compared to a control group) in children with CAP indicates no clinical benefit, or improvement in duration of hospitalization.

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Long-term effects of status epilepticus (SE) on otherwise normal children with focal epilepsy 


A study of 188 normal children with focal epilepsy indicates that 20% experience SE with no deaths. At > 10 year-follow up, the remission rate without anti-epileptic drugs is no different from those epileptic children who never suffered SE. Intellectual outcomes are similar.

Source: Pediatrics

Video Feature

Status epilepticus and the aftermath
Status epilepticus and the aftermath

Denae Ayers via YouTube 

 Olive oil for the treatment of seborrheic dermatitis (SD) in children


SD, a yellowish, patchy, greasy, crusty, scaly skin rash of the scalp, presents as "cradle cap" in the neonate/young infant (usually less than 3 months of age) or in adolescents as "dandruff". Causes include Malassezia yeasts and androgen-driven excess sebum production.


Treatment of "cradle cap" or "adolescent dandruff" is a billion dollar market loosely regulated by the FDA, mostly of unproven oils, lotions or petroleum jelly. Gentle washing is usually sufficient treatment and/or an anti-fungal if yeast is isolated.


Source:  Archives of Pediatrics & Adolescent Medicine via JAMA Network 

Costs and effectiveness of Neonatal Male Circumcision (MC)


Over the past 20 years in Europe, MC rates have declined from 79% TO 55% (associated with reduced insurance coverage). A life-time study of men and women examined the associated life-time cost, & the effects of reducing MC.


A reduction of MC rate over ten annual cohorts of both men and women, increases costs associated with increased infection (heterosexual transmission of HIV infection from women to men, human papilloma virus infection with associated increased rates of prostate cancer in men and cervical cancer in woman) by $4.4 billion.


Source:  Archives of Pediatrics & Adolescent Medicine via JAMA Network 

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