CA4AAP
California Chapter 4, American Academy of Pediatrics
Newsletter
February, 2008
In This Issue
March Quarterly Dinner Meeting
AAP Lifts Embargo on New Study
Why participate in PROS?
PPC Allergy & Asthma Course in Orlando, Florida
Human & Health Services: Influenza Announcement
The Choking Game: Risky Youth Behavior
New Phone Numbers Reminder

March Quarterly Dinner Meeting Postponed

 
The Quarterly Dinner Meeting scheduled for March 18th has been postponed.  Please watch for updates regarding this meeting soon.

AAP Lifts Embargo on New Study

In light of the "Eli Stone" controversy, the AAP is lifting the embargo on a new study showing that the ethyl mercury previously used in vaccines as a preservative, is excreted much faster than other forms of mercury in the environment. The study, from the University of Rochester, can be found in the February issue of Pediatrics. A news release from the authors' institution can be found at:

Article Link

Why participate in PROS?

Burlington, Mass., pediatrician Ben Scheindlin, M.D., FAAP, does it for "the fun" and enjoys the knowledge that "colleagues all over the country are collaborating on the same effort."  Los Angeles pediatrician Heide Woo, M.D., FAAP, does it because it helps her provide "a higher quality of care" to her patients.

The "it" is participating in Pediatric Research in Office Settings (PROS) - the Academy's practice-based research network.  Along with 1,700 of their colleagues across the nation, Drs. Scheindlin and Woo help generate knowledge about the best pediatric care, not only for the patients in their offices, but also for those across the country.

Dr. Scheindlin joined PROS in 1995, and all of his colleagues also participate in the research network.

"The excitement of reading about and working on PROS studies spills over and constantly renews my excitement about primary care pediatric practice," he said. "I get excited every time I see our practice name listed at the end of an article in a medical journal."

Dr. Scheindlin said he has been able to use PROS research findings in his practice, including the normal time of pubertal onset in girls, the high prevalence of behavioral symptoms in young children and how to manage febrile young infants. PROS studies also have helped him rethink how he approaches well-child care and anticipatory guidance.

 "As someone who has always been interested in research and attracted to academic medicine, but was called to clinical primary care practice, it's great to have readymade opportunities to contribute my small part to important research studies," Dr. Scheindlin said. "I'm proud to be part of such a high-quality group as PROS. It's a pediatric grassroots effort; it's open to anyone who wants to participate, and it makes me feel more connected to the larger AAP."

Dr. Woo practices with three colleagues, serving a diverse pop­ulation in West Los Angeles. Since joining PROS in 1999, she has found that participation in studies affects her care of patients in surprising ways.

"I have been asked by parents of boys com­ing in for physicals about when to expect the onset of puberty," she noted. "I have been happy and gratified to tell them my part in the Secondary Sexual Characteristics in Boys study, which is designed to answer exactly that question, and that the answer will be available in the next year or two when the full study is complete."

She also sees benefits with her practice employees. "The office staff who have helped us do the PROS studies have appreciated the fact that we as an office are committed to research and, through the research, also to improving the quality of care we deliver to the patients."

Both practitioners have seen their roles in PROS grow over the years. Beginning as contributing practitioners, they have gone on to become chapter representatives and members of the network's steering committee, and have participated in writing up study results (as any PROS practitioner is welcome to do).

Dr. Scheindlin co-authored a recently published paper in Clinical Pediatrics, based on the results of the violence-prevention-oriented Safety Check study. Dr. Woo co­authored a platform presentation at the 2004 Pediatric Academic Societies meeting, based on the results of the PROS Life Around Newborn Discharge study.

"In the era of evidence-based medicine," Dr. Woo said, "it is quite exciting to be able to prove the value of some of the things we do in general pediatrics, whether it is how we care for young febrile infants or the discus­sions we have with parents on anticipatory guidance and violence prevention."

Core funding for PROS is provided by the Health Resources and Services Administration Maternal and Child Health Bureau and the Academy.  As always, PROS seeks practitioners interested in participating in its research.  To inquire about joining PROS, send an e-mail to pros@aap.org, or call PROS Central at 800/433-9016, extension 7623.

 

©Copyright 2007 AAP News - Reprinted with permission

 

 

PPC Allergy & Asthma Course in Orlando, Florida

 

The Early Bird Rate has been extended to February 28th.
Rates will increase on February 29th.
(Co-sponsored by the AAP Section on Allergy and Immunology)

PPC Allergy & Asthma Course

This Practical Pediatrics CME course is designed to provide a comprehensive overview of pediatric allergy for general pediatricians, other physicians, and allied health professionals caring for children. The curriculum is crafted to offer the primary care practitioner a practical approach to issues relating to childhood allergies and is organized around the themes of asthma, rhinosinusitis, and other allergic disease hot topics.

Register by February 28, 2008 for early bird rates. Fees go up on February 29, 2008. The cutoff date for hotel reservations at the AAP group rate is February 28, 2008.

Register Online or call toll-free, 866/THE-AAP1 (866/843-2271).

CA4AAP
American Academy of Pediatrics - 141 NW Point Blvd - Elk Grove Village, IL - 60007 - 847/434-4000
Human and Health Services: Influenza Announcement


Dear Colleague,

Recent U.S. surveillance reports indicate that influenza activity is on the rise. To reduce the substantial burden of influenza on the U.S., CDC recommends a three-pronged approach: increasing the number of people vaccinated against influenza, appropriate use of influenza antiviral agents, and promoting respiratory hygiene and cough etiquette.

1.) First is the use of influenza seasonal vaccine. Vaccination now can still provide protection against influenza this season since different influenza viruses can circulate as late as May. Please continue to offer vaccine to people recommended for vaccination, including health care workers, and anyone else who wants to decrease their risk of getting influenza. If your practice has administered all of its vaccine, you can purchase additional vaccine, or refer patients to local health departments or other vaccine providers.

2.) An important second line of defense against influenza is the appropriate use of influenza antiviral medications. These can be used to treat or prevent influenza virus infection. Treatment should begin within 48 hours of symptom onset, and can reduce symptoms and illness duration. There are two influenza antiviral agents that should be used in the U.S.: oseltamivir and zanamivir. Oseltamivir is approved for treatment and prevention of influenza in persons 1 year and older. Zanamivir is approved for treatment of persons 7 years and older and for prevention in persons 5 years and older.

3.) Use respiratory hygiene and cough etiquette measures to prevent the spread of influenza. These everyday preventive actions include frequent hand washing, covering coughs and sneezes and staying home when sick to keep from spreading illness.

Information and materials on these measures, including downloadable flyers and audio announcements, as well as information on how to locate available influenza vaccine for purchase, are available at www.cdc.gov/flu. We encourage you to visit our website and ask that you circulate this information widely. Thank you for your invaluable contributions to public health.

Sincerely,

Dr. Nancy Cox                             and                    Dr. Anne Schuchat
Director Influenza Division                                      Director National Center for                                                                                    Immunization and Respiratory Diseases

The Choking Game: A Risky Youth Behavior


An article published in the February 15, 2008 Morbidity and Mortality Weekly Report describes an activity called "the choking game," which has led to the death of at least 82 children and adolescents since 1995. Researchers from CDC's Division of Unintentional Injury Prevention analyzed media reports of deaths of children and adolescents from the choking game. Highlights from their findings address some common questions about this public health threat.

For more information:
FULL ARTICLE LINK
Reminder! The Chapter Phone Numbers have changed

      
Our phone numbers have changed to:

                      Office: (949) 752-2787

                       Fax:   (949) 752-2788

If you have any questions or concerns please call our office Monday-Friday, 8am-5pm.