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Pediatric Clinical Practice Guidelines & Policies: A Compendium of Evidence-based Research for Pediatric Practice PDF

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A M E R I C A N A C A D E M Y O F P E D I AT R I C S A P APmeedriciaant Arciacd emCyl oifn Piecdiaatlr icPs ractice Guidelines & Policies Pediat omf ePreidcaoianlti crAiycc soadf tehmey r i A Compendium of Evidence-based Research for Pediatric Practice c 14th Edition Text C Clinical practice guidelines have long provided physicians with an evidence-based decision-making and li tool for managing common pediatric conditions. Policies issued and endorsed by the American n Academy of Pediatrics (AAP) represent the AAP position on child health care issues. CD-ROM ic More than 30 clinical practice guidelines and more than 400 policy statements, clinical reports, a and tech nical reports have been combined into this fourteenth edition of Pediatric Clinical Practice all in one! l Guidelines & Policies book and CD-ROM, giving you even easier access to the important clinical and P policy information you need. r Pediatric a Manual includes c • Complete AAP clinical practice guidelines Organization of Pediatric Clinical Practice t • Complete 2013 AAP policy statements and clinical and Guidelines & Policies, 14th Edition i c technical reports e • Appendices on policies by committee, the AAP Section 1: Clinical Practice Guidelines From the Clinical Practice G Partnership for Policy Implementation, and AAP acronyms American Academy of Pediatrics • Quick Reference Tools including coding tips, patient Section 2: Endorsed Clinical Practice Guidelines u education handouts, and more Section 3: Affirmation of Value Clinical Practice id • Six-section organization for ease of use Guidelines e CD-ROM includes Section 4: 2013 Policies From the American l i • Complete AAP clinical practice guidelines Academy of Pediatrics n & Guidelines Policies • Complete text of all AAP policies through December 2013 Section 5: Current Policies From the American e • Full search capabilities s Academy of Pediatrics • AAP-endorsed policy statements from other medical Section 6: Endorsed Policies & groups Appendix 1: Policies by Committee Clinical practice guidelines included in this edition Appendix 2: PPI: AAP Partnership for Policy cover the following pediatric conditions: Implementation P o • Attention-deficit/hyperactivity disorder Appendix 3: American Academy of Pediatrics Acronyms l • Autism i • Bronchiolitis c i • Cerebral palsy • Nonfebrile seizures e • Community-acquired pneumonia s • Otitis media—New! • Congenital adrenal hyperplasia , • Depression • Radiology 1 A Compendium of Evidence-based • Sedation and analgesia • Diabetes—New! 4 • Sinusitis—New! • Dialysis • Sleep apnea t Research for Pediatric Practice • Dysplasia of the hip h • Status epilepticus • Endocarditis • Tobacco use and dependence E •• FFeluborrilied eseizures •• UVerisnicaoruy rtertaecrta li nrfeefclutixon d 14th Edition Text • Food allergy i •• GGaassttrrooeensoteprhitaigseal reflux 14th EPdeditiiaotnri,c iCs ltihneic aple Prfreacctt ipcer aGctuiicdaell irneefse r&en Pcoel ibcioeos,k for tio and • Group B streptococcal disease primary care physicians, nurses, and allied health pro- n •• HHeelmicoabtoapctoeire tpiycl osrtei min fceecltli o trnansplant freessseiaorncahlesr, sa, ss cwheollo la sa nadn ceoxcmemlleunnt irtye shoeuarlcteh fporro afecsasdieomnailcs , CD-ROM • Human immunodeficiency virus—New! and anyone else involved in the care of infants, children, ••• HIInnyftlrpuaeevrnabsziclaiurluabr incaetmheiater-related infections a dolesFcoern otst,h aenr dp eydoiuantrgic a rdeuslotsu.rces, visit the American all in one! • Jaundice Academy of Pediatrics Online Bookstore at www.aap.org/ • Methicillin-resistant Staphylococcus aureus bookstore. • Migraine headache ISBN: 978-1-58110-843-9 ISSN: 1942-2024 MA0697 ISBN 978-1-58110-843-9 90000> 9 781581 108439 A AP Pediatric Clinical Practice Guidelines & Policies A Compendium of Evidence-based Research for Pediatric Practice 14th Edition American Academy of Pediatrics 141 Northwest Point Blvd Elk Grove Village, IL 60007-1019 www.aap.org AMERICAN ACADEMY OF PEDIATRICS DEPARTMENT OF MARKETING AND PUBLICATIONS STAFF Maureen DeRosa, MPA Director, Department of Marketing and Publications Mark Grimes Director, Division of Product Development Jeff Mahony Manager, Digital Strategy and Product Development Jennifer McDonald Manager, Online Content Mark Ruthman Manager, Electronic Product Development Sandi King, MS Director, Division of Publishing and Production Services Leesa Levin-Doroba Manager, Publishing and Production Services Amanda Cozza Editorial Specialist Peg Mulcahy Manager, Graphic Design and Production Julia Lee Director, Division of Marketing and Sales Linda Smessaert, MSIMC Brand Manager, Clinical and Professional Publications 14th Edition—2014 13th Edition—2013 12th Edition—2012 11th Edition—2011 10th Edition—2010 9th Edition—2009 8th Edition—2008 7th Edition—2007 6th Edition—2006 5th Edition—2005 4th Edition—2004 3rd Edition—2003 2nd Edition—2002 1st Edition—2001 ISBN: 978-1-58110-843-9 ISSN: 1942-2024 MA0697 9-5/0214 The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. For permission to reproduce material from this publication, visit www.copyright.com and search for “Pediatric Clinical Practice Guidelines.” Copyright © 2014 American Academy of Pediatrics. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher. Printed in the United States of America. INTRODUCTION TO PEDIATRIC CLINICAL PRACTICE GUIDELINES & POLICIES: A COMPENDIUM OF EVIDENCE-BASED RESEARCH FOR PEDIATRIC PRACTICE Clinical practice guidelines have long provided physicians with evidence-based decision-making tools for managing common pediatric conditions. Policy statements issued and endorsed by the American Academy of Pediatrics (AAP) are developed to provide physicians with a quick reference guide to the AAP position on child health care issues. We have combined these 2 authoritative resources into one comprehensive manual/CD-ROM resource to provide easy access to important clinical and policy information. This manual contains • Clinical practice guidelines from the AAP, plus related recommendation summaries, ICD-9-CM/ ICD-10-CM coding information, and AAP patient education handouts • Technical report summaries • Clinical practice guidelines endorsed by the AAP, including abstracts where applicable • Policy statements, clinical reports, and technical reports issued or endorsed through December 2013, including abstracts where applicable • Full text of all 2013 AAP policy statements, clinical reports, and technical reports The CD-ROM, which is located on the inside back cover of this manual, builds on the content of the manual and includes full text of all AAP • Clinical practice guidelines • Policy statements • Clinical reports • Technical reports • Endorsed clinical practice guidelines and policies For easy reference within this publication, the dates when AAP clinical practice guidelines, policy statements, clinical reports, and technical reports first appeared in the AAP journal Pediatrics are provided. In 2009, the online version of Pediatrics at http://pediatrics.aappublications.org became the official journal of record; therefore, the date of online publication is given for policies from 2010 to  present. Additional information about AAP policy can be found in a variety of professional publications such as Care of the Young Athlete, 2nd Edition Guidelines for Perinatal Care, 7th Edition Pediatric Environmental Health, 3rd Edition Pediatric Nutrition, 7th Edition Red Book®, 29th Edition, and Red Book® Online (www.aapredbook.org) School Health: Policy & Practice, 6th Edition For more information on these titles and similar resources or for ordering information, please call 888/227-1770 or visit our online Bookstore at www.aap.org/bookstore. All policy statements, clinical reports, and technical reports from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time. Please check the American Academy of Pediatrics Web site at www.aap.org for up-to-date reaffirmations, revisions, and retirements. AMERICAN ACADEMY OF PEDIATRICS The American Academy of Pediatrics (AAP) and its member pediatricians dedicate their efforts and resources to the health, safety, and well-being of infants, children, adolescents, and young adults. The AAP has approximately 62,000 members in the United States, Canada, and Latin America. Members include pediatricians, pediatric medical subspecialists, and pediatric surgical specialists. Core Values. We believe • In the inherent worth of all children; they are our most enduring and vulnerable legacy. • Children deserve optimal health and the highest quality health care. • Pediatricians are the best qualified to provide child health care. The American Academy of Pediatrics is the organization to advance child health and well-being. Vision. Children have optimal health and well-being and are valued by society. Academy members practice the highest quality health care and experience professional satisfaction and personal well-being. Mission. The mission of the American Academy of Pediatrics is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults. To accomplish this mission, the Academy shall support the professional needs of its members. V Table of Contents SECTION 1 Hyperbilirubinemia CLINICAL PRACTICE GUIDELINES FROM THE Management of Hyperbilirubinemia in the AMERICAN ACADEMY OF PEDIATRICS Newborn Infant 35 or More Weeks Foreword ................................................................................ 3 of Gestation .............................................................. 165 Technical Report Summary: An Evidence- Attention-Deficit/Hyperactivity Disorder Based Review of Important Issues Concerning Neonatal Hyperbilirubinemia ......... 189 ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention- Technical Report: Phototherapy to Prevent Deficit/Hyperactivity Disorder in Children Severe Neonatal Hyperbilirubinemia in and Adolescents .......................................................... 5 the Newborn Infant 35 or More Weeks of Gestation .............................................................. 203 See Appendix 2. 2009 Commentary: Hyperbilirubinemia in the Newborn Infant ≥35 Weeks’ Gestation: Attention-Deficit/Hyperactivity Disorder Clinical An Update With Clarifications ............................... 211 Practice Guideline Quick Reference Tools ..............23 2009 Commentary: Universal Bilirubin Screening, Guidelines, and Evidence ................... 217 Bronchiolitis Hyperbilirubinemia Clinical Practice Guideline Diagnosis and Management of Bronchiolitis ................ 49 Quick Reference Tools ............................................ 221 See Appendix 2. Otitis Media Bronchiolitis Clinical Practice Guideline Quick The Diagnosis and Management of Acute Reference Tools .......................................................... 71 Otitis Media ............................................................. 225 Otitis Media With Effusion .............................................. 263 Diabetes Otitis Media Clinical Practice Guidelines Management of Newly Diagnosed Type 2 Diabetes Quick Reference Tools ............................................ 283 Mellitus (T2DM) in Children and Adolescents ... 75 Technical Report: Management of Sinusitis Type 2 Diabetes Mellitus in Children Clinical Practice Guideline for the Diagnosis and and Adolescents ........................................................ 97 Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years ................................. 295 See Appendix 2. Diabetes Clinical Practice Guideline Quick See Appendix 2. Reference Tools ......................................................... 115 Technical Report: Evidence for the Diagnosis and Treatment of Acute Uncomplicated Dysplasia of the Hip Sinusitis in Children: A Systematic Review ....... 317 Early Detection of Developmental Dysplasia of Sinusitis Clinical Practice Guideline Quick the Hip ....................................................................... 119 Reference Tools ........................................................ 331 Technical Report Summary: Developmental Dysplasia of the Hip Practice Guideline ............ 131 Sleep Apnea Dysplasia of the Hip Clinical Practice Guideline Diagnosis and Management of Childhood Quick Reference Tools ............................................ 141 Obstructive Sleep Apnea Syndrome ................... 335 Technical Report: Diagnosis and Febrile Seizures Management of Childhood Obstructive Febrile Seizures: Clinical Practice Guideline for Sleep Apnea Syndrome ......................................... 347 the Long-term Management of the Child With Simple Febrile Seizures ................................. 145 See Appendix 2. Febrile Seizures: Guideline for the Neuro- Sleep Apnea Clinical Practice Guideline diagnostic Evaluation of the Child With Quick Reference Tools ............................................ 389 a Simple Febrile Seizure ........................................ 153 Febrile Seizures Clinical Practice Guidelines Quick Reference Tools ............................................ 161 VI TABLE OF CONTENTS Urinary Tract Infection Fluoride Urinary Tract Infection: Clinical Practice Guideline Recommendations for Using Fluoride to for the Diagnosis and Management of the Prevent and Control Dental Caries in Initial UTI in Febrile Infants and Children the United States ...................................................... 445 2 to 24 Months ........................................................ 393 Food Allergy See Appendix 2. Guidelines for the Diagnosis and Management of Food Allergy in the United States: Technical Report: Diagnosis and Report of the NIAID-Sponsored Management of an Initial UTI in Expert Panel ............................................................. 445 Febrile Infants and Young Children ..................... 411 Gastroenteritis See Appendix 2. Managing Acute Gastroenteritis Among 2011 Commentary: The New American Children: Oral Rehydration, Maintenance, Academy of Pediatrics Urinary Tract and Nutritional Therapy ........................................ 445 Infection Guideline ................................................. 433 Urinary Tract Infection Clinical Practice Gastroesophageal Reflux Guideline Quick Reference Tools .......................... 437 Guidelines for Evaluation and Treatment of Gastroesophageal Reflux in Infants and Children ............................................................ 445 SECTION 2 ENDORSED CLINICAL PRACTICE GUIDELINES Group B Streptococcal Disease Autism Prevention of Perinatal Group B Streptococcal Disease: Revised Guidelines from Screening and Diagnosis of Autism ............................... 443 CDC, 2010 ................................................................. 446 Cerebral Palsy Helicobacter pylori Infection Diagnostic Assessment of the Child With Helicobacter pylori Infection in Children: Cerebral Palsy .......................................................... 443 Recommendations for Diagnosis and Treatment .......................................................... 446 Community-Acquired Pneumonia The Management of Community-Acquired Hematopoietic Stem Cell Transplant Pneumonia (CAP) in Infants and Guidelines for Preventing Opportunistic Children Older Than 3 Months of Age ................ 443 Infections Among Hematopoietic Stem Cell Transplant Recipients ..................................... 446 Congenital Adrenal Hyperplasia Congenital Adrenal Hyperplasia Due to Steroid Human Immunodeficiency Virus 21-hydroxylase Deficiency: An Endocrine Guidelines for the Prevention and Treatment of Society Clinical Practice Guideline ....................... 443 Opportunistic Infections in HIV-Exposed and HIV-Infected Children ................................... 446 Depression Guidelines for Adolescent Depression in Influenza Primary Care (GLAD-PC): I. Identification, Seasonal Influenza in Adults and Children— Assessment, and Initial Management ................. 444 Diagnosis, Treatment, Chemoprophylaxis, Guidelines for Adolescent Depression in and Institutional Outbreak Management: Primary Care (GLAD-PC): II. Treatment Clinical Practice Guidelines of the Infectious and Ongoing Management .................................... 444 Diseases Society of America ................................. 448 Dialysis Intravascular Catheter-Related Infections Shared Decision-Making in the Appropriate Guidelines for the Prevention of Intravascular Initiation of and Withdrawal from Dialysis, Catheter-Related Infections .................................... 448 2nd Edition .............................................................. 444 Jaundice Endocarditis Guideline for the Evaluation of Cholestatic Prevention of Infective Endocarditis: Guidelines Jaundice in Infants ................................................... 449 From the American Heart Association ................. 444 PEDIATRIC CLINICAL PRACTICE GUIDELINES & POLICIES VII Methicillin-Resistant Staphylococcus aureus Turner Syndrome Clinical Practice Guidelines by the Infectious Care of Girls and Women With Turner Syndrome: Diseases Society of America for the A Guideline of the Turner Syndrome Treatment of Methicillin-Resistant Study Group ............................................................. 455 Staphylococcus aureus Infections in Adults and Children ............................................... 449 SECTION 4 Migraine Headache 2013 POLICIES FROM THE AMERICAN ACADEMY OF PEDIATRICS Pharmacological Treatment of Migraine Headache in Children and Adolescents .............. 449 Introduction ....................................................................... 459 Calcium and Vitamin D Requirements of Radiology Enterally Fed Preterm Infants ............................... 461 Neuroimaging of the Neonate ........................................ 449 Caregiver-Fabricated Illness in a Child: A Manifestation of Child Maltreatment .............. 471 Sedation and Analgesia Children, Adolescents, and the Media ......................... 481 Clinical Policy: Evidence-based Approach Community Pediatrics: Navigating the to Pharmacologic Agents Used in Intersection of Medicine, Public Health, Pediatric Sedation and Analgesia in and Social Determinants of  the Emergency Department ................................... 450 Children’s Health .................................................... 487 Condom Use by Adolescents .......................................... 495 Seizure Conflicts Between Religious or Spiritual Beliefs Evaluating a First Nonfebrile Seizure and Pediatric Care: Informed Refusal, in Children ................................................................ 450 Exemptions, and Public Funding .......................... 507 Treatment of the Child With a First Consumption of Raw or Unpasteurized Milk Unprovoked Seizure ............................................... 450 and Milk Products by Pregnant Women and Children ............................................................ 513 Status Epilepticus Early Intervention, IDEA Part C Services, and Diagnostic Assessment of the Child With Status the Medical Home: Collaboration for Best Epilepticus (An Evidence-based Review) .......... 450 Practice and Best Outcomes ................................... 521 Electronic Prescribing in Pediatrics: Toward Tobacco Use Safer and More Effective Medication Treating Tobacco Use and Dependence: Management ............................................................. 537 2008 Update .............................................................. 451 Electronic Prescribing in Pediatrics: Toward Safer and More Effective Medication Vesicoureteral Reflux Management (Technical Report) ........................... 543 Report on the Management of Primary Enhancing Pediatric Workforce Diversity and Vesicoureteral Reflux in Children ......................... 452 Providing Culturally Effective Pediatric Care: Implications for Practice, Education, and Policy Making .................................................. 553 SECTION 3 AFFIRMATION OF VALUE CLINICAL Essential Contractual Language for Medical PRACTICE GUIDELINES Necessity in Children ............................................ 567 Ethical Controversies in Organ Donation Asthma After Circulatory Death .......................................... 573 Environmental Management of Pediatric Asthma: Ethical and Policy Issues in Genetic Testing Guidelines for Health Care Providers ................. 455 and Screening of Children ..................................... 581 Evaluating for Suspected Child Abuse: Palliative Care and Hospice Conditions That Predispose to Bleeding ............. 587 Standards of Practice for Pediatric Palliative Evaluation for Bleeding Disorders in Care and Hospice ................................................... 455 Suspected Child Abuse .......................................... 607 The Evaluation of Children in the Primary Care Sleep Apnea Setting When Sexual Abuse Is Suspected ............ 619 Practice Guidelines for the Perioperative Gastroesophageal Reflux: Management Guidance Management of Patients with Obstructive for the Pediatrician .................................................. 631 Sleep Apnea .............................................................. 455 Guidance on Management of Asymptomatic Neonates Born to Women With Active Genital Herpes Lesions ........................................... 645 VIII TABLE OF CONTENTS Guiding Principles for Managed Care Returning to Learning Following a Concussion .......... 933 Arrangements for the Health Care of Scope of Practice Issues in the Delivery Newborns, Infants, Children, Adolescents, of Pediatric Health Care ......................................... 945 and Young Adults .................................................... 659 Surfactant Replacement Therapy for Guiding Principles for Pediatric Hospital Preterm and Term Neonates With Medicine Programs ................................................. 673 Respiratory Distress ................................................ 953 Health and Mental Health Needs of Children The Transfer of Drugs and Therapeutics in US Military Families ........................................... 681 Into Human Breast Milk: An Update Health Supervision for Children With on Selected Topics ................................................... 963 Marfan Syndrome .................................................... 697 Transitioning HIV-Infected Youth Into Adult Infant Feeding and Transmission of Human Health Care ............................................................... 979 Immunodeficiency Virus in the Use of Inhaled Nitric Oxide in Preterm Infants ........... 987 United States ............................................................ 713 Medicaid Policy Statement .............................................. 721 SECTION 5 Motor Delays: Early Identification CURRENT POLICIES FROM THE AMERICAN and Evaluation ........................................................ 733 ACADEMY OF PEDIATRICS Office-Based Care for Lesbian, Gay, Bisexual, AAP Principles Concerning Retail-Based Clinics ........ 999 Transgender, and Questioning Youth ................... 747 Abusive Head Trauma in Infants and Children ........... 999 Office-Based Care for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth Access to Optimal Emergency Care for Children ........ 999 (Technical Report) .................................................... 755 ACCF/AHA/AAP Recommendations for Oral Health Care for Children With Training in Pediatric Cardiology ......................... 999 Developmental Disabilities .................................... 775 Achieving Quality Health Services Out-of-School Suspension and Expulsion ..................... 783 for Adolescents ........................................................ 999 Parental Leave for Residents and Pediatric  Active Healthy Living: Prevention of Training Programs ................................................... 793 Childhood Obesity Through Increased Physical Activity ..................................................... 999 Pediatric Palliative Care and Hospice Care Commitments, Guidelines, and Additional Recommendations for Use of Recommendations ................................................... 799 Tetanus Toxoid, Reduced-Content Diphtheria Toxoid, and Acellular Pediatrician Workforce Policy Statement ...................... 809 Pertussis Vaccine (Tdap) ........................................ 999 Planned Home Birth ......................................................... 819 Admission and Discharge Guidelines for Prenatal Substance Abuse: Short- and the Pediatric Patient Requiring Long-term Effects on the Exposed Fetus ............. 827 Intermediate Care .................................................. 1000 Principles of Judicious Antibiotic Prescribing Adolescent Pregnancy: Current Trends for Upper Respiratory Tract Infections and Issues ............................................................... 1000 in Pediatrics .............................................................. 845 Adolescents and HIV Infection: The Pediatrician’s Promoting the Well-Being of Children Whose  Role in Promoting Routine Testing ..................... 1000 Parents are Gay or Lesbian .................................... 857 Adolescents and Human Immunodeficiency Promoting the Well-Being of Children Whose Virus Infection: The Role of the Pediatrician Parents are Gay or Lesbian (Technical Report) ... 863 in Prevention and Intervention ........................... 1000 Providing Care for Children and Adolescents The Adolescent’s Right to Confidential Care Facing Homelessness and When Considering Abortion .............................. 1000 Housing Insecurity .................................................. 875 Advanced Practice in Neonatal Nursing .................... 1001 Providing Care for Immigrant, Migrant, and Age Limits of Pediatrics ................................................ 1001 Border Children ....................................................... 883 Age Terminology During the Perinatal Period .......... 1001 Recognition and Management of Iatrogenically Induced Opioid Dependence and Alcohol Use by Youth and Adolescents: Withdrawal in Children ......................................... 893 A Pediatric Concern .............................................. 1001 Recommendations for Prevention and Control Allergy Testing in Childhood: Using Allergen- of Influenza in Children, 2013–2014 ..................... 899 Specific IgE Tests ................................................... 1001 All-Terrain Vehicle Injury Prevention: Two-, See Appendix 2. Three-, and Four-Wheeled Unlicensed Motor Vehicles ....................................................... 1001 Recommended Childhood and Adolescent Immunization Schedule—United States, 2014 .... 917 Ambient Air Pollution: Health Hazards to Children .............................................................. 1001 Respiratory Support in Preterm Infants at Birth .......... 927 PEDIATRIC CLINICAL PRACTICE GUIDELINES & POLICIES IX Antenatal Counseling Regarding Resuscitation Child Life Services ......................................................... 1007 at an Extremely Low Gestational Age ................ 1002 Child Passenger Safety ................................................... 1007 Antiviral Therapy and Prophylaxis for Influenza in Children (Clinical Report) ............................... 1002 See Appendix 2. The Apgar Score .............................................................. 1002 Child Passenger Safety (Technical Report) ............... 1007 Application of the Resource-Based Relative Value Scale System to Pediatrics ......................... 1002 See Appendix 2. Assessment and Management of Inguinal Hernia Children, Adolescents, and Advertising ..................... 1008 in Infants ................................................................. 1002 Children, Adolescents, and the Media ........................ 1008 Athletic Participation by Children and Adolescents Who Have Children, Adolescents, Obesity, and the Media ......... 1008 Systemic Hypertension ......................................... 1003 Children, Adolescents, Substance Abuse, and Auditory Integration Training and the Media ................................................................ 1008 Facilitated Communication for Autism ............ 1003 Children, Adolescents, and Television......................... 1008 Baseball and Softball....................................................... 1003 Children as Hematopoietic Stem Cell Donors ........... 1008 Bicycle Helmets ............................................................... 1003 Children in Pickup Trucks ............................................. 1009 Bone Densitometry in Children Chronic Abdominal Pain in Children .......................... 1009 and Adolescents ..................................................... 1003 Chronic Abdominal Pain in Children Boxing Participation by Children (Technical Report) .................................................. 1009 and Adolescents ..................................................... 1003 Circumcision Policy Statement ..................................... 1009 Breastfeeding and the Use of Human Milk ................ 1004 Classifying Recommendations for Clinical The Built Environment: Designing Communities Practice Guidelines ................................................ 1009 to Promote Physical Activity in Children .......... 1004 Climatic Heat Stress and Exercising Calcium and Vitamin D Requirements of  Children and Adolescents .................................... 1010 Enterally Fed Preterm Infants ............................. 1004 Clinical Genetic Evaluation of the Child Cardiovascular Health Supervision for With Mental Retardation or Individuals Affected by Duchenne Developmental Delays .......................................... 1010 or Becker Muscular Dystrophy ........................... 1004 Clostridium difficile Infection in Infants Cardiovascular Monitoring and Stimulant and Children .......................................................... 1010 Drugs for Attention-Deficit/Hyperactivity Cochlear Implants in Children: Surgical Site Disorder .................................................................. 1004 Infections and Prevention and Treatment Care of Adolescent Parents and Their Children ........ 1005 of Acute Otitis Media and Meningitis ................ 1010 Care of the Adolescent Sexual Assault Victim ........... 1005 Collaborative Role of the Pediatrician in the Care Coordination in the Medical Home: Diagnosis and Management of Bipolar Integrating Health and Related Systems Disorder in Adolescents ........................................ 1011 of Care for Children With Special Health Communicating With Children and Families: Care Needs ............................................................. 1005 From Everyday Interactions to Skill in Caregiver-Fabricated Illness in a Child: Conveying Distressing Information .................... 1011 A Manifestation of Child Maltreatment) ........... 1005 Community Pediatrics: Navigating the The Changing Concept of Sudden Infant Death Intersection of Medicine, Public Health, Syndrome: Diagnostic Coding Shifts, and Social Determinants of Controversies Regarding the Sleeping Children’s Health ................................................... 1011 Environment, and New Variables to Comprehensive Health Evaluation of the Consider in Reducing Risk .................................. 1005 Newly Adopted Child ........................................... 1011 Cheerleading Injuries: Epidemiology and Condom Use by Adolescents ......................................... 1011 Recommendations for Prevention ...................... 1006 Confidentiality in Adolescent Health Care ................ 1012 Chemical-Biological Terrorism and Its Impact Conflicts Between Religious or Spiritual Beliefs on Children ............................................................. 1006 and Pediatric Care: Informed Refusal, Chemical-Management Policy: Prioritizing Exemptions, and Public Funding ........................ 1012 Children’s Health .................................................. 1006 Congenital Adrenal Hyperplasia .................................. 1012 Child Abuse, Confidentiality, and the A Consensus Statement on Health Care Health Insurance Portability and Transitions for Young Adults With Accountability Act ................................................. 1006 Special Health Care Needs................................... 1012 The Child in Court: A Subject Review ......................... 1006 Child Fatality Review ..................................................... 1007

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