Dr. Barbara Kaiser-McCaw Hecht is Director of Hecht Associates, Inc., consultants in Medical Genetics based in Jacksonville, Florida. Dr. Hecht is a Diplomat of the American Board of Medical Genetics both in Clinical Cytogenetic (Chromosome Genetics) and Medical Genetics (Genetic Counseling). Dr. Hecht attended Stanford University from which she received a BA and an MA in Biology.
Dr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Pediatric experts agree that moderate-to-vigorous physical activity can help keep kids healthy. In 2005, a 13-member panel of pediatric experts issued a strong recommendation that school-age children engage in a minimum of 60 minutes per day of moderate-to-vigorous physical activity, which is now the official recommendation from the U.S. Department of Agriculture (USDA) and the Department of Health and Human Services (HHS). These agencies recommend that all children 2 years of age and older should get 60 minutes of moderate to vigorous exercise on most, preferably all, days of the week.
This "moderate-to-vigorous" level of physical activity can be achieved by
brisk walking, jumping rope, or playing basketball, soccer, or other sports.
Pediatric experts note that while children take in essentially the same number of
calories as always, their amount of physical activity is drastically lower than
that of children 10 to 20 years ago. The technology revolution has lead to an
increase in the number of popular activities for children (such as video gaming
and computer use) that do not require physical effort.
To arrive at these recommendations, members of the expert pediatric panel reviewed thousands of published research reports that examined the relationship of physical activity to children's mental and physical health.
Theoretically, 60 minutes of physical activity could be achieved by
participation in school activities through a combination of daily physical-education classes, after-school sports programs, and recess activities.
Unfortunately, physical education is not taken seriously by many schools or is
allowed to slide when a student experiences academic difficulties.
Children's health, or pediatrics,
focuses on the well-being of children from conception through adolescence. It is
vitally concerned with all aspects of children's growth and development and with
the unique opportunity that each child has to achieve their full potential as a
healthy adult.
Children's health was once a part of adult medicine. It
emerged in the 19th and early 20th century as a medical specialty because of the
gradual awareness that the health problems of children are different from those
of grown-ups. It was also recognized that a child's response to illness,
medications, and the environment depends upon the age of the child.
There are many aspects to children's health. Any organization of these aspects of
child health is necessarily arbitrary. For example, the topics could be
presented in alphabetical order. However, it seems most logical to start at the
beginning -- with the factors that determine a child's healthy growth and
development.
Growth and development
A healthy child's development actually begins before conception with the parents'
health and their genetic legacy. It continues on to conception and through the
prenatal period. During this time, there is naturally considerable overlap
between pediatric concerns for the fetus and obstetrical concerns for
the mother.
Once the baby is delivered, there are new and important matters to
ponder, such as breastfeeding, newborn screening tests and sleeping
safety. All too soon, there are health-care appointments to be kept, for example, for
well-baby checkups and immunizations. These are followed by other
challenges, such as when to introduce solid foods and to start toilet training.
The field of pediatrics recognizes classic stages in growth and development,
but these are artificial since a child's growth and development constitute a
continuum. A baby changes at an astonishing rate during the newborn period and
early infancy. Before you know it, the baby becomes a toddler, next a child and,
after a little more than a decade, is already a teen. It is a busy, challenging
period.
Children's illnesses
Unfortunately, even the healthiest baby can get sick. It
is worth knowing the signs and symptoms of the common childhood illnesses as well as
the treatment and prevention of these illnesses. There are a number of common
childhood conditions such as ear infections and even tonsillitis, which may be unavoidable. But
children are also subject
to serious infectious diseases, some of which can be prevented by immunizations.
Children may be born with health problems. For example, a cleft lip or palate is evident at birth. But some
equally common birth defects, such as heart
malformations, may not be immediately apparent. Birth defects of all kinds are a
consequential concern for children and their parents. It is estimated that
between 2%-3% of all children are born with birth defects.
Scabies are itch mites that burrow under the skin and produce intense itching that's usually worse at night. Symptoms of scabies are small bumps and blisters on the wrists, knees, between the fingers, on the back of the elbows, in the groin and on the buttocks. Treatment involves applying a mite-killing cream, antihistamines for itch relief, washing bedclothes and linens.
The word "rash" means an outbreak of red bumps on the body. The way people use this term, "a rash" can refer to many different skin conditions. The most common of these are scaly patches of skin and red, itchy bumps or patches all over the place.
Pneumonia is inflammation of one or both lungs with consolidation. Pneumonia is frequently but not always due to infection. The infection may be bacterial, viral, fungal or parasitic. Symptoms may include fever, chills, cough with sputum production, chest pain, and shortness of breath.
Infectious mononucleosis is a virus infection in which there is an increase of white blood cells
that are mononuclear (with a single nucleus) "Mono" and "kissing
disease" are popular terms for this very common illness caused by the
Epstein-Barr virus (EBV).
Most sore throats are caused by viruses or mechanical causes (such as mouth breathing) and can be treated successfully at home. However, a person should be seen by a health care professional if they have a sore throat that has a rapid onset, and is associated with a fever or tenderness of the front of the neck; a sore throat that causes the person to have difficulty swallowing (not just pain swallowing) or breathing; or if a sore throat lasts for more than a week.
Gastroenteritis (viral gastroenteritis, stomach flu) is an infection caused by a variety of viruses that results in vomiting and/or diarrhea. Even though it is often called the "stomach flu," it is not caused by the influenza viruses. Viruses that can cause gastroenteritis (stomach flu) include: rotaviruses, adenoviruses, caliciviruses, astroviruses, Norwalk virus, and a group of Noroviruses. Gastroenteritis is not caused by bacteria. The main symptoms of gastroenteritis include vomiting and watery diarrhea, however, headache, fever, and abdominal cramps (stomach ache) may also be present.
Diarrhea is a change is the frequency and looseness of bowel movements. Cramping, abdominal pain, and the sensation of rectal urgency are all symptoms of diarrhea. Absorbents and anti-motility medications are used to treat diarrhea.
The term "ringworm" or "ringworms" refers to fungal infections that are on the surface of the skin. A physical examination of the affected skin, evaluation of skin scrapings under the microscope, and culture tests can help doctors make the appropriate distinctions. A proper diagnosis is essential to successful treatment. Among the different types of ringworm are the following: tinea barbae, tinea capitis, tinea corporis, tinea cruris, tinea faciei, tinea manus, tinea pedis, and tinea unguium.
Appendicitis is an inflammation of the appendix. Appendicitis often causes
fever, loss of appetite, and right lower
quadrant abdominal pain. Delay in surgery can result in appendix rupture with potentially serious complications.
Pink eye, also called conjunctivitis, is redness or irritation of the conjunctivae, the membranes on the inner part of the eyelids and the membranes covering the whites of the eyes. These membranes react to a wide range of bacteria, viruses, allergy-provoking agents, irritants, and toxic agents.
Headaches can be divided into two categories: primary headaches and secondary headaches. Migraine headaches, tension headaches, and cluster headaches are considered primary headaches. Secondary headaches are caused by disease. Headache symptoms vary with the headache type. Over-the-counter pain relievers provide short-term relief for most headaches.
Strep throat is a sore throat caused by a bacterium called streptococcus (strep) that can be treated through antibiotics. Common symptoms of strep throat include pinkeye, runny nose, skin rash, cough, hoarseness, diarrhea and more. Complications of untreated strep throat include middle ear infections, meningitis, pneumonia, rheumatic fever, and more.
Dehydration is the excessive loss of body water. There are a number of causes of dehydration including heat exposure, prolonged vigorous exercise, and some diseases of the gastrointestinal tract. The best way to treat dehydration is to prevent it from occurring.
Leukemia is a type of cancer of the blood cells in which the growth and development of the blood cells are abnormal. Strictly speaking, leukemia should refer only to cancer of the white blood cells (the leukocytes) but in practice it can apply to malignancy of any cellular element in the blood or bone marrow, as in red cell leukemia (erythroleukemia).
Anemia is the condition of having less than the normal number of red blood cells or less than the normal quantity of hemoglobin in the blood. The oxygen-carrying capacity of the blood is, therefore, decreased.
Nosebleed is common in dry climates during winter months, and in hot dry climates with low humidity. Individual taking blood clotting medications, aspirin, or antiinflammatory medications may be more prone to nose bleeding. Other factors that contribute to nosebleed are trauma (including nose picking), rhinitis, and high blood pressure. Treatment depends on the severity of the condition.
Migraine is usually periodic attacks of headaches on one or both sides of the head. These may be accompanied by nausea, vomiting, increased sensitivity of the eyes to light (photophobia), increased sensitivity to sound (phonophobia), dizziness, blurred vision, cognitive disturbances, and other symptoms. Treatments for migraine headache include therapies that may or may not involve medications.
Diabetes mellitus is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
Head lice infection is called pediculosis. Lice are parasites that feed on blood and can be found on the scalp and hair of infected people. Signs and symptoms of head lice infestation include a tickling sensation, itching, and sores on the head. Head lice may be eliminated with various over-the-counter shampoos and washing all clothing and bed linens in the hot water cycle. Combs and brushes should be disinfected, and the floor and furniture should be vacuumed.
Common warts are skin growths causes by the human papillomavirus. There are many types of warts, including plantar warts, common hand warts, warts under the nails, mosaic wars, and flat warts. Over-the-counter treatments typically involve the use of salicylic acid products.
Jaundice is a yellowish staining of the skin and whites of the eyes (sclerae) with bilirubin, the pigment found in bile. Jaundice can be an indicator of liver or gallbladder disease, or it may result from the rupture of red blood cells (hemolysis).
Heat rash is a skin irritation caused by excessive sweating. It can occur at any age and it appears as a rash that itches or feels prickly, and looks like a red cluster of pimples or small blisters. Pictures of heat rash are included.
Anorexia is an eating disorder characterized by markedly reduced appetite or total aversion to food. Anorexia is a serious psychological disorder and is a condition that goes well beyond out-of-control dieting. With anorexia, the drive to become thinner is actually secondary to concerns about control and/or fears relating to one's body. There are psychological and behavioral symptoms as well as physical symptoms of anorexia including: depression, social withdrawal, fatigue, food obsession, heart and gastrointestinal complications, kidney function, flaky skin, brittle nails, and tooth loss (this list is not exhaustive).
Eczema is a general term for many types dermatitis (skin inflammation). Atopic dermatitis is the most common of the many types of eczema. Other types of eczema include: contact eczema, allergic contact eczema, seborrheic eczema, nummular eczema, stasis dermatitis, and. dyshidrotic eczema.
Although a fever technically is any body temperature above the normal of 98.6 degrees F. (37 degrees C.), in practice a person is usually not considered to have a significant fever until the temperature is above 100.4 degrees F (38 degrees C.). Fever is part of the body's own disease-fighting arsenal: rising body temperatures apparently are capable of killing off many disease- producing organisms.
Impetigo is a contagious skin infection caused by staph and strep bacteria. There are two types of impetigo: non-bullous and bullous. Symptoms of non-bullous impetigo include small blisters on the nose, face, arms, or legs and possibly swollen glands. Bullous impetigo symptoms include blisters in various areas, particularly in the buttocks area. Treatment involves gentle cleansing, removing the crusts of popped blisters, and the application of prescription-strength mupirocin antibiotic ointment.
The Eustachian tube is a membrane lined tube that connects the middle ear space to the back of the nose. Problems include partial or complete blockage which can cause popping, clicking, and ear fullness. Allergies, sinus and ear infections, or the common cold can cause this blockage, while altitude changes can cause symptoms in those persons with Eustachian tube problems. Treatment includes several maneuvers (swallowing, chewing gum, yawning etc.), which can be done to improve Eustachian tube function.
The common cold (viral upper respiratory tract infection) is a contagious illness that may be caused by various viruses. Symptoms include a stuffy nose, headache, cough, sore throat, and maybe a fever. Antibiotics have no effect upon the common cold, and there is no evidence that zinc and vitamin C are effective treatments.
Post-traumatic stress disorder (PTSD), a psychiatric condition, can develop after any catastrophic life event. Symptoms include nightmares, flashbacks, sweating, rapid heart rate, detachment, amnesia, sleep problems, irritability, and exaggerated startle response. Treatment may involve psychotherapy, group support, and medication.
Croup is an infection of the larynx, trachea, and the bronchial tubes usually caused by viruses, less often caused by bacteria.
Croup is contagious, especially during the first few days of illness.
A cough that sounds like a barking seal and a harsh raspy "Darth Vader" sound during inhalation are symptoms of croup.
Treatment of croup can include cool moist air, saltwater nose drops, pain and fever medication, fluids, and very rarely antibiotics. Over-the-counter decongestants, cough and cold medications, and aspirin should not be given.
The major concern in croup is progressive breathing difficulty as the air passages narrow.
Close monitoring of the breathing of a child with croup is important, especially at night.
What is croup? What causes croup?
Croup is an infectious illness of the respiratory system involving the vocal cords (larynx), the windpipe (trachea)...
Pediatric experts agree that moderate-to-vigorous physical activity can help keep kids healthy. In 2005, a 13-member panel of pediatric experts issued a strong recommendation that school-age children engage in a minimum of 60 minutes per day of moderate-to-vigorous physical activity, which is now the official recommendation from the U.S. Department of Agriculture (USDA) and the Department of Health and Human Services (HHS). These agencies recommend that all children 2 years of age and older should get 60 minutes of moderate to vigorous 
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