We must resolve our underlying deficit problem

Vitamin D Supplementation: We Must Not Fail Our Children!

There is increasing concern that vitamin D deficiency poses a major health problem for children. Deficiency can cause hypocalcemic seizures, growth disturbances, and rickets and may influence diabetes, cardiovascular dysfunction, autoimmune diseases, and attention deficit hyperactivity disorders. Reduced vitamin D levels in children presenting to pediatric orthopedic services are common.In the ...

Child abuse--we must increase our level of suspicion.

CHILD abuse is often obvious. Occasionally, however its manifestations are not recognised or are easily overlooked. This paper describes three children to whom there was serious child abuse and in each there was a variable degree of diagnostic difficulty. The case reports are presented and comments offered which may help in the recognition and management of future cases. Several common adverse ...

We must--and we can--do better.

Stiffening our resolve against adult weight gain.

Increasing adiposity with a clinical endpoint of obesity is associated with a progressive increase in risk of cardiovascular diseases (CVD). However, we are only beginning to understand the physiological and pathophysiological mechanisms by which excessive body fat storage causes CVD. In this issue of Hypertension, the findings of Wildman et al1 extend and strengthen previous observations2–5 by...

Thyroid nodules and other incidentalomas: we must search for evidence and clarify our ethical priorities.

Thyroid Nodules and Other Incidentalomas: We Must Search for Evidence and Clarify Our Ethical Priorities A thyroid nodule will be incidentally discovered in 10%–60% of adults imaged for other reasons. The overwhelming majority of these lesions will be of no pertinence to the well-being of the patient. This unfortunate discovery may, however, initiate a sequence of events that includes additiona...