Pediatric Annals

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WN0aW9ucxZSZXNwaXJhdG9yeSBJbmZlY3Rpb25zAGQCEw9kFgJmDxUEABAvcGVkaWF0cmljcy9zdGRzBFNURHMAZAIUD2QWAmYPFQQAKC9wZWRpYXRyaWNzL3ZhY2NpbmUtcHJldmVudGFibGUtZGlzZWFzZXMcVmFjY2luZS1QcmV2ZW50YWJsZSBEaXNlYXNlcwBkAgIPZBYCZg9kFgICAQ8WAh8CAhQWKGYPZBYCZg8VAwAUL2Fkb2xlc2NlbnQtbWVkaWNpbmUTQWRvbGVzY2VudCBNZWRpY2luZWQCAQ9kFgJmDxUDABMvYWxsZXJneS1pbW11bm9sb2d5EkFsbGVyZ3kvSW1tdW5vbG9neWQCAg9kFgJmDxUDAAsvY2FyZGlvbG9neQpDYXJkaW9sb2d5ZAIDD2QWAmYPFQMADC9kZXJtYXRvbG9neQtEZXJtYXRvbG9neWQCBA9kFgJmDxUDAA4vZW5kb2NyaW5vbG9neQ1FbmRvY3Jpbm9sb2d5ZAIFD2QWAmYPFQMAES9nYXN0cm9lbnRlcm9sb2d5EEdhc3Ryb2VudGVyb2xvZ3lkAgYPZBYCZg8VAwATL2dlcmlhdHJpYy1tZWRpY2luZRJHZXJpYXRyaWMgTWVkaWNpbmVkAgcPZBYCZg8VAwATL2hlYWx0aC1wcm9mZXNzaW9ucxJIZWFsdGggUHJvZmVzc2lvbnNkAggPZBYCZg8VAwAUL2hlbWF0b2xvZ3ktb25jb2xvZ3kTSGVtYXRvbG9neS9PbmNvbG9neWQCCQ9kFgJmDxUDAAsvaGVwYXRvbG9neQpIZXBhdG9sb2d5ZAIKD2QWAmYPFQMAEy9pbmZlY3Rpb3VzLWRpc2Vhc2USSW5mZWN0aW91cyBEaXNlYXNlZAILD2QWAmYPFQMAES9udXJzaW5nL2pvdXJuYWxzB051cnNpbmdkAgwPZBYCZg8VAwAOL29waHRoYWxtb2xvZ3kNT3BodGhhbG1vbG9neWQCDQ9kFgJmDxUDAAovb3B0b21ldHJ5CU9wdG9tZXRyeWQCDg9kFgJmDxUDAAwvb3J0aG9wZWRpY3MLT3J0aG9wZWRpY3NkAg8PZBYCZg8VAwAWL29ydGhvdGljcy1wcm9zdGhldGljcxVPcnRob3RpY3MvUHJvc3RoZXRpY3NkAhAPZBYCZg8VAwZhY3RpdmULL3BlZGlhdHJpY3MKUGVkaWF0cmljc2QCEQ9kFgJmDxUDAAsvcHN5Y2hpYXRyeQpQc3ljaGlhdHJ5ZAISD2QWAmYPFQMADS9yaGV1bWF0b2xvZ3kMUmhldW1hdG9sb2d5ZAITD2QWAmYPFQMAEC9zcG9ydHMtbWVkaWNpbmUPU3BvcnRzIE1lZGljaW5lZAILDw8WAh4HVmlzaWJsZWhkZAIND2QWAmYPZBYCZg9kFgICAQ9kFgICAQ8WAh8CAgkWEmYPZBYEZg8VBBAvcGVkaWF0cmljcy9uZXdzBE5ld3MABE5ld3NkAgEPFgIfAgIFFgoCAQ9kFgZmDxUBBWZpcnN0ZAIBD2QWAmYPFQQDYWxsEC9wZWRpYXRyaWNzL25ld3MACEFsbCBOZXdzZAIDDxYCHwNoFgJmDxUBCEFsbCBOZXdzZAICD2QWBmYPFQEFZmlyc3RkAgEPZBYCZg8VBANhbGwBIwARTmV3cyBQdWJsaWNhdGlvbnNkAgMPFgIfA2gWAmYPFQERTmV3cyBQdWJsaWNhdGlvbnNkAgMPZBYGZg8VAQBkAgEPZBYCZg8VBAA2L3BlZGlhdHJpY3MvbmV3cy9wcmludC9pbmZlY3Rpb3VzLWRpc2Vhc2VzLWluLWNoaWxkcmVuAB9JbmZlY3Rpb3VzIERpc2Vhc2VzIGluIENoaWxkcmVuZAIDDxYCHwNoFgJmDxUBH0luZmVjdGlvdXMgRGlzZWFzZXMgaW4gQ2hpbGRyZW5kAgQPZBYGZg8VAQBkAgEPZBYCZg8VBAAnL3BlZGlhdHJpY3MvbmV3cy9wdWJsaWNhdGlvbi1leGNsdXNpdmVzABZQdWJsaWNhdGlvbiBFeGNsdXNpdmVzZAIDDxYCHwNoFgJmDxUBFlB1YmxpY2F0aW9uIEV4Y2x1c2l2ZXNkAgUPZBYGZg8VAQVmaXJzdGQCAQ9kFgJmDxUEA2FsbCYvcGVkaWF0cmljcy9uZXdzL21lZXRpbmctbmV3cy1jb3ZlcmFnZQAVTWVldGluZyBOZXdzIENvdmVyYWdlZAIDDxYCHwNoFgJmDxUBFU1lZXRpbmcgTmV3cyBDb3ZlcmFnZWQCAQ9kFgRmDxUEKGh0dHA6Ly92aWRlby5oZWFsaW8uY29tL3BhZ2VzL3BlZGlhdHJpY3MFVmlkZW8ABVZpZGVvZAIBDxYCHwJmZAICD2QWBGYPFQQRL3BlZGlhdHJpY3MvYmxvZ3MFQmxvZ3MABUJsb2dzZAIBDxYCHwICBxYOAgEPZBYGZg8VAQVmaXJzdGQCAQ9kFgJmDxUEA2FsbBEvcGVkaWF0cmljcy9ibG9ncwAJQWxsIEJsb2dzZAIDDxYCHwNoFgJmDxUBCUFsbCBCbG9nc2QCAg9kFgZmDxUBAGQCAQ9kFgJmDxUEACQvcGVkaWF0cmljcy9ibG9ncy9sb3JpLWtlc3RlbmJhdW0tbWQAEkxvcmkgS2VzdGVuYmF1bSBNRGQCAw8WAh8DaBYCZg8VARJMb3JpIEtlc3RlbmJhdW0gTURkAgMPZBYGZg8VAQBkAgEPZBYCZg8VBAAfL3BlZGlhdHJpY3MvYmxvZ3Mva2F0aWUtY2hpb3RvcwANS2F0aWUgQ2hpb3Rvc2QCAw8WAh8DaBYCZg8VAQ1LYXRpZSBDaGlvdG9zZAIED2QWBmYPFQEAZAIBD2QWAmYPFQQAIC9wZWRpYXRyaWNzL2Jsb2dzL2tpbmctc2VlZ2FyLW1kAA5LaW5nIFNlZWdhciBNRGQCAw8WAh8DaBYCZg8VAQ5LaW5nIFNlZWdhciBNRGQCBQ9kFgZmDxUBAGQCAQ9kFgJmDxUEACQvcGVkaWF0cmljcy9ibG9ncy9zdGVwaGVuLXRoYWNrZXItbWQAElN0ZXBoZW4gVGhhY2tlciBNRGQCAw8WAh8DaBYCZg8VARJTdGVwaGVuIFRoYWNrZXIgTURkAgYPZBYGZg8VAQBkAgEPZBYCZg8VBAAdL3BlZGlhdHJpY3MvYmxvZ3MvZWR3YXJkLWJlbGwAC0Vkd2FyZCBCZWxsZAIDDxYCHwNoFgJmDxUBC0Vkd2FyZCBCZWxsZAIHD2QWBmYPFQEAZAIBD2QWAmYPFQQAJi9wZWRpYXRyaWNzL2Jsb2dzL2ZlZGVyaWNvLWxhaGFtLW1kLW1zABRGZWRlcmljbyBMYWhhbSBNRCBNU2QCAw8WAh8DaBYCZg8VARRGZWRlcmljbyBMYWhhbSBNRCBNU2QCAw9kFgRmDxUEGS9wZWRpYXRyaWNzL2VkdWNhdGlvbi1sYWIRRWR1Y2F0aW9uIExhYi9DTUUAEUVkdWNhdGlvbiBMYWIvQ01FZAIBDxYCHwICAhYEAgEPZBYGZg8VAQVmaXJzdGQCAQ9kFgJmDxUEABkvcGVkaWF0cmljcy9lZHVjYXRpb24tbGFiABJFZHVjYXRpb24gTGFiIEhvbWVkAgMPFgIfA2gWAmYPFQESRWR1Y2F0aW9uIExhYiBIb21lZAICD2QWBmYPFQEAZAIBD2QWAmYPFQQAJS9wZWRpYXRyaWNzL2VkdWNhdGlvbi1sYWI/c2VsZWN0aW9uPTAAA0NNRWQCAw8WAh8DaBYCZg8VAQNDTUVkAgQPZBYEZg8VBBQvcGVkaWF0cmljcy9qb3VybmFscwhKb3VybmFscwAISm91cm5hbHNkAgEPFgIfAgIDFgYCAQ9kFgZmDxUBBWZpcnN0ZAIBD2QWAmYPFQQDYWxsFC9wZWRpYXRyaWNzL2pvdXJuYWxzAAxBbGwgSm91cm5hbHNkAgMPFgIfA2gWAmYPFQEMQWxsIEpvdXJuYWxzZAICD2QWBmYPFQEAZAIBD2QWAmYPFQQAGy9wZWRpYXRyaWNzL2pvdXJuYWxzL3BlZGFubgAQUGVkaWF0cmljIEFubmFsc2QCAw8WAh8DaBYCZg8VARBQZWRpYXRyaWMgQW5uYWxzZAIDD2QWBmYPFQEAZAIBD2QWAmYPFQQAGS9wZWRpYXRyaWNzL2pvdXJuYWxzL2pwb3MAMUpvdXJuYWwgb2YgUGVkaWF0cmljIE9waHRoYWxtb2xvZ3kgYW5kIFN0cmFiaXNtdXNkAgMPFgIfA2gWAmYPFQExSm91cm5hbCBvZiBQZWRpYXRyaWMgT3BodGhhbG1vbG9neSBhbmQgU3RyYWJpc211c2QCBQ9kFgRmDxUEIS9wZWRpYXRyaWNzL2N1cmJzaWRlLWNvbnN1bHRhdGlvbhVDdXJic2lkZSBDb25zdWx0YXRpb24AFUN1cmJzaWRlIENvbnN1bHRhdGlvbmQCAQ8WAh8CZmQCBg9kFgRmDxUEES9wZWRpYXRyaWNzL2Jvb2tzBUJvb2tzAAVCb29rc2QCAQ8WAh8CZmQCBw9kFgRmDxUEFC9wZWRpYXRyaWNzL21lZXRpbmdzCE1lZXRpbmdzAAhNZWV0aW5nc2QCAQ8WAh8CAgQWCAIBD2QWBmYPFQEFZmlyc3RkAgEPZBYCZg8VBANhbGwUL3BlZGlhdHJpY3MvbWVldGluZ3MAEE1lZXRpbmdzL0NvdXJzZXNkAgMPFgIfA2gWAmYPFQEQTWVldGluZ3MvQ291cnNlc2QCAg9kFgZmDxUBBWZpcnN0ZAIBD2QWAmYPFQQDYWxsASMAEUZlYXR1cmVkIE1lZXRpbmdzZAIDDxYCHwNoFgJmDxUBEUZlYXR1cmVkIE1lZXRpbmdzZAIDD2QWBmYPFQEAZAIBD2QWAmYPFQQAbC9wZWRpYXRyaWNzL21lZXRpbmdzL3s1ODNFRDNCNy05O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</a></li></ul><div class="journal-panes"><div><ul class="pub-info"><li class="cover"><img src="/web/20130831035443im_/http://www.healio.com/~/media/Journals/PedAnn/2013/8_August/4208Cover.jpg?mw=180" alt="Pediatric Annals August 2013 Cover" width="180" height="240"/><br><p> PRINT ISSN: 0090-4481<br> ONLINE ISSN: 1938-2359</p><script language="javascript" type="text/javascript"></script><input name="subscribe" value="Subscribe" style="margin:10px 0 0 0;" type="button" onclick="goToSubscribe()"></li><li><p><em>Pediatric Annals</em> is America's most widely read journal for continuing education in the field of pediatrics. Each monthly issue provides a thorough, practical review of a single topic in pediatrics, carefully chosen by an editorial board composed of the leading pediatricians in the United States. Three credit hours in Category 1 for the Physician's Recognition Award of the AMA are offered for the successful completion of a CME quiz.</p></li><ul class="issue-info"><li><strong>Current Issue</strong></li><li>August 2013</li><li> Volume 42 路 Issue 8</li></ul></ul><h3 class="toc-head">Table of Contents</h3><ul class="toc"><li class="kicker">Editorial</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{0F4FDE2C-2E6F-4B4E-B855-28ABC5AE3EDB}/Immunizations-2013">Immunizations 2013</a></h4></li><li class="meta-info">Stanford T. Shulman, MD</li></ul><ul class="toc"><li class="kicker">Trend Watch</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{ADAB0DC6-2803-4ED2-A4E1-D15835BED578}/Influenza-Vaccine-Failed-to-Affect-Infection-Risk-with-Other-Respiratory-Viruses">Influenza Vaccine Failed to Affect Infection Risk with Other Respiratory Viruses</a></h4></li><li class="meta-info"></li></ul><ul class="toc"><li class="kicker">Ask the Experts</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{6E6D6DBF-F676-469A-A1F7-A35AA63E94C0}/Adherence-and-Behavioral-Health-Care">Adherence and Behavioral Health Care</a></h4></li><li class="meta-info">Robert J. Hilt, MD, FAAP</li></ul><ul class="toc"><li class="kicker">Firm Rounds</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{5136DF98-9B3F-4E59-8081-CBE848E8B83E}/A-16-Year-Old-Boy-with-Altered-Mental-Status">A 16-Year-Old Boy with Altered Mental Status</a></h4></li><li class="meta-info">Robert Listernick, MD</li></ul><ul class="toc"><li class="kicker">Healthy Baby</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{2F55BCA4-4870-49B7-9A59-D6A502D410AB}/Getting-Truculent-with-Truncal-Rashes">Getting Truculent with Truncal Rashes</a></h4></li><li class="meta-info">Stan L. Block, MD, FAAP</li></ul><ul class="toc"><li class="kicker">Case Challenge</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{7CE04D18-FA39-49BC-B8F3-3F31A2497D67}/A-Teenage-Girl-with-New-Onset-Diplopia-and-Sharp-Shooting-Leg-Pain">A Teenage Girl with New-Onset Diplopia and Sharp, Shooting Leg Pain</a></h4></li><li class="meta-info">Michelle Fletcher, BS; Joseph Hageman, MD; Peter K. Rabiah, MD; Monica Joseph-Griffin , MD</li></ul><ul class="toc"><li class="kicker">Guest Editorial</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{3B2E4124-2F6D-45FC-B69E-6FE647DD88A8}/Immunization-An-Update">Immunization: An Update</a></h4></li><li class="meta-info">Tina Q. Tan, MD</li></ul><ul class="toc"><li class="kicker">CME</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{9420D844-6611-4ECE-A241-4EB55B577589}/Vaccines-in-the-Pipeline-The-Path-from-Development-to-Use-in-the-United-States">Vaccines in the Pipeline: The Path from Development to Use in the United States</a></h4></li><li class="meta-info">Larry K. Pickering, MD, FAAP, FIDSA; L. Reed Walton, MA</li></ul><ul class="toc"><li class="kicker">CME</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{758AA074-98A0-4776-BB53-3E81EB218144}/Maternal-Immunization-An-Update-for-Pediatricians">Maternal Immunization: An Update for Pediatricians</a></h4></li><li class="meta-info">Flor M. Munoz, MD</li></ul><ul class="toc"><li class="kicker">CME</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{07530466-8ACA-4E2D-BE2F-BCCAA4D453ED}/Adult-Immunization-and-Its-Impact-on-Children">Adult Immunization and Its Impact on Children</a></h4></li><li class="meta-info">Daniel P. Boyle, MD; John P. Flaherty, MD</li></ul><ul class="toc"><li class="kicker">CME</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{D4BC05D9-4F21-464D-81AF-2CDEC2CD28C2}/Prevention-of-Meningococcal-Infections-in-the-First-2-Years-of-Life">Prevention of Meningococcal Infections in the First 2 Years of Life</a></h4></li><li class="meta-info">Charles R. Woods, MD, MS</li></ul><ul class="toc"><li class="kicker">CME</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{38C9A0AD-0DFD-46CF-A353-133C061BF92F}/Prevention-and-Control-of-Influenza-and-Dengue-Through-Vaccine-Development">Prevention and Control of Influenza and Dengue Through Vaccine Development</a></h4></li><li class="meta-info">Corwin A. Robertson, MD, MPH; David P. Greenberg, MD; Daniel M. Gordon, MD</li></ul><ul class="toc"><li class="kicker">Feature</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{FA2B528E-B282-4BFC-B49A-B0B974501ED2}/When-to-Call-the-Cardiologist-Treatment-Approaches-to-Neonatal-Heart-Murmur">When to Call the Cardiologist: Treatment Approaches to Neonatal Heart Murmur</a></h4></li><li class="meta-info">Gurumurthy Hiremath, MD; Deepak Kamat, MD, PhD, FAAP</li></ul><ul class="toc"><li class="kicker">Feature</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{4D17B1A3-26C1-4AC3-932A-6152129B2EEA}/The-Role-of-Pediatricians-in-School-Food-Allergy-Management">The Role of Pediatricians in School Food Allergy Management</a></h4></li><li class="meta-info">Michael Pistiner, MD, MMSc; Cynthia DiLaura Devore, MD, FAAP</li></ul><ul class="toc"><li class="kicker">5 Questions</li><li><h4><a href="/web/20130831035443/http://www.healio.com/pediatrics/journals/PedAnn/{ED797067-D2FB-4A98-9CE2-48D6441A6278}/A-Conversation-with-Andi-L-Shane-MD-MPH-MSc">A Conversation with Andi L. Shane, MD, MPH, MSc</a></h4></li><li class="meta-info">Stanford T. 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