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Nasal Anti-histamine Spray Now Available Over-The-Counter

Up until now, there have been three anti-histamine nasal sprays in the United States market available only by prescription… Astelin, Astepro, and Patanase.

However, in May 2011, Meda Pharma announced a new anti-histamine nasal spray Rhinolast Allergy that is available over-the-counter.

The active ingredient is azelastine, the same one as found in the prescription nasal spray Astelin and Astepro.

Azelastine has a triple mode of action: anti-histamine effect, mast-cell stabilizing effect, and anti-inflammatory effect. Azelastine has a rapid onset of action of 15 minutes.

It can be used from the age of 5 years.

This nasal spray can be used in combination with other over-the-counter anti-histamines medications taken orally like zyrtec, claritin, allegra, and benadryl.

Read more about this new nasal spray here.

Read more about allergy medications in general here.

*This blog post was originally published at Fauquier ENT Blog*

Should Kids Read Paper Books, Or Are iPads And Kindles Better?

My son has always loved books. They were among his first objects his eyes fascinated and focused on. He’s learning to read right now and his love of books remains as strong as it was in his infancy.

It’s clear that books – the traditional kind: made of paper and ink and labor – are being replaced by digital media. The Kindle and the iPad and other tablets are making it easier to acquire and consume material once only available on books.

For children today, the iPad is very intuitive. In fact, some parents have reported that their children have become so used to the iPad screen, that they “pinch” pages in books – expecting them to zoom-out.

Perhaps some parents believe we can let books go and just let our kids skip them in favor of digital media without any cost. They *may* be right. Or they may not.

As for me, books are still a critical foundation for civilization.

Neurons are amazing things: the more they’re used, the better they get (generally). So as a child grows, the more exposure they get to different kinds of learning and feeling and experiences, the healthier their brains grow. Read more »

*This blog post was originally published at Phil Baumann*

Confessions Of A Former Child With Diabetes And Unusual Eating Habits

Growing up, we had these large, potted plants in our dining room, within throwing distance from the dining room table.  (Stick with me – this is an important detail.)  The plants were big and had wide, draped leaves and they made the corner of the dining room look like a veritable jungle.

Also, these suckers were really convenient for hiding food.

When I was little, the “diabetic diet” school of thought was based on the exchange program.  This meant that my meals were structured around my calorie needs and the needs of my (then) peaking insulin doses.  An average dinner would include one meat exchange, two starch exchanges, a dairy exchange, a fat exchange, and a fruit exchange.  (Exchange, exchange, exchange.)  When I was on insulins like Regular, NPH, and Lente, I needed to consume these portions in proportion, or I would end up with a very high, or very low, blood sugar.

So my mother (bless her anecdotal-medical-degree’d heart) would carefully measure out these exchanges and that would be my dinner.  EXACTLY one meat exchange, and those two starches, etc.  She worked very hard to make sure my meals were calculated and well-balanced.

And in response, I would hide my vegetables – aka “gross things” – in the dining room plants. Read more »

*This blog post was originally published at Six Until Me.*

Cartoon Characters Influence Childrens’ Cereal Preferences

Based on their experience during countless schleps to the market, moms know that kids pick cereals whose boxes have cartoon characters on them. Previous research by Yale scientists explained the phenomenon: kids say that the stuff poured from such boxes tastes better than the same stuff when poured from a cartoon-less box. The same thing happens when kids pick graham crackers, carrots and gummy fruit snacks.

tonythetiger Cartoon Characters Impact Kids Cereal PreferencesPictures of Shrek, Dora the Explorer, Scooby Doo and their kin make just about anything taste yummier, it seems.

Can this observation be leveraged to encourage kids to select healthier foods? Yes, it turns out. But the story isn’t as straightforward as you’d think.

To study the impact of licensed media spokescharacters and other nutrition cues on kids’ taste assessment of food products, scientists at the University of Pennsylvania fed cereal from a box that had been labeled either “Sugar Bits” or “Healthy Bits” to 80 kids. Half the boxes in each “brand category” were adorned with cute cartoon penguins, while the other half were not. The kids were between 4 and 6 years old. Read more »

*This blog post was originally published at Pizaazz*

CT Scans For Kids: Is The Radiation Exposure Dangerous?

There was an interesting study published this week in the journal Radiology:

Rising Use of CT in Child Visits to the Emergency Department in the United States, 1995–2008 (Abstract)

The results are not surprising to anyone who has been working in medicine in the US over the last fifteen years. Basically, in 1995, a kid visiting the ER had a 1.2% likelihood of getting a CT scan, and by 2008, that number was 5.9%.

I had written about this general phenomon not too long ago, in defense of the general increase of CT utilization in the ER, largely on the basis that CT is a better tool: it provides diagnoses in a rapid and timely manner, and excludes many potential life threats, saving lives and mitigating malpractice risk. That was largely relevant to the adult population, though, and kids are not, as they say, just little adults. The increase in scanning children is more dramatic, especially given the generally lower incidence of disease in kids compared to adults and the chonrically ill. Read more »

*This blog post was originally published at Movin' Meat*

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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