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    • Deprecated function: Return type of DatabaseStatementBase::execute($args = [], $options = []) should either be compatible with PDOStatement::execute(?array $params = null): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2246 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
    • Deprecated function: Return type of DatabaseStatementEmpty::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
    • Deprecated function: Return type of DatabaseStatementEmpty::next() should either be compatible with Iterator::next(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
    • Deprecated function: Return type of DatabaseStatementEmpty::key() should either be compatible with Iterator::key(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
    • Deprecated function: Return type of DatabaseStatementEmpty::valid() should either be compatible with Iterator::valid(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
    • Deprecated function: Return type of DatabaseStatementEmpty::rewind() should either be compatible with Iterator::rewind(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).

    Barbara J. Howard, MD

    News

    Maternal perinatal mortality: A pediatric issue

    Author:
    Barbara J. Howard, MD
    Publish date: October 18, 2023

    Asking the mother how she is feeling in the days to weeks after birth should not just be a social nicety but rather an additional check for...

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    News

    Too old for time out. Now what? Oppositional behavior in school-age children

    Author:
    Barbara J. Howard, MD
    Publish date: August 15, 2023

    Reversing oppositional behavior requires consistent strategies for reinforcing appropriate behavior.

    • Read More

    News

    Reach Out and Read redux

    Author:
    Barbara J. Howard, MD
    Publish date: June 12, 2023

    Reading has been shown to lower heart rate and muscle tension and reduce stress by as much as 68% in minutes, even lowering cortisol and...

    • Read More

    Opinion

    Addressing the new mortality: Counseling on lethal means

    Author:
    Barbara J. Howard, MD
    Publish date: April 11, 2023

    It is now unfortunately an essential primary care skill to have nuanced conversations about reducing access to and use of deadly weapons (lethal...

    • Read More

    Opinion

    Can medication management smooth the journey for families of autistic children?

    Author:
    Barbara J. Howard, MD
    Publish date: February 15, 2023

    Because of the shortage of specialists and increasing prevalence of autism, we need to be prepared to manage, monitor, and sometimes start...

    • Read More

    Opinion

    There are new things we can do to improve early autism detection

    Author:
    Barbara J. Howard, MD
    Publish date: December 14, 2022

    We should all watch closely for early signs of autism, informed by research on the key findings that a professional might observe, as well as by...

    • Read More

    Opinion

    Since when does providing pediatric care require courage?

    Author:
    Barbara J. Howard, MD
    Publish date: October 18, 2022

    Failing to have the courage to elicit sensitive information may delay the correct diagnosis, result in inappropriate tests or treatments, or miss...

    • Read More

    Opinion

    First weeks back to school: An uneasy transition

    Author:
    Barbara J. Howard, MD
    Publish date: August 12, 2022

    This new school year brings a greater mix of feelings than usual for many families.

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    Opinion

    Why do young men target schools for violent attacks? And what can we do about it?

    Author:
    Barbara J. Howard, MD
    Publish date: June 14, 2022

    Lack of a positive connection to school characterizes children who are violent toward schools as well as those who drop out.

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    Opinion

    What can be new about developmental milestones?

    Author:
    Barbara J. Howard, MD
    Publish date: April 11, 2022

    While the milestones we were trained on were a good start and highlighted the developmental progression central to pediatrics, they were not based...

    • Read More

    Opinion

    Did you know these things about nicotine? Your patients don’t

    Author:
    Barbara J. Howard, MD
    Publish date: February 11, 2022

    We need to inform youth that using e-cigarettes actually reduces rates of success in quitting.

    • Read More

    Opinion

    Don’t give up on relentless youth depression

    Author:
    Barbara J. Howard, MD
    Publish date: December 7, 2021

    Even when patients are willing and able to go, mental health specialists are in short supply or have months-long waiting lists.

    • Read More

    Opinion

    Sorting out the meaning of misbehavior: The invisible culprit

    Author:
    Barbara J. Howard, MD
    Publish date: October 18, 2021

    Throughout life, putting feelings into words is the main way meanings that are contributing to misbehaviors or parenting dysfunction can be...

    • Read More

    Opinion

    No more encopresis!

    Author:
    Barbara J. Howard, MD
    Publish date: August 12, 2021

    While constipation has consequences besides functional fecal incontinence that are physical, emotional, and social, we can be supportive and...

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    Opinion

    Dr. Barbara J. Howard, assistant professor of pediatrics at Johns Hopkins University, Baltimore, and creator of CHADIS.

    Is your patient having an existential crisis?

    Author:
    Barbara J. Howard, MD
    Publish date: June 14, 2021

    COVID-19 has reduced or blocked access to old and new friends and the ability to fulfill Erickson’s stages of “mastery” and “productivity.”

    • Read More

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