Amenorrhea and oligomenorrhea are often related to heavy exercise, but these conditions can signal a serious pathologic condition. Tests to pinpoint causes of menstrual dysfunctions are listed, and treatments to establish a proper hormone balance are described. (MT)

A comprehensive multivariate assessment model for long-term therapeutic adherence and for management of recurrent pain in children and adolescents is presented. Model factors include child psychosocial adjustment, family psychosocial functioning, health related behaviors, and medical parameters. (Author)

The author discusses how cataracts and glaucoma differ when they occur in children and why they may be more difficult to treat. While these conditions occur infrequently in children, they are more damaging and difficult to treat than when they occur in adults. (PHR)

This article describes medical problems that occur more frequently in young children with Down syndrome. These include common cardiac, hearing, and vision problems and less common thyroid and celiac diseases. Guidelines for preventing dental and obesity problems are followed by suggestions to early interventionists for watching for leukemia, neck…

Discusses the many factors that can cause a child to be misdiagnosed with hypertension, as well as the kinds of activities that are appropriate for a child who has hypertension. (JD)

Athletes with heart symptoms require, in addition to the regular evaluations everyone receives, testing during exercise. History taking should be carefully conducted to properly determine adverse heart conditions. Recommendations are provided for proper diagnosis and handling of athletes with heart symptoms. (GLR)

The Chronically Ill Infant Intervention Project at Georgetown University (Washington, D.C.) initiates treatment in the special care nursery for chronically ill infants and infants with multiple health problems. The project's interdisciplinary team provides developmental evaluations, direct intervention in the hospital and in the home, and parent…