Graves' disease in children: long-term outcomes of medical therapy.

Background And Objectives: Management options are limited for the treatment of Graves' disease, and there is controversy regarding optimal treatment. We describe the demographic and biochemical characteristics of children with Graves' disease and the outcomes of its management.

Methods: This is a retrospective study reviewing medical records from 2001 to 2011 at a tertiary-care paediatric hospital.

Evaluation of a workshop to improve residents' patient-centred obesity counselling skills.

Background: Primary care physicians are being asked to counsel their patients on obesity and weight management. Few physicians conduct weight loss counselling citing barriers, among them a lack of training and confidence. Our objective was to pilot test the effectiveness of a 3-h interactive obesity-counselling workshop for resident physicians based on motivational interviewing (MI) techniques.

Training residents in obesity counseling: incorporating principles of motivational interviewing to enhance patient centeredness.

Background: The US Preventive Services Task Force and the American Academy of Pediatrics recommend that physicians screen patients for obesity and practice counseling interventions to achieve modest (4%-8%) weight loss. Despite this, physicians frequently do not document obesity and/or counsel on weight loss. Our goal was to develop an innovative, easily disseminated workshop to improve resident physicians' skills and confidence in weight-loss counseling.

Primary hyperparathyroidism with low intact PTH levels in a 14-year-old girl.

Context: Primary hyperparathyroidism (PHPT) is usually associated with hypercalcemia and inappropriately elevated serum PTH.

Objective: Our objective was to identify the reason(s) for a low serum intact PTH in a child with PHPT.

Subject And Methods: A 14-yr-old Caucasian girl presented with pancreatitis, nephrolithiasis, hypercalcemia ranging from 13.