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June 2013 Briefing - Pediatrics

Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for June 2013. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
CDC: One Percent Decrease in Number of Births in 2011
FRIDAY, June 28 (HealthDay News) -- In 2011 there was a 1 percent decrease in the number of U.S. births, according to a report from the U.S. Centers for Disease Control and Prevention.
More Information (http://www.cdc.gov/nchs/data/nvsr/nvsr62/nvsr62_01.pdf )
Avoidable Health Care Costs Exceed $200 Billion in 2012
FRIDAY, June 28 (HealthDay News) -- In 2012, avoidable health care costs in the United States exceeded $200 billion, according to a report published by the IMS Institute for Healthcare Informatics.
More Information (http://www.imshealth.com/portal/site/ims/menuitem.d248e29c86589c9c30e81c033208c22a/?vgnextoid=12531cf4cc75f310VgnVCM10000076192ca2RCRD )
Bipartisan Recommendations Can Strengthen Health System
THURSDAY, June 27 (HealthDay News) -- Leaders of the Bipartisan Policy Center Health Care Cost Containment Initiative have developed a series of recommendations to strengthen the U.S. health care system, according to a sounding board piece published online June 26 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMsb1306639 )
Antibiotic Exposure in Infancy Linked to Subsequent Eczema
THURSDAY, June 27 (HealthDay News) -- Exposure to antibiotics in the first year of life is associated with an increased likelihood of eczema, with increasing risk seen for each additional course of antibiotics, according to research published online June 20 in the British Journal of Dermatology.
Abstract (http://onlinelibrary.wiley.com/doi/10.1111/bjd.12476/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.1111/bjd.12476/pdf )
Adults With Chronic Conditions Earn C+ for Meds Adherence
WEDNESDAY, June 26 (HealthDay News) -- On average, adults with chronic conditions earn a C+ for medication adherence, according to a report published June 25 by the National Community Pharmacists Association (NCPA).
More Information (http://www.ncpanet.org/index.php/news-releases/1702-new-report-card-on-medication-use-gives-americans-a-c )
Outdoor Activities, Day Length Tied to Myopia Onset, Progress
WEDNESDAY, June 26 (HealthDay News) -- Exposure to outdoor activities correlates with less new onset of myopia and myopic shift, and the number of hours of daylight is associated with eye elongation, myopia progression, and corneal power change, according to two studies published in the May issue of Ophthalmology.
Abstract - Wu (http://www.aaojournal.org/article/S0161-6420(12)01075-5/abstract )Full Text (subscription or payment may be required) (http://www.aaojournal.org/article/S0161-6420(12)01075-5/fulltext )Abstract - Cui (http://www.aaojournal.org/article/S0161-6420(12)01040-8/abstract )Full Text (subscription or payment may be required) (http://www.aaojournal.org/article/S0161-6420(12)01075-5/fulltext )
Hospital Teaching Intensity Affects Readmission Rates
WEDNESDAY, June 26 (HealthDay News) -- Hospital teaching intensity significantly affects readmission rates for the most common inpatient diagnoses, particularly for safety-net hospitals, according to a study published in the July issue of Medical Care.
Abstract (http://journals.lww.com/lww-medicalcare/Abstract/2013/07000/Impact_of_Hospital_Teaching_Intensity_on_Quality.2.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/lww-medicalcare/Abstract/2013/07000/Impact_of_Hospital_Teaching_Intensity_on_Quality.2.aspx )
HHS Launches Insurance Marketplace Website, Call Center
WEDNESDAY, June 26 (HealthDay News) -- The U.S. Department of Health and Human Services (HHS) has launched the Health Insurance Marketplace education effort, with a consumer-focused website and a consumer call center, to help Americans prepare for enrollment in the new Health Insurance Marketplace.
HealthCare.gov (https://www.healthcare.gov/ )More Information (http://www.hhs.gov/news/press/2013pres/06/20130624a.html )
8.5 Million Enrollees to Receive Health Insurance Rebates
WEDNESDAY, June 26 (HealthDay News) -- About 8.5 million enrollees will receive a rebate of about $100 per family as part of the Affordable Care Act "80/20" rule, according to a report published by the U.S. Department of Health and Human Services.
More Information (http://www.hhs.gov/news/press/2013pres/06/20130620a.html )
Socioecological Factors Contribute to Diabetes Epidemic
WEDNESDAY, June 26 (HealthDay News) -- A broader public health approach may be needed to address the socioecological factors contributing to the rising rates of prediabetes and type 2 diabetes, according to a scientific statement published online June 20 in Diabetes Care.
Full Text (http://care.diabetesjournals.org/content/early/2013/06/18/dc13-1161.full.pdf+html?sid=a889f463-db87-42db-8c8b-257e415cfaa6 )
ADHD Ups Disability Risk From Mild Traumatic Brain Injury
WEDNESDAY, June 26 (HealthDay News) -- Children with attention-deficit/hyperactivity disorder (ADHD) who experience mild traumatic brain injury (TBI) are more likely to be moderately disabled from the injury, compared to similar patients without ADHD, according to a study published online June 25 in the Journal of Neurosurgery: Pediatrics.
Abstract (http://thejns.org/doi/abs/10.3171/2013.5.PEDS12424 )Full Text (http://thejns.org/doi/full/10.3171/2013.5.PEDS12424 )
ER Imaging Variability Not Due to Physicians
WEDNESDAY, June 26 (HealthDay News) -- Very little variability in the use of imaging in the emergency department is actually attributable to physicians, according to a study published online June 25 in Radiology.
Abstract (http://radiology.rsna.org/content/early/2013/06/11/radiol.13130972.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/early/2013/06/11/radiol.13130972.full )
Data Examined for Traumatic Brain Injuries in Adolescents
TUESDAY, June 25 (HealthDay News) -- In a school survey of students in grades 7 to 12, 20 percent of students reported a traumatic brain injury (TBI) at some time in their life, and 5.6 percent had an injury within the past 12 months, according to a research letter published in the June 26 issue of the Journal of the American Medical Association.
Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1700489 )
Anti-Gluten Antibodies Linked to Autism
TUESDAY, June 25 (HealthDay News) -- Children with autism have increased levels of anti-gluten antibodies, particularly if they have gastrointestinal symptoms, according to a study published online June 18 in PLOS ONE.
Full Text (http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0066155 )
Extended Office Hours Reduce Emergency Department Use
TUESDAY, June 25 (HealthDay News) -- Many parents do not have access or do not know if they have access to their child's primary care doctor outside regular office hours, but extended office hours can substantially reduce the use of emergency departments, according to a study published online June 7 in The Journal of Pediatrics.
Abstract (http://www.jpeds.com/article/S0022-3476%2813%2900515-5/abstract )Full Text (subscription or payment may be required) (http://www.jpeds.com/article/S0022-3476%2813%2900515-5/fulltext )
Prenatal Smoke Exposure Impacts Reward Processing
TUESDAY, June 25 (HealthDay News) -- Adolescents prenatally exposed to maternal cigarette smoking exhibit weaker brain response to anticipatory rewards than their nonexposed peers, according to a study published online June 19 in JAMA Psychiatry.
Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1698781 )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1698781 )
Growing Mismatch in Med School Graduates, GME Places
TUESDAY, June 25 (HealthDay News) -- Although the number of medical school enrollees and graduates is increasing, the number of U.S. graduate medical education (GME) programs has not increased at the same rate, and consequently physician shortages are likely to become more apparent, according to a perspective piece published online June 19 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1306445?query=featured_home )
Drop in HPV Prevalence in 14- to 19-Year Olds in Vaccine Era
TUESDAY, June 25 (HealthDay News) -- The prevalence of vaccine-type human papillomavirus (HPV) among 14- to 19-year old females decreased within four years of introduction of vaccination into routine immunization schedules in late 2006, according to research published online June 19 in the Journal of Infectious Diseases.
Abstract (http://jid.oxfordjournals.org/content/early/2013/06/18/infdis.jit192.abstract )Full Text (subscription or payment may be required) (http://jid.oxfordjournals.org/content/early/2013/06/18/infdis.jit192.full )
Publicly Reported Mortality Predicts Hospital Performance
TUESDAY, June 25 (HealthDay News) -- Hospital performance on publicly reported medical conditions is indicative of overall hospital mortality rates, according to a study published online June 24 in JAMA Internal Medicine.
Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1700429#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1700429 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1700438 )
Survival of England's National Health Service Questioned
MONDAY, June 24 (HealthDay News) -- Recent criticism of England's National Health Service (NHS) has called its survival into question, according to a perspective piece published online June 19 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1305771 )
Guide Issued for Tying Primary Care to Regional Organizations
MONDAY, June 24 (HealthDay News) -- The Agency for Healthcare Research and Quality has developed a new guide to help primary care practices to assess readiness for connecting electronic health records (EHRs) to regional health information organizations (RHIOs).
More Information (http://www.healthit.ahrq.gov/sites/default/files/docs/citation/eDecisionsReport.pdf )
AAP Calls for Formal Planning in HIV Care Transitions
MONDAY, June 24 (HealthDay News) -- Successful transitioning from pediatric to adult HIV care requires formal planning, according to a policy statement published online June 24 in Pediatrics.
Abstract (http://pediatrics.aappublications.org/content/early/2013/06/19/peds.2013-1073.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/06/19/peds.2013-1073.full.pdf+html )
Racial Disparity Seen in ADHD Diagnosis, Tx for Children
MONDAY, June 24 (HealthDay News) -- Racial/ethnic minority children are less likely than white children to receive a diagnosis of attention-deficit/hyperactivity disorder (ADHD), and are less likely to take prescription medications for ADHD, according to a study published online June 24 in Pediatrics.
Abstract (http://pediatrics.aappublications.org/content/early/2013/06/19/peds.2012-2390.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/06/19/peds.2012-2390.full.pdf+html )
AAP Updates Guidelines for Bacterial Sinusitis in Children
MONDAY, June 24 (HealthDay News) -- The American Academy of Pediatrics (AAP) has updated its recommendations for the diagnosis and management of acute bacterial sinusitis in children; the updated clinical practice guideline has been published online June 24 in Pediatrics.
Abstract (http://pediatrics.aappublications.org/content/early/2013/06/19/peds.2013-1071.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/06/19/peds.2013-1071.full.pdf+html )
Fatality 36 Percent for Human Infection With Avian H7N9
MONDAY, June 24 (HealthDay News) -- The fatality risk of human infection with avian influenza H7N9 is 36 percent among people of all ages, and there are epidemiological differences in cases with H7N9 and H5N1, according to two studies published online June 24 in The Lancet.
Abstract - Yu (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61207-6/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61207-6/fulltext )Abstract - Cowling (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61171-X/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61171-X/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61447-6/fulltext )
AMA Awards Grants for Medical Education Innovation
FRIDAY, June 21 (HealthDay News) -- The American Medical Association (AMA) has awarded funding to 11 U.S. medical schools in response to their proposals regarding educational innovations aimed at transforming how future physicians are trained.
More Information (http://www.ama-assn.org/ama/pub/news/news/2013/2013-06-14-ama-awards-11-million-change-med-ed.page )
Prenatal Iron Intake Beneficial for Moms and Babies
FRIDAY, June 21 (HealthDay News) -- Daily use of prenatal iron is associated with increased maternal mean hemoglobin and increased birth weight, according to research published online June 21 in BMJ.
Full Text (http://www.bmj.com/content/346/bmj.f3443 )
Young Children With Depressed Moms Benefit From Group Care
FRIDAY, June 21 (HealthDay News) -- Regulated early child care services reduce the risk for internalizing problems among children of mothers with elevated maternal depressive symptoms (MDSs), according to research published online June 19 in JAMA Psychiatry.
Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1698780#Abstract )Full Text (subscription or payment may be required) ( http://archpsyc.jamanetwork.com/article.aspx?articleid=1698780 )
Prenatal Smoke Exposure Linked to Hearing Loss in Teens
FRIDAY, June 21 (HealthDay News) -- Secondhand smoke exposure in utero is associated with higher pure-tone hearing thresholds and an increased likelihood of unilateral low-frequency sensorineural hearing loss (SNHL) among adolescents, according to a study published online June 20 in JAMA Otolaryngology-Head & Neck Surgery.
Abstract (http://archotol.jamanetwork.com/article.aspx?articleid=1699728#Abstract )Full Text (subscription or payment may be required) (http://archotol.jamanetwork.com/article.aspx?articleid=1699728 )
AHRQ Offers Strategies to Prevent Adverse Drug Events
FRIDAY, June 21 (HealthDay News) -- Strategies to prevent adverse drug events (ADEs) have been recommended and published in a report by the Agency for Healthcare Research and Quality (AHRQ).
More Information (http://psnet.ahrq.gov/primer.aspx?primerID=23 )
Obesity Is a Disease, Says American Medical Association
THURSDAY, June 20 (HealthDay News) -- The American Medical Association has adopted policy that recognizes obesity as a disease, a step that the association hopes will help focus more attention on treatment and prevention efforts, and that some suggest may lead to greater acceptance by insurance providers to cover treatment.
More Information (http://newsroom.heart.org/news/american-medical-association-says-obesity-is-a-disease )
CMS Implementing Physician Quality Reporting System
THURSDAY, June 20 (HealthDay News) -- To promote the reporting of quality information by eligible professionals, the Physician Quality Reporting System is being implemented, according to a report from the Centers for Medicare & Medicaid Services (CMS).
More Information (http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html?redirect=/PQRS/ )
HPV Antibodies Signal Higher Risk for Oropharyngeal Cancer
THURSDAY, June 20 (HealthDay News) -- In plasma samples obtained prior to diagnosis, the presence of human papillomavirus (HPV) type 16 E6 antibodies was more likely to be detected in patients with oropharyngeal cancer than in controls, according to research published online June 17 in the Journal of Clinical Oncology.
Abstract (http://jco.ascopubs.org/content/early/2013/06/17/JCO.2012.47.2738.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/06/17/JCO.2012.47.2738.full.pdf+html )
Practices Are Not Prepared for Implementation of ICD-10
THURSDAY, June 20 (HealthDay News) -- Physician practices have made little progress in preparing for implementation of the 10th revision of the International Classification of Diseases (ICD-10), according to a report published by the Medical Group Management Association (MGMA).
More Information (http://www.mgma.com/ )
More Research on Exercise for Adolescent Scoliosis Is Needed
THURSDAY, June 20 (HealthDay News) -- A recent Cochrane review concluded that there is a lack of high-quality evidence on the efficacy of scoliosis-specific exercise (SSE) in adolescents with adolescent idiopathic scoliosis (AIS), according to research published in the June 15 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/06150/Exercises_for_Adolescent_Idiopathic_Scoliosis__A.18.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/06150/Exercises_for_Adolescent_Idiopathic_Scoliosis__A.18.aspx )
Flu Shot Averted About 13 Million Illnesses Over Six Years
THURSDAY, June 20 (HealthDay News) -- Influenza vaccination likely prevented over 13 million illnesses and more than 100,000 hospitalizations from 2005 to 2011, according to a study published online June 19 in PLOS ONE.
Full Text (http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0066312 )
Clopidogrel Does Not Reduce Mortality in Shunted Infants
WEDNESDAY, June 19 (HealthDay News) -- In infants less than 3 months old with congenital heart disease and a systemic-to-pulmonary-artery shunt, clopidogrel does not reduce mortality compared with placebo, according to a study published in the June 20 issue of the New England Journal of Medicine.
Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1114588 )
Person-to-Person Transmission of MERS-CoV Identified
WEDNESDAY, June 19 (HealthDay News) -- Person-to-person transmission of the novel Middle East respiratory syndrome coronavirus (MERS-CoV) has been described in a cluster of health care-associated infections in Saudi Arabia, according to research published online June 19 in the New England Journal of Medicine.
Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1306742?query=featured_home#t=abstract )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1306742?query=featured_home#t=article )
Penicillin Skin Testing Can ID Tolerance to β-Lactam Agents
WEDNESDAY, June 19 (HealthDay News) -- Penicillin skin testing (PST) can be used to identify whether patients will tolerate β-lactam, with a negative predictive value of 100 percent, according to a study published in the June issue of the Journal of Hospital Medicine.
Abstract (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2036/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2036/full )
EHR Implementation First Step Toward Quality Improvement
WEDNESDAY, June 19 (HealthDay News) -- Implementation of electronic health records (EHRs) is a first step toward quality improvement and should be accompanied by use of new payment models to allow physicians to see a return on their investments, according to Farzad Mostashari, M.D., of the Office of the National Coordinator for Health Information Technology, who was recently interviewed by the American Academy of Family Physicians.
More Information (http://www.aafp.org/news-now/practice-professional-issues/20130612fmostashari.html )
New Rule Proposes Insurance Program Integrity Guidelines
WEDNESDAY, June 19 (HealthDay News) -- A new proposed rule, which provides program integrity guidelines for Affordable Insurance Exchanges, or Health Insurance Marketplaces (Marketplaces), has been released by the U.S. Department of Health and Human Services (HHS).
More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2013-Press-Releases-Items/2013-06-14.html )
Secondhand Smoke Exposure Tied to Increased Diabetes Risk
WEDNESDAY, June 19 (HealthDay News) -- Secondhand smoke exposure, in childhood or adulthood, is associated with an increased rate of type 2 diabetes in women, according to a study published online June 11 in Diabetes Care.
Abstract (http://care.diabetesjournals.org/content/early/2013/06/03/dc12-2173.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/06/03/dc12-2173.full.pdf+html )
White Matter Anomalies Similar in Mild TBI, Alzheimer's Disease
WEDNESDAY, June 19 (HealthDay News) -- Patients with mild traumatic brain injury (TBI) have white matter abnormalities that are similar to those in early Alzheimer's dementia, with abnormalities correlating with post-concussion symptoms, according to a study published online June 18 in Radiology.
Abstract (http://radiology.rsna.org/content/early/2013/06/04/radiol.13122343.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/early/2013/06/04/radiol.13122343.full )
Potential of Mobile Remote-Presence Devices Discussed
WEDNESDAY, June 19 (HealthDay News) -- Mobile remote-presence devices have the potential to increase access to and improve delivery of health care in the developed and developing world, according to an innovations report published online June 17 in CMAJ, the Journal of the Canadian Medical Association.
Full Text (subscription or payment may be required) (http://www.cmaj.ca/content/early/2013/06/17/cmaj.120223.full.pdf )
State-Based Health Care Price Websites Lacking
TUESDAY, June 18 (HealthDay News) -- State-based, patient-oriented websites reporting health care prices need to be improved, according to a research letter published in the June 19 issue of the Journal of the American Medical Association.
Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1697957 )
Islet Autoantibodies Predict Type 1 Diabetes Progression
TUESDAY, June 18 (HealthDay News) -- Most children genetically at risk of developing type 1 diabetes will develop the disease if they seroconvert to multiple islet autoantibodies, according to a study published in the June 19 issue of the Journal of the American Medical Association.
Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1697963#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1697963 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1697946 )
Internet Grocery Service Seems Feasible in Urban Food Deserts
TUESDAY, June 18 (HealthDay News) -- An Internet grocery service (IGS) seems to be a feasible approach for increasing food access in an urban food desert, according to a pilot study published online May 8 in Preventing Chronic Disease.
Full Text (http://www.cdc.gov/pcd/issues/2013/12_0299.htm )
Study Links Autism to Perinatal Exposure to Air Pollutants
TUESDAY, June 18 (HealthDay News) -- Perinatal exposure to air pollutants is associated with increased odds of autism spectrum disorder (ASD), with stronger correlations seen for boys than girls, according to a study published online June 18 in Environmental Health Perspectives.
Abstract (http://ehp.niehs.nih.gov/1206187/ )Full Text (http://ehp.niehs.nih.gov/wp-content/uploads/121/6/ehp.1206187.pdf )
Unauthorized Immigrants Make Up 1.4% U.S. Medical Spending
TUESDAY, June 18 (HealthDay News) -- Unauthorized immigrants have substantially lower health care expenditures than legal residents, naturalized citizens, and U.S. natives, according to a study published online June 12 in Health Affairs.
Abstract (http://content.healthaffairs.org/content/early/2013/06/04/hlthaff.2013.0113 )Full Text (http://content.healthaffairs.org/content/early/2013/06/04/hlthaff.2013.0113.full )
Preschoolers' Eating Habits Tied to CVD Risk Factors
TUESDAY, June 18 (HealthDay News) -- The eating behaviors of preschool-aged children may be tied to measures of future cardiovascular risk, according to a study published online June 17 in CMAJ, the journal of the Canadian Medical Association.
Abstract (http://www.cmaj.ca/content/early/2013/06/17/cmaj.121834 )Full Text (http://www.cmaj.ca/content/early/2013/06/17/cmaj.121834.full.pdf+html )
About 15 Percent of People Currently Uninsured in U.S.
TUESDAY, June 18 (HealthDay News) -- In 2012, nearly 15 percent of U.S. people of all ages were currently uninsured, according to a data brief published online June 18 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
More Information (http://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201306.pdf )
Early Neonatal Weight Gain Linked to Children's IQ
MONDAY, June 17 (HealthDay News) -- Gains in neonatal weight and head circumference in the first four weeks of life correlate with children's IQ at early school-age, according to a study published online June 17 in Pediatrics.
Abstract (http://pediatrics.aappublications.org/content/early/2013/06/12/peds.2012-3497.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/06/12/peds.2012-3497.full.pdf+html )
Racial Differences Seen in Use of Pediatric Specialty Care in Autism
MONDAY, June 17 (HealthDay News) -- There are considerable racial and ethnic differences in the use of specialty care and procedures among children diagnosed with autism, according to a study published online June 17 in Pediatrics.
Abstract (http://pediatrics.aappublications.org/content/early/2013/06/12/peds.2012-3886.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/06/12/peds.2012-3886.full.pdf+html )
Sibling Aggression Linked to Mental Health Distress
MONDAY, June 17 (HealthDay News) -- Sibling aggression has a detrimental effect on children's and adolescents' mental health, according to a study published online June 17 in Pediatrics.
Abstract (http://pediatrics.aappublications.org/content/early/2013/06/12/peds.2012-3801.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/06/12/peds.2012-3801.full.pdf+html )
FDA Discusses Cybersecurity for Medical Devices, Hospitals
MONDAY, June 17 (HealthDay News) -- Medical device manufacturers and health care facilities should ensure appropriate safeguards are in place to reduce the potential harms that may result from cyberattacks, according to a safety communication issued by the U.S. Food and Drug Administration.
More Information (http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm356423.htm )
Only a Quarter of New Doctors Choose Primary Care
FRIDAY, June 14 (HealthDay News) -- Only about a quarter of newly graduated physicians work in primary care and only about 5 percent practice in rural areas, despite public funding of graduate medical education (GME), according to research published online June 7 in Academic Medicine.
Abstract (http://journals.lww.com/academicmedicine/Abstract/publishahead/Toward_Graduate_Medical_Education__GME_.99378.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/academicmedicine/Abstract/publishahead/Toward_Graduate_Medical_Education__GME_.99378.aspx )
Healthy and Less Healthy 'Kid's Menu' Meals Similar in Price
FRIDAY, June 14 (HealthDay News) -- Healthy and less healthy meals on children's menus in full-service restaurants are similarly priced, in contrast to the higher price of healthy food at the grocery store, according to a study published online June 6 in Preventing Chronic Disease.
Full Text (http://www.cdc.gov/pcd/issues/2013/12_0266.htm )
New Treatments Outperforming Placebo Becoming Less Common
FRIDAY, June 14 (HealthDay News) -- The efficacy of new medical treatments compared with placebo has sharply declined over the last few decades, suggesting that comparative effectiveness studies are needed, according to a study published in the June issue of Health Affairs.
Abstract (http://content.healthaffairs.org/content/32/6/1116.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/6/1116.full )
School-Based Flu Vaccinations Cost-Effective
THURSDAY, June 13 (HealthDay News) -- School-located vaccination against influenza (SLV-I) is a cost-effective means to improve childhood influenza vaccination rates, according to a study published in the April 19 issue of Vaccine.
Abstract (http://www.sciencedirect.com/science/article/pii/S0264410X13002417 )Full Text (subscription or payment may be required) (http://www.sciencedirect.com/science/article/pii/S0264410X13002417 )
Survey Examines Physician Satisfaction With EHRs
THURSDAY, June 13 (HealthDay News) -- About three-quarters of physicians report that their practice either has a fully implemented electronic health record (EHR), uses a hospital or corporate EHR, or is in the process of implementing an EHR, according to a technology survey published by Physicians Practice.
More Information (http://www.physicianspractice.com/2013-technology-survey-results )
On-Demand Inhalation Effective in Bronchiolitis
WEDNESDAY, June 12 (HealthDay News) -- In infants with acute bronchiolitis, on-demand inhalation of either adrenaline or saline are effective in shortening hospital stays and reducing the need for supportive treatment, compared with fixed-schedule inhalation, according to a study published in the June 13 issue of the New England Journal of Medicine.
Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1301839 )
Risk Down for Deceased-Donor Partial Liver Transplant
WEDNESDAY, June 12 (HealthDay News) -- For young pediatric patients, the risk associated with deceased-donor (DD) partial liver transplantation has decreased over time, according to a study published online May 21 in Liver Transplantation.
Abstract (http://onlinelibrary.wiley.com/doi/10.1002/lt.23667/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/lt.23667/pdf )
Hands-Free, Speech-to-Text Action Ups Distraction in Driving
WEDNESDAY, June 12 (HealthDay News) -- In-vehicle activities such as listening to the radio are associated with a small level of distraction, whereas speech-to-text action correlates with relatively high levels of cognitive distraction while driving, according to a report published June 12 by the AAA Foundation for Traffic Safety.
More Information (https://www.aaafoundation.org/measuring-cognitive-distractions )
Use of EHRs Can Enhance Doc-Patient Communication
WEDNESDAY, June 12 (HealthDay News) -- Electronic health records (EHRs) can be used during clinical encounters to enhance the physician-patient relationship, encouraging communication during the clinical encounter, according to a viewpoint published in the June 12 issue of the Journal of the American Medical Association.
Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1696109 )
Overweight and Obesity Linked to Risk of Preterm Delivery
TUESDAY, June 11 (HealthDay News) -- Maternal overweight and obesity, as measured by body mass index (BMI) in early pregnancy, is associated with increased risks of preterm delivery, especially extremely preterm delivery, according to a study published in the June 12 issue of the Journal of the American Medical Association.
Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1696099#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1696099 )
Soccer Heading Linked to Brain Abnormalities, Cognition
TUESDAY, June 11 (HealthDay News) -- Repeated soccer heading is tied to subconcussive brain injury and poorer memory functioning, with evidence of a threshold dose-response relationship, according to a study published online June 11 in Radiology.
Abstract (http://radiology.rsna.org/content/early/2013/06/03/radiol.13130545.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/early/2013/06/03/radiol.13130545.full )
Education, Audit, Feedback Improve Antibiotic Rx
TUESDAY, June 11 (HealthDay News) -- Clinician education coupled with audit and feedback can improve adherence of antibiotic prescribing guidelines for common bacterial acute respiratory tract infections (ARTIs), according to a study published in the June 12 issue of the Journal of the American Medical Association.
Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1696098#Abstract )Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1696098 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1696084 )
Use of Pediatric CT Scans Increased From 1996 to 2005
TUESDAY, June 11 (HealthDay News) -- The use of computed tomography (CT) in children increased through 2005, with pediatric scans projected to cause future cancers, according to a study published online June 10 in JAMA Pediatrics.
Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1696279#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1696279 )Editorial (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1696281 )
Doctors Do Not Spend Enough Time Planning Their Finances
TUESDAY, June 11 (HealthDay News) -- Physicians do not spend enough time reviewing their finances, and half are behind in their retirement planning, according to a report published by the American Medical Association (AMA) Insurance Agency.
More Information (http://www.amainsure.com/resourcecenter/2013-report-on-physicians-financial-preparedness.html?utm_source=amalyris&utm_medium=email&utm_campaign=preparedness )
Most Doctors Feel They Are Under-Using Mobile Apps
TUESDAY, June 11 (HealthDay News) -- Most physicians feel they are not maximizing use of mobile applications, and would utilize additional electronic health record (EHR) functionalities if they were available, according to poll conducted by Black Book Market Research.
More Information (http://www.blackbookrankings.com/healthcare/ )
Trans Fats Down in Two-Thirds of Food Products, 2007 to 2011
TUESDAY, June 11 (HealthDay News) -- Manufacturers have slowed in their reformulations of food products to reduce trans fatty acids (TFA), according to a study published online May 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.
Full Text (http://www.cdc.gov/pcd/issues/2013/12_0198.htm )
USPSTF: Evidence Lacking for Child Abuse Preventive Efforts
MONDAY, June 10 (HealthDay News) -- There is currently insufficient evidence to assess the balance of benefits and harms of primary care interventions to prevent child maltreatment, according to an updated recommendation statement from the U.S. Preventive Services Task Force (USPSTF) published online June 11 in the Annals of Internal Medicine.
Full Text (http://annals.org/article.aspx?articleid=1696071 )
Prolonged Symptoms for Children With Prior Concussion
MONDAY, June 10 (HealthDay News) -- The risk of prolonged concussion symptoms is increased for children with a history of concussion, particularly those with multiple concussions or concussion within the preceding 12 months, according to a study published online June 10 in Pediatrics.
Abstract (http://pediatrics.aappublications.org/content/early/2013/06/05/peds.2013-0432.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/06/05/peds.2013-0432.full.pdf+html )
Many Families in Underserved Areas Access, Use Technology
MONDAY, June 10 (HealthDay News) -- Caregivers of children receiving care in an urban pediatric primary care setting frequently use digital technologies, according to a study published online June 10 in Pediatrics.
Abstract (http://pediatrics.aappublications.org/content/early/2013/06/05/peds.2013-0594.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/06/05/peds.2013-0594.full.pdf+html )
Wellness Policies Improve Child Health in Care Centers
FRIDAY, June 7 (HealthDay News) -- Introducing wellness policies and training caregivers in best practices for nutrition and physical activity improves the care environment for young children, according to research published online May 23 in Preventing Chronic Disease.
Full Text (http://www.cdc.gov/pcd/issues/2013/12_0232.htm )
Novel Mutations Identified in Central Precocious Puberty
THURSDAY, June 6 (HealthDay News) -- Mutations in the gene encoding makorin RING-finger protein 3 (MKRN3), which result in a truncated protein or disrupted protein function, have been identified in some families affected by central precocious puberty, according to a study published online June 5 in the New England Journal of Medicine.
Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1302160 )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1302160#t=article )Editorial (http://www.nejm.org/doi/full/10.1056/NEJMe1306743 )
Surgical Site Infections in Pediatric Scoliosis Reviewed
THURSDAY, June 6 (HealthDay News) -- Surgical site infections, particularly those caused by gram-negative pathogens, occur more frequently following procedures in patients with non-idiopathic rather than idiopathic scoliosis, according to research published in the May 1 issue of the Journal of Bone & Joint Surgery.
Abstract (http://jbjs.org/article.aspx?articleid=1679102 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1679102 )
HHS: Marketplaces Open New Insurance Options for Consumers
THURSDAY, June 6 (HealthDay News) -- Health Insurance Marketplaces, due to be introduced in October 2013, will increase the coverage options for many consumers, according to a memo released by the U.S. Department of Human & Health Services.
More Information (http://www.scribd.com/doc/144725362/White-House-Health-Care-Competition-Memo-5-30-13 )
Secondhand Smoke Impacts Infants With Family Hx of Atopy
THURSDAY, June 6 (HealthDay News) -- For infants with lower respiratory tract infection (LRTI) with a family history of atopy, secondhand smoke (SHS) exposure is associated with a longer hospital length of stay, according to a study published in the June issue of the Annals of Asthma, Allergy & Immunology.
Abstract (http://www.annallergy.org/article/S1081-1206(13)00245-7/abstract )Full Text (subscription or payment may be required) (http://www.annallergy.org/article/S1081-1206(13)00245-7/fulltext )
Profitability Index Checks Financial Health of Practices
WEDNESDAY, June 5 (HealthDay News) -- An overall downward trend in profitability has been identified based on a practice profitability index, developed to assess the financial health of U.S. physician practices, according to a report published by CareCloud.
More Information (http://www.carecloud.com/news/carecloud-releases-practice-profitability-index-of-5000-u-s-physicians-revealing-downward-trend-in-profitability-for-the-year-ahead/ )
Twitter Analysis Can Inform Vaccination Campaigns
WEDNESDAY, June 5 (HealthDay News) -- Analysis of Twitter posts can help explain patient knowledge and inform directions for educational vaccination campaigns, according to a brief report published in the June issue of the American Journal of Infection Control.
Abstract (http://www.ajicjournal.org/article/S0196-6553(12)01371-5/abstract )Full Text (http://www.ajicjournal.org/article/S0196-6553(12)01371-5/fulltext )
Spending Down for Special Needs During Recession
WEDNESDAY, June 5 (HealthDay News) -- The 2007 to 2009 recession led to a decline in out-of-pocket health care spending for children with special needs, according to a study published in the June issue of Health Affairs.
Abstract (http://content.healthaffairs.org/content/32/6/1054.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/6/1054.full )
Few Physicians Meeting Meaningful Use in Early 2012
WEDNESDAY, June 5 (HealthDay News) -- In early 2012, few physicians met meaningful use criteria, and using electronic health records (EHRs) for patient panel management was difficult, according to research published in the June 5 issue of the Annals of Internal Medicine.
Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1692572 )
CDC: Small Drop in Those With Difficulty Paying Medical Bills
TUESDAY, June 4 (HealthDay News) -- There has been a slight decrease in the percentage of individuals aged younger than 65 years who are in a family with difficulty paying their medical bills, according to a June data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
More Information (http://www.cdc.gov/nchs/data/nhis/earlyrelease/problems_paying_medical_bills_january_2011-june_2012.pdf )
Media Use Is Not Source of Conflict in Most Families
TUESDAY, June 4 (HealthDay News) -- Negotiating media use is rarely a source of conflict within families of young children, and most parents are not concerned about their children's media use, according to a survey published by Northwestern University in Chicago.
Report (http://web5.soc.northwestern.edu/cmhd/wp-content/uploads/2013/05/Parenting-Report_FINAL.pdf )
Flaxseed Ineffective for Hypercholesterolemia in Youth
TUESDAY, June 4 (HealthDay News) -- Dietary flaxseed supplementation in children with hypercholesterolemia is safe but associated with adverse changes in lipid profile with no clear benefit, according to a study published online June 3 in JAMA Pediatrics.
Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1692333#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1692333 )
Independent Payment Advisory Board's Future Questioned
MONDAY, June 3 (HealthDay News) -- Established as a part of the efforts of Affordable Care Act (ACA) to contain health care costs, the Independent Payment Advisory Board (IPAB) has been surrounded by controversy, and still has no members, according to a perspective piece published online May 29 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1306051?query=featured_home )
Increasing Drug Rx Linked to Exposure, Poisoning in Children
MONDAY, June 3 (HealthDay News) -- There is a strong correlation between increasing adult drug prescriptions and exposure and poisoning among children, particularly those aged 0 to 5 years, according to a study published online June 3 in Pediatrics.
Abstract (http://pediatrics.aappublications.org/content/early/2013/05/29/peds.2012-2978.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/05/29/peds.2012-2978.full.pdf+html )
Religious Vaccine Exemptions Increasing in New York State
MONDAY, June 3 (HealthDay News) -- From 2000 to 2011 there was an increase in the rate of religious vaccination exemptions in New York State, which correlated with increased incidence of pertussis; and missed immunizations should be given at sick visits and not delayed until make-up well-baby visits, according to research published online June 3 in Pediatrics.
Abstract - Imdad (http://pediatrics.aappublications.org/content/early/2013/05/29/peds.2012-3449.abstract.aappublications.org/content/early/recent )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/05/29/peds.2012-3449.full.pdf+html )Abstract - Robinson (http://pediatrics.aappublications.org/content/early/2013/05/29/peds.2012-3866.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/05/29/peds.2012-3866.full.pdf+html )
Bone Mineral Density Tx Can Be Effective for Young CF Patients
MONDAY, June 3 (HealthDay News) -- For children and young adults with cystic fibrosis, adequate calcium intake plus calcifediol can improve bone mineral density, while alendronate can increase bone mineral density for some non-responders, according to a study published online June 2 in The Lancet Respiratory Medicine.
Abstract (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70064-X/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70064-X/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70096-1/fulltext )
Health of Nation Reviewed With Focus on Emergency Care
MONDAY, June 3 (HealthDay News) -- Recent trends in the health of the nation are described, with particular focus on emergency care, in the 36th annual report published by the National Center for Health Statistics (NCHS) and the U.S. Centers for Disease Control and Prevention.
More Information (http://www.cdc.gov/nchs/hus.htm )
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