August 2015 Briefing - Pediatrics

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Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for August 2015. 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.

Consensus for Early Peanut Exposure in High-Risk Infants

MONDAY, Aug. 31, 2015 (HealthDay News) -- Infants at high risk for peanut allergies should be given foods containing peanuts before they reach the age of 1 year, according to a new consensus statement from 10 medical groups. The statement was published online Aug. 31 in Pediatrics.

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AAP: In Office Visits, Ask Every Adolescent About Alcohol Use

MONDAY, Aug. 31, 2015 (HealthDay News) -- Alcohol poses a far greater threat to children than many parents may realize, according to a clinical report published online Aug. 31 in Pediatrics.

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Nonalbuminuric CKD Ups Cardiovascular Morbidity in T1DM

MONDAY, Aug. 31, 2015 (HealthDay News) -- Nonalbuminuric chronic kidney disease is associated with increased risk of cardiovascular disease and all-cause mortality, but not renal outcomes, in patients with type 1 diabetes, according to a study published online Aug. 26 in Diabetes Care.

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Parents More Likely to Use Abx for 'Pink Eye' vs 'Eye Infection'

FRIDAY, Aug. 28, 2015 (HealthDay News) -- Use of the label "pink eye" versus "eye infection" is associated with increased parent intent to use antibiotics despite parents being informed about antibiotics' ineffectiveness for treating symptoms, according to a study published online Aug. 20 in Clinical Pediatrics.

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AMA: Ruling Makes It Easier for Insurers to Terminate Doctors

FRIDAY, Aug. 28, 2015 (HealthDay News) -- The outcome of a recent case regarding the termination of physicians by an insurance company following a dispute over the necessity of medical services provided has serious implications for physicians and their patients, according to a report published by the American Medical Association (AMA).

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CDC: Most U.S. Children Getting Vaccinated

THURSDAY, Aug. 27, 2015 (HealthDay News) -- More than nine out of 10 U.S. children entered kindergarten last school year protected with the proper immunizations, federal health officials reported Thursday. But, vaccination rates continue to lag in a number of states. The report was published in the Aug. 28 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Low Rates of HIV Testing in Gay and Bisexual Youth

WEDNESDAY, Aug. 26, 2015 (HealthDay News) -- Gay and bisexual adolescent boys are much less likely to get tested for HIV than their older counterparts, researchers report. The study was published online Aug. 26 in the Journal of Adolescent Health.

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CDC: Rates of Childhood Obesity Higher in U.S. Than Canada

WEDNESDAY, Aug. 26, 2015 (HealthDay News) -- About 17.5 percent of U.S. children aged 3 to 19 are obese, compared with 13 percent of Canadian children the same age, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Worse Outcomes for Children With Delay in Epinephrine

WEDNESDAY, Aug. 26, 2015 (HealthDay News) -- Delay in epinephrine administration is associated with worse outcomes for children with in-hospital cardiac arrest with an initial nonshockable rhythm, according to a study published in the Aug. 25 issue of the Journal of the American Medical Association.

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Healthier Diet Linked to Reduced Congenital Heart Defects

TUESDAY, Aug. 25, 2015 (HealthDay News) -- Women who follow a very healthy diet are much less likely than those who eat poorly to have a baby with tetralogy of Fallot or atrial septal defects, according to a study published online Aug. 24 in the Archives of Disease in Childhood-Fetal & Neonatal Edition.

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Too Few Blacks, Hispanics Pursuing Careers As Physicians

TUESDAY, Aug. 25, 2015 (HealthDay News) -- Too few members of certain minority groups are pursuing careers in U.S. medicine, resulting in a serious lack of diversity among general practitioners and specialists, according to a research letter published online Aug. 24 in JAMA Internal Medicine.

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Preterm Birth, Poor Fetal Growth Tied to ADHD Risk

TUESDAY, Aug. 25, 2015 (HealthDay News) -- Risks of attention-deficit/ hyperactivity disorder (ADHD) are greatest for children with the most severe degree of poor growth in the womb, according to research published online Aug. 24 in Pediatrics.

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Promacta Approval Expanded for Children With Chronic ITP

MONDAY, Aug. 24, 2015 (HealthDay News) -- U.S. Food and Drug Administration approval of the drug Promacta (eltrombopag) has been expanded to include children 1 year and older with chronic immune thrombocytopenic purpura (ITP).

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Transient Hypoglycemia at Birth Tied to Lower School Scores

MONDAY, Aug. 24, 2015 (HealthDay News) -- Children who experience transient hypoglycemia right after birth may have a harder time with reading and math when they go to school, according to a new study published online Aug. 24 in JAMA Pediatrics.

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Pediatric CT Scan Use Has Declined Over Past Decade

MONDAY, Aug. 24, 2015 (HealthDay News) -- Children are receiving fewer computed tomography (CT) scans now than a decade ago, dovetailing with a move to radiation-free magnetic resonance imaging (MRI) scans and ultrasounds, according to research findings published online Aug. 24 in Pediatrics.

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Perfluorinated Alkylate Levels Up in Breastfed Infants

MONDAY, Aug. 24, 2015 (HealthDay News) -- New mothers may inadvertently pass industrial chemicals along to their infants through breastfeeding, which might lower the effectiveness of some childhood vaccinations, researchers report. The study was published online Aug. 20 in Environmental Science & Technology.

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Good Moods Infectious Among Teens, Depression Is Not

FRIDAY, Aug. 21, 2015 (HealthDay News) -- A good mood is infectious among teens, but depression is not, a new study suggests. The findings were published online Aug. 19 in the Proceedings of the Royal Society B.

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Patient, Family Advisors Can Play Key Role in Practices

FRIDAY, Aug. 21, 2015 (HealthDay News) -- Practices can employ patient and family advisors in order to help them focus on patient-centered care needs, according to a report published by the American Medical Association (AMA).

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Significant Rise in Organic Food Recalls in the United States

FRIDAY, Aug. 21, 2015 (HealthDay News) -- There has been a sharp rise in recalls of organic food products in the United States this year, according to a new report.

Health Highlights: Aug 20, 2015

APA: Video Games Linked to Aggression but Not Violence

THURSDAY, Aug. 20, 2015 (HealthDay News) -- There is a link between violent video games and higher levels of aggression in players; however, there isn't enough evidence to prove that playing violent video games raises the risk of criminal behavior or violence, according to a report from the American Psychological Association's (APA) Task Force on Violent Media.

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Report Highlights Ways to Improve Physician Resilience

THURSDAY, Aug. 20, 2015 (HealthDay News) -- Strategies can be adopted for improving physician resilience and the ability to handle the challenges presented by patient care, according to a report published by the American Medical Association (AMA).

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Considerable Variation in Cost of Generic Topical Corticosteroids

THURSDAY, Aug. 20, 2015 (HealthDay News) -- There is considerable variation in the unit cost of topical corticosteroids across potencies and by branded generic or generic product, according to a research letter published online Aug. 19 in JAMA Dermatology.

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U.S. Should Reconsider Labeling of Genetically Modified Food

WEDNESDAY, Aug. 19, 2015 (HealthDay News) -- The United States should reconsider labeling of genetically modified (GM) food, according to a perspective piece published in the Aug. 20 issue of the New England Journal of Medicine.

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Most Patients Undergo Follow-Up After Pediatric Pyeloplasty

WEDNESDAY, Aug. 19, 2015 (HealthDay News) -- Most patients are followed up after pediatric pyeloplasty, with ultrasound being the most common imaging modality, according to a study published in the September issue of The Journal of Urology.

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E-Cig Use Linked to Combustible Tobacco Use in Teens

TUESDAY, Aug. 18, 2015 (HealthDay News) -- Electronic cigarette (e-cigarette) use is associated with initiation of combustible tobacco product smoking among adolescents, according to a study published in the Aug. 18 issue of the Journal of the American Medical Association.

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Federal Grants Target Heroin Epidemic in Eastern States

TUESDAY, Aug. 18, 2015 (HealthDay News) -- The Obama administration will provide millions of dollars in federal grants to help counties hardest hit by a heroin epidemic in the eastern United States.

Health Highlights: Aug 17, 2015

Well-Being of Kids From Military Families Suffers During Wartime

TUESDAY, Aug. 18, 2015 (HealthDay News) -- Military-connected youth are at increased risk for adverse outcomes during wartime, indicating poorer socioemotional adjustment than their nonmilitary peers, according to a study published online Aug. 17 in JAMA Pediatrics.

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Physician Score Cards Cut Resource Use in Pediatric ER

TUESDAY, Aug. 18, 2015 (HealthDay News) -- An intervention that provides comprehensive physician feedback on practice patterns relative to peers can reduce resource use in the pediatric emergency department, without compromising efficiency or quality of care, according to a study published online Aug. 10 in Pediatrics.

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Early Life Adversity Linked to Brain Changes in Adolescent Boys

MONDAY, Aug. 17, 2015 (HealthDay News) -- Early life adversity correlates with higher levels of internalizing symptoms and with altered brain structure, according to a study published online Aug. 17 in JAMA Pediatrics.

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Mandatory Eyewear Cuts Injuries in Girls' Field Hockey

MONDAY, Aug. 17, 2015 (HealthDay News) -- Among female high school field hockey players, implementation of a national mandate for protective eyewear (MPE) reduced the incidence of eye/orbital injuries and severe eye/orbital and head/face injuries, according to a study published online Aug. 17 in Pediatrics.

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Serious Childhood Infection Tied to Metabolic Disease Later in Life

MONDAY, Aug. 17, 2015 (HealthDay News) -- Infection-related hospitalization (IRH) during childhood is independently associated with adverse adult metabolic variables, according to a study published online Aug. 17 in Pediatrics.

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FDA Approves OxyContin for Children As Young As 11

FRIDAY, Aug. 14, 2015 (HealthDay News) -- Limited use of the widely abused painkiller OxyContin in children as young as 11 years old has been approved by the U.S. Food and Drug Administration.

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Child CA Survivors Face Risk of Bowel Obstruction Requiring Sx

FRIDAY, Aug. 14, 2015 (HealthDay News) -- Survivors of childhood cancer have an increased long-term risk of intestinal obstruction requiring surgery (IOS), according to a study published online Aug. 10 in the Journal of Clinical Oncology.

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Ultrasound Overused for Undescended Testicle Care

FRIDAY, Aug. 14, 2015 (HealthDay News) -- Ultrasound has limited value for the management of an undescended testicle (UDT), but remains widely overused, according to a study published online Aug. 10 in Pediatrics.

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U.S. Varicella Cases Drop Sharply Due to Vaccine

FRIDAY, Aug. 14, 2015 (HealthDay News) -- Varicella cases in the United States have dropped sharply since a vaccine against the disease became available in 1995, according to a study published online Aug. 12 in the Journal of the Pediatric Infectious Diseases Society.

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Playing Football at Younger Age May Disrupt Brain Development

FRIDAY, Aug. 14, 2015 (HealthDay News) -- For former professional football players, earlier age of first exposure (AFE) to repetitive head impacts (RHI) correlates with later-life altered corpus callosum (CC) microstructure, according to a study published online July 22 in the Journal of Neurotrauma.

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Hospital-Acquired Conditions Lengthen Stays, Add Costs in Kids

THURSDAY, Aug. 13, 2015 (HealthDay News) -- Hospital-acquired venous thromboembolism (VTE) and catheter-associated urinary tract infection (CAUTI) are associated with increased length of stay (LOS) and costs in pediatric inpatient populations, according to a study published online Aug. 10 in Pediatrics.

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Studies Highlight Advances in Vaccines for Human RSV

THURSDAY, Aug. 13, 2015 (HealthDay News) -- Chimpanzee adenovirus-vectored respiratory syncytial virus (PanAd3-RSV) vaccine candidate and a modified vaccinia Ankara (MBA-RSV) vaccine show potential for human RSV (HRSV), according to two studies published in the Aug. 12 issue of Science Translational Medicine.

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Pattern of Cases, Surveillance Data Similar for Lyme Disease

THURSDAY, Aug. 13, 2015 (HealthDay News) -- The estimated annual incidence of Lyme disease (LD) is 106.6 cases/100,000 persons in the United States, according to a report published online Aug. 12 in the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Exposure to Rude Behavior Harms NICU Team Performance

THURSDAY, Aug. 13, 2015 (HealthDay News) -- Exposure to rudeness has adverse consequences on the diagnostic and procedural performance of neonatal intensive care unit (NICU) team members, according to a study published online Aug. 10 in Pediatrics.

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More Physicians Reporting Dissatisfaction With EHR Systems

THURSDAY, Aug. 13, 2015 (HealthDay News) -- More physicians report being dissatisfied or very dissatisfied with their electronic health record (EHR) system, compared with five years ago, according to a report published by the AmericanEHR Partners and the American Medical Association.

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Subsequent Neoplasm Risk Up for Decades in Child CA Survivors

THURSDAY, Aug. 13, 2015 (HealthDay News) -- Survivors of childhood cancer are at increased risk for treatment-related subsequent neoplasms (SNs), even after age 40 years, according to a study published online Aug. 10 in the Journal of Clinical Oncology.

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Up'd Physical Activity Tied to Fewer Symptoms in Kids With MS

WEDNESDAY, Aug. 12, 2015 (HealthDay News) -- For children with multiple sclerosis (MS), those reporting greater amounts of physical activity (PA) have fewer symptoms, according to a study published online Aug. 12 in Neurology.

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Case Report Describes Benefit of Ketamine in Child With PTSD

WEDNESDAY, Aug. 12, 2015 (HealthDay News) -- Ketamine may be beneficial for children with posttraumatic stress disorder (PTSD) and episodes of severe aggression and emotional dysregulation, according to a case report published online Aug. 10 in Pediatrics.

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HAC Reduction Program Penalty Kicks in for FY2015

TUESDAY, Aug. 11, 2015 (HealthDay News) -- The latest Centers for Medicare & Medicaid Services (CMS) effort to reduce hospital-acquired conditions (HACs) is the HAC Reduction Program, according to an Aug. 6 health policy brief published in Health Affairs.

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In-Person Staff Meetings Are Valuable for Health Care Teams

MONDAY, Aug. 10, 2015 (HealthDay News) -- In-person staff meetings, which are not too short or too long and are held frequently, are valuable for health care team operation, according to an article published in Medical Economics.

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Allergists, ER Doctors Should Cooperate in Anaphylaxis Care

MONDAY, Aug. 10, 2015 (HealthDay News) -- Allergists and emergency medicine physicians should continue to work together to improve anaphylaxis care, according to a review published online Aug. 6 in the Annals of Allergy, Asthma & Immunology.

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Acute CNS Complications After Breath-Hold Diving in Teens

MONDAY, Aug. 10, 2015 (HealthDay News) -- Acute central nervous system complications can occur in children after breath-hold diving, according to a case report published online Aug. 10 in Pediatrics.

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Many Hospitals Being Penalized for 30-Day Readmissions

FRIDAY, Aug. 7, 2015 (HealthDay News) -- About half of the nation's hospitals are being penalized by Medicare for having patients return within a month of discharge, losing a combined $420 million, according to a report published by Kaiser Health.

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Exercise in Early Adolescence May Ward Off Diabetes Later On

FRIDAY, Aug. 7, 2015 (HealthDay News) -- High levels of physical activity during the early teen years might reduce the risk of diabetes later in life, according to a new study published online Aug. 6 in Diabetologia.

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CDC: U.S. Infant Mortality Rate at Historic Low

THURSDAY, Aug. 6, 2015 (HealthDay News) -- The number of U.S. infants who die before their first birthday continues to decline and is at a historic low, health officials reported Thursday. The findings were published in the U.S. Centers for Disease Control and Prevention's Aug. 6 National Vital Statistics Report.

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Guidelines Provided for Pediatric Atopic Dermatitis Management

THURSDAY, Aug. 6, 2015 (HealthDay News) -- Guidelines have been developed for the management of pediatric patients with atopic dermatitis at the primary care level. The guidelines were published as a state-of-the-art review article online Aug. 3 in Pediatrics.

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More Social Media Use Linked to Mental Health Concerns in Teens

WEDNESDAY, Aug. 5, 2015 (HealthDay News) -- Teens who frequently use social media are more likely to say they struggle with mental health concerns that are not being addressed, according to research published in the July issue of Cyberpsychology, Behavior, and Social Networking.

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Focus on Consequences May Help Sway Anti-Vaccine Beliefs

TUESDAY, Aug. 4, 2015 (HealthDay News) -- Highlighting what might happen if children aren't vaccinated can change the thinking of some people who oppose vaccines, according to research published online Aug. 3 in the Proceedings of the National Academy of Sciences.

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Liquid Nicotine From E-Cigs Poses Poison Danger to Children

TUESDAY, Aug. 4, 2015 (HealthDay News) -- The increasing popularity of electronic cigarettes has led to a number of cases of nicotine poisoning in recent years, the U.S. Centers for Disease Control and Prevention warns.

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USPSTF Finds Evidence Lacking for Autism Screening in Children

TUESDAY, Aug. 4, 2015 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has concluded that there is currently insufficient evidence to assess the benefits and harms of screening for autism spectrum disorder (ASD) in asymptomatic children age 3 and younger. These findings form the basis of a draft recommendation statement published online Aug. 3 by the USPSTF.

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Hemophilia Drugs a Big Part of State Medicaid Spending

MONDAY, Aug. 3, 2015 (HealthDay News) -- Treatment costs for one childhood illness, hemophilia, appear to use up a large portion of a state's Medicaid budget, according to a study published in the July 28 issue of the Journal of the American Medical Association.

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Case Report: Pediatric Nickel Dermatitis Caused by Belt Buckles

MONDAY, Aug. 3, 2015 (HealthDay News) -- Nickel dermatitis has been observed in a number of children whose symptoms resolved after avoiding contact with dimethylglyoxime (DMG)-positive belt buckles. These observations have been published as a case report online Aug. 3 in Pediatrics.

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Concomitant Administration of 9vHPV With MCV4/Tdap Feasible

MONDAY, Aug. 3, 2015 (HealthDay News) -- For 11- to 15-year olds, concomitant administration of Gardasil 9 (9-valent human papillomavirus [9vHPV] vaccine) and Menactra (MCV4; Neisseria meningitides serotypes A/C/Y/W-135) or Adacel (Tdap; diphtheria/tetanus/acellular pertussis) is noninferior to intermittent administration, according to a study published online Aug. 3 in Pediatrics.

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Review: mHealth Text Messages Promote Medication Adherence

MONDAY, Aug. 3, 2015 (HealthDay News) -- Mobile health (mHealth) short message service text messages can improve medication adherence, according to a review published online July 27 in the Journal of Clinical Nursing.

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