August 2017 Briefing - Pediatrics

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Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for August 2017. 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.

Minimal Evidence for Electronic Communication Guidelines

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Minimal evidence is available for guidelines for electronic communication between patients and providers, according to research published online Aug. 28 in the Journal of the American Medical Informatics Association.

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Prophylaxis Linked to Improved Function, HRQoL in Hemophilia

THURSDAY, Aug. 31, 2017 (HealthDay News) -- For adults with severe hemophilia and pre-existing joint disease, prophylaxis is associated with improved function, quality of life, activity, and pain, according to a study published online Aug. 24 in the Journal of Thrombosis and Haemostasis.

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FDA Approves Pediatric Treatment for Chagas Disease

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Benznidazole has been approved by the U.S. Food and Drug Administration to treat the tropical parasitic infection Chagas disease, in children aged 2 to 12.

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Proactive Approach Encouraged for Online Patient Reviews

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Most patients are using online reviews as a first step to finding a new doctor, with 65 percent forming an opinion from reading one to six reviews, according to a report published in Medical Economics.

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Paternal Age in the United States Is Rising

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- The average age of fathers of newborns has risen in recent decades, raising questions about the possible social and public health impact, according to research published online Aug. 30 in Human Reproduction.

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Many Parents Aren't Divulging CAM Use to Child's Provider

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Parents often try complementary treatments when their children are ill, but many don't tell their pediatricians about it, according to a report published online Aug. 28 in Pediatrics.

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Intracranial Pressure Monitoring No Benefit in Pediatric TBI

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- For children with severe traumatic brain injury, intracranial pressure (ICP) monitoring is not associated with improved functional survival, according to a study published online Aug. 28 in JAMA Pediatrics.

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Most Melanomas Don't Start As Existing Moles

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- The majority of melanomas arise from new lesions rather than existing moles, according to a review published online Aug. 29 in the Journal of the American Academy of Dermatology.

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Too Many New Mothers Silent on Postpartum Depression

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- One in five new mothers who develops postpartum depression or another mood disorder after childbirth suffer in silence, according to a study published online Aug. 1 in the Maternal and Child Health Journal.

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Clinicians Urged to Heighten Alert for Perinatal Suicide Risk

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Suicide is a leading cause of death among pregnant and recently pregnant women, according to a study published online Aug. 28 in CMAJ, the journal of the Canadian Medical Association.

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Race/Ethnicity Shown to Factor Into Quality of Care in NICU

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Race and ethnicity may be factors in the quality of care a premature baby receives in a neonatal intensive care unit (NICU), according to a study published online Aug. 28 in Pediatrics.

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Low Rate of Recurrence Seen for Serious Reactions to Vaccines

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Severe vaccine reactions recur rarely, if ever, when a child receives the same vaccine again, or one with similar ingredients, according to a review published online Aug. 28 in Pediatrics.

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AAP: Hep B Vaccine to Be Given Within First 24 Hours of Life

TUESDAY, Aug. 29, 2017 (HealthDay News) -- The first dose of the hepatitis B vaccine should be given within the first 24 hours of life, according to an American Academy of Pediatrics (AAP) policy statement published online Aug. 28 in Pediatrics.

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CDC: Not All Newborns Getting Heart Disease, Hearing Loss Tests

MONDAY, Aug. 28, 2017 (HealthDay News) -- Some newborns in the United States still aren't getting screened for hearing loss or congenital heart disease, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Cycling Crash Deaths Rising in the United States

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Bicyclist deaths on U.S. roadways are up significantly, and men -- not children -- are commonly the victims, a new report finds.

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CDC: More U.S. Teens Starting HPV Vaccination

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Six out of 10 U.S. teens ages 13 to 17 received one or more doses of a human papillomavirus (HPV) vaccine in 2016, but many are still not completing the vaccination series, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Google Search for 'Depression' Now to Provide Screening Test

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Web search giant Google is partnering with the National Alliance on Mental Illness (NAMI) to make depression screening a part of a search for 'depression' on the site.

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PERSEVERE-XP Improves Mortality Risk Stratification in Sepsis

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Addition of previously unconsidered genes from the Pediatric Sepsis Biomarker Risk Model (PERSEVERE) can improve mortality risk stratification for children with septic shock, according to a study published in the Aug. 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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Nurse-, System-Related Factors Analyzed in Wrong-Patient Events

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Greater focus is needed on correct identification processes in order to prevent wrong-patient medication administration incidents, and system supports for nurses are critical, according to a study published online Aug. 17 in the Journal of Clinical Nursing.

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Zika Thrives in Pregnancy Due to Vulnerable Immune System

TUESDAY, Aug. 22, 2017 (HealthDay News) -- The Zika virus thrives in pregnant women by suppressing their already dampened immune systems and running roughshod over their body's natural defenses, which allows the virus to directly attack the fetus, according to a study published online Aug. 21 in Nature Microbiology.

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AAP Issues New Guidelines for ID, Treatment of HTN in Children

TUESDAY, Aug. 22, 2017 (HealthDay News) -- More U.S. children are likely to be diagnosed and treated for hypertension under new recommendations from the American Academy of Pediatrics. The updated clinical practice guideline was published online Aug. 21 in Pediatrics.

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Many Parents Would Support Transgender Teen's Transition

TUESDAY, Aug. 22, 2017 (HealthDay News) -- More than half of U.S. adults surveyed would be supportive if they had a teenage child who wanted to transition to the opposite gender, according to a Harris Poll commissioned by the American Osteopathic Association.

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Global Prevalence of Fetal Alcohol Spectrum Disorder 7.7 per 1,000

TUESDAY, Aug. 22, 2017 (HealthDay News) -- The global prevalence of fetal alcohol spectrum disorder (FASD) among children is estimated at 7.7 per 1,000 in the general population, according to a review published online Aug. 21 in JAMA Pediatrics.

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Higher BMI in Childhood Linked to Adult Stroke Risk

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Above-average childhood body mass index (BMI) and increases in BMI during childhood are associated with increased risk of early adult ischemic stroke, according to a study published online Aug. 21 in JAMA Neurology.

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Anti-Vaccine Info in Pregnancy May Delay Infant Immunization

MONDAY, Aug. 21, 2017 (HealthDay News) -- Pregnancy is an important time for educating about infant immunization, according to a study published online Aug. 18 in Pediatrics.

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Hours Worked Impacted by Kids for Female, Not Male Doctors

MONDAY, Aug. 21, 2017 (HealthDay News) -- For women, but not men, in dual-physician couples, weekly hours worked are lower for those with versus those without children, according to a research letter published online Aug. 21 in JAMA Internal Medicine.

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Depression, Anxiety May Affect Bone Metabolism in Older Teens

MONDAY, Aug. 21, 2017 (HealthDay News) -- Major depressive disorder (MDD), generalized anxiety disorder (GAD), and selective serotonin reuptake inhibitor (SSRI) use are associated with bone metabolism in older adolescents and young adults, according to a study published online Aug. 16 in the Journal of Bone and Mineral Research.

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Transcranial Magnetic Stimulation Aids PTSD in Eating Disorders

MONDAY, Aug. 21, 2017 (HealthDay News) -- Repetitive transcranial magnetic stimulation (rTMS) of the dorsomedial prefrontal cortex (DMPFC) seems to be beneficial for treatment of posttraumatic stress disorder (PTSD) in patients with eating disorders, according to research published online Aug. 16 in the International Journal of Eating Disorders.

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Increase in Survival Without Severe Disability for Preemies

THURSDAY, Aug. 17, 2017 (HealthDay News) -- During the past two decades, survival and survival without severe or moderate neuromotor or sensory disabilities have increased among preterm infants, according to a study published online Aug. 17 in The BMJ.

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Coping Support Assists Parents of Hospitalized Children

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Coping support interventions can reduce anxiety and stress, but not depression, among parents of hospitalized children, according to a review published online Aug. 17 in Pediatrics.

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Few Racial Differences in Peds Anesthesia Meds Administration

THURSDAY, Aug. 17, 2017 (HealthDay News) -- There does not appear to be significant racial differences in preoperative or intraoperative medication administration for children undergoing emergency appendectomies, according to a study published online Aug. 10 in Pediatric Anesthesia.

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FDA: Potential Contamination in Some Liquid Pharma Products

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- The U.S. Food and Drug Administration has announced a recall of numerous liquid pharmaceutical products because of possible bacterial contamination that could cause severe infections in vulnerable patients.

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Antidepressants Used by 12.7 Percent of Those Age ≥12 in U.S.

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- Antidepressant use is common among U.S. individuals aged 12 years and older, with non-Hispanic whites more likely to take antidepressants than other racial/ethnic groups, 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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Automated Analyses of Night Blood O2 Detects Apnea

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- Neural network-based automated analyses of nocturnal oximetry (nSpO2) recordings provide accurate identification of obstructive sleep apnea-hypopnea syndrome (OSA) severity among habitually snoring children, according to a study published online July 31 in the American Journal of Respiratory and Critical Care Medicine.

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Emergency Departments See Few Cases of Sepsis in Adolescents

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- A typical emergency department sees few cases of sepsis among adolescents, according to a research letter published online Aug. 14 in JAMA Pediatrics.

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Studies Used for FDA Approval of Device Changes Often Low Quality

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Many studies used to support U.S. Food and Drug Administration approval of high-risk medical device modifications are not controlled; and efficacy of drugs granted accelerated approval is often confirmed three years after approval, according to two studies published in the Aug. 15 issue of the Journal of the American Medical Association.

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Specialist Access No Better With Adoption of Access Standards

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Adoption of specialty access standards does not improve access to specialists, according to a study published online Aug. 14 in JAMA Internal Medicine.

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Fecal Calprotectin Is Best Marker for Discriminating Pediatric IBD

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Fecal calprotectin adds most to discrimination between pediatric patients with and without inflammatory bowel disease (IBD), according to a meta-analysis published online Aug. 14 in JAMA Pediatrics.

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Sleep Duration Inversely Linked to Risk Markers of T2DM in Kids

TUESDAY, Aug. 15, 2017 (HealthDay News) -- There is an inverse correlation between sleep duration and risk markers of type 2 diabetes (T2D) in childhood, according to a study published online Aug. 15 in Pediatrics.

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Cannabis Intoxication Admissions in Children Up in France

MONDAY, Aug. 14, 2017 (HealthDay News) -- From 2004 to 2014 there was an increase in annual admissions in France for children with unintentional cannabis intoxication, according to a study published online Aug. 14 in Pediatrics.

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Review: Killed Whole-Cell Oral Cholera Vaccine Efficacious

MONDAY, Aug. 14, 2017 (HealthDay News) -- Two doses of killed whole-cell oral cholera vaccine (kOCV) are efficacious for protecting against cholera for at least two years after vaccination, according to a review published online July 17 in The Lancet Infectious Diseases.

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Rotavirus Vaccine Cuts U.S. Peds Gastroenteritis Hospitalizations

THURSDAY, Aug. 10, 2017 (HealthDay News) -- Implementation of rotavirus vaccination correlated with a reduction in acute gastroenteritis (AGE)-related hospitalization rates among children <5 years, according to a study published online Aug. 10 in the Journal of the Pediatric Infectious Diseases Society.

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QOL Not Impaired for Parents of Now-Adults Born Very Preterm

THURSDAY, Aug. 10, 2017 (HealthDay News) -- Parents of adults who were very preterm (VP) or very low birth weight (VLBW) at birth have similar quality of life to that of parents of term adults, according to a study published online Aug. 10 in Pediatrics.

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Live Attenuated Flu Vaccine Not Effective for Children in 2015-16

WEDNESDAY, Aug. 9, 2017 (HealthDay News) -- During the 2015 to 2016 season, influenza vaccines reduced the risk of influenza illness, but the live attenuated vaccine was ineffective among children 2 to 17 years of age, according to a study published in the Aug. 10 issue of the New England Journal of Medicine.

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Socioeconomic Position Tied to Carotid Wall Thickness in Kids

WEDNESDAY, Aug. 9, 2017 (HealthDay News) -- Socioeconomic position (SEP) in childhood is associated with carotid intima media thickness (IMT), according to a study published online Aug. 9 in the Journal of the American Heart Association.

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Age, Tympanogram May ID When to Skip Abx for Acute Otitis Media

WEDNESDAY, Aug. 9, 2017 (HealthDay News) -- For young children with acute otitis media (AOM), older age and peaked tympanogram at entry are associated with reduced risk of treatment failure, according to research published online Aug. 8 in Pediatrics.

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Characteristics of Diabetes in Infancy Explored

WEDNESDAY, Aug. 9, 2017 (HealthDay News) -- Diabetes in infancy has different characteristics depending on mutation subtype, and is associated with high frequency of diabetic ketoacidosis (DKA), according to a report published online Aug. 4 in Diabetes Care.

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Probiotics in Infancy Do Not Reduce Incidence of Eczema

TUESDAY, Aug. 8, 2017 (HealthDay News) -- Probiotic administration during the first six months of life does not reduce the incidence of eczema at 2 years of age or asthma at 5 years of age, according to a study published online Aug. 7 in Pediatrics.

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Interactions Occur With Cannabidiol, Antiepileptic Drugs

TUESDAY, Aug. 8, 2017 (HealthDay News) -- Several significant interactions can occur between cannabidiol and antiepileptic drugs, according to a study published online Aug. 6 in Epilepsia.

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Neonatal Hypoglycemia Not Tied to Neurosensory Impairment

MONDAY, Aug. 7, 2017 (HealthDay News) -- Neonatal hypoglycemia is not associated with increased risk of neurosensory impairment at age 4.5 years, according to a study published online Aug. 7 in JAMA Pediatrics.

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Guidance Provided for Preventing Practice Billing Errors

MONDAY, Aug. 7, 2017 (HealthDay News) -- Strategies can help to prevent medical practice billing errors, according to a report published in Medical Economics.

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Epidemiology of Acute Otitis Media Changed From 2006-2016

MONDAY, Aug. 7, 2017 (HealthDay News) -- Since the introduction of pneumococcal vaccines, the epidemiology of acute otitis media (AOM) has changed considerably, but risk factors have not, according to a study published online Aug. 7 in Pediatrics.

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Exposure to Flame Retardants May Lower IQ in Children

MONDAY, Aug. 7, 2017 (HealthDay News) -- Developmental polybrominated diphenyl ethers (PBDEs) exposure may be tied to reduced intelligence, according to a review published online Aug. 3 in Environmental Health Perspectives.

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In Utero Psychotropics + Opioids Up Neonatal Drug Withdrawal

THURSDAY, Aug. 3, 2017 (HealthDay News) -- Use of psychotropic medications in addition to prescription opioids during pregnancy is associated with increased risk and severity of neonatal drug withdrawal, according to a study published online Aug. 2 in The BMJ.

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Review: Levetiracetam Best Monotherapy for Partial Seizures

WEDNESDAY, Aug. 2, 2017 (HealthDay News) -- Levetiracetam performs better than carbamazepine and lamotrigine for individuals with partial seizures, according to a review and meta-analysis published online June 29 in the Cochrane Library.

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Revenue Exceeds Expenditures for Many ABMS Member Boards

WEDNESDAY, Aug. 2, 2017 (HealthDay News) -- Overall revenue exceeds expenditures for many American Board of Medical Specialties (ABMS) member boards, according to a study published in the Aug. 1 issue of the Journal of the American Medical Association.

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Little Risk of Oropharyngeal Mucosal Transmission of Zika

TUESDAY, Aug. 1, 2017 (HealthDay News) -- The Zika virus doesn't appear to be transmitted through saliva, according to a study published online Aug. 1 in Nature Communications.

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Alarms Could Save Children From Being Left in Hot Cars

TUESDAY, Aug. 1, 2017 (HealthDay News) -- The recent deaths of two Arizona children in hot cars show the need for a proposed federal law that would require carmakers to install alarms for back seats, child advocates say.

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Rates of Inflammatory Bowel Disease Down in Rural Areas

TUESDAY, Aug. 1, 2017 (HealthDay News) -- Children and teens from rural areas may be less likely to develop inflammatory bowel disease (IBD) than those in cities, according to a study published online July 25 in the American Journal of Gastroenterology.

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