December 2015 Briefing - Pediatrics

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

AMA: Burnout Is Top Issue for Physicians in 2015

WEDNESDAY, Dec. 30, 2015 (HealthDay News) -- Physician burnout is the top issue for physicians in 2015, according to a report published by the American Medical Association (AMA).

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Infantile Hemangioma Incidence Up Over Past Three Decades

WEDNESDAY, Dec. 30, 2015 (HealthDay News) -- The incidence of infantile hemangiomas (IH) has increased over the past three decades, according to a study published in the January issue of the Journal of the American Academy of Dermatology.

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Family Hx Ups Risk of Psychotic Symptoms in Kids on Stimulants

WEDNESDAY, Dec. 30, 2015 (HealthDay News) -- For children and young adults who have a parent with major mood and psychotic disorders, stimulant use is associated with increased likelihood of psychotic symptoms, according to a study published online Dec. 30 in Pediatrics.

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Timing of DTaP Vaccine Not Tied to Food Allergies at Age 1 Year

WEDNESDAY, Dec. 30, 2015 (HealthDay News) -- Timing of the diphtheria-tetanus-acellular pertussis (DTaP) vaccination is not tied to child food allergies; however, children with delayed DTaP have less eczema, according to a study published online Dec. 28 in Allergy.

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Higher Hospital Prices in U.S. 'Monopoly Markets'

MONDAY, Dec. 28, 2015 (HealthDay News) -- Prices at hospitals in monopoly markets are 15 percent higher than those at hospitals in areas with at least four providers, according to research published recently at the Health Care Pricing Project website.

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Efficacy of Azithromycin in Chlamydia Remains High

MONDAY, Dec. 28, 2015 (HealthDay News) -- Azithromycin is not noninferior to doxycycline for treatment of urogenital chlamydia infection among adolescents; however, the efficacy of both types of treatment is high, according to a study published in the Dec. 24 issue of the New England Journal of Medicine.

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Increase in Child Asthma Has Ceased Overall, but Not for Poor

MONDAY, Dec. 28, 2015 (HealthDay News) -- From 2001 to 2009 there was an increase in childhood asthma prevalence, which plateaued and then started to decline in 2013, according to a study published online Dec. 28 in Pediatrics.

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Better Info Needed in Transfer From Peds to Adult Care for T1DM

MONDAY, Dec. 28, 2015 (HealthDay News) -- For young adults with type 1 diabetes transitioning from pediatric care to adult endocrinologists, information transfer seems to be inadequate, according to research published online Dec. 17 in Diabetes Care.

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CDC: Number of U.S. Births Up to 3.9 Million in 2014

WEDNESDAY, Dec. 23, 2015 (HealthDay News) -- The number of births in the United States increased in 2014, with an increase in the general fertility rate for the first time since 2007, according to a report published in the U.S. Centers for Disease Control and Prevention's Dec. 23 National Vital Statistics Reports.

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Kangaroo Care Cuts Mortality in Low Birth Weight Newborns

WEDNESDAY, Dec. 23, 2015 (HealthDay News) -- Kangaroo mother care (KMC) is associated with improved neonatal outcomes among infants of any birth weight or gestational age, according to a review published online Dec. 23 in Pediatrics.

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Distinct Syndrome of Acute Flaccid Paralysis Identified

TUESDAY, Dec. 22, 2015 (HealthDay News) -- Acute flaccid paralysis with evidence of spinal motor neuron involvement represents a unique syndrome, according to research published in the Dec. 22/29 issue of the Journal of the American Medical Association.

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Specific, Consistent ICD-10 Coding Key to Timely Payments

TUESDAY, Dec. 22, 2015 (HealthDay News) -- In order to prevent denials, it is important to code correctly within the International Classification of Diseases, Tenth Revision (ICD-10), with specificity matching documentation, according to an article published in Medical Economics.

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Two Draft Statements From USPSTF Open for Comment

TUESDAY, Dec. 22, 2015 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that current evidence is insufficient for determining the balance of benefits and harms of lipid disorder screening in children, while for statin use in adults, recommendations vary with patient age. These findings form the basis of two draft recommendation statements published online Dec. 21 by the USPSTF.

Draft Recommendation Statement - Lipid Screen
Evidence Review
Comment on Recommendations
Draft Recommendation Statement - Statin Use
Evidence Review
Comment on Recommendations

Affordable Care Act Has Improved Access to Care, Affordability

MONDAY, Dec. 21, 2015 (HealthDay News) -- Implementation of the Affordable Care Act has improved access to care and affordability of care for many adults, according to a study published in the December issue of Health Affairs.

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Mindfulness Practice Cuts Stress in Low-Income School Children

FRIDAY, Dec. 18, 2015 (HealthDay News) -- For low-income students at public schools, a mindfulness-based stress reduction (MBSR) program can improve psychological functioning and moderate the negative effects of stress, according to a study published online Dec. 18 in Pediatrics.

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Marijuana Use Outpaces Smoking in High School Seniors

FRIDAY, Dec. 18, 2015 (HealthDay News) -- For the first time, more U.S. high school seniors are smoking marijuana than tobacco, according to the results of a survey conducted by the National Institute on Drug Abuse, part of the National Institutes of Health.

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Digital Imaging-Based Screening Can Cut ROP Exams

FRIDAY, Dec. 18, 2015 (HealthDay News) -- Digital imaging-based retinopathy of prematurity (ROP) detection strategies can reduce the number of ROP examinations per infant, according to a study published online Dec. 15 in Pediatrics.

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FDA Approves LifeVest Wearable Defibrillator for Children

THURSDAY, Dec. 17, 2015 (HealthDay News) -- The LifeVest wearable defibrillator has been approved by the U.S. Food and Drug Administration for children at risk for cardiac arrest who can't have a defibrillator implanted. The device is already approved for adults.

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Prevalence of Diabetes, Diabetic Nephropathy Up in U.S. Children

THURSDAY, Dec. 17, 2015 (HealthDay News) -- For the commercially-insured pediatric population in the United States, the prevalence of diabetes and diabetic nephropathy increased from 2002 to 2013, according to a study published online Dec. 17 in Diabetes Care.

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Childhood Depression Tied to Cortical Gray Matter Development

THURSDAY, Dec. 17, 2015 (HealthDay News) -- Early childhood depression is associated with cortical gray matter development in late school age and early adolescence, according to a study published online Dec. 16 in JAMA Psychiatry.

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Contraceptive Provision Rates Low for Teen Girls on Teratogens

THURSDAY, Dec. 17, 2015 (HealthDay News) -- The rates of contraceptive provision for adolescents prescribed teratogens are low, according to a review published online Dec. 16 in Pediatrics.

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Nonoperative Management Feasible for Pediatric Appendicitis

THURSDAY, Dec. 17, 2015 (HealthDay News) -- For children with uncomplicated acute appendicitis, choosing nonoperative management is an effective treatment strategy, according to a study published online Dec. 16 in JAMA Surgery.

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Greater Effort Needed to Prevent Epilepsy-Related Mortality

THURSDAY, Dec. 17, 2015 (HealthDay News) -- The importance of preventing epilepsy-related mortality is highlighted in an article published online Dec. 16 in Neurology.

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Industry Outpacing NIH in Funding Research

WEDNESDAY, Dec. 16, 2015 (HealthDay News) -- There's been a sharp rise in the number of industry-funded clinical trials and a significant decline in those financed by the U.S. government in recent years, according to findings published in the Dec. 15 issue of the Journal of the American Medical Association.

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No Lasting Benefit for Early Tx of Patent Ductus Arteriosus

WEDNESDAY, Dec. 16, 2015 (HealthDay News) -- Early treatment to induce closure of the patent ductus arteriosus (PDA) in preterm infants does not improve long-term outcomes, according to a clinical report published online Dec. 15 in Pediatrics.

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USPSTF: Screen All Teens, Adults at Risk for Syphilis

TUESDAY, Dec. 15, 2015 (HealthDay News) -- All adults and teens at increased risk for syphilis should be screened for the sexually transmitted disease, a U.S. Preventive Services Task Force (USPSTF) draft recommendation says. The recommendation complements a 2009 task force recommendation that all pregnant women be screened for syphilis.

Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation

Antidepressant Use in Pregnancy Tied to ASD Risk in Offspring

TUESDAY, Dec. 15, 2015 (HealthDay News) -- Antidepressant use during the second and third trimesters of pregnancy may increase the risk for autism spectrum disorder (ASD) in offspring, according to research published online Dec. 14 in JAMA Pediatrics.

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Mental Disorders Associated With Chronic Pain in Teens

TUESDAY, Dec. 15, 2015 (HealthDay News) -- Mental disorders seem to be associated with chronic pain in adolescents, according to a study published recently in The Journal of Pain.

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Salty Food Intake Tied to Acne Development

TUESDAY, Dec. 15, 2015 (HealthDay News) -- Consuming salty foods may be a significant factor contributing to the development of acne, according to a study published online Dec. 9 in the Journal of Cosmetic Dermatology.

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Neurotoxicity of Anesthesia in Children Needs to Be Addressed

TUESDAY, Dec. 15, 2015 (HealthDay News) -- A recent survey of pediatric anesthesia programs at teaching institutions in the United States highlights the need for improvements in training, clinical practice, and communication related to neurotoxicity associated with general anesthesia in young children, according to research published in the January issue of Pediatric Anesthesia.

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Early Sexual Maturation Doesn't Always Signal Onset of Puberty

MONDAY, Dec. 14, 2015 (HealthDay News) -- Children who develop certain signs of puberty at an early age are commonly referred to specialists for an evaluation, but this is often unnecessary, according to a new American Academy of Pediatrics report published online Dec. 14 in Pediatrics.

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Abuse of Prescription Drugs Ups Sexual Risks for Teens

MONDAY, Dec. 14, 2015 (HealthDay News) -- Teens who use abuse prescription drugs such as opioids are more likely to have sex or to participate in risky sexual behaviors, according to a study published online Dec. 14 in Pediatrics.

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New Model of Inpatient Care Can Improve Outcomes

MONDAY, Dec. 14, 2015 (HealthDay News) -- Implementation of a new model of care can improve outcomes of care in medical and surgical units, according to a study published in the December issue of the Journal of Hospital Medicine.

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Seven Behaviors Suggested to Improve 'Art of Medicine'

FRIDAY, Dec. 11, 2015 (HealthDay News) -- Seven behaviors should be implemented to improve the art of medicine, which can help improve relationships with patients, according to an article published in Family Practice Management.

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Percentage of Graduates Entering GME Stable Over Past Decade

WEDNESDAY, Dec. 9, 2015 (HealthDay News) -- Despite an increase in the number of U.S. medical school graduates, over the past decade the percentage entering graduate medical education (GME) training has remained stable, according to a research letter published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Pediatric Allergic Disease May Up Cardiovascular Risk

WEDNESDAY, Dec. 9, 2015 (HealthDay News) -- Children with allergic disease may face as much as a doubling of their risk of hypertension and hyperlipidemia -- even if they aren't overweight, according to a letter to the editor published online Dec. 8 in the Journal of Allergy & Clinical Immunology.

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Depression Not Uncommon Among Resident Physicians

WEDNESDAY, Dec. 9, 2015 (HealthDay News) -- More than one in four doctors-in-training may be depressed, which could put their patients at risk, according to a study published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Live Attenuated Flu Shot Feasible for Children With Egg Allergy

WEDNESDAY, Dec. 9, 2015 (HealthDay News) -- For young people with egg allergy, live attenuated influenza vaccine (LAIV) is well tolerated, with low risk of systemic allergic reactions, according to a study published online Dec. 8 in The BMJ.

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Med Ed Can Be Improved for High-Value, Cost-Conscious Care

TUESDAY, Dec. 8, 2015 (HealthDay News) -- The combination of effective transmission of knowledge, facilitation of reflective practice, and a supportive environment can educate physicians to deliver high-value, cost-conscious care, according to a review published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.

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FDA Approves Kanuma for Lysosomal Acid Lipase Deficiency

TUESDAY, Dec. 8, 2015 (HealthDay News) -- Kanuma (sebelipase alfa) has been approved by the U.S. Food and Drug Administration as the first treatment for LAL deficiency (Wolman disease or cholesteryl ester storage disease).

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Maternal PCOS May Raise Odds for Autism in Offspring

TUESDAY, Dec. 8, 2015 (HealthDay News) -- Children of mothers with polycystic ovary syndrome (PCOS) may have an increased risk for autism spectrum disorders (ASDs), according to research published online Dec. 8 in Molecular Psychiatry.

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CDC: Fewer Americans Struggling With Medical Bills

TUESDAY, Dec. 8, 2015 (HealthDay News) -- Fewer American families are struggling to pay medical bills, according to a report from the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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U.S. Health Care Spending Increased in 2014

TUESDAY, Dec. 8, 2015 (HealthDay News) -- The expansion of insurance coverage and increases in retail prescription drug spending contributed to an increase in total national health care expenditures in 2014, according to a report published online Dec. 2 in Health Affairs.

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AAP: Screen All Children for Cholesterol, Depression, HIV

MONDAY, Dec. 7, 2015 (HealthDay News) -- All children should be screened for high cholesterol, depression, and HIV, with some tests starting as early as age 9, according to new guidelines from the American Academy of Pediatrics published online Dec. 7 in Pediatrics.

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IV Bisphosphonate Tx Linked to Drop in Bone Turnover in DMD

FRIDAY, Dec. 4, 2015 (HealthDay News) -- For patients with Duchenne muscular dystrophy (DMD), intravenous bisphosphonate therapy is associated with declines in bone turnover, according to a study published online Nov. 28 in the Journal of Bone and Mineral Research.

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AMA: Case Before Supreme Court Threatens Patient Privacy

THURSDAY, Dec. 3, 2015 (HealthDay News) -- A case before the Supreme Court is potentially threatening patient confidentiality, according to the American Medical Association (AMA).

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Evidence Doesn't Support Monthly Labs With Isotretinoin

THURSDAY, Dec. 3, 2015 (HealthDay News) -- Less frequent laboratory monitoring may be safe for patients receiving isotretinoin for acne as changes in mean values of several laboratory tests do not meet a priori criteria for high-risk, according to research published online Dec. 2 in JAMA Dermatology.

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Non-Sleep Factors Also Key to SIDS Risk Reduction

THURSDAY, Dec. 3, 2015 (HealthDay News) -- An infant's sleeping environment is not the only factor to consider when it comes to the risk of sudden infant death syndrome (SIDS), according to research published online Dec. 2 in Pediatrics.

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Social Impact for Untreated Infantile Hemangiomas

THURSDAY, Dec. 3, 2015 (HealthDay News) -- For preteen children, involuted, untreated facial infantile hemangiomas (IHs) have a social impact, according to a study published online Nov. 19 in JAMA Otolaryngology-Head & Neck Surgery.

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Preemies May Benefit From Delayed Umbilical Cord Clamping

WEDNESDAY, Dec. 2, 2015 (HealthDay News) -- Delayed clamping of a preterm infant's umbilical cord may lead to better motor function development, according to a study published online Nov. 4 in The Journal of Pediatrics.

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Burnout Rates on the Rise for Physicians

WEDNESDAY, Dec. 2, 2015 (HealthDay News) -- Burnout is a growing problem among American doctors, according to research published in the December issue of the Mayo Clinic Proceedings.

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Asthma Risk Up Slightly for Planned C-Section Children

WEDNESDAY, Dec. 2, 2015 (HealthDay News) -- Children born by planned cesarean delivery appear to have slightly higher odds of developing asthma than those born through vaginal delivery, researchers report in the Dec. 1 issue of the Journal of the American Medical Association.

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Metformin Does Not Boost Glycemic Control in T1DM

WEDNESDAY, Dec. 2, 2015 (HealthDay News) -- Adding metformin to insulin therapy won't boost glycemic control for overweight teens with type 1 diabetes, according to a study published in the Dec. 1 issue of the Journal of the American Medical Association.

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Benefits for Intra-, Extracapsular Tonsillectomy in Peds OSA

WEDNESDAY, Dec. 2, 2015 (HealthDay News) -- For children with obstructive sleep apnea syndrome (OSAS), both extracapsular tonsillectomy and adenoidectomy (ETA) and intracapsular tonsillectomy and adenoidectomy (ITA) are effective, according to a study published online Nov. 19 in JAMA Otolaryngology-Head & Neck Surgery.

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Higher Cigarette Taxes Linked to Lower Infant Mortality

TUESDAY, Dec. 1, 2015 (HealthDay News) -- Each $1 per pack increase in the overall tobacco tax rate over the years 1999 to 2010 may have contributed to two fewer infant deaths each day, according to research published online Nov. 30 in Pediatrics.

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Having a Dog in the Home Can Ease Children's Anxiety Levels

TUESDAY, Dec. 1, 2015 (HealthDay News) -- The companionship of a dog may lower a child's anxiety levels, according to study published online Nov. 25 in Preventing Chronic Disease.

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Parental Involvement Does Impact Risky Teen Behavior

TUESDAY, Dec. 1, 2015 (HealthDay News) -- A new analysis suggests that parents who set rules and keep tabs on their teenagers may have kids who are more cautious about sex. The meta-analysis was published online Nov. 30 in Pediatrics.

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