January 2016 Briefing - Pediatrics

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Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for January 2016. 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.

Demand for Medical Office Space High and Increasing

FRIDAY, Jan. 29, 2016 (HealthDay News) -- Demand for medical office space for ambulatory care is at a high point and looks likely to continue increasing, according to an article published in Forbes.

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Many Flavored E-Cigarettes Contain Benzaldehyde

FRIDAY, Jan. 29, 2016 (HealthDay News) -- Most flavored electronic cigarettes contain benzaldehyde, which has been shown to cause irritation of the respiratory airways in animal and occupational exposure studies, according to a research letter published online Jan. 28 in Thorax.

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Innovative Oral Health App Helps With Diagnosis, Treatment

FRIDAY, Jan. 29, 2016 (HealthDay News) -- The Society of Teachers of Family Medicine (STFM) has released an innovative app as part of its national oral health curriculum, Smiles for Life, according to a report published by the American Academy of Family Physicians (AAFP).

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AMA Highlights Top Four Issues to Promote in State Legislation

THURSDAY, Jan. 28, 2016 (HealthDay News) -- The top four issues that will be promoted in state legislation in 2016 were discussed at the 2016 American Medical Association (AMA) State Legislative Strategy Conference, according to a report published by the AMA.

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Review Explores Harms Linked to Antidepressant Treatment

THURSDAY, Jan. 28, 2016 (HealthDay News) -- The harms associated with selective serotonin and serotonin-norepinephrine reuptake inhibitors cannot be estimated accurately, according to a review published online Jan. 27 in The BMJ.

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~1% of Physicians Account for One-Third of Malpractice Claims

WEDNESDAY, Jan. 27, 2016 (HealthDay News) -- A small number of physicians account for a considerable proportion of all paid malpractice claims, according to a study published in the Jan. 28 issue of the New England Journal of Medicine.

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Prenatal Vitamin D Supplements Don't Reduce Asthma

WEDNESDAY, Jan. 27, 2016 (HealthDay News) -- There's been speculation that a daily vitamin D supplement taken in pregnancy might lower the odds for asthma in children. However, two new studies find no evidence for such an effect. Both studies are published in the Jan. 26 issue of the Journal of the American Medical Association.

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Serious Propranolol ADRs Rare in Infantile Hemangioma

TUESDAY, Jan. 26, 2016 (HealthDay News) -- For children with infantile hemangiomas, severe adverse drug reactions (ADRs) are rare with propranolol treatment, according to a research letter published in the Jan. 26 issue of the Journal of the American Medical Association.

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Possibility for Health Care Legislation Changes in 2016

TUESDAY, Jan. 26, 2016 (HealthDay News) -- Given the current political climate and issues of bipartisan concern, 2016 could see certain changes to health care legislation, according to a report published in Medical Economics.

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Varicella Zoster Vaccine Linked to Corneal Inflammation

TUESDAY, Jan. 26, 2016 (HealthDay News) -- Varicella zoster virus vaccination has been linked to corneal inflammation, but the number of such cases is small, according to research presented recently at the annual meeting of the American Academy of Ophthalmology in Las Vegas.

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Ivacaftor Appears Efficacious, Safe for Younger CF Patients

MONDAY, Jan. 25, 2016 (HealthDay News) -- Ivacaftor is a potential new treatment to offer children aged 2 years and older with cystic fibrosis and a CFTR gating mutation, according to research published online Jan. 20 in The Lancet Respiratory Medicine.

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New Position Paper Developed for Introduction of Gluten in Infancy

MONDAY, Jan. 25, 2016 (HealthDay News) -- New recommendations, published online Jan. 13 in the Journal of Pediatric Gastroenterology and Nutrition, have been issued for the introduction of gluten in infants.

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Patient Satisfaction With Doctors May Be on the Rise

FRIDAY, Jan. 22, 2016 (HealthDay News) -- More Americans than ever are satisfied with their visits to the doctor, according to a new survey conducted by The Harris Poll in September.

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Children Could Benefit From Standing Desks in Classrooms

FRIDAY, Jan. 22, 2016 (HealthDay News) -- Standing desks in the classroom may benefit students, according to a review published online Jan. 22 in Pediatrics.

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CDC: Increasing Rate of Gastroschisis Seen in U.S.

FRIDAY, Jan. 22, 2016 (HealthDay News) -- The birth defect gastroschisis among U.S. infants has increased over the past 18 years, according to research published in the Jan. 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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About 2 Percent of Boys Have Undescended Testis

FRIDAY, Jan. 22, 2016 (HealthDay News) -- About 2 percent of boys are diagnosed with undescended testis (UDT), according to a study published online Jan. 22 in Pediatrics.

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Pediatric Nasopharyngeal CA Has Different Patient Demographic

FRIDAY, Jan. 22, 2016 (HealthDay News) -- Pediatric patients with nasopharyngeal carcinoma (NPC) are more often black and present with stage IV disease, but they have lower mortality than adult patients, according to a study published online Jan. 14 in JAMA Otolaryngology-Head & Neck Surgery.

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Excessive Mortality Observed in Anorexia Nervosa

FRIDAY, Jan. 22, 2016 (HealthDay News) -- Mortality is increased among patients with eating disorders, with higher mortality for those with anorexia nervosa (AN) compared with bulimia nervosa (BN), binge eating disorder (BED), and eating disorder not otherwise specified (ED-NOS), according to a study published online Jan. 15 in the International Journal of Eating Disorders.

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Antipsychotic-Exposed Youths Have Increased T2DM Risk

WEDNESDAY, Jan. 20, 2016 (HealthDay News) -- Youths treated with antipsychotics have increased cumulative risk and exposure-adjusted incidence of type 2 diabetes mellitus (T2DM), according to research published online Jan. 20 in JAMA Psychiatry.

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Higher Substance Use Found Among Teens Who Tan

WEDNESDAY, Jan. 20, 2016 (HealthDay News) -- New survey results suggest that teenagers who go to tanning salons may be more likely to smoke, drink, and use illegal drugs and steroids, according to a research letter published online Jan. 20 in JAMA Dermatology.

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Physicians Choose Less Aggressive Care at End of Life

TUESDAY, Jan. 19, 2016 (HealthDay News) -- Physicians facing death are less likely to demand aggressive care, according to two research letters published in the Jan. 19 issue of the Journal of the American Medical Association, a theme issue on death, dying, and end of life.

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CDC: HIV Testing Rates Still Low Among Teens, Young Adults

TUESDAY, Jan. 19, 2016 (HealthDay News) -- An estimated 50 percent of young Americans infected with HIV don't know they have it, according to research published online Jan. 19 in Pediatrics.

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Case Report Describes Scurvy in Infant Consuming Almond Milk

TUESDAY, Jan. 19, 2016 (HealthDay News) -- The development of scurvy in an 11-month-old after exclusive intake of almond beverages and almond flour from age 2.5 months is described in a case report published online Jan. 18 in Pediatrics.

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QI Methods Can Cut Antibiotic Duration in Children With uSSTIs

TUESDAY, Jan. 19, 2016 (HealthDay News) -- For children hospitalized for uncomplicated skin and soft tissue infections (uSSTIs), quality improvement (QI) methods can increase prescriptions for short courses of antibiotics, according to a quality report published online Jan. 18 in Pediatrics.

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Greater Transparency Being Promoted in Research

MONDAY, Jan. 18, 2016 (HealthDay News) -- Greater transparency is being promoted in clinical research, according to a health policy brief published online Jan. 14 in Health Affairs.

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Pertussis Outbreak Described in Preschool in Tallahassee

MONDAY, Jan. 18, 2016 (HealthDay News) -- A report published online Jan. 13 in the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases highlights a 2013 pertussis outbreak among mainly vaccinated preschool-aged children.

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Diagnostic Imaging Down With High Deductible Health Plans

FRIDAY, Jan. 15, 2016 (HealthDay News) -- U.S. patients whose health insurance plans have high deductibles undergo fewer diagnostic imaging tests, according to a study published in the February issue of Medical Care.

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Zika Virus Concerns May Curb Travel for Pregnant Women

THURSDAY, Jan. 14, 2016 (HealthDay News) -- Pregnant women in the United States may be warned against traveling to Latin American and Caribbean countries where mosquitoes are spreading a virus that may cause brain damage in newborns.

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Sugar Warning Labels Might Help Parents Skip Soda for Children

THURSDAY, Jan. 14, 2016 (HealthDay News) -- Health warning labels on sugar-sweetened beverages -- similar to those on cigarette packs -- might make parents less likely to buy such beverages for their children, according to research published online Jan. 14 in Pediatrics.

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Low Resilience to Stress in Teens May Up Later T2DM Risk

THURSDAY, Jan. 14, 2016 (HealthDay News) -- Teens who have trouble coping with stress may be at increased risk for type 2 diabetes as adults, according to research published online Jan. 13 in Diabetologia.

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Health Coverage Improved As Result of Affordable Care Act

THURSDAY, Jan. 14, 2016 (HealthDay News) -- The Affordable Care Act is working as intended, extending health care coverage and ensuring that hospital care is financially compensated, according to two research letters published in the Jan. 14 issue of the New England Journal of Medicine.

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Geographic Factors Impact HPV Vaccine Initiation in Teen Girls

THURSDAY, Jan. 14, 2016 (HealthDay News) -- Initiation of human papillomavirus (HPV) vaccination is highest among teen girls in poorer communities and in populations that are mainly Hispanic or mixed race, according to a study published online Jan. 14 in Cancer, Epidemiology, Biomarkers & Prevention.

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Newborn Abstinence Sx Up, Tied to Increasing Prenatal Opioid Use

WEDNESDAY, Jan. 13, 2016 (HealthDay News) -- Between 2000 and 2009, the incidence of neonatal abstinence syndrome among newborns rose from 1.2 to 3.4 per 1,000 live births, Nora Volkow, M.D., director of the National Institute on Drug Abuse, reported in an editorial published online Jan. 12 in The BMJ.

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Infants, Not Just Older Children, at Risk of Accidental Poisonings

WEDNESDAY, Jan. 13, 2016 (HealthDay News) -- Infants are just as susceptible to accidental poisonings as older children are, especially when it comes to medication errors, according to research published online Jan. 13 in Pediatrics.

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Mislabeled Dose Cups Prompt Children's Cough Syrup Recall

TUESDAY, Jan. 12, 2016 (HealthDay News) -- Two flavors of over-the-counter children's liquid cough medicine are being recalled across the United States because the dose cups that come with the medicine have incorrect markings and could lead to overdose.

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Infant Delivery and Feeding Methods Affect Microbiome

TUESDAY, Jan. 12, 2016 (HealthDay News) -- A vaginal birth and breastfeeding make a notable difference in the bacterial composition of an infant's gut, according to research published online Jan. 11 in JAMA Pediatrics.

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Review: Paroxetine Use in Pregnancy Tied to Malformations

TUESDAY, Jan. 12, 2016 (HealthDay News) -- Gestational exposure to paroxetine in the first trimester is associated with increased risk of major congenital malformations and major cardiac malformations, according to a review published online Nov. 27 in the British Journal of Clinical Pharmacology.

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Lingering Issues for Survivors of Childhood CA Affecting Vision

MONDAY, Jan. 11, 2016 (HealthDay News) -- Some survivors of childhood cancers that affect vision may face increased risk for long-term health and economic issues, two new studies suggest. The studies, published online Jan. 11 in Cancer, provide new insight that could help improve patient care and follow-up.

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CDC: Nearly Half of U.S. Teens Exposed to Secondhand Smoke

MONDAY, Jan. 11, 2016 (HealthDay News) -- Nearly half of American teens who've never used tobacco are exposed to harmful secondhand smoke -- many in their homes and family cars, according to research published online Jan. 11 in Pediatrics.

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Polyhydramnios With Normal U/S Linked to Adverse Outcomes

MONDAY, Jan. 11, 2016 (HealthDay News) -- Polyhydramnios with normal prenatal detailed ultrasound examination is associated with increased risk for adverse outcomes, including fetal malformations, genetic syndromes, neurologic disorders, and developmental delay, according to a study published online Jan. 11 in Pediatrics.

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New Guidelines Say Limit Added Sugars to <10 Percent of Calories

FRIDAY, Jan. 8, 2016 (HealthDay News) -- The 2015-2020 Dietary Guidelines for Americans offers five overarching guidelines that encourage healthy eating patterns, rather than focusing on individual dietary components such as food groups and nutrients as in previous editions.

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Exposure to Oral Contraceptives Not Tied to Birth Defects

THURSDAY, Jan. 7, 2016 (HealthDay News) -- Exposure to oral contraception in early pregnancy does not appear to increase the risk of birth defects, according to a study published online Jan. 6 in The BMJ.

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Considerable Subclinical Cardiac Disease in Childhood CA Survivors

WEDNESDAY, Jan. 6, 2016 (HealthDay News) -- Adult survivors of childhood cancer are at increased risk for subclinical cardiovascular disease, according to a study published online Jan. 5 in the Annals of Internal Medicine.

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Dark Chocolate Consumption Daily Can Exacerbate Acne

WEDNESDAY, Jan. 6, 2016 (HealthDay News) -- For acne-prone males, daily consumption of 99 percent dark chocolate can exacerbate acne, according to a study published online Dec. 29 in the International Journal of Dermatology.

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Early-Life Exercise May Promote Lifelong Brain Function

WEDNESDAY, Jan. 6, 2016 (HealthDay News) -- Early-life exercise-induced alterations in gut microbiota may promote brain function and emotional well-being, according to a study published online Dec. 9 in Immunology & Cell Biology.

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Many Patients Using E-Mail As First Method of Provider Contact

TUESDAY, Jan. 5, 2016 (HealthDay News) -- For patients with chronic conditions, the ability to communicate with their doctor via e-mail may help improve their health, according to a study published online Dec. 21 in the American Journal of Managed Care.

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Infertility Treatment Not Linked to Children's Development

TUESDAY, Jan. 5, 2016 (HealthDay News) -- Infertility treatment seems not to be associated with children's development through age 3 years, according to a study published online Jan. 4 in JAMA Pediatrics.

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Hawaii Becomes First State to Raise Smoking Age to 21

MONDAY, Jan. 4, 2016 (HealthDay News) -- Hawaii has become the first state to raise the legal smoking age to 21 for both traditional and electronic cigarettes. State health officials hope the new law, effective Jan. 1, will make it harder for teenagers to try smoking or to develop the deadly habit, the Associated Press reported.

Health Highlights: Jan. 4, 2016

Not All PCPs Strongly Recommend HPV Vaccine

MONDAY, Jan. 4, 2016 (HealthDay News) -- Pediatricians and family physicians (FPs) do not always strongly recommend the human papillomavirus (HPV) vaccine, according to a study published online Jan. 4 in Pediatrics.

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Powered Intracapsular Tonsillectomy Aids Pediatric OSA

MONDAY, Jan. 4, 2016 (HealthDay News) -- Powered intracapsular tonsillectomy and adenoidectomy (PITA) improves severe obstructive sleep apnea (OSA) in pediatric patients, according to a study published online Dec. 30 in JAMA Otolaryngology-Head and Neck Surgery.

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Interest in Tanning Practices Is Seasonal

MONDAY, Jan. 4, 2016 (HealthDay News) -- Interest in tanning peaks prior to the summer months, with the highest interest seen in March in the United States and Canada, according to a research letter published online Dec. 30 in JAMA Dermatology.

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