June 2016 Briefing - Pediatrics

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

Zika Virus Congenital Syndrome: A New Teratogenic Disease

THURSDAY, June 30, 2016 (HealthDay News) -- Zika virus congenital syndrome is a new teratogenic disease, with many definite or probable cases presenting with normal head circumference values, according to research published online June 29 in The Lancet.

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Butter May Not Be As Unhealthy As Previously Thought

THURSDAY, June 30, 2016 (HealthDay News) -- Butter may not be the unhealthy food many Americans believe it to be; however, that doesn't mean that butter provides any real health benefit, according to research published online June 29 in PLOS ONE.

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Concussions Found to Be Common in Water Polo

THURSDAY, June 30, 2016 (HealthDay News) -- Add water polo to the list of sports where concussions are common, according to findings published online June 27 in Frontiers of Neurology.

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Florida Reports First Case of Zika-Linked Microcephaly

WEDNESDAY, June 29, 2016 (HealthDay News) -- Florida's first case of a Zika-related birth defect has been reported by state officials.

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Genetic Heart Condition Common Cause of Sudden Death in Sports

WEDNESDAY, June 29, 2016 (HealthDay News) -- About one-third of sudden deaths are caused by hypertrophic cardiomyopathy, according to research published recently in The American Journal of Medicine.

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Electronic Record Demands Are Overwhelming Many Physicians

WEDNESDAY, June 29, 2016 (HealthDay News) -- Physicians using electronic practice tools report higher rates of burnout and increased frustration with the amount of computerized paperwork, according to research published online June 27 in the Mayo Clinic Proceedings.

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AAP: Doctors Should Screen Teens for Suicide Risk Factors

TUESDAY, June 28, 2016 (HealthDay News) -- Suicide is the second leading cause of death among U.S. teens, and health care providers should screen teen patients for suicide risks, according to a report published online June 27 in Pediatrics.

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Guidance Updated for Sedation of Pediatric Patients

TUESDAY, June 28, 2016 (HealthDay News) -- Guidelines have been updated for monitoring and management of pediatric patients before, during, and after sedation, according to a clinical report published online June 27 in Pediatrics.

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Patients Face High Hospital Bills Despite Having Insurance

MONDAY, June 27, 2016 (HealthDay News) -- Costs of hospitalization for privately insured adults rose more than 37 percent over five years, with patients paying more than $1,000 on average by 2013, according to research published online June 27 in JAMA Internal Medicine.

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Many Teens Using Unregulated Supplements to Alter Appearance

MONDAY, June 27, 2016 (HealthDay News) -- Many teens are turning to risky, unregulated supplements to change their appearance, according to a new report from the American Academy of Pediatrics (AAP) published online June 27 in Pediatrics.

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Infant Milestones May Indicate Later Adaptive, Cognitive Skills

MONDAY, June 27, 2016 (HealthDay News) -- Infants who reach certain milestones sooner tend to have higher scores on some developmental measures by the time they are 4 years old, according to a study published online June 27 in Pediatrics.

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CDC Expert Says Flint Water Crisis Could Easily Have Been Avoided

MONDAY, June 27, 2016 (HealthDay News) -- Analysis of blood samples from young children in Flint, Mich., shows they had much more lead in their blood when the city used local drinking water in an effort to cut costs, according to research published in the early release June 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Daily Calcium Intake of 1,000 or 2,000 mg Best for Rickets

MONDAY, June 27, 2016 (HealthDay News) -- For children with rickets, radiographic healing is more rapid with 1,000 mg and 2,000 mg daily calcium intake compared with 500 mg, according to a study published online June 17 in the Journal of Bone and Mineral Research.

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2017 Will Bring Premium Rate Increases Under ACA

FRIDAY, June 24, 2016 (HealthDay News) -- Health insurance premiums under the Affordable Care Act will rise in 2017, analysts and insurance brokers say.

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CDC: FluMist Nasal Flu Vaccine Should Not Be Used 2016-2017

THURSDAY, June 23, 2016 (HealthDay News) -- The nasal spray form of the influenza vaccine should not be used next flu season, according to an announcement late Wednesday by the U.S. Centers for Disease Control and Prevention's Advisory Panel on Immunization Practices (ACIP).

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Smartphone Use at Night May Result in Monocular 'Blindness'

THURSDAY, June 23, 2016 (HealthDay News) -- A short-lived optical sensation can lead some smartphone users to mistakenly believe they've lost sight in one eye, according to a research letter published in the June 23 issue of the New England Journal of Medicine.

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Early Antibiotic Treatment Can Be Beneficial in Cystic Fibrosis

THURSDAY, June 23, 2016 (HealthDay News) -- For patients with cystic fibrosis (CF), early treatment of Pseudomonas aeruginosa (Pa) may be beneficial, according to a study published online June 16 in the Journal of Clinical Pharmacy and Therapeutics.

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Daily Steps in Children With T1DM Tied to Early Atherosclerosis

WEDNESDAY, June 22, 2016 (HealthDay News) -- For children with type 1 diabetes, the number of daily steps is associated with early signs of atherosclerosis and adverse cardiovascular risk, according to a study published online June 15 in Diabetes Care.

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APCs, Doctors Order Low-Value Services With Similar Frequency

WEDNESDAY, June 22, 2016 (HealthDay News) -- Advanced practice clinicians (APCs) and physicians order low-value health services with similar frequency, according to a study published online June 20 in the Annals of Internal Medicine.

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High Glycemic Index/Load Diet Linked to Acne Vulgaris

WEDNESDAY, June 22, 2016 (HealthDay News) -- Patients with acne vulgaris have significantly higher glycemic index and glycemic load levels and significantly lower serum adiponectin levels, according to a study published in the July issue of the Journal of the American Academy of Dermatology.

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Tips Provided for Leveraging Social Media

TUESDAY, June 21, 2016 (HealthDay News) -- During a presentation at the 2016 American Medical Association Annual Meeting, Kevin Pho, M.D., founder and editor of the popular physician blog KevinMD, shared insights into making a difference in health care through use of social media.

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Risk of T1DM Up in Children With Autoantibody Reversion

TUESDAY, June 21, 2016 (HealthDay News) -- The risk of type 1 diabetes remains elevated for children who have developed multiple β-cell autoantibodies, even after reversion of individual autoantibodies, according to a study published online June 16 in Diabetes Care.

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AAP: No Amount of Lead Exposure Is Safe for Children

MONDAY, June 20, 2016 (HealthDay News) -- No amount of lead exposure is safe for children, and stricter regulations are needed to protect youngsters from this serious health threat, according to new recommendations by the American Academy of Pediatrics (AAP), published online June 20 in Pediatrics.

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Reset Room Can Help Address Physician Burnout

MONDAY, June 20, 2016 (HealthDay News) -- The creation of a reset room is one of several solutions that can help physicians and medical providers address burnout, according to a report published by the American Medical Association.

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Strategy Needed to Address Impending Physician Shortage

FRIDAY, June 17, 2016 (HealthDay News) -- Steps should be taken to combat the impending physician shortage of between 61,700 and 94,700 doctors that the United States is expected to face over the next decade, according to an article published in Medical Economics.

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Intervention Combination Can Cut Pediatric Hypoglycemic Events

FRIDAY, June 17, 2016 (HealthDay News) -- A multi-interventional approach can reduce preventable hypoglycemic events in hospitalized pediatric patients receiving insulin, according to a study published online June 17 in Pediatrics.

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Exercise After Learning May Improve Knowledge Retention

FRIDAY, June 17, 2016 (HealthDay News) -- Physical activity after learning might help improve retention of new information, but the exercise has to be done within a specific time window, and it can't be immediately after learning, according to a study published online June 16 in Current Biology.

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Race, Procedure Type Impact Morbidity in Pediatric Urologic Sx

FRIDAY, June 17, 2016 (HealthDay News) -- Race and procedure type impact 30-day morbidity in pediatric patients undergoing urologic procedures, according to a study published online June 17 in Pediatrics.

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Obesity in Older Male Teens Ups Risk for Liver Disease Later

FRIDAY, June 17, 2016 (HealthDay News) -- Older teen boys who are overweight or obese could be at increased risk for severe liver disease later in life, according to a study published online June 16 in the Journal of Hepatology.

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Vancomycin Trough Target May Be Lower for Teens

FRIDAY, June 17, 2016 (HealthDay News) -- The target trough concentration of vancomycin seems to be lower for adolescents than for adults, according to a study published online June 13 in the Journal of Clinical Pharmacology.

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Gluten-Free Diet Beneficial in T1D With Concurrent Celiac Disease

FRIDAY, June 17, 2016 (HealthDay News) -- For children with type 1 diabetes (T1D), the negative influence of celiac disease (CD) on high-density lipoprotein cholesterol (HDL-C) can be improved by adherence to a gluten-free diet (GFD), according to a study published online June 6 in Diabetes Care.

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Potential Impact of Single-Payer Health Care Discussed

THURSDAY, June 16, 2016 (HealthDay News) -- Democratic presidential candidate Bernie Sanders is promoting his version of single-payer health care, although the actual impact of such a system is unclear, according to a report published in Medical Economics.

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Genetic Data Help ID Risk of Future Impaired Fasting Glucose

THURSDAY, June 16, 2016 (HealthDay News) -- The addition of genetic risk variant data to conventional childhood risk factors improves risk assessment of impaired fasting glucose (IFG) and type 2 diabetes in adulthood, according to a study published online June 13 in Diabetes Care.

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Prices for Care Rise Significantly As Multi-Hospital Systems Emerge

THURSDAY, June 16, 2016 (HealthDay News) -- Hospital prices in California increased substantially from 2004 to 2013, with a larger increase in hospitals that are members of multi-hospital systems, according to a study published online June 9 in Inquiry.

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Preemies' Hearts Benefit From Breastfeeding in the Long Term

WEDNESDAY, June 15, 2016 (HealthDay News) -- Breastfeeding premature infants appears to increase the likelihood that those infants will have healthier hearts in young adulthood, according to research published online June 14 in Pediatrics.

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Optimized Fasting Times Beneficial in Pediatric Anesthesia

WEDNESDAY, June 15, 2016 (HealthDay News) -- For children younger than 36 months of age, introduction of an optimized preoperative fasting management (OPT) during induction of anesthesia can improve the metabolic and hemodynamic condition, according to a study published online June 13 in Pediatric Anesthesia.

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Four-Step Strategy Suggested for Boosting Practice Quality of Care

WEDNESDAY, June 15, 2016 (HealthDay News) -- Four steps can help doctors improve patient care and office efficiency, according to a report published by the American Medical Association (AMA).

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Anaphylaxis Risk Up for Siblings of Peanut Allergic Children

TUESDAY, June 14, 2016 (HealthDay News) -- The risk of anaphylaxis is increased upon peanut introduction in siblings of children with peanut allergy, according to a study published online June 13 in Allergy.

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AAP Endorses AASM Childhood Sleep Guidelines

MONDAY, June 13, 2016 (HealthDay News) -- American Academy of Sleep Medicine guidelines outlining recommended sleep duration for children from infants to teens have been endorsed by the American Academy of Pediatrics (AAP) and published online June 13 in the Journal of Clinical Sleep Medicine.

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Benefits of Breastfeeding May Be Compromised by Antibiotics

MONDAY, June 13, 2016 (HealthDay News) -- Early use of antibiotics may weaken some of the benefits of breastfeeding, according to a study published online June 13 in JAMA Pediatrics.

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Ultrasound Beats Palpation for Femoral Artery Catheterization

MONDAY, June 13, 2016 (HealthDay News) -- For children undergoing heart surgery, real-time ultrasound guidance is superior to a palpation technique for femoral artery catheterization, according to a study published online June 1 in Pediatric Anesthesia.

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Pediatric Unanticipated Admission Incidence 0.97 Percent

FRIDAY, June 10, 2016 (HealthDay News) -- The incidence of pediatric unanticipated admissions is 0.97 percent, with about half of admissions related to anesthesia, according to a study published online June 1 in Pediatric Anesthesia.

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CDC: Cigarette Smoking Rates Down Among U.S. Adolescents

FRIDAY, June 10, 2016 (HealthDay News) -- Smoking among high school students is at an all-time low: Slightly more than one in 10 high schoolers used cigarettes in 2015, down from more than one in four in 1991, according to a report from the U.S. Centers for Disease Control and Prevention.

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Review Finds Antidepressants Ineffective in Children, Teens

THURSDAY, June 9, 2016 (HealthDay News) -- Treating children and teens suffering from depression with antidepressants may be both ineffective and potentially dangerous, according to a review published online June 8 in The Lancet.

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Moving in First Year of Life Ups Preventable Hospitalizations

WEDNESDAY, June 8, 2016 (HealthDay News) -- Children who move homes in the first year of life have a significantly increased risk of emergency admissions for potentially preventable hospitalizations (PPH) between ages 1 and 5 years, according to research published online June 3 in Pediatrics.

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Early Use of Anesthesia Does Not Lead to Cognitive Deficits in Kids

WEDNESDAY, June 8, 2016 (HealthDay News) -- General anesthesia doesn't seem to harm young children's mental development, according to research published in the June 7 issue of the Journal of the American Medical Association.

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Review Links Tonsillectomy to Risk of Crohn's Disease

TUESDAY, June 7, 2016 (HealthDay News) -- Tonsillectomy is associated with increased risk of developing Crohn's disease (CD), but not ulcerative colitis (UC), according to a review and meta-analysis published in the June issue of the Journal of Gastroenterology and Hepatology.

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Late-Term Gestation Linked to Improved Cognitive Outcomes

TUESDAY, June 7, 2016 (HealthDay News) -- Late-term infants have better cognitive outcomes but may have impaired physical outcomes compared with full-term infants, according to a study published online June 6 in JAMA Pediatrics.

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Risk of Febrile Seizures Up With Vaccine Combos

MONDAY, June 6, 2016 (HealthDay News) -- Concomitant administration of inactivated influenza vaccine (IIV3) and pneumococcal conjugate vaccine (PCV) or diphtheria-tetanus-acellular-pertussis (DTaP)-containing vaccine is associated with an increased risk of febrile seizures (FS), according to a study published online June 6 in Pediatrics.

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Vaccination in Pregnancy May Offer Protection for Preemies

MONDAY, June 6, 2016 (HealthDay News) -- A combination vaccine offered to mothers from 28 weeks of gestation may offer protection for infants born prematurely, according to a study published online June 2 in Pediatrics.

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15.5 Million Americans Now Surviving Cancer

FRIDAY, June 3, 2016 (HealthDay News) -- Cancer survivors in the United States reached record numbers this year -- 15.5 million -- and the American Cancer Society predicts they'll total more than 20 million in another decade. The report, prepared by the American Cancer Society in collaboration with the U.S. National Cancer Institute, was published online June 2 in CA: A Cancer Journal for Clinicians.

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Chemical Reactions Can Create Health Hazards in Pools, Hot Tubs

THURSDAY, June 2, 2016 (HealthDay News) -- The disinfectants used to keep pools clean can create dangerous disinfection byproducts (DBPs) when combined with sweat, personal care products, and urine, according to research published online April 28 in Environmental Science & Technology.

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Hard Water Associated With Risk of Eczema in Infants

THURSDAY, June 2, 2016 (HealthDay News) -- Hard, mineral-laden water may increase the risk of an infant developing eczema, according to a study published online April 28 in the Journal of Allergy and Clinical Immunology.

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AMA Module Promotes Training of Medical Assistants

THURSDAY, June 2, 2016 (HealthDay News) -- A new training module can improve training for medical assistants (MAs), according to a report from the American Medical Association (AMA).

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Cannabis Use Over the Long Term Can Lead to Gum Disease

THURSDAY, June 2, 2016 (HealthDay News) -- Smoking cannabis for decades may result in gum disease and potential tooth loss, according to a study published online June 1 in JAMA Psychiatry.

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Decline in Complex Congenital Heart Defects in Down Syndrome

THURSDAY, June 2, 2016 (HealthDay News) -- For infants diagnosed with Down syndrome there has been a reduction in the risk of complex congenital heart defects, according to a study published online June 1 in Pediatrics.

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Short-Term Risk of Arrhythmia Up With New ADHD Rx

THURSDAY, June 2, 2016 (HealthDay News) -- Methylphenidate can increase the risk of arrhythmias during the first two months of use, according to a study published online May 31 in The BMJ.

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Children With Concussion Often Seen in Primary Care First

WEDNESDAY, June 1, 2016 (HealthDay News) -- Four out of five children with concussion are diagnosed at a primary care practice rather than the emergency department, according to a study published online May 31 in JAMA Pediatrics.

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Gut Microbiome Tied to Metabolic Hormones in Early Pregnancy

WEDNESDAY, June 1, 2016 (HealthDay News) -- In overweight and obese women, gut microbiome composition is associated with the metabolic hormonal environment at 16 weeks of gestation, according to a study published in the May issue of Diabetes.

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Baby With Zika-Related Microcephaly Born at N.J. Hospital

WEDNESDAY, June 1, 2016 (HealthDay News) -- A woman from Honduras who apparently became infected with the Zika virus in her home country gave birth Tuesday in a New Jersey hospital to a baby girl with microcephaly, officials said.

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Many Parents Know Too Little About Their Child's Asthma Meds

WEDNESDAY, June 1, 2016 (HealthDay News) -- Only half of parents of children with asthma fully understand the use of their child's asthma medications, according to research published online May 17 in the Journal of Allergy and Clinical Immunology.

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