June 2017 Briefing - Pediatrics

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

Psychological Risks Higher in Atopic Dermatitis Patients

FRIDAY, June 30, 2017 (HealthDay News) -- Depression, anxiety, and suicidal ideation is more common among individuals with atopic dermatitis (AD), according to a study published online June 20 in Allergy.

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CDC: Teen Birth Rates, Overall Birth Rates Continue to Drop

FRIDAY, June 30, 2017 (HealthDay News) -- Teen births in the United States dropped to a record low last year, falling 9 percent from 2015, according to a report from the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Clindamycin, TMP-SMX Linked to Better Outcomes for Abscesses

FRIDAY, June 30, 2017 (HealthDay News) -- For small skin abscesses, treatment with clindamycin or trimethoprim-sulfamethoxazole (TMP-SMX) is associated with improved short-term outcomes versus incision and drainage alone, according to a study published online June 28 in the New England Journal of Medicine.

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Genetic, Environmental Exposure Tied to Islet Autoantibodies

FRIDAY, June 30, 2017 (HealthDay News) -- For children, genetic factors and environmental exposures are associated with islet autoantibodies, according to a study published online June 23 in Diabetes Care.

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Health of the Nation Presented in 40th Annual CDC Report

THURSDAY, June 29, 2017 (HealthDay News) -- The health of the United States is summarized in the 40th annual report published by the U.S. Centers for Disease Control and Prevention.

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Doctors Urged to Take Care With Electronic Communications

THURSDAY, June 29, 2017 (HealthDay News) -- Care should be taken when conveying electronic messages to patients, according to a report published by the American Medical Association (AMA).

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Most Cutaneous Procedures Seem Safe During Isotretinoin Rx

THURSDAY, June 29, 2017 (HealthDay News) -- There is insufficient evidence to support delaying several cutaneous surgical procedures in the setting of systemic isotretinoin therapy, although mechanical dermabrasion and fully ablative laser are not recommended, according to a review published online June 28 in JAMA Dermatology.

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Teenage Weight Gain Could Up Odds of Later Stroke Risk

THURSDAY, June 29, 2017 (HealthDay News) -- Teens who become overweight during adolescence appear to face a higher stroke risk later, according to a study published online June 28 in Neurology.

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Dissolvable Microneedle Patch for Flu Vaccine Found Safe, Effective

WEDNESDAY, June 28, 2017 (HealthDay News) -- An experimental flu vaccine patch with dissolving microneedles appears safe and effective, according to research published online June 27 in The Lancet.

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FDA Seeks to Increase Number of Generic Drugs on Market

WEDNESDAY, June 28, 2017 (HealthDay News) -- New measures to increase the number of generic prescription drugs available to Americans have been taken by the U.S. Food and Drug Administration.

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E-Cigarette Use Ups Odds Teens Will Smoke Tobacco Cigarettes

WEDNESDAY, June 28, 2017 (HealthDay News) -- Teens and young adults who use electronic cigarettes are almost four times as likely as their non-vaping counterparts to begin smoking traditional cigarettes, according to a review published online June 26 in JAMA Pediatrics.

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Presence of Smartphone Cuts Available Cognitive Capacity

WEDNESDAY, June 28, 2017 (HealthDay News) -- Just the presence of one's smartphone is associated with reduced available cognitive capacity, according to a study published recently in the Journal of the Association for Consumer Research.

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Lasting Negative Consequences for Anorexia Nervosa

WEDNESDAY, June 28, 2017 (HealthDay News) -- Anorexia nervosa (AN) has long-term negative consequences, and many patients do not experience remission, according to a study published online June 23 in the International Journal of Eating Disorders.

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Physician Attitude Important Factor in Patients Switching PCP

TUESDAY, June 27, 2017 (HealthDay News) -- Factors associated with patients switching physicians include physicians' attitude, design and comfort of a facility, and communication, according to an article published in Medical Economics.

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Bacterial Colonization Linked to Food Sensitization, Allergy

TUESDAY, June 27, 2017 (HealthDay News) -- There is a correlation between bacterial colonization and food sensitization and allergy in young children, according to a study published online June 20 in Allergy.

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Crowded Living Conditions May Up Myopia Risk in Children

TUESDAY, June 27, 2017 (HealthDay News) -- For children, axial length and refractive error are associated with high population density and small home size, according to a study published online June 22 in Ophthalmic & Physiological Optics.

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Sound Progress Made Toward Global Containment of Poliovirus

MONDAY, June 26, 2017 (HealthDay News) -- With the eradication of wild poliovirus type 2 in 2015, progress has been made toward containment of the virus, according to research published in the June 23 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Acne-Related Depression, Anxiety Not Tied to Oxidative Stress

MONDAY, June 26, 2017 (HealthDay News) -- High levels of anxiety and depression in patients with facial acne are not related to oxidative stress, according to a study published online June 20 in the Journal of Cosmetic Dermatology.

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SAMHSA: Youth Binge Drinking Rates Down in the United States

FRIDAY, June 23, 2017 (HealthDay News) -- Fewer U.S. teens and young adults are binge drinking, but numbers are still too high, according to a report published by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

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Carpal Tunnel Up With Increased Electronic Device Use

FRIDAY, June 23, 2017 (HealthDay News) -- Extended use of smartphones and other hand-held electronic devices leads to an increased risk of carpal tunnel syndrome, according to a study published online June 21 in Muscle & Nerve.

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CDC: Zika Can Be Found in Placental, Fetal Tissue at Birth

FRIDAY, June 23, 2017 (HealthDay News) -- Testing placental and fetal tissue after a child is born can confirm or rule out Zika infection, according to research published in the June 23 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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1991-2014 Saw Minimal Change in Health Spending Per State

THURSDAY, June 22, 2017 (HealthDay News) -- From 1991 to 2014 there was minimal change in health spending by state, according to a study published online June 14 in Health Affairs.

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Isotretinoin May Impair Wound Healing After Tattoo

THURSDAY, June 22, 2017 (HealthDay News) -- Isotretinoin may impair wound healing after tattooing, according to a case report published online June 16 in the International Journal of Dermatology.

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Nearly 60 Percent With Conjunctivitis Fill Antibiotic Rx

THURSDAY, June 22, 2017 (HealthDay News) -- Antibiotic prescriptions are filled by nearly 60 percent of patients newly diagnosed with acute conjunctivitis, according to a study published online June 14 in Ophthalmology.

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Valproic Acid Concentration Drops With Ketogenic Diet

THURSDAY, June 22, 2017 (HealthDay News) -- For patients with epilepsy, anti-epileptic drug serum concentrations remain stable during the ketogenic diet (KD), apart from those of valproic acid, according to a study published online June 18 in the Journal of Clinical Pharmacy and Therapeutics.

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CDC: Number of U.S. Counties With Zika-Carrying Mosquitoes Up

WEDNESDAY, June 21, 2017 (HealthDay News) -- Mosquitoes that can spread Zika, dengue, and chikungunya viruses are in more counties in the southern United States than previously thought, according to a study published online June 19 in the Journal of Medical Entomology.

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USPSTF Concludes Screening for Obesity Beneficial for Children

TUESDAY, June 20, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening for obesity in children and adolescents aged 6 years and older. These findings form the basis of a final recommendation statement published in the June 20 issue of the Journal of the American Medical Association.

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Firearms Kill or Wound 7,000 U.S. Children Annually

MONDAY, June 19, 2017 (HealthDay News) -- Gun-related violence is the third leading cause of death for children aged 1 to 17, and firearm-related deaths lag only behind car crashes in terms of injury-related mortality, according to a report published online June 19 in Pediatrics.

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Medications Underutilized for Treating Youth Opioid Abuse

MONDAY, June 19, 2017 (HealthDay News) -- The rate of opioid addiction among Americans age 25 and under rose nearly six-fold from 2001 to 2014, but few are receiving medical treatment that might prevent overdose or relapse, according to a report published online June 19 in JAMA Pediatrics.

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U.S. Teens Appear to Be As Sedentary As 60-Year-Olds

MONDAY, June 19, 2017 (HealthDay News) -- The average teen is no more active than the average 60-year-old, according to a study published in the August issue of Preventive Medicine.

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18 Percent Increase Projected in Primary Care Demand by 2023

MONDAY, June 19, 2017 (HealthDay News) -- The demand for primary care physicians is projected to increase 18.0 percent between 2013 and 2023, according to a May report published by the Congressional Budget Office.

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PCSK9 Increased in Females, Youth With Type 1 Diabetes

MONDAY, June 19, 2017 (HealthDay News) -- Proprotein convertase subtilisin/kexin type 9 (PCSK9) is increased in young females and youth with type 1 diabetes (T1D), according to research published online June 6 in Diabetes Care.

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Depression Inversely Linked to Body Composition in Teens

MONDAY, June 19, 2017 (HealthDay News) -- There is an inverse correlation for major depressive disorder (MDD) severity with measures of body composition among older adolescents, while a positive association is seen for selective serotonin reuptake inhibitors (SSRI), according to a study published online June 16 in Pediatrics.

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Health Insurers Recruiting Former Pharma Reps to Cut Costs

FRIDAY, June 16, 2017 (HealthDay News) -- Health insurers are recruiting former pharmaceutical company representatives to educate doctors and help save money on prescription medications, according to a report published June 8 in Kaiser Health News.

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Unusual Measles Outbreak Described in Ontario in Early 2015

FRIDAY, June 16, 2017 (HealthDay News) -- Eighteen cases of measles were recorded as part of an unusual outbreak in Ontario, Canada, in early 2015, according to research published in the July issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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CDC: 2015 to 2016 Saw Drop in Youth Tobacco Use

FRIDAY, June 16, 2017 (HealthDay News) -- For the first time since the U.S. government began tracking electronic-cigarette use among American youth, a new report, published in the June 16 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report, shows fewer teens are vaping.

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AMA Endeavors to Increase Transparency of Rx Pricing

THURSDAY, June 15, 2017 (HealthDay News) -- The American Medical Association (AMA) is calling for more transparency in drug pricing amid rising costs that are putting some lifesaving medications out of reach for patients and communities.

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Birth Defect Risk Rises With Maternal Excess Weight Severity

THURSDAY, June 15, 2017 (HealthDay News) -- Women who are overweight or obese when they become pregnant face an elevated risk of having a baby with a major birth defect, with greater risk with increasing excess weight, according to research published online June 15 in The BMJ.

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Economic Burden of Neonatal Abstinence Syndrome Up Sharply

THURSDAY, June 15, 2017 (HealthDay News) -- Rates of neonatal abstinence syndrome (NAS) have risen dramatically in recent years -- and so has the cost of treating it, according to a study published online June 14 in Addiction.

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Good Results for Zone MPC-Based Artificial Pancreas

THURSDAY, June 15, 2017 (HealthDay News) -- A zone model predictive control (MPC)-based artificial pancreas (AP) system improves glycemic control in a home-use environment, according to a study published online June 5 in Diabetes Care.

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Rate of X-Ray Can Be Reduced for Constipation in Pediatric ER

WEDNESDAY, June 14, 2017 (HealthDay News) -- The rate of abdominal radiograph (AXR) use can be reduced in the pediatric emergency department setting with use of rational subgrouping and stratification on statistical process control (SPC) charts, according to a study published online June 14 in Pediatrics.

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Metformin Tied to Decreased BMI z Score in Prepubertal Children

WEDNESDAY, June 14, 2017 (HealthDay News) -- In prepubertal, but not pubertal, obese children, metformin is associated with decreased body mass index (BMI) z score and improved inflammatory and cardiovascular-related obesity parameters, according to a study published online June 12 in Pediatrics.

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Factors Predictive of Parental Intent to Vaccinate Against HPV

WEDNESDAY, June 14, 2017 (HealthDay News) -- Maternal education, Hispanic ethnicity, and provider recommendations are associated with parental intent to vaccinate adolescents against human papillomavirus (HPV), according to a study published in the June 8 issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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FeSO4 May Be Best Iron Choice in Pediatric Iron-Deficiency Anemia

WEDNESDAY, June 14, 2017 (HealthDay News) -- For children with nutritional iron-deficiency anemia (IDA), ferrous sulfate is associated with a greater increase in hemoglobin concentration at 12 weeks compared with iron polysaccharide complex, according to a study published in the June 13 issue of the Journal of the American Medical Association.

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Food Cravings Down With Extended Calorie Restriction

TUESDAY, June 13, 2017 (HealthDay News) -- Extended calorie restriction is associated with a reduction in food cravings, according to a review and meta-analysis published online May 30 in Obesity Reviews.

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Medical Students Lacking Proficiency in BP Measurements

MONDAY, June 12, 2017 (HealthDay News) -- Medical students frequently do not achieve mastery of the skills necessary for accurate measurement of blood pressure (BP), according to a study published online April 28 in the Journal of Clinical Hypertension.

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Intra-Op Liberal Fluid Therapy Effectively Cuts Post-Op Nausea

MONDAY, June 12, 2017 (HealthDay News) -- For children undergoing lower abdominal surgery, intraoperative liberal fluid therapy is effective for reducing postoperative nausea and vomiting (PONV), according to a study published online June 6 in Pediatric Anesthesia.

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Lumacaftor, Ivacaftor Linked to Improved Lung Function in CF

MONDAY, June 12, 2017 (HealthDay News) -- For patients aged 6 to 11 years with cystic fibrosis homozygous for F508del-cystic fibrosis transmembrane conductance regulator (CFTR), lumacaftor and ivacaftor treatment is associated with significant improvement in lung function, according to a study published online June 9 in The Lancet Respiratory Medicine.

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Reporting Tool Shows Impact of Attacks on Health Care in Syria

FRIDAY, June 9, 2017 (HealthDay News) -- Results from a real-time reporting tool have shown the impact of attacks on health care services in Syria, according to an article published online June 8 in The Lancet.

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New Bill With Tort Reforms Will Protect Iowa Physicians

FRIDAY, June 9, 2017 (HealthDay News) -- A new bill with tort reforms to protect Iowa physicians will take effect July 1, according to a report published by the American Medical Association (AMA).

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Young CA Survivors More Often Have Cost-Related Nonadherence

FRIDAY, June 9, 2017 (HealthDay News) -- Survivors of adolescent and young adult cancer are more likely to report cost-related medication nonadherence, according to a study published online May 23 in Cancer.

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Global Climate Change Could Cause Rise in Airway Irritation

FRIDAY, June 9, 2017 (HealthDay News) -- Climate change may increase people's exposure to an outdoor fungus that can damage airway cells, leading to a rise in asthma and allergy symptoms, according to a study published online recently in the American Journal of Physiology-Cell Physiology.

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CDC: ~5 Percent of Pregnancies With Zika Result in Birth Defects

FRIDAY, June 9, 2017 (HealthDay News) -- About one in 20 women in the U.S. territories who were infected with Zika during pregnancy had babies with possible Zika-associated birth defects, according to research published in the June 8 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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U.S. Leads in Income-Based Health Care Inequalities

THURSDAY, June 8, 2017 (HealthDay News) -- The United States has larger income-related differences in perceptions of health and health care than other middle- and high-income countries, according to a report published in the June issue of Health Affairs.

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Researchers Target Zolmitriptan Dosing for Pediatric Migraine

THURSDAY, June 8, 2017 (HealthDay News) -- In a report published online June 5 in the Journal of Clinical Pharmacology, recommended dosing regimens of zolmitriptan are suggested for children with migraine.

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Election Results Could Be Harming Americans' Health

THURSDAY, June 8, 2017 (HealthDay News) -- A new analysis suggests that ballot box results may rob some of the American public of its health, driving up stress levels, disease incidence, premature births, and even premature deaths. The medicine and society article was published in the June 8 issue of the New England Journal of Medicine.

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Antidepressants in Pregnancy Don't Affect Newborn Behavior

THURSDAY, June 8, 2017 (HealthDay News) -- Use of antidepressants in pregnancy is not associated with increased signs of irritability, difficulty feeding, sleep disturbances, or respiratory problems in infants two to four weeks after birth, according to a study published in the May issue of the Journal of Clinical Psychiatry.

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Cow's Milk Alternatives Linked to Shorter Stature in Children

THURSDAY, June 8, 2017 (HealthDay News) -- Young children who drink soy, almond, or other milk alternatives may be a bit shorter than children who drink cow's milk, according to research published online June 7 in the American Journal of Clinical Nutrition.

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Health System Sees Success With E-Visits Via Patient Portal

WEDNESDAY, June 7, 2017 (HealthDay News) -- Patient portals can successfully offer access to physicians without office visits, according to a report published online May 30 by the American Medical Association.

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Early Egg Intro May Improve Growth in Young Children

WEDNESDAY, June 7, 2017 (HealthDay News) -- Early introduction of eggs is associated with improved growth in young children, according to a study published online June 7 in Pediatrics.

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CDC: High-Deductible Health Plan Use Rising Among Employers

WEDNESDAY, June 7, 2017 (HealthDay News) -- High-deductible health plans are becoming more common among U.S. adults with employer-sponsored health insurance coverage, according to a report issued June 6 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Lower HbA1c Linked to Better Diabetes-Specific HRQoL in Youth

TUESDAY, June 6, 2017 (HealthDay News) -- For children, teens, and young adults with type 1 diabetes mellitus (T1DM), hemoglobin A1c (HbA1c) is associated with better diabetes-specific health-related quality of life (D-HRQoL), according to a study published online May 25 in Diabetes Care.

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Positive Clinical Effects Seen for Placebos Without Deception

TUESDAY, June 6, 2017 (HealthDay News) -- Open-label placebos are associated with a positive effect compared with no treatment in a variety of clinical conditions, according to a review and meta-analysis published online May 30 in the Journal of Evidence-Based Medicine.

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CDC: 14 in California Poisoned by Amanita phalloides Mushrooms

MONDAY, June 5, 2017 (HealthDay News) -- A bumper crop of Amanita phalloides ("death cap") mushrooms in northern California is likely to blame for the poisonings of 14 people in December, according to research published in the June 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Air Mattresses Present a Growing Safety Risk to Infants

MONDAY, June 5, 2017 (HealthDay News) -- An air mattress can present a hazardous environment for infants, according to a study published in the June issue of the American Journal of Public Health.

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Grass Pollen SLIT Slows Course of Allergic Rhinitis, Asthma

MONDAY, June 5, 2017 (HealthDay News) -- For patients with allergic rhinitis (AR), sublingual immunotherapy (SLIT) is associated with slower AR progression and less frequent asthma onset, according to research published online May 31 in Allergy.

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U.S. Emergency Departments Commonly Overcharging Patients

FRIDAY, June 2, 2017 (HealthDay News) -- Americans are routinely overcharged for emergency department care, and minority and uninsured patients are most likely to face this issue, according to a study published online May 30 in JAMA Internal Medicine.

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Comorbid Celiac Disease Common Among Youth With T1DM

FRIDAY, June 2, 2017 (HealthDay News) -- Children with type 1 diabetes often have comorbid celiac disease (CD), according to a study published online May 25 in Diabetes Care.

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Cool Water Works As Well As Hot for Ridding Hands of Germs

FRIDAY, June 2, 2017 (HealthDay News) -- For effective hand hygiene, water temperature matters less than time, according to a study published in the June issue of the Journal of Food Protection.

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