May 2017 Briefing - Pediatrics

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

~4 Percent of U.S. Population Has Food Allergy, Intolerance

WEDNESDAY, May 31, 2017 (HealthDay News) -- Approximately 4 percent of Americans have a food allergy, with women and Asians the most affected, according to a report published online May 31 in the Journal of Allergy and Clinical Immunology.

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Distinct Maternal, Fetal Risks for Anticoagulants in Pregnancy

WEDNESDAY, May 31, 2017 (HealthDay News) -- Anticoagulation for mechanical heart valves during pregnancy is associated with distinct maternal and fetal risks, according to a review published in the June 6 issue of the Journal of the American College of Cardiology.

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Late Teen Emotional Stability Inversely Tied to Mental Illness

WEDNESDAY, May 31, 2017 (HealthDay News) -- Emotional stability assessed in late adolescence is inversely associated with serious mental illness (SMI), according to a study published online May 24 in JAMA Psychiatry.

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Social Psychology May Help With Physician Error Disclosure

TUESDAY, May 30, 2017 (HealthDay News) -- Lessons from social psychology can be used to improve behavioral changes in terms of error disclosure, according to research published online May 18 in Medical Education.

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Evidence Lacking for Adolescent Idiopathic Scoliosis Screening

TUESDAY, May 30, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has concluded that there is currently insufficient evidence to assess the benefits and harms of screening for adolescent idiopathic scoliosis (AIS) in children and adolescents ages 10 to 18 who don't have any signs or symptoms. These findings form the basis of a draft recommendation statement published online May 30 by the USPSTF.

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CDC: Teenage Birth Rate at All-Time Low in the United States

TUESDAY, May 30, 2017 (HealthDay News) -- Teen births continue to decline in the United States, with a 9 percent drop from 2013 to 2014, according to a report published online May 30 in Pediatrics.

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Few Emergency Clinicians Know Costs of ER Tests, Treatment

TUESDAY, May 30, 2017 (HealthDay News) -- Most emergency medicine health care professionals lack accurate knowledge of the costs of tests and treatments that are ordered in the emergency department, according to a study published online May 30 in the Journal of the American Osteopathic Association.

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Sleeping Sickness Medication May Help Lessen ASD Symptoms

TUESDAY, May 30, 2017 (HealthDay News) -- Suramin, a drug first used in the early 1900s to treat sleeping sickness, has shown promise in an early trial as a potential treatment for autism spectrum disorder (ASD), according to research published online May 26 in the Annals of Clinical and Translational Neurology.

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Quality of Life May Drop for Some During Oral Immunotherapy

TUESDAY, May 30, 2017 (HealthDay News) -- For patients with food allergy, quality of life (QOL) following oral immunotherapy (OIT) improves for some but deteriorates in others, according to a study published online May 22 in Allergy.

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High-Risk Pools May Represent Step Back for U.S. Health Care

TUESDAY, May 30, 2017 (HealthDay News) -- Proposed legislation as part of the American Health Care Act, which includes the option of high-risk pools, is not likely to reduce costs, according to an Ideas and Opinions piece published online May 23 in the Annals of Internal Medicine.

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New Bill Intends to Repeal Limits on Physician-Owned Hospitals

FRIDAY, May 26, 2017 (HealthDay News) -- A new bill introduced in the U.S. House of Representatives would repeal the federal law essentially banning construction of physician-owned hospitals and making it difficult for these facilities to grow, according to a report published by the American Medical Association (AMA).

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Four Separate Events Led to Zika's Introduction Into Florida

FRIDAY, May 26, 2017 (HealthDay News) -- The 2016 Zika outbreak in Florida wasn't due to a single introduction and spread of the virus, but rather at least four separate events, according to research published online May 24 in Nature.

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New Health Care Act Could Result in 23 Million Losing Insurance

FRIDAY, May 26, 2017 (HealthDay News) -- The Republican-led bill to repeal and replace the Affordable Care Act (ACA) that passed the House this month would result in 23 million Americans losing their health insurance coverage, according to a report issued by the Congressional Budget Office (CBO).

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Streptococcal Throat Infection Linked to Mental Disorders

FRIDAY, May 26, 2017 (HealthDay News) -- Individuals with streptococcal throat infection have increased risks of mental disorders, especially obsessive-compulsive disorder (OCD) and tics, according to a study published online May 24 in JAMA Psychiatry.

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No Proof Special Diets, Supplements Work for Autism

FRIDAY, May 26, 2017 (HealthDay News) -- There is no solid evidence that any diet changes or supplements to ease symptoms of autism spectrum disorder (ASD) work, according to research published online May 26 in Pediatrics.

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New Interactive Module Aims to Clarify Professional Boundaries

THURSDAY, May 25, 2017 (HealthDay News) -- A new interactive training module in medical ethics can help physicians to understand professional boundaries, according to a report published by the American Medical Association (AMA).

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Cannabidiol Promising for Seizures in Dravet Syndrome

THURSDAY, May 25, 2017 (HealthDay News) -- Cannabidiol can reduce seizure frequency in patients with Dravet Syndrome, according to a study published in the May 25 issue of the New England Journal of Medicine.

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Two-Dose HPV Vaccine Effective Against Genital Warts

THURSDAY, May 25, 2017 (HealthDay News) -- New research supports the recent U.S. recommendation for two, rather than three, doses of the human papillomavirus (HPV) vaccine to protect against genital warts in preteens and teens. The report was published in the June issue of Sexually Transmitted Diseases.

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Path to Empathy Deemed As Vital As Being Empathetic

THURSDAY, May 25, 2017 (HealthDay News) -- Different paths to perspective of another's experience are associated with varying effect on helpers' health during helping behavior, according to a study published online April 16 in the Journal of Experimental Social Psychology.

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Trends in Teen Binge Drinking Still Raise Concerns

MONDAY, May 22, 2017 (HealthDay News) -- Binge drinking rates are down among adolescents in the United States; however, the trend isn't benefiting all teenagers equally, according to a study published online May 22 in Pediatrics.

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AAP: No Fruit Juice for Infants in First Year of Life

MONDAY, May 22, 2017 (HealthDay News) -- Fruit juice should be limited for toddlers and older children, and infants shouldn't have any at all before their first birthday, according to new guidelines from the American Academy of Pediatrics (AAP) published online May 22 in Pediatrics.

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KIT Inhibition by Imatinib Helps Severe Refractory Asthma

MONDAY, May 22, 2017 (HealthDay News) -- Imatinib (Gleevec) may effectively treat severe refractory asthma, according to research published in the May 18 issue of the New England Journal of Medicine.

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One in Five Cancers in the United States Is Considered Rare

FRIDAY, May 19, 2017 (HealthDay News) -- Rare cancers account for one in five cancers diagnosed in the United States, presenting special challenges to doctors and patients, according to research published online May 19 in CA: A Cancer Journal for Clinicians.

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CDC: Crypto Outbreaks Linked to Pools Have Doubled Since 2014

FRIDAY, May 19, 2017 (HealthDay News) -- Outbreaks of cryptosporidiosis have doubled in recent years at swimming pools and water playgrounds in the United States, according to research published in the May 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report (MMWR).

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FDA OKs Kalydeco for Additional Mutations in Cystic Fibrosis

THURSDAY, May 18, 2017 (HealthDay News) -- The U.S. Food and Drug Administration says it has expanded approval for the cystic fibrosis medication Kalydeco (ivacaftor) to include 33 mutations of the disease, up from the previous 10 mutations.

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Tips Provided to Help Physicians Plan for Retirement

THURSDAY, May 18, 2017 (HealthDay News) -- Physicians should consider their retirement and plan ahead at all stages of their career, according to an article published in Medical Economics.

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Findings Support Lower Doses of Atropine in Pediatric Myopia Rx

THURSDAY, May 18, 2017 (HealthDay News) -- Adverse effects are less frequent at lower doses of atropine, and higher doses are not more effective in reducing progression of myopia in children, according to a meta-analysis published online May 11 in JAMA Ophthalmology.

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FDA Warns of Inaccurate Results From Certain Lead Tests

THURSDAY, May 18, 2017 (HealthDay News) -- Lead tests made by Magellan Diagnostics may yield inaccurate results for some children and adults, U.S. health officials warned Wednesday.

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Treatment in Hospital by Older Doctors Tied to Higher Mortality

WEDNESDAY, May 17, 2017 (HealthDay News) -- Hospitalized patients 65 and older may face a slightly higher risk of dying within a month of their admittance when treated by an older versus younger physician, according to research published online May 16 in The BMJ.

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CDC: Slowing of Decline in Number of Uninsured Adults

WEDNESDAY, May 17, 2017 (HealthDay News) -- The decline in the number of Americans without health insurance stalled in 2016 after five years of progress, according to a U.S. Centers for Disease Control and Prevention report released Tuesday.

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Review Supports Early Multimodal Tx for Infantile Hemangioma

WEDNESDAY, May 17, 2017 (HealthDay News) -- Early multimodality treatment seems to achieve best results for children with infantile hemangiomas of the nose, according to research published online May 11 in JAMA Facial Plastic Surgery.

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Exercise-Induced Anaphylaxis Due to Shrimp Intake Described

WEDNESDAY, May 17, 2017 (HealthDay News) -- In a case report published online May 4 in The Journal of Dermatology, food-dependent exercise-induced anaphylaxis (FDEIA) due to shrimp consumption is described in an 18-year-old.

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Plan Suggested for Reducing Health Care Costs

TUESDAY, May 16, 2017 (HealthDay News) -- Health care costs can be reduced, with a nine-step plan suggested as a starting place, according to an article published in Medical Economics.

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Few Eligible U.S. Travelers Getting Pre-Trip Measles Vaccine

TUESDAY, May 16, 2017 (HealthDay News) -- More than half of eligible Americans traveling abroad don't get a measles vaccine, and a key reason is lack of concern about the disease, according to a study published online May 16 in the Annals of Internal Medicine.

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FDA Approves New Device to Treat Esophageal Atresia

MONDAY, May 15, 2017 (HealthDay News) -- A new medical device has been approved by the U.S. Food and Drug Administration to treat esophageal atresia.

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Sudden Unexpected Infant Death Rates Down in the United States

MONDAY, May 15, 2017 (HealthDay News) -- Fewer U.S. babies are dying from sudden unexpected infant death (SUID), but certain minorities remain at greater risk, according to a study published online May 15 in Pediatrics.

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Hospitals Need to Be Prepared for Ransomware Attacks

FRIDAY, May 12, 2017 (HealthDay News) -- Hackers are increasingly targeting hospitals, using viruses to lock their computer systems and hold sensitive medical data and other files hostage, according to an observation piece published online May 11 in The BMJ.

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Never Breastfeeding Linked to Increased Risk of T1DM

FRIDAY, May 12, 2017 (HealthDay News) -- Never breastfeeding seems to be associated with increased risk of type 1 diabetes, according to a study published online May 9 in Diabetes Care.

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CDC: Drinking Rates Have Dropped for High School Students

FRIDAY, May 12, 2017 (HealthDay News) -- Drinking among U.S. high school students has decreased in recent years, according to research published in the May 12 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: Hep C Infections Among Pregnant Women Increasing

FRIDAY, May 12, 2017 (HealthDay News) -- The prevalence of hepatitis C (HCV) infection among pregnant women nearly doubled between 2009 and 2014, according to research published in the May 12 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Children Express Positive Views of Digital Tracking by Strangers

FRIDAY, May 12, 2017 (HealthDay News) -- Both children and adults view object tracking as acceptable for owners, but only children express positive evaluations of tracking another person's possessions, according to a study published online May 7 in Child Development.

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ADHD Meds Associated With Reduced Risk for Car Crashes

THURSDAY, May 11, 2017 (HealthDay News) -- Taking medication for attention-deficit/hyperactivity disorder (ADHD) is tied to lower odds of car accidents involving patients with ADHD, according to a study published online May 10 in JAMA Psychiatry.

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Outpatient Wait Times Are Longer for Medicaid Recipients

THURSDAY, May 11, 2017 (HealthDay News) -- Medicaid patients have slightly longer waits at medical appointments than those with private insurance, according to a report published in the May issue of Health Affairs.

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Patients Satisfied With Telehealth Primary Care Visits

THURSDAY, May 11, 2017 (HealthDay News) -- Patients express satisfaction with telehealth primary care video visits, with most reporting interest in continuing use of video visits as an alternative to in-person visits, according to a study published in the May/June issue of the Annals of Family Medicine.

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Increases in Rates of Insured Don't Harm Continuously Insured

WEDNESDAY, May 10, 2017 (HealthDay News) -- Increases in insurance coverage from 2008 to 2014 were not associated with worse access to care for continuously insured adults, according to a study published in the May issue of Health Affairs.

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Postmarket Safety Events for 32 Percent of Novel Therapeutics

WEDNESDAY, May 10, 2017 (HealthDay News) -- From 2001 to 2010, 32 percent of novel therapeutics approved by the U.S. Food and Drug Administration had a postmarket safety event, according to a study published in the May 9 issue of the Journal of the American Medical Association.

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Risk of Zika Infection Appears to Be Low for Pregnant Women

WEDNESDAY, May 10, 2017 (HealthDay News) -- U.S. women traveling to areas where the Zika virus is circulating might be less likely to be infected than expected, but risk remains, according to research published in the June issue of Obstetrics & Gynecology.

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Cotton Swab-Related Ear Injuries Continue to Be Seen in the ER

WEDNESDAY, May 10, 2017 (HealthDay News) -- Thousands of children visit U.S. emergency departments every year for ear injuries caused by cotton swabs, according to a study published online May 1 in The Journal of Pediatrics.

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EpiPens Found to Still Be Viable Long After Expiration Date

TUESDAY, May 9, 2017 (HealthDay News) -- EpiPens can remain effective years after their expiration date, according to a research letter published online May 8 in the Annals of Internal Medicine.

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Evidence-Based Medicine Course Beneficial for Critical Thinking

TUESDAY, May 9, 2017 (HealthDay News) -- An evidence-based medicine (EBM) course has some positive effect on medical student critical thinking (CT), according to a study published online April 27 in the Journal of Evidence-Based Medicine.

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Most Physician Mothers Report Perceived Discrimination

TUESDAY, May 9, 2017 (HealthDay News) -- A considerable proportion of physician mothers report perceived discrimination, according to a research letter published online May 8 in JAMA Internal Medicine.

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More Women Than Men Leaving Practice of Medicine

MONDAY, May 8, 2017 (HealthDay News) -- More women than men leave the practice of medicine, according to an article published in Medical Economics.

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Breastfeeding Plays Key Role in Ensuring Healthy Infant Gut

MONDAY, May 8, 2017 (HealthDay News) -- Breastfeeding can seed good bacteria in an infant's digestive system, according to research published online May 8 in JAMA Pediatrics.

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Early Puberty in Girls May Be Risk Factor for Physical, Sexual Abuse

MONDAY, May 8, 2017 (HealthDay News) -- Girls with early pubertal development may be more vulnerable to abuse from a boyfriend, according to research published online May 8 in Pediatrics.

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Prevalence of Visual Impairment in Preschoolers Expected to Rise

MONDAY, May 8, 2017 (HealthDay News) -- Close to 175,000 American preschoolers struggle with common, but untreated, visual impairment, and that figure is expected to rise significantly in the coming years, according to a study published online May 4 in JAMA Ophthalmology.

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Poll: Many Americans Concerned About ACA Repeal

THURSDAY, May 4, 2017 (HealthDay News) -- Only one in five Americans support a repeal of the Affordable Care Act (ACA), a new HealthDay/Harris Poll reveals.

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CMS Releases Resources to Help With Payment System

THURSDAY, May 4, 2017 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) recently added three new online resources to assist physicians already participating in the Merit-based Incentive Payment System (MIPS) and those exploring the opportunities available.

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Zinc Effective in Pediatric Presymptomatic Wilson Disease

THURSDAY, May 4, 2017 (HealthDay News) -- For young children with presymptomatic Wilson disease, zinc monotherapy is safe and effective, according to a study published online April 28 in the Journal of Gastroenterology and Hepatology.

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Gender Differences in Depression Tend to Appear About Age 12

WEDNESDAY, May 3, 2017 (HealthDay News) -- Gender differences in depression diagnosis and symptoms start to appear around the age of 12, according to research published online April 27 in the Psychological Bulletin.

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Half of U.S. Doctors Receive Payments From Industry

WEDNESDAY, May 3, 2017 (HealthDay News) -- About half of U.S. doctors received payments from the pharmaceutical and medical device industries in 2015, amounting to $2.4 billion, and any form or amount of compensation can influence prescribing behavior, according to research published in the May 2 issue of the Journal of the American Medical Association, a theme issue on conflict of interest.

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Pictorial Messages Better for Discouraging Indoor Tanning

TUESDAY, May 2, 2017 (HealthDay News) -- Pictorial messages discouraging indoor tanning produce greater negative emotional reactions than text-only messages, according to a study published online recently in the Journal of Health Communication.

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Intense Interval Training Cuts Hypoglycemia Awareness in T1DM

TUESDAY, May 2, 2017 (HealthDay News) -- For patients with type 1 diabetes and normal awareness of hypoglycemia (NAH), high-intensity interval training (HIIT) is associated with reduced awareness of subsequent hypoglycemia, according to a study published online April 18 in Diabetes.

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Social Outcomes Good for Uncomplicated Childhood Epilepsy

TUESDAY, May 2, 2017 (HealthDay News) -- Young adults with uncomplicated epilepsy who remain seizure-free do as well as siblings without the disorder in education, employment, driving, and independent living, according to a study published online April 4 in Epilepsia.

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Thunderstorms Can Trigger Asthma Attacks

TUESDAY, May 2, 2017 (HealthDay News) -- Thunderstorms can trigger asthma outbreaks, according to a study published online April 13 in the Journal of Applied Meteorology and Climatology.

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Drug-Impaired Driving Continuing to Rise in the United States

MONDAY, May 1, 2017 (HealthDay News) -- In fatal vehicle crashes, illicit drugs are now more likely to have played a role than the use of alcohol on its own, according to a new report from the Governors Highway Safety Association (GHSA) and the Foundation for Advancing Alcohol Responsibility.

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Prevalence of Bullying Down in U.S. Schools

MONDAY, May 1, 2017 (HealthDay News) -- Bullying in schools appears to be on the decline, according to a study published online May 1 in Pediatrics.

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Simulation Ups Parent Confidence for NICU Discharge

MONDAY, May 1, 2017 (HealthDay News) -- For parents of babies about to be discharged from the neonatal intensive care unit, a simulation experience is associated with feeling more confident, according to a study published in the March/April issue of the American Journal of Maternal/Child Nursing.

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