November 2017 Briefing - Pediatrics

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

FODMAP Diet Beats General Dietary Advice for IBS

THURSDAY, Nov. 30, 2017 (HealthDay News) -- While both improve gastrointestinal symptoms, the low Fermentable Oligo-Di-Mono-saccharides and polyols (FODMAP) diet shows greater benefit for patients with irritable bowel syndrome (IBS) than general dietary advice (GDA), according to a study published online Nov. 20 in the Journal of Gastroenterology and Hepatology.

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Evidence Lacking for Prenatal Vitamin D Supplementation

THURSDAY, Nov. 30, 2017 (HealthDay News) -- Prenatal vitamin D supplementation during pregnancy may have some benefits, although the evidence is low quality, according to research published online Nov. 29 in The BMJ.

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More Than Half Today's Children Expected to Be Obese at 35

THURSDAY, Nov. 30, 2017 (HealthDay News) -- More than half of today's children are expected to be obese at the age of 35 years, with about half of the prevalence occurring during childhood, according to a study published in the Nov. 30 issue of the New England Journal of Medicine.

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Endocrine-Disrupting Chemicals Linked to Diabetes Disparities

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- Disparities in exposure to diabetes-associated environmental endocrine-disrupting chemicals (EDCs) may contribute to disparities in diabetes, according to a review published online Nov. 15 in Diabetes Care.

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Cord Blood Improves Motor Function With Cerebral Palsy

WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- Infusion of autologous umbilical cord blood improves whole brain connectivity and motor function in young children with cerebral palsy (CP), according to a study published online Oct. 28 in Stem Cells Translational Medicine.

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Clinician Denial of Patient Requests Impacts Satisfaction

TUESDAY, Nov. 28, 2017 (HealthDay News) -- Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician, according to a study published online Nov. 27 in JAMA Internal Medicine.

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Practice Variation in Treatment for Bronchiolitis in Infants

TUESDAY, Nov. 28, 2017 (HealthDay News) -- For infants with bronchiolitis, the use of evidence-based supportive therapies (EBSTs) varies by hospital site, according to a study published online Nov. 28 in Pediatrics.

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Considerable Costs Incurred in Response to Single Measles Cases

MONDAY, Nov. 27, 2017 (HealthDay News) -- Single measles cases trigger coordinated public health action that is associated with considerable costs, according to research published in the Nov. 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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New Workflows Have Potential to Address Provider Burnout

MONDAY, Nov. 27, 2017 (HealthDay News) -- New solutions are needed to address burnout among health care team members, yet, in a catch-22 situation for health industry leaders, change fatigue contributes to burnout, according to a Vocera Communications report entitled In Pursuit of Resilience, Well-Being, and Joy in Healthcare.

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Essay Adds to Discourse on Impact of Suggestive Jokes

MONDAY, Nov. 27, 2017 (HealthDay News) -- Seemingly benign, recurring patterns of joking around a single theme (joke cycles) can contribute to humorizing and legitimizing sexual misconduct, according to an essay published online Nov. 12 in Communication and Critical/Cultural Studies.

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Recommendations Developed for Addressing Child Trafficking

MONDAY, Nov. 27, 2017 (HealthDay News) -- In a policy statement published online Nov. 27 in Pediatrics, recommendations are presented for health care professionals to help prevent child trafficking, recognize victims, and intervene appropriately.

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Coffee Consumption Appears to Provide More Benefit Than Harm

MONDAY, Nov. 27, 2017 (HealthDay News) -- Coffee consumption seems safe and is associated with reduced risk for various health outcomes, according to a review published online Nov. 22 in The BMJ.

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Vitamin E in Early Childhood Tied to Lower ALT Levels Later

MONDAY, Nov. 27, 2017 (HealthDay News) -- Higher early childhood intake of alpha-tocopherol is associated with lower odds of elevated mid-childhood alanine aminotransferase (ALT) levels, according to a study published online Nov. 9 in Hepatology.

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Clinician Suspicion Minimally Accurate for Lyme Disease

MONDAY, Nov. 27, 2017 (HealthDay News) -- Clinician suspicion has minimal accuracy for the diagnosis of Lyme disease, according to a study published online Nov. 24 in Pediatrics.

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Female Physicians' Spouses More Likely to Work

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Spouses of female physicians are on average more educated and work more hours outside the home than spouses of male physicians, according to a research letter published online Nov. 21 in the Annals of Internal Medicine.

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Child Behavior Associated With Clinician Sevoflurane Exposure

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Negative behavior among children undergoing elective ear, nose, and throat surgery is associated with higher mean and maximum sevoflurane concentrations in the anesthesiologist's breathing zone, according to a study published online Oct. 25 in Pediatric Anesthesia.

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Researchers ID Microbiome Genes Tied to Asthma

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Functional genes in the upper airway microbiome may be tied to childhood asthma, according to a study published Nov. 20 in Allergy.

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Guidelines Can Cut Nonindicated Acid-Suppressing Rx in Infants

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Implementation of a guideline can reduce nonindicated use of proton pump inhibitors (PPIs) and histamine-2 receptor antagonists (H2RAs) among newborns, according to a study published online Nov. 21 in Pediatrics.

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Cerebral Morphometric Changes Discriminate ADHD, Controls

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Cerebral morphometric alterations can discriminate between children with attention-deficit/hyperactivity disorder (ADHD) and controls, according to a study published online Nov. 22 in Radiology.

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CDC Issues Warning on Contaminated Raw Milk

WEDNESDAY, Nov. 22, 2017 (HealthDay News) -- Individuals who may have consumed contaminated raw milk and milk products from the Udder Milk company are urged to seek medical care, according to a report published by the U.S. Centers for Disease Control and Prevention.

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Insulin Doesn't Prevent Diabetes in Relatives of T1DM Patients

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Oral insulin does not delay onset of type 1 diabetes in autoantibody-positive relatives of patients with type 1 diabetes, according to a study published in the Nov. 21 issue of the Journal of the American Medical Association.

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High Costs Associated With Physician Burnout, Attrition

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Physicians who are experiencing burnout are more than twice as likely to leave their organization within two years, and this is associated with significant economic costs, according to a report from the American Medical Association.

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Doubts Raised About Use of Products Containing Oxybenzone

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Use of oxybenzone (Benzophenone-3) in sunscreen and personal care products should be minimized due to its dermatological and environmental toxicity, according to a review published online Oct. 31 in the Journal of Cosmetic Dermatology.

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Few U.S. Adults Meet Fruit, Veg Intake Recommendations

TUESDAY, Nov. 21, 2017 (HealthDay News) -- Across all 50 states and the District of Columbia (D.C.), few adults consume the recommended amount of fruits and vegetables, according to research published in the Nov. 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Salivary miRNAs Can ID Duration of Concussion Symptoms

MONDAY, Nov. 20, 2017 (HealthDay News) -- For children with concussion, salivary microRNAs (miRNAs) can accurately identify the duration of symptoms, according to a study published online Nov. 20 in JAMA Pediatrics.

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Treatment Trajectories Vary for Children With Depression

MONDAY, Nov. 20, 2017 (HealthDay News) -- For youths with depression, there are distinct treatment trajectories, which have varying health outcomes, according to a study published online Nov. 20 in JAMA Pediatrics.

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Fat Distribution May Influence Bone Strength in Adolescence

MONDAY, Nov. 20, 2017 (HealthDay News) -- Visceral adipose tissue (VAT) in girls and central adiposity in boys play a role in the acquisition of bone strength during adolescence, according to a study published online Oct. 30 in the Journal of Bone and Mineral Research.

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Dating Violence Victimization, Nonmedical Rx Med Use Linked

MONDAY, Nov. 20, 2017 (HealthDay News) -- For male and female high school students, nonmedical use of prescription drugs (NMUPD) is associated with experiences of dating violence victimization (DVV), according to a study published online Nov. 20 in Pediatrics.

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Attributes of High-Value Primary Care Identified

MONDAY, Nov. 20, 2017 (HealthDay News) -- Six statistically significant attributes of high-value primary care have been identified, and they include decision support for evidence-based medicine, risk-stratified care management, and coordination of care, according to a study published in the November/December issue of the Annals of Family Medicine.

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SMS Reminders Moderately Effective for Flu Vaccination

MONDAY, Nov. 20, 2017 (HealthDay News) -- Short message service (SMS) reminders are a moderately effective way to increase the rate of influenza vaccination among high-risk patients, according to a study published in the November/December issue of the Annals of Family Medicine.

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Many Health Care Providers Work While Sick

FRIDAY, Nov. 17, 2017 (HealthDay News) -- More than 40 percent of health care personnel (HCP) with influenza-like illness (ILI) work while ill, according to a study published in the November issue of the American Journal of Infection Control.

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Simple Checklist Can Identify Useful Clinical Practice Guidelines

FRIDAY, Nov. 17, 2017 (HealthDay News) -- A simple, easy-to-use checklist, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST), can identify useful clinical practice guidelines, according to a study published in the September/October issue of the Annals of Family Medicine.

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Psychosocial Benefit Seen With Probiotic, Peanut Oral Immunotx

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Probiotic and peanut oral immunotherapy (PPOIT) has a sustained beneficial effect on psychosocial impact of food allergy after end-of-treatment, according to a study published online Oct. 20 in Allergy.

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First-Line Metformin Use for DM Up; Sulfonylurea Use Down

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Among patients with type 2 diabetes initiating antidiabetes drugs (ADDs), first-line use of metformin has increased since 2005, while sulfonylureas have remained the most popular second-line agent, according to a study published online Nov. 6 in Diabetes Care.

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Docs' Preparedness Influences Exercise Recommendations

FRIDAY, Nov. 17, 2017 (HealthDay News) -- Primary care providers who feel prepared are more likely to recommend physical activity to patients with disabilities, according to a study published online Nov. 16 in Preventing Chronic Disease.

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FDA Investigation Linked to Drop in Codeine Rx for Children

THURSDAY, Nov. 16, 2017 (HealthDay News) -- The U.S. Food and Drug Administration (FDA) investigation into the safety of codeine use by children, which culminated in a black box warning in February 2013, led to substantially decreased codeine prescribing to children after tonsillectomy and/or adenoidectomy, according to a study published online Nov. 16 in Pediatrics.

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Heart Murmur Disappearance on Standing Can Rule Out Pathology

THURSDAY, Nov. 16, 2017 (HealthDay News) -- For children aged 2 and older, disappearance of a heart murmur on standing is a reliable tool for excluding pathologic murmur, according to a study published in the November/December issue of the Annals of Family Medicine.

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Peer Review Policy Cuts Atypical Antipsychotic Use in Children

THURSDAY, Nov. 16, 2017 (HealthDay News) -- For young children, implementation of a peer review prior authorization (PA) policy can reduce the use of atypical antipsychotic (AAP) medications, according to a research letter published online Nov. 15 in JAMA Psychiatry.

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Accurate Diagnosis Seen With Photographs of Skin Conditions

THURSDAY, Nov. 16, 2017 (HealthDay News) -- Smartphone photographs of pediatric skin conditions taken by parents are of sufficient quality to allow accurate diagnosis, according to a study published online Nov. 15 in JAMA Dermatology.

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HPV Vaccine Tied to Reduced Respiratory Papillomatosis Rate

THURSDAY, Nov. 16, 2017 (HealthDay News) -- The incidence of juvenile-onset recurrent respiratory papillomatosis (JORRP) in Australia decreased from 2012 to 2016 after implementation of a quadrivalent human papillomavirus (HPV) vaccination program for females aged 12 to 26 years in 2007-2009, according to a study published online Nov. 9 in The Journal of Infectious Diseases.

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Peanut Patch Found Safe, Effective for Treating Allergies

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- A 250-μg peanut patch produces a significant treatment response in peanut-allergic patients treated for a year, according to a study published online Nov. 14 in the Journal of the American Medical Association.

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Psychostimulant Use Tied to Placental Complications

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Psychostimulant use during pregnancy is associated with a small increased relative risk of preeclampsia and preterm birth, according to a study published online Nov. 7 in Obstetrics & Gynecology.

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Sport Sampling in Children Tied to More Exercise in Adolescence

WEDNESDAY, Nov. 15, 2017 (HealthDay News) -- Sport sampling in childhood may be associated with higher physical activity (PA) levels during adolescence, according to a study published online Nov. 13 in Pediatrics.

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Extended Breastfeeding May Cut Later Flexural Dermatitis Risk

TUESDAY, Nov. 14, 2017 (HealthDay News) -- Promotion of prolonged and exclusive breastfeeding may reduce the risk of flexural dermatitis in adolescence but does not affect lung function or questionnaire-derived measures of asthma or atopic eczema, according to a study published online Nov. 13 in JAMA Pediatrics.

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Inhaled Corticosteroids Not Linked to Fracture in Children

TUESDAY, Nov. 14, 2017 (HealthDay News) -- Inhaled corticosteroids are not associated with increased odds of fracture in the pediatric asthma population, according to a study published online Nov. 13 in JAMA Pediatrics.

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Prenatal Exposure to ADHD Meds Tied to Neonatal Morbidity

MONDAY, Nov. 13, 2017 (HealthDay News) -- Exposure to attention-deficit/hyperactivity disorder (ADHD) medication during pregnancy is associated with increased risk of neonatal morbidity, according to a study published online Nov. 10 in Pediatrics.

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Short PCP Consultation Length Seen Worldwide

THURSDAY, Nov. 9, 2017 (HealthDay News) -- There is considerable global variation in the average primary care physician consultation length, from 48 seconds to 22.5 minutes, according to a review published online Nov. 8 in BMJ Open.

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Online CBT Program Beneficial for Depression, Anxiety

THURSDAY, Nov. 9, 2017 (HealthDay News) -- For patients with depression and anxiety, online computerized cognitive behavioral therapy (CCBT) provided via a collaborative care program is beneficial, but combining an internet support group (ISG) with CCBT offers no additional benefit, according to a study published online Nov. 8 in JAMA Psychiatry.

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Delayed Cord Clamping Linked to Reduced Hospital Mortality

THURSDAY, Nov. 9, 2017 (HealthDay News) -- Delayed cord clamping is associated with reduced hospital mortality in preterm infants, according to a review published online Oct. 30 in the American Journal of Obstetrics & Gynecology.

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Vaccination Coverage High for Children Aged 19 to 35 Months

THURSDAY, Nov. 9, 2017 (HealthDay News) -- Vaccination coverage has remained above 90 percent for many vaccinations among young children, and progress is being made toward immunization information systems (IISs) program goals, according to two studies published online Nov. 2 in Morbidity and Mortality Weekly Report.

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Hearing Loss Among U.S. Adolescents Is Not Increasing

WEDNESDAY, Nov. 8, 2017 (HealthDay News) -- Hearing loss among U.S. adolescents seems not to be increasing, according to a study published online Nov. 8 in Pediatrics.

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Doctors Have Extra Two Weeks to Preview Performance Data

WEDNESDAY, Nov. 8, 2017 (HealthDay News) -- Physicians have two extra weeks to preview their 2016 performance information as a result of a mistake related to the Centers for Medicare & Medicaid Services' Physician Compare online resource, according to a report published by the American Academy of Family Physicians.

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In ER, Combination of Ibuprofen, Acetaminophen Relieves Pain

WEDNESDAY, Nov. 8, 2017 (HealthDay News) -- For patients presenting to the emergency department with acute extremity pain, the combination of ibuprofen and acetaminophen does not differ in terms of pain reduction from three different opioid and acetaminophen combination analgesics, according to a study published online Nov. 7 in the Journal of the American Medical Association.

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Evidence Scant for Treatment of Cough With the Common Cold

WEDNESDAY, Nov. 8, 2017 (HealthDay News) -- There has been little change in the treatment recommendations for cough due to the common cold since publication of guidelines in 2006, according to a review published online Nov. 7 in Chest.

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Increases in U.S. Health Spending Tied to Health Service Price

WEDNESDAY, Nov. 8, 2017 (HealthDay News) -- Factors including increases in health care service price and intensity are associated with increases in U.S. health care spending from 1996 to 2013, according to a study published online Nov. 7 in the Journal of the American Medical Association.

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Preventive Care for Adolescents Up Since ACA Implementation

TUESDAY, Nov. 7, 2017 (HealthDay News) -- Preventive care rates have increased moderately to modestly for adolescents since the passage of the Affordable Care Act (ACA) but are still low overall, according to a study published online Nov. 6 in JAMA Pediatrics.

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Info Via Social Media Apps May Increase Vaccine Acceptance

TUESDAY, Nov. 7, 2017 (HealthDay News) -- Providing women with web-based vaccine information with social media applications during pregnancy is associated with a greater proportion of infants up-to-date on their vaccines, according to a study published online Nov. 6 in Pediatrics.

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Influenza Vaccines in Pediatric ERs Likely Cost-Effective

TUESDAY, Nov. 7, 2017 (HealthDay News) -- Influenza vaccination in the pediatric emergency department (PED) setting appears to be a cost-effective strategy, according to a study published online Nov. 6 in JAMA Pediatrics.

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Drop in Proportion of Neonates With Long IV Therapy for UTI

FRIDAY, Nov. 3, 2017 (HealthDay News) -- From 2005 to 2015 there was a decrease in the proportion of infants aged ≤60 days with a urinary tract infection (UTI) who received four or more days of intravenous (IV) antibiotics, according to a study published online Nov. 2 in Pediatrics.

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Pricing Interventions Increase Sales, Intake of Healthy Foods

FRIDAY, Nov. 3, 2017 (HealthDay News) -- Pricing interventions seem to improve access to healthy food and beverage options with increases in stocking and sales of these items, according to a review published online Nov. 2 in Preventing Chronic Disease.

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School-Based Food Co-op Tied to Improved Diets in Children

FRIDAY, Nov. 3, 2017 (HealthDay News) -- Brighter Bites, a school-based food cooperative program, is effective in improving children's diets, according to a study published online Nov. 2 in Preventing Chronic Disease.

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ACE Inhibitor, Statin No Benefit for T1DM, High Albumin Excretion

THURSDAY, Nov. 2, 2017 (HealthDay News) -- For adolescents with type 1 diabetes and high levels of albumin excretion, neither angiotensin-converting-enzyme (ACE) inhibitors nor statins change the albumin-to-creatinine ratio over time, according to a study published online Nov. 1 in the New England Journal of Medicine.

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Gene Replacement Tx Beneficial in Spinal Muscular Atrophy

THURSDAY, Nov. 2, 2017 (HealthDay News) -- Gene replacement therapy is beneficial in spinal muscular atrophy type 1 (SMA1), and nusinersen is beneficial for infants with spinal muscular atrophy, according to two studies published online Nov. 1 in the New England Journal of Medicine.

Abstract/Full Text (subscription or payment may be required) -- Mendell
Abstract/Full Text (subscription or payment may be required) -- Finkel
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Driving Impairment Warnings Often Not Given With Rx Meds

THURSDAY, Nov. 2, 2017 (HealthDay News) -- Not all prescription drug users report receiving warnings about driving impairment, according to a study published online Nov. 1 in the Journal of Studies on Alcohol and Drugs.

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CMS Launches Initiative to Examine Impact of Regulations

WEDNESDAY, Nov. 1, 2017 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) has launched an initiative to examine which provider regulations should be discarded or revamped amid concerns that the regulations are reducing the amount of time that physicians spend with patients, according to an article published in Modern Healthcare.

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Promising Pneumonia Vaccine Under Development

WEDNESDAY, Nov. 1, 2017 (HealthDay News) -- A pneumonia vaccine under development provides the "most comprehensive coverage" to date and alleviates antimicrobial concerns, according to a study published online Oct. 18 in Science Advances.

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