September 2015 Briefing - Pediatrics

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Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for September 2015. 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.

Young Children at Risk of Head Injuries From Falling Televisions

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Between 2011 and 2013, an average of more than 15,000 children a year were treated in emergency departments for injuries involving televisions, or televisions and furniture, according to the U.S. Consumer Product Safety Commission (CPSC). From 2000 to 2013, there were 279 deaths related to such incidents, the CPSC said. A report on these injuries was published online Sept. 29 in the Journal of Neurosurgery: Pediatrics.

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Review: Sweetened Drinks May Affect Cardiovascular Health

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Soft drinks and other sugar-sweetened beverages can seriously damage cardiovascular health, a new review finds. The report was published in the Oct. 6 issue of the Journal of the American College of Cardiology.

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Exposure to BPA in Pregnancy Tied to Low Birth Weight in Girls

MONDAY, Sept. 28, 2015 (HealthDay News) -- Mothers with high blood levels of bisphenol A (BPA) early in pregnancy tend to have newborn girls who weigh less than girls born of mothers with low BPA levels, according to a new study published online Sept. 25 in the Journal of Clinical Endocrinology & Metabolism.

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Exercise May Lower Risk of Suicide for Bullied Teens

MONDAY, Sept. 28, 2015 (HealthDay News) -- Regular exercise may lower bullied teens' risk of suicide, researchers report. The study was published in the October issue of the Journal of the American Academy of Child & Adolescent Psychiatry.

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CDC: 10 Percent of U.S. Women Consume Alcohol While Pregnant

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Although drinking alcohol during pregnancy poses a risk to the unborn child, one in 10 pregnant women in the United States still consume alcohol, according to research published in the Sept. 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Very Premature Infants Benefit From Later Cord Clamping

THURSDAY, Sept. 24, 2015 (HealthDay News) -- Delayed clamping of the umbilical cord benefits extremely premature newborns, according to a study published online Sept. 24 in the Journal of Perinatology.

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Health Insurance Deductibles Rising Faster Than Wages

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Health insurance deductibles have risen more than six times faster than American workers' average wages since 2010, a Kaiser Family Foundation report says.

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IOM: Most U.S. Patients Will Experience Diagnostic Error

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime, sometimes with severe consequences for their physical and mental health.

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Medical Schools Teaching Students About Costs of Care

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Many medical schools are integrating discussions of cost, value, and effectiveness into their curricula, according to Kaiser Health News.

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More Than 30 Percent of Adults Are Obese in the United States

TUESDAY, Sept. 22, 2015 (HealthDay News) -- In 2014, obesity rates increased in Kansas, Minnesota, New Mexico, Ohio, and Utah, according to a report released Monday from the Trust for America's Health and the Robert Wood Johnson Foundation.

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Leukotriene Receptor Antagonist Monotherapy Ups Asthma Control

TUESDAY, Sept. 22, 2015 (HealthDay News) -- As monotherapy, leukotriene-receptor antagonists (LTRAs) improve asthma control versus placebo, according to a review and meta-analysis published online Sept. 22 in the Annals of Internal Medicine.

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Docs in Productivity Models Likely to Encounter Compensation Caps

MONDAY, Sept. 21, 2015 (HealthDay News) -- Physicians, especially those working in a productivity model, need to understand compensation caps, which are set at a specific percentile of national pay based on surveys, according to a report in Medical Economics.

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Rotavirus Gastroenteritis Almost Absent in FUT2 Nonsecretors

MONDAY, Sept. 21, 2015 (HealthDay News) -- U.S. children with a genetic polymorphism affecting FUT2 secretor status appear to be protected from severe rotavirus gastroenteritis, according to a study published online Sept. 21 in JAMA Pediatrics.

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Medicaid, Non-Home Discharge Tied to Longer Hospital Stays

MONDAY, Sept. 21, 2015 (HealthDay News) -- Prolonged hospital length of stay (LOS) is more likely among patients who are Medicaid enrollees with complex hospital stays who were not discharged home, according to a study published in the September issue of the Journal of Hospital Medicine.

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More Restrictive State Laws Seem to Reduce Youth Gun Carrying

MONDAY, Sept. 21, 2015 (HealthDay News) -- A more restrictive state gun law environment is associated with reduced likelihood of youth gun carrying, according to a study published online Sept. 21 in JAMA Pediatrics.

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Hemorrhage Post Adenotonsillectomy Less Common With OSA

MONDAY, Sept. 21, 2015 (HealthDay News) -- For children undergoing adenotonsillectomy (AT), those with obstructive sleep apnea (OSA) appear to have more respiratory complications, while hemorrhage appears to be more frequent in children without OSA, according to a review published online Sept. 21 in Pediatrics.

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Volunteer Doctors Need to Check Liability Coverage

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Physicians who volunteer their medical expertise should consider their legal risks, according to an article published online Sept. 3 in Medical Economics.

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2012 Office Visits 57% Higher for Women than Men, Ages 1864

FRIDAY, Sept. 18, 2015 (HealthDay News) -- In 2012 there were an estimated 301 physician office visits per 100 persons, with higher rates for females and adults aged 65 years and older, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Mid-Morning May Be Best Time for Workday Break

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Choosing preferred activities for a work break and taking a break earlier in the shift are linked to more resource recovery after a break, according to a study published online Aug. 10 in the Journal of Applied Psychology.

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Type 1 Diabetes in Childhood May Up Atopic Dermatitis Risk

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Type 1 diabetes mellitus (T1DM) in childhood is associated with increased risk of atopic dermatitis (AD), according to a study published online Sept. 15 in the British Journal of Dermatology.

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Lacerations Most Common Type of Tricycle Injury

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Lacerations are the most common type of tricycle injury in children who present to emergency departments (EDs), and the majority of tricycle injuries occur in boys, according to research published in the October issue of Pediatrics.

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Energy Drinks Plus Alcohol Tied to Brain Injury in Teens

FRIDAY, Sept. 18, 2015 (HealthDay News) -- The consumption of energy drinks and alcohol mixed with energy drinks increases the odds of traumatic brain injury (TBI) among adolescents, according to a study published Sept. 16 in PLOS ONE.

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Millions of Premature Deaths Tied to Air Pollution

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Outdoor air pollution leads to more than 3 million premature deaths per year, primarily in Asia, according to a letter published online Sept. 16 in Nature.

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Positive Results for Home Use of Closed-Loop Insulin System

THURSDAY, Sept. 17, 2015 (HealthDay News) -- A closed-loop insulin delivery system can improve glucose control and reduce hypoglycemia in patients with type 1 diabetes, compared with sensor-augmented pump therapy, according to a study published online Sept. 17 in the New England Journal of Medicine to coincide with presentation at the annual meeting of the European Association for the Study of Diabetes in Stockholm, Sweden.

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PCPs Report Mixed Feelings About Recent Health Care Changes

THURSDAY, Sept. 17, 2015 (HealthDay News) -- Primary care providers have mixed feelings about recent changes in health care, according to a study published by the Commonwealth Fund and the Kaiser Family Foundation.

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Paroxetine Deemed Ineffective, Unsafe for Depressed Teens

THURSDAY, Sept. 17, 2015 (HealthDay News) -- In the first trial reanalyzed under the Restoring Invisible and Abandoned Trials (RIAT) initiative, the results contradict the original research findings that reported paroxetine to be a safe and effective treatment for major depression in adolescents. The new research was published online Sept. 16 in The BMJ.

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FDA Orders Tobacco Company to Stop Sales of New Cigarettes

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- The U.S. Food and Drug Administration has ordered the R.J. Reynolds Tobacco Co. to stop selling four new cigarette brands because submissions for these products did not meet requirements set forth in the Federal Food, Drug, and Cosmetic Act, according to an announcement issued Sept. 15 by the agency.

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Women Less Likely to Be Full Professors Than Men

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- In academic medicine, women are less likely to be full professors than men and have less startup funding than men, according to two studies published in the Sept. 15 issue of JAMA.

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More Outdoor Time at School May Help Prevent Myopia in Children

TUESDAY, Sept. 15, 2015 (HealthDay News) -- The addition of 40 minutes of outdoor activity at school for 6-year-old children in China resulted in a reduced incidence rate of myopia over the following three years. The research has been published in the Sept. 15 issue of JAMA.

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Racial Disparities in Analgesia for Children With Appendicitis

TUESDAY, Sept. 14, 2015 (HealthDay News) -- For pediatric patients with appendicitis, racial disparities exist with respect to analgesia administration, according to a study published online Sept. 14 in JAMA Pediatrics.

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CDC Develops State-Level Chronic Disease Cost Calculator

TUESDAY, Sept. 15, 2015 (HealthDay News) -- A chronic disease cost calculator (CDCC) has been developed to estimate state-level costs, according to a study published online Sept. 3 in Preventing Chronic Disease.

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Vision Test Helps Detect Concussion in Athletes

MONDAY, Sept. 14, 2015 (HealthDay News) -- A timed vision test may aid in detection of concussion during sideline testing of athletes, according to research published in the Sept. 10 issue of Concussion.

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Ethical Framework Developed for Genomic Testing Results

MONDAY, Sept. 14, 2015 (HealthDay News) -- An ethical framework has been developed to guide the professionally responsible disclosure of results of genomic sequencing in pediatric practice. The guidance is presented in a special article published online Sept. 14 in Pediatrics.

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Longer, Shorter Interpregnancy Interval Tied to Higher ASD Risk

MONDAY, Sept. 14, 2015 (HealthDay News) -- Risk of autism spectrum disorder (ASD) may be higher in children born after interpregnancy intervals of less than two years or greater than six years, according to a study published online Sept. 14 in Pediatrics.

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No Increase in Febrile Seizures With 2010-2011 TIV or PCV13

MONDAY, Sept. 14, 2015 (HealthDay News) -- For the 2010-2011 influenza season, there was no increase in the risk of febrile seizures (FS) with the trivalent inactivated influenza vaccine (TIV) or the 13-valent pneumococcal conjugate vaccine (PCV13), according to research published online Sept. 14 in Pediatrics.

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Residential Pesticide Exposure May Raise Childhood Cancer Risk

MONDAY, Sept. 14, 2015 (HealthDay News) -- For children, exposure to indoor insecticides is associated with an increased risk of childhood leukemia and lymphomas, according to a study published online Sept. 14 in Pediatrics.

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Bronchiolitis Clinical Practice Guidelines Vary in Quality

MONDAY, Sept. 14, 2015 (HealthDay News) -- Clinical practice guidelines (CPGs) on acute viral bronchiolitis vary in quality, with the highest scoring domains being "scope and purpose" and "clarity of presentation," according to a study published online Sept. 8 in the Journal of Evaluation in Clinical Practice.

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Autism Diagnosis May Be Delayed With Co-Occurring ADHD

MONDAY, Sept. 14, 2015 (HealthDay News) -- An initial attention-deficit/hyperactivity disorder (ADHD) diagnosis may be associated with delayed autism spectrum disorder (ASD) diagnosis, according to a study published online Sept. 14 in Pediatrics.

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For Pharma Reps, Access to Physicians Continuing to Drop

FRIDAY, Sept. 11, 2015 (HealthDay News) -- Physician access for pharmaceutical representatives is continuing to decline, with access restricted to some degree for more than half of physicians, according to an AccessMonitor survey published by ZS.

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Delayed Diabetic Retinopathy Screening May Be OK in T1DM

FRIDAY, Sept. 11, 2015 (HealthDay News) -- Most children with type 1 diabetes don't need a yearly exam for diabetic retinopathy until age 15, or five years after their diabetes diagnosis, according to research published online Aug. 31 in Ophthalmology.

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Rates of Alcohol, Tobacco Use Down Among U.S. Teens

FRIDAY, Sept. 11, 2015 (HealthDay News) -- The percentage of youth ages 12 to 17 who smoke, drink, or abuse certain drugs is falling, according to 2014 survey data released Thursday by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

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Motor Sport Tied to Carbon Monoxide Poisonings, Deaths

FRIDAY, Sept. 11, 2015 (HealthDay News) -- The off-road motor sport known as mud bogging can put drivers and passengers at risk of potentially lethal carbon monoxide poisoning, a group of doctors report. Their findings were published in the Sept. 10 issue of the New England Journal of Medicine.

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Childhood CA Survivors Who Have Stroke at Higher Risk of Second

THURSDAY, Sept. 10, 2015 (HealthDay News) -- Childhood cancer survivors who have had one stroke are at high risk for having another, according to a study published online Aug. 26 in Neurology.

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4% Increase in Population of Actively Licensed Physicians

THURSDAY, Sept. 10, 2015 (HealthDay News) -- The total population of actively licensed physicians in the United States and the District of Columbia has increased by 4 percent since 2012, according to a report published in the Journal of Medical Regulation.

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Physician Re-Entry Program Set to Redress Physician Shortage

THURSDAY, Sept. 10, 2015 (HealthDay News) -- An online educational program aims to help physicians get back to work and reduce the nation's physician shortage, according to an article published by the American Academy of Family Physicians (AAFP).

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Management, Treatment of Chronic Disease Up With ACA

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- More Americans are getting health insurance as a result of the Affordable Care Act, which may lead to many more people getting diagnosed and treated for chronic conditions, such as diabetes, a new study contends. The findings were published in the September issue of Health Affairs.

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Accelerated MD Program Doesn't Mar Academic Performance

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- An accelerated baccalaureate (BA)/doctor of medicine (MD) program does not impair the academic performance of medical students, according to a study published online July 3 in Academic Medicine.

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CDC: ER Visits for Medication Overdoses in Children Down

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- The number of pediatric emergency department visits for medication exposures in children aged 6 years and younger rose during the early 2000s, peaking at 75,842 in 2010, but declined to 59,092 visits in 2013, according to findings published online Sept. 7 in Pediatrics.

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ACP Supports Expanded Role of Telemedicine for Health Care

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Telemedicine can be beneficial, within the framework of an established physician-patient relationship, according to a position paper published online Sept. 8 in the Annals of Internal Medicine.

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EHR Vendors Not Adhering to Usability Certification Standards

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Among electronic health record (EHR) products, there is a lack of adherence to the U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC) standards, according to a research letter published in the Sept. 8 issue of the Journal of the American Medical Association.

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AAP Recommends Flu Vaccine for All Children, Health Care Workers

TUESDAY, Sept. 8, 2015 (HealthDay News) -- All eligible children and health care workers should receive influenza vaccination, according to new policy statements from the American Academy of Pediatrics (AAP). The policy statements were published online Sept. 7 in Pediatrics.

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CDC: Source of Infant Pertussis Infection Most Often a Sibling

TUESDAY, Sept. 8, 2015 (HealthDay News) -- Siblings are the most likely source of pertussis infection in infants, according to new research published online Sept. 7 in Pediatrics.

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Less Direct Patient Care for Fellowship-Trained Pediatricians

TUESDAY, Sept. 8, 2015 (HealthDay News) -- Generalist-trained pediatricians have more schedule flexibility and work fewer hours than fellowship-trained pediatricians, although both groups report overall satisfaction with their careers, according to a study published online Sept. 7 in Pediatrics.

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Chronic Rhinosinusitis Linked to Increased Risk of Other Diseases

TUESDAY, Sept. 8, 2015 (HealthDay News) -- Chronic rhinosinusitis (CRS) is associated with increased risk of other diseases, with different patterns based on CRS phenotype, according to research published online Aug. 31 in Allergy.

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Sleep Affects HOMA-IR in Overweight, Obese Teens

TUESDAY, Sept. 8, 2015 (HealthDay News) -- Overweight and obese adolescents have persistently higher homeostasis model assessment of insulin resistance (HOMA-IR), with significant contributors including total sleep time and sleep efficiency, according to research published in a supplement to the September issue of Diabetes, Obesity and Metabolism.

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Suggested Response Provided for In-Flight Medical Emergencies

FRIDAY, Sept. 4, 2015 (HealthDay News) -- In a review article published online Sept. 3 in the New England Journal of Medicine, guidance is offered for physicians providing emergency in-flight medical care.

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PCOS Linked to Increased Risk of Preterm Delivery for Twins

FRIDAY, Sept. 4, 2015 (HealthDay News) -- Polycystic ovary syndrome (PCOS) diagnosis is associated with increased risk of preterm delivery in twin pregnancies, according to a study published in the September issue of BJOG: An International Journal of Obstetrics and Gynaecology.

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One-Third of U.S. Children With ADHD Diagnosed Before Age 6

THURSDAY, Sept. 3, 2015 (HealthDay News) -- Almost a third of U.S. children with attention-deficit/hyperactivity disorder (ADHD) were diagnosed before the age of 6, even though there aren't many valid tests to support diagnosis in children that young, according to a report published Sept. 3 by the U.S. Centers for Disease Control and Prevention.

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Sugary Beverage Intake Linked to Triglycerides in Children

THURSDAY, Sept. 3, 2015 (HealthDay News) -- Consumption of sugar-sweetened beverages (SSBs) by children is positively associated with triglyceride concentration, according to a study published online Sept. 2 in the Journal of Nutrition.

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Early Exposure to Secondhand Smoke May Up A-Fib Risk Later

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Exposure to secondhand cigarette smoke during childhood or while in the womb may increase risk of atrial fibrillation in adulthood, new research suggests. The findings were published online Sept. 1 in Heart Rhythm.

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Genetic Tests Could Improve Management of Autism

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- A pair of genetic tests, chromosomal microarray analysis and whole-exome sequencing, could help parents and doctors better understand the numerous challenges that a child newly diagnosed with autism might face throughout life. The findings were published in the Sept. 1 issue of the Journal of the American Medical Association.

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Many Teens With Chronic Illnesses Use Alcohol, Marijuana

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Many adolescents with chronic diseases such as asthma and juvenile arthritis have consumed alcohol or smoked marijuana in the last year, according to a study published online Aug. 31 in Pediatrics.

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Genomic Sequencing Benefits Some Childhood Cancer Patients

TUESDAY, Sept. 1, 2015 (HealthDay News) -- For some pediatric cancer patients with relapsed or refractory cancer, extensive genetic analysis can open up new options, according to research published in the Sept. 1 issue of the Journal of the American Medical Association.

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