August 2018 Briefing - Pediatrics

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Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for August 2018. 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.

Helmets May Not Protect Skiers From Traumatic Brain Injury

FRIDAY, Aug. 31, 2018 (HealthDay News) -- The use of helmets may not protect alpine sports participants from traumatic brain injury, according to a study recently published in Wilderness & Environmental Medicine.

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Risk of Depression Up in Autism Spectrum Disorder

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Autism spectrum disorder (ASD) is associated with increased risk of depression in young adulthood, according to a study published online Aug. 31 in JAMA Network Open.

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Ground Chuck Products Recalled by Publix Super Markets

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Possible Escherichia coli contamination has triggered the recall of ground beef products made from chuck that were sold at Publix Super Markets in Florida.

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FDA Warns of Dangers of Liquid Nitrogen in Food, Drinks

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Consuming or handling food and drink products where liquid nitrogen is added just before consumption can lead to serious injury, according to the U.S. Food and Drug Administration.

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Pediatric Revisits, Admissions for UTI Similar With Oral or IV Meds

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Very young children with urinary tract infections (UTIs) who receive parenteral antibiotics before emergency department discharge do not have lower rates of revisits leading to admission than children receiving oral antibiotics, according to a study published online Aug. 21 in Pediatrics.

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Medical Bills in Collections Decrease With Patient Age

FRIDAY, Aug. 31, 2018 (HealthDay News) -- Medical collections decrease substantially with age, possibly because of increased health insurance coverage and incomes, according to a study published in the August issue of Health Affairs.

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Drinking Water Turned Off in All Detroit's Public Schools

THURSDAY, Aug. 30, 2018 (HealthDay News) -- Due to elevated levels of lead or copper in drinking water at some schools, drinking water is being turned off in all of Detroit's public schools.

CNN Article

No Meaningful Increase in Physician Compensation Last Year

THURSDAY, Aug. 30, 2018 (HealthDay News) -- There was no meaningful increase in physician compensation in 2017, and a decline in productivity was noted, according to the results of a survey conducted by AMGA Consulting.

Press Release
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Many ED Visits for Antibiotic Adverse Drug Events in Children

THURSDAY, Aug. 30, 2018 (HealthDay News) -- Emergency department (ED) visits for antibiotic adverse drug events (ADEs) in children account for 46.2 percent of emergency department visits for ADEs resulting from systemic medication, according to a study published online Aug. 23 in the Journal of the Pediatric Infectious Diseases Society.

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Many Teens Are Concerned Over Societal Discrimination

THURSDAY, Aug. 30, 2018 (HealthDay News) -- Many adolescents in Los Angeles are concerned over societal discrimination, and this concern is associated with behavioral health problems one year later, according to research published online Aug. 20 in JAMA Pediatrics.

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Pfizer Recalls a Type of Children's Liquid Advil

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- One lot of 4-ounce bottles of Children's Advil Suspension Bubble Gum Flavored is being recalled because a packaging problem could lead to an overdose, Pfizer Consumer Healthcare says.

Pfizer Statement

CDC: Salmonella Outbreak in 4 States Linked to Kosher Chicken

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- One person has died and 16 others sickened in a four-state Salmonella outbreak linked to kosher chicken, U.S. health officials say.

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Marketplace Premiums Increase More With Monopolist Insurers

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- Affordable Care Act Marketplace premiums increase more in areas with monopolist insurers, according to a study published in the August issue of Health Affairs.

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CDC: Most Babies Born in 2015 Started Out Breastfeeding

WEDNESDAY, Aug. 29, 2018 (HealthDay News) -- Most infants born in 2015 started breastfeeding, but many stopped earlier than recommended, according to a report card published by the U.S. Centers for Disease Control and Prevention.

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Medical Practices Should Address Negative Online Reviews

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Medical practice staff can effectively handle negative online reviews by staying calm and positive, looking for solutions, apologizing, and thanking the reviewers, according to an article published in Physicians Practice.

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FDA: Hundreds of Human, Pet Homeopathy Products Recalled

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Hundreds of Dr. King's water-based homeopathic drugs for children, adults, and pets may be unsafe to use because of high levels of microbial contamination, according to the U.S. Food and Drug Administration.

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Artificial Intelligence Holds Promise in Medicine

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Artificial intelligence (AI) in health care offers opportunities for early detection and triage, diagnostics and personalized medicine, and medical decision-making, according to an article published in Managed Healthcare Executive.

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Cannabinoid in Breast Milk Up to Six Days After Marijuana Use

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Most breast milk samples have measurable Δ-9-tetrahydrocannabinol (Δ9-THC) up to about six days after maternal use, according to a study published online Aug. 27 in Pediatrics.

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Alcohol Is Leading Risk Factor for Global Disease Burden

TUESDAY, Aug. 28, 2018 (HealthDay News) -- Globally, alcohol use is a leading risk factor for disease burden, according to research published online Aug. 23 in The Lancet.

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Physicians Lack Knowledge About Serogroup MenB Vaccination

TUESDAY, Aug. 28, 2018 (HealthDay News) -- U.S. pediatricians and family physicians (FPs) have considerable knowledge gaps regarding serogroup B meningococcal (MenB) vaccination, according to a study published online Aug. 20 in Pediatrics.

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Experts Address Loss of the National Guideline Clearinghouse

TUESDAY, Aug. 28, 2018 (HealthDay News) -- The demise of the National Guideline Clearinghouse (NGC) in July 2018 is likely to impact evidence-based health care around the world, according to an Ideas and Opinions piece published online Aug. 28 in the Annals of Internal Medicine.

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Pediatricians Advise Against Use of Marijuana in Pregnancy

MONDAY, Aug. 27, 2018 (HealthDay News) -- Due to the potential adverse effect of marijuana use during pregnancy and breastfeeding, pediatricians should recommend against marijuana use, according to a clinical report published online Aug. 27 in Pediatrics.

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Most Research Participants Not Concerned About Data Sharing

MONDAY, Aug. 27, 2018 (HealthDay News) -- Few participants in clinical trials have strong concerns about the risks of data sharing, according to a special article recently published in the New England Journal of Medicine.

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Experiencing Parental Cancer As Child Has Lasting Impact

MONDAY, Aug. 27, 2018 (HealthDay News) -- Individuals who experience parental cancer as children or adolescents have a higher risk of low educational attainment and attenuated income at age 30 years, according to a study published online Aug. 20 in the Journal of Epidemiology & Community Health.

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AMA Adopts Policy Promoting Health Equity As a Goal

FRIDAY, Aug. 24, 2018 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has adopted a policy that sets health equity as a goal for the U.S. health care system, according to a report published in the organization's AMA Wire.

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FDA: Illnesses Linked to McDonald's Salads Reach 507

FRIDAY, Aug. 24, 2018 (HealthDay News) -- The number of confirmed cases of Cyclospora infection linked to salads from McDonald's restaurants was 507 in 15 states and New York City as of Aug. 23, according to the U.S. Food and Drug Administration.

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Education RE: Herd Immunity Can Up Readiness to Be Vaccinated

FRIDAY, Aug. 24, 2018 (HealthDay News) -- Educating adults about herd immunity can increase the proportion willing to be vaccinated for influenza, according to a study recently published in Vaccine.

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FDA Bans E-Cig Liquid Products That Look Like Snacks, Candies

THURSDAY, Aug. 23, 2018 (HealthDay News) -- Potentially poisonous electronic cigarette liquid (e-liquid) made by 17 different manufacturers comes in packaging that strongly resembles that of candies, cookies, and other snacks popular with children.

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Non-Medical Costs Burden Families of Hospitalized Children

THURSDAY, Aug. 23, 2018 (HealthDay News) -- The non-medical cost burden, which includes lost earnings plus expenses, is considerable among families of children who are hospitalized, according to a study published online Aug. 13 in Pediatrics.

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Most Surgical Residents Want Financial Education

THURSDAY, Aug. 23, 2018 (HealthDay News) -- Surgical residents feel strongly that personal financial education should be offered during medical training, according to a study published in the August issue of the Journal of the American College of Surgeons.

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Small Practices Also at Risk for Data Breaches

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Data breaches can happen to small medical practices, but staff can take steps to prevent them, according to an article published in Medical Economics.

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Strategy Outlined for Shooter Incident in Health Care Facility

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Adhering to a "secure, preserve, fight" strategy is recommended for health care professionals working with a vulnerable patient population, according to a Medicine and Society piece published in the Aug. 9 issue of the New England Journal of Medicine.

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Teen Smoke Exposure Tied to Increase in Related Symptoms

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Non-smoking adolescents with tobacco smoke exposure (TSE) have increased risk of TSE-related symptoms, according to a study published online Aug. 6 in Pediatrics.

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National Provider Identifiers Are Vulnerable to Theft

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- National Provider Identifiers (NPIs) are vulnerable to identity theft, according to an article published in Physicians Practice.

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Advantages for HDHP Enrollees in Large Versus Small Firms

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Workers in small firms are more likely to have higher deductible levels and lack employer contributions to help pay for out-of-pocket expenses compared to workers in larger firms, according to a study published in the August issue of Health Affairs.

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Catch-Up HPV Doses Effective to Age 21 Against Cervical Neoplasia

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Catch-up doses of quadrivalent human papillomavirus (HPV) vaccination are effective for girls and women aged 14 to 20 years at the time of first dose, according to a study published online Aug. 7 in The Lancet Child & Adolescent Health.

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Similar Outcomes for Rural, Urban Cancer Patients in SWOG Trials

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Rural and urban cancer patients with uniform care access through participation in a SWOG (formerly the Southwest Oncology Group) treatment trial have similar outcomes, according to a study published online Aug. 17 in JAMA Network Open.

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Spinal Manipulation Plus Exercise Effective for Teen Low Back Pain

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Twelve weeks of spinal manipulative therapy (SMT) combined with exercise therapy (ET) is more effective than ET alone over a one-year period for adolescents with chronic low back pain (LBP), according to a study published in the July issue of PAIN.

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Accuracy of Hypoxia-Based Baby Monitors Is Concerning

WEDNESDAY, Aug. 22, 2018 (HealthDay News) -- Findings regarding the accuracy of two pulse oximetry-based baby monitors are concerning, according to a research letter published in the Aug. 21 issue of the Journal of the American Medical Association.

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FDA Extends EpiPen Expiration Dates to Tackle Shortage

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The expiration dates of certain batches of EpiPens have been extended by the U.S. Food and Drug Administration in an effort to reduce shortages of the life-saving devices.

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Doctors Often Not Discussing Risk Factors With Patients

TUESDAY, Aug. 21, 2018 (HealthDay News) -- Patients report that doctors are routinely not discussing known risk factors for common causes of death, according to a survey conducted by ImagineMD.

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Plan to Relax Coal-Fired Power Plant Rules Could Up Mortality

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The Trump administration's plan to relax pollution rules for coal-fired power plants will increase carbon emissions and cause up to 1,400 premature deaths a year, according to details released Tuesday.

The New York Times Article
EPA News Release

Pennsylvania Case Could Affect Evidence for Malpractice Defense

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The Pennsylvania Supreme Court has agreed to hear a case that could affect what evidence physicians may present in defense during medical malpractice suits, according to an article published in the American Medical Association's AMA Wire.

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Young, Growing Athletes at High Risk for ACL Injuries

TUESDAY, Aug. 21, 2018 (HealthDay News) -- Young, growing athletes are at high risk for anterior cruciate ligament (ACL) injuries, according to a report published by Penn State Health News.

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Preventable Adverse Drug Events Usually of Minor Severity in Kids

TUESDAY, Aug. 21, 2018 (HealthDay News) -- The incidence of preventable adverse drug events (pADEs) is zero to 17 per 1,000 patient-days in general pediatric wards and zero to 29 in intensive care units, with most pADEs of minor severity, according to a review published online Aug. 10 in Pediatrics.

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Experts Offer Tips for Provider Appeal of Denied Medical Claims

MONDAY, Aug.20, 2018 (HealthDay News) -- Knowing payer policies and regulatory requirements is critical to appealing denials, according to an article published in Medical Economics.

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NYU Becomes First Medical School to Cover All Tuition

MONDAY, Aug. 20, 2018 (HealthDay News) -- The NYU School of Medicine has announced that it is offering full-tuition scholarships to all current and future students in its M.D. degree program, regardless of need or merit.

Press Release

Wildfire Smoke Causing Poor Air Quality in U.S. Pacific Northwest

MONDAY, Aug. 20, 2018 (HealthDay News) -- Smoke from wildfires will cause poor air quality in parts of the U.S. Pacific Northwest this week, officials warn.

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Tobacco Content Still Common on U.K. Prime-Time Television

MONDAY, Aug. 20, 2018 (HealthDay News) -- Audiovisual tobacco content remains common in prime-time U.K. television programs and is virtually unchanged from 2010, according to a study published online Aug. 13 in Tobacco Control.

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AAP Outlines Appropriate Pediatric Nephrology Testing

MONDAY, Aug. 20, 2018 (HealthDay News) -- As part of the Choosing Wisely campaign, a list of specific nephrology tests and procedures that are commonly ordered but not always needed when treating children for kidney-related conditions has been released by the American Academy of Pediatrics (AAP).

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Heat-Driven Air Conditioning May Contribute to Additional Deaths

MONDAY, Aug. 20, 2018 (HealthDay News) -- In what can be described as a vicious catch-22, approximately 5 to 9 percent of exacerbated air-pollution-related deaths will be due to increases in power sector emissions from the extra air conditioning use resulting from climate change, according to a study published online July 3 in PLOS Medicine.

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Little Global Development Assistance for Adolescent Health

MONDAY, Aug. 20, 2018 (HealthDay News) -- Development assistance for adolescent health (DAAH) makes up a small proportion of total development assistance for health, according to a study published online Aug. 10 in JAMA Network Open.

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Many Children With Asthma Do Not Have Medications Ready

MONDAY, Aug. 20, 2018 (HealthDay News) -- Many low-income urban preschool-aged children with asthma do not meet the criteria for home medication readiness, according to a study published online Aug. 7 in Pediatrics.

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Psych Screening Beneficial in Pediatric Abdominal Pain

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Systematic screening for anxiety, disability, and pain can increase psychological referral rates among pediatric patients with abdominal pain, according to a study published in the August issue of Pediatrics.

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EHR Review Can Measure Diagnostic Uncertainty

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Retrospective review of clinician documentation in the electronic health record (EHR) can help identify diagnostic uncertainty with moderate reliability, according to a study published in the June issue of the Journal of Evaluation in Clinical Practice.

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Comments Open on End of NIH Review for Gene Therapy Studies

FRIDAY, Aug. 17, 2018 (HealthDay News) -- A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments. Instead, the panel will assume an advisory role, while the U.S. Food and Drug Administration will assess gene therapy experiments and products as it does with other treatments and drugs. The proposed change will take effect after a public comment period which runs through Oct. 16.

AP News Article
NIH Statement
Comment on Regulations

U.S. Measles Outbreak Hits 107 Cases in 21 States, D.C.

FRIDAY, Aug. 17, 2018 (HealthDay News) -- A measles outbreak that's so far affected 21 states and the District of Columbia is being investigated by U.S. health officials.

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FDA Approves First Generic EpiPen

FRIDAY, Aug. 17, 2018 (HealthDay News) -- The first generic version of the EpiPen has been approved by the U.S. Food and Drug Administration, paving the way for more affordable versions of the lifesaving allergy emergency medication.

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Honey May Protect Children Who Swallow Button Batteries

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Ingesting honey after swallowing a button battery may reduce injuries and improve outcomes in children, according to research published recently in Laryngoscope.

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Residents' Sleep Deteriorates During Training

FRIDAY, Aug. 17, 2018 (HealthDay News) -- First-year residents experience worsening sleep duration and quality as well as daytime sleepiness, according to a study published in the June issue of the Journal of General Internal Medicine.

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QI Program Can Up Outcomes for Neonatal Abstinence Syndrome

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Significant improvements in neonatal abstinence syndrome (NAS) outcomes can result from a comprehensive quality improvement (QI) program, according to a study published in the August issue of the Journal of Perinatology.

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Cerebral Blood Flow Changes in Pediatric Patients With CKD

FRIDAY, Aug. 17, 2018 (HealthDay News) -- Pediatric patients with chronic kidney disease (CKD) have higher global cerebral blood flow (CBF) and regional differences in CBF, according to a study published recently in Radiology.

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CDC: Brucellosis in Dogs Remains a Public Health Risk

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Brucella canis is an under-recognized infection in dogs that poses a threat to human health, according to a report published in the August issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Methylphenidate Good First-Choice Pediatric ADHD Drug

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Methylphenidate should be considered as a first choice for the treatment of attention-deficit hyperactivity disorder (ADHD) in children and adolescents, while amphetamines should be considered as a first choice in adults, according to a review published online Aug. 7 in The Lancet Psychiatry.

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Practice Names, Logos Should Be Carefully Designed

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Practice names and logos should be carefully designed to emphasize what is unique about a practice, according to a blog post published in Physicians Practice.

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NIH Panel Will No Longer Review Gene Therapy Experiments

THURSDAY, Aug. 16, 2018 (HealthDay News) -- A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments, according to a perspective piece published online Aug. 15 in the New England Journal of Medicine.

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NIH Statement

Vit D Independently, Inversely Tied to Cholesterol in Children

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Serum 25-hydroxyvitamin D [25(OH)D] is independently and inversely associated with total cholesterol, low-density lipoprotein (LDL) cholesterol, and high-density lipoprotein (HDL) cholesterol in children, according to a study published in the July issue of the Journal of Clinical Endocrinology & Metabolism.

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ACA Coverage Gains Include Workers Without Insurance

THURSDAY, Aug. 16, 2018 (HealthDay News) -- After the expanded coverage provisions of the Affordable Care Act (ACA) were implemented in 2014, self-employed individuals and wage earners without employer-sponsored health coverage offers had coverage gains equal to or greater than those of people not employed, according to a report published in the August issue of Health Affairs.

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Counseling Needed for Pediatric Patients With Impaired Fertility

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Counseling about impaired fertility and sexual function for at-risk pediatric populations in developmentally appropriate ways is essential, according to a clinical report published in the August issue of Pediatrics.

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Steps Provided for Discharging Patient From Practice

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Certain steps should be taken when discharging a patient for failure or inability to meet financial obligations, according to an article published in Physicians Practice.

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Patient Portals Don't Appear to Have Much Traction

THURSDAY, Aug. 16, 2018 (HealthDay News) -- Patient portals have not taken off as expected, according to an article published in Medical Economics.

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Rate of Pediatric Emergencies in Ambulatory Practices Identified

WEDNESDAY, Aug. 15, 2018 (HealthDay News) -- The rate of pediatric emergency medical services (EMS) transports from ambulatory practices is 42 per 100,000 children per year, according to a study published in the August issue of Pediatrics.

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Primary Care Provider Burnout Rate Low in Small Practices

WEDNESDAY, Aug. 15, 2018 (HealthDay News) -- Provider-reported rates of burnout may be lower in small independent primary care practices than in larger practices, according to a study published in the July-August issue of the Journal of the American Board of Family Medicine.

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HPV Legislation Doesn't Impact Teen Sexual Behaviors

WEDNESDAY, Aug. 15, 2018 (HealthDay News) -- Implementation of state legislation relating to human papillomavirus (HPV) vaccination is not associated with changes in adolescent sexual behaviors, according to a study published online Aug. 13 in Pediatrics.

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Completing Sepsis Bundle Within an Hour Cuts Pediatric Mortality

TUESDAY, Aug. 14, 2018 (HealthDay News) -- Completion of a one-hour sepsis bundle within one hour cuts mortality in pediatric patients, according to a study published in the July 24/31 issue of the Journal of the American Medical Association.

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E-Cigarette Smoking Tied to Later Marijuana Use in Teens

TUESDAY, Aug. 14, 2018 (HealthDay News) -- Teenagers' use of any tobacco products, including electronic cigarettes (e-cigarettes), is associated with subsequent marijuana use, according to a study published in the August issue of Pediatrics.

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Intervention Cuts Risk for HIV in Young Transgender Women

TUESDAY, Aug. 14, 2018 (HealthDay News) -- A culturally specific, empowerment-based, and group-delivered behavioral prevention intervention can reduce sexual risk for HIV acquisition and transmission in sexually active young transgender women (YTW), according to a study published online Aug. 13 in JAMA Pediatrics.

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6 Factors Related to Inclusion in Health Care Workplace ID'd

TUESDAY, Aug. 14, 2018 (HealthDay News) -- There are six broad factors that can affect inclusion within health care organizations, according to a study published online Aug. 3 in JAMA Network Open.

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Four Pros to Integrating EHR, Practice Management Software

MONDAY, Aug. 13, 2018 (HealthDay News) -- Consolidating electronic health records and practice management software allows practices to save time and money, make fewer mistakes, and reduce the risk of privacy breaches, according to an article published in Physicians Practice.

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Prenatal Tdap Vaccination Not Linked to Autism Risk

MONDAY, Aug. 13, 2018 (HealthDay News) -- Prenatal tetanus, diphtheria, acellular pertussis (Tdap) vaccination is not associated with increased risk of autism spectrum disorder (ASD) in offspring, according to a study published online Aug. 13 in Pediatrics.

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AAP Provides Safety Precautions to Prevent Drowning

MONDAY, Aug. 13, 2018 (HealthDay News) -- Drowning is the leading cause of unintentional injury-related death for children aged 1 to 4 years, with most drownings happening in home swimming pools, according to a report published by the American Academy of Pediatrics.

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CDC: More Than 400 Sickened by McDonald's Salads

MONDAY, Aug. 13, 2018 (HealthDay News) -- The number of confirmed cases of a parasite-caused illness linked to McDonald's Fresh Express Salad Mix is now 436 in 15 states, the U.S. Centers for Disease Control and Prevention says.

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In Teens, Young Adults, High BMI May Hurt Cardiovascular Health

MONDAY, Aug. 13, 2018 (HealthDay News) -- Higher body mass index (BMI) is likely to cause worse cardiovascular health in youth, according to a study published online July 30 in Circulation.

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Neurodevelopmental Anomalies, Birth Defects Linked to Zika ID'd

MONDAY, Aug. 13, 2018 (HealthDay News) -- Many children of mothers with evidence of confirmed or possible Zika virus infection during pregnancy do not undergo all recommended evaluations, according to a Vital Signs report published in the Aug. 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Eye Examination Can Help Detect Abuse in Children

MONDAY, Aug. 13, 2018 (HealthDay News) -- Eye examination is helpful for detecting abnormalities that could indicate abuse in children, according to a clinical report published in the August issue of Pediatrics.

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Court Rules That U.S. Must Halt Sales of Pesticide Chlorpyrifos

FRIDAY, Aug. 10, 2018 (HealthDay News) -- The Environmental Protection Agency must remove the pesticide chlorpyrifos from sale in the United States within 60 days, a federal appeals court ordered yesterday.

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Teen Sudden Cardiac Death Causes Often Not ID'd on Screens

FRIDAY, Aug. 10, 2018 (HealthDay News) -- Among adolescent soccer players in the United Kingdom, the incidence of sudden cardiac death is 6.8 per 100,000 athletes, and most of the deaths were due to cardiomyopathies not identified on cardiac screening, according to a study published in the Aug. 9 issue of the New England Journal of Medicine.

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Parental Depression Ups Odds of Child Use of Health Services

FRIDAY, Aug. 10, 2018 (HealthDay News) -- Parental depression is linked to increased use of health services by their offspring, according to a study published in the July issue of BMJ Paediatrics Open.

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AMA Adopts Policy on Augmented Intelligence

FRIDAY, Aug. 10, 2018 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has adopted a policy on augmented intelligence, according to a report published in the association's AMA Wire.

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Sufficient Preconception Vitamin D Tied to Lower Miscarriage Risk

FRIDAY, Aug. 10, 2018 (HealthDay News) -- Preconception vitamin D levels may play a role in maintaining pregnancy, according to a study published recently in The Lancet Diabetes & Endocrinology.

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AMA Adopts Policy to Advance Gender Equity in Medicine

THURSDAY, Aug. 9, 2018 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has adopted a new policy to study, act for, and advocate to advance gender equity in medicine, according to a report published in the association's AMA Wire.

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Parental Belief in Religion Lowers Child Suicide Risk

THURSDAY, Aug. 9, 2018 (HealthDay News) -- Parental belief in the importance of religion is associated with a decrease in risk in suicidal behavior in their offspring, according to a study published online Aug. 8 in JAMA Psychiatry.

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Vit D Supplementation Doesn't Improve Fetal, Infant Growth

THURSDAY, Aug. 9, 2018 (HealthDay News) -- Maternal vitamin D supplementation from mid-pregnancy until birth or until six months postpartum does not improve fetal or infant growth, according to a study published in the Aug. 9 issue of the New England Journal of Medicine.

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American Heart Association Urges Screen Time Limits for Youth

THURSDAY, Aug. 9, 2018 (HealthDay News) -- The American Heart Association (AHA) is concerned about the impact screen time is having on sedentary behavior in children and teens, according to a scientific statement published online Aug. 6 in Circulation.

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High BP Seen at School Age for Extreme Preterm Infants

THURSDAY, Aug. 9, 2018 (HealthDay News) -- Both overweight and normal-weight children who were born as extreme preterm (EPT) infants are at risk for high blood pressure (BP) and hypertension, according to a study published in the August issue of Pediatrics.

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Cyber Insurance Recommended for All Physician Practices

WEDNESDAY, Aug. 8, 2018 (HealthDay News) -- The growing threat of hacking is increasing the number of physicians buying cyber insurance, according to an article published in Medical Economics.

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Measles Case Reported in Minnesota

WEDNESDAY, Aug. 8, 2018 (HealthDay News) -- A Somali-American child in Minnesota has been diagnosed with the measles after returning from a trip to Africa, state health officials said Tuesday, adding that the unidentified 5-year-old in Hennepin County was not vaccinated, the Minneapolis Star Tribune reported.

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Responsive Parent Intervention in Infancy Can Reduce BMI z Score

WEDNESDAY, Aug. 8, 2018 (HealthDay News) -- A responsive parenting intervention initiated in early infancy can reduce body mass index (BMI) z score; however, a 36-month multicomponent behavioral intervention does not change BMI trajectory, according to two studies published in the Aug. 7 issue of the Journal of the American Medical Association.

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Resource Use Greater for More Severe Pediatric Appendicitis

WEDNESDAY, Aug. 8, 2018 (HealthDay News) -- More severe presentations of complicated appendicitis are associated with worse outcomes and greater resource use among pediatric patients, according to a study published online July 25 in JAMA Surgery.

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Preschooler's Perfectionism May Predict OCD in Adolescence

WEDNESDAY, Aug. 8, 2018 (HealthDay News) -- Tendencies toward perfectionism and excessive self-control in children are associated with the onset of obsessive-compulsive disorder (OCD) and smaller dorsal anterior cingulate cortex (dACC) volumes in later childhood and adolescence, according to a study published online July 18 in JAMA Psychiatry.

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Steps Taken to Increase Use of Electronic Tools in Medicine

WEDNESDAY, Aug. 8, 2018 (HealthDay News) -- Additional codes have been approved by the Current Procedural Terminology (CPT) Editorial Panel for chronic care remote physiologic monitoring and internet consultations, according to a report published by the American Medical Association (AMA).

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Gender Gap for First Authors of Perspectives in Peds Journals

WEDNESDAY, Aug. 8, 2018 (HealthDay News) -- Women are underrepresented among physician first authors of perspective-type articles in prominent pediatric journals, according to a study published online July 20 in JAMA Network Open.

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HIV, Syphilis Screening Low With ED-Diagnosed PID in Adolescents

TUESDAY, Aug. 7, 2018 (HealthDay News) -- HIV and syphilis screening rates are low among adolescents who are diagnosed with pelvic inflammatory disease (PID) in the emergency department, according to a study published in the August issue of Pediatrics.

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AMA Proposes Policy Opposing Medicaid 'Lockout' Provisions

TUESDAY, Aug. 7, 2018 (HealthDay News) -- A new policy opposing lockout provisions that block Medicaid patients from the program for lengthy periods and instead supporting allowing patients to reapply immediately for redetermination was adopted by the American Medical Association (AMA) House of Delegates during the AMA's annual meeting in Chicago, according to an article published in the association's AMA Wire.

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New Tick Species Spreading in the United States

TUESDAY, Aug. 7, 2018 (HealthDay News) -- The first new tick species to appear in the United States in 50 years is spreading rapidly in the east and has been confirmed in seven states and the suburbs of New York City.

The New York Times Article

Death Records Estimate 1,139 Deaths Due to Hurricane Maria

TUESDAY, Aug. 7, 2018 (HealthDay News) -- Based on death records following Hurricane Maria, the hurricane-related mortality burden of excess deaths through December 2017 is estimated to be 1,139, higher than the official death toll of 64, according to a research letter published online Aug. 2 in the Journal of the American Medical Association.

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AMA Calls for Greater Electronic Cigarette Regulation

TUESDAY, Aug. 7, 2018 (HealthDay News) -- The American Medical Association (AMA) has adopted several policies to improve the regulation of tobacco products, including electronic cigarettes (e-cigarettes), according to an article published in the association's AMA Wire.

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Many Youths Believe Gun Control Would Decrease Mass Shootings

MONDAY, Aug. 6, 2018 (HealthDay News) -- Most youths in a recent survey support the right to own guns, but the majority believe that gun control laws would reduce mass shootings, according to a research letter published online July 30 in JAMA Pediatrics.

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About Half of Child Caregivers Use Cellphones While Driving

MONDAY, Aug. 6, 2018 (HealthDay News) -- Inconsistent use of a child restraint system and negligent use of a seat belt are associated with parent/caregiver cellphone use while driving children, according to a study published online July 12 in The Journal of Pediatrics.

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Rifampin Effective for Latent Tuberculosis in Children

MONDAY, Aug. 6, 2018 (HealthDay News) -- In children with latent tuberculosis, a regimen of four months of rifampin has better rates of completion than nine months of isoniazid, with similar safety profiles, according to a study published in the Aug. 2 issue of the New England Journal of Medicine.

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Cohesive Teams Can Help Blend Clinical Care With Education

MONDAY, Aug. 6, 2018 (HealthDay News) -- Building cohesive teams in teaching clinics can help blend clinical care with education for residents, according to an article published in the American Medical Association's AMA Wire.

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Parent-Child Interactive Intervention Cuts Depression

FRIDAY, Aug. 3, 2018 (HealthDay News) -- An intervention targeting depression in very young children can be effective in community settings, according to a study published online June 20 in The American Journal of Psychiatry.

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Variation in Specialty Drug Coverage Across Health Plans

FRIDAY, Aug. 3, 2018 (HealthDay News) -- There is considerable variation in specialty drug coverage across commercial health plans, according to a study published in the July issue of Health Affairs.

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Some Bacteria Now More Tolerant of Alcohol-Based Sanitizers

FRIDAY, Aug. 3, 2018 (HealthDay News) -- Some types of bacteria are developing tolerance of alcohol-based hand sanitizers used in hospitals, according to a study published in the Aug. 1 issue of Science Translational Medicine.

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Doctors Can Help Children, Teens Adhere to Eczema Treatment Plan

FRIDAY, Aug. 3, 2018 (HealthDay News) -- Physicians can create an adherence protocol for patients, particularly children and teens, receiving treatment for atopic dermatitis, according to an article published in Dermatology Times.

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Doctors Key in Care Coordination for Pediatric Inpatients

FRIDAY, Aug. 3, 2018 (HealthDay News) -- Pediatricians have an important role to play in the coordination of care for hospitalized children, according to a clinical report published in the August issue of Pediatrics.

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Federal Parity Tied to Lower Out of Pocket Mental Health Spending

FRIDAY, Aug. 3, 2018 (HealthDay News) -- Federal parity under the Mental Health Parity and Addiction Equity Act (MHPAEA) is associated with lower average annual out-of-pocket (OOP) mental health spending among children with mental health conditions, according to a study published in the August issue of Pediatrics.

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Groups Urge CMS to Reconsider Suspending Risk Adjustment

FRIDAY, Aug. 3, 2018 (HealthDay News) -- In a letter sent to Administrator Seema Verma of the Centers for Medicare & Medicaid Services (CMS), medical organizations are urging reconsideration of the decision to suspend payments to insurers as required under the Affordable Care Act's risk-adjustment program.

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Health Affairs Announces Launch of New Three-Year Initiative

THURSDAY, Aug. 2, 2018 (HealthDay News) -- A council on health care spending and value has been established by the journal Health Affairs.

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Three Financial Metrics Can Improve Practice Performance

THURSDAY, Aug. 2, 2018 (HealthDay News) -- By understanding three indices and metrics, physicians can change the financial outcome of their medical practice, according to a report published in Medical Economics.

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CDC: Salmonella Outbreaks in 44 States Linked to Backyard Poultry

THURSDAY, Aug. 2, 2018 (HealthDay News) -- At least 212 people in 44 states have been sickened in Salmonella outbreaks linked to contact with live poultry in backyard flocks, according to the U.S. Centers for Disease Control and Prevention.

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AMA Calls for Alleviating Racial Housing Segregation

THURSDAY, Aug. 2, 2018 (HealthDay News) -- The American Medical Association (AMA) opposes policies that enable racial housing segregation, according to an article published in the association's AMA Wire.

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New York City 2013 Measles Outbreak Proved Costly

THURSDAY, Aug. 2, 2018 (HealthDay News) -- Vaccine refusals and delays, particularly in young children, fueled a large measles outbreak following importation of a case into the United States, according to a study published online July 30 in JAMA Pediatrics.

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New Short-Term Health Plans Have Large Coverage Gaps

THURSDAY, Aug. 2, 2018 (HealthDay News) -- There are large coverage gaps in short-term health plans that were approved Wednesday by the Trump administration, and are described by critics as "junk insurance."

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How Doctors Receive Feedback Is Key for Antimicrobial Programs

THURSDAY, Aug. 2, 2018 (HealthDay News) -- Anticipation of how providers will receive feedback is important for antimicrobial stewardship programs to consider in informing educational messaging, according to a study published online June 7 in Infection Control & Hospital Epidemiology.

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Summer Sounds Can Cause Hearing Damage

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- The sounds of summer can cause hearing damage, warn experts from Penn State University.

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Alcohol Exposure Via Breastmilk May Affect Infant Development

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- Exposing infants to alcohol through breastfeeding may reduce their cognitive ability at age 6 to 7 years, according to a study published online July 30 in Pediatrics.

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National Guideline Clearinghouse Offline Due to Funding Cuts

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- The National Guideline Clearinghouse (NGC) and National Quality Measures Clearinghouse (NQMC) websites were taken down on July 16 when funding for these federal databases ended, according to an announcement by the Agency for Healthcare Research and Quality (AHRQ).

Announcement
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Dog's Saliva Caused Bacterial Infection Leading to Amputations

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- A Wisconsin man had his lower legs and hands amputated after developing a rare blood infection caused by bacteria in dog saliva.

Washington Post Article
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Update on Salmonella Outbreak Tied to Hy-Vee Spring Pasta Salad

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- A Salmonella outbreak linked to Hy-Vee Spring Pasta Salad has now sickened 79 people in nine states. Eighteen people have been hospitalized. No deaths have been reported, the U.S. Centers for Disease Control and Prevention says.

FDA Recall Notice
CDC Food Safety Alert

Steps Can Be Taken by Doctors to Minimize Risk of Lawsuits

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- Targeted steps can be taken to minimize future risks of lawsuits, according to an article published in Physicians Practice.

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Pediatric Ward Noise at Night Exceeds Recommended Levels

WEDNESDAY, Aug. 1, 2018 (HealthDay News) -- Children and their mothers have poorer quality sleep in pediatric hospital wards than they do at home, and this may be due to significantly raised sound levels in the hospital, according to a study published online July 17 in the Archives of Disease in Childhood.

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