December 2014 Briefing - Pediatrics

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Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for December 2014. 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.

Novel Mutation in Leptin Gene Tied to Early-Onset Obesity

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- A mutation in the gene encoding leptin (LEP) resulting in biologically inactive leptin can cause early-onset extreme obesity, according to a brief report published in the Jan. 1 issue of the New England Journal of Medicine.

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Gender Influences Opioid-Related Adverse Effects in Children

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- For children undergoing tonsillectomy, sex influences opioid-related adverse effects, according to a study published online Dec. 17 in Pain Medicine.

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AMA Identifies Top 10 Issues That Affected Docs in 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- The top 10 issues that affected physicians in 2014 include many regulatory issues relating to Medicare and data release, as well as health issues such as overprescribing of antibiotics and the Ebola crisis, according to a report published by the American Medical Association (AMA).

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A/BPO + Doxycycline Effective Alternative for Severe Acne

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Oral doxycycline plus adapalene/benzoyl peroxide (D+A/BPO) gel is an effective alternative to oral isotretinoin (ISO) for the treatment of severe nodular acne, according to a study published in the December issue of the British Journal of Dermatology.

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Ebola, ACA, VA Scandal Top U.S. Health News for 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- It started as a deadly but little-known outbreak in West Africa, but the lethal and unchecked spread of the Ebola virus dominated U.S. headlines for much of 2014, making it one of the year's top health news features.

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Vaccination Hesitancy in Israel's 2013 Polio Outbreak Explored

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Factors associated with understanding of vaccination and contextual factors can impact parents' willingness to vaccinate their children in cases of disease outbreak, according to a study published online Dec. 12 in the Journal of Risk Research.

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Vancomycin Linked to Kidney Damage in Children

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Treating children who have drug-resistant bacterial infections with high doses of the antibiotic vancomycin may raise the risk of kidney damage, with greater risk at higher doses, according to research published in the December issue of the Annals of Pharmacotherapy.

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CDC: Influenza Has Hit Epidemic Status in U.S.

TUESDAY, Dec. 30, 2014 (HealthDay News) -- The flu has reached epidemic levels in the United States, with 15 child mortalities so far this season, the federal Centers for Disease Control and Prevention reported Tuesday.

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Surgeon General Still Has Important Role to Play

TUESDAY, Dec. 30, 2014 (HealthDay News) -- The Surgeon General has an important role in educating and mobilizing the public and shaping policy on public health issues, according to an ideas and opinions piece published online Dec. 30 in the Annals of Internal Medicine.

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Lean/Six Sigma Advances Pediatric Patient Discharges

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Incorporating Lean/Six Sigma (LSS) practices can advance pediatric patient discharges, according to research published online Dec. 8 in the Journal of Hospital Medicine.

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Features of Microdirect Laryngoscopy, Bronchoscopy ID'd

MONDAY, Dec. 29, 2014 (HealthDay News) -- Neonates undergoing microdirect laryngoscopies and bronchoscopies (MLB) most often present with respiratory distress and stridor, according to research published online Dec. 18 in JAMA Otolaryngology-Head & Neck Surgery.

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AAP: Best Practices for Improving ER Flow for Pediatric Patients

MONDAY, Dec. 29, 2014 (HealthDay News) -- Best practices for improved flow and care for pediatric patients in the emergency department are discussed in a technical report published online Dec. 29 in Pediatrics.

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Most Office-Based Pediatricians Use Electronic Health Records

MONDAY, Dec. 29, 2014 (HealthDay News) -- Most pediatricians use electronic health records (EHRs), yet there are unique obstacles that prevent pediatricians from participating in meaningful use (MU) incentive programs, according to findings published online Dec. 29 in Pediatrics.

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2015 Medicare Fee Schedule Offers Payment for Chronic Care

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- The 2015 Medicare Fee Schedule includes a Current Procedural Terminology Code that pays for clinical staff time for developing and implementing a care plan for patients with two or more chronic conditions, according to an article published Dec. 18 in Medical Economics.

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No Mortality Benefit for Longer Cooling, Deeper Cooling in NICU

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- For full-term neonates with moderate or severe hypoxic ischemic encephalopathy, longer cooling, deeper cooling, or both do not reduce neonatal intensive care unit (NICU) death, according to a study published in the Dec. 24/31 issue of the Journal of the American Medical Association.

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Enhanced Medical Home Benefits Children With Chronic Illness

TUESDAY, Dec. 23, 2014 (HealthDay News) -- For high-risk children with chronic illness, an enhanced medical home providing comprehensive care is associated with reductions in serious illnesses and costs, according to a study published in the Dec. 24/31 issue of the Journal of the American Medical Association.

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Increased Health Care Use With Concussion Legislation

TUESDAY, Dec. 23, 2014 (HealthDay News) -- Legislation outlining the medical care of children and adolescents with concussion correlates with increased health care utilization rates, according to research published online Dec. 22 in JAMA Pediatrics.

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Many States Slow to Update Preparticipation Physical Exams

MONDAY, Dec. 22, 2014 (HealthDay News) -- Many states have been slow to adopt preparticipation physical evaluation-fourth edition (PPE-4) recommendations, according to a study published online Dec. 22 in Pediatrics.

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New Recs Advise Annual Eye Exam for Preschool Children

FRIDAY, Dec. 19, 2014 (HealthDay News) -- All children should have an eye exam between the ages of 3 and 6, preferably every year, according to new vision-screening recommendations for preschool-aged children published online Dec. 11 in Optometry and Vision Science.

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Tips Offered to Docs, Spouses for Maintaining Happy Marriage

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Simple tips can help physicians and their spouses maintain marital happiness, according to an article published in the American Medical Association (AMA) Alliance magazine Physician Family.

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Risks ID'd for Referral-Warranted Retinopathy of Prematurity

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Predictors have been identified for referral-warranted (RW)-retinopathy of prematurity (ROP), according to research published online Dec. 18 in JAMA Ophthalmology.

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CDC: Measles Cases at Airport Highlight Ease of Transmission

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Traveling through the same U.S. airport gate, one infected passenger transmitted the measles virus to three others within a four-hour time span, illustrating just how easily the virus can spread. These findings were reported in the Dec. 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: Not Too Late, or Too Futile, to Get Flu Vaccine

FRIDAY, Dec. 19, 2014 (HealthDay News) -- The flu is starting to tighten its grip on much of the United States, particularly in the South and Midwest, according to a report published in the Dec. 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report. And more than half of the flu infections examined so far have been caused by influenza A H3N2, which appears to have mutated from the H3N2 strain included in this year's flu vaccine.

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FDA Approves Xtoro for Acute Otitis Externa

THURSDAY, Dec. 18, 2014 (HealthDay News) -- Xtoro (finafloxacin otic suspension) eardrops have been approved by the U.S. Food and Drug Administration to treat acute otitis externa.

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Patient Reminders Needed on Inhaler, Epinephrine Use

THURSDAY, Dec. 18, 2014 (HealthDay News) -- Few people know how to use epinephrine injectors and asthma inhalers as directed, according to a new study published in the January issue of the Annals of Allergy, Asthma & Immunology.

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Study Explores Effects of Metformin in Obese Children

THURSDAY, Dec. 18, 2014 (HealthDay News) -- For obese hyperinsulinemic children, metformin seems to decrease perceived hunger and increase perceived fullness, according to a study published online Dec. 8 in Diabetes, Obesity and Metabolism.

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Internal Carotid Artery Tear Seen in Child After Roller-Coaster Ride

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Frequenting roller-coaster rides may lead to intimal tears within the cervical internal carotid artery (ICA), according to a case report published online Nov. 26 in Pediatric Neurology.

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Digital Self-Scheduling Set to Increase Considerably by 2019

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Digital self-scheduling is set to increase considerably in the next five years, according to a report published by Accenture.

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Hospital Staff Say 'Crisis Mode' Obstructs Communication

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Staff members who perceive a work climate of crisis mode in their hospital units say that it leads to problems in exchanging patient information, according to research published online Dec. 10 in the Journal of Hospital Medicine.

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Challenges ID'd in Development of the Physician Compare Website

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Under the Affordable Care Act (ACA), information must be made available to allow the public to compare physicians, although there are considerable challenges surrounding the development of the physician performance website, Physician Compare. These challenges are addressed in a health policy brief published online Dec. 11 in Health Affairs.

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An Estimated 2,000 ER Visits Due to Indoor Tanning in 2012

TUESDAY, Dec. 16, 2014 (HealthDay News) -- The first national estimates of indoor tanning-related injuries treated in U.S. hospital emergency departments have been calculated, according to the authors of a research letter published online Dec. 15 in JAMA Internal Medicine.

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FDA OKs First Newborn Screening Test for Rare Immune Disorder

TUESDAY, Dec. 16, 2014 (HealthDay News) -- The first test to screen for severe combined immunodeficiency (SCID) in newborns has been approved by the U.S. Food and Drug Administration.

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Physicians Reminded of Ethical Obligations Regarding Torture

TUESDAY, Dec. 16, 2014 (HealthDay News) -- With the issuing of the new U.S. Senate report on interrogations, the American Medical Association (AMA) is reminding physicians of their ethical obligations relating to torture and interrogation.

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Support for Electronic Health Information Varies With Use

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Consent and purpose are important for public support of secondary uses of electronic health information, according to a study published in the Dec. 16 issue of the Annals of Internal Medicine.

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Potential Drug Interactions Common in Peds Hospitalizations

MONDAY, Dec. 15, 2014 (HealthDay News) -- Among 498,956 children and teenagers who were hospitalized in 2011, 49 percent were given combinations of drugs that could have potential interactions, according to a new study published online Dec. 15 in Pediatrics.

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Methylphenidate Use Tied to Fewer Injuries in Kids With ADHD

MONDAY, Dec. 15, 2014 (HealthDay News) -- Taking medication for attention-deficit/hyperactivity disorder (ADHD) might reduce the risk of young patients accidentally injuring themselves, new research suggests. The findings, published online Dec. 15 in Pediatrics, applied to both girls and boys.

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Physicians Should Scrutinize Job Offers Before Accepting

MONDAY, Dec. 15, 2014 (HealthDay News) -- Physicians should scrutinize job offers and pay attention to specific issues before accepting a job, according to an article published Dec. 3 in Medical Economics.

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Patchwork State Coverage for Pediatric Essential Health Benefit

MONDAY, Dec. 15, 2014 (HealthDay News) -- A state-by-state benchmark plan approach results in a patchwork of coverage for the Affordable Care Act's (ACA) pediatric essential health benefit, according to research published in the December issue of Health Affairs.

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Gene-Environment Connection Seen in Peanut Allergy Study

MONDAY, Dec. 15, 2014 (HealthDay News) -- Infants of a particular generation born in Australia to Asian-born parents appeared to have an increased risk of peanut allergy compared with those of Australian-born parents, according to research published in the December issue of Allergy.

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Webcast Scheduled to Discuss Maintenance of Certification

MONDAY, Dec. 15, 2014 (HealthDay News) -- New data relating to Maintenance of Certification (MOC) will be discussed in a free webcast to be held Dec. 17 by the Journal of the American Medical Association (JAMA).

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Cobalamin Defects Can Explain Neurologic Regression in Children

MONDAY, Dec. 15, 2014 (HealthDay News) -- Cobalamin defects can account for neurologic regression in healthy children, according to a case report published online Dec. 15 in Pediatrics.

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More Young Adults Getting Preventive Care Since ACA

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Significantly more 19- to 25-year-olds are getting preventive care, including routine checkups, blood pressure measurement, and dental care since the Affordable Care Act went into effect in the United States, according to a research letter published in the Dec. 11 issue of the New England Journal of Medicine.

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Tips Offered for Docs to Manage Their Online Reputation

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Physicians can manage their online reputation, according to a report from the American Medical Association (AMA).

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Economics Impact Pediatric Sleep-Disordered Breathing Care

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Children newly evaluated for sleep-disordered breathing (SDB) with public insurance experience longer intervals from initial evaluation to polysomnography or adenotonsillectomy, according to a study published online Dec. 11 in JAMA Otolaryngology-Head & Neck Surgery.

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CDC: PCPs to Inform Families of Sickle Cell Trait in Newborns

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Primary care providers should offer educational materials and provide genetic counseling to families when they receive positive results for sickle cell trait (SCT) at the time of newborn screening, according to a report published in the Dec. 12 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: Many Patients Still Need to Get 2014-2015 Flu Vaccine

THURSDAY, Dec. 11, 2014 (HealthDay News) -- Fewer than half of Americans have gotten a flu vaccine so far this flu season, which might be a bad sign for a season that could be potentially severe, according to a Dec. 11 report from the U.S. Centers for Disease Control and Prevention.

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Researchers Estimate Number of Nevi Biopsied in U.S. Children

THURSDAY, Dec. 11, 2014 (HealthDay News) -- During 2009 through 2013, there were an estimated 2,007,423 biopsies of nevi among children in the United States, according to a research letter published online Dec. 10 in JAMA Dermatology.

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Guidelines Developed for Use of Adjunct Tx in Atopic Dermatitis

THURSDAY, Dec. 11, 2014 (HealthDay News) -- For patients with atopic dermatitis, adjunctive and complementary therapies are available, although evidence is limited for many of these approaches, according to guidelines published in the December issue of the Journal of the American Academy of Dermatology.

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More Students Enrolling in U.S. Medical Schools

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- More students are enrolling in medical schools, and enrollees are more diverse than before, according to a report from the Association of American Medical Colleges (AAMC) published by the American Medical Association (AMA).

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FDA Approves Gardasil for Additional Types of HPV

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- The Gardasil 9 vaccine has been approved by the U.S. Food and Drug Administration to treat five additional types of human papillomavirus (HPV), the FDA said Wednesday.

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More Docs, Patients Not Speaking Same Language

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- People applying to become medical residents in the United States speak a wide range of non-English languages, but many aren't the languages spoken by patients with limited English skills, according to a research letter published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Number of Free Clinics Run by Medical Students Has Doubled

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- The number of medical student-run free clinics at U.S. medical schools has doubled in the last decade, according to a research letter published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Higher Paid Docs Earn More Money From More Procedures

TUESDAY, Dec. 9, 2014 (HealthDay News) -- High-income doctors make more money by ordering more procedures for each patient rather than by seeing more patients, according to an analysis of 2012 Medicare data published in a research letter Dec. 8 in JAMA Internal Medicine.

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Work-Hour Restrictions Have Not Improved Outcomes

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Reducing medical residents' work hours hasn't improved mortality rates, hospital readmission rates, or outcomes of surgery, according to two new studies published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Docs Trained in High-Cost Areas Practice More Costly Medicine

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Doctors who were trained in high-cost areas of the United States may be more likely to practice expensive medicine, a new study suggests; however, that effect gradually decreases over time. The study was published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Long-Term Effect of Gestational Diabetes Treatment Uncertain

MONDAY, Dec. 8, 2014 (HealthDay News) -- The effects of treatment of mild gestational diabetes mellitus (GDM) on long-term child health are unclear, according to research published online Nov. 20 in Diabetes Care.

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Antibiotic Stewardship Programs in Children's Hospitals Effective

MONDAY, Dec. 8, 2014 (HealthDay News) -- Formalized antibiotic stewardship programs (ASPs) effectively reduce antibiotic prescribing in children's hospitals, according to research published online Dec. 8 in Pediatrics.

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Hard Hit to Chest Triggered A-Fib in Teen Football Player

MONDAY, Dec. 8, 2014 (HealthDay News) -- A hard hit to the chest during a football game resulted in three days of an irregular heart rhythm for a 16-year-old player, researchers report in a new case study.

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CDC: Flu Vaccine May Offer Less Protection This Winter

FRIDAY, Dec. 5, 2014 (HealthDay News) -- The H3N2 strain of influenza appears to be circulating most widely this season, and in the past, death rates from H3N2 have been more than double that of other flu strains, according to officials from the U.S. Centers for Disease Control and Prevention. In addition, about half of the H3N2 viruses detected by CDC researchers so far appear to have mutated, and have genetically "drifted" away from the virus strain included in this year's flu vaccine.

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CDC: California Infants Hit Hard by Pertussis Epidemic

FRIDAY, Dec. 5, 2014 (HealthDay News) -- In what state health officials are calling the worst outbreak in 70 years, 9,935 cases of pertussis were diagnosed between Jan. 1 and Nov. 26. That translated into 26 cases per 100,000 people, according to research published in the Dec. 5 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Vitamin D Deficiency Ups Odds of Asthma Exacerbation

FRIDAY, Dec. 5, 2014 (HealthDay News) -- Vitamin D deficiency is associated with increased odds of asthma exacerbations, according to a study published in the December issue of Allergy.

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Interdisciplinary Care Can Cut Costs in Peds Aerodigestive Care

FRIDAY, Dec. 5, 2014 (HealthDay News) -- An interdisciplinary approach to pediatric aerodigestive disorders can reduce health care costs and exposure to anesthesia, according to research published online Dec. 4 in JAMA Otolaryngology-Head & Neck Surgery.

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AMA: Social Determinants of Health to Be Taught in Med School

THURSDAY, Dec. 4, 2014 (HealthDay News) -- A new policy implemented by the American Medical Association (AMA) supports integrating more training on the social determinants of health into undergraduate medical education, according to a report published by the AMA.

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Racial Disparity Seen With Congenital Heart Surgery

THURSDAY, Dec. 4, 2014 (HealthDay News) -- There are poorer medical outcomes in black and Hispanic patients undergoing surgical intervention for congenital heart disease, although mortality is not increased, according to a study published in the Dec. 1 issue of the American Journal of Cardiology.

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FDA: New Rx Label Rules to Better Inform Pregnant Women

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- A new labeling system should give women and their doctors clearer information on the risks and benefits of prescription medicines when taken during pregnancy and breastfeeding, the U.S. Food and Drug Administration said Wednesday.

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Childhood Obesity Prevention Programs Impact LDL-C, HDL-C

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Childhood obesity prevention programs are beneficial for low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C), according to a systematic review and meta-analysis published in the December issue of Obesity Reviews.

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CDC Releases Draft Guidelines Endorsing Circumcision

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention on Tuesday released draft guidelines on circumcision that recommend doctors counsel parents and uncircumcised males on the health benefits of the procedure.

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Parents May Need Reminders on Toddler Safety

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Toddlers seen in the emergency department after falls at home are more likely to have parents who do not use safety gates or teach their children not to climb onto kitchen counters or furniture, according to a new study published online Dec. 1 in JAMA Pediatrics.

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Too Much Patient Care Tied to Faculty Members' Intent to Leave

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Spending "far too much/too much" time/effort on patient care is associated with increased intent to leave the institution, according to research published in Academic Medicine.

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AMA: Address Patient Misconceptions for Evidence-Based Care

MONDAY, Dec. 1, 2014 (HealthDay News) -- Patient misconceptions should be addressed in order to practice evidence-based medicine and leave patients feeling satisfied, according to a report published by the American Medical Association (AMA).

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Doctor Discusses Ways to Keep Morale in Medicine High

MONDAY, Dec. 1, 2014 (HealthDay News) -- Despite the many frustrations for doctors in medical practice, there are ways to keep morale high, according to an article published Nov. 20 in Medical Economics.

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CDC: Babies Still Sleeping With Soft Bedding Despite SIDS Risk

MONDAY, Dec. 1, 2014 (HealthDay News) -- Although soft bedding has been linked to an increased risk of sudden infant death syndrome (SIDS), more than half of American parents continue to use such bedding for their sleeping babies, according to a study published online Dec. 1 in Pediatrics.

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Experts Provide Guidance for Renal Masses in Pediatrics

MONDAY, Dec. 1, 2014 (HealthDay News) -- Renal tumors are rare in the pediatric population, and uncertainty surrounding pathology complicates management, according to a state-of-the-art review article published online Dec. 1 in Pediatrics.

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Pediatricians Should Disclose Errors to Patients, Parents

MONDAY, Dec. 1, 2014 (HealthDay News) -- Pediatric physicians should disclose their errors to patients and their families, according to an ethics rounds paper published online Dec. 1 in Pediatrics.

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Many Physicians Report Their Incomes Have Plateaued

MONDAY, Dec. 1, 2014 (HealthDay News) -- Many physicians report that their personal income has not changed since last year, according to the results of the Physicians Practice 2014 Physicians Compensation Survey.

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