June 2015 Briefing - Pediatrics

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

Three Issues to Consider Before Selecting EHR

TUESDAY, June 30, 2015 (HealthDay News) -- Work flow, features and functionality, and technical infrastructure should all be considered in advance of selecting an electronic heath record (EHR) system, according to an article published in Medical Economics.

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Patients Want Online Access to Physicians, Health Records

TUESDAY, June 30, 2015 (HealthDay News) -- Internet-savvy Americans would like to add their doctors to their group of Facebook friends or e-mail contacts, according to a study published online June 24 in the Journal of General Internal Medicine.

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Physician-Provided Oral Health Services Cut Dental Caries

TUESDAY, June 30, 2015 (HealthDay News) -- For kindergarten students, physician-based comprehensive preventive oral health services (POHS) are associated with a reduction in caries, but no improvement in subsequent use of dental treatment, according to a study published online June 29 in Pediatrics.

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AAP Evaluates Potential Impact of Telemedicine in Pediatrics

MONDAY, June 29, 2015 (HealthDay News) -- Telemedicine can address access and physician workforce shortages and should be encouraged within the framework of the medical home, according to a policy statement issued by the American Academy of Pediatrics (AAP) and published online June 29 in Pediatrics.

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U.S. Children Experience High Rates of Assault, Abuse

MONDAY, June 29, 2015 (HealthDay News) -- More than one-third of U.S. children and adolescents have been physically assaulted -- mostly by siblings and peers -- in the past year, and one in 20 children have been physically abused by a parent or another caregiver in the same time period. These findings were published online June 29 in JAMA Pediatrics.

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AMA Discusses Pre-Retirement Evaluation for Aging Doctors

MONDAY, June 29, 2015 (HealthDay News) -- Issues relating to physician retirement and evaluation of aging physicians before retirement are discussed in a Council on Medical Education report published by the American Medical Association (AMA).

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Maternal Hyperglycemia Not Linked to Obesity in Offspring

MONDAY, June 29, 2015 (HealthDay News) -- Maternal hyperglycemia seems not to be a risk factor for obesity in offspring aged 5 to 7 years after adjustment for maternal body mass index (BMI), according to a study published online June 19 in Diabetes Care.

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Surgery May Help Adolescents With Frequent Migraines

MONDAY, June 29, 2015 (HealthDay News) -- Migraine surgery may be an effective choice for adolescents who haven't gotten relief from standard treatment, a small study suggests. The findings were published in the June issue of Plastic and Reconstructive Surgery.

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H3N2 Mutation to Blame for Low Efficacy of 2014-15 Flu Vaccine

MONDAY, June 29, 2015 (HealthDay News) -- A mutation in the H3N2 virus led to a mismatch between it and the H3N2 strain used to create the 2014-2015 vaccine, according to research published June 25 in Cell Reports.

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U.S. Dietary Guidelines Will No Longer Focus on Fat

MONDAY, June 29, 2015 (HealthDay News) -- Nutrition experts are supporting a federal decision to drop recommended restrictions on total fat consumption in the forthcoming 2015 Dietary Guidelines for Americans.

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Teens Unfamiliar With Harms of Marijuana, E-Cigarettes

FRIDAY, June 26, 2015 (HealthDay News) -- Adolescents are not receiving the message that marijuana or electronic cigarettes might harm their health, new research suggests. The findings were published online June 23 in the Journal of Adolescent Health.

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SCOTUS Upholds Subsidies for Affordable Care Act

FRIDAY, June 26, 2015 (HealthDay News) -- The U.S. Supreme Court upheld on Thursday the legality of tax subsidies for millions of Americans who signed up for health insurance under the Affordable Care Act.

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Vitamin B12 Alters Transcriptome of Skin Microbiota

THURSDAY, June 25, 2015 (HealthDay News) -- Vitamin B12 modulates the transcriptional activities of skin bacteria, and supplementation of the vitamin promotes production of inflammatory porphyrins, suggesting a novel bacterial pathogenesis pathway in acne, according to new research. The findings were published in the June 24 issue of Science Translational Medicine.

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Prenatal Exposure to H2 Blockers, PPIs Ups Asthma Risk

THURSDAY, June 25, 2015 (HealthDay News) -- Prenatal exposure to H2 blockers (H2Bs) or proton pump inhibitors (PPIs) is associated with a small but significantly increased risk of asthma in offspring, according to a study published online June 20 in the Journal of Clinical Pharmacology.

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Edible Cannabis Products Often Mislabeled

WEDNESDAY, June 24, 2015 (HealthDay News) -- Most edible cannabis products sampled in three major U.S. cities are mislabeled, often containing more or less active ingredient than indicated on the packaging, according to a report published in the June 23/30 issue of the Journal of the American Medical Association.

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Even Slightly Elevated BP May Pose Problems for Young Adults

WEDNESDAY, June 24, 2015 (HealthDay News) -- Young adults with even slightly elevated blood pressure may be at risk of cardiac dysfunction later in life, according to a new study published in the June 30 issue of the Journal of the American College of Cardiology.

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In Teens, Sedentary Behavior Independently Tied to Adiposity

WEDNESDAY, June 24, 2015 (HealthDay News) -- For adolescents, sedentary behavior is associated with markers of adiposity, independent of dietary intake, according to a systematic review published online June 22 in Obesity Reviews.

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Too Much Sitting Linked With Higher Risk of Anxiety

TUESDAY, June 23, 2015 (HealthDay News) -- People who spend much of their day sitting may be more likely to feel anxious, a new review suggests. The findings were published online June 19 in BMC Public Health.

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Acid Suppression Medications Up C. difficile Risk in Children

TUESDAY, June 23, 2015 (HealthDay News) -- Use of acid suppression medication is associated with increased risk of Clostridium difficile infection (CDI) in infants and children, according to a study published online June 9 in Clinical Infectious Diseases.

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Islet Transplantation Safe, Efficient in Five-Year Follow-Up

MONDAY, June 22, 2015 (HealthDay News) -- Islet transplantation seems safe and efficient for restoring glycemic control in type 1 diabetes, according to research published online June 11 in Diabetes Care.

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Medical Identity Theft Incidents Increasing

MONDAY, June 22, 2015 (HealthDay News) -- Medical identity theft is on the rise, costly to consumers, and challenging to resolve, according to the fifth annual report published by the Ponemon Institute.

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Pre-Op Workshop Cuts Post-Op Maladaptive Behaviors in Kids

FRIDAY, June 19, 2015 (HealthDay News) -- A preoperative preparation workshop can reduce postoperative maladaptive behaviors (POMBs) in children, according to a study published online June 12 in Pediatric Anesthesia.

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Caution in Social Media Age: Self-Promotion Can Backfire

FRIDAY, June 19, 2015 (HealthDay News) -- In a series of experiments, researchers found that people who self-promote often offend others. The study was published in the June issue of Psychological Science.

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Summer Spurs Calls to Poison Centers

FRIDAY, June 19, 2015 (HealthDay News) -- The wet spring in many parts of the United States has led to mold and mildew in some homes and, as a result, an increase in the use of bleach. As a result, calls about bleach exposure are on the rise this summer, the Nebraska Regional Poison Center says.

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Hundreds Arrested Nationwide for Medicare/Medicaid Fraud

FRIDAY, June 19, 2015 (HealthDay News) -- Hundreds of people have been charged after health care fraud sweeps were made across the United States, the federal government said Thursday.

Health Highlights: June 19, 2015

FDA Cracks Down on Online Sale of Illegal Medical Products

FRIDAY, June 19, 2015 (HealthDay News) -- The U.S. Food and Drug Administration, along with international partners, moved this week against more than 1,050 websites that sell potentially dangerous counterfeit medicines and medical devices, the agency said Thursday.

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Virtual Credit Card Fees Amount to 3 to 5 Percent of Payments

THURSDAY, June 18, 2015 (HealthDay News) -- Payment with virtual credit cards (VCCs) is associated with considerable fees, although physicians are often unaware of these charges, according to the American Medical Association (AMA).

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Community-Acquired Pneumonia Confers Long-Term Risk

THURSDAY, June 18, 2015 (HealthDay News) -- Community-acquired pneumonia (CAP) is associated with increased risk of long-term adverse events, according to a study published online June 11 in the American Journal of Respiratory and Critical Care Medicine.

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Mutations in DOCK2 ID'd in Early-Onset Invasive Infections

THURSDAY, June 18, 2015 (HealthDay News) -- Biallelic mutations in the dedicator of cytokinesis 2 gene (DOCK2) have been identified in children with early-onset severe infections, autoimmunity, or both, according to a study published in the June 18 issue of the New England Journal of Medicine.

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TNF Inhibitors May Not Modify Polyarticular JIA Disease Process

THURSDAY, June 18, 2015 (HealthDay News) -- For children with polyarticular juvenile idiopathic arthritis (JIA), discontinuing medications is challenging, with high relapse rates, especially after discontinuation of tumor necrosis factor inhibitor (TNFi) therapy, according to a study published in the May issue of Arthritis Care & Research.

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Antibiotics May Be Enough for Some Appendicitis Patients

WEDNESDAY, June 17, 2015 (HealthDay News) -- Although surgical removal of the appendix has long been a standard treatment, new research suggests that almost three-quarters of people treated with antibiotics could be spared appendectomy. The findings were published in the June 16 issue of the Journal of the American Medical Association.

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FDA: Food Manufacturers Have 3 Years to Remove Trans Fats

TUESDAY, June 16, 2015 (HealthDay News) -- In a move that it says is designed to protect the heart health of Americans, the U.S. Food and Drug Administration said Tuesday that food manufacturers have three years to remove artificial trans fats from the nation's food supply.

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Daily Water Intake Not Adequate for Many U.S. Children

TUESDAY, June 16, 2015 (HealthDay News) -- Many American children and teens aren't consuming enough liquids -- especially water -- and that lack of hydration could affect their physical and mental health, according to a study published online June 11 in the American Journal of Public Health.

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Direct Messaging Not Yet Widely Adopted by Physicians

TUESDAY, June 16, 2015 (HealthDay News) -- Direct secure messaging (Direct), which is a standardized protocol for exchanging clinical messages and attachments, has not been widely adopted by physicians, despite its potential for improving care coordination, according to an article published in Medical Economics.

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Review Examines Inappropriate Prescribing of IV Fluids

TUESDAY, June 16, 2015 (HealthDay News) -- Inappropriate prescribing of intravenous (IV) fluids most often involves incorrect volumes and types of IV fluids prescribed, according to a review published online June 11 in the Journal of Clinical Pharmacy and Therapeutics.

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Article Weighs Paying Off Student Loans Versus Investment

MONDAY, June 15, 2015 (HealthDay News) -- Newly-minted physicians should consider the issues relating to paying off their loans versus investing for retirement, according to an article published in Medical Economics.

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Fewer Malocclusions Seen in Exclusively Breastfed Children

MONDAY, June 15, 2015 (HealthDay News) -- The more infants breastfeed, the less likely it is that they will develop any kind of misalignment in their teeth later on, but pacifiers can negate some of that potential benefit, according to a study published online June 15 in Pediatrics.

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ER Visits for Self-Harm Rising for U.S. Teens

MONDAY, June 15, 2015 (HealthDay News) -- Between 2009 and 2012, self-injuries accounted for a rising percentage of children's emergency department trips -- increasing from 1.1 to 1.6 percent of all visits, according to a study published online June 15 in Pediatrics.

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Risky Pot 'Dabbing' Method Growing in Popularity

MONDAY, June 15, 2015 (HealthDay News) -- A potentially hazardous form of marijuana use called "dabbing" is growing in popularity across the United States, according to an article published online June 15 in Pediatrics.

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Mindfulness Shows Promise in Eating Disorder Prevention

FRIDAY, June 12, 2015 (HealthDay News) -- Mindfulness may be a promising approach for prevention of eating disorders among adolescent girls, according to a study published online June 6 in the International Journal of Eating Disorders.

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CDC Advises U.S. Health Professionals to Be Alert for MERS

FRIDAY, June 12, 2015 (HealthDay News) -- Government officials are advising U.S. health professionals to be alert for signs and symptoms of Middle East respiratory syndrome (MERS) following an outbreak in South Korea.

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Poison Control Calls Up Steeply Due to Synthetic Cannabinoid

FRIDAY, June 12, 2015 (HealthDay News) -- Calls to poison centers for issues related to synthetic marijuana have risen more than 220 percent since last year, according to research published in the June 12 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Obesity Ups Risks in Pediatric Procedural Sedation

FRIDAY, June 12, 2015 (HealthDay News) -- For pediatric patients undergoing procedural sedation, obesity is associated with increased risk of adverse respiratory events and frequency of airway interventions, according to research published in the July issue of Pediatric Anesthesia.

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Physical Activity Inversely Tied to Hypoglycemia With Coma in T1DM

FRIDAY, June 12, 2015 (HealthDay News) -- For patients with type 1 diabetes, regular physical activity (PA) is beneficial for glycemic control, diabetes-linked comorbidities, and cardiovascular risk factors, without apparent increase in adverse events, according to a study published online May 26 in Diabetes Care.

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Some Graduating Seniors Not Matching to Residency Positions

THURSDAY, June 11, 2015 (HealthDay News) -- More than 250 of this year's graduating seniors from U.S. medical schools did not match to a residency position, according to the American Medical Association.

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Children With ADHD May Focus Better When Allowed to Fidget

THURSDAY, June 11, 2015 (HealthDay News) -- Children with attention-deficit/hyperactivity disorder (ADHD) often fidget, but new research suggests intense fidgeting may actually help them focus on the task at hand. The study was published online June 11 in Child Neuropsychology.

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Aerobic Exercise Tied to Improvement in Asthma

THURSDAY, June 11, 2015 (HealthDay News) -- Aerobic workouts may help ease asthma, according to a study published online June 10 in Thorax.

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Report Offers Guidance on Medical Ethics Education

WEDNESDAY, June 10, 2015 (HealthDay News) -- An analysis of the current state of medical ethics education in the United States has been published in the June issue of Academic Medicine. The article, the Romanell Report, also offers guidance to assist medial ethics educators in meeting expectations.

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Geographic Location Most Important for Residents

WEDNESDAY, June 10, 2015 (HealthDay News) -- For residents, the most important element in a future practice is geographic location, with lifestyle, adequate call hours and personal time, and a good financial package also cited as being important, according to the American Medical Association (AMA).

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Extra Time During MCAT Linked to Less Success in Med School

WEDNESDAY, June 10, 2015 (HealthDay News) -- Medical school applicants with Medical College Admission Test (MCAT) scores obtained with extra test administration time have lower rates of success in medical schools, according to a study published in the June 9 issue of the Journal of the American Medical Association.

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CDC: Seeking Those Exposed to Drug-Resistant Tuberculosis

WEDNESDAY, June 10, 2015 (HealthDay News) -- U.S. health authorities are trying to find anyone who may have had contact with a woman who has been diagnosed with a highly drug-resistant form of tuberculosis.

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One Vaccine Dose May Adequately Protect Against HPV

WEDNESDAY, June 10, 2015 (HealthDay News) -- One dose of the human papillomavirus (HPV) vaccine Cervarix could prevent as many cases of cervical cancer as the current two- and three-dose schedules, a new study contends. The findings were published online June 9 in The Lancet Oncology.

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Parental Age Factors Linked to Autism Risk

TUESDAY, June 9, 2015 (HealthDay News) -- Parents' ages may play a role in a child's risk of developing autism spectrum disorders (ASD), according to new research published online June 9 in Molecular Psychiatry.

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Rotavirus Vaccination Reduces Gastroenteritis Hospitalizations

TUESDAY, June 9, 2015 (HealthDay News) -- The widespread use of rotavirus vaccine has been very successful in the United States, according to a study published in the June 9 issue of the Journal of the American Medical Association.

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Analysis Targets U.S. Hospitals With Highest Markups

TUESDAY, June 9, 2015 (HealthDay News) -- The 50 U.S. hospitals with the highest charge-to-cost ratio have markups approximately 10 times the Medicare-allowable costs, and most of these hospitals are for profit, according to a study published in the June issue of Health Affairs.

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AMA Offers Guidance for Physician-Hospital Relationships

MONDAY, June 8, 2015 (HealthDay News) -- New guidelines can enable successful physician hospital relationships and integrated leadership, according to a report published by the American Medical Association (AMA).

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25(OH)D Inversely Linked to Arterial Stiffness in Some Teens

MONDAY, June 8, 2015 (HealthDay News) -- In lean adolescents and in obese adolescents with type 2 diabetes (T2DM), but not obese adolescents with normoglycemia, 25-hydroxyvitamin D (25[OH]D) is inversely associated with some measures of arterial stiffness, according to a study published online May 26 in Diabetes Care.

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Exposure to Guns, Knives Ups Trauma Symptoms in Children

MONDAY, June 8, 2015 (HealthDay News) -- More than one in four children in the United States are exposed to weapon-related violence -- as a victim or witness -- which increases their risk for mental health problems, according to research published online June 8 in Pediatrics.

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Misuse of Stimulants May Begin Earlier Than Expected

MONDAY, June 8, 2015 (HealthDay News) -- Misuse of prescription stimulant medications such as Ritalin and Adderall may begin at an earlier age than previously believed, according to research published in the July 1 issue of Drug and Alcohol Dependence.

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Pediatric Anesthesia Prior to Age 4 May Affect IQ Testing

MONDAY, June 8, 2015 (HealthDay News) -- Children who receive general anesthesia during surgery before they turn 4 years of age may later score slightly lower on listening comprehension and performance IQ, compared to children who had never had general anesthesia; however, overall IQ scores appear to remain within the normal range. These findings were published online June 8 in Pediatrics.

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CDC: Vaccine Production for 2015-16 Flu Season Underway

MONDAY, June 8, 2015 (HealthDay News) -- Having acknowledged that the 2014-15 flu vaccine was mismatched to the circulating influenza strains, U.S. health officials have strengthened next season's vaccine for broader protection.

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Special Diets, Supplements May Be Counterproductive in ASD

MONDAY, June 8, 2015 (HealthDay News) -- Special diets or supplements for children with an autism spectrum disorder (ASD) can leave children still deficient in some nutrients, such as calcium, according to new research. On the other hand, special diets and supplements can cause children to take in excessive amounts of other nutrients, such as vitamin A. These findings were reported online June 4 in the Journal of the Academy of Nutrition and Dietetics.

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CDC Guidelines Update Treatment, Management of STDs

MONDAY, June 8, 2015 (HealthDay News) -- New recommendations have been provided to update the 2010 guidelines on the treatment and management of sexually transmitted diseases (STDs). The 2015 guidelines are available online in the June 5 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Intervention Boosts Hospital Discharge Communication

FRIDAY, June 5, 2015 (HealthDay News) -- Implementation of standardized communication processes can improve the reliability of verbal communication between hospitalists and primary care physicians (PCPs) at hospital discharge, according to a study published online May 29 in the Journal of Hospital Medicine.

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CDC: Fewer Single Young Men Becoming First-Time Fathers

THURSDAY, June 4, 2015 (HealthDay News) -- Fewer unmarried American men are becoming first-time fathers, according to a June data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Interstate Medical Licensure Compact Formed

THURSDAY, June 4, 2015 (HealthDay News) -- Nine states have enacted the Interstate Medical Licensure Compact law, with the seventh state's enactment triggering formation of a commission to administer a process for physicians seeking licensure in multiple states, according to a report published by the American Academy of Family Physicians.

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Healthy Teens Exhibit Exercise-Induced Bronchoconstriction

THURSDAY, June 4, 2015 (HealthDay News) -- Healthy adolescents may have exercise-induced bronchoconstriction, according to a study published online April 24 in the Annals of the American Thoracic Society.

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Therapy Program Improves Teens' Diabetes, Depression

WEDNESDAY, June 3, 2015 (HealthDay News) -- The evidence-based family therapy program Behavioral Family Systems Therapy for Diabetes (BFST-D) improves both diabetes health outcomes and depressive symptoms among adolescents with type 1 diabetes, according to a study published online May 26 in Diabetes Care.

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Risk to Infant From SSRI Use in Late Pregnancy Deemed Small

TUESDAY, June 2, 2015 (HealthDay News) -- Infants born to mothers taking antidepressants in late pregnancy may be slightly more likely to develop persistent pulmonary hypertension of the newborn (PPHN), a new study suggests, but the risk is very small. The findings were published in the June 2 issue of the Journal of the American Medical Association.

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CDC: 1 in 5 U.S. Teens, Younger Adults Tested Recently for HIV

TUESDAY, June 2, 2015 (HealthDay News) -- Nearly one-fifth of teens and younger adults in the United States have been tested recently for HIV, federal health officials reported Tuesday.

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Review: Monitor Weight for Youth on Antipsychotics

TUESDAY, June 2, 2015 (HealthDay News) -- Youth prescribed antipsychotic medication should be monitored for exaggerated weight gain, and agents other than olanzapine, clozapine, and risperidone may be best in patients where obesity is a pre-existing concern, according to a review published online May 28 in Obesity Reviews.

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U.S. Organ Donation System Needs 'Disruptive Innovation'

TUESDAY, June 2, 2015 (HealthDay News) -- Many state policies meant to increase organ donations and transplant rates have had almost no impact, according to new research published online June 1 in JAMA Internal Medicine.

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Breastfeeding Tied to Lower Odds of Childhood Leukemia

TUESDAY, June 2, 2015 (HealthDay News) -- Breastfeeding is associated with a reduced risk of childhood leukemia compared to the risk for children who were never breastfed, according to research published online June 1 in JAMA Pediatrics.

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Physician Intervention Doesn't Cut Maternal Vaccine Hesitancy

MONDAY, June 1, 2015 (HealthDay News) -- A physician-targeted communication intervention does not reduce maternal vaccine hesitancy, and schools with high levels of personal belief exemptions (PBEs) are often colocated with schools with elevated personal medical exemption (PME) rates, according to two studies published online June 1 in Pediatrics.

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