September 2018 Briefing - Pediatrics

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

Tenth-Graders Use Combustible, Edible, Vaporized Cannabis

FRIDAY, Sept. 28, 2018 (HealthDay News) -- Among 10th-grade students using cannabis, edible and vaporized products are used in addition to combustible products, with 61.7 percent reporting multiple administration methods, according to a study published online Sept. 28 in JAMA Network Open.

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Physicians Often Don't Address Their Burnout

FRIDAY, Sept. 28, 2018 (HealthDay News) -- More than half of physicians experience burnout, and many do not seek treatment for burnout, according to a report published in the American Medical Association's AMA Wire.

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Implementing EMRs Affects Time Spent With Patients in Clinic

FRIDAY, Sept. 28, 2018 (HealthDay News) -- Following a six-month learning period to implement an electronic medical record (EMR) system, outpatient orthopedic clinics return to pre-implementation efficiency, but there may be other lasting effects on productivity, according to a study published in the Sept. 19 issue of The Journal of Bone & Joint Surgery.

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CDC: Congenital Syphilis More Than Doubled Since 2013

FRIDAY, Sept. 28, 2018 (HealthDay News) -- The number of cases of sexually transmitted diseases (STDs) is continuing to increase, with an associated increase in the number of cases of congenital syphilis, according to a report published by the U.S. Centers for Disease Control and Prevention.

Press Release
2017 STD Surveillance Report

Prevalence of TBI 2.5 Percent Among U.S. Children

FRIDAY, Sept. 28, 2018 (HealthDay News) -- The prevalence of traumatic brain injury (TBI) is 2.5 percent among U.S. children, and TBI is associated with several health conditions, according to a study published online Sept. 24 in JAMA Pediatrics.

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Business Degree Increasingly Useful for Doctors

THURSDAY, Sept. 27, 2018 (HealthDay News) -- Having a Master of Business Administration degree (M.B.A.) can help doctors with important, practice-related decisions, according to a report published recently in Physician Practice.

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80,000 Americans Died From Influenza Over Last Year

THURSDAY, Sept. 27, 2018 (HealthDay News) -- Influenza was deadlier last season than it has been for at least four decades, killing 80,000 Americans. So said the head of the U.S. Centers for Disease Control and Prevention late Tuesday in an interview with the Associated Press.

AP News Article

Final Update on Salmonella-Tainted Honey Smacks Cereal

THURSDAY, Sept. 27, 2018 (HealthDay News) -- A total of 135 people across 36 states fell ill with Salmonella after eating Kellogg's Honey Smacks cereal, according to a final update from the U.S. Centers for Disease Control and Prevention.

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AAP Provides Recommendations for Teen Drivers, Parents

THURSDAY, Sept. 27, 2018 (HealthDay News) -- In a policy statement published online Sept. 24 in Pediatrics, recommendations are presented to help pediatricians provide guidance for teenage drivers and their families.

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Kidney Function Recovery Seen in Some Children on Dialysis

THURSDAY, Sept. 27, 2018 (HealthDay News) -- Roughly 2 percent of pediatric patients on maintenance dialysis recover within two years after dialysis initiation, according to a study published online Sept. 20 in the Clinical Journal of the American Society of Nephrology.

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Time to Defib Not Linked to Survival in Pediatric IHCA

THURSDAY, Sept. 27, 2018 (HealthDay News) -- For pediatric patients with in-hospital cardiac arrest (IHCA), time to first defibrillation attempt is not associated with survival, according to a study published online Sept. 21 in JAMA Network Open.

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Practices Should Set Rules for Staff Social Media Use

THURSDAY, Sept. 27, 2018 (HealthDay News) -- Medical practices can take steps to avoid problems related to use of social media by staff members, according to an article published in Medical Economics.

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Burnout, Career Choice Regret Prevalent in U.S. Residents

WEDNESDAY, Sept. 26, 2018 (HealthDay News) -- Symptoms of burnout and career choice regret are prevalent among U.S. resident physicians, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association.

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Childhood Poverty Can Affect Cognitive Skills in Old Age

WEDNESDAY, Sept. 26, 2018 (HealthDay News) -- Variation in childhood socioeconomic position (SEP) partially accounts for cognitive performance in older age, with adverse childhood SEP associated with lower level of baseline cognitive performance, according to a study published online Sept. 26 in Neurology.

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Head CT Decision Aid Ups Parent Knowledge in Child Head Trauma

WEDNESDAY, Sept. 26, 2018 (HealthDay News) -- Use of a decision aid can improve parent knowledge for children with minor head injury at intermediate risk of clinically important traumatic brain injury (ciTBI), according to a study published online Sept. 21 in JAMA Network Open.

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Enlarged Kidneys in Neonates With Congenital Heart Disease

WEDNESDAY, Sept. 26, 2018 (HealthDay News) -- Neonates with congenital heart disease (CHD) have enlarged kidneys on average, according to a study published online Sept. 11 in Pediatric Research.

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Persistent Post-Op Opioid Use in Young Cancer Patients Explored

WEDNESDAY, Sept. 26, 2018 (HealthDay News) -- Higher inpatient pain scores and postoperative opioid consumption are associated with persistent opioid use of up to six months among children and adolescents who have undergone cytoreductive surgery with hyperthermic intraperitoneal chemotherapy, according to a study published in a recent issue of Pediatric Anesthesia.

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High Nicotine Concentrations Delivered by 'Pod Mods'

WEDNESDAY, Sept. 26, 2018 (HealthDay News) -- "Pod mods," which are small, rechargeable devices that aerosolize liquid solutions containing nicotine encapsulated in cartridges, pose a danger to adolescent users, according to a perspective article published in the Sept. 20 issue of the New England Journal of Medicine.

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Lack of CHD4 Leads to Abnormal Myofibrils, Heart Defects

TUESDAY, Sept. 25, 2018 (HealthDay News) -- The absence of CHD4 in heart cells results in inappropriate production of non-cardiac muscle proteins, which subsequently leads to heart defects, according to an animal study published recently in the Proceedings of the National Academy of Sciences.

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Education Can Up Emotional Intelligence in Residents

TUESDAY, Sept. 25, 2018 (HealthDay News) -- Following an educational intervention, residents from pediatrics and med-ped residency programs have an increase in total emotional intelligence (EI), according to a study published online Sept. 20 in Advances in Medical Education and Practice.

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Physician-Group ACOs Generate Medicare Savings

TUESDAY, Sept. 25, 2018 (HealthDay News) -- Physician-group accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) generated significantly more savings for Medicare that grew from 2012 to 2015 compared with hospital-integrated ACOs, according to research published in the Sept. 20 issue of the New England Journal of Medicine.

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AAP Report Addresses Managing Fetal Alcohol Spectrum Disorder

TUESDAY, Sept. 25, 2018 (HealthDay News) -- In a clinical report published online Sept. 10 in Pediatrics, recommendations are presented to support pediatric providers in managing patients with a diagnosis of fetal alcohol spectrum disorder (FASD).

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In 2016, Proportion of Uninsured Americans Down to 10 Percent

TUESDAY, Sept. 25, 2018 (HealthDay News) -- From 2013 to 2016 there was a reduction in uninsurance among Americans from 17 to 10 percent, according to a report published in September by the Robert Wood Johnson Foundation (RWJF) and the Urban Institute.

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Gender Nonconformity Linked to Students' Mental Distress

MONDAY, Sept. 24, 2018 (HealthDay News) -- Gender nonconformity (GNC) is associated with mental distress for female and male students, according to a study published online Sept. 24 in JAMA Pediatrics.

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Editorial (subscription or payment may be required)

Prenatal, Postnatal Homelessness Tied to Poor Health in Children

MONDAY, Sept. 24, 2018 (HealthDay News) -- Homelessness is associated with an increased risk of adverse pediatric outcomes regardless of whether it occurs prenatally or postnatally, according to a study published online Sept. 3 in Pediatrics.

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Ground Beef Recalled After E. Coli Outbreak

FRIDAY, Sept. 21, 2018 (HealthDay News) -- More than 132,000 pounds of ground beef have been recalled by a Colorado company following a suspected outbreak where one person was killed and 17 were sickened by Escherichia coli after eating the meat.

AP News Article
Cargill Statement

Some Clinicians, Patients Record Clinic Visits for Patient Use

FRIDAY, Sept. 21, 2018 (HealthDay News) -- A considerable proportion of clinicians and patients report having recorded a clinic visit for the patient's personal use, according to a study published in the September issue of the Journal of Medical Internet Research.

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Pediatric End-Stage Liver Disease Score Underestimates Mortality

FRIDAY, Sept. 21, 2018 (HealthDay News) -- The Pediatric End-stage Liver Disease (PELD) score underestimates the actual probability of 90-day pretransplant mortality for children undergoing a primary liver transplant, according to a study published online Sept. 17 in JAMA Pediatrics.

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Editorial 1 (subscription or payment may be required)
Editorial 2 (subscription or payment may be required)

Dozens of Medical Groups Join Forces to Improve Diagnoses

FRIDAY, Sept. 21, 2018 (HealthDay News) -- Every nine minutes, a patient in a U.S. hospital dies because a diagnosis was wrong or delayed -- resulting in 80,000 deaths a year. That sobering estimate comes from the Society to Improve Diagnosis in Medicine (SIDM).

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Repeat CT Common in Peds Traumatic Epidural Hematoma

FRIDAY, Sept. 21, 2018 (HealthDay News) -- For children with traumatic epidural hematomas (EDHs), repeated computed tomography (CT) imaging is common, but rarely impacts management, according to a study published in the September issue of Pediatrics.

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Educational Disabilities More Likely With Neonatal Abstinence

THURSDAY, Sept. 20, 2018 (HealthDay News) -- Children with a history of neonatal abstinence syndrome (NAS) are more likely to be referred for a disability evaluation and meet criteria for a disability, according to a study published in the September issue of Pediatrics.

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Cannabinoid Trials Needed for Peds Neurologic Disorders

THURSDAY, Sept. 20, 2018 (HealthDay News) -- There is an urgent need for clinical trials to investigate the use of cannabinoids in pediatric patients with neurological disorders, according to a commentary published in the Aug. 27 issue of CMAJ, the journal of the Canadian Medical Association.

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Research Links Doctor Burnout to Patient Safety Incidents

THURSDAY, Sept. 20, 2018 (HealthDay News) -- Physician burnout is associated with increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction, according to a review published online Sept. 4 in JAMA Internal Medicine.

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Editorial (subscription or payment may be required)

Black Individuals at Highest Risk of Legal Intervention Injury

THURSDAY, Sept. 20, 2018 (HealthDay News) -- Black males were at the highest risk of legal intervention injury per capita from 2005 to 2015, according to a study published online Sept. 14 in JAMA Network Open.

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>60 Percent of Adults Report Adverse Childhood Experiences

THURSDAY, Sept. 20, 2018 (HealthDay News) -- More than 60 percent of adults report having had at least one adverse childhood experience (ACE), and almost 25 percent report three or more, according to a study published online Sept. 17 in JAMA Pediatrics.

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Few Yogurt Products Qualify As Low-Sugar

THURSDAY, Sept. 20, 2018 (HealthDay News) -- There is considerable variability in the sugar content of yogurts, with very few yogurts qualifying as low-sugar, according to a study published in the August issue of BMJ Open.

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Gestational Diabetes Tied to Subsequent Glucose Disorders

THURSDAY, Sept. 20, 2018 (HealthDay News) -- Untreated gestational diabetes (GD) is associated with development of subsequent glucose metabolism disorders in mothers, but is not significantly associated with the composite outcome of childhood overweight/obesity in long-term follow-up of offspring, according to a study published in the Sept. 11 issue of the Journal of the American Medical Association.

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Hospitals Charge 479 Percent of Cost of Drugs on Average

THURSDAY, Sept. 20, 2018 (HealthDay News) -- On average, hospitals mark up drugs by 479 percent of their cost, according to a report from The Moran Company, commissioned by the Pharmaceutical Research and Manufacturers of America (PhRMA).

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Residents Should Take Advantage of Paid Time Off

THURSDAY, Sept. 20, 2018 (HealthDay News) -- Although there are many demands on residents, taking advantage of paid vacation time is one of the perks and should be maximized, according to an article published in the American Medical Association's AMA Wire.

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Pediatricians Have Role in Supporting Transgender Youth

WEDNESDAY, Sept. 19, 2018 (HealthDay News) -- In an American Academy of Pediatrics policy statement published online Sept. 17 in Pediatrics, recommendations are presented to ensure comprehensive care and support for youth who identify as transgender and gender diverse (TGD).

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Global Prevalence of Insufficient Activity 27.5 Percent

WEDNESDAY, Sept. 19, 2018 (HealthDay News) -- In 2016 the age-standardized prevalence of insufficient physical activity was 27.5 percent, according to a study published in the October issue of The Lancet Global Health.

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EPA Plan Will Maintain Carbon Emissions From Power Plants

WEDNESDAY, Sept. 19, 2018 (HealthDay News) -- The U.S. Environmental Protection Agency (EPA) has formally released its proposal to replace the Clean Power Plan with the Affordable Clean Energy Rule, which will keep carbon emissions from power plants constant, according to a report published by the American Thoracic Society.

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20% of Children, Adolescents Use Prescription Medications

WEDNESDAY, Sept. 19, 2018 (HealthDay News) -- Almost 20 percent of children and adolescents used prescription medications in 2013 to 2014, and 8.2 percent of concurrent users of prescription medications in 2009 to 2014 were at risk for a potentially major drug-drug interactions (DDIs), according to a study published in the September issue of Pediatrics.

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Patient Health Information Often Shared Electronically

WEDNESDAY, Sept. 19, 2018 (HealthDay News) -- The most common electronically sent and received types of patient health information (PHI) include laboratory results and medication lists, according to a report published Aug. 15 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Sport Specialization Tied to Pediatric Overuse Injury

TUESDAY, Sept. 18, 2018 (HealthDay News) -- Sport specialization in children and adolescents is associated with an increased risk of overuse musculoskeletal injuries, according to a review published in the September issue of Pediatrics.

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Active Choice Intervention Tied to Increase in Flu Shot Rates

TUESDAY, Sept. 18, 2018 (HealthDay News) -- An active choice intervention is associated with an increase in influenza vaccination rates, according to a study published online Sept. 14 in JAMA Network Open.

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FDA Ad Campaign Hopes to Halt E-Cigarette Use Among Teens

TUESDAY, Sept. 18, 2018 (HealthDay News) -- The U.S. Food and Drug Administration on Tuesday launched a new ad campaign aimed at curbing rampant e-cigarette use among American teens.

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Scribes Improve Physician Workflow, Patient Interaction

TUESDAY, Sept. 18, 2018 (HealthDay News) -- Use of medical scribes is associated with decreased physician documentation burden, improved work efficiency, and improved patient interactions, according to a study published online Sept. 17 in JAMA Internal Medicine.

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Many Middle, High Schoolers Report E-Cigarette Cannabis Use

TUESDAY, Sept. 18, 2018 (HealthDay News) -- Nearly one in 11 U.S. middle and high school students used cannabis in electronic cigarettes (e-cigarettes) in 2016, according to a research letter published online Sept. 17 in JAMA Pediatrics.

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Drug Prices Increase More Than Expected After Shortages

TUESDAY, Sept. 18, 2018 (HealthDay News) -- Prices for drugs under shortage increase more than twice as quickly as expected in the absence of a shortage, according to a research letter published online Sept. 18 in the Annals of Internal Medicine.

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Compliance With Requirement to Report Results on EUCTR Is Poor

TUESDAY, Sept. 18, 2018 (HealthDay News) -- Half of trials on the European Union Clinical Trials Register (EUCTR) are non-compliant with the European Commission's requirement that all trials post results to the registry within 12 month of completion, according to a study published online Sept. 13 in The BMJ.

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Tips for Advising Patients Living in Highly Polluted Settings

TUESDAY, Sept. 18, 2018 (HealthDay News) -- Clinicians advising families living overseas in highly polluted settings should understand their patients' concerns and have a network of resources to draw upon for guidance, according to an article published in the Aug. 1 issue of the Annals of the American Thoracic Society.

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Many Foster Kids Inappropriately Prescribed Psychiatric Drugs

MONDAY, Sept. 17, 2018 (HealthDay News) -- A new report finds that foster children are often given powerful psychiatric medicines without regard for proper safeguards.

AP News Article
Office of Inspector General Report

Decrease in Infant Walker-Related Injuries Since 2010

MONDAY, Sept. 17, 2018 (HealthDay News) -- Following implementation of a federal mandatory safety standard on infant walkers in 2010, there was a decrease in the number of infant walker-related injuries, according to a study published online Sept. 17 in Pediatrics.

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Factors Predictive of Escalated Care in Infant Bronchiolitis ID'd

MONDAY, Sept. 17, 2018 (HealthDay News) -- Variables have been identified that predict escalated care for infants with bronchiolitis, according to a study published in the September issue of Pediatrics.

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Ambient Particulate Matter Linked to Emergency Asthma Care

MONDAY, Sept. 17, 2018 (HealthDay News) -- Ambient particulate matter concentrations are associated with emergency/urgent care visits among individuals with asthma, according to a study published in the Aug. 1 issue of the Annals of the American Thoracic Society.

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Editorial (subscription or payment may be required)

Association Health Plans Can Help Small Businesses Offer Coverage

MONDAY, Sept. 17, 2018 (HealthDay News) -- Association health plans (AHPs) will provide small businesses with more choices, access, and coverage options, although critics warn that they may undermine the Affordable Care Act (ACA) marketplace, according to an article published in Managed Healthcare Executive.

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No Evidence for Milk Increasing Mucus Production From Lungs

MONDAY, Sept. 17, 2018 (HealthDay News) -- There is no evidence to support the myth that milk increases mucus production from the lungs, according to a review published online Sept. 6 in the Archives of Disease in Childhood.

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Poor Maternal Bonding for Women Denied Abortion

FRIDAY, Sept. 14, 2018 (HealthDay News) -- Poor maternal bonding is more common for children born to women who are denied access to abortion, according to a study published online Sept. 4 in JAMA Pediatrics.

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Final CDC Update on Salmonella Linked to Backyard Poultry

FRIDAY, Sept. 14, 2018 (HealthDay News) -- At least 334 people in 47 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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CDC: Some Sexual Minorities Have Higher Sexual Risk Behaviors

FRIDAY, Sept. 14, 2018 (HealthDay News) -- Bisexual females and "not sure" male students report higher prevalences for many sexual risk behaviors than heterosexual students, according to research published in the Sept. 14 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Sales of Flavored E-Cigarette Products Up Since 2012

FRIDAY, Sept. 14, 2018 (HealthDay News) -- Sales of flavored electronic cigarette products have increased dramatically since 2012, according to a study published online Aug. 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Situation Framing, Language Can Influence Decision-Making

FRIDAY, Sept. 14, 2018 (HealthDay News) -- How a situation is framed and the language used to describe risks can influence patients' decision-making, according to an article published in Physicians Practice.

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Experts Advise Against Universal DNA Sequencing of Newborns

THURSDAY, Sept. 13, 2018 (HealthDay News) -- Newborns should not undergo universal sequencing at birth, according to a report published in the July/August issue of The Hasting Center Report.

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CDC: Infant Mortality Rate Varies Greatly Among States

THURSDAY, Sept. 13, 2018 (HealthDay News) -- Infant mortality rates in the United States vary substantially by state, according to a QuickStats report published in the Aug. 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Gains in Insurance Coverage Seen for Lesbian, Gay, Bisexual Adults

THURSDAY, Sept. 13, 2018 (HealthDay News) -- Lesbian, gay, and bisexual (LGB) adults report continued problems affording care despite coverage gains offered by the Affordable Care Act, according to a study published in the August issue of Health Affairs.

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Pediatricians Have a Role in Encouraging Play Among Children

THURSDAY, Sept. 13, 2018 (HealthDay News) -- Pediatricians should encourage parents to ensure their children play, according to a clinical report published in the September issue of Pediatrics.

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Parents' Technology Use Can Negatively Impact Children

WEDNESDAY, Sept. 12, 2018 (HealthDay News) -- Parents' use of digital devices may exacerbate their child's poor behavior, according to a study recently published in Pediatric Research.

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Fingolimod Cuts Multiple Sclerosis Relapses in Pediatric Patients

WEDNESDAY, Sept. 12, 2018 (HealthDay News) -- Among pediatric patients with relapsing multiple sclerosis, fingolimod is associated with a lower rate of relapse but a higher rate of serious adverse events than interferon beta-1a, according to a study published in the Sept. 13 issue of the New England Journal of Medicine.

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Editorial (subscription or payment may be required)

FDA Gets Tough on Juul, Other Electronic Cigarette Makers

WEDNESDAY, Sept. 12, 2018 (HealthDay News) -- Calling the use of electronic cigarettes a burgeoning epidemic among teens, the U.S Food and Drug Administration today announced a crackdown on the sale of Juuls and other flavored e-cigarette devices to minors.

Press Release
Statement From FDA Commissioner

High-Touch Surfaces at Airports Often Covered in Pathogens

WEDNESDAY, Sept. 12, 2018 (HealthDay News) -- Many frequently touched surfaces at airports are contaminated with respiratory virus pathogens, according to a study published online Aug. 29 in BMC Infectious Diseases.

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CDC: Tobacco Product Use Varies by Race Among U.S. Teens

WEDNESDAY, Sept. 12, 2018 (HealthDay News) -- From 2014 to 2017, ever-use and current use of any tobacco product among U.S. middle and high school students were highest among Native Hawaiian/Other Pacific Islanders (NHOPIs) and American Indian/Alaska Natives (AI/ANs) and lowest among Asians, according to research published in the Aug. 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Sexual, Physical Abuse Up Odds of Injury for Female Athletes

WEDNESDAY, Sept. 12, 2018 (HealthDay News) -- Among female athletes, lifetime sexual and physical abuse are associated with increased likelihood of injury, according to a study published online Sept. 6 in the British Journal of Sports Injury.

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Six-Step Analysis Can Help Improve Practice Logistics

WEDNESDAY, Sept. 12, 2018 (HealthDay News) -- A six-step analysis can help redesign and improve the outpatient health care process, according to a study recently published in the Journal of Evaluation in Clinical Practice.

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Residents Working Long Hours Can Increase Alertness

WEDNESDAY, Sept. 12, 2018 (HealthDay News) -- Medical residents can take steps to maintain their energy and alertness during long shifts, according to an article published in the American Medical Association's AMA Wire.

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Chest Radiograph Effective for Excluding Pediatric Pneumonia

TUESDAY, Sept. 11, 2018 (HealthDay News) -- A negative chest radiograph (CXR) accurately excludes pneumonia in the majority of children, according to a study published in the September issue of Pediatrics.

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Medicaid Work Requirements Don't Impact Many Enrollees

TUESDAY, Sept. 11, 2018 (HealthDay News) -- Medicaid work requirements will only impact a small proportion of persons and may only generate minimal savings, according to two research letters published online Sept. 10 in JAMA Internal Medicine.

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Editorial

Early Talk, Interaction Predicts School-Age Language Outcomes

TUESDAY, Sept. 10, 2018 (HealthDay News) -- Talk and interaction during early childhood, especially during 18 to 24 months, is associated with language and cognitive outcomes, according to a study published online Sept. 10 in Pediatrics.

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Data Age in Clinical Trials Is About Three Years at Publication

TUESDAY, Sept. 11, 2018 (HealthDay News) -- The median data age in clinical trials in journals with a high impact factor is about three years at publication, according to a study published in the Aug. 10 issue of JAMA Network Open.

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Many Opportunities for Doctors Using Twitter

MONDAY, Sept. 10, 2018 (HealthDay News) -- Doctors can use Twitter to build networks and learn more about research in real time, according to a blog post published by Penn Medicine News.

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Nurse-Led Call After Discharge Doesn't Cut Peds Urgent Care

MONDAY, Sept. 10, 2018 (HealthDay News) -- A one-time nurse-led telephone call does not decrease the 30-day reutilization rate of urgent health care services in children discharged from the hospital, according to a study published in the Sept. 4 issue of JAMA: Pediatrics.

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Maternal Holding With Glucose or Breastfeeding Best Analgesic

MONDAY, Sept. 10, 2018 (HealthDay News) -- Maternal holding of newborns, combined with oral glucose and in breastfeeding, is associated with the greatest analgesic effect in infants, according to a study published in the September issue of Pediatrics.

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NICU Antibiotic Use Rates Declined From 2013 to 2016

MONDAY, Sept. 10, 2018 (HealthDay News) -- Antibiotic use rates (AURs) in neonatal intensive care units (NICUs) are declining, but practice variation is still largely unexplained, according to a study published in the September issue of Pediatrics.

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Editorial (subscription or payment may be required)

Docs, Consumers Agree on Benefits of Virtual Care

MONDAY, Sept. 10, 2018 (HealthDay News) -- Physicians and consumers agree on the benefits of virtual care, but physician adoption of virtual care technologies is low, according to a report on the Deloitte 2018 Survey of U.S. Physicians.

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Physician Burnout Rates Vary by Medical Specialty

MONDAY, Sept. 10, 2018 (HealthDay News) -- Nearly half of physicians report being burned out, but rates vary substantially by medical specialty, according to an article published in AMA Wire.

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American Academy of Pediatrics Updates Car Seat Guidance

FRIDAY, Sept. 7, 2018 (HealthDay News) -- The American Academy of Pediatrics' updated car seat guidelines recommend children remain in a rear-facing car safety seat as long as possible, according to policy statement published online Aug. 30 in Pediatrics.

Technical Report
Policy Statement

Southwest Passengers May Have Been Exposed to Measles

FRIDAY, Sept. 7, 2018 (HealthDay News) -- Passengers and crew on four Southwest Airlines flights within Texas in late August are being notified that they may have been exposed to measles. Officials said a passenger who took the four flights over two days was later diagnosed with measles, USA Today reported.

USA Today Article

AAP Updates Recommendations for Pediatric Flu Vaccination

FRIDAY, Sept. 7, 2018 (HealthDay News) -- All children and adolescents are advised to undergo annual influenza immunization, ideally with an inactivated influenza vaccine, according to a policy statement published online Sept. 3 in Pediatrics.

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Adding Fish Oil in Pregnancy May Lead to Higher Child BMI

FRIDAY, Sept. 7, 2018 (HealthDay News) -- Supplementation with n-3 long chain polyunsaturated fatty acids (n-3 LCPUFA) in pregnancy leads to higher body mass index (BMI) in offspring at age 6 years, but no increase in the proportion of obese children, according to a study published online Sept. 4 in The BMJ.

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X-Rays, Blood Tests Not Advised for Children's Concussions

FRIDAY, Sept. 7, 2018 (HealthDay News) -- Routine X-rays and blood tests should not be used to diagnose children's concussions, new U.S. government guidelines say. The guidelines were published online Sept. 4 in JAMA Pediatrics.

CDC Guideline
Evidence Review (subscription or payment may be required)
Editorial (subscription or payment may be required)
CDC Press Release

Social Determinants Linked to Provision of Primary Care

FRIDAY, Sept. 7, 2018 (HealthDay News) -- Social determinants are associated with provision of primary care services, according to a study recently published in the Annals of Family Medicine.

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Personalized Weighting Could Enhance Hospital Rating Tools

FRIDAY, Sept. 7, 2018 (HealthDay News) -- The weighting systems that underlie hospital performance rating tools should incorporate the needs, values, and preferences of patients, according to a perspective article published in the Aug. 30 issue of the New England Journal of Medicine.

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Better Training Needed to Boost LGBTQ Patient Health Care

THURSDAY, Sept. 6, 2018 (HealthDay News) -- High-quality health care needs to be provided to lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients, and improved training is necessary to deliver that care, according to a report published in the American Medical Association's AMA Wire.

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Hospital Groups Launch Own Generic Drug Company

THURSDAY, Sept. 6, 2018 (HealthDay News) -- Three U.S. health care foundations and seven hospital groups have formed a generic drug company to combat high prices and chronic shortages of medicines.

AP News Article

CDC Issues Recs on Diagnosis, Management of Pediatric mTBI

THURSDAY, Sept. 6, 2018 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has established an evidence-based guideline for diagnosis and management of pediatric mild traumatic brain injury (mTBI). The guideline was published online Sept. 4 in JAMA Pediatrics.

CDC Guideline
Evidence Review (subscription or payment may be required)
Editorial (subscription or payment may be required)

Perinatal Mortality Rates Remain Unchanged From 2014 to 2016

THURSDAY, Sept. 6, 2018 (HealthDay News) -- Rates of perinatal mortality remained unchanged from 2014 to 2016, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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130 Now Sickened by Salmonella-Tainted Honey Smacks Cereal

WEDNESDAY, Sept. 5, 2018 (HealthDay News) -- One hundred thirty people across 36 states have now fallen ill with Salmonella after eating Kellogg's Honey Smacks cereal, according to the U.S. Centers for Disease Control and Prevention.

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Baloxavir Superior to Placebo for Alleviating Flu Symptoms

WEDNESDAY, Sept. 5, 2018 (HealthDay News) -- The selective inhibitor of influenza cap-dependent endonuclease, baloxavir marboxil, is superior to placebo for alleviating influenza symptoms, according to a study published in the Sept. 6 issue of the New England Journal of Medicine.

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Recent Increase in Contraception Use Noted Among U.S. Teenagers

WEDNESDAY, Sept. 5, 2018 (HealthDay News) -- Among U.S. adolescents, there were increases in contraceptive use from 2007 to 2014, including dual-method use and long-acting reversible contraception, according to a study published in the August issue of the Journal of Adolescent Health.

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~3,000 Excess Deaths Estimated Due to Hurricane Maria

WEDNESDAY, Sept. 5, 2018 (HealthDay News) -- The total excess mortality attributed to Hurricane Maria is estimated at 2,975 deaths, according to a report issued by George Washington University.

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Public Service Loan Forgiveness Program Has Uncertain Future

WEDNESDAY, Sept. 5, 2018 (HealthDay News) -- Uncertainty surrounds the future of the Public Service Loan Forgiveness (PSLF) program, according to an Ideas and Opinions article published online Aug. 28 in the Annals of Internal Medicine.

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CDC: HPV Vaccination Rates Increasing Among Adolescents

WEDNESDAY, Sept. 5, 2018 (HealthDay News) -- Human papillomavirus (HPV) vaccination coverage increased 5.1 percentage points from 2016 to 2017, and there was also an increase in the number of adolescents up to date with HPV vaccinations, according to research published in the Aug. 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Child Participation in Medicaid, CHIP Up From 2013 to 2016

WEDNESDAY, Sept. 5, 2018 (HealthDay News) -- From 2013 to 2016 there was an increase in children's participation in Medicaid and the Children's Health Insurance Program (CHIP), according to a report published in the August issue of Health Affairs.

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Enrollment in High-Deductible Health Plans Up From '07 to '17

TUESDAY, Sept. 4, 2018 (HealthDay News) -- Enrollment in high-deductible health plans (HDHPs) has increased among adults with employment-based insurance coverage, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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FDA: Montelukast Tablet Bottles Recalled

TUESDAY, Sept. 4, 2018 (HealthDay News) -- Some bottles of montelukast (Singulair) tablets for asthma have been recalled by Camber Pharmaceuticals because they contain the wrong medication, the U.S. Food and Drug Administration says.

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Adding Pharmacist to Team Can Improve Patient Outcomes

TUESDAY, Sept. 4, 2018 (HealthDay News) -- Integration of pharmacists into team-based care practice models can improve patient outcome, especially in chronic diseases, such as diabetes, according to a report published in the American Medical Association's AMA Wire.

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CDC: Increase in Rate of STDs for Fourth Consecutive Year in U.S.

TUESDAY, Sept. 4, 2018 (HealthDay News) -- Nearly 2.3 million cases of chlamydia, gonorrhea, and syphilis were diagnosed in the United States in 2017, marking a fourth consecutive year of sharp increases in these sexually transmitted diseases (STDs), according to a report published by the U.S. Centers for Disease Control and Prevention.

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Self-Injury Tops Diabetes As Cause of Death in United States

TUESDAY, Sept. 4, 2018 (HealthDay News) -- In the United States, self-injury mortality (SIM) exceeded diabetes as a cause of death in 2015, with the gap expanding in 2016, according to a study published online Aug. 27 in Injury Prevention.

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Last 20 Years Saw Increase in Prevalence of ADHD in Children

TUESDAY, Sept. 4, 2018 (HealthDay News) -- From 1997-1998 to 2015-2016, there was an increase in the prevalence of attention-deficit/hyperactivity disorder (ADHD) among children, according to a study published online Aug. 31 in JAMA Network Open.

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