December 2013 Briefing - Pediatrics

Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for December 2013. 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.

Troubled Launch of ACA Tops Health News for 2013

TUESDAY, Dec. 31, 2013 (HealthDay News) -- As 2013 nears to a close, the year's top health news story -- the fumbled debut of the Affordable Care Act continues to grab headlines. President Barack Obama, in November, said he was "sorry" to hear that some Americans were being dropped from their health plans due to the advent of reforms -- even though he had repeatedly promised that this would not happen.

CDC: More Than One in 10 Kids Diagnosed With ADHD
FDA Urges Tighter Controls on Certain Prescription Painkillers
CDC: Evocative Campaign Motivates Smokers to Quit
Lower Microbial Diversity for Infants Who Develop Colic
Low Gut Bacterial Richness Linked to Obesity
Donor Fecal Infusion Effective for C. difficile Infection
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Landmark ADHD Study Backed Drugs Over Therapy at a Cost

MONDAY, Dec. 30, 2013 (HealthDay News) -- Many children with attention-deficit hyperactivity disorder (ADHD) may have missed out on valuable counseling because of a widely touted study that concluded stimulants such as Ritalin or Adderall were more effective for treating the disorder than medication plus behavioral therapies, experts say.

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Extra Steps Urged for Regulating Compounding Pharmacies

MONDAY, Dec. 30, 2013 (HealthDay News) -- Additional steps are needed for regulating compounding pharmacies, according to a perspective piece published online Dec. 25 in the New England Journal of Medicine.

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Uncertainty Noted in Seemingly Stable Medical Liability Climate

MONDAY, Dec. 30, 2013 (HealthDay News) -- Although the medical liability climate seems stable, the impact of health care reform on the market is uncertain, according to an article based on two reports published by the American Medical Association (AMA).

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Surge in Federal Health Insurance Exchange Enrollments

MONDAY, Dec. 30, 2013 (HealthDay News) -- More than 1.1 million people enrolled in a qualified health plan through the federally operated marketplace, or exchange, from Oct. 1 through Dec. 24, government officials said Sunday. More than 975,000 of those enrollments came in December, Marilyn Tavenner, administrator for the Centers for Medicare & Medicaid Services, said in a blog post.

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AMA IDs Five Issues Relating to Progress in SGR Repeal

FRIDAY, Dec. 27, 2013 (HealthDay News) -- The implications of progress toward repeal of the Medicare sustained growth rate (SGR) formula are discussed in a report published by the American Medical Association (AMA).

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Exposure Therapy Superior to Counseling in Girls With PTSD

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Prolonged exposure therapy is superior to supportive counseling in adolescent girls with posttraumatic stress disorder (PTSD) related to sexual abuse, according to research published in the Dec. 25 issue of the Journal of the American Medical Association.

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Alternative Quality Contract Improves Quality Measures

FRIDAY, Dec. 27, 2013 (HealthDay News) -- A global budget arrangement, the Alternative Quality Contract (AQC), improves preventive care quality measures for outcomes tied to pay-for-performance (P4P), according to a study published online Dec. 23 in Pediatrics.

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Many Adults Support Additional Regulation of E-Cigarettes

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Adults are concerned about electronic cigarette (e-cigarette) use among children and express widespread support for regulation of e-cigarettes, according to a report published Dec. 18 by the C.S. Mott Children's Hospital.

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Addition of Cognitive Therapy Benefits Youth With Migraine

FRIDAY, Dec. 27, 2013 (HealthDay News) -- Cognitive behavioral therapy (CBT) is superior to headache education, when combined with amitriptyline, for the treatment of chronic migraine in children and adolescents, according to research published in the Dec. 25 issue of the Journal of the American Medical Association.

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Impact of Planned Medicaid Expansion Discussed

THURSDAY, Dec. 26, 2013 (HealthDay News) -- The planned expansion of Medicaid will offer benefits to those in participating states, according to an article published online Dec. 24 in the Annals of Internal Medicine.

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ACA Success Hinges on Young Adult Enrollment

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Enrollment of young adults is a crucial component of the viability of the Affordable Care Act (ACA), according to a health policy brief published Dec. 16 in Health Affairs.

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Physician Pay Increasingly Tied to Quality Metrics

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Physician groups are increasingly incorporating quality metrics into their internal reimbursement structure, according to an article published Nov. 25 in Medical Economics.

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Earlier Adiposity Rebound Linked to Metabolic Syndrome

THURSDAY, Dec. 26, 2013 (HealthDay News) -- The age of adiposity rebound (AR), at which time body mass index (BMI) starts to rise after infancy, is associated with future development of metabolic syndrome, according to a study published online Dec. 23 in Pediatrics.

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Most 12th Graders Don't Think Marijuana Use Is Harmful

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Marijuana use is increasing among high school students, and less than 40 percent of 12th graders perceive regular use as harmful, according to results of the Monitoring the Future survey, conducted for the National Institutes of Health.

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Toxic Employees Are Damaging to Medical Practices

THURSDAY, Dec. 26, 2013 (HealthDay News) -- Toxic behavior can harm medical practices and should not be tolerated, according to an article published Dec. 10 in Medical Economics.

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Peanuts During Pregnancy Reduces Offspring Allergy Risk

MONDAY, Dec. 23, 2013 (HealthDay News) -- The offspring of mothers who consume peanuts or tree nuts (P/TN) during pregnancy are less likely to be allergic to these foods, according to a study published online Dec. 23 in JAMA Pediatrics.

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Public Tends to Follow Celebrities Even on Medical Issues

MONDAY, Dec. 23, 2013 (HealthDay News) -- Celebrities have credibility as sources of medical advice, even if they are ill-informed or are spreading potentially harmful information, according to research published online Dec. 17 in BMJ.

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Low Vitamin B12 Linked to Postural Orthostatic Tachycardia

MONDAY, Dec. 23, 2013 (HealthDay News) -- During adolescence, low vitamin B12 levels are associated with postural orthostatic tachycardia syndrome (POTS), according to a study published online Dec. 23 in Pediatrics.

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Revised Checklist Improves Detection of Autism in Toddlers

MONDAY, Dec. 23, 2013 (HealthDay News) -- The Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F) is an effective screening tool for autism spectrum disorders (ASDs) in low-risk toddlers, according to research published online Dec. 23 in Pediatrics.

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New Rule May Exempt Many From Health Plan Penalty

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Consumers whose individual health insurance policies have been cancelled for failing to meet the minimum requirements of the Affordable Care Act may now apply for a "hardship exemption," Obama administration officials announced late Thursday.

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High Patient Satisfaction With Patient-Centered Medical Homes

FRIDAY, Dec. 20, 2013 (HealthDay News) -- A significant majority of patients report experiencing a high quality of care at federally-supported health centers, according to a study published in the November/December issue of the Annals of Family Medicine.

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Obese Children Have Higher Hair Cortisol Concentrations

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Obese children have higher concentrations of hair cortisol than their normal-weight peers, according to a study published online Dec. 18 in the Journal of Endocrinology & Metabolism.

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Docs Must Help Patients Take Responsibility for Medical Costs

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Given that increasing numbers of patients have high-deductible health insurance, doctors and practice staff need to help patients assume financial responsibility for costs relating to medical services and procedures, according to an article published Dec. 10 in Medical Economics.

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CDC Measures Fathers' Involvement With Their Children

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Fathers who live with their children participate in their children's lives to a greater extent than fathers who do not live with their children, according to research published in the U.S. Centers for Disease Control and Prevention's Dec. 20 National Health Statistics Reports.

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Health Care Providers Want to Learn More About E-Cigarettes

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Health care providers who treat adolescents are aware of electronic cigarettes (e-cigarettes), but have moderately low levels of knowledge about them and comfort discussing their use, according to a study published online Dec. 10 in the Journal of Adolescent Health.

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Acupuncture May Relieve Tonsillectomy Pain in Children

FRIDAY, Dec. 20, 2013 (HealthDay News) -- Preliminary evidence indicates that acupuncture may decrease perceived pain in children and adolescents following tonsillectomy, according to a review published in the December issue of the International Journal of Pediatric Otorhinolaryngology.

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Role of E-Cigarettes in Eliminating Tobacco Use Discussed

THURSDAY, Dec. 19, 2013 (HealthDay News) -- The public health issues relating to electronic cigarettes (e-cigarettes) and their role in eliminating tobacco use are discussed in a perspective piece published online Dec. 18 in the New England Journal of Medicine.

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Physicians Must Be Proactive in Risk Management

THURSDAY, Dec. 19, 2013 (HealthDay News) -- Risk is inherent in the practice of medicine, but physicians can take steps to prevent patient injury and avoid lawsuits, according to an article published Dec. 10 in Medical Economics.

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Fat, Protein Impact Postprandial Glucose Excursion in T1DM

THURSDAY, Dec. 19, 2013 (HealthDay News) -- For children with type 1 diabetes using intensive insulin therapy (IIT), high-fat (HF) and high-protein (HP) meals increase glucose excursions, with an additive effect observed, according to a study published in the December issue of Diabetes Care.

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Maternal Vitamin D Tied to Risk of Small for Gestational Age

THURSDAY, Dec. 19, 2013 (HealthDay News) -- Maternal serum 25-hydroxyvitamin D concentration is associated with the risk of small-for-gestational-age (SGA) offspring, according to a study published online Dec. 6 in Obstetrics & Gynecology.

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CDC Highlights Achievements of 2013, Goals for 2014

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- The top five gains made in improving health security at home and around the world in 2013, and the top five areas for improvement in 2014 have been highlighted in an end-of-year report from the U.S. Centers for Disease Control and Prevention.

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Metformin Tied to Modest BMI Reduction in Obese Children

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- For obese children without diabetes, metformin is associated with a modest, but statistically significant, reduction in body mass index (BMI), according to a review published online Dec. 16 in JAMA Pediatrics.

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Few Residency Programs Teach Cost-Conscious Medicine

WEDNESDAY, Dec. 18, 2013 (HealthDay News) -- Few residency programs have a formal cost-conscious care curriculum, according to a research letter published online Dec. 16 in JAMA Internal Medicine.

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Funding for Medical Communication Firms Analyzed

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Medical communication companies (MCCs), responsible for medical education programs, may receive substantial financial support from pharmaceutical and medical device companies, according to research published in the Dec. 18 issue of the Journal of the American Medical Association.

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FDA: Many ADHD Drugs Linked to Painful Erections

TUESDAY, Dec. 17, 2013 (HealthDay News) -- In rare cases, Ritalin and some other drugs used to treat attention-deficit/hyperactivity disorder (ADHD) can cause long-lasting and sometimes painful erections, the U.S. Food and Drug Administration said Tuesday. If this condition -- priapism -- is not treated immediately, it can cause permanent damage to the penis.

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GlaxoSmithKline to End Payments to Prescribing Doctors

TUESDAY, Dec. 17, 2013 (HealthDay News) -- GlaxoSmithKline (GSK) says it will stop paying doctors to market its drugs at conferences and will no longer reward sales agents whose physician customers write the most prescriptions. Monday's announcement is apparently a first for a major drug company. But other companies may be considering similar moves, The New York Times reported.

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Many Physicians Will Stop Practicing Due to ACA

TUESDAY, Dec. 17, 2013 (HealthDay News) -- About half of physicians say that they plan to practice medicine for a shorter time or leave as soon as feasibly possible due to the Affordable Care Act (ACA), according to an article published Nov. 29 in Medical Economics.

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Screening Tools ID Postnatal Depression in Teen Moms

TUESDAY, Dec. 17, 2013 (HealthDay News) -- For adolescent mothers, the Edinburgh Postnatal Depression Scale (EPDS) and two subscales are accurate for identifying postnatal depression, according to a study published online Dec. 16 in Pediatrics.

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Exposure to Pertussis Common in Peds Health Care Workers

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Health care workers are frequently exposed to pertussis in a pediatric health care setting, according to a study published online Dec. 16 in Pediatrics.

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Physician Access Challenges Up for Those With Public Insurance

TUESDAY, Dec. 17, 2013 (HealthDay News) -- Adverse experiences with physician availability are more likely among those with public insurance, and almost 15 percent of people in the United States were uninsured in the first half of 2013, according to two December data briefs issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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FDA Questions Effectiveness, Safety of Antibacterial Soap

TUESDAY, Dec. 17, 2013 (HealthDay News) -- The U.S. Food and Drug Administration has issued a proposed rule requiring antibacterial soap manufacturers to demonstrate that their products are both effective at preventing illness and safe for long-term daily use.

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Bills for SGR Repeal Pass Senate, House Committees

MONDAY, Dec. 16, 2013 (HealthDay News) -- The U.S. House Ways and Means Committee and the U.S. Senate Finance Committee have passed their versions of the bill to repeal Medicare's failed sustainable growth rate (SGR) formula, according to a report from the American Medical Association (AMA).

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Comorbidity Strongly Influences Survival in Cancer Patients

MONDAY, Dec. 16, 2013 (HealthDay News) -- Death rates from cancer continue to decline in the United States, but the presence of comorbidity can be an important influence on overall survival, according to a report published online Dec. 16 in Cancer.

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Word of Mouth Still Tops Ways People Find Physicians

MONDAY, Dec. 16, 2013 (HealthDay News) -- Roughly three-quarters of young adults use personal recommendations to select a physician, according to an article published in Medical Economics.

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Medicare's Graduate Medical Education Spending Imbalanced

MONDAY, Dec. 16, 2013 (HealthDay News) -- There is an "imbalance" in how Medicare distributes its $10 billion a year for graduate medical education (GME), according to a study published in the November issue of Health Affairs.

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AAP Advises Pregnant Women and Children to Avoid Raw Milk

MONDAY, Dec. 16, 2013 (HealthDay News) -- The American Academy of Pediatrics (AAP) advises against the consumption of raw milk, especially among pregnant women, infants, and children, because of the risk of bacterial infections, according to a policy statement published online Dec. 16 in Pediatrics.

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Sleep Duration Inversely Linked to Ambulatory BP in Teens

MONDAY, Dec. 16, 2013 (HealthDay News) -- For normal-weight adolescents, sleep duration and sleep quality are inversely associated with ambulatory blood pressure, according to a study published online Dec. 16 in Pediatrics.

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Determinants of Patient Loyalty to Provider Identified

MONDAY, Dec. 16, 2013 (HealthDay News) -- Determinants of patient loyalty have been identified and include confidence in care provider and coordination of care, according to a report published by Press Ganey.

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Increased Mortality, Morbidity With Young-Onset T2DM

MONDAY, Dec. 16, 2013 (HealthDay News) -- Young-onset type 2 diabetes mellitus (T2DM) is associated with greater mortality, increased complications, and unfavorable cardiovascular risk versus type 1 diabetes mellitus (T1DM) with a similar age of onset, according to a study published in the December issue of Diabetes Care.

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CDC: Flu Vaccine Reduced Adverse Outcomes by 17 Percent

MONDAY, Dec. 16, 2013 (HealthDay News) -- About 17 percent of adverse health outcomes associated with influenza were prevented in the most recent flu season, with a greater number of serious outcomes averted compared with previous flu seasons, according to a report published in the Dec. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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New Rule Tweaks Affordable Care Act Deadline

FRIDAY, Dec. 13, 2013 (HealthDay News) -- The Obama administration is taking steps to prevent consumers who buy health plans sold through state and federal exchanges from experiencing any gap in coverage this January. Under new rules, health insurers must accept payment up until Dec. 31 for coverage that begins the following day. Earlier guidance did not establish a payment deadline, allowing insurers to set their own dates. "And we're recommending that insurers extend this deadline further," U.S. Health and Human Services (HHS) Secretary Kathleen Sebelius said during a Thursday news conference to announce the changes.

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Support for Ultrasound First in Pediatric Appendicitis Diagnosis

FRIDAY, Dec. 13, 2013 (HealthDay News) -- During the transition to an ultrasound-first paradigm for imaging acute appendicitis in pediatric patients, there does not seem to be any increase in complicated appendicitis diagnoses or a longer median hospital length of stay (LOS), according to a study published in the December issue of the American Journal of Roentgenology.

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Social Pressure Drives Teens to Sext Despite Personal Attitude

FRIDAY, Dec. 13, 2013 (HealthDay News) -- Preventive efforts to reduce sexting among adolescents need to address what significant others in teenagers' lives think about them engaging in sexting, according to a study published in Behaviour & Information Technology.

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Study Quantifies Male Dominance in Scientific Production

FRIDAY, Dec. 13, 2013 (HealthDay News) -- Men dominate scientific production worldwide, accounting for a higher percentage of authorships and greater impact, according to research published in the Dec. 12 issue of Nature.

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Racial Disparities in Pediatric Liver Transplant Outcomes

THURSDAY, Dec. 12, 2013 (HealthDay News) -- For children and young adults undergoing liver transplantation, there are racial disparities in outcomes, according to a study published online Oct. 17 in Liver Transplantation.

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Injunction Stops Insurer From Dropping Physicians

THURSDAY, Dec. 12, 2013 (HealthDay News) -- United Healthcare has been given a last-minute temporary restraining order preventing it from removing thousands of physicians from its Medicare Advantage networks in Connecticut, according to an article published Dec. 6 in Medical Economics.

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FDA Issues Plan to Phase Out Antimicrobial Use in Animals

THURSDAY, Dec. 12, 2013 (HealthDay News) -- A plan is being implemented to help phase out the use of medically important antimicrobials in food animals for food production purposes, according to a report from the U.S. Food and Drug Administration.

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Peds High Chair-Related Injury Increased From 2003 to 2010

THURSDAY, Dec. 12, 2013 (HealthDay News) -- High chair-associated injury is common among infants, and increased 22.4 percent from 2003 to 2010, according to a study published online Dec. 9 in Clinical Pediatrics.

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New Inactivated Quadrivalent Flu Vaccine Found Efficacious in Kids

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- A candidate inactivated quadrivalent influenza vaccine (QIV) is efficacious for preventing influenza in young children, according to a study published online Dec. 11 in the New England Journal of Medicine.

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Head Impact Affects Diffusivity Measures, Without Concussion

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- For college athletes, head impact exposure is associated with white matter diffusion measures and poorer cognition, even without concussion, according to a study published online Dec. 11 in Neurology.

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Physician Practices Often Do Not Plan for Future

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Most physician practices do not treat their practices as businesses and plan for the future, but they should develop and follow a strategic plan, according to an article published Nov. 10 in Medical Economics.

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Outdoor Recess Ups Quantity, Intensity of Physical Activity

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Outdoor recess is associated with increased quantity and intensity of physical activity compared with indoor recess settings, according to a study published Nov. 21 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Few Legislation-Tied Drug Label Changes Include Neonates

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Few federal legislation-linked drug labeling changes relate to neonates, and most of the drugs studied are not used or are rarely used, according to a study published online Dec. 9 in JAMA Pediatrics.

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CDC: Health Insurance Among Young Increased After ACA

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Since the Affordable Care Act extended dependent health coverage to young adults up to 26 years old, the percentage of this age group with private health insurance has increased and the percentage with gaps in insurance coverage has decreased, according to a December data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Peds Bronchiolitis Guideline Can Cut Resource Use, Costs

WEDNESDAY, Dec. 11, 2013 (HealthDay News) -- Implementation of a bronchiolitis guideline can reduce unnecessary resource utilization and reduce costs in a pediatric emergency department setting, according to research published online Dec. 9 in Pediatrics.

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Support for Narrow-Spectrum Antibiotics in Pediatric Pneumonia

TUESDAY, Dec. 10, 2013 (HealthDay News) -- Narrow-spectrum antibiotics, which are recommended as first-line therapy for children hospitalized with community-acquired pneumonia (CAP), show similar outcomes compared with broad-spectrum antibiotics, according to research published online Dec. 9 in Pediatrics.

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Outpatient Docs Report More Burnout Than Inpatient Docs

TUESDAY, Dec. 10, 2013 (HealthDay News) -- Outpatient physicians report more emotional exhaustion than inpatient physicians, according to a review published in the November issue of the Journal of Hospital Medicine.

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Does 24/7 Intensivist Coverage Impact Housestaff Skills?

MONDAY, Dec. 9, 2013 (HealthDay News) -- Pediatric intensivists and housestaff have concerns regarding the preparation of housestaff after being trained in a 24/7 in-house (or in-hospital [IH]) attending model, according to a study published online Dec. 9 in Pediatrics.

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Health Information Technology May Cut Demand for Physicians

MONDAY, Dec. 9, 2013 (HealthDay News) -- Health information technology (IT) may cut demand for physicians in the future, according to a review published in the November issue of Health Affairs.

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Early Puberty May Up Risk of Delinquency in Young Girls

MONDAY, Dec. 9, 2013 (HealthDay News) -- Early puberty and deviant behavior of friends may increase the risk of problem behaviors in young adolescent girls, according to research published online Dec. 9 in Pediatrics.

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CMS Finalizes 2014 Physician Payment Rates, Policies

MONDAY, Dec. 9, 2013 (HealthDay News) -- The final payment rules for 2014 include a proposal to support care management outside the routine office interaction and policies to promote high quality care and efficiency, according to a report from the Centers for Medicare & Medicaid Services (CMS).

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Medical Students Find Mind-Body Regulation Training Helpful

FRIDAY, Dec. 6, 2013 (HealthDay News) -- A practical approach may be used to offer mind-body regulation training to medical students, according to research published in the Fall issue of the Annals of Behavioral Science and Medical Education.

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Issues Surround Hospital Readmissions Reduction Program

FRIDAY, Dec. 6, 2013 (HealthDay News) -- Concerns surround implementation of the Medicare Hospital Readmissions Reduction Program (HRRP), according to a policy brief published online Nov. 12 in Health Affairs.

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Elimination of Measles, Rubella Sustained in the United States

FRIDAY, Dec. 6, 2013 (HealthDay News) -- Sustained elimination of measles, rubella, and congenital rubella syndrome (CRS) has continued through 2011 in the United States, with most of the few cases seen linked to importation, according to a study published online Dec. 5 in JAMA Pediatrics.

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Final Rule Aims to Lower Costs, Simplify Outpatient Payments

FRIDAY, Dec. 6, 2013 (HealthDay News) -- The final hospital outpatient and ambulatory surgical center (ASC) payment rule will give hospitals and ASCs the ability to lower costs, according to a report from the Centers for Medicare & Medicaid Services (CMS).

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CDC: More People With Asthma Getting Flu Shots

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Influenza vaccination has increased substantially among people with asthma since the Advisory Committee on Immunization Practices (ACIP) expanded recommendations for annual vaccinations, though all age groups fall short of Healthy People 2020 targets, according to a report published in the Dec. 6 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Home Visits Benefit Children in Low-Income Families

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Home visits by nurses or paraprofessionals have a beneficial effects on child development in children born to low-income women, according to research published online Dec. 2 in JAMA Pediatrics.

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Most Teens With Psychiatric Disorders Don't Receive Care

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Fewer than half of adolescents with psychiatric disorders receive any form of service, according to a study published online Nov. 15 in Psychiatric Services.

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Handoff Program Cuts Medical Errors, Adverse Events

THURSDAY, Dec. 5, 2013 (HealthDay News) -- Implementation of a multifaceted handoff program can reduce medical errors and preventable adverse events, according to a study published in the Dec. 4 issue of the Journal of the American Medical Association, a theme issue on medical education.

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ER Visits Involving Ecstasy Up 128 Percent From 2005 to 2011

THURSDAY, Dec. 5, 2013 (HealthDay News) -- From 2005 to 2011 there was a 128 percent increase in the number of emergency department visits involving Ecstasy in patients younger than 21 years, according to a report published online Dec. 3 by the Substance Abuse and Mental Health Services Administration (SAMHSA).

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CDC: Over 6 Percent of Teens Take Psychotropic Meds

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Depression and attention-deficit/hyperactivity disorder (ADHD) are the most common mental health disorders for which adolescents take psychotropic medications, according to a December data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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AMA's RUC Committee to Work on Improving Transparency

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- The 31-member Relative Value Scale Update Committee (RUC) of the American Medical Association will begin publishing minutes, dates and locations of meetings, and votes for individual current procedural codes, according to an article published Nov. 11 in Medical Economics.

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Investment Program Can Cut Global Health Disparities by 2035

WEDNESDAY, Dec. 4, 2013 (HealthDay News) -- Global health disparities could be reduced considerably by 2035 using an investment framework, according to a report published Dec. 3 in The Lancet.

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Physician Texting While 'Doctoring' May Be Hazardous

TUESDAY, Dec. 3, 2013 (HealthDay News) -- Physician texting while doctoring could be hazardous, according to an ideas and opinions piece published in the Dec. 3 issue of the Annals of Internal Medicine.

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Modest Increases in Minority Faculty Seen at Med Schools

TUESDAY, Dec. 3, 2013 (HealthDay News) -- Underrepresented minority faculty made only modest gains in increasing their presence at U.S. medical schools from 2000 to 2010, according to a study published in the Journal of the American Medical Association, a theme issue on medical education.

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Recent Rapid Increase in Mental Health Care for Youth

TUESDAY, Dec. 3, 2013 (HealthDay News) -- In recent years, mental health care in office-based practice has increased more rapidly among youth than adults, according to a study published online Nov. 27 in JAMA Psychiatry.

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FDA Starts Regulating Compounding Pharmacies

TUESDAY, Dec. 3, 2013 (HealthDay News) -- The U.S. Food and Drug Administration on Monday began the process of regulating compounding pharmacies. Under the Drug Quality and Security Act, signed into law Nov. 27 by President Barack Obama, these pharmacies are being encouraged to register with the FDA. The agency will then classify them as outsourcing pharmacies, enabling them to sell bulk drugs to hospitals and other health care facilities.

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Volunteering Overseas Revives Physicians' Outlooks

MONDAY, Dec. 2, 2013 (HealthDay News) -- Physician volunteer programs can revive doctors' passion for medicine, according to an article published Nov. 11 in Medical Economics.

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Maternal, Pregnancy, Birth Risk Factors Identified for ADHD

MONDAY, Dec. 2, 2013 (HealthDay News) -- Maternal, pregnancy, and birth risk factors have been identified among children with stimulant medication-treated attention-deficit/hyperactivity disorder (ADHD), with little gender difference, according to a study published online Dec. 2 in Pediatrics.

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Multiple-Child Pregnancies Hike Birth Costs in the U.S.

MONDAY, Dec. 2, 2013 (HealthDay News) -- Compared with singleton births, delivery of multiple-child pregnancies substantially raises health care costs paid by insurers and patients in the United States, according to research published in the December issue of the American Journal of Obstetrics & Gynecology.

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