Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for July 2017. 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.
Research Supports Genetic Testing in Early Life Epilepsy
MONDAY, July 31, 2017 (HealthDay News) -- Genetic investigation emphasizing sequencing tests should be incorporated into the routine initial evaluation of young children with epilepsy, according to a study published online July 31 in JAMA Pediatrics.
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Google Searches for Suicide Up Post 13 Reasons Why Series
MONDAY, July 31, 2017 (HealthDay News) -- After the release of the controversial Netflix series 13 Reasons Why -- a show that depicts the suicide of a fictional teenager -- there were surges in the number of Google searches using the term "suicide," according to a research letter published online July 31 in JAMA Internal Medicine.
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Respiratory Microbiome May Influence Inflammation in CF
MONDAY, July 31, 2017 (HealthDay News) -- Reduced bacterial diversity in the upper and lower airways in infants with cystic fibrosis (CF) is associated with use of prophylactic antibiotics and younger age at sampling, while less diversity in lavage samples is associated with lower inflammation, according to a study published online July 14 in the Annals of the American Thoracic Society.
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FDA Proposes Lowering Nicotine Levels in Cigarettes
MONDAY, July 31, 2017 (HealthDay News) -- The U.S. Food and Drug Administration plans to begin a public dialogue about reducing nicotine levels in combustible cigarettes to non-addictive levels through achievable product standards, agency officials said Friday.
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ACOG: Opioid Agonist Rx First Choice in Affected Pregnancies
FRIDAY, July 28, 2017 (HealthDay News) -- While opioid agonist pharmacotherapy continues to be the recommended therapy for pregnant women with an opioid use disorder, medically supervised withdrawal can be considered under the care of a physician experienced in perinatal addiction treatment and with informed consent, according to a committee opinion published in the August issue of Obstetrics & Gynecology.
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Variation in Management for Infants With GERD
FRIDAY, July 28, 2017 (HealthDay News) -- For infants with gastroesophageal reflux disease (GERD), there is considerable variation in diagnostic testing and surgical utilization, according to a study published online July 28 in Pediatrics.
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2016 Saw Increase in Number of Physicians Since 2010 Census
THURSDAY, July 27, 2017 (HealthDay News) -- Census reports have demonstrated an increase in the number of physicians and in the actively licensed U.S. physician-to-population ratio from 2010 to 2016, according to a study published in the Journal of Medical Regulation.
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U.S. Adolescents Exhibit Little Change in Hearing Loss
THURSDAY, July 27, 2017 (HealthDay News) -- Although more American adolescents are listening to music via earphones than ever before, rates of hearing loss have not increased, according to a study published online July 27 in JAMA Otolaryngology-Head & Neck Surgery.
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Serum γ-Glutamyltransferase Linked to MetS in Children, Teens
THURSDAY, July 27, 2017 (HealthDay News) -- For children and adolescents, serum γ-glutamyltransferase (GGT) is associated with metabolic syndrome (MetS), according to a study published online July 25 in the Journal of Diabetes Investigation.
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Mobile Health Intervention Ups Infant Safe Sleep Practices
THURSDAY, July 27, 2017 (HealthDay News) -- A mobile health intervention can improve adherence to infant safe sleep practices, according to a study published in the July 25 issue of the Journal of the American Medical Association.
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Benefit of Newer NICU Ventilation Strategies Questioned
THURSDAY, July 27, 2017 (HealthDay News) -- From 1991 to 2005, there was an increase in the duration of assisted ventilation among survivors of extremely preterm birth, but no improvement in lung function in childhood, according to a study published in the July 26 issue of the New England Journal of Medicine.
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ACOG Issues Guidelines for Teen Contraception Counseling
THURSDAY, July 27, 2017 (HealthDay News) -- Recommendations for counseling adolescents about contraception are presented in a committee opinion published in the August issue of Obstetrics & Gynecology.
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Nearly All Donated Brains From NFL Players Show CTE
TUESDAY, July 25, 2017 (HealthDay News) -- Ninety-nine percent of former National Football League (NFL) players who donated their brain to science were found to have chronic traumatic encephalopathy (CTE), according to a case series published in the July 25 issue of the Journal of the American Medical Association.
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Guidelines Developed for Art Therapy for Children With ASD
TUESDAY, July 25, 2017 (HealthDay News) -- Guidelines have been developed for the use of art therapy in children with autism spectrum disorder (ASD), according to a study published in the July issue of The Arts in Psychotherapy.
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Survey Reveals Prediabetes Knowledge Gaps in Primary Care
TUESDAY, July 25, 2017 (HealthDay News) -- Most primary care physicians (PCPs) can't identify all 11 risk factors for prediabetes, according to a study published online July 20 in the Journal of General Internal Medicine.
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ADHD Rx Associated With a Lower Risk for Alcohol, Drug Abuse
TUESDAY, July 25, 2017 (HealthDay News) -- Teens and adults with attention-deficit/hyperactivity disorder (ADHD) may have a lower risk of developing an alcohol or drug problem if they take medications to treat their ADHD, according to a study published online recently in the American Journal of Psychiatry.
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Obesity in Teens Ups Colon, Rectal Cancer Risk in Adulthood
TUESDAY, July 25, 2017 (HealthDay News) -- Obesity even in adolescence may raise the odds for colon and rectal cancers in adulthood, according to research published online July 24 in Cancer.
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Food Allergy Can Be Easily Misdiagnosed in Children
TUESDAY, July 25, 2017 (HealthDay News) -- Many people misunderstand what food allergies are, and even doctors can be confused about how to best diagnose them, according to a National Academies consensus report from the American Academy of Pediatrics (AAP) published online July 24 in Pediatrics.
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Average Increase in Physician Compensation 2.9% in 2016
MONDAY, July 24, 2017 (HealthDay News) -- The AMGA 2017 Medical Group Compensation and Productivity Survey reports that 77 percent of physician specialties experienced increases in compensation in 2016, with an overall weighted average increase of 2.9 percent.
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Many Americans Qualify As 'Overfat'
MONDAY, July 24, 2017 (HealthDay News) -- Traditional measurements do not fully capture the high rates of "overfat" individuals in developed countries, according to a study published online July 24 in Frontiers in Public Health.
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Health, Economic Costs High for Measles Vaccine Hesitancy
MONDAY, July 24, 2017 (HealthDay News) -- Even small declines in vaccine coverage can reduce the herd immunity effect, according to a study published online July 24 in JAMA Pediatrics.
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Exercise Training Improves Left Ventricular Function in T1DM
MONDAY, July 24, 2017 (HealthDay News) -- For adolescents with type 1 diabetes, a 20-week exercise training intervention is associated with improved aerobic capacity and stroke volume, according to a study published online July 18 in Diabetes Care.
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AMA Module Offers Help for Adding Pharmacist to Practice
FRIDAY, July 21, 2017 (HealthDay News) -- A new American Medical Association (AMA) education module has been developed to help embed clinical pharmacists within a medical practice.
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FDA Approves First Neonatal MRI Device
FRIDAY, July 21, 2017 (HealthDay News) -- The first magnetic resonance imaging (MRI) device designed specifically for neonatal brain and head imaging in intensive care units has been approved by the U.S. Food and Drug Administration.
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Educational Intervention Doesn't Up Hand, Stethoscope Hygiene
FRIDAY, July 21, 2017 (HealthDay News) -- An intervention including education is not associated with an increased rate of hand hygiene or stethoscope hygiene, according to a study published in the July 1 issue of the American Journal of Infection Control.
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Pollutant Exposure May Lead to Multi-Generational Asthma Risk
FRIDAY, July 21, 2017 (HealthDay News) -- Maternal exposure to diesel exhaust particles during pregnancy may increase susceptibility to allergic asthma in more than one generation of offspring, according to an experimental study published online recently in the American Journal of Physiology-Lung Cellular and Molecular Physiology.
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Visual Analogue Scale Valid for Assessing Pediatric Anxiety
FRIDAY, July 21, 2017 (HealthDay News) -- A visual analogue scale (VAS) score is valid for assessing anxiety among children during induction of anesthesia, according to a study published online July 14 in Pediatric Anesthesia.
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Antidepressants in Pregnancy May Contribute to Autism in Child
THURSDAY, July 20, 2017 (HealthDay News) -- In the long-standing debate over whether antidepressants are safe to take during pregnancy, a new study, published online July 19 in The BMJ, suggests that exposure to the drugs in the womb might increase a child's risk of autism.
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Animal Study Reveals Potential of Fetal Alcohol Damage Reversal
WEDNESDAY, July 19, 2017 (HealthDay News) -- Animal research may have yielded a potential treatment for fetal alcohol spectrum disorder in children; the new report was published online July 18 in Molecular Psychiatry.
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Single-Dose PCV13 Immunogenic, Safe in Pediatric Oncology
WEDNESDAY, July 19, 2017 (HealthDay News) -- For pediatric and adolescent oncology patients, a single-dose 13-valent pneumococcal conjugate vaccine (PCV13) is safe and immunogenic, according to a study published online July 11 in Cancer.
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High-Dose Vitamin D No Help for Winter URIs in Children
WEDNESDAY, July 19, 2017 (HealthDay News) -- High doses of vitamin D don't protect children from upper respiratory tract infections in the winter, according to a study published in the July 18 issue of the Journal of the American Medical Association.
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High Court Rules Against Interstate Medical Liability
TUESDAY, July 18, 2017 (HealthDay News) -- The Washington State high court has ruled against interstate medical liability, according to a report from the American Medical Association.
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Sunscreen Application Doesn't Provide Complete Body Cover
TUESDAY, July 18, 2017 (HealthDay News) -- Routine sunscreen application does not provide complete body coverage, according to a study published online July 12 in the International Journal of Cosmetic Science.
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Measles Outbreak Identified in Minnesota Is Ongoing
TUESDAY, July 18, 2017 (HealthDay News) -- An outbreak of measles has been identified in Minnesota, according to a report published in the July 14 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
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Patient-Centered Communication Could Help Reduce Burnout
MONDAY, July 17, 2017 (HealthDay News) -- Better patient-physician communication can improve care and reduce burnout, according to a report published by the American Medical Association.
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Infants With Potential Zika Exposure Should Have Eye Exam
MONDAY, July 17, 2017 (HealthDay News) -- Infants exposed to the Zika virus in utero should have their eyes examined for possible virus-related abnormalities, according to research published online July 17 in JAMA Pediatrics.
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Parents May Be Unclear on Teens' Vaccination Needs
MONDAY, July 17, 2017 (HealthDay News) -- New research from C.S. Mott Children's Hospital suggests that many American teens may not be getting recommended vaccinations because their parents are unaware of the need for them.
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Empowerment Linked to HRQoL in Teen, Young Adult CA Survivors
MONDAY, July 17, 2017 (HealthDay News) -- For adolescent and young adult (AYA) cancer survivors, empowerment is independently associated with health-related quality of life (HRQoL), according to research published online July 11 in Cancer.
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Maternal Uncontrolled Asthma Ups Risk of Asthma in Offspring
MONDAY, July 17, 2017 (HealthDay News) -- Children whose mothers have uncontrolled asthma during pregnancy are at increased risk of developing the disease at a young age, according to a study published online July 13 in the Journal of Allergy and Clinical Immunology.
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Few Americans Aware of Possible Increased Risk This Tick Season
MONDAY, July 17, 2017 (HealthDay News) -- Scientists have predicted an upswing in the tick population this summer, which could potentially mean more tick-borne infections, but few Americans are aware of this, a new HealthDay/Harris Poll shows.
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Female Physicians Found More Likely to Leave Rural Practice
MONDAY, July 17, 2017 (HealthDay News) -- Factors associated with physician mobility include smaller population size and lower primary care physician supply, according to a study published online in the July/August issue of the Annals of Family Medicine.
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Organizational Changes Encouraged for Safer Prescribing
MONDAY, July 17, 2017 (HealthDay News) -- Organizational changes are recommended by primary care physicians to support safer prescribing, according to a study published in the July/August issue of the Annals of Family Medicine.
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Early Career Burnout Can Be Contagious Via Social Networks
FRIDAY, July 14, 2017 (HealthDay News) -- For early career teachers (ECTs), social network members' burnout levels are associated with increased burnout levels, according to a study published in the August issue of Teaching and Teacher Education.
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Opioids Second Only to Marijuana in Illicit Drug Abuse Rates
THURSDAY, July 13, 2017 (HealthDay News) -- Abuse of prescription opioids is second only to marijuana abuse as the most common illegal drug problem in the United States, according to a report from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).
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New Vaccines Show Promise in Protecting Fetus From Zika
THURSDAY, July 13, 2017 (HealthDay News) -- Two experimental vaccines might help protect human fetuses against the Zika virus, according to a study published in the July 13 issue of Cell.
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Breastfeeding Appears to Lower the Risk of Multiple Sclerosis
THURSDAY, July 13, 2017 (HealthDay News) -- Women with a longer history of breastfeeding may be less likely to develop multiple sclerosis (MS) than mothers who never breastfed or nurse for briefer periods, according to a study published online July 12 in Neurology.
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Link for Maternal Antidepressant, Kids' Brain Health Questioned
THURSDAY, July 13, 2017 (HealthDay News) -- There is an increased risk of intellectual disability in children whose mothers take antidepressants while pregnant, but the association appears to be related to factors other than the medication use itself, according to a study published online July 12 in JAMA Psychiatry.
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International Variation in Prevalence of Celiac in T1DM
THURSDAY, July 13, 2017 (HealthDay News) -- Celiac disease (CD) is a common comorbidity in young people with type 1 diabetes, and the prevalence appears to vary internationally, according to a study published online June 29 in Diabetes Care.
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Too Many Children Not Getting Epinephrine When Needed
WEDNESDAY, July 12, 2017 (HealthDay News) -- Epinephrine administration in children at risk of anaphylaxis often occurs with considerable delay, according to a study published online July 12 in the Annals of Allergy, Asthma & Immunology.
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Vitamin D Deficiency Linked to Alopecia Areata Severity
WEDNESDAY, July 12, 2017 (HealthDay News) -- For pediatric patients with alopecia areata (AA), vitamin D is negatively correlated with disease severity, number of patches, and disease duration, according to a study published online recently in the Journal of Cosmetic Dermatology.
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Medicaid Enrollees Are Satisfied With Their Health Care
WEDNESDAY, July 12, 2017 (HealthDay News) -- Medicaid enrollees are largely satisfied with their health care, and most are able to access the care they need when they need it, according to a research letter published online July 10 in JAMA Internal Medicine.
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Clinical Decision Rules Accurately ID Rhinosinusitis
WEDNESDAY, July 12, 2017 (HealthDay News) -- Clinical decision rules can be used to diagnose acute rhinosinusitis and acute bacterial rhinosinusitis, according to a study published in the July/August issue of the Annals of Family Medicine.
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Review: Little Evidence on Vitamin D-Allergy Association
WEDNESDAY, July 12, 2017 (HealthDay News) -- Vitamin D supplementation seems not to prevent allergies in pregnant women, breastfeeding women, or infants, though there is very little evidence about the association between vitamin D and allergic diseases, according to a review published online July 4 in Allergy.
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Increased Parental Anxiety With Increased Diabetes Risk
WEDNESDAY, July 12, 2017 (HealthDay News) -- Parents of children at increased genetic risk for type 1 diabetes and with positive islet autoantibody (IA) testing have increased anxiety, according to a study published online June 29 in Diabetes Care.
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Study Quantifies Health and Economic Burden of Preeclampsia
TUESDAY, July 11, 2017 (HealthDay News) -- Rates of preeclampsia continue to increase in the United States, exacting a significant economic toll, according to a study published online July 11 in the American Journal of Obstetrics and Gynecology.
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Health Service Use Unchanged From 1996-1997 to 2011-2012
TUESDAY, July 11, 2017 (HealthDay News) -- Utilization of health services was largely unchanged from 1996-1997 to 2011-2012, but expenditures increased, according to a study published in the July/August issue of the Annals of Family Medicine.
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Patients Are Often Recording Doctor's Visits
TUESDAY, July 11, 2017 (HealthDay News) -- Patients may be recording office visits, with or without permission, according to an opinion piece published online July 10 in the Journal of the American Medical Association.
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American Adults Without Health Insurance Rises by Two Million
TUESDAY, July 11, 2017 (HealthDay News) -- The number of American adults without health insurance has increased by about two million so far this year, according to a new Gallup-Sharecare Well-Being Index poll.
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Sugary Drinks in Mid-Pregnancy Up Odds of Heavier Children
MONDAY, July 10, 2017 (HealthDay News) -- Expectant mothers who consume more sugary beverages during pregnancy tend to have children with higher amounts of body fat, according to a study published online July 10 in Pediatrics.
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Rate of Non-Health Care Facility Medication Errors on the Rise
MONDAY, July 10, 2017 (HealthDay News) -- The rate of serious medication errors has doubled since 2000, according to a study published online July 10 in Clinical Toxicology.
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Increasing BMI Causally Linked to Asthma, Not Hay Fever
MONDAY, July 10, 2017 (HealthDay News) -- There is a causal relationship between increasing body mass index (BMI) and asthma and decreased lung function, according to a study published online July 4 in Allergy.
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Most Firearm Suicides Not Tied to Mental Illness, Substance Use
MONDAY, July 10, 2017 (HealthDay News) -- Few individuals with history of a mental health or substance use condition, or those who have a previous suicide attempt, commit firearm suicide, according to a research letter published online July 3 in the Annals of Internal Medicine.
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Allergists Concerned About Bee, Wasp Venom Extract Shortage
FRIDAY, July 7, 2017 (HealthDay News) -- A shortage of honeybee, wasp, and hornet venom extract has allergists concerned.
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C. difficile Present in Many Public Sandboxes
FRIDAY, July 7, 2017 (HealthDay News) -- Clostridium difficile was present in nearly 53 percent of sandboxes tested in Spain, according to a report published online July 7 in Zoonoses and Public Health.
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Rod, Cone Function Down for Children Born Extremely Preterm
FRIDAY, July 7, 2017 (HealthDay News) -- Children born extremely preterm have reduced rod and cone function compared with children born at term, according to a study published online June 29 in JAMA Ophthalmology.
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Pulsed Dye Laser Doesn't Significantly Improve Acne
FRIDAY, July 7, 2017 (HealthDay News) -- For patients with acne, pulsed dye laser (PDL) treatment does not improve acne severity grading or acne erythema grading but is associated with patient satisfaction, according to a study published recently in the International Journal of Dermatology.
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Sugar Intake During Pregnancy Tied to Allergy in Offspring
FRIDAY, July 7, 2017 (HealthDay News) -- High intake of sugar-laden foods and beverages during pregnancy may contribute to the development of asthma and allergies in offspring, according to research published in the July issue of the European Respiratory Journal.
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4-Food Elimination Diet Induces EoE Remission in Children
FRIDAY, July 7, 2017 (HealthDay News) -- For children with eosinophilic esophagitis (EoE), eight weeks of a four-food elimination diet can induce remission, according to a study published online June 8 in Clinical Gastroenterology and Hepatology.
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Market Competition Linked to Change in Generic Drug Prices
THURSDAY, July 6, 2017 (HealthDay News) -- Market competition levels are associated with changes in the price of generic drugs, according to a study published online July 4 in the Annals of Internal Medicine.
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AMA: Doctors Should Make Sure Their Online Info Is Accurate
THURSDAY, July 6, 2017 (HealthDay News) -- In a technologically advanced society, physicians need to take advantage of the internet to reach patients and exercise caution in their online presence, according to a report published by the American Medical Association.
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IgE Allergy Testing Improves Atopic Dermatitis Outcomes
THURSDAY, July 6, 2017 (HealthDay News) -- Identification of allergens by immunoglobulin E (IgE) testing improves outcomes in atopic dermatitis, according to a study published online June 20 in the International Journal of Dermatology.
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Risks Linked to Soft Contacts No Higher for Children Than Adults
THURSDAY, July 6, 2017 (HealthDay News) -- Soft contact lenses are as safe for children and teens as they are for adults, according to a review published in the June issue of Optometry and Vision Science.
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Differences in U.S. Infant Mortality Rates for Blacks, Whites
WEDNESDAY, July 5, 2017 (HealthDay News) -- The mortality rate for black infants in the United States has risen in recent years, while the rate for white infants continues to decline, according to a research letter published online July 3 in JAMA Pediatrics.
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No Evidence Probiotics Protect Infants Against Infections
WEDNESDAY, July 5, 2017 (HealthDay News) -- Probiotic supplements do not appear to lower infants' risk of infection in day care, according to research published online July 3 in Pediatrics.
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Concussion Can Increase Risk of Abnormal Menstrual Patterns
WEDNESDAY, July 5, 2017 (HealthDay News) -- Adolescent and young women have significantly increased odds of multiple, abnormal menstrual patterns following concussion, according to a study published online July 3 in JAMA Pediatrics.
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Many Children With Reported Penicillin Allergy Are Not Allergic
WEDNESDAY, July 5, 2017 (HealthDay News) -- Many children suspected of being allergic to penicillin actually aren't, according to a study published online July 3 in Pediatrics.
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Comparable Metabolic Effects for E-Cigarettes, Smoking
WEDNESDAY, July 5, 2017 (HealthDay News) -- Electronic cigarette smoking has the same deleterious effect on weight and metabolic parameters as traditional cigarettes, according to research published online June 29 in Obesity Reviews.
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Many U.S. Teens Can't Access Emergency Contraception
WEDNESDAY, July 5, 2017 (HealthDay News) -- Although the U.S. Food and Drug Administration has lifted age restrictions on the use of levonorgestrel emergency contraception (EC), many teens may still have difficulty obtaining the medication, according to a study published online June 30 in Pediatrics.
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