June 2011 Briefing - Pediatrics

Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for June 2011. 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.

Most Addicted Americans Start Using Before Age 18

THURSDAY, June 30 (HealthDay News) -- Most Americans currently meeting medical criteria for addiction began smoking, drinking, or using drugs before their 18th birthday, according to a study released June 29 by the National Center on Addiction and Substance Abuse at Columbia University.

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Pain Is a Public Health Issue and Economic Burden in U.S.

THURSDAY, June 30 (HealthDay News) -- An integrated approach that responds to all the factors influencing pain can successfully treat, manage, and prevent chronic pain, according to a report published in June by the Institute of Medicine (IOM), on behalf of the National Institutes of Health (NIH).

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Rapamycin Offers Potential Treatment for HGPS

THURSDAY, June 30 (HealthDay News) -- Treatment with rapamycin abolishes characteristic nuclear defects, prolongs cellular life span, and improves the turnover of progerin in cultured Hutchinson-Gilford Progeria Syndrome (HGPS) fibroblasts cells and may be a potential treatment for children with this genetic disorder, according to a study published in the June 29 issue of Science Translational Medicine.

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Parent, Child Surgery May Spur Parents to Quit Smoking

THURSDAY, June 30 (HealthDay News) -- Parents are more likely to try to quit smoking if they or their child had a recent surgery, and are more likely to succeed if they underwent the surgical procedure and not their child, according to a study published in the July issue of Anesthesiology.

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Incentives Negatively Impact Non-Incentivized Activities

WEDNESDAY, June 29 (HealthDay News) -- Incentives may have a detrimental impact on non-incentivized activities of quality of care in the long-term, according to a study published online June 28 in BMJ.

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Evening Media Use Affects Sleep in Children

TUESDAY, June 28 (HealthDay News) -- Evening media or daytime violent media use may increase sleep problems in preschool-aged children, but nonviolent daytime media use does not, according to a study published online June 27 in Pediatrics.

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New Tool Validated for Vision-Related Quality of Life

TUESDAY, June 28 (HealthDay News) -- The Effects of Youngsters' Eyesight on Quality of Life (EYE-Q) instrument is a validated and reliable tool which may be useful for determining vision-related quality of life (VRQOL) in visually impaired children with juvenile idiopathic arthritis-associated uveitis (JIA-U), according to a study published online June 15 in Arthritis Care & Research.

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Normal CT Scan Tied to Favorable Head Trauma Result

MONDAY, June 27 (HealthDay News) -- Children with minor blunt head injury with normal initial computed tomography (CT) scan results and a Glasgow Coma Scale (GCS) score of 14 to 15 are very unlikely to need neurosurgical intervention, according to a study published online June 17 in the Annals of Emergency Medicine.

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Obesity in Children and Adolescents Linked to Media

MONDAY, June 27 (HealthDay News) -- Media, and specifically television viewing, may be correlated with childhood and adolescent obesity, which is related in part to advertising of unhealthy foods, according to a policy statement issued by the American Academy of Pediatrics (AAP) and published online June 27 in Pediatrics.

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More Pediatricians Utilizing Formal Screening Tools

MONDAY, June 27 (HealthDay News) -- An increased use of developmental tools by pediatricians was observed between 2002 and 2009, according to a study published online June 27 in Pediatrics.

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Higher Prevalence of Autism Disorders Seen in IT Regions

MONDAY, June 27 (HealthDay News) -- Autism spectrum conditions (ASC) are more common in children residing in regions which are centers of information technology (IT), according to a study published online June 17 in the Journal of Autism and Developmental Disorders.

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Home Stress Adds to Child's Lung Damage by Air Pollutants

FRIDAY, June 24 (HealthDay News) - The presence of psychosocial stress at home is correlated with increased susceptibility to the effects of traffic-related air pollution (TRP) on lung function, according to a study published online June 23 in the American Journal of Respiratory and Critical Care Medicine.

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IOM Addresses Prevention of Obesity in Young Children

FRIDAY, June 24 (HealthDay News) -- Encouraging more physical activity and limiting television and other media use as well as requiring child care providers to promote healthy sleeping practices are a few of the recommendations in a new report from the Institute of Medicine that is part of an effort to reduce obesity in very young children.

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Disordered Eating Persists From Adolescence to Adulthood

FRIDAY, June 24 (HealthDay News) -- Dieting and disordered eating behaviors that begin during adolescence continue to be prevalent in early adulthood, according to a study published in the July issue of the Journal of the American Dietetic Association.

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Obese Teen Girls Have Higher Nicotine Addiction Risk

FRIDAY, June 24 (HealthDay News) -- Obese adolescent females have a significantly increased risk of nicotine addiction in young adulthood, which is strongly predicted by family smoking, according to a study published online June 21 in the Journal of Adolescent Health.

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Long-Term Pollutant Exposure Tied to Uncontrolled Asthma

FRIDAY, June 24 (HealthDay News) - Long-term exposure to particulate matter smaller than 10 µm (PM10) and ozone (O3) is associated with uncontrolled asthma in adults, according to a study published online June 20 in the Journal of Epidemiology & Community Health.

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Cardiac Magnetic Resonance Approach Feasible for Infants

FRIDAY, June 24 (HealthDay News) -- Cardiac magnetic resonance (CMR) using a feed-and-swaddle approach does not require deep sedation or cardiac anesthesia, and can be used to evaluate aortic arch abnormalities in infants, according to a study published in the July 1 issue of The American Journal of Cardiology.

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Glow Gel Enhances Hand-Washing Ability in Children

FRIDAY, June 24 (HealthDay News) -- The use of glow gel to wash hands is an effective way to improve hand hygiene in children, even without specific education, according to a study published in the July issue of Infection Control and Hospital Epidemiology.

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Maternal Smoking May Lower Children's HDL Cholesterol

THURSDAY, June 23 (HealthDay News) -- Healthy 8-year-olds whose mothers smoked during pregnancy may have reduced levels of high-density lipoprotein (HDL) cholesterol, according to a study published online June 21 in the European Heart Journal.

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Autism Tied to Disrupted Neural Synchronization

THURSDAY, June 23 (HealthDay News) -- Toddlers with autism display disrupted neural synchronization during sleep compared to language-delayed or typically developing children, according to a study published in the June 23 issue of Neuron.

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Variability Seen in Primary Care High-Risk Prescribing

WEDNESDAY, June 22 (HealthDay News) -- High-risk prescribing or potentially inappropriate prescribing of drugs in primary care patients shows considerable unexplained variation between practices, and it is more likely in patients prescribed long-term drugs, according to a study published online June 21 in BMJ.

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Perinatal Exposures May Impact Breast Development

WEDNESDAY, June 22 (HealthDay News) -- Gestational or perinatal exposure to certain endocrine-disrupting chemicals (EDCs) can alter mammary gland (MG) development, disrupt lactation, and increase susceptibility to breast cancer, according to a review published online June 22 in Environmental Health Perspectives.

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Nasal Spray May Reduce IL-6 in Pediatric Sleep Apnea

WEDNESDAY, June 22 (HealthDay News) -- The treatment of pediatric obstructive sleep apnea syndrome (OSAS) with fluticasone furoate nasal spray may reduce secretions of interleukin 6 (IL-6), according to a study published in the June issue of the Archives of Otolaryngology -- Head & Neck Surgery.

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Vessel Sealing System May Be Superior Tonsillectomy Method

TUESDAY, June 21 (HealthDay News) -- The vessel sealing system (VSS) may be a superior tonsillectomy method than other conventional or modern technology-assisted methods, according to a meta-analysis published in the June issue of the Archives of Otolaryngology -- Head & Neck Surgery.

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Food Stores Near Schools Not Tied to Obesity in Students

MONDAY, June 20 (HealthDay News) -- The presence of food stores with unhealthful food near high schools in Maine has no significant impact on the obesity risk of students, according to a study published in the July issue of the Journal of Nutrition Education and Behavior.

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U.S. Food Allergy Prevalence Higher Than Reported

MONDAY, June 20 (HealthDay News) -- The prevalence and severity of childhood food allergy in the United States is greater than previously reported, with disparities in childhood allergy and its clinical diagnosis, according to a study published online June 20 in Pediatrics.

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Portable Pools May Pose Submersion Risk for Children

MONDAY, June 20 (HealthDay News) -- The majority of pediatric submersion events in portable pools involve children younger than 5 years and take place in the child's own yard, according to a study published online June 20 in Pediatrics.

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Childhood Asthma Linked to ADHD in Adolescence

FRIDAY, June 17 (HealthDay News) -- Childhood asthma is associated with subsequent development of attention-deficit/hyperactivity disorder (ADHD), particularly the hyperactivity-impulsivity (HI) component in adolescence, according to a study published online May 21 in Allergy.

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Anonymized Information May Decrease Violence Injuries

FRIDAY, June 17 (HealthDay News) -- Combining police intelligence with anonymized information from patients injured in violence can be used to prevent violence causing wounding, but not for more minor violence, according to a study published online June 16 in BMJ.

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Many Primary Care Physicians Not Addressing Weight Issues

FRIDAY, June 17 (HealthDay News) -- A large number of primary care physicians (PCPs) do not offer adequate counseling for weight status for adults or children, according to two studies published in the July issue of the American Journal of Preventive Medicine.

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Low Use of Screenings by Sexual Minority Young Women

FRIDAY, June 17 (HealthDay News) -- Routine reproductive health screenings, including Papanicolaou (Pap) smears and sexually transmitted infection (STI) tests, are underutilized by sexual minority adolescent and young adult women, according to a study published online June 7 in the Journal of Adolescent Health.

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HPV Vaccination Program Tied to Fewer Cervical Abnormalities

FRIDAY, June 17 (HealthDay News) -- The incidence of high-grade cervical abnormalities (HGAs) has decreased in girls younger than 18 years, within three years of the implementation of a population-wide human papillomavirus (HPV) vaccination program in Australia, according to a review published in the June 18 issue of The Lancet.

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CDC: Small Percent of Youth Meet Physical Activity Goals

THURSDAY, June 16 (HealthDay News) -- Only a small percentage of youth have met the objective for aerobic and muscle-strengthening activities outlined in the Healthy People 2020 (HP 2020) physical activity guidelines, and daily consumption of sugar-sweetened beverages (SSBs) is high, especially among male and black youth, according to two reports in the June 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Syphilis Screening May Reduce Adverse Pregnancy Outcomes

THURSDAY, June 16 (HealthDay News) -- Screening interventions may reduce the incidence of perinatal death and stillbirth attributed to syphilis, according to a review published online June 16 in The Lancet Infectious Diseases.

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Gene Mutation Tied to Increased Vitamin D Sensitivity

THURSDAY, June 16 (HealthDay News) -- Mutations in CYP24A1 are associated with increased sensitivity to vitamin D in patients with idiopathic infantile hypercalcemia, and may be a potential genetic risk factor for the development of symptomatic hypercalcemia in otherwise healthy infants, according to a study published online June 15 in the New England Journal of Medicine.

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Infectious Patients on Flights May Raise Influenza Risk

THURSDAY, June 16 (HealthDay News) -- Influenza-like illness (ILI) may be transmitted during a flight, with disease incidence being clustered closely around a passenger who was symptomatic or infectious during the flight, according to a study published online June 16 in Emerging Infectious Diseases.

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Increased Risk of Femoral Arterial Thrombosis in Children

THURSDAY, June 16 (HealthDay News) -- For children with indwelling arterial catheters (IACs), the incidence of arterial thrombosis is increased in the femoral artery and is independently associated with age, according to a study published in the June issue of the Journal of Thrombosis and Haemostasis.

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Vitamin D Supplementation Widely Recommended

THURSDAY, June 16 (HealthDay News) -- Depending on age and clinic circumstances, vitamin D supplementation at suggested daily-intake and tolerable upper-limit levels is widely recommended, particularly for those individuals at risk of deficiency, according to the Endocrine Society's guidelines published online June 6 in The Journal of Clinical Endocrinology & Metabolism.

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Unequal Care Access for Children With Public Insurance

THURSDAY, June 16 (HealthDay News) -- Access to outpatient care is restricted for children with public insurance compared to those with private insurance, according to a study published in the June 16 issue of the New England Journal of Medicine.

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New Meningococcal A Conjugate Vaccine Is Effective

WEDNESDAY, June 15 (HealthDay News) -- A new meningococcal A (MenA) conjugate vaccine (PsA-TT) has been found to have a stronger antibody response to group A meningococci than a quadrivalent polysaccharide reference vaccine (PsACWY), according to a study published in the June 16 issue of the New England Journal of Medicine.

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New Rotavirus Vaccine Reduces Cases of Infant Diarrhea

WEDNESDAY, June 15 (HealthDay News) -- In Mexico and Brazil, use of the new monovalent rotavirus vaccine (RV1) is associated with a short-term risk of intussusception in vaccinated infants but prevents a far higher number of hospitalizations and deaths from diarrhea, according to a study published in the June 16 issue of the New England Journal of Medicine.

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Sleep Positions and Practices May Influence Late Stillbirth

WEDNESDAY, June 15 (HealthDay News) -- Maternal sleep positions and practices may be associated with late stillbirth risk, according to a study published online June 14 in BMJ.

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Early Childhood Exposure to Pets Influences Sensitization

WEDNESDAY, June 15 (HealthDay News) -- Indoor exposure to dogs or cats in the first year of life may influence sensitization to that animal in adulthood, according to a study published in the July issue of Clinical & Experimental Allergy.

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Life Expectancy in U.S. Counties Below Many Nations

WEDNESDAY, June 15 (HealthDay News) -- Most counties within the United States fall behind the international frontier with the best life expectancies in the world, according to a study published online June 15 in Population Health Metrics.

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Similar Number for Outpatient, Inpatient Malpractice Claims

TUESDAY, June 14 (HealthDay News) -- The number of paid malpractice claims is similar in both inpatient and outpatient settings, according to a study published in the June 15 issue of the Journal of the American Medical Association.

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FDA Announces Sunscreen Label Changes

TUESDAY, June 14 (HealthDay News) -- The U.S. Food and Drug Administration has announced that sunscreen products that meet modern standards of effectiveness may be labeled with new information to help consumers reduce the risk of skin cancer, prevent sunburn, and lower the risk of early skin aging.

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Mothers' Attitudes Affect Adult Children's Mental Illness

TUESDAY, June 14 (HealthDay News) -- Stigmatizing attitudes of family members, particularly mothers, can negatively impact individuals with mental illness, according to a study published in the June issue of Social Psychology Quarterly.

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Mobile Phone Users May Have Increased Glioma Risk

MONDAY, June 13 (HealthDay News) -- The mobile phone radio frequency (RF) energy dose absorbed at a tumor location depends on tumor location, phone type, network properties, and conditions of use, and individuals with high mobile phone use may have an increased risk of gliomas in the most exposed areas of the brain, according to two studies published online June 9 in Occupational & Environmental Medicine.

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Recurrent Maternal Depression May Affect Child's Behavior

MONDAY, June 13 (HealthDay News) -- Exposure to recurrent maternal depressive symptoms in toddlerhood is significantly associated with childhood behavior problems at age 5 years; but formal child care at age 2 can positively impact negative behavior, according to a study published online June 13 in Pediatrics.

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Breast-Feeding for Any Duration May Lower SIDS Risk

MONDAY, June 13 (HealthDay News) -- Breast-feeding has a protective effect against sudden infant death syndrome (SIDS), particularly when breast-feeding is exclusive, according to a meta-analysis published online June 13 in Pediatrics.

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Age of Epilepsy Onset Linked to Cognitive Impairment

FRIDAY, June 10 (HealthDay News) -- Age of seizure onset may be a significant predictor of cognitive impairment in preschool children with epilepsy, according to a study published online May 13 in Epilepsia.

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Childhood ADHD Tied to Substance Use Issues in Adults

FRIDAY, June 10 (HealthDay News) -- Childhood attention-deficit hyperactivity disorder (ADHD) is a significant risk factor for the development of substance use disorder (SUD) in adulthood, irrespective of gender, according to a study published in the June issue of the Journal of the American Academy of Child & Adolescent Psychiatry.

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CDC: Ocular Toxocariasis Often Causes Permanent Vision Loss

THURSDAY, June 9 (HealthDay News) -- Ocular toxocariasis (OT) continues to occur in the United States, and it frequently leads to permanent vision loss that primarily affects children, according a report in the June 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Most Parents Vaccinate Their Children Despite Concerns

THURSDAY, June 9 (HealthDay News) -- Although the majority of U.S. parents vaccinate their children, most have questions and concerns, according to a study published in the June issue of Health Affairs.

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Despite Psychiatric Care, Youths Continue to Visit ERs

THURSDAY, June 9 (HealthDay News) -- Most youths who repeatedly present to an emergency department report having a connection to outpatient mental health care, according to a study published in the June 1 issue of Psychiatric Services.

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Novel Loci Tied to Fasting Glucose Levels in Children

THURSDAY, June 9 (HealthDay News) -- Novel fasting glucose loci previously identified in adults may be associated with altered fasting glucose levels in healthy children and adolescents, according to a review published in the June issue of Diabetes.

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Fibromyalgia Syndrome May Be Linked to Abuse

THURSDAY, June 9 (HealthDay News) -- Significant correlations may exist between fibromyalgia syndrome (FMS) and self-reported sexual and physical abuse in childhood and/or adulthood, according to a meta-analysis published in the June issue of Arthritis Care & Research.

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Rare Gene Copy Number Variations Linked to Autism

THURSDAY, June 9 (HealthDay News) -- Autism spectrum disorder (ASD) is associated with the presence of rare de novo copy number variants (CNV), according to three studies published in the June issue of Neuron.

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CDC: Incidence of Several Foodborne Infections Declines

TUESDAY, June 7 (HealthDay News) -- Although the incidence of several foodborne infections -- including Shiga toxin-producing Escherichia coli (STEC) O157 -- has declined over the past several years, the incidence of Salmonella infection has not decreased, according to a Vital Signs report in the June 7 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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DASH-Style Diet Linked to Lower BMI in Adolescent Girls

TUESDAY, June 7 (HealthDay News) -- A higher adherence to a Dietary Approach to Stop Hypertension (DASH)-style diet by girls between the ages of 9 and 19 years is associated with a consistently lower body mass index (BMI), according to a study published in the June issue of the Archives of Pediatrics & Adolescent Medicine.

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School Bullies More Likely to Commit Partner Violence

TUESDAY, June 7 (HealthDay News) -- Boys who bullied their peers as a child are more likely to commit intimate partner violence (IPV) as adults; and, men who are violent have increased gray matter (GM) volume in their mesolimbic reward systems, according to two studies published online June 6 in the Archives of Pediatrics & Adolescent Medicine and the Archives of General Psychiatry, respectively.

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Youth Bear Large Burden of Global Death, Disease

TUESDAY, June 7 (HealthDay News) -- Youths between the ages of 10 and 24 years carry 15.5 percent of the global burden of disability-adjusted life-years (DALYs), according to a study published online June 7 in The Lancet.

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Antiepileptic Drugs Have Dose-Dependent Tie to Birth Defects

TUESDAY, June 7 (HealthDay News) -- Four commonly used antiepileptic drugs are associated with a dose-dependent increased risk of major birth defects when used at the beginning of pregnancy, according to a study published online June 6 in The Lancet Neurology.

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More Anesthesia-Related Death in Children With Heart Disease

TUESDAY, June 7 (HealthDay News) -- Anesthesia increases the risk of mortality in children with heart disease, especially pulmonary hypertension, but it is safe for healthy children, according to a study published in the June issue of Anesthesia & Analgesia.

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CDC: More Risky Behaviors Seen in Gay, Bisexual Teens

MONDAY, June 6 (HealthDay News) -- Gay, lesbian, or bisexual students are more likely to engage in health-risk behaviors than heterosexual students, according to a report published in the June 6 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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High-Pitch CT Offers Diagnostic Accuracy for Children

MONDAY, June 6 (HealthDay News) -- Use of high-pitch, dual-source computed tomography (CT) in pediatric patients with congenital heart disease offers diagnostic accuracy at lower radiation doses, according to a study published in the May 15 issue of The American Journal of Cardiology.

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Late-Onset GI Complications Tied to Childhood Cancers

MONDAY, June 6 (HealthDay News) -- Survivors of childhood cancer have an increased risk of developing gastrointestinal (GI) complications later in life, according to a study published in the May issue of Gastroenterology.

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Appendectomy, Tonsillectomy May Increase AMI Risk

FRIDAY, June 3 (HealthDay News) -- Youth who undergo appendectomy or tonsillectomy before age 20 may have an increased risk of acute myocardial infarction (AMI) later in life, according to a study published online June 1 in the European Heart Journal.

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ADHD and Deficient Emotional Control Run in Families

FRIDAY, June 3 (HealthDay News) -- The inheritance pattern of attention-deficit hyperactivity disorder (ADHD) and deficient emotional self-regulation (DESR) suggests that DESR may be a familial subtype of ADHD, according to a study published online April 15 in The American Journal of Psychiatry.

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CDC: More Than One Million Living With HIV in U.S. in 2008

FRIDAY, June 3 (HealthDay News) -- Despite declines in AIDS diagnoses and deaths with the advent of antiretroviral therapy, more than one million people in the United States were living with HIV in 2008, according to a report in the June 3 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Occupancy Smoothing May Reduce Hospital Crowding

FRIDAY, June 3 (HealthDay News) -- Use of smoothing strategies may reduce midweek overcrowding in children's hospitals, according to a study published online May 24 in the Journal of Hospital Medicine.

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Placebo or No Treatment Effective for Headache

FRIDAY, June 3 (HealthDay News) -- Individuals with headaches have an average recovery rate of 35.7 percent when they are in the placebo or no-treatment group of a trial, according to a review published online May 20 in the Journal of Manipulative and Physiological Therapeutics.

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Winter Conception Associated With Higher Autism Risk

THURSDAY, June 2 (HealthDay News) -- Children conceived during winter months may be at higher risk for developing autism than children conceived in the summer, according to research published online May 3 in Epidemiology.

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Iodine Deficiency Prevalent in U.K. Female Teens

THURSDAY, June 2 (HealthDay News) -- Iodine deficiency is prevalent in adolescent girls in the United Kingdom, according to a study published online June 2 in The Lancet.

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Bovine Serum Albumin Linked to Membranous Nephropathy

THURSDAY, June 2 (HealthDay News) -- Some patients with childhood membranous nephropathy have circulating bovine serum albumin and anti-bovine serum antibodies, which co-localize to form immune deposits, according to a study published in the June 2 issue of the New England Journal of Medicine.

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PCR Assay Useful for Early Detection of CMV in Infants

THURSDAY, June 2 (HealthDay News) -- Real-time polymerase chain reaction (PCR) assays of both liquid- and dried-saliva specimens may represent a useful diagnostic tool for the detection of cytomegalovirus (CMV) infections in newborns, according to a study published in the June 2 issue of the New England Journal of Medicine.

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Maternal Influenza Vaccination Tied to Reduced Prematurity

WEDNESDAY, June 1 (HealthDay News) -- Receipt of vaccination against influenza during any trimester of pregnancy reduces the likelihood of prematurity and of small-for-gestational-age (SGA) births during local and widespread influenza activity periods, according to a study published online May 31 in PloS Medicine.

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Functional MRI May Indicate Language Disability in Autism

WEDNESDAY, June 1 (HealthDay News) -- Functional magnetic resonance imaging (fMRI) may be used as an indicator of language impairment in children with autism, according to a study published online May 31 in Radiology.

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Culture of Safety May Reduce Errors in Pediatric Care

WEDNESDAY, June 1 (HealthDay News) -- Adopting a culture of safety, identifying and reporting errors, and preventing errors are all necessary to reduce the risk of harm incurred during pediatric medical care, according to the policy statement issued by the American Academy of Pediatrics (AAP) and published online May 29 in Pediatrics.

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