June 2014 Briefing - Pediatrics

Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for June 2014. 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.

New Plan Would Permit Doctors to Treat Patients in Other States

MONDAY, June 30, 2014 (HealthDay News) -- A proposal to make it much easier for doctors licensed in one state to treat patients in other states in person, online, or by videoconference has been prepared by the Federation of State Medical Boards, which includes the agencies that license and discipline doctors.

Health Highlights: June 30, 2014

Exposure to Violent TV Linked to Poorer Executive Function

MONDAY, June 30, 2014 (HealthDay News) -- Exposure to violent television is associated with poorer executive functioning and slower white matter growth in young adult males, according to a study published in the July issue of Brain and Cognition.

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Guidance Issued for Addressing Primary Ovarian Insufficiency

MONDAY, June 30, 2014 (HealthDay News) -- Adolescents diagnosed with primary ovarian insufficiency should be offered counseling and hormonal therapy, according to a Committee Opinion published in the July issue of Obstetrics & Gynecology.

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Opportunity for Reduced Antibiotic Use in Acne Treatment

MONDAY, June 30, 2014 (HealthDay News) -- Duration of antibiotic use for acne appears to be decreasing; however, nearly one-fifth of courses exceed six months, according to a study published in the July issue of the Journal of the American Academy of Dermatology.

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Salmonella-Induced Gastroenteritis Ups Risk of IBS

MONDAY, June 30, 2014 (HealthDay News) -- Salmonella-induced gastroenteritis during childhood is associated with increased risk of irritable bowel syndrome (IBS), according to a study published in the July issue of Gastroenterology.

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UnitedHealth Cutting More Docs From Medicare Advantage

FRIDAY, June 27, 2014 (HealthDay News) -- UnitedHealth Group's Medicare Advantage network has begun notifying physicians of a new wave of cuts to its network, according to an article published June 17 in Medical Economics.

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Court: Patients Responsible for Outcomes of Risky Behavior

FRIDAY, June 27, 2014 (HealthDay News) -- The Colorado Supreme Court has ruled that patients can be at least partially responsible for their health outcomes resulting from their own unhealthy behavior, according to the American Medical Association (AMA), which supported the physicians in the case.

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NYC Can't Ban Large Sugary Drinks: Appeals Court

FRIDAY, June 27, 2014 (HealthDay News) -- New York City's attempt to have its ban on large sodas and other sugary drinks reinstated was denied Thursday by the state's Court of Appeals.

Health Highlights: June 26, 2014

Telemedicine Can Effectively ID Retinopathy of Prematurity

FRIDAY, June 27, 2014 (HealthDay News) -- A telemedicine system consisting of trained nonphysician imagers and readers is effective for detection of referral-warranted retinopathy of prematurity (RW-ROP) in at-risk infants, according to a study published online June 26 in JAMA Ophthalmology.

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Pediatricians Should Encourage Parents to Read Aloud

FRIDAY, June 27, 2014 (HealthDay News) -- Pediatricians should encourage parents to read regularly with young children to promote literacy, according to an American Academy of Pediatrics (AAP) policy statement published online June 23 in Pediatrics.

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Numbing Medications Can Harm Teething Babies, FDA Warns

FRIDAY, June 27, 2014 (HealthDay News) -- Viscous lidocaine and benzocaine-containing teething products should not be used for teething children, except under the advice and supervision of a health care professional, according to a new warning from the U.S. Food and Drug Administration.

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Television Viewing Time Linked to All-Cause Mortality

FRIDAY, June 27, 2014 (HealthDay News) -- Television viewing, but not computer or driving time, is associated with all-cause mortality, according to a study published online June 25 in the Journal of the American Heart Association.

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CDC: One in 10 Deaths Due to Excessive Drinking

THURSDAY, June 26, 2014 (HealthDay News) -- Nearly one in 10 deaths among working-age adults in the United States are attributable to excessive drinking, according to a study published online June 26 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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CDC: Flu Vaccine Spray Better Than Shots for Young Children

THURSDAY, June 26, 2014 (HealthDay News) -- Flu vaccination via spray is more effective for young children than injection, a U.S. government panel ruled Wednesday.

Health Highlights: June 26, 2014

FDA: Acne Products Can Trigger Severe Allergic Reactions

THURSDAY, June 26, 2014 (HealthDay News) -- Some popular over-the-counter acne treatments can cause severe irritation or even potentially life-threatening allergic reactions, the U.S. Food and Drug Administration said Wednesday. These topical products contain the active ingredients benzoyl peroxide or salicylic acid and are marketed under brand names such as Proactiv, Neutrogena, MaxClarity, Oxy, Ambi, Aveeno, and Clean & Clear, the FDA said.

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Tips Offered for Improving Practice Productivity

THURSDAY, June 26, 2014 (HealthDay News) -- Four steps can be utilized to improve practice productivity, according to an article published June 24 in Medical Economics.

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Wikipedia Drug Entries Often Not Up-to-Date

THURSDAY, June 26, 2014 (HealthDay News) -- Patients frequently turn to digital media for drug information; however, many Wikipedia entries about medications aren't up-to-date and accurate, according to a perspective piece published in the June 26 issue of the New England Journal of Medicine.

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One in Five Children With Persistent Cough Have Pertussis

THURSDAY, June 26, 2014 (HealthDay News) -- One-fifth of school-aged children with persistent cough have evidence of pertussis, even among those who are fully vaccinated, according to a study published online June 24 in BMJ.

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CDC Readies Latest Graphic Anti-Smoking Ads

TUESDAY, June 24, 2014 (HealthDay News) -- A new series of ads featuring former smokers whose lives have been harmed by tobacco is set to be released, U.S. health officials said Tuesday.

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Medicaid Backlog May Have Financial Ramifications

TUESDAY, June 24, 2014 (HealthDay News) -- There is a considerable backlog in Medicaid enrollment applications, which may have financial ramifications on physicians and practices, according to an article published online June 10 in Medical Economics.

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Exclusion From Child Care May Spur ER/Urgent Care Visits

TUESDAY, June 24, 2014 (HealthDay News) -- Parents of sick children excluded from child care frequently seek evaluation in the emergency department or urgent care setting, according to research published online June 23 in Pediatrics.

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Prenatal Proximity to Pesticide Application Affects Offspring

TUESDAY, June 24, 2014 (HealthDay News) -- Residential proximity to agricultural pesticides during pregnancy is associated with an increased risk of autism spectrum disorders (ASDs) and developmental delay (DD), according to a study published online June 23 in Environmental Health Perspectives.

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14.4% of Kids' Scoliosis Surgeries Have In-Hospital Complications

MONDAY, June 23, 2014 (HealthDay News) -- From 2000 to 2009, the overall in-hospital complication rate for pediatric patients with idiopathic scoliosis who underwent spinal fusion was 14.4 percent, with respiratory complications having the highest rate, according to a study published June 15 in Spine.

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CMS Launches Initiative to Assist Newly Insured

MONDAY, June 23, 2014 (HealthDay News) -- A national initiative has been launched to help answer questions that people may have about their new health coverage and to offer health providers the tools needed to promote patient engagement, according to a press release from the Centers for Medicare and Medicaid Services (CMS).

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Teen Tanning Bed Exposure Ups Early-Onset Skin Cancer Risk

MONDAY, June 23, 2014 (HealthDay News) -- Early exposure to indoor tanning during adolescence or young adulthood increases the risk of early development of basal cell carcinoma (BCC), according to a study published June 23 in Pediatrics.

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Complex Electronic Record Safety Issues Surface Long After Launch

MONDAY, June 23, 2014 (HealthDay News) -- Electronic health record-related safety concerns involving both unsafe technology and unsafe use of technology persist long after "go-live," according to a study published online June 20 in the Journal of the American Medical Informatics Association.

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Components of Physical Fitness Linked to Academic Performance

MONDAY, June 23, 2014 (HealthDay News) -- Cardiorespiratory capacity and motor ability have independent and combined effects on academic performance in youth, according to a study published online June 19 in The Journal of Pediatrics.

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FDA: Bee Pollen Weight Loss Products Pose Health Risks

MONDAY, June 23, 2014 (HealthDay News) -- The undeclared ingredients sibutramine and/or phenolphthalein have been found in the following bee pollen weight loss products: Zi Xiu Tang, Ultimate Formula, Fat Zero, Bella Vi Amp'd Up, Insane Amp'd Up, Slim Trim U, Infinity, Perfect Body Solution, Asset Extreme, Asset Extreme Plus, Asset Bold, and Asset Bee Pollen, according to the U.S. Food and Drug Administration.

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Guidance Offered for Protection When Firing Employees

FRIDAY, June 20, 2014 (HealthDay News) -- Steps can be taken to protect employers in the case of termination of an employee, according to an article published online June 10 in Medical Economics.

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Significant Risk for Major Surgery in Low-Weight Infants

FRIDAY, June 20, 2014 (HealthDay News) -- In very low-birth-weight infants, major surgery is independently associated with more than a 50 percent increased risk of death or neurodevelopmental impairment at 18 to 22 months' corrected age, according to a study published online June 16 in JAMA Pediatrics.

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Hospital Variation in Pediatric In-Hospital Cardiac Arrest Survival

FRIDAY, June 20, 2014 (HealthDay News) -- Despite risk-standardization, there is substantial hospital variation in survival for pediatric in-hospital cardiac arrest, according to a review published online June 17 in Circulation: Cardiovascular Quality and Outcomes.

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Antidepressant Use Doesn't Up Congenital Cardiac Defect Risk

FRIDAY, June 20, 2014 (HealthDay News) -- Selective serotonin-reuptake inhibitor (SSRI) and other antidepressant use in the first trimester is not associated with increased risk of congenital cardiac defects, according to a study published June 19 in the New England Journal of Medicine.

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NCHS: Insurance Coverage Expands, Gaps Remain

THURSDAY, June 19, 2014 (HealthDay News) -- Two new U.S. government reports provide a statistical snapshot of health and health insurance coverage in 2013, before new coverage options took effect under the Affordable Care Act.

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Sharp Rise in 'Meth'-Linked ER Visits in U.S.

THURSDAY, June 19, 2014 (HealthDay News) -- The number of methamphetamine-related visits to U.S. hospital emergency departments jumped from about 68,000 in 2007 to almost 103,000 in 2011, the latest year for which such data is available, a new federal government report finds.

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Teen Suicide Attempts Up Post-Antidepressant Warnings

THURSDAY, June 19, 2014 (HealthDay News) -- Teen suicide attempts rose nearly 22 percent after the U.S. Food and Drug Administration (FDA) warned about dangers of antidepressants, a new study finds. The report was published June 18 in BMJ online.

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No Harm to Child IQ Seen With AED Use in Breastfeeding Moms

WEDNESDAY, June 18, 2014 (HealthDay News) -- At six years of age, no adverse effects on IQ can be seen from antiepileptic drug (AED) exposure via breast milk, according to a study published June 16 in JAMA Pediatrics.

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ACA May Mean Healthier Young Adults, Study Suggests

WEDNESDAY, June 18, 2014 (HealthDay News) -- A popular provision of the Affordable Care Act that allows young adults to stay on a parent's health insurance plan up to age 26 may be good for their health and financial security, a new study suggests. The study was published as a research letter in the June 18 issue of the Journal of the American Medical Association.

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Tobacco Companies Introducing Electronic Cigarettes

TUESDAY, June 17, 2014 (HealthDay News) -- Big tobacco companies are jumping into the rapidly expanding and lucrative e-cigarette market.

Health Highlights: June 17, 2014

Hospitalization Rate Up for Childhood Cancer Survivors

TUESDAY, June 17, 2014 (HealthDay News) -- Childhood cancer survivors have an elevated risk of hospitalization, according to a study published online June 12 in Cancer Epidemiology, Biomarkers & Prevention.

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Tips Offered for Finding Buyer for Medical Practice

TUESDAY, June 17, 2014 (HealthDay News) -- Suggestions are provided for finding a buyer for a medical practice in an article published online June 10 in Medical Economics.

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U.S. Health Care System Ranked Last Again: Report

MONDAY, June 16, 2014 (HealthDay News) -- The United States' health system once again comes in last when compared to 10 other rich nations, according to the latest Commonwealth Fund report on the issue.

Health Highlights: June 16, 2014
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Clinicians Often Fail to Empathize After Adverse Event

MONDAY, June 16, 2014 (HealthDay News) -- The health care industry is recognizing the benefits of prompt and transparent physician communication with patients and families about bad outcomes, according to an article published June 10 in Medical Economics.

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Physician Leadership, Ownership Dominates ACOs

MONDAY, June 16, 2014 (HealthDay News) -- Physicians are playing strong leadership and ownership roles in accountable care organizations (ACOs), according to research published in the June issue of Health Affairs.

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Compliance With Child Asthma Care Measures Cuts Readmission

MONDAY, June 16, 2014 (HealthDay News) -- For children hospitalized with asthma, compliance with care measures is associated with a reduction in readmission rates, according to a study published online June 16 in Pediatrics.

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Pertussis Epidemic Reported in California

MONDAY, June 16, 2014 (HealthDay News) -- More than 3,400 new cases of pertussis were reported in California between January 1 and June 10, which means the outbreak is officially an epidemic, according to the state's department of health.

Health Highlights: June 16, 2014

Gender Differences in Caffeine Response Develop Post-Puberty

MONDAY, June 16, 2014 (HealthDay News) -- Gender differences in the effects of caffeine emerge after puberty, and responses vary across the menstrual cycle for postpubertal girls, according to a study published online June 16 in Pediatrics.

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HHS Inspector General Finds Big Problem With Medicare Coding

FRIDAY, June 13, 2014 (HealthDay News) -- Nearly 42 percent of Medicare claims for evaluation and management (E/M) services are incorrectly coded, according to an article published June 2 in Medical Economics.

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Gut Microbe Composition Differs in Young Diabetes Patients

FRIDAY, June 13, 2014 (HealthDay News) -- Bacteria in the guts of youth with type 1 diabetes appear less balanced than bacteria in children without diabetes, Dutch researchers reported in the June 12 issue of Diabetologia.

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Researchers Hesitant to Use Social Media to Show Findings

FRIDAY, June 13, 2014 (HealthDay News) -- Researchers remain uncertain about the use of social media to communicate their findings to policy makers, according to research published online June 6 in Health Affairs.

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Hydrolyzed Formula Doesn't Cut Diabetes Autoantibodies

THURSDAY, June 12, 2014 (HealthDay News) -- For infants at risk for type 1 diabetes, hydrolyzed formula does not reduce the incidence of diabetes-associated autoantibodies, compared to conventional formula, according to a study published in the June 11 issue of the Journal of the American Medical Association,a theme issue on diabetes.

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Data From EHRs Should Be Used to Improve Patient Care

THURSDAY, June 12, 2014 (HealthDay News) -- The data from electronic health records (EHRs) should be utilized to improve the quality of patient care, according to an article published online June 10 in Medical Economics.

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Dietary Interventions Effective for Eosinophilic Esophagitis

THURSDAY, June 12, 2014 (HealthDay News) -- For patients with eosinophilic esophagitis (EoE), dietary interventions can be effective for producing histologic remission, according to a review published in the June issue of Gastroenterology.

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Adherence Varies With Race in Pediatric Leukemia Treatment

WEDNESDAY, June 11, 2014 (HealthDay News) -- Compliance with medication for acute lymphoblastic leukemia (ALL) in children varies according to race, according to research published online May 14 in Blood.

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Cancer Risk From Imaging Low in Children With Heart Disease

WEDNESDAY, June 11, 2014 (HealthDay News) -- The lifetime risk of cancer attributed to radiation exposure in children with heart disease is low, according to research published online June 9 in Circulation.

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CDC: U.S. Diabetes Rate Jumps to 29 Million

TUESDAY, June 10, 2014 (HealthDay News) -- The number of Americans with diabetes rose from 26 million in 2010 to 29 million -- 9 percent of the population -- in 2012, according to a report from the U.S. Centers for Disease Control and Prevention.

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Many STDs May Go Undiagnosed, U.S. Report Finds

TUESDAY, June 10, 2014 (HealthDay News) -- About 400,000 Americans may have the sexually transmitted disease chlamydia, but not know they have it, new research suggests. The study was scheduled for presentation Tuesday at the U.S. Centers for Disease Control and Prevention's STD Prevention Conference in Atlanta.

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Combo Vaccine Raises Risk of Fever-Related Seizures

TUESDAY, June 10, 2014 (HealthDay News) -- One-year-olds who receive Priorix-Tetra -- the measles-mumps-rubella-varicella (MMRV) vaccine used in Canada -- are twice as likely to develop a fever-related seizure as children who receive separate MMR and varicella vaccines, according to research published online June 9 in CMAJ, the journal of the Canadian Medical Association. The findings are in line with a 2010 study of the MMRV vaccine used in the United States, known as ProQuad.

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Millions Will Not Have to Pay ACA Tax Penalties: Report

TUESDAY, June 10, 2014 (HealthDay News) -- Although an estimated 30 million people will still be uninsured in 2016, only four million are expected to pay penalties, according to the latest report from the nonpartisan Congressional Budget Office (CBO).

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Rotavirus Vaccination Cuts Diarrhea Health Care Utilization

TUESDAY, June 10, 2014 (HealthDay News) -- Since the introduction of the rotavirus vaccine, diarrhea-related health care utilization and costs have declined in children in the United States, according to research published online June 9 in Pediatrics.

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Study Identifies 41 Powerhouse Fruits and Vegetables

TUESDAY, June 10, 2014 (HealthDay News) -- Forty-one powerhouse fruits and vegetables (PFV) have been classified and validated, according to a study published online June 5 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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AAFP Joins White House Summit on Concussion

MONDAY, June 9, 2014 (HealthDay News) -- Considerable funding will be devoted to research into concussion injury and promotion of sports safety, according to a report from the American Academy of Family Physicians (AAFP).

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Incentives May Lead to Greater Support for Practice Goals

MONDAY, June 9, 2014 (HealthDay News) -- Incentives may aid employees in meeting practice goals, according to an article published May 23 in Medical Economics.

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FDA Sets Safety Standards for Infant Formula

MONDAY, June 9, 2014 (HealthDay News) -- A new rule that aims to ensure the safety of infant formula has been finalized by the U.S. Food and Drug Administration. An initial version of the rule for manufacturers of infant formula was released in February and the final version contains some modifications and clarifications that were made in response to comments received by the FDA.

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Measles Outbreak ID'd in Undervaccinated Community

MONDAY, June 9, 2014 (HealthDay News) -- One article describes an outbreak of measles in an undervaccinated community, while a second study examines the impact of vaccination on varicella incidence. Both articles were published online June 9 in Pediatrics.

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Veterans Affected by Scandal May Seek Private Care

FRIDAY, June 6, 2014 (HealthDay News) -- The recent scandal at the U.S. Department of Veterans Affairs (VA) may lead to more veteran visits to private physicians and community health centers, according to an article published June 2 in Medical Economics.

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Physician Political Contributions Are Increasing, Shifting

FRIDAY, June 6, 2014 (HealthDay News) -- The political alignment of physicians in the United States has shifted from predominantly Republican to predominantly Democrat, based in part on the larger number of women physicians and smaller percentage of physicians practicing solo or in small practices, according to research published online June 2 in JAMA Internal Medicine.

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Cartilage Injury With Levofloxacin Appears Uncommon

FRIDAY, June 6, 2014 (HealthDay News) -- Levofloxacin exhibits long-term musculoskeletal safety for children, according to a study published online June 2 in Pediatrics.

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Prevalence of Obesity Up for Children of Divorced Parents

FRIDAY, June 6, 2014 (HealthDay News) -- Children of divorced parents have increased prevalence of general and abdominal obesity, according to a study published online June 4 in BMJ Open.

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Pot Isn't Harmless, Top U.S. Health Official Says

THURSDAY, June 5, 2014 (HealthDay News) -- States joining the march toward marijuana legalization need to take a step back and consider the drug's adverse effects on health, the U.S. drug "czar" argues in a new paper.

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Potential for Financial Disruption From ICD-10 Transition

THURSDAY, June 5, 2014 (HealthDay News) -- With the transition to International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), 8 percent of Medicaid pediatric reimbursement diagnosis codes may result in financial disruption and administrative errors, according to a study published online June 2 in Pediatrics.

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Many 'Inconsistencies' in ACA Sign-Ups: Report

THURSDAY, June 5, 2014 (HealthDay News) -- A new government document finds that more than a quarter of the eight million people who signed up for coverage under the Obama Administration's new health care law have "inconsistencies" in the data they supplied.

Health Highlights: June 5, 2014

Significant Posttraumatic Stress in Youths After Boston Marathon

THURSDAY, June 5, 2014 (HealthDay News) -- Youths experienced significant posttraumatic stress resulting from not only the Boston Marathon bombing attack itself but also from the subsequent interagency manhunt and shelter-in-place warning, according to a study published online June 2 in Pediatrics.

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Financial Incentive Can Up Fruit, Vegetable Purchases

THURSDAY, June 5, 2014 (HealthDay News) -- An intervention to increase fruit and vegetable purchases at farmers' markets for recipients of food assistance (Shop N Save [SNS]) correlates with a significant increase in use of food assistance at the farmers' market, according to a study published online May 22 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Claim Denials Expected to Increase

WEDNESDAY, June 4, 2014 (HealthDay News) -- Even with good office procedures, most practices are plagued by claim denials, a hassle that is expected to increase in the coming years, according to an article published May 8 in Medical Economics.

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Most Physicians Would Forgo Aggressive Treatment

WEDNESDAY, June 4, 2014 (HealthDay News) -- Although physicians regularly recommend high-intensity, aggressive, life-prolonging care for their terminally ill patients, the vast majority would choose to forgo such care for themselves at the end of life, according to a study published online May 28 in PLOS ONE.

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Number of Cancer Survivors Projected to Grow in the U.S.

WEDNESDAY, June 4, 2014 (HealthDay News) -- Factors such as the aging and growth of the population accompanied by improvements in early detection and treatment are expected to contribute to the growth of the number of cancer survivors in the United States, according to research published online June 1 in CA: A Cancer Journal for Clinicians.

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Even Without Burning, Indoor Tanning Ups Risk of Melanoma

WEDNESDAY, June 4, 2014 (HealthDay News) -- Indoor tanning, even without burns, increases the risk of melanoma, according to a study published online May 28 in the Journal of the National Cancer Institute.

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Obama Moves to Cut Power Plant Emissions

TUESDAY, June 3, 2014 (HealthDay News) -- The Obama administration announced plans Monday that would require the United States to cut power plant emissions that many scientists blame for global warming by 30 percent by 2030. It's a move that would substantially improve the health of millions of Americans, federal officials said.

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One in Eight U.S. Children Will Be Maltreated by Age 18

TUESDAY, June 3, 2014 (HealthDay News) -- Maltreatment is likely to be confirmed for one in eight U.S. children by age 18, according to a study published online June 2 in JAMA Pediatrics.

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Circumcision May Cut Risk of Prostate Cancer

TUESDAY, June 3, 2014 (HealthDay News) -- Circumcision appears to confer a protective effect against the development of prostate cancer, according to research published online May 28 in BJU International.

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EHRs Can Be Used to Boost Practice Revenue

TUESDAY, June 3, 2014 (HealthDay News) -- Practices can achieve return on investment (ROI) for implementation of electronic health record (EHR) systems if they participate in alternative delivery models, according to an article published May 8 in Medical Economics.

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