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November 2013 Briefing - Pediatrics

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

Spatiotemporal Analysis Emphasizes Value of Vaccination

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Spatiotemporal data emphasizes the importance of vaccination programs, according to research published in the Nov. 28 issue of the New England Journal of Medicine.

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Insurance Exchanges May Benefit Small Medical Practices

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Small medical practices may not need to offer their employees health insurance, although there may be advantages to doing so, according to an article published Nov. 10 in Medical Economics.

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Telemedicine in Rural ER Tied to Fewer Physician Rx Errors

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- For seriously ill and injured children, the use of telemedicine consultations in rural emergency departments is associated with fewer physician-related medication errors, according to a study published online Nov. 25 in Pediatrics.

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Thalidomide Improves Clinical Remission in Pediatric Crohn's

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Thalidomide is associated with improved clinical remission at eight weeks of treatment for children with refractory Crohn's disease, according to a study published in the Nov. 27 issue of the Journal of the American Medical Association.

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Practices Should Start Preparing for Transition to ICD-10

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Practices should start preparing for the transition to International Classification of Diseases, 10th Revision (ICD-10), according to an article published Nov. 10 in Medical Economics.

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Many Pediatricians Uncomfortable With Genetic Disease Care

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Only about half of primary care pediatricians feel competent caring for children with genetic disorders, according to a study published online Nov. 19 in the American Journal of Medical Genetics.

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Pediatric Surgeries Often Performed in General Hospitals

TUESDAY, Nov. 26, 2013 (HealthDay News) -- The volume of general pediatric surgery performed in the United States is high, and these procedures are divided between specialized pediatric institutions and general hospitals, according to a study published online Nov. 25 in Pediatrics.

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Barriers Identified for HPV Vaccination Among U.S. Teens

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Barriers to human papillomavirus (HPV) vaccination in U.S. adolescents have been identified, according to a review published online Nov. 25 in JAMA Pediatrics.

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CDC: More Than One in 10 Kids Diagnosed With ADHD

MONDAY, Nov. 25, 2013 (HealthDay News) -- More than one in 10 children and adolescents are diagnosed with attention-deficit/hyperactivity disorder (ADHD), an increase of 42 percent in less than a decade, according to a study published online Nov. 25 in the Journal of the American Academy of Child & Adolescent Psychiatry.

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Antiviral Therapy Helps Children Critically Ill With Flu

MONDAY, Nov. 25, 2013 (HealthDay News) -- In children critically ill with influenza, prompt treatment with neuraminidase inhibitors (NAIs) may improve survival, according to research published online Nov. 25 in Pediatrics.

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American Medical Groups Protesting Physician Cuts

MONDAY, Nov. 25, 2013 (HealthDay News) -- Medical societies are taking action against the mass cancellations of physicians in Medicare Advantage plans in many states, according to an article published online Nov. 22 in Medical Economics.

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High Abusive Head Trauma Rates With New Coding Method

MONDAY, Nov. 25, 2013 (HealthDay News) -- Use of new coding algorithms show the highest abusive head trauma (AHT) rates in children < 1 year reported to date, but no significant change in national AHT rates, according to a study published online Nov. 25 in Pediatrics.

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Nebulizers Deliver Less Than Half of Prescribed Asthma Rx in Kids

MONDAY, Nov. 25, 2013 (HealthDay News) -- The amount of corticosteroids delivered by nebulizers in children with asthma differs from the prescribed dose, the amount varying with drug formulation, according to research published online Nov. 24 in Respirology.

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Family Doc Finds Mid-Level Providers Increase Revenue

MONDAY, Nov. 25, 2013 (HealthDay News) -- Hiring mid-levels -- physicians assistants and nurse practitioners -- can improve productivity, resulting in increased physician take-home pay, according to an article published Nov. 10 in Medical Economics.

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White House Extends Enrollment Deadline for Health Insurance

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Consumers who want to enroll in a health insurance plan through HealthCare.gov will get a few extra days to sign up for coverage that will take effect on Jan. 1. The deadline for buying insurance through the federal health insurance exchange will be pushed from Dec. 15 to Dec. 23, a spokeswoman for the Centers for Medicare and Medicaid Services (CMS) said during a Friday news conference.

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Few Parents Believe Their Teens Are at Risk of Hearing Loss

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Few parents of adolescents believe their children are at risk of hearing loss, according to a study published online Nov. 21 in JAMA Otolaryngology-Head & Neck Surgery.

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CDC Report: Health Disparities Persist in America

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Despite progress in some areas, health disparities remain for many Americans, health officials reported Thursday. These inequalities are related to income, education, sex, race, ethnicity, employment and sexual orientation, and they all affect Americans' health and well-being, according to the U.S. Centers for Disease Control and Prevention.

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Drinking Milk As Teen Not Tied to Later Hip Fracture Risk

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Milk consumption during teenage years is not associated with the risk of hip fracture in older adults, according to a study published online Nov. 18 in JAMA Pediatrics.

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Phthalate Exposure Linked to Higher Odds of Preterm Birth

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Exposure to phthalates during pregnancy is associated with significantly higher odds of preterm birth, according to a study published online Nov. 18 in JAMA Pediatrics.

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Health Care Frustration Higher in U.S. Than Other Countries

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Compared to 10 other high-income industrialized nations, adults in the United States are more likely to go without health care because of costs, experience difficulty paying medical bills, and deal with frustrating health insurance paperwork or disputes such as unpaid claims, according to a report published by The Commonwealth Fund.

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In-Bedroom Media Access Tied to Sleep Problems in ASD

TUESDAY, Nov. 19, 2013 (HealthDay News) -- For boys with autism spectrum disorder (ASD), media-related variables impact sleep time, according to a study published online Nov. 18 in Pediatrics.

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Study Supports AAP Allergy Prevention Recommendations

MONDAY, Nov. 18, 2013 (HealthDay News) -- The delay of solid foods until at least 17 weeks of age and continued breastfeeding when cow's milk protein is introduced to infants' diets correlate with a reduced likelihood of food allergies, according to a study published online Nov. 18 in Pediatrics.

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Infant Cases of Late Vitamin K Deficiency Bleeding Described

MONDAY, Nov. 18, 2013 (HealthDay News) -- Four cases of vitamin K deficiency bleeding (VKDB) have been reported in Tennessee, according to a report published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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AAP/CDC Update Antibiotic Guidance for Pediatric URIs

MONDAY, Nov. 18, 2013 (HealthDay News) -- The American Academy of Pediatrics (AAP) and the U.S. Centers for Disease Control and Prevention have released updated guidelines for the judicious use of antibiotics for upper respiratory infections (URIs) in children; these guidelines have been published online Nov. 18 in Pediatrics.

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CDC: Smoking Remains Steady in Middle, High School Students

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Overall, the percent of students smoking cigarettes and using tobacco remained steady in 2012, according to a report published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Obama Nominates Health Care Law Backer to Be Surgeon General

FRIDAY, Nov. 15, 2013 (HealthDay News) -- An early supporter and advocate for the Affordable Care Act has been nominated by President Barack Obama to be the country's next surgeon general.

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Bariatric Surgery Linked to Increased Pregnancy Risks

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Women with a history of bariatric surgery are at increased risk for preterm or small-for-gestational-age babies, according to a study published online Nov. 12 in BMJ.

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Obama: You Can Keep Your Health Plan (for a Year)

THURSDAY, Nov. 14 (HealthDay News) -- Bending to political pressure, President Barack Obama on Thursday announced a plan to allow Americans to keep their health insurance plans for another year, even if that coverage would have been cancelled because it fails to meet new rules under the Affordable Care Act.

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Obama Signs Bill to Encourage Schools to Stock Epinephrine

THURSDAY, Nov. 14 (HealthDay News) -- A new law meant to increase the availability of life-saving epinephrine in U.S. schools was signed Wednesday by President Barack Obama.

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Health Care Enrollments Fall Far Short of White House Estimates

THURSDAY, Nov. 14 (HealthDay News) -- The Obama administration late Wednesday released a report revealing a disappointing number of health plan enrollments through the new federal and state insurance exchanges. Just over 106,000 Americans enrolled in health plans through the new marketplaces from Oct. 1 through Nov. 2, U.S. Health and Human Services Secretary Kathleen Sebelius said during a news conference.

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No Promises on Nov. 30 ACA Website Fix: U.S. Tech Chief

THURSDAY, Nov. 14 (HealthDay News) -- The nation's chief of information technology would not confirm on Wednesday whether the hobbled HealthCare.gov insurance exchange website would be fixed by month's end.

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Many Would Give Health Plans Private Info to Save Money: Poll

WEDNESDAY, Nov. 13 (HealthDay News) -- Many Americans say they'd submit to insurance company medical tests and lifestyle monitoring in exchange for lower-cost premiums, a new Harris/HealthDay poll finds.

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Population Aging Crisis May Have Been Overestimated

WEDNESDAY, Nov. 13 (HealthDay News) -- Use of an alternative measure for assessing the number of dependent older people suggests that the population aging crisis may have been overestimated, according to an analysis published online Nov. 12 in BMJ.

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Cognitive Strategy Cuts Stress in Mothers of Children With Autism

WEDNESDAY, Nov. 13 (HealthDay News) -- A cognitive intervention to teach problem-solving skills reduces stress and depressive symptoms in mothers of children who recently have been diagnosed with autism spectrum disorder, according to research published online Nov. 11 in JAMA Pediatrics.

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Teen Bullies, Bullied Engage in More Sexual Risk-Taking

TUESDAY, Nov. 12 (HealthDay News) -- High school bullies and bully-victims are more likely to engage in casual sex and sex under the influence of alcohol and drugs than their peers, with the association seen primarily for heterosexual youth, according to a study published online Nov. 11 in Pediatrics.

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Initial Health-Plan Enrollment Falls Below Expectations

TUESDAY, Nov. 12 (HealthDay News) -- Fewer than 50,000 people have enrolled in health insurance through the federal HealthCare.gov website, according to published reports. The tally represents enrollment in the troubled federal health insurance exchange from its launch date on Oct. 1 through last week, the Wall Street Journal reported Monday. HealthCare.gov serves as the insurance exchange for people in 36 states.

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Many Americans Want Docs to Help Explain Genetic Tests

TUESDAY, Nov. 12 (HealthDay News) -- When it comes to genetic testing, Americans support more research, laws to protect against discrimination, and involving medical professionals in offering guidance, according to research published online Nov. 7 in Genetics in Medicine.

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Analysis Describes Economic Anatomy of U.S. Health Care

TUESDAY, Nov. 12 (HealthDay News) -- Despite the increases in resources devoted to health care in the United States, multiple health care metrics show that the United States is trailing peer nations, according to a special communication published in the Nov. 13 issue of the Journal of the American Medical Association, a theme issue on critical issues in U.S. health care.

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Young Age at Menarche Doesn't Equate to Earlier Sex

TUESDAY, Nov. 12 (HealthDay News) -- Younger age at menarche (AAM) does not confer increased risk of early first sexual intercourse (FSI), according to a study published online Nov. 11 in Pediatrics.

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Gun Violence in PG-13 Movies Has Tripled Since 1985

MONDAY, Nov. 11 (HealthDay News) -- Youth are exposed to increasing gun violence in top-selling PG-13-rated films, according to a study published online Nov. 11 in Pediatrics.

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Market Withdrawal, Relabeling Cut Cough Med-Linked ER Visits

MONDAY, Nov. 11 (HealthDay News) -- Voluntary market withdrawal and labeling revision correlated with reductions in the number of emergency department visits for cold and cough medication (CCM) adverse drug events (ADEs) in young children, according to a study published online Nov. 11 in Pediatrics.

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White House Boosts Insurance Coverage for Mental Illness

FRIDAY, Nov. 8 (HealthDay News) -- U.S. health officials unveiled long-awaited rules Friday that require insurance companies to cover treatment for mental illnesses and addiction the same way they cover physical illnesses. The regulations will make the 2008 Mental Health Parity and Addiction Equity Act a reality, and fulfill a generation-long effort to improve benefits and treatment for people with mental health issues or substance abuse problems.

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Obama 'Sorry' Some People Losing Health Coverage

FRIDAY, Nov. 8 (HealthDay News) -- President Barack Obama said he's "sorry" some Americans are losing their insurance coverage as a result of his signature health-reform law, but his administration is pressing ahead with the law's implementation. It's estimated that 5 percent of Americans have individual health insurance policies, and many of these people are receiving cancellation notices as insurers switch to plans that comply with new health-reform requirements.

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Primary Care Physician Signing Bonuses Becoming the Norm

FRIDAY, Nov. 8 (HealthDay News) -- Signing bonuses for primary care physicians are becoming ubiquitous in a competitive hiring landscape, according to an article published Oct. 25 in Medical Economics.

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FDA to Ban Trans Fats in Foods

THURSDAY, Nov. 7 (HealthDay News) -- U.S. health officials announced Thursday a plan to phase out heart-harmful trans fats in processed foods and restaurant fare. U.S. Food and Drug Administration Commissioner Margaret Hamburg, M.D., said the proposed restrictions on the use of trans fats could prevent 20,000 heart attacks a year and 7,000 deaths.

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Group Training Improves Parenting Skills, Child Behavior

THURSDAY, Nov. 7 (HealthDay News) -- Group training delivered to parents of toddlers in pediatric office settings improves parenting skills and reduces child disruptive behaviors, according to research published online Nov. 4 in JAMA Pediatrics.

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Telemedicine Represents Enhanced Care Model

THURSDAY, Nov. 7 (HealthDay News) -- Telemedicine may represent an effective care model but there are associated concerns, specifically relating to reimbursement and legal issues, according to an article published Oct. 25 in Medical Economics.

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Family Meals, Associated Rituals Could Lower Child, Adult BMI

THURSDAY, Nov. 7 (HealthDay News) -- Family meals and their related rituals are associated with both child and adult body mass index (BMI), according to a study published online Oct. 1 in Obesity.

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Amount of Care Similar for Rural, Urban Medicare Users

THURSDAY, Nov. 7 (HealthDay News) -- Although there may be a limited supply of physicians in some rural areas, little difference is found in the amount of health care received by Medicare beneficiaries for rural versus urban areas within the same region, according to research published in the November issue of Health Affairs.

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Aspiring Doctors Are Optimistic About the Future of Medicine

THURSDAY, Nov. 7 (HealthDay News) -- Aspiring doctors are optimistic about the future of medicine, according to a report published by the National Academy of Future Physicians and Medical Scientists.

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Assisted Conception Doesn't Up Overall Cancer Risk in Children

WEDNESDAY, Nov. 6 (HealthDay News) -- Assisted conception is not associated with an overall increase in cancer risk among children, according to a study published in the Nov. 7 issue of the New England Journal of Medicine.

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Sebelius on Exchange Website: 'Delay Is Not an Option'

WEDNESDAY, Nov. 6 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius said Wednesday that the Obama administration will not consider delaying implementation of health reform. Nor will it take down HealthCare.gov -- the troubled health insurance marketplace website -- while it's being fixed. "For millions of Americans, delay is not an option," Sebelius told the Senate Finance Committee during a hearing on the new health insurance marketplace. "People's lives depend on this," she said.

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Strength Training May Combat Children's Decreasing Activity

WEDNESDAY, Nov. 6 (HealthDay News) -- Strength training increases strength in boys and girls, and increases daily spontaneous physical activity (PA) behavior in boys, according to a study published online Nov. 4 in Pediatrics.

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Interventions Can Cut Children's Smoke Exposure at Home

WEDNESDAY, Nov. 6 (HealthDay News) -- Intensive interventions aimed at reducing children's exposure to second hand smoke (SHS) at home are effective, according to a study published online Nov. 4 in Pediatrics.

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Senators Seek Answers on Health Marketplace Woes

TUESDAY, Nov. 5 (HealthDay News) -- A top Obama administration health official said Tuesday that HealthCare.gov -- the troubled federal website used to sign up for insurance -- is improving, and insisted that private information provided during the online application process is safe and secure.

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In the Doctor's Lounge With Dr. Cindy Haines

FRIDAY, Nov. 1 (HealthDay News) -- This is the second issue of a monthly letter from me, HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. The intention of this letter (and the intention of what we do at HealthDay) is to provide tools of communication. At Physician's Briefing, this is by providing you, the busy and buried health care professional, news and information that matters to you in a way that won't slow you down. The intention is to provide news that can help you stay abreast of changing clinical guidelines, cutting-edge technologies, and novel treatment options. And now, we offer free Continuing Medical Education (CME) credits for you on select clinical articles, enabling you to get (at least) two birds with one stone.

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In the Doctor's Lounge With Dr. Cindy Haines

TUESDAY, Oct. 1 (HealthDay News) -- Please allow me to introduce myself: I am HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. This service is intended to provide busy physicians, nurses, and pharmacists with easily accessible, digestible health news that can keep them up-to-date and not missing a beat in their busy days providing care for those in need (and navigating the headaches and heartaches the business of medicine can too often bring). In short, this service is intended to make your professional life flow more smoothly in the way that helpful, useable, relevant, and timely information can.

Exchanges Will Be Cornerstone for Coverage Choices
Young Adults May Be Key to Making It All Work
Expect Pluses, Minuses for Those With Job-Based Coverage
If You're an Uninsured Worker, It's Your Chance to Get Covered
Medicaid Expansion Will Allow More to Get More
Many on Medicare Already Enjoying Benefits
AMA Presents: The National Journal
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Score Identifies Patients at Low Risk of Strep Throat

TUESDAY, Nov. 5 (HealthDay News) -- A home test based on a patient's clinical variables and the local incidence of strep throat can identify which patients with a sore throat are at low risk of strep throat and do not need to see a doctor, according to a study published in the Nov. 5 issue of the Annals of Internal Medicine.

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One Dose of HPV Vaccine Induces Long-Term Antibodies

TUESDAY, Nov. 5 (HealthDay News) -- Women who receive only one dose of a human papillomavirus (HPV) vaccine have readily detectable antibody levels that remain stable for four years, according to a study published in the November issue of Cancer Prevention Research.

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Physique Concerns Linked to Adverse Outcomes for Teen Boys

TUESDAY, Nov. 5 (HealthDay News) -- For adolescent boys, concerns about thinness and muscularity are associated with adverse outcomes, according to a study published online Nov. 4 in JAMA Pediatrics.

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Parental Vaccine Acceptance Linked to Provider Communication

MONDAY, Nov. 4 (HealthDay News) -- Parental vaccine acceptance is associated with how providers initiate and pursue vaccine recommendations, according to a study published online Nov. 4 in Pediatrics.

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Triage System Underperforms in Children With Chronic Illness

MONDAY, Nov. 4 (HealthDay News) -- For children presenting to the emergency department with infectious symptoms, performance of the Manchester Triage System (MTS) is lower for those with chronic illnesses, compared to those without chronic illnesses, according to a study published online Nov. 4 in Pediatrics.

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Weight-Loss Surgery for Severely Obese Teens Safe

MONDAY, Nov. 4 (HealthDay News) -- Half of severely obese adolescents who undergo weight-loss surgery have several major comorbid conditions, but the short-term safety profile of the surgery is positive, according to a study published online Nov. 4 in JAMA Pediatrics.

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More Sleep Linked to Lower Weight in Children

MONDAY, Nov. 4 (HealthDay News) -- Increased duration of sleep is associated with lower food intake and lower weight in children, according to a study published online Nov. 4 in Pediatrics.

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Family Planning Program for Teens With Diabetes Effective

MONDAY, Nov. 4 (HealthDay News) -- A self-administered preconception counseling program on family planning for teenage girls with diabetes is associated with greater knowledge and a willingness to discuss reproductive health with health care providers and may reduce sexual activity, according to a study published online Oct. 15 in Diabetes Care.

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Child Milestone Delay With Parent Violence, Stress Exposure

MONDAY, Nov. 4 (HealthDay News) -- Exposure to parent-reported intimate partner violence (IPV) or parental psychological distress (PPD) is associated with delayed attainment of developmental milestones during the first 72 months of life, according to a study published online Nov. 4 in Pediatrics.

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CDC: Malaria Cases Reach 40-Year High in United States

FRIDAY, Nov. 1 (HealthDay News) -- 2011 marked the highest number of malaria cases diagnosed in the United States, according to a surveillance summary published Nov. 1 in the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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AAP Reaffirms Support for Condom Use in Adolescents

FRIDAY, Nov. 1 (HealthDay News) -- The American Academy of Pediatrics (AAP) supports the use of condoms as an effective method of contraception in adolescents, according to a policy statement published online Oct. 28 in Pediatrics.

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Six People Signed Up on Day One of Federal Exchange Website

FRIDAY, Nov. 1 (HealthDay News) -- Just six people enrolled for health insurance through the federal HealthCare.gov website the first day of operation on Oct. 1, just-released Obama administration documents show.

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U.S. Premature Birth Rate Continues to Decline

FRIDAY, Nov. 1 (HealthDay News) -- The rate of premature births has declined to a 15-year low of 11.5 percent, according to the 2013 March of Dimes Premature Birth Report Card.

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Proper Metered-Dose Inhaler-Spacer Technique Lacking

FRIDAY, Nov. 1 (HealthDay News) -- Proper metered-dose inhaler (MDI)-spacer technique is lacking among the caregivers of urban, minority children with persistent asthma, according to a study published online Oct. 22 in the Journal of Asthma.

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Physician Buy-In Key to Reducing Health Care Costs

FRIDAY, Nov. 1 (HealthDay News) -- Physician buy-in is essential for creation of any new payment system aimed at reducing health care costs, according to an article published Oct. 21 in Medical Economics.

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