October 2017 Briefing - Pediatrics

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

Depressive Symptoms Increase During Internship Year

TUESDAY, Oct. 31, 2017 (HealthDay News) -- Depressive symptoms increase during the internship year for training physicians, with a greater increase among women, according to a study published online Oct. 30 in JAMA Internal Medicine.

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Children of Immigrants Less Likely to be Up-to-Date on Shots

TUEDAY, Oct. 31, 2017 (HealthDay News) -- Children up to age 36 months with at least one foreign-born parent are less likely to be up-to-date on recommended vaccinations, according to a study published online Oct. 26 in Morbidity and Mortality Weekly Report.

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Delayed Cord Clamping Not Beneficial for Preterm Infants

TUESDAY, Oct. 31, 2017 (HealthDay News) -- Delayed cord clamping does not result in lower incidence of death or major morbidity in preterm infants, according to a study published online Oct. 29 in the New England Journal of Medicine to coincide with the Vermont Oxford Network 2017 Annual Quality Congress, held Oct. 26 to 30 in Chicago.

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Fish Can Trigger Food Protein-Induced Enterocolitis Syndrome

MONDAY, Oct. 30, 2017 (HealthDay News) -- Fish is an important trigger of food protein-induced enterocolitis syndrome (FPIES), according to a study published online Oct. 20 in Allergy.

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Kidney Damage Seen in Most Patients With Long-Lasting T1D

MONDAY, Oct. 30, 2017 (HealthDay News) -- Most patients with type 1 diabetes (T1D) of long duration have some degree of kidney disease, according to a study published online Oct. 4 in Diabetes Care.

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AAP Releases Policy Statement on Cord Blood Banking

MONDAY, Oct. 30, 2017 (HealthDay News) -- The American Academy of Pediatrics (AAP) has released new information to guide pediatricians, obstetricians, and other health care providers in responding to parents' questions about cord blood donation and banking, according to a policy statement published online Oct. 30 in Pediatrics.

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PCP Has Vital Role in Managing Pediatric Heart Disease

MONDAY, Oct. 30, 2017 (HealthDay News) -- Primary care providers (PCPs) and medical homes (MHs) have a role to play in the management of pediatric patients with congenital heart disease (CHD) and their families, according to a policy statement published online Oct. 30 in Pediatrics.

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Maternal Use of Acetaminophen Linked to ADHD in Offspring

MONDAY, Oct. 30, 2017 (HealthDay News) -- Maternal use of acetaminophen in pregnancy is associated with attention-deficit/hyperactivity disorder (ADHD) in offspring, according to a study published online Oct. 30 in Pediatrics.

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E-Cigarettes Alter Defense Proteins in Airway Secretions

MONDAY, Oct. 30, 2017 (HealthDay News) -- E-cigarette use changes the profile of innate defense proteins in airway secretions, according to a study published online Oct. 20 in the American Journal of Respiratory and Critical Care Medicine.

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Many Teenagers Unaware That Adderall Is an Amphetamine

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Adolescents appear to underreport their nonmedical amphetamine use, which may be in part due to lacking awareness that Adderall is an amphetamine, according to a study published online Oct. 23 in Drug and Alcohol Dependence.

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Recommendations Developed for Trial of Labor After C-Section

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Recommendations have been developed for trial of labor after cesarean delivery (TOLAC) for women who wish to achieve a vaginal birth after cesarean delivery (VBAC), according to a practice bulletin published online Oct. 24 in Obstetrics & Gynecology.

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Gifts From Pharma Companies Influence Prescribing Behavior

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Receipt of gifts from pharmaceutical companies is associated with more prescriptions per patient and more costly prescriptions, according to a study published online Oct. 25 in PLOS One.

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Surgery Reduces Seizures in Drug-Resistant Epilepsy

THURSDAY, Oct. 26, 2017 (HealthDay News) -- For pediatric patients with drug-resistant epilepsy, surgery can improve freedom from seizures, and among adults with drug-resistant focal epilepsy undergoing surgery, hippocampal sclerosis is the most common histopathological diagnosis, according to two studies published online Oct. 25 in the New England Journal of Medicine.

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New ACOG Guidance on Long-Acting Reversible Contraceptives

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Long-acting reversible contraceptives (LARC), including implants and intrauterine devices (IUDs), are a safe and effective contraception option for many women, according to a practice bulletin published online Oct. 24 in Obstetrics & Gynecology.

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Hypothermia May Help Newborns With Encephalopathy

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- Hypothermia treatment initiated at six to 24 hours after birth for newborns with hypoxic-ischemic encephalopathy may reduce death or disability, but there is uncertainty about its effectiveness, according to a study published online Oct. 24 in the Journal of the American Medical Association.

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DEA Taking Back Unwanted Prescription Drugs on Oct. 28

TUESDAY, Oct. 24, 2017 (HealthDay News) -- The public is being given its 14th opportunity to safely dispose of pills and patches at collection points operated by the U.S. Drug Enforcement Agency (DEA) and its partners.

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Proper Training Key for Primary Care Medical Assistants

TUESDAY, Oct. 24, 2017 (HealthDay News) -- Qualified medical assistants can help primary care practices become more efficient, reduce patient wait times, and streamline patient processing, but their training may be lacking, according to an article published online Oct. 10 in Medical Economics.

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AMA Addresses Physicians' Role in Addressing Unsafe Water

TUESDAY, Oct. 24, 2017 (HealthDay News) -- Clinicians should be trained to recognize symptoms of contaminated water use in order to help prevent contamination and execute other public health duties, according to an American Medical Association (AMA) report about the October issue of the AMA Journal of Ethics.

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Most in U.S. Don't Agree That Household Guns Up Suicide Risk

TUESDAY, Oct. 24, 2017 (HealthDay News) -- Most U.S. adults do not agree that household firearms increase the risk of suicide, according to a research letter published online Oct. 23 in the Annals of Internal Medicine.

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Financial Incentives Up Teen Glucose Monitoring Adherence

TUESDAY, Oct. 24, 2017 (HealthDay News) -- Financial incentives can improve adherence to glucose monitoring but not glycemic control among adolescents with type 1 diabetes, according to a study published online Oct. 23 in JAMA Pediatrics.

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Design Thinking Enables Med Students to Solve Challenges

MONDAY, Oct. 23, 2017 (HealthDay News) -- A joint effort between students at Warren Alpert Medical School of Brown University and Rhode Island School of Design (RISD) is training future physicians in design thinking to help identify and repair health system issues that contribute to physician burnout, according to an article by the American Medical Association.

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Drinking Water Pre-Vaccination Doesn't Reduce Presyncope

MONDAY, Oct. 23, 2017 (HealthDay News) -- Drinking water before vaccination does not prevent presyncope in adolescents after vaccination, according to a study published online Oct. 23 in Pediatrics.

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Limited Evidence of Benefit for Medical Cannabinoids in Children

MONDAY, Oct. 23, 2017 (HealthDay News) -- The strongest evidence for benefit of cannabinoids in children is for chemotherapy-induced nausea and vomiting, with more research needed to assess its role as a medical treatment, according to a review published online Oct. 23 in Pediatrics.

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Guidelines Updated for Infection Prevention in Pediatrics

MONDAY, Oct. 23, 2017 (HealthDay News) -- Guidelines have been updated for infection prevention and control in pediatric ambulatory settings, according to a policy statement published online Oct. 23 in Pediatrics.

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Pediatricians Should Provide Sexual Health Care Services

MONDAY, Oct. 23, 2017 (HealthDay News) -- Pediatricians should be prepared to educate adolescents and young adults regarding sexual development and to promote healthy behaviors in relationships, according to a clinical report published online Oct. 23 in Pediatrics.

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Less Sedentary Time May Attenuate Genetic Role in Obesity

MONDAY, Oct. 23, 2017 (HealthDay News) -- Interactions between genes and physical activity and genes and sedentary behavior may play a role in the development of obesity, according to a study published in the October issue of Diabetes.

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Clinician Job Satisfaction Linked to Improved Burnout Scores

FRIDAY, Oct. 20, 2017 (HealthDay News) -- Clinicians' job satisfaction is associated with improved burnout scores and reduced intention to leave their practices, according to a study published in the October issue of Health Affairs.

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H7N9 Avian Influenza May Be Capable of Pandemic

FRIDAY, Oct. 20, 2017 (HealthDay News) -- A highly pathogenic H7N9 avian influenza variant has evolved and now has the potential to cause a pandemic, according to a study published online Oct. 19 in Cell Host & Microbe.

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CDC Updates Zika Guidance for Infant Care

FRIDAY, Oct. 20, 2017 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention (CDC) has updated its interim guidance for U.S. health care providers caring for infants with possible congenital Zika virus infection, according to a report published online Oct. 19 in Morbidity and Mortality Weekly Report.

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Conditions Tied to Clinician Dissatisfaction Are Modifiable

THURSDAY, Oct. 19, 2017 (HealthDay News) -- Modifiable conditions, like chaos, incohesiveness, and lack of communication, contribute to unsatisfying workplaces for clinicians, according to a study published in the October issue of Health Affairs.

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Key Stakeholders Discuss How to Make EHRs More Usable

THURSDAY, Oct. 19, 2017 (HealthDay News) -- Key stakeholders and physicians discussed electronic health record (EHR) usability and optimization in the American Medical Association Running Your Practice Community.

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Sharing Passwords Is Widespread Among Medical Staff

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- Sharing of passwords to access electronic medical records is common among medical staff members, according to a study published in the July issue of Healthcare Informatics Research.

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Men Now Comprise ~10 Percent of RN Workforce

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- The increasing participation of men in registered nursing can be attributed to multiple factors, including increasing educational attainment, rising labor demand in health care, and liberalizing gender role attitudes, according to a working paper published by the Washington Center for Equitable Growth.

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Doctors Urged to Speak With Patients About Firearms

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Physicians should make a public commitment to speak with their patients about firearms, according to an opinion piece published online Oct. 16 in the Annals of Internal Medicine.

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Prevalence of Oral HPV Infection Higher for U.S. Men

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Oral human papillomavirus (HPV) infection and high-risk oral HPV infection are more common among men than women, according to a study published online Oct. 16 in the Annals of Internal Medicine.

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Female Physicians May Be Especially at Risk of Burnout

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Female physicians are more burned out than their male colleagues, but there are steps they can take to reduce the stress associated with burnout, according to a blog post published in Medical Economics.

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Screening Tools Identify Potentially Inappropriate Meds

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Internal medicine patients are frequently prescribed potentially inappropriate medications (PIMs), but screening tools can detect clinically relevant PIMs, according to a study published online Oct. 8 in the Journal of Clinical Pharmacy and Therapeutics.

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Online Ratings Not Aligned With Objective Quality Measures

MONDAY, Oct. 16, 2017 (HealthDay News) -- Online consumer ratings of specialist physicians do not predict objective measures of quality of care or peer assessment of clinical performance, according to a study published online Sept. 8 in the Journal of the American Medical Informatics Association.

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Most Female Physicians Have Faced Sexist Patient Comments

MONDAY, Oct. 16, 2017 (HealthDay News) -- Most female physicians have been sexually harassed by patients at some point in their careers, according to a blog post published in Medical Economics.

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Many College Students Believe Stimulants Can Boost Grades

MONDAY, Oct. 16, 2017 (HealthDay News) -- More than one-quarter of college students report believing that nonmedical use of prescription stimulants (NPS) can improve academic performance, according to a study published in the January 2018 issue of Addictive Behaviors.

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Serious Suffering Affects Almost Half of Those Who Die Yearly

FRIDAY, Oct. 13, 2017 (HealthDay News) -- In 2015, more than 25.5 million people who died worldwide experienced serious health-related suffering (SHS), and the vast majority lacked access to palliative care and pain relief, according to a report published online Oct. 12 in The Lancet.

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Aqueous Humor Can Serve as Surrogate Tumor Biopsy

FRIDAY, Oct. 13, 2017 (HealthDay News) -- A novel method will allow for analyses of tumor-derived DNA in eyes with retinoblastoma (Rb) undergoing salvage therapy that have not been enucleated, according to a study published online Oct. 12 in JAMA Ophthalmology.

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Quality Issues for Both Paper-, Electronic-Based Health Records

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Both paper-based and electronic health records (EHRs) have shortcomings in terms of quality of content, process, and structure, with poor quality of nursing documentation seen for both methods, according to a study published online Oct. 5 in the Journal of Clinical Nursing.

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Ride-Sharing Services Could Cut Alcohol-Related Crashes

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Ride-sharing services may reduce the rate of motor vehicle crashes, particularly alcohol-involved crashes, in some cities, according to a study published online Oct. 4 in the American Journal of Epidemiology.

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New Framework Guides Tx Decisions for Atopic Dermatitis

FRIDAY, Oct. 13, 2017 (HealthDay News) -- A new framework is available to help clinicians determine when systemic therapy is appropriate for treatment of atopic dermatitis (AD), according to a consensus statement published in the October issue of the Journal of the American Academy of Dermatology.

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Court Considering Fate of Noneconomic Damages Cap

THURSDAY, Oct. 12, 2017 (HealthDay News) -- The Wisconsin Supreme Court is considering whether it will hear a case that will determine the fate of the state's $750,000 cap on noneconomic damages, according to an article published by the American Medical Association (AMA).

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New System Streamlines CME Credit Approval Process

THURSDAY, Oct. 12, 2017 (HealthDay News) -- The American Academy of Family Physicians (AAFP) and the American Board of Family Medicine (ABFM) have launched a new performance improvement activity credit reporting process called the AAFP Credit System, according to an article published by the AAFP.

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Low-Cost Services a Major Player in Unnecessary Health Spending

THURSDAY, Oct. 12, 2017 (HealthDay News) -- The costs associated with low-cost, low-value health services are nearly twice as high as those of high-cost, low-value services, according to a study published in the October issue of Health Affairs.

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Eczema Health Care Use Down for Non-Hispanic Black Children

THURSDAY, Oct. 12, 2017 (HealthDay News) -- Non-Hispanic black children have lower health care utilization for eczema, according to a study published online Sept. 27 in the Journal of the American Academy of Dermatology.

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Direct Primary Care May Fill Niche for Uninsured

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Direct primary care is a relatively new option that provides care for many Americans, including some who do not have health insurance, according to a report published by Kaiser Health News.

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Physician Salaries Appear to Be Flat or Declining

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Anecdotally, physician career coaches report that physician salaries are flat at best, according to an article published in Medical Economics.

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Medical License Questions Sway Doctors' Mental Health Help

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Medical licensure application questions (MLAQs) regarding mental health contribute to physicians' reluctance to seek help for mental health, according to a study published in the October issue of Mayo Clinic Proceedings.

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Crisaborole Safe for Long-Term Treatment of Atopic Dermatitis

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Crisaborole ointment appears to be safe for the long-term treatment of atopic dermatitis (AD), according to a study published in the October issue of the Journal of the American Academy of Dermatology.

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Rising BMI Trends for Children Have Plateaued in Many Countries

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Rising trends in body mass index (BMI) for children and adolescents have plateaued in many high-income countries after rising for decades but have accelerated in some parts of Asia, according to a study published online Oct. 10 in The Lancet.

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AAP Releases List of Often-Unnecessary Tests

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- As part of the Choosing Wisely campaign, the American Academy of Pediatrics (AAP) has released a new list of five tests and procedures commonly ordered for signs of early puberty, short height, and other endocrine-related disorders that parents and physicians should question.

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Interventions Have No Long-Term Effect on Inappropriate Rx

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Inappropriate antibiotic prescribing for acute respiratory infections (ARIs) increases in the 12 months after removing behavioral interventions compared with control practices, according to a research letter published online Oct. 10 in the Journal of the American Medical Association.

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Guide Offers Doctors Tips for Choosing a Health System

TUESDAY, Oct. 10, 2017 (HealthDay News) -- A guide has been developed to assist physicians considering joining a physician-led integrated health system, according to a report published by the American Medical Association (AMA).

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Better Glycemic Control With Insulin Pump for Youth With T1D

TUESDAY, Oct. 10, 2017 (HealthDay News) -- For young patients with type 1 diabetes, insulin pump therapy is associated with lower risks of severe hypoglycemia and diabetic ketoacidosis and better glycemic control than insulin injection therapy, according to a study published online Oct. 10 in the Journal of the American Medical Association.

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USPSTF Recommends Counseling Youth on Sun Protection Behavior

TUESDAY, Oct. 10, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that fair-skinned individuals aged 6 months to 24 years and parents of young children be counseled regarding skin protection behaviors, while for adults over age 24 years, clinicians should consider the individual's risk of skin cancer before providing counseling. These findings form the basis of a draft recommendation statement published online Oct. 10 by the USPSTF.

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Autoimmunities for T1D, Celiac Co-Occur More Than Expected

TUESDAY, Oct. 10, 2017 (HealthDay News) -- Co-occurrence of type 1 diabetes (T1D) and celiac disease (CD) autoimmunities significantly exceeds the expected rate, according to a study published online Oct. 10 in Pediatrics.

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Dietary Fat, Relapse Linked in Pediatric Multiple Sclerosis

TUESDAY, Oct. 10, 2017 (HealthDay News) -- For children with multiple sclerosis, increased fat intake is associated with an increased risk of relapse, while vegetable intake may be protective, according to a study published online Oct. 9 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Pediatric Physicians Should Revisit Approaches to Marijuana

TUESDAY, Oct. 10, 2017 (HealthDay News) -- In light of the changing legal status of marijuana, physicians should provide counseling on its effects to adolescents, according to an opinion article published online Oct. 9 in JAMA Pediatrics.

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Novel Metrics Suggested for Assessing EHR Use

TUESDAY, Oct. 10, 2017 (HealthDay News) -- Novel metrics have been developed to assess electronic health record (EHR) use and are described in an opinion article published online Oct. 9 in the Annals of Internal Medicine.

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Antibiotic Use Not Linked to Islet, Celiac Disease Autoimmunity

MONDAY, Oct. 9, 2017 (HealthDay News) -- Use of antibiotics in early life is not associated with islet or celiac disease (CD) autoimmunity in children at risk for type 1 diabetes (T1D) or CD, according to a study published online Oct. 9 in JAMA Pediatrics.

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2016 Physician Quality Reporting System Reports Available

MONDAY, Oct. 9, 2017 (HealthDay News) -- The 2016 Physician Quality Reporting System (PQRS) and the 2016 annual Quality and Resource Use reports have been released for individuals and group practices, according to a report published by the American Academy of Family Physicians.

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Injured Patients Want More Info on Safety Improvement Efforts

MONDAY, Oct. 9, 2017 (HealthDay News) -- Communication-and-resolution program (CRP) experiences are positive overall for a small majority of patients and families, but they report that hospitals rarely share information about preventing recurrences, according to a study published online Oct. 9 in JAMA Internal Medicine.

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Sizable Number of HIV-Infected Children Not Receiving Care

MONDAY, Oct. 10, 2017 (HealthDay News) -- A substantial proportion of children with diagnosed HIV infection might not be receiving the recommended frequency of medical care, according to a study published online Oct. 5 in Morbidity and Mortality Weekly Report.

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Human Adenovirus Surveillance Data IDs Type Patterns

MONDAY, Oct. 9, 2017 (HealthDay News) -- Human adenovirus (HAdV) surveillance data can be used to determine patterns of circulation for individual HAdV types in the United States and to help with the recognition of outbreaks, according to a study published online Oct. 5 in Morbidity and Mortality Weekly Report.

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Antisocial Behavior May Be Highly Polygenic

MONDAY, Oct. 9, 2017 (HealthDay News) -- Antisocial behavior (ASB) may be highly polygenic, with sex-discordant associations identified for some loci, according to a study published online Oct. 4 in JAMA Psychiatry.

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Vitamin K-1 Intake Tied to Heart Structure, Function in Teens

MONDAY, Oct. 9, 2017 (HealthDay News) -- For adolescents, phylloquinone (vitamin K-1) intake is associated with left ventricular (LV) structure and function, according to a study published in the October issue of The Journal of Nutrition.

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First Test to Detect Zika in Blood Donations Approved

FRIDAY, Oct. 6, 2017 (HealthDay News) -- The cobas Zika test has been approved by the U.S. Food and Drug Administration -- the first approved screening test to detect the Zika virus in blood donations.

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Reduction Mammaplasty Linked to Improved HRQoL in Teens

FRIDAY, Oct. 6, 2017 (HealthDay News) -- For adolescents with macromastia, reduction mammaplasty is associated with significant improvements in health-related quality of life and breast-related symptoms, according to a study published online Oct. 6 in Pediatrics.

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Michigan Woman Gets Jail Time for Refusing to Vaccinate Son

FRIDAY, Oct. 6, 2017 (HealthDay News) -- A Michigan woman who defied a court order and refused to have her son vaccinated has received a prison sentence.

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Short-Lived Benefits for Abusive Supervisory Behavior

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Engaging in abusive supervisory behavior may be associated with short-term beneficial effects, but over longer periods of time, abusive supervisory behavior is negatively related to supervisors' recovery level and engagement, according to a study published online Sept. 11 in the Academy of Management Journal.

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No Change in Flu Shot Rates for Children From '15-16 to '16-17

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Children who received an injectable influenza vaccine (IIV) in 2015-2016 were only slightly more likely than those receiving live attenuated influenza vaccine (LAIV) to return the following season for an IIV, according to a study published online Oct. 6 in Pediatrics.

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Stronger Nocebo Effect When Inert Rx Labeled As Expensive

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Nocebo hyperalgesia is stronger when an inert treatment is labeled as being an expensive medication rather than a cheap one, according to a study published online Oct. 5 in Science.

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Enrolling in Aerodigestive Clinic Cuts Children's Inpatient Days

FRIDAY, Oct. 6, 2017 (HealthDay News) -- For children with special health care needs, enrollment in a multidisciplinary aerodigestive clinic may improve health care outcomes, according to a study published online Oct. 5 in JAMA Otolaryngology -- Head & Neck Surgery.

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21 Percent of Americans Report Experiencing a Medical Error

THURSDAY, Oct. 5, 2017 (HealthDay News) -- More than one in five patients report having experienced a medical error, according to a survey released Sept. 28 by the Institute for Healthcare Improvement (IHI)/National Patient Safety Foundation Lucian Leape Institute and NORC at the University of Chicago.

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Stem Cell Gene Therapy Safe for Adrenoleukodystrophy

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Early results suggest that stem cell gene therapy is a safe and effective treatment for boys with early-stage cerebral adrenoleukodystrophy, according to a study published online Oct. 4 in the New England Journal of Medicine to coincide with the 2017 Child Neurology Society Annual Meeting, being held Oct. 4 to 7 in Kansas City.

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Reasons Physicians Are Delaying Retirement Vary

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Physicians are delaying retirement, often because they feel they are providing a useful service to patients or because of concerns about social interaction in retirement, according to an article published online Sept. 25 in Medical Economics.

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Maternal Multivitamin Use Tied to Lower Risk of Child ASD

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Multivitamin supplementation during pregnancy is tied to a reduced risk of autism spectrum disorder (ASD) with intellectual disability, according to a study published online Oct. 4 in BMJ.

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Delivery Characteristics Predict Early-Onset Sepsis Risk

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Delivery characteristics of extremely preterm infants can be used to identify those with significantly lower incidence of early-onset sepsis (EOS), according to a study published online Oct. 5 in Pediatrics.

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Stepped Care Intervention Beneficial After Natural Disaster

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- A stepped care (SC) case-finding intervention is beneficial for individuals with post-traumatic stress disorder after a natural disaster, according to a study published online Oct. 4 in JAMA Psychiatry.

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Pay Inequality, Work-Life Balance Top Concerns for Female Docs

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- Many female physicians report feeling disadvantaged when negotiating contracts and feel that they are assessed for promotion using different criteria than those used for men, according to a report published by the American Medical Association (AMA).

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Scientists Support Genome Editing to Prevent Disease

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- Many basic scientists and clinical researchers support somatic genome editing in adults for prevention of serious disease but not for human enhancement; they also believe the public should be consulted before any clinical application of germline gene editing proceeds, according to survey results published online Oct. 3 in Circulation: Cardiovascular Genetics.

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More U.S. Measles Cases From No Vaccine vs. Imported Disease

TUESDAY, Oct. 3, 2017 (HealthDay News) -- While measles incidence is extremely low in the United States, most cases that do occur happen in unvaccinated patients, according to a research letter published online Oct. 3 in the Journal of the American Medical Association.

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Communication Program Doesn't Raise Hospital Liability Costs

TUESDAY, Oct. 3, 2017 (HealthDay News) -- A communication-and-resolution program, in which hospitals and liability insurers communicate with patients when adverse events occur, does not lead to higher liability costs, according to a study published online Oct. 2 in Health Affairs.

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Fewer Deaths Projected With Switch to Electronic Cigarettes

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Replacement of cigarettes with electronic cigarettes (e-cigarettes) is projected to result in fewer premature deaths, even under a pessimistic scenario, according to a study published online Oct. 2 in Tobacco Control.

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Clinical Exome Sequencing Useful for Critically Ill Infants

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Clinical exome sequencing is an effective diagnostic tool for infants suspected of having monogenic disorders, according to a study published online Oct. 2 in JAMA Pediatrics.

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Hospital Discharges for Prescription Opioids Have Fallen

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Prescription opioid-related inpatient and emergency department (ED) discharges have decreased since 2010, while heroin-related discharges have increased sharply since 2008, according to a study published online Oct. 2 in Health Affairs.

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Regular Leisure-Time Exercise May Cut Incidence of Depression

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Regular leisure-time exercise of any intensity is associated with reduced incidence of future depression, according to a study published online Oct. 3 in The American Journal of Psychiatry.

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Vancomycin + Piperacillin/ Tazobactam Ups Kidney Risk

MONDAY, Oct. 2, 2017 (HealthDay News) -- For hospitalized children, coadministration of intravenous (IV) vancomycin and piperacillin/tazobactam is associated with increased risk of acute kidney injury (AKI), according to a study published online Oct. 2 in JAMA Pediatrics.

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Odds of Emergency Care Up for Youth With Justice Involvement

MONDAY, Oct. 2, 2017 (HealthDay News) -- Youth with justice involvement are more likely to have used an emergency department (ED) or emergency service, according to two studies published online Oct. 2 in Pediatrics.

Abstract -- Winkelman
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Tdap Given in Pregnancy Protects Infants From Pertussis

MONDAY, Oct. 2, 2017 (HealthDay News) -- Tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccination during the third trimester of pregnancy is effective for preventing pertussis in infants in the first months of life, according to a study published online Sept. 28 in Clinical Infectious Diseases.

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