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July 2013 Briefing - Pediatrics

July 2013 Briefing - Pediatrics

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

Health 'Mutual Accountability' Pilot Program Launching

WEDNESDAY, July 31 (HealthDay News) -- The State of Oklahoma Office of Management and Enterprise Services has chosen MedEncentive to conduct a three-year heath improvement program pilot among HealthChoice beneficiaries.

More Information (https://www.i2e.org/news/medencentive-selected-for-pilot-program/ )

Reversal of Medical Practices Common Over Past Decade

TUESDAY, July 30 (HealthDay News) -- Over 100 contemporary medical practices have subsequently been reversed over the last 10 years, according to a review published online July 22 in Mayo Clinical Proceedings.

Abstract (http://www.mayoclinicproceedings.org/article/S0025-6196%2813%2900405-9/abstract )Full Text (http://www.mayoclinicproceedings.org/article/S0025-6196%2813%2900405-9/fulltext )Editorial (http://www.mayoclinicproceedings.org/article/S0025-6196%2813%2900403-5/fulltext )

Functional Issues Up in Siblings of Children With Disability

TUESDAY, July 30 (HealthDay News) -- Siblings of children with disability have higher levels of parent-reported functional impairment compared to siblings of typically developing children, according to research published online July 29 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/07/23/peds.2013-0644.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/23/peds.2013-0644.full.pdf+html )

About One in Five Children Outgrow Asthma

TUESDAY, July 30 (HealthDay News) -- About 20 percent of children experience remission of their childhood asthma, which is less likely for females, children sensitized to furred animals, and children with severe asthma, according to a study published online July 29 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/07/23/peds.2013-0741.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/23/peds.2013-0741.full.pdf+html )

Spondylolisthesis Sx Improves Pediatric Health Related-QOL

TUESDAY, July 30 (HealthDay News) -- In pediatric patients with high-grade spondylolisthesis, health-related quality of life (HRQOL) improves significantly after surgery, especially in patients with low baseline HRQOL scores, according to a study published in the July issue of The Spine Journal.

Abstract (http://www.thespinejournalonline.com/article/S1529-9430(13)00125-3/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430(13)00125-3/fulltext )

Review Explores HPV Link to Higher Risk of Esophageal Cancer

TUESDAY, July 30 (HealthDay News) -- The presence of human papillomavirus (HPV) DNA is associated with a three-fold higher risk of esophageal cancer, according to a study published online July 24 in PLOS ONE.

Full Text (http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0069238 )

Model Quantifies Energy Excess Underlying Obesity in Children

TUESDAY, July 30 (HealthDay News) -- A mathematical model has been developed and validated for childhood energy balance, which quantifies the energy excess underlying obesity, according to research published online July 30 in The Lancet Diabetes & Endocrinology.

Abstract (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70051-2/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70051-2/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70063-9/fulltext )

Breastfeeding Duration Linked to Intelligence in Childhood

TUESDAY, July 30 (HealthDay News) -- Breastfeeding duration is associated with receptive language at age 3 and intelligence at age 7, according to a study published online July 29 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1720224#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1720224 )Editorial (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1720223 )

Problematic Video Game Use Up in Boys With ASD, ADHD

MONDAY, July 29 (HealthDay News) -- Boys with autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) have more problematic video game use compared to boys with typical development, according to a study published online July 29 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/07/23/peds.2012-3956.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/23/peds.2012-3956.full.pdf+html )

Substantial Prevalence of Diaper Need in Low-Income Families

MONDAY, July 29 (HealthDay News) -- About 30 percent of mothers report diaper need, with increased likelihood for Hispanic women, those aged 45 years and older, and women with mental health need, according to a study published online July 29 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/07/23/peds.2013-0597.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/23/peds.2013-0597.full.pdf+html )

Nonfatal Food-Linked Choking Occurs in 12,435 Children/Year

MONDAY, July 29 (HealthDay News) -- The rate of nonfatal food-related choking is 20.4 emergency department visits per 100,000 children, and more than one-third of cases occur in infants aged 1 year or younger, according to research published online July 29 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/07/23/peds.2013-0260.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/23/peds.2013-0260.full.pdf+html )

No Change in HPV Vaccine Coverage for Teen Girls in 2012

MONDAY, July 29 (HealthDay News) -- In 2012 there was little increase in human papillomavirus (HPV) vaccination among teenage girls, according to a report published in the July 26 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6229a4.htm )

Automated EHRs Improve Immunization Reporting

FRIDAY, July 26 (HealthDay News) -- Automated public health reporting of immunization data via electronic health records (EHRs) significantly improves timeliness of reporting, according to a study published in Applied Clinical Informatics.

Abstract (http://aci.schattauer.de/en/contents/archive/issue/1729/manuscript/19792/show.html )Full Text (subscription or payment may be required) (http://aci.schattauer.de/en/contents/archive/issue/1729/manuscript/19792/show.html )

Flow Restrictors Protect Children From Liquid Medicine

FRIDAY, July 26 (HealthDay News) -- Adding flow restrictors to bottles limits the ability of young children to access liquid medicine, according to a study published online July 25 in the The Journal of Pediatrics.

Full Text (http://www.jpeds.com/webfiles/images/journals/ympd/JPEDSLovegroveBudnitz.pdf )

Prenatal Mercury Exposure, ASD Behaviors Not Linked

THURSDAY, July 25 (HealthDay News) -- Prenatal exposure to methlymercury is not associated with autism spectrum disorder (ASD) phenotypic behaviors, according to a study published online July 18 in Epidemiology.

Abstract (http://journals.lww.com/epidem/Abstract/publishahead/Autism_Spectrum_Disorder_Phenotypes_and_Prenatal.99378.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/epidem/Abstract/publishahead/Autism_Spectrum_Disorder_Phenotypes_and_Prenatal.99378.aspx )

IOM Confirms Geographic Variation in Health Spending

THURSDAY, July 25 (HealthDay News) -- Considerable geographic variation exists in health care spending and utilization, but a geographically-based value index is unlikely to promote value improvement, according to a report published July 24 by the Institute of Medicine.

More Information (http://www.iom.edu/Reports/2013/Variation-in-Health-Care-Spending-Target-Decision-Making-Not-Geography.aspx )

Smoking in Pregnancy Linked to Offspring Conduct Problems

THURSDAY, July 25 (HealthDay News) -- Maternal smoking during pregnancy is associated with offspring conduct problems among children raised by genetically related and genetically unrelated mothers, according to research published online July 24 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1716166#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1716166 )Editorial (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1716165 )

Docs Need to Follow Patients' Lead, Embrace Social Media

WEDNESDAY, July 24 (HealthDay News) -- As more patients discuss and manage their health care online, doctors need to keep up and use social media, according to a report published by the American Medical Association (AMA).

More Information (http://www.amednews.com/article/20130722/business/130729980/7/ )

Support for Banning Smoking in Locations With Children

WEDNESDAY, July 24 (HealthDay News) -- Most adults support banning smoking in locations where children are present, including vehicles, businesses, and daycare/babysitting facilities, according to a report published by the C.S. Mott Children's Hospital.

More Information (http://mottnpch.org/reports-surveys/broad-public-support-banning-smoking-vehicles-kids-present )

High-Quality Early Intervention Key to Aiding Children With ASD

WEDNESDAY, July 24 (HealthDay News) -- High-quality early interventions may equally benefit preschoolers with autism spectrum disorder as much as any specific education treatment model, according to a study published online June 28 in the Journal of Autism and Developmental Disorders.

Abstract (http://link.springer.com/article/10.1007/s10803-013-1877-9 )Full Text (subscription or payment may be required) (http://link.springer.com/article/10.1007/s10803-013-1877-9 )

U.S. Physicians Not Supportive of Changes in Payment Models

TUESDAY, July 23 (HealthDay News) -- U.S. physicians accept some responsibility for reducing health care costs in their practice, but most do not want to change payment models, according to research published in the July 24/31 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1719740#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1719740 )

HHS Awards $12 Million to Support Primary Care Training

TUESDAY, July 23 (HealthDay News) -- $12 million in Affordable Care Act (ACA) funds is being awarded to support primary care residency programs in 32 Teaching Health Centers, according to a report published by the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/07/20130719a.html )

Pros and Cons of Electronic Cigarette Regulation Discussed

TUESDAY, July 23 (HealthDay News) -- The pros and cons of electronic cigarette (EC) regulation are discussed in to two editorials published online July 23 in The Lancet Respiratory Medicine.

Editorial 1 (subscription or payment may be required) (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70160-7/fulltext )Editorial 2 (subscription or payment may be required) (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70124-3/fulltext )

Maternal Health Behaviors Affect Teen Boys' HPV4 Uptake

TUESDAY, July 23 (HealthDay News) -- Maternal utilization of preventive care and a history of genital warts may influence utilization of the quadrivalent human papillomavirus vaccine (HPV4) among adolescent boys, according to a study published online July 18 in the American Journal of Public Health.

Abstract (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301495 )Full Text (subscription or payment may be required) (http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2013.301495 )

About One in Four Families With Pediatrician Use Retail Clinics

TUESDAY, July 23 (HealthDay News) -- About one-quarter of parents whose children have a pediatrician also use retail clinics (RCs) for pediatric care, according to a study published online July 22 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1714856#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1714856 )Editorial (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1714855 )

Recommended Calorie Intake Info Has No Direct Impact

MONDAY, July 22 (HealthDay News) -- The introduction of calorie recommendations does not enhance the impact of posted calorie information at restaurants, according to a study published online July 18 in the American Journal of Public Health.

Abstract (http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2013.301218 )Full Text (subscription or payment may be required) (http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2013.301218 )

Child Injuries From Falling TVs Are Increasing in the U.S.

MONDAY, July 22 (HealthDay News) -- The rate of pediatric injuries caused by falling televisions (TVs) is increasing in the United States, according to research published online July 22 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/07/17/peds.2013-1086.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/17/peds.2013-1086.full.pdf+html )

Use of Radiographs Increasing for Children With Asthma

MONDAY, July 22 (HealthDay News) -- Emergency department use of radiographs is increasing for children with asthma; and there is considerable variation between hospitals in the use of diagnostic testing for children with community-acquired pneumonia (CAP), according to two studies published online July 22 in Pediatrics.

Abstract - Knapp (http://pediatrics.aappublications.org/content/early/2013/07/17/peds.2012-2830.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/17/peds.2012-2830.full.pdf+html )Abstract - Florin (http://pediatrics.aappublications.org/content/early/2013/07/17/peds.2013-0179.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/17/peds.2013-0179.full.pdf+html )Editorial (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/17/peds.2013-1569.full.pdf+html )

Premiums Expected to Be About 20 Percent Lower in 2014

MONDAY, July 22 (HealthDay News) -- Premiums in the Health Insurance Marketplace are likely to be about 20 percent lower than anticipated in 2014, according to a report published by the U.S. Department of Health and Human Services (HHS).

More Information (http://www.hhs.gov/news/press/2013pres/07/20130718a.html )

Cough in Adolescent Boys May Signal Aspirated Blowgun Dart

MONDAY, July 22 (HealthDay News) -- Twenty websites have been identified that give instructions on how to make blowgun darts, but few offer safety warnings, and cases of adolescent boys who have accidentally aspirated the darts have been reported, according to a case report published online July 22 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/07/17/peds.2012-3340.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/17/peds.2012-3340.full.pdf+html )

Tablets Help Physicians Keep Up With Medical Research

MONDAY, July 22 (HealthDay News) -- Most physicians find keeping up with the latest research to be challenging, but the use of tablets and smartphones may help, according to a report published by Wolters Kluwer Health.

More Information (http://www.wolterskluwerhealth.com/News/Documents/White%20Papers/Wolters%20Kluwer%20Health%20Physician%20Study%20Executive%20Summary.pdf )

Speech, Learning Difficulties Linked to Ear Defect

FRIDAY, July 19 (HealthDay News) -- Children with aural atresia, a congenital condition resulting in ear abnormalities and hearing loss, are at greater risk of speech and learning difficulties if they have unilateral disease compared with bilateral disease, according to a record review published online July 18 in JAMA Otolaryngology-Head & Neck Surgery.

Abstract (http://archotol.jamanetwork.com/article.aspx?articleid=1714362#Abstract )Full Text (subscription or payment may be required) (http://archotol.jamanetwork.com/article.aspx?articleid=1714362 )

Top Challenges for Docs Include Financial Management

FRIDAY, July 19 (HealthDay News) -- The top issues and challenges facing physicians include managing changing reimbursement models with payors and financial management, according to a report published by Wolters Kluwer Health.

More Information (http://www.wolterskluwerhealth.com/News/Documents/White%20Papers/Wolters%20Kluwer%20Health%20Physician%20Study%20Executive%20Summary.pdf )

Study Profiles Inpatient Peds Dermatology Consultations

FRIDAY, July 19 (HealthDay News) -- Pediatric dermatologists are consulted for patients ranging in age from newborn to 17 years, with the most common diagnostic categories being infectious diseases, graft-versus-host-disease, and dermatitis, according to a retrospective study published in the June issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622(12)02282-7/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622(12)02282-7/fulltext )

Missed Diagnoses, Med Errors Most Common Malpractice Claims

FRIDAY, July 19 (HealthDay News) -- The most common medical misadventures resulting in malpractice claims in primary care are missed or delayed diagnoses and medication errors, according to a review published online July 18 in BMJ Open.

Full Text (http://bmjopen.bmj.com/content/3/7/e002929.full )

Many Children With Melanoma Do Not Meet ABCDE Criteria

THURSDAY, July 18 (HealthDay News) -- A considerable proportion of children with melanoma do not present with conventional melanoma detection criteria (asymmetry, border irregularity, color variegation, diameter >6 mm, and evolution [ABCDE]), according to a study published in the June issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622(12)02332-8/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622(12)02332-8/fulltext )

Music Beneficial for Children Undergoing IV Placement

THURSDAY, July 18 (HealthDay News) -- For children undergoing intravenous placement, music seems to have a favorable effect, with benefits also reported by parents and health care providers, according to a study published online July 15 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1712579#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1712579 )

In 2010, Racial Discrepancy in Life Expectancy 3.8 Years

THURSDAY, July 18 (HealthDay News) -- In 2010, the discrepancy in life expectancy between blacks and whites was 3.8 years, according to a July data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

More Information (http://www.cdc.gov/nchs/data/databriefs/db125.htm )

Infants Might Benefit From Delayed Cord Clamping

WEDNESDAY, July 17 (HealthDay News) -- In healthy, term infants there may be some advantages to delayed cord clamping, including an increase in early hemoglobin concentration, according to a review published online July 11 in The Cochrane Library.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004074.pub3/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004074.pub3/full )

Financial Incentives Can Drive Health IT Adoption

WEDNESDAY, July 17 (HealthDay News) -- Financial incentives can drive providers' adoption of health information technology, including e-prescribing, according to a study published in the July issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/7/1221.abstract?=right )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/7/1221.full )

FDA Approves First Medical Device to Help Diagnose ADHD

TUESDAY, July 16 (HealthDay News) -- The first medical device designed to help medical professionals diagnose attention-deficit/hyperactivity disorder (ADHD) in children and teens has been approved by the U.S. Food and Drug Administration.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm360811.htm )

Prevalence of Elevated Blood Pressure Increasing in Children

TUESDAY, July 16 (HealthDay News) -- The prevalence of elevated blood pressure (BP) increased among children from 1988-1994 to 1999-2008, according to a study published online July 15 in Hypertension.

Abstract (http://hyper.ahajournals.org/content/early/2013/07/15/HYPERTENSIONAHA.111.00831.abstract )Full Text (subscription or payment may be required) (http://hyper.ahajournals.org/content/early/2013/07/15/HYPERTENSIONAHA.111.00831.full.pdf+html )

Redesign of Medical Education Needed for Chronic Disease Era

TUESDAY, July 16 (HealthDay News) -- Medical education programs should be redesigned to address the current complex chronic disease era, with emphasis on appropriate basic sciences and clinical skills, according to a special communication published online July 15 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1713510 )

CMS Medicare Physician Fee Schedule Could Benefit Docs

TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services has released the 2014 proposed Medicare physician fee schedule, which could help create a more equitable payment system by adjusting misvalued codes and proposing new complex management codes, according to a report published by American Academy of Family Physicians.

More Information (http://www.aafp.org/news-now/government-medicine/20130710feeschedule2014.html )

Improvements Made to CMS Online Directory of Physicians

TUESDAY, July 16 (HealthDay News) -- The Centers for Medicare and Medicaid Services (CMS) has reworked and redesigned their online directory of physicians (Physicians Compare) after errors were discovered throughout the site.

More Information (http://www.amednews.com/article/20130708/government/130709925/4/ )Physician Compare (http://www.medicare.gov/physiciancompare/search.html?AspxAutoDetectCookieSupport=1 )

CDC Reports 30-Year Low in Rate of Youth Homicides

TUESDAY, July 16 (HealthDay News) -- For the period from 1981 to 2010, homicide rates in persons in the United States aged 10 to 24 years fluctuated, but a downward trend starting in 1994 led to the lowest rate recorded for the 30-year period in 2010, according to research published in the July 12 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6227a1.htm?s_cid=mm6227a1_w )

EHRs May Slow Growth in Ambulatory Health Care Costs

MONDAY, July 15 (HealthDay News) -- Adoption of electronic health records (EHRs) modestly slows growth in ambulatory health care costs, according to research published in the July 16 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1709804 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1709807 )

More Job Opportunities Available for Physicians

MONDAY, July 15 (HealthDay News) -- More than half of physicians are receiving up to three employment solicitations per week, according to a report published by American Medical Association (AMA).

More Information (http://www.amednews.com/article/20130708/business/130709921/1/ )

Harsh Physical Punishment Tied to Later Health Conditions

MONDAY, July 15 (HealthDay News) -- Harsh physical punishment during childhood (including pushing, grabbing, shoving, slapping, and hitting), in the absence of more severe child maltreatment, is associated with an increased likelihood of certain physical health conditions later in life, according to a study published online July 15 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/07/10/peds.2012-4021.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/10/peds.2012-4021.full.pdf+html )Editorial (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/10/peds.2013-1631.full.pdf+html )

CMS Proposes New Rule for Outpatient Payment Policies

MONDAY, July 15 (HealthDay News) -- A new rule proposes updating Medicare payment policies and rates for the hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) services, according to a report issued by the Centers for Medicare and Medicaid Services.

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-Sheets/2013-Fact-Sheets-Items/2013-07-08-3.html )

FDA Proposes Threshold for Arsenic in Apple Juice

FRIDAY, July 12 (HealthDay News) -- With a goal of preventing public exposure to inorganic arsenic through apple juice, the U.S. Food and Drug Administration has proposed an "action level" of 10 parts per billion (ppb), a threshold to serve as a guideline for industry.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm360466.htm )

Review Identifies Risk Factors for Comitant Strabismus

FRIDAY, July 12 (HealthDay News) -- Risk factors for strabismus include low birth weight, prematurity, retinopathy of prematurity, smoking during pregnancy, anisometropia, hyperopia, and genetic factors, according to a review published online July 11 in JAMA Ophthalmology.

Abstract (http://archopht.jamanetwork.com/article.aspx?articleid=1710519#Abstract )Full Text (subscription or payment may be required) (http://archopht.jamanetwork.com/article.aspx?articleid=1710519 )

Report Shows Some Improvements in Child Well-Being

FRIDAY, July 12 (HealthDay News) -- Preterm births are continuing to decline and smoking levels are at their lowest ever, but obesity has remained stable and diet quality still falls short of recommendations, according to the federal government's annual statistical report on the well-being of the nation's children and youth.

More Information (http://childstats.gov/americaschildren/index.asp )

Physicians Frustrated by Third-Party Interference

FRIDAY, July 12 (HealthDay News) -- Third-party interference is the most commonly cited key frustration for physicians, according to the results of a survey published in Physicians Practice.

More Information (http://www.physicianspractice.com/blog/doctors-voice-biggest-frustrations-practicing-medicine )

AMA Offers Guidance for Improving EHR Effectiveness

FRIDAY, July 12 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has voted for policies to help physicians navigate patient interaction while using electronic devices and to improve the interoperability of electronic health records (EHRs).

More Information (http://www.amednews.com/article/20130701/house/130709957/7/ )

Agricultural Policies Impact Obesity Trends

FRIDAY, July 12 (HealthDay News) -- U.S. agricultural subsidies have contributed to the rising obesity rates, according to a review published online July 9 in the American Journal of Preventive Medicine.

Full Text (http://www.ajpmonline.org/webfiles/images/journals/amepre/3834-stamped-070913.pdf )

Teen Health, Mental Health Has Declined in Last Decade

THURSDAY, July 11 (HealthDay News) -- Adolescents' self-rated health and mental health worsened over the last decade, according to a study published July 3 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/12_0334.htm )

Grants of $150 Million for Community Health Centers

THURSDAY, July 11 (HealthDay News) -- Grants totaling $150 million are to be shared by 1,100 community health centers to help enroll patients in insurance programs, according to the U.S. Department of Health and Human Services (HHS).

More Information (http://www.hhs.gov/news/press/2013pres/07/20130710a.html )

Health Searches May Be Leaked to Third Parties

THURSDAY, July 11 (HealthDay News) -- Free health-related websites often have third-party tracking elements and leak search terms to third-party tracking entities, unlike U.S. government or physician-oriented websites, according to a research letter published online July 8 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1710119 )

U.S. Adults Value Health Care Provider Skill Evaluation

THURSDAY, July 11 (HealthDay News) -- Most adults feel that health care providers who treat them should adhere to a recertification program, including passing examinations, attending educational programs, and undergoing certification, regardless of time in practice, according to a report published by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) and the Citizen Advocacy Center.

More Information (http://www.nbcrna.com/about-us/announcements/Pages/Press-Release-Public-Survey-on-Healthcare-Providers.aspx )

Docs Don't Often Talk to Patients About Dietary Supplements

THURSDAY, July 11 (HealthDay News) -- Although primary care physicians are discussing dietary supplements with patients during outpatient visits, these exchanges happen infrequently, according to research published in the June issue of Patient Education and Counseling.

Abstract (http://www.pec-journal.com/article/S0738-3991(13)00049-9/abstract )Full Text (subscription or payment may be required) (http://www.pec-journal.com/article/S0738-3991(13)00049-9/fulltext )

Low-Income Patients Prefer Hospital to Outpatient Care

THURSDAY, July 11 (HealthDay News) -- Patients in low socioeconomic groups who live in urban settings report that they prefer hospital care to ambulatory care because it is less expensive, more accessible, and superior in quality, according to research published in the July issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/7/1196.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/7/1196.full )

Increasing Physical Activity is Not Curbing Obesity Prevalence

THURSDAY, July 11 (HealthDay News) -- The prevalence of sufficient physical activity is increasing across counties in the United States, but has had little impact on obesity prevalence, according to a study published online July 10 in Population Health Metrics.

Abstract (http://www.pophealthmetrics.com/content/11/1/7/abstract )Full Text (subscription or payment may be required) (http://www.pophealthmetrics.com/content/11/1/7/abstract )

One in Five U.S. Adults Will Have Trouble Paying Medical Bills

THURSDAY, July 11 (HealthDay News) -- About one in five U.S. adults will have problems paying health care bills in 2013, including about 10 million adults with year-round insurance coverage, according to a report published by the American Medical Association (AMA).

More Information (http://www.amednews.com/article/20130708/business/130709932/6/ )

In 2010, Blood Transfusion Most Frequent Hospital Procedure

THURSDAY, July 11 (HealthDay News) -- The most frequent procedure performed during hospitalization in 2010 was blood transfusion, which was common among all age groups except for infants, according to the Agency for Healthcare Research and Quality (AHRQ).

More Information (http://www.hcup-us.ahrq.gov/reports/statbriefs/sb149.pdf )

Quality Metrics Play Small Role in Physician Compensation

THURSDAY, July 11 (HealthDay News) -- Quality measures play a small but emerging role in physician compensation, according to a report published by the Medical Group Management Association (MGMA).

More Information (http://www.mgma.com/press/default.aspx?id=1374705 )

Red Cross Issues Emergency Call for Blood Donors

THURSDAY, July 11 (HealthDay News) -- The American Red Cross has issued an emergency request for blood and platelet donors of all blood types, according to report posted July 9.

More Information (http://www.redcross.org/news/article/Red-Cross-Issues-Emergency-Call-for-Blood-and-Platelet-Donors )

Mediators of Preeclampsia, Cerebral Palsy Link Identified

THURSDAY, July 11 (HealthDay News) -- Preeclampsia correlates with an increased risk of cerebral palsy, and the correlation is mediated by preterm birth and being small for gestational age, according to a study published online July 9 in BMJ.

Full Text (http://www.bmj.com/content/347/bmj.f4089 )

Personality Traits Can Be Inferred From Social Media Use

WEDNESDAY, July 10 (HealthDay News) -- Certain personality traits can be inferred from social media postings, according to a study published in the June issue of Cyberpsychology, Behavior, and Social Networking.

Abstract (http://www.researchgate.net/publication/241690722_Big_Five_Personality_Traits_Reflected_in_Job_Applicants'_Social_Media_Postings )Full Text (subscription or payment may be required) (http://www.researchgate.net/publication/241690722_Big_Five_Personality_Traits_Reflected_in_Job_Applicants'_Social_Media_Postings )

Early Advice on Diet Improves Insulin Sensitivity in Youth

WEDNESDAY, July 10 (HealthDay News) -- Dietary counseling, initiated with the parents at infancy and maintained as the child ages, is associated with improved insulin sensitivity at age 15 to 20, according to a study published online June 25 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/06/18/dc13-0361.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/06/18/dc13-0361.full.pdf+html )

Improvement Needed in Drug Post-Marketing Studies

WEDNESDAY, July 10 (HealthDay News) -- Since the requirement in 2007 that drug makers conduct post-marketing studies, the number of studies not yet started has declined while the number of studies fulfilling obligations has nearly doubled, according to a report published in the July 10 issue of the Journal of the American Medical Association. However, more than 40 percent of studies had not yet been started in 2011, and the number of studies with delays doubled as of 2011.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1710442 )

Tablets More Useful Than Smartphones for Docs Using EHRs

WEDNESDAY, July 10 (HealthDay News) -- Although tablets are less often used by physicians than smartphones, they are more frequently used for accessing electronic health records (EHRs), and time spent on tablets is much higher, according to two reports published by AmericanEHR Partners.

More Information (http://www.americanehr.com/about/News/13-06-12/Survey-of-Physicians-Suggests-Tablets-More-Useful-Than-Smartphones.aspx )

Health Insurance Marketplaces Not Required to Verify Claims

WEDNESDAY, July 10 (HealthDay News) -- Health insurance marketplaces will not be required to verify consumers' income and health insurance status and can rely on self-reported information, the Obama administration announced Friday.

More Information (https://s3.amazonaws.com/public-inspection.federalregister.gov/2013-16271.pdf )

Digital Divide Plagues Underserved Areas

TUESDAY, July 9 (HealthDay News) -- Electronic health record (EHR) adoption is uneven, with traditionally underserved areas having lower adoption rates across the United States, according to a study published online June 26 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12078/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12078/full )

Adoption of Electronic Health Records Is Progressing

TUESDAY, July 9 (HealthDay News) -- In 2012, 44 percent of hospitals reported having at least a basic electronic health record (EHR), according to an annual report published by the Robert Wood Johnson Foundation.

More Information (http://www.rwjf.org/content/dam/farm/reports/reports/2013/rwjf406758 )

GI Involvement Linked to Relapse of Vasculitis in Kids

TUESDAY, July 9 (HealthDay News) -- In the largest single-center study of polyarteritis nodosa (PAN) in childhood, fever, myalgia, and skin involvement were found to be the most common symptoms, and cumulative dose of cyclophosphamide was associated with lower risk of relapse, while gastrointestinal (GI) involvement was linked to increased relapse risk. The study has been published online June 10 in Arthritis & Rheumatism.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/art.38024/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/art.38024/pdf )

About One-Quarter of Assault-Injured Youth Own a Gun

MONDAY, July 8 (HealthDay News) -- Nearly one-quarter of youth presenting to the emergency department for assault-related injuries report possessing a firearm, most of which are obtained illegally, according to a study published online July 8 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/07/02/peds.2013-0163.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/02/peds.2013-0163.abstract )Editorial (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/02/peds.2013-1536.full.pdf+html )

Practices Are Not Ready for Implementation of ICD-10

MONDAY, July 8 (HealthDay News) -- Most practices are not ready for implementation of the International Classification of Diseases, Tenth Revision (ICD-10), according to a report published by the Medical Group Management Association (MGMA).

More Information (http://www.mgma.com/press/default.aspx?id=1374754 )

Awareness of Risks Reduces Parents' Desire for CT Scans

MONDAY, July 8 (HealthDay News) -- Willingness to subject children with a head injury to computed tomography (CT) scans decreases once parents are informed of lifetime malignancy risks associated with the scans, but most are still willing to proceed with head CT, according to a study published online July 8 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/07/02/peds.2013-0378.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/02/peds.2013-0378.full.pdf+html )

Positional Plagiocephaly About 46 Percent at 2 Months

MONDAY, July 8 (HealthDay News) -- For infants presenting at their 2-month well-child check, the incidence of positional plagiocephaly is estimated at close to 50 percent, and parents should be educated about development and prevention earlier, according to a study published online July 8 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/07/02/peds.2012-3438.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/07/02/peds.2012-3438.full.pdf+html )

Food Allergy Treatment Loses Efficacy With Time

MONDAY, July 8 (HealthDay News) -- Many children who are initially successfully treated for allergy to cow's milk by oral immunotherapy lose tolerance several years later, according to a letter to the editor published online June 27 in the Journal of Allergy and Clinical Immunology.

Full Text (subscription or payment may be required) (http://www.jacionline.org/article/S0091-6749%2813%2900768-9/fulltext )

More Than 40 Percent of Docs Report Work Dissatisfaction

WEDNESDAY, July 3 (HealthDay News) -- Many physicians are dissatisfied and are unlikely to recommend the medical profession to young people, according to a report published by Jackson Healthcare.

More Information (http://www.jacksonhealthcare.com/media/191888/2013physiciantrends-void_ebk0513.pdf )

Government Grants Will Help Get Health Insurance for More Kids

WEDNESDAY, July 3 (HealthDay News) -- Health and Human Services (HHS) has awarded nearly $32 million to efforts identifying and enrolling children eligible for Medicaid and the Children's Health Insurance Program (CHIP), according to an announcement made Tuesday.

More Information (http://www.hhs.gov/news/press/2013pres/07/20130702b.html )

Obama Administration: ACA's Employer Mandate Delayed

WEDNESDAY, July 3 (HealthDay News) -- The Obama Administration is postponing a major Affordable Care Act (ACA) provision, the employer mandate, according to an announcement made Tuesday via the U.S. Department of the Treasury website.

More Information (http://content.govdelivery.com/accounts/USTREAS/bulletins/81ec04?mkt_tok=3RkMMJWWfF9wsRojuazOZKXonjHpfsX56esqUaSzlMI%2F0ER3fOvrPUfGjI4HTMdhI%2BSLDwEYGJlv6SgFT7nNMbh23rgNWRE%3D )

Docs Impact Comparative Effectiveness Research Opinion

TUESDAY, July 2 (HealthDay News) -- Doctors' support of comparative effectiveness research (CER) influences public opinion and has a greater impact on public opinion than cues from political players, according to research to be published this fall in the Journal of Health Politics, Policy and Law.

Full Text (http://orion.luc.edu/~ddoherty/documents/Doctors_Know_Best.pdf )

Early Respiratory Infections Linked to Type 1 Diabetes Risk

MONDAY, July 1 (HealthDay News) -- Respiratory infections in the first year of life are associated with an increased risk of islet autoantibody seroconversion among children at high risk of type 1 diabetes, according to a study published online July 1 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1704825#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1704825 )

Less Than Half in Pediatric ICU Have Caloric Needs Documented

MONDAY, July 1 (HealthDay News) -- Less than one-half of children admitted to the pediatric intensive care unit have a documented caloric requirement, with documentation associated with higher energy intake and use of the enteral route, according to a study published online June 28 in the Journal of the Academy of Nutrition and Dietetics.

Full Text (http://adajournal.org/webfiles/images/journals/jand/jand_pc_113_6.pdf )

Collapsible Laundry Hampers Can Cause Severe Eye Injuries

MONDAY, July 1 (HealthDay News) -- Exposed wire in collapsible cloth laundry hampers can cause penetrating eye injuries in children, according to research published online July 1 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/06/26/peds.2012-3169.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/06/26/peds.2012-3169.full.pdf+html )

Injuries in Young Due to All-Terrain Vehicles Declining

MONDAY, July 1 (HealthDay News) -- Nonfatal injuries among children and adolescents due to all-terrain vehicles (ATVs) have declined since the mid-2000s, although boys have twice the injury rate as girls, according to research published online July 1 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/06/26/peds.2013-0751.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/06/26/peds.2013-0751.full.pdf+html )

Impaired Adult Outcomes With Early Chronic Iron Deficiency

MONDAY, July 1 (HealthDay News) -- Chronic iron deficiency in infancy has a negative effect on adulthood function, according to a study published online June 28 in The Journal of Pediatrics.

Full Text (http://www.jpeds.com/webfiles/images/journals/ympd/JPEDSLozoff.pdf )