Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for April 2019. 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.

CDC: 704 Measles Cases Reported in U.S. Through April 26, 2019

TUESDAY, April 30, 2019 (HealthDay News) — A total of 704 cases of measles were reported in the United States from Jan. 1 to April 26, 2019, representing the largest number of cases since 1994, according to research published in the April 29 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Poll: Americans Among Most Stressed People in the World

TUESDAY, April 30, 2019 (HealthDay News) — Americans are more likely to be stressed and worried than people living in poorer parts of the world, and Americans’ concerns are increasing, according to the Gallup 2019 Global Emotions Report.

Gallup 2019 Global Emotions Report
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Confidence in Inhaler Technique Poor Proxy for Correct Use

TUESDAY, April 30, 2019 (HealthDay News) — Child and parent confidence are poor proxies for proper inhaler use among African-American children with asthma, according to a study published online April 30 in the Annals of Allergy, Asthma & Immunology.

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2009 WIC Food Package Change Tied to Reduced Obesity Risk

TUESDAY, April 30, 2019 (HealthDay News) — Changes to the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) food packages in 2009 to better align food options with the 2005 Dietary Guidelines for Americans appear to be associated with improved childhood obesity outcomes in young children, according to a study published online April 23 in The American Journal of Clinical Nutrition.

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Adopted Children Should Undergo Comprehensive Health Evaluation

TUESDAY, April 30, 2019 (HealthDay News) — Children who join families through the process of adoption should undergo a comprehensive health evaluation shortly after placement in an adoptive home, according to a clinical report published online April 29 in Pediatrics.

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Transition Support Program May Aid Young Adults With Type 1 Diabetes

MONDAY, April 29, 2019 (HealthDay News) — Structured support for patients transitioning from pediatric to adult care for type 1 diabetes may improve outcomes, but those benefits are not sustained after completion of the intervention, according to a study published online April 22 in Diabetes Care.

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FDA Approves First Treatment for Pediatric Lupus

MONDAY, April 29, 2019 (HealthDay News) — The first treatment has been approved for children with systemic lupus erythematosus (SLE), the U.S. Food and Drug Administration announced Friday.

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Ambiguous Genitalia in Newborns Not Uncommon

MONDAY, April 29, 2019 (HealthDay News) — Ambiguous genitalia in newborns may be more common than previously thought, according to a study published online April 24 in the Journal of the Endocrine Society.

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Hundreds Quarantined for Measles at Two Los Angeles Universities

FRIDAY, April 26, 2019 (HealthDay News) — Quarantine orders have been issued to more than 200 students and employees at the University of California, Los Angeles, and California State-Los Angeles because they may have been exposed to measles.

The New York Times Article
UCLA Statement

CDC: First Confirmed ID of ‘Kissing Bug’ in Delaware

FRIDAY, April 26, 2019 (HealthDay News) — The first confirmed identification of the bloodsucking “kissing bug” in Delaware involves one that bit a girl on the face last summer, the U.S. Centers for Disease Control and Prevention says.

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Peanut Oral Immunotherapy May Up Allergic Reaction Risk

FRIDAY, April 26, 2019 (HealthDay News) — Current peanut oral immunotherapy approaches are associated with increased risk and frequency of allergic reactions, including anaphylaxis, according to a review published online April 25 in The Lancet.

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Children With ADHD May Have Higher Risk for Poor Diet

FRIDAY, April 26, 2019 (HealthDay News) — Children with more attention-deficit/hyperactivity disorder (ADHD) symptoms may be at higher risk for an unhealthy diet, but diet quality does not appear to affect ADHD risk, according to a study published in the April issue of The Journal of Nutrition.

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Minor Birth Defects Up in Progeny of Female Gulf War Veterans

THURSDAY, April 25, 2019 (HealthDay News) — The odds of having a child with a minor birth defect are about five times higher for women veterans deployed during the Gulf War (DV) versus nondeployed women veterans (NDV), according to a study published in the April issue of the Journal of Occupational and Environmental Medicine.

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WHO: No More Than One Hour of Screen Time a Day for Young Children

THURSDAY, April 25, 2019 (HealthDay News) — Screen time for children younger than 5 should be limited to one hour a day, and those younger than 1 year should get no screen time at all, new World Health Organization guidelines say.

More Information: WHO
More Information: AAP

CDC: Number of U.S. Measles Cases Reaches New High

THURSDAY, April 25, 2019 (HealthDay News) — The number of reported measles cases this year has reached 695, the highest number of reported cases since measles was declared eliminated in the United States in 2000, the U.S. Centers for Disease Control and Prevention announced yesterday.

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Peanut Oral Immunotherapy Appears Safe for Preschool-Age Children

THURSDAY, April 25, 2019 (HealthDay News) — Preschool peanut oral immunotherapy (P-OIT) is safe in a real-world setting, although life-threatening reactions can occur in a minority of patients, according to a study published online April 17 in the Journal of Allergy and Clinical Immunology: In Practice.

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U.S. Death Rate From Drug Poisoning Up for Teens, Young Adults

THURSDAY, April 25, 2019 (HealthDay News) — For adolescents and young adults, the death rate from drug poisoning increased from 2006 to 2015, according to a study published online April 24 in the Journal of Studies on Alcohol and Drugs.

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Machine Learning Can Speed Diagnosis of Genetic Diseases in Children

THURSDAY, April 25, 2019 (HealthDay News) — A machine learning process and clinical natural language processing (CNLP) can rapidly diagnose rare genetic diseases, according to a study published in the April 24 issue of Science Translational Medicine.

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New York City Measles Cases Increase to 390

WEDNESDAY, April 24, 2019 (HealthDay News) — The number of measles cases in New York City has risen to 390, the health department said Wednesday.

New York City Department of Health and Mental Hygiene
More Information: CDC

Nusinersen Promising for Later-Onset Spinal Muscular Atrophy

WEDNESDAY, April 24, 2019 (HealthDay News) — Limited evidence suggests that nusinersen treatment provides long-term benefits for children with later-onset spinal muscular atrophy (SMA), according to a study published online April 24 in Neurology.

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Some Children With Asthma Miss Critical Step in Inhaler Use

WEDNESDAY, April 24, 2019 (HealthDay News) — Many children with asthma, especially older children using a spacer with mouthpiece, miss a critical step in inhaler technique, according to a study published online April 8 in the Journal of Hospital Medicine.

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AAP Updates Guidance for Care in Neurofibromatosis Type 1

WEDNESDAY, April 24, 2019 (HealthDay News) — Guidance has been updated for the health supervision of children with neurofibromatosis type 1 (NF1), according to a clinical report from the American Academy of Pediatrics published online April 22 in Pediatrics.

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Los Angeles County Measles Outbreak Under Investigation

TUESDAY, April 23, 2019 (HealthDay News) — A measles outbreak is being investigated by the Los Angeles County Department of Health.

The Los Angeles County Department of Public Health
More Information: CDC

Malawi First Country to Immunize Children Against Malaria

TUESDAY, April 23, 2019 (HealthDay News) — Malawi has become the first country to start immunizing children against malaria, the World Health Organization says.

AP News Article

Prevalence of TV, Video Watching High, Stable 2001 to 2016 in U.S.

TUESDAY, April 23, 2019 (HealthDay News) — From 2001 to 2016, the estimated prevalence of watching television or videos for at least two hours/day remained high and stable, while the prevalence of computer use increased, according to a study published in the April 23/30 issue of the Journal of the American Medical Association.

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Video Games Appear Not to Harm Boys’ Social Development

TUESDAY, April 23, 2019 (HealthDay News) — Playing video games is generally not harmful to boys’ social development, though it may be associated with less social competence in girls, according to a study published online April 23 in Child Development.

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Water Intake Affects Caloric Intake From Sugary Drinks

TUESDAY, April 23, 2019 (HealthDay News) — Children who do not drink water have a higher intake of calories from sugar-sweetened beverages (SSBs), according to a study published online April 22 in JAMA Pediatrics.

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CDC: United States Set to Break Measles Cases Record

MONDAY, April 22, 2019 (HealthDay News) — Just a few months into the year, the United States is set to break an annual record for the number of measles cases.

More Information: CDC
NYC Department of Health and Mental Hygiene

FDA Approves Marketing of First Device to Treat ADHD

MONDAY, April 22, 2019 (HealthDay News) — Marketing has been approved for the first medical device to treat attention-deficit/hyperactivity disorder (ADHD), the U.S. Food and Drug Administration announced Friday.

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Cardiometabolic Risk Better ID’d in Children Reclassified to Higher BP

MONDAY, April 22, 2019 (HealthDay News) — Children reclassified to higher blood pressure categories based on 2017 pediatric hypertension definitions are at increased risk for developing adverse cardiometabolic outcomes, according to a study published online April 22 in Hypertension.

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Suffocation Deaths in Infants Most Often Due to Soft Bedding

MONDAY, April 22, 2019 (HealthDay News) — Cases of sudden unexpected infant death classified as suffocation are most often attributed to soft bedding, according to a study published online April 22 in Pediatrics.

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Increased Screen Time in Preschool Tied to Worse Inattention

FRIDAY, April 19, 2019 (HealthDay News) — Increased screen time in preschool is associated with increased odds of clinically significant externalizing problems and clinically significant inattention problems, according to a study published online April 17 in PLOS ONE.

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Elevated Blood Lead Levels Prevalent Among Refugee Children

FRIDAY, April 19, 2019 (HealthDay News) — Almost 20 percent of refugee children have elevated blood lead levels (EBLLs), according to a study published online April 15 in Pediatrics.

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Conception by IVF May Increase Risk for Rare Childhood Cancer

FRIDAY, April 19, 2019 (HealthDay News) — There is a small association between conception by in vitro fertilization (IVF) and childhood cancer, particularly hepatic tumors, according to a study published online April 1 in JAMA Pediatrics.

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Loan Forgiveness, Educational Debt May Affect Practice Patterns

FRIDAY, April 19, 2019 (HealthDay News) — Increased educational debt appears to directly influence physician practice choice, according to a study published in the April issue of the Journal of the American Osteopathic Association.

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National Hand Hygiene Initiative Successful in Australia

FRIDAY, April 19, 2019 (HealthDay News) — The National Hand Hygiene Initiative (NHHI) has successfully sustained improvement in hand hygiene compliance, according to a study recently published in The Lancet Infectious Diseases and presented at the European Congress of Clinical Microbiology & Infectious Diseases, held from April 13 to 16 in Amsterdam.

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Sixty People Charged in Massive Opioid Painkiller Investigation

THURSDAY, April 18, 2019 (HealthDay News) — Fifty-three medical professionals, including 31 doctors, are among the 60 people charged by U.S. authorities for their alleged involvement in the illegal prescribing and distribution of opioid painkillers.

AP News Article

Sensory Sensitivity Tied to Constipation in Young Children

THURSDAY, April 18, 2019 (HealthDay News) — Children with chronic constipation have underlying sensory characteristics that contribute to toileting behavioral difficulties, according to a study published online April 18 in The Journal of Pediatrics.

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Late-Pregnancy US Could Prevent Undiagnosed Breech Presentation

THURSDAY, April 18, 2019 (HealthDay News) — Universal ultrasound at 36 gestational weeks could virtually eliminate undiagnosed breech presentation in nulliparous women, according to a study published online April 16 in PLOS Medicine.

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Perinatal Complications Tied to Childhood Social Anxiety

THURSDAY, April 18, 2019 (HealthDay News) — Perinatal complications are associated with behavioral inhibition and social anxiety in children, according to a study published online March 19 in Infant and Child Development.

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More Sports Experience May Reduce Impact of Concussions

WEDNESDAY, April 17, 2019 (HealthDay News) — Youth with a concussion history and greater sport experience may have more skill-related motor “reserve” to lessen the impact of concussions, according to a study published online March 17 in the European Journal of Sport Science.

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CDC: Raw Tuna Linked to Salmonella Outbreak in Seven States

WEDNESDAY, April 17, 2019 (HealthDay News) — A Salmonella outbreak linked to frozen, raw ground tuna from Jensen Tuna has sickened 13 people in seven states, the U.S. Centers for Disease Control and Prevention says. The illnesses began between Jan. 8 and March 20 of this year. Two people have been hospitalized. No deaths have been reported.

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Abnormal Romberg Test Predicts Prolonged Concussion in Children

WEDNESDAY, April 17, 2019 (HealthDay News) — Abnormal performance on the Romberg test is independently associated with longer duration of symptoms among children and adolescents evaluated within 10 days after concussion, according to a study published online April 16 in the Journal of Neurosurgery: Pediatrics.

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Microbial Features ID’d for Pediatric Irritable Bowel Syndrome

WEDNESDAY, April 17, 2019 (HealthDay News) — Microbial and metabolic features can distinguish children with irritable bowel syndrome (IBS) from controls, according to a study published online April 17 in the Journal of Molecular Diagnostics.

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Parenteral Antimicrobial Tx at Home Burdens Children’s Caregivers

WEDNESDAY, April 17, 2019 (HealthDay News) — The overall burden of outpatient parenteral antimicrobial therapy (OPAT) is substantially higher than that of oral therapy for caregivers of children on prolonged antimicrobial therapy after hospital discharge, according to a study published in the April issue of Hospital Pediatrics.

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USPSTF: Evidence Lacking for Elevated Lead Level Screening

TUESDAY, April 16, 2019 (HealthDay News) — The U.S. Preventive Services Task Force has determined that the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic young children and pregnant women cannot be ascertained. This finding forms the basis of an updated final recommendation statement published in the April 16 issue of the Journal of the American Medical Association.

Recommendation Statement
Evidence Report
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Trigeminal Nerve Stimulation Beats Sham Tx for Peds ADHD

TUESDAY, April 16, 2019 (HealthDay News) — Trigeminal nerve stimulation (TNS) showed efficacy when compared with a similar sham procedure for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children, according to a double-blind, controlled pilot study published in the April issue of the Journal of the American Academy of Child & Adolescent Psychiatry.

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Standardizing Demographics Ups Accuracy of Patient Matching

MONDAY, April 15, 2019 (HealthDay News) — Standardizing demographic data can improve the accuracy of patient matching, according to a study published in the May issue of the Journal of the American Medical Informatics Association.

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CDC: 555 Confirmed Measles Cases in U.S. Since Jan. 1

MONDAY, April 15, 2019 (HealthDay News) — The 555 confirmed cases of measles reported in 20 states between Jan. 1 and April 11 this year represent the second highest number of measles cases reported in the United States since measles was eliminated in the nation in 2000, the U.S. Centers for Disease Control and Prevention says.

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New Scale Helps Identify More Serious Cases of Mononucleosis

MONDAY, April 15, 2019 (HealthDay News) — A new scale for rating the severity of mononucleosis can identify patients at risk for more serious cases, including those who might develop chronic fatigue syndrome following infectious mononucleosis, according to a study recently published in The Journal of Pediatrics.

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Gestational Diabetes Linked to Incident Diabetes in Offspring

MONDAY, April 15, 2019 (HealthDay News) — Gestational diabetes mellitus is associated with incident diabetes in offspring throughout childhood and adolescence, according to a study published online April 15 in CMAJ, the journal of the Canadian Medical Association.

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Operator-Directed Sedation Seems Safe in Peds Cardiac Cath

FRIDAY, April 12, 2019 (HealthDay News) — For carefully selected pediatric patients, operator-directed sedation (ODS) for congenital cardiac catheterization procedures is not associated with an increased risk for adverse events and may reduce case time and charges, according to a study published online April 10 in JACC: Cardiovascular Interventions.

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Foreign Body Ingestions Increasingly Common in Young Children

FRIDAY, April 12, 2019 (HealthDay News) — Foreign-body ingestions (FBIs) are common in children aged younger than 6 years and have increased over time, according to a study published online April 12 in Pediatrics.

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CDC: Prevalence of Autism at Age 4 Years Increasing

THURSDAY, April 11, 2019 (HealthDay News) — The prevalence of autism spectrum disorder (ASD) among children aged 4 years increased from 2010 to 2014, according to research published in the April 12 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Four Million New Peds Asthma Cases Attributed to NO2 Annually

THURSDAY, April 11, 2019 (HealthDay News) — An estimated 4.0 million new pediatric asthma cases could be attributed to ambient nitrogen dioxide (NO2) pollution annually, according to a study published online April 10 in The Lancet Planetary Health.

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Domestic Responsibilities Tied to Physician Mothers’ Satisfaction

THURSDAY, April 11, 2019 (HealthDay News) — For physician mothers in procedural specialties, being responsible for five or more domestic tasks is associated with an increased likelihood of career dissatisfaction, according to a study published online April 10 in JAMA Surgery.

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CDC: Still No Source As E. Coli Outbreak Grows to 96 Cases

WEDNESDAY, April 10, 2019 (HealthDay News) — U.S. health officials say an outbreak of Escherichia coli illness from an unknown source has risen to 96 cases across five Eastern states, up from the 72 cases reported last Friday.

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FDA Warns of Consumer Devices That Claim to Diagnose Concussion

WEDNESDAY, April 10, 2019 (HealthDay News) — Consumer devices that claim to help assess, diagnose, or manage concussion and other head injuries are unproven and illegal, and using them could pose serious health risks, the U.S. Food and Drug Administration warns.

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Complication Rates Low for High-Volume Pediatric Thyroid Surgery

WEDNESDAY, April 10, 2019 (HealthDay News) — Complication rates are low following surgery for pediatric thyroid disease at a high-volume center, according to a study published recently in the Journal of Pediatric Surgery.

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Haptoglobin Expression Tied to Outcomes in Preterm Newborns

WEDNESDAY, April 10, 2019 (HealthDay News) — The absence of haptoglobin (Hp) may be a marker of poor neonatal outcomes among preterm newborns exposed to in utero inflammation, according to a secondary analysis of a randomized controlled trial published online March 22 in EClinicalMedicine.

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CDC: Measles Cases Reach 465 This Year in the United States

TUESDAY, April 9, 2019 (HealthDay News) — The number of reported measles cases in the United States hit 465 as of April 4, the U.S. Centers for Disease Control and Prevention said Monday. That is 78 more than in the previous week’s update, CNN reported.

CNN Article
The New York Times Article
More Information: CDC

Proximity to Major Roadways Impacts Child Development

TUESDAY, April 9, 2019 (HealthDay News) — Proximity to major roadways and prenatal/early life exposure to particulate matter <2.5 µm (PM2.5) and ozone (O3) are associated with childhood developmental delays, according to a study published online April 9 in Environmental Research.

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Suicide-Related ED Visits Increased in Children From 2007 to 2015

TUESDAY, April 9, 2019 (HealthDay News) — From 2007 to 2015, the number of emergency department visits for suicide attempts (SA) and suicide ideation (SI) doubled among children, according to a research letter published online April 8 in JAMA Pediatrics.

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New, Revised Topics Released in ACR Appropriateness Criteria

TUESDAY, April 9, 2019 (HealthDay News) — The latest edition of the American College of Radiology (ACR) Appropriateness Criteria has been released and includes 188 diagnostic imaging and interventional radiology topics, with 908 clinical variants covering more than 1,670 clinical scenarios.

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Variation ID’d in Rate of Sexual Onset Before 13 Among Boys

MONDAY, April 8, 2019 (HealthDay News) — For boys, rates of sexual onset before age 13 years vary with race/ethnicity, location, and maternal education level, according to a study published online April 8 in JAMA Pediatrics.

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Ten Infant Deaths Linked to Fisher-Price Rock ‘n Play Sleepers

MONDAY, April 8, 2019 (HealthDay News) — Ten infants are known to have died in the Fisher-Price Rock ‘n Play sleeper since 2015, the U.S. Consumer Product Safety Commission (CPSC) warns.

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Draft Recommendation Promotes Screening Women for Anxiety

MONDAY, April 8, 2019 (HealthDay News) — Adolescent and adult women, including those who are pregnant and postpartum, should be assessed for anxiety as a routine preventive health service, according to a draft recommendation statement published online April 1 by the Women’s Preventive Services Initiative (WPSI).

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Telemedicine Leads to More Antibiotic Rx for Pediatric Respiratory Infection

MONDAY, April 8, 2019 (HealthDay News) — For children with acute respiratory infections (ARIs), antibiotic prescribing is higher and guideline-concordant antibiotic management is lower with direct-to-consumer (DTC) telemedicine visits compared with other settings, according to a study published online April 8 in Pediatrics.

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Health Issues Prevalent Across BMI Classes for Obese Children

FRIDAY, April 5, 2019 (HealthDay News) — For children with obesity, physical and mental health issues are highly prevalent, regardless of body mass index (BMI) class, according to a study published online April 2 in The Lancet Child & Adolescent Health.

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FDA Issues Warning on E-Cigarette Liquids Resembling Cough Syrup

THURSDAY, April 4, 2019 (HealthDay News) — Warning letters have been sent to two companies that make and sell electronic cigarette liquids that look like prescription cough syrups, the U.S. Food and Drug Administration said Thursday.

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Odds of Hay Fever Up With Very Early, Late Spring Onset

THURSDAY, April 4, 2019 (HealthDay News) — Very early onset and late onset of spring are associated with increased odds of hay fever, according to a study published online March 28 in PLOS ONE.

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Drop Seen in Preinvasive Cervical Disease With HPV Vaccination

THURSDAY, April 4, 2019 (HealthDay News) — Routine vaccination of young girls aged 12 to 13 years with human papillomavirus (HPV) vaccine results in a reduction in preinvasive cervical disease, according to a study published online April 3 in The BMJ.

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Editorial

FDA Reports Cases of Seizures Among Young Vapers

WEDNESDAY, April 3, 2019 (HealthDay News) — The U.S. Food and Drug Administration warned on Tuesday that there have been reports of teens experiencing seizures following the use of electronic cigarettes.

FDA
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Late Preterm Steroid Therapy Found to Be Cost-Effective

WEDNESDAY, April 3, 2019 (HealthDay News) — In women at high risk for late preterm delivery, antenatal treatment with betamethasone is a cost-effective strategy, according to a study published online March 11 in JAMA Pediatrics.

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U.S. Measles Cases Already Top Last Year’s Total

TUESDAY, April 2, 2019 (HealthDay News) — The number of measles cases in the United States so far this year has already surpassed the total for last year.

CBS News Article
More Information: CDC

Americans Borrowed $88 Billion in Past Year to Pay for Health Care

TUESDAY, April 2, 2019 (HealthDay News) — About one in eight Americans borrowed a total of $88 billion in the past year to pay for health care, a new West Health-Gallup survey shows.

CNN Article
West Health-Gallup Survey

Guidelines for Asymptomatic Bacteriuria Updated

TUESDAY, April 2, 2019 (HealthDay News) — Recommendations have been updated for the management of asymptomatic bacteriuria (ASB); the Infectious Diseases Society of America clinical practice guideline was published online March 21 in Clinical Infectious Diseases.

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Dolutegravir Feasible for HIV Tx in Women of Childbearing Age

TUESDAY, April 2, 2019 (HealthDay News) — Dolutegravir should be considered for antiretroviral therapy (ART) in treating HIV in women of childbearing potential in resource-limited settings, despite its associated risk for neural tube defects, according to a study published online April 2 in the Annals of Internal Medicine.

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Over-the-Counter Meds Save Health Care System Money

TUESDAY, April 2, 2019 (HealthDay News) — On average, each dollar spent on over-the-counter (OTC) medicines saves the U.S. health care system $7.20, totaling nearly $146 billion in annual savings, according to a report released March 18 by the Consumer Healthcare Products Association (CHPA).

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Reduction in Autism Diagnoses Observed With DSM-5

TUESDAY, April 2, 2019 (HealthDay News) — Use of the Diagnostic and Statistical Manual 5 (DSM-5) criteria for autism spectrum disorder (ASD) seems to have reduced the number of ASD diagnoses, according to a review published online March 9 in the Journal of Autism and Developmental Disorders.

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Doctors Unclear on Legal Obligations in Caring for Patients With Disability

MONDAY, April 1, 2019 (HealthDay News) — Practicing physicians might not understand their legal responsibilities when caring for people with disability, which may contribute to inequalities in their care, according to a study published online April 1 in Health Affairs.

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Nasopharyngeal Microbiota Could Help Diagnose Pediatric LRTIs

MONDAY, April 1, 2019 (HealthDay News) — Nasopharyngeal microbiota seem to serve as a valid proxy for lower respiratory tract microbiota in lower respiratory tract infections (LRTIs) among children, according to a study published online March 15 in The Lancet Respiratory Medicine.

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Changes to WIC Food Program Tied to Reversal in Obesity Trends

MONDAY, April 1, 2019 (HealthDay News) — The 2009 changes to the U.S. Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) was associated with a change in the trend of obesity prevalence among 2- to 4-year-old children, according to a study published online April 1 in Pediatrics.

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