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Category: Pediatrics | Monthly Briefing

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December 2010 Briefing - Pediatrics

Last Updated: January 03, 2011.

 

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Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for December 2010. 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.

Underage Drinking Emergency Room Visits Rise Over Holiday

FRIDAY, Dec. 31 (HealthDay News) -- Hospital emergency department visits for underage drinking increased 263 percent on New Year's Day in 2009 as compared with emergency department visits on an average day during that year, according to a new Substance Abuse and Mental Health Services Administration (SAMHSA) report published Dec. 30.

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Alcohol Consumption Tied to Sudden Infant Death Syndrome

FRIDAY, Dec. 31 (HealthDay News) -- Alcohol consumption among caregivers of infants appears to be associated with a higher risk of sudden infant death syndrome (SIDs), which surges on New Year's Day and increases on weekends, according to research published online Nov. 9 in Addiction.

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Deprivation Tied to Higher Assault Injury Rate in Youths

THURSDAY, Dec. 30 (HealthDay News) -- Deprivation correlates with violence-associated injury rates for both boys and girls in Wales, and the correlation appears to be particularly strong for girls in cities as opposed to towns, according to research published online Dec. 22 in the Emergency Medicine Journal.

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Pediatric Acute Sinusitis Visit Rates Unchanged

THURSDAY, Dec. 30 (HealthDay News) -- Office and emergency department visits for acute sinusitis among children appear to have remained stable since the introduction of the heptavalent pneumococcal conjugate vaccine, but amoxicillin use has increased substantially in accordance with American Academy of Pediatrics guidelines, according to a study published online Dec. 27 in Pediatrics.

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Substance Abuse Treatment Admissions Vary Regionally

THURSDAY, Dec. 30 (HealthDay News) -- While the overall rate of admissions for substance abuse treatment in the United States remained stable between 1998 and 2008, there were substantial variations between regions, according to a new Substance Abuse and Mental Health Services Administration (SAMHSA) report published Dec. 23.

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ROI Production Tied to Survival in Granulomatous Disease

WEDNESDAY, Dec. 29 (HealthDay News) -- Disease severity and survival in patients with chronic granulomatous disease appear to be linked to the degree of residual reactive oxygen intermediate (ROI) production, which can be determined at diagnosis and used to guide treatment choices, according to research published in the Dec. 30 issue of the New England Journal of Medicine.

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Energy Drinks at Lower Doses May Help Reaction Times

WEDNESDAY, Dec. 29 (HealthDay News) -- An energy drink may improve individuals' reaction times, but improvements may dwindle with increasing doses, and acute caffeine consumption among adolescents has many effects that may be influenced by gender, according to two studies published in the December issue of Experimental and Clinical Psychopharmacology.

Full Text - Howard/Marczinski
Full Text - Temple

Alternative Medicine Tied to Adverse Events in Children

WEDNESDAY, Dec. 29 (HealthDay News) -- The use of complementary and alternative medicine (CAM) among children is associated with significant morbidity and mortality, according to a study published online Dec. 22 in the Archives of Disease in Childhood.

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No Improvement Seen in Very Premature Infants

WEDNESDAY, Dec. 29 (HealthDay News) -- Although postnatal steroid exposure has fallen in recent years for babies born before 25 weeks' gestation, survival rates and adverse neurosensory and cognitive outcomes have changed little, according to research published online Dec. 27 in Pediatrics.

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Nasal Congestion May Point to More Severe Asthma

WEDNESDAY, Dec. 29 (HealthDay News) -- Nasal congestion may be a sign of severe asthma, according to a study published online Nov. 26 in Respiratory Research.

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Social Engagement Targets May Help in Autism Intervention

WEDNESDAY, Dec. 29 (HealthDay News) -- In toddlers with autism spectrum disorders (ASD), the addition of social engagement targets to interventions may improve social and communication skills, according to a study in the January issue of the Journal of Child Psychology and Psychiatry.

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Prepregnancy Overweight May Not Lead to Behavior Issues

WEDNESDAY, Dec. 29 (HealthDay News) -- Being overweight prior to pregnancy may not increase the offspring's risk of behavioral problems or cognitive issues, according to a study published online Dec. 27 in Pediatrics.

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Weight Gain Accelerated With Cow Milk Formula

TUESDAY, Dec. 28 (HealthDay News) -- Infants fed cow milk formula (CMF) seem to experience accelerated weight gain compared with infants fed protein hydrolysate formula (PHF), which seems to result in earlier satiety and leads to normative weight gain, according to research published online Dec. 27 in Pediatrics.

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Maternal Vitamin D Levels Tied to Infant Respiratory Health

TUESDAY, Dec. 28 (HealthDay News) -- Infants with higher cord-blood levels of 25-hydroxyvitamin D (25[OH]D) appear to have a lower risk for respiratory infection and wheezing, but 25(OH)D levels do not appear to have an association with asthma, according to research published online Dec. 27 in Pediatrics.

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More Recreational Noise Tied to Hearing Loss in Girls

MONDAY, Dec. 27 (HealthDay News) -- Increased exposure to recreational noise and lack of hearing-protection use may have led to an increase in noise-induced threshold shifts (NITSs), especially among female youths, in the last two decades, according to a study published online Dec. 27 in Pediatrics.

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Fetal Antiretroviral Exposure Impacts Cardiac Development

THURSDAY, Dec. 23 (HealthDay News) -- Fetal exposure to antiretroviral therapy (ART) appears to be associated with increased left ventricular (LV) fractional shortening and contractility as well as reduced LV mass, septal thickness, and LV dimension, especially in girls, according to a study published in the Jan. 4 issue of the Journal of the American College of Cardiology.

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Childhood-Onset Epilepsy Tied to Much Higher Death Risk

THURSDAY, Dec. 23 (HealthDay News) -- Childhood-onset epilepsy is associated with a substantially increased risk of epilepsy-related death, including sudden, unexplained death, especially among those not in five-year terminal remission, according to a study published in the Dec. 23 issue of the New England Journal of Medicine.

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Rotavirus Vaccine Linked to Consistent Effect in Children

THURSDAY, Dec. 23 (HealthDay News) -- The drop in pediatric hospitalizations linked to diarrhea and rotavirus that was seen in the 2007 to 2008 season, compared to prevaccine seasons, was sustained but smaller in the 2008 to 2009 season, according to research published online Dec. 20 in Pediatrics.

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Novel Test Accurately Detects Turner Syndrome

WEDNESDAY, Dec. 22 (HealthDay News) -- A novel, highly sensitive, high-throughput assay approach appears to accurately detect Turner syndrome (TS), according to a study published online Dec. 22 in the Journal of Clinical Endocrinology & Metabolism.

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Caffeine Citrate Cost-Effective for Infant Apnea

WEDNESDAY, Dec. 22 (HealthDay News) -- Use of caffeine citrate, at a cost of $0.21 (Canadian) per mg is both less expensive and more effective than placebo to treat apnea in premature infants, according to a study published online Dec. 20 in Pediatrics.

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Prenatal Micronutrients Tied to Increased Functioning

TUESDAY, Dec. 21 (HealthDay News) -- In areas where the community diet may be lacking in iron, prenatal supplementation with iron and folic acid is associated with increased intellectual and motor functioning in offspring, according to research published in the Dec. 22/29 issue of the Journal of the American Medical Association.

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CDC: Birth Rates in 2009 at Record Lows

TUESDAY, Dec. 21 (HealthDay News) -- The birth rate among women in their twenties and thirties, preterm birth rate, percentage of births to teenagers, general fertility rate, and total number of births declined in 2009, with the birth rate among women in their forties and the cesarean delivery rate increasing, according to a report from the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Inequities Seen in Children's Physicians in the United States

MONDAY, Dec. 20 (HealthDay News) -- Though the primary care physician work force for children grew substantially in a recent 10-year period, the physicians specializing in children's health aren't equitably distributed across the United States, according to research published online Dec. 20 in Pediatrics.

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Breast-Feeding Duration Tied to Educational Outcomes

MONDAY, Dec. 20 (HealthDay News) -- Infants who are predominantly breast-fed for six months or longer have better educational outcomes in middle childhood, though it appears these effects are evident in boys only, according to a study published online Dec. 20 in Pediatrics.

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Birth Rates Fall, As Do Death Rates in Children

MONDAY, Dec. 20 (HealthDay News) -- Compared to the previous year, 2008 found birth rates falling in teens and women, preterm birth rates and infant mortality rates decreasing, and death rates for children and teenagers also falling, according to a summary of vital statistics published online Dec. 20 in Pediatrics.

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Study Investigates Genetics of Pediatric Medulloblastomas

MONDAY, Dec. 20 (HealthDay News) -- Childhood medulloblastomas may have a smaller number of gene alterations than the number seen in adult solid tumors, according to research published online Dec. 16 in Science.

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Adherence to Schedule for HPV Vaccination Series Low

FRIDAY, Dec. 17 (HealthDay News) -- Adherence to recommended schedules for human papillomavirus (HPV) quadrivalent vaccine is relatively low, and even lower among blacks, raising concerns about disease disparity, according to research published online Dec. 13 in Pediatrics.

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Prevalence of Adverse Childhood Experiences High

FRIDAY, Dec. 17 (HealthDay News) -- A history of adverse childhood experiences (ACEs) is commonly reported by adults, with more than half reporting at least one ACE, according to a report published in the Dec. 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Research Supports Bleeding Prophylaxis in Biliary Atresia

FRIDAY, Dec. 17 (HealthDay News) -- Children with biliary atresia are at increased risk of portal hypertension early in life, and primary prophylaxis of bleeding is important in those with esophageal varices and red markings and/or gastric varices along the cardia, according to a report published in the December issue of Gastroenterology.

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Many Children Consuming Sizable Amount of Caffeine

FRIDAY, Dec. 17 (HealthDay News) -- Many children may be consuming more caffeine than previously reported, with older children consuming enough to cause physiological effects in adults, according to research published online Dec. 17 in The Journal of Pediatrics.

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Novel Tool Predicts Crohn's Disease Risks

FRIDAY, Dec. 17 (HealthDay News) -- Researchers have developed a tool that can be used to predict complications of Crohn's disease (CD) and suggest a likely response to treatment; their research has been published in the January issue of Inflammatory Bowel Diseases.

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Genetic Marker Test Score Predicts Low-Risk Scoliosis

FRIDAY, Dec. 17 (HealthDay News) -- A saliva-based test for 53 genetic markers can identify patients at low risk of progression to severe adolescent idiopathic scoliosis (AIS), according to research published in the Dec. 1 issue of Spine.

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Sweet Drinks May Lead to Metabolic Syndrome, Type 2 DM

THURSDAY, Dec. 16 (HealthDay News) -- Higher consumption of sugar-sweetened beverages (SSBs) is associated with development of metabolic syndrome and type 2 diabetes, according to research published in the November issue of Diabetes Care.

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Early Cell Phone Exposure Linked to Behavioral Problems

THURSDAY, Dec. 16 (HealthDay News) -- Early (i.e., prenatal and postnatal) cell phone exposure may set children up for subsequent behavioral problems, according to research published online Dec. 7 in the Journal of Epidemiology and Community Health.

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HEPA Cleaners May Benefit Children With Asthma

THURSDAY, Dec. 16 (HealthDay News) -- High-efficiency, particle-arresting (HEPA) air cleaners may be useful as part of a larger strategy to reduce asthma morbidity in children exposed to secondhand tobacco smoke, according to research published online Dec. 13 in Pediatrics.

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2009 H1N1 Vaccine Effective and Safe in Beijing

WEDNESDAY, Dec. 15 (HealthDay News) -- The PANFLU.1 vaccine, a monovalent split-virion vaccine of 15 µg of hemagglutinin antigen without adjuvant, appears to be safe and effective against H1N1 virus infection in school-age children in Beijing, according to a study published in the Dec. 16 issue of the New England Journal of Medicine.

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Video Games May Promote Produce Intake in Children

WEDNESDAY, Dec. 15 (HealthDay News) -- Video games designed to promote healthy behaviors may be effective in increasing fruit and vegetable intake in children, though they don't seem to increase other healthy activities, according to research published in the January issue of the American Journal of Preventive Medicine.

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Obesity Prevalence Has Risen for All Socioeconomic Groups

WEDNESDAY, Dec. 15 (HealthDay News) -- By 2008, more than a third of adults and almost 17 percent of children and adolescents aged 2 to 19 in the United States were obese, and obesity prevalence had risen among all income and education levels, according to research recently released by the National Center for Health Statistics at the U.S. Centers for Disease Control and Prevention.

Full Text - Adults
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Maternal Depression Tied to Offspring Stress

WEDNESDAY, Dec. 15 (HealthDay News) -- An elevated level of depressive symptoms among women during pregnancy appears to be associated with higher levels of stress hormones among offspring at birth, as well as other neurological and behavioral differences in offspring, according to a study published online Oct. 29 in Infant Behavior and Development.

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Benzonatate Tied to Adverse Events in Young Children

WEDNESDAY, Dec. 15 (HealthDay News) -- The U.S. Food and Drug Administration has notified health care professionals and consumers that ingestion of the cough suppressant benzonatate (Tessalon) in children younger than 10 years of age may result in serious adverse events or death.

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Incidence of Neonatal Herpes Varies by Region, Insurance

TUESDAY, Dec. 14 (HealthDay News) -- Neonatal herpes simplex virus (nHSV) is relatively rare, but more common among Midwestern newborns and those covered by public health insurance, according to research published online Dec. 13 in Pediatrics.

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Intervention Addresses Opioid Delivery in Pediatric Fractures

TUESDAY, Dec. 14 (HealthDay News) -- A quality- and process-improvement effort can lead to improved timeliness of pain management in children with clinically apparent extremity fractures who present to the emergency department, according to research published online Dec. 13 in Pediatrics.

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Acupuncture Beneficial in Children With Amblyopia

TUESDAY, Dec. 14 (HealthDay News) -- Acupuncture may be as effective as patching in the treatment of older children with anisometropic amblyopia, according to research published in the December issue of the Archives of Ophthalmology.

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Unhealthy Teens More Isolated, Have Weaker Social Networks

MONDAY, Dec. 13 (HealthDay News) -- Unhealthy adolescents are more likely to have a small social circle and to be on the periphery of that circle, according to a study in the Dec. 3 issue of the Journal of Health and Social Behavior.

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Racial Disparity Seen in Pediatric-Onset MS Patients

MONDAY, Dec. 13 (HealthDay News) -- African-American children with pediatric-onset multiple sclerosis (POMS) may experience greater impairment of certain cognitive functions than their Caucasian peers, according to research published in the Dec. 7 issue of Neurology.

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Smoking Laws Linked to Fewer Asthma Symptoms in Youths

MONDAY, Dec. 13 (HealthDay News) -- Smoke-free laws may reduce asthma symptoms in youths, and children in homes in which no one smokes indoors may have higher cotinine levels if they live in apartments compared to detached houses, according to research published online Dec. 13 in Pediatrics.

Abstract - Dove
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Abstract - Wilson
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Media Exposure May Hinder Infants' Cognitive Development

FRIDAY, Dec. 10 (HealthDay News) -- The more exposure 6-month-old infants have to media, particularly media directed toward older children and adults, the less developed their cognitive and language skills may be at 14 months, according to research published in the December issue of the Archives of Pediatrics & Adolescent Medicine.

Abstract
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Physical Activity During Youth Sports Likely Not Enough

FRIDAY, Dec. 10 (HealthDay News) -- Participation of children and teens in organized sports often does not provide them with enough physical activity (PA) to meet guidelines of at least 60 minutes of moderate to vigorous PA (MVPA) during practice, according to a cross-sectional study published online Dec. 6 in the Archives of Pediatrics & Adolescent Medicine.

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Editorial (subscription or payment may be required)

Many Youths With Diabetes Smoke Cigarettes

THURSDAY, Dec. 9 (HealthDay News) -- High proportions of youths with types 1 or 2 diabetes mellitus use tobacco, which adds to their already elevated risk for developing cardiovascular disease, according to a study published online Dec. 6 in the Journal of Pediatrics.

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Children in Group Care Early See Infection Rates Drop Later

THURSDAY, Dec. 9 (HealthDay News) -- Children who attend group child care (GCC) in their early preschool years have higher respiratory and ear infection rates in those years than children cared for at home, but by school age they have lower infection rates, according to a study in the December issue of the Archives of Pediatrics & Adolescent Medicine.

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In Pregnancy, Buprenorphine Effective for Opioid Dependency

WEDNESDAY, Dec. 8 (HealthDay News) -- Buprenorphine is an acceptable alternative to methadone for the treatment of opioid dependency during pregnancy that appears to reduce the severity of neonatal abstinence syndrome (NAS), according to a study published in the Dec. 9 issue of the New England Journal of Medicine.

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Secondhand Smoke Tied to Invasive Bacterial Disease

WEDNESDAY, Dec. 8 (HealthDay News) -- Exposure to secondhand smoke (SHS) appears to be associated with the risk for invasive meningococcal disease, according to research published online Dec. 7 in PLoS Medicine.

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As Children Age, Smoking by Adults in Home More Likely

WEDNESDAY, Dec. 8 (HealthDay News) -- As children age, their family members are more likely to smoke inside the home, and older children are more likely to have recurrent ear infections if someone smokes inside the home, according to a study published online Dec. 8 in the Journal of Adolescent Health.

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Researchers Identify Risky Infant Weight Gain Threshold

WEDNESDAY, Dec. 8 (HealthDay News) -- Weight gain of at least 8.15 kg from ages 0 to 24 months may be a useful tool in screening for childhood overweight, particularly if demographic, growth pattern, and early feeding information are factored in, according to research published in the December issue of the Archives of Pediatrics & Adolescent Medicine.

Abstract
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Dating Violence Among Youths Tied to Peer, Sibling Violence

TUESDAY, Dec. 7 (HealthDay News) -- Perpetration of dating violence often overlaps with violence against peers and siblings among high school students, and it is likely to be one of many co-occurring adolescent problem behaviors, according to a study published in the December issue of the Archives of Pediatrics & Adolescent Medicine.

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Editorial (subscription or payment may be required)

NIAID: Guidelines Issued for Management of Food Allergies

TUESDAY, Dec. 7 (HealthDay News) -- The National Institute of Allergy and Infectious Diseases (NIAID) has released guidelines for the diagnosis and management of food allergy, providing health care professionals with recommendations for identifying and treating individuals with food allergies. These guidelines have been published in the December issue of the Journal of Allergy and Clinical Immunology.

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Asthma May Hamper Young Students' Reading Ability

TUESDAY, Dec. 7 (HealthDay News) -- Children who enter school with asthma may be more likely to have low reading achievement after 12 months, according to research published in the December issue of Chest.

Abstract
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Reimbursement Issues Hinder Combination Vaccine Uptake

MONDAY, Dec. 6 (HealthDay News) -- Inadequate reimbursement for combination vaccines prevents more than 20 percent of pediatricians from using them, with practice size and proportion of children whose vaccinations are paid for with public funds also influencing use of combination vaccines, according to research published in the December issue of the Archives of Pediatrics & Adolescent Medicine.

Abstract
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Editorial (subscription or payment may be required)

Gay Youths at Higher Risk for Criminal, School Sanctions

MONDAY, Dec. 6 (HealthDay News) -- Nonheterosexual youths are at disproportionate risk for criminal justice and school disciplinary sanctions that are not explained by increased engagement in criminal or transgressive behaviors, according to research published online Dec. 6 in Pediatrics.

Abstract
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Sensation Seeking, R-Movies Jointly Affect Youth Smoking

MONDAY, Dec. 6 (HealthDay News) -- Adolescent sensation seeking and viewing of R-rated movies both appear to increase the risk for beginning to smoke, and the relationship between them appears to be bidirectional, according to a study published online Dec. 6 in Pediatrics.

Abstract
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CDC: Flu Outbreak in Georgia Signifies Start of Flu Season

MONDAY, Dec. 6 (HealthDay News) -- Georgia appears to be experiencing an influenza outbreak, mostly among school-aged children and caused by the influenza B strain, which can be well controlled with this season's influenza vaccine, according to a Dec. 3 press briefing by the U.S. Centers for Disease Control and Prevention.

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Spina Bifida Is Only Major Risk to Fetus From Carbamazepine

FRIDAY, Dec. 3 (HealthDay News) -- Spina bifida is the only major congenital malformation significantly associated with exposure to carbamazepine monotherapy, and this risk is much lower than the risk of spina bifida associated with use of valproic acid, according to research published Dec. 2 in BMJ.

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Editorial

Many Risks Related to Early Onset Scoliosis Treatments

FRIDAY, Dec. 3 (HealthDay News) -- Surgically treating early onset scoliosis (EOS) with growing rods (GR) or vertical expandable prosthetic titanium rib (VEPTR) procedures may not fully control the deformity over a patient's entire growth period, and both procedures are beset with complications, according to a literature review published in the Dec. 1 issue of Spine.

Abstract
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Socioeconomic Differences in Neonatal Deaths Evaluated

FRIDAY, Dec. 3 (HealthDay News) -- Most of the "deprivation gap" in neonatal mortality in England is due to differences in death rates from prematurity or congenital anomalies, according to research published online Dec. 2 in BMJ.

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Etanercept Improves Growth in Children With JIA

THURSDAY, Dec. 2 (HealthDay News) -- Etanercept alone or in combination with methotrexate (MTX) may mitigate the potentially permanent growth retardation associated with juvenile idiopathic arthritis (JIA), according to research published in the November issue of Arthritis & Rheumatism.

Abstract
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Long-Term Toxoplasmosis Outcomes Generally Good

THURSDAY, Dec. 2 (HealthDay News) -- In children with toxoplasmosis diagnosed and treated in utero, about a quarter will develop chorioretinitis -- almost all before age 5 -- and outcomes are consistently good, according to research published in the December issue of the American Journal of Obstetrics & Gynecology.

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Burnout Driving Away Many Emergency Physicians

THURSDAY, Dec. 2 (HealthDay News) -- Conflicts between work and family and poor on-the-job teamwork contribute to burnout and drive many physicians, particularly emergency physicians, to want to leave their profession, according to a study published online Dec. 1 in the Emergency Medicine Journal.

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New Report Focuses on Eating Disorders in Children and Teens

WEDNESDAY, Dec. 1 (HealthDay News) -- A new report discusses the diagnostic criteria and initial evaluation recommended in pediatric patients with disordered eating. The report has been published online Nov. 29 in Pediatrics.

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Caffeinated Alcoholic Beverage Consumption Increasing

WEDNESDAY, Dec. 1 (HealthDay News) -- Substantial increases in the consumption of caffeinated alcoholic beverages (CABs) among young adults have emerged as a public health problem, and the issue requires further investigation with well-controlled experimental trials and survey research, according to research published online Nov. 30 in the American Journal of Preventive Medicine.

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Benefits of Probiotics, Prebiotics in Children Assessed

WEDNESDAY, Dec. 1 (HealthDay News) -- The efficacy of probiotics and prebiotics to treat and prevent gastrointestinal and other ailments in children needs more research to be verified, according to a clinical report published online Nov. 29 in Pediatrics.

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