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December 2018 Briefing - Pediatrics

Last Updated: January 02, 2019.

Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for December 2018. 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.

Delayed School Start Shows Benefits for Teens

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Delaying school start times increases the amount of time teenagers sleep, which seems to improve school performance, according to a study published in the December issue of Science Advances.

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Pregnancy Complications Up for Women Born at Low Birth Weight

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Women born with a low birth weight have an increased risk for pregnancy complications, according to a study published online Dec. 19 in Obesity.

Abstract/Full Text (subscription or payment may be required)

Many EDs Do Not Have Pediatric Area, Emergency Care Coordinator

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Many emergency departments do not have a pediatric area or pediatric emergency care coordinator (PECC), but an intervention can increase use of PECCs, according to three studies published in the December issue of Academic Emergency Medicine.

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Low-Priced Generic Drugs Most Likely to Have Shortages

THURSDAY, Dec. 27, 2018 (HealthDay News) -- The lowest-priced generic drugs are more likely to experience shortages, according to a study published in the November issue of Value in Health.

Abstract/Full Text (subscription or payment may be required)

Opioid Prescribing Patterns Vary for Pediatric Patients

THURSDAY, Dec. 27, 2018 (HealthDay News) -- There is considerable variation in opioid prescribing among pediatric patients, according to a study published online Dec. 21 in JAMA Network Open.

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Pediatric Asthma Risk Score Has Good Sensitivity, Specificity

THURSDAY, Dec. 27, 2018 (HealthDay News) -- A new quantitative personalized tool can better predict asthma development in young children than the Asthma Predictive Index (API), according to a study published online Dec. 13 in The Journal of Allergy and Clinical Immunology.

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ASH Develops Practice Guidelines for Venous Thromboembolism

THURSDAY, Dec. 27, 2018 (HealthDay News) -- The American Society of Hematology (ASH) has developed new guidelines for the treatment of venous thromboembolism (VTE); the clinical practice guidelines were recently published in Blood Advances.

Prophylaxis for Hospitalized and Nonhospitalized Medical Patients
Diagnosis of Venous Thromboembolism
Heparin-Induced Thrombocytopenia
Treatment of Pediatric Venous Thromboembolism
Venous Thromboembolism in the Context of Pregnancy
Optimal Management of Anticoagulation Therapy

Universal Vaccination for MenB at College Entry Not Cost-Effective

THURSDAY, Dec. 27, 2018 (HealthDay News) -- Universal vaccination against Neisseria meningitidis serogroup B (MenB) at college entry does not appear to be cost-effective, according to a study published online Dec. 17 in the American Journal of Preventive Medicine.

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Oculomotor Response to Head Impacts Studied in Youth Football

THURSDAY, Dec. 27, 2018 (HealthDay News) -- Near point of convergence (NPC) values change in response to subconcussive head impacts but begin to normalize over time in high school football players, according to a study published online Dec. 20 in JAMA Ophthalmology.

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Editorial (subscription or payment may be required)

Initiative Can Cut Gender Gap in Medical School Faculty Salaries

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- An institutional gender equity initiative (GEI) can reduce gender-based salary gaps among medical school faculty, according to a study published online Dec. 21 in JAMA Network Open.

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Updated Guidelines Developed for Diagnosing, Treating Influenza

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- The Infectious Diseases Society of America has updated their recommendations for the care of patients with suspected or diagnosed influenza; the clinical practice guidelines were published online Dec. 19 in Clinical Infectious Diseases.

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New AAP Guideline Available for Infantile Hemangioma Treatment

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- The American Academy of Pediatrics has developed its first guideline for the management of infantile hemangiomas (IHs); the clinical practice guideline was published online Dec. 24 in Pediatrics.

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Malnutrition Ups Risk of Postop Issues in Pediatric Crohn Disease

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- For children with Crohn disease (CD), malnutrition is associated with increased risk of complications after bowel surgery, according to a study published in the November issue of the Journal of Pediatric Surgery.

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Vit C for Pregnant Smokers May Improve Newborn Lung Function

MONDAY, Dec. 24, 2018 (HealthDay News) -- For pregnant smokers, vitamin C supplementation may improve newborn lung function, according to a study published online Dec. 7 in the American Journal of Respiratory and Critical Care Medicine.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

FDA: Fluoroquinolones Tied to Heart Vessel Ruptures, Tears

FRIDAY, Dec. 21, 2016 (HealthDay News) -- Patients taking fluoroquinolones may be at higher risk for ruptures or tears in the aorta, the U.S. Food and Drug Administration warns.

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FDA: Teething Jewelry Linked to at Least One Infant Death

FRIDAY, Dec. 21, 2018 (HealthDay News) -- Teething jewelry products, such as necklaces, pose significant safety risks and have been tied to at least one baby's death, the U.S. Food and Drug Administration warns.

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Mental, Behavior, Developmental Disorders Up With Low-Income

FRIDAY, Dec. 21, 2018 (HealthDay News) -- Children in lower-income households more often receive a diagnosis of mental, behavioral, and developmental disorders (MBDDs), according to research published in the Dec. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Incident Concussion 5.1 Percent Per Season for Youth Football

FRIDAY, Dec. 21, 2018 (HealthDay News) -- The athlete-level incidence of concussion is 5.1 percent per season for American football players aged 5 to 14 years, according to a study published online Dec. 13 in The Journal of Pediatrics.

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Growth in Use of Telemedicine Seen From 2005 to 2017

THURSDAY, Dec. 20, 2018 (HealthDay News) -- From 2005 to 2017, there was a substantial increase in telemedicine use, although use was still uncommon in 2017, according to a research letter published online Nov. 27 in the Journal of the American Medical Association.

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Affordable Care Act Sign-Ups Higher Than Expected

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Despite numerous difficulties, early figures show that sign-ups for health coverage next year under the Affordable Care Act are higher than expected.

AP News Article

ADA 2019 Standards of Care Emphasize Patient-Centered Care

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Patient-centered care is emphasized in updated clinical practice recommendations from the American Diabetes Association 2019 Standards of Care, published as a supplement to the January issue of Diabetes Care.

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Structured Family-Centered Peds Rounds Improve Patient Safety

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Structured communication involving families, nurses, and physicians can reduce harmful medical errors and improve family experience during pediatric hospitalizations, according to a study published online Dec. 5 in The BMJ.

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New Law Boosts Fight Against Sickle Cell Disease

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- A sickle cell disease prevention and treatment program in the United States has been reauthorized to receive nearly $5 million each year over the next five years.

NBC News Article
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'Aggressive Steps' Needed to Stop Adolescent Use of E-Cigarettes

TUESDAY, Dec. 18, 2018 (HealthDay News) -- "Aggressive steps" must be taken by parents, teachers, health providers, and government officials to prevent children and teens from using electronic cigarettes, U.S. Surgeon General Jerome Adams, M.D., M.P.H., said in an advisory.

AP News Article

Exclusion of Doctors From Public Health Insurance Up 2007 to 2017

TUESDAY, Dec. 18, 2018 (HealthDay News) -- From 2007 to 2017, the number of physicians excluded from Medicare and state public insurance programs increased, according to a study published online Dec. 14 in JAMA Network Open.

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Psychosocial Factors Key in Peds Care for Special-Needs Kids

TUESDAY, Dec. 18, 2018 (HealthDay News) -- Pediatric providers need to be aware of the impact of psychosocial factors on the health and wellness of children and youth with special health care needs and their families, according to a clinical report published online Dec. 17 in Pediatrics.

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Routine Supplements to Prevent Chronic Disease Not Advised

TUESDAY, Dec. 18, 2018 (HealthDay News) -- Routine use of vitamin and mineral supplements to prevent chronic disease is not recommended, according to an Academy of Nutrition and Dietetics position paper published in the November issue of the Journal of the Academy of Nutrition and Dietetics.

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More U.S. Teens Are Vaping, but Use of Opioids, Alcohol Falling

MONDAY, Dec. 17, 2018 (HealthDay News) -- Vaping among American teenagers increased dramatically in 2018, with nearly two of every five high school seniors reporting they had tried an electronic cigarette during the past year, according to the latest Monitoring the Future survey funded by the U.S. National Institute on Drug Abuse.

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Risk for Later Suicide Up for Certain Youth Presenting to ED

MONDAY, Dec. 17, 2018 (HealthDay News) -- The risk for subsequent self-directed violence is increased among young people presenting to the emergency department for certain medical conditions, according to a study published online Dec. 17 in the American Journal of Preventive Medicine.

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Pediatricians Have Role in ID'ing Postpartum Depression

MONDAY, Dec. 17, 2018 (HealthDay News) -- Pediatric physicians should screen women for postpartum depression (PPD) at well-child visits and make use of community resources for treatment and referral, according to a policy statement and technical report published online Dec. 17 in Pediatrics.

Policy Statement
Technical Report

Racial Disparities Seen Among Teens Undergoing Flu Vaccination

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Racial disparities exist among adolescents undergoing influenza vaccination, with lower odds of vaccination among black versus white adolescents, according to a study recently published in Public Health Reports.

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Depressive Symptoms Up From Age 10 for Sexual-Minority Youth

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Sexual-minority youth have higher depressive symptoms at age 10 and an increased likelihood of self-harm in adolescence and young adulthood, according to a study published online Dec. 11 in The Lancet Child & Adolescent Health.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Persistent Discrimination ID'd Among Physician Mothers

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Physician mothers experience discrimination in a range of ways, which can impact the medical profession, according to a study published online Dec. 12 in The BMJ.

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Editorial

Subfertility Linked to Increased Asthma Risk in Offspring

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Parental subfertility is associated with an increased asthma risk among offspring, according to a study published online Dec. 4 in Thorax.

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Editorial (subscription or payment may be required)

Inhaling Hypertonic Saline May Aid Infants With Cystic Fibrosis

THURSDAY, Dec. 13, 2018 (HealthDay News) -- In infants with cystic fibrosis (CF), preventive inhalation with hypertonic saline (HS) during the first months of life is safe and well tolerated and results in clinical improvements, according to a study recently published in the American Journal of Respiratory and Critical Care Medicine.

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CDC: More Cases in Salmonella Outbreak Linked to Recalled Beef

THURSDAY, Dec. 13, 2018 (HealthDay News) -- The number of illnesses in a Salmonella outbreak linked to beef products from Arizona-based JBS Tolleson Inc. now stands at 333 in 28 states, according to the U.S. Centers for Disease Control and Prevention.

CDC Food Safety Alert

Medication Errors Resulting in Death Most Common in Elderly

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Medication errors in acute care that result in death occur most often in patients older than 75 years, with the most common error category being omitted medicine or ingredient, according to a study published online Nov. 22 in Research in Social and Administrative Pharmacy.

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Enrollment Under the Affordable Care Act Down From Last Year

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Enrollment for health insurance under the Affordable Care Act is down with just days left to sign up, according to the U.S. Centers for Medicare & Medicaid Services.

AP News Article

Antipsychotics Up Risk for Unexpected Death in Youths

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Antipsychotic use is associated with an increased risk for unexpected death among children and youths, according to a study published online Dec. 12 in JAMA Psychiatry.

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Editorial (subscription or payment may be required)

2017 Saw Slowing in National Health Care Spending

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- National health care spending slowed in 2017, according to a report published online Dec. 6 in Health Affairs.

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Case Numbers of U.S. Children With Polio-Like Illness Hit Record High

TUESDAY, Dec. 11, 2018 (HealthDay News) -- There has been a record number of cases of a rare paralyzing illness among children in the United States this year, according to health officials.

AP News Article
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U.S. Medical Schools See Increase in Diversity

TUESDAY, Dec. 11, 2018 (HealthDay News) -- After implementation of the Liaison Committee on Medical Education (LCME) diversity accreditation standards, U.S. medical schools saw increasing percentages of female, black, and Hispanic matriculants, according to a research letter published in the Dec. 4 issue of the Journal of the American Medical Association.

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Paid Childbearing Policies Lacking for Residents

TUESDAY, Dec. 11, 2018 (HealthDay News) -- Policies for paid childbearing or family leave for residents are lacking at top-ranking medical schools and may be exacerbated by lack of direction from specialty boards, according to two research letters published in the Dec. 11 issue of the Journal of the American Medical Association.

Abstract/Full Text - Magudia (subscription or payment may be required)
Abstract/Full Text - Varda/Glover (subscription or payment may be required)

HIT-Related Stress Linked to Burnout Among Physicians

MONDAY, Dec. 10, 2018 (HealthDay News) -- Stress related to use of health information technology (HIT) is common and predictive of burnout among physicians, according to a study published online Dec. 5 in the Journal of the American Medical Informatics Association.

Abstract/Full Text (subscription or payment may be required)

Risk Up for Later-Born Siblings of Children With ASD, ADHD

MONDAY, Dec. 10, 2018 (HealthDay News) -- Later-born siblings of children with autism spectrum disorder (ASD) or attention-deficit/hyperactivity disorder (ADHD) have an elevated risk of being diagnosed with the same or the other disorder, according to a study published online Dec. 10 in JAMA Pediatrics.

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Editorial (subscription or payment may be required)

Smaller Heads Related to Opioid-Related Neonatal Abstinence Syndrome

MONDAY, Dec. 10, 2018 (HealthDay News) -- Chronic opioid use during pregnancy that causes neonatal abstinence syndrome (NAS) is associated with smaller neonatal head circumference (HC), according to a study published online Dec. 10 in Pediatrics.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Most Insured Patients Not Using Online Portals

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Nearly two-thirds of insured adults with a previous health care visit did not use an online patient portal in 2017, according to a study published in the December issue of Health Affairs.

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Lack of Peds Preventive Care Ups Unplanned Hospital Admissions

FRIDAY, Dec. 7, 2018 (HealthDay News) -- A lack of preventive care in infants and children is associated with an increased rate of unplanned hospital admissions, according to a study recently published in BMC Medicine.

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Pregnant Women Commonly Refuse Vaccines

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Pregnant women commonly refuse vaccines, including influenza vaccine and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine, according to research published online Dec. 4 in Obstetrics & Gynecology.

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Secondhand Smoke Exposure Saw Big Drop From 1988 to 2014

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Secondhand smoke exposure declined substantially among U.S. nonsmokers from 1988 through 2014, according to research published in the Dec. 7 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Projected Distribution of Common Ragweed Modeled in U.S.

THURSDAY, Dec. 6, 2018 (HealthDay News) -- Common ragweed is expected to expand at the northern margins of its current distribution, according to a study recently published in PLOS ONE.

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New Guidance Addresses Early Dx of Dysmenorrhea in Adolescents

THURSDAY, Dec. 6, 2018 (HealthDay News) -- Early diagnosis of dysmenorrhea is key to ensuring that adolescents and women can maintain their quality of life, according to a Committee Opinion published in the December issue of Obstetrics & Gynecology.

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Smoke Exposure High in Low-Income, Nonurban Infants

THURSDAY, Dec. 6, 2018 (HealthDay News) -- Infants from low-income, nonurban families have a high magnitude of environmental smoke exposure, according to a study published online Dec. 5 in Nicotine & Tobacco Research.

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Infections Linked to Increased Later Risk for Mental Disorders

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- Infections requiring hospitalization or treatment with anti-infective agents are associated with an increased subsequent risk for mental disorders, according to a study published online Dec. 5 in JAMA Psychiatry.

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Editorial (subscription or payment may be required)

Few Physicians Work in Practices That Use Telemedicine

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- Only 15.4 percent of physicians work in practices that use telemedicine for a wide spectrum of patient interactions, with larger practice size being an important correlate of telemedicine use, according to a study published in the December issue of Health Affairs.

Abstract/Full Text (subscription or payment may be required)

Many Patients Withhold Information From Clinicians

TUESDAY, Dec. 4, 2018 (HealthDay News) -- Many patients intentionally withhold information from clinicians, according to a study published online Nov. 30 in JAMA Network Open.

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Editorial

HHS Issues Draft Strategy for Reducing Health IT Burden

TUESDAY, Dec. 4, 2018 (HealthDay News) -- The U.S. Department of Health and Human Services has developed a draft strategy to reduce the health information technology (IT) burden, and the strategy is open for public comment through Jan. 28, 2019.

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Exposure to Phthalates May Impact Timing of Puberty in Girls

TUESDAY, Dec. 4, 2018 (HealthDay News) -- Exposure to certain endocrine-disrupting chemicals may impact the timing of puberty in children, according to a study published online Dec. 4 in Human Reproduction.

Abstract/Full Text (subscription or payment may be required)

Progress Made Toward Global Measles Milestones

TUESDAY, Dec. 4, 2018 (HealthDay News) -- From 2000 to 2017, progress was made toward global measles control milestones, but the milestones set to be achieved by 2015 have not been met, according to research published in the Nov. 30 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Mean Cumulative Lifetime Prevalence of Eczema 9.9 Percent

TUESDAY, Dec. 4, 2018 (HealthDay News) -- The mean cumulative lifetime prevalence of atopic eczema is 9.9 percent, according to a research letter published online Dec. 4 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required

Workload of NICU Nurses Linked to Missed Nursing Care

TUESDAY, Dec. 4, 2018 (HealthDay News) -- The workload of neonatal intensive care unit (NICU) nurses, and perceived workload in particular, is associated with missed nursing care for assigned infants, according to a study published online Nov. 12 in JAMA Pediatrics.

Abstract/Full Text (subscription or payment may be required)

CDC: Acute Flaccid Myelitis Cases Appear to Have Peaked for 2018

MONDAY, Dec. 3, 2018 (HealthDay News) -- The number of cases of acute flaccid myelitis (AFM) in the United States this year appears to have peaked and is expected to decline for the remainder of 2018, according to the U.S. Centers for Disease Control and Prevention.

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Prevalence of Ever-Diagnosed ASD 2.79 Percent in U.S. Children

MONDAY, Dec. 3, 2018 (HealthDay News) -- The prevalence of ever-diagnosed autism spectrum disorder (ASD) is 2.79 percent in the United States, with state-level variations in prevalence, according to a study published online Dec. 3 in JAMA Pediatrics.

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Impact of Fructose Varies With Energy Control, Food Source

MONDAY, Dec. 3, 2018 (HealthDay News) -- Energy control and food source appear to mediate the effect of fructose-containing sugars on glycemic control, according to a review published online Nov. 21 in The BMJ.

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More People Worldwide Now Know Their HIV Status

MONDAY, Dec. 3, 2018 (HealthDay News) -- Three-quarters of patients living with HIV worldwide know their infection status, according to Knowledge Is Power, a new report released Nov. 22 by UNAIDS.

Press Release
Knowledge Is Power Report

Shifting Pattern Seen for Primary Care Office Visits

MONDAY, Dec. 3, 2018 (HealthDay News) -- Among patients with employer-sponsored insurance, there was a decline in visits to primary care physicians (PCPs) from 2012 to 2016, according to a brief released Nov. 15 by the Health Care Cost Institute (HCCI).

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Core Language Skill Stable From Infancy to Adolescence

MONDAY, Dec. 3, 2018 (HealthDay News) -- A core language skill, extracted from multiple measures, is stable from infancy to adolescence in children, including atypically developing children, according to a study published online Nov. 21 in Science Advances.

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