Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for September 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.
Tenth-Graders Use Combustible, Edible, Vaporized Cannabis
FRIDAY, Sept. 28, 2018 (HealthDay News) — Among 10th-grade students using cannabis, edible and vaporized products are used in addition to combustible products, with 61.7 percent reporting multiple administration methods, according to a study published online Sept. 28 in JAMA Network Open.
Physicians Often Don’t Address Their Burnout
FRIDAY, Sept. 28, 2018 (HealthDay News) — More than half of physicians experience burnout, and many do not seek treatment for burnout, according to a report published in the American Medical Association’s AMA Wire.
Implementing EMRs Affects Time Spent With Patients in Clinic
FRIDAY, Sept. 28, 2018 (HealthDay News) — Following a six-month learning period to implement an electronic medical record (EMR) system, outpatient orthopedic clinics return to pre-implementation efficiency, but there may be other lasting effects on productivity, according to a study published in the Sept. 19 issue of The Journal of Bone & Joint Surgery.
CDC: Congenital Syphilis More Than Doubled Since 2013
FRIDAY, Sept. 28, 2018 (HealthDay News) — The number of cases of sexually transmitted diseases (STDs) is continuing to increase, with an associated increase in the number of cases of congenital syphilis, according to a report published by the U.S. Centers for Disease Control and Prevention.
Press Release
2017 STD Surveillance Report
Prevalence of TBI 2.5 Percent Among U.S. Children
FRIDAY, Sept. 28, 2018 (HealthDay News) — The prevalence of traumatic brain injury (TBI) is 2.5 percent among U.S. children, and TBI is associated with several health conditions, according to a study published online Sept. 24 in JAMA Pediatrics.
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Business Degree Increasingly Useful for Doctors
THURSDAY, Sept. 27, 2018 (HealthDay News) — Having a Master of Business Administration degree (M.B.A.) can help doctors with important, practice-related decisions, according to a report published recently in Physician Practice.
80,000 Americans Died From Influenza Over Last Year
THURSDAY, Sept. 27, 2018 (HealthDay News) — Influenza was deadlier last season than it has been for at least four decades, killing 80,000 Americans. So said the head of the U.S. Centers for Disease Control and Prevention late Tuesday in an interview with the Associated Press.
Final Update on Salmonella-Tainted Honey Smacks Cereal
THURSDAY, Sept. 27, 2018 (HealthDay News) — A total of 135 people across 36 states fell ill with Salmonella after eating Kellogg’s Honey Smacks cereal, according to a final update from the U.S. Centers for Disease Control and Prevention.
AAP Provides Recommendations for Teen Drivers, Parents
THURSDAY, Sept. 27, 2018 (HealthDay News) — In a policy statement published online Sept. 24 in Pediatrics, recommendations are presented to help pediatricians provide guidance for teenage drivers and their families.
Kidney Function Recovery Seen in Some Children on Dialysis
THURSDAY, Sept. 27, 2018 (HealthDay News) — Roughly 2 percent of pediatric patients on maintenance dialysis recover within two years after dialysis initiation, according to a study published online Sept. 20 in the Clinical Journal of the American Society of Nephrology.
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Time to Defib Not Linked to Survival in Pediatric IHCA
THURSDAY, Sept. 27, 2018 (HealthDay News) — For pediatric patients with in-hospital cardiac arrest (IHCA), time to first defibrillation attempt is not associated with survival, according to a study published online Sept. 21 in JAMA Network Open.
Practices Should Set Rules for Staff Social Media Use
THURSDAY, Sept. 27, 2018 (HealthDay News) — Medical practices can take steps to avoid problems related to use of social media by staff members, according to an article published in Medical Economics.
Burnout, Career Choice Regret Prevalent in U.S. Residents
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Symptoms of burnout and career choice regret are prevalent among U.S. resident physicians, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association.
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Editorial (subscription or payment may be required)
Childhood Poverty Can Affect Cognitive Skills in Old Age
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Variation in childhood socioeconomic position (SEP) partially accounts for cognitive performance in older age, with adverse childhood SEP associated with lower level of baseline cognitive performance, according to a study published online Sept. 26 in Neurology.
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Head CT Decision Aid Ups Parent Knowledge in Child Head Trauma
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Use of a decision aid can improve parent knowledge for children with minor head injury at intermediate risk of clinically important traumatic brain injury (ciTBI), according to a study published online Sept. 21 in JAMA Network Open.
Enlarged Kidneys in Neonates With Congenital Heart Disease
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Neonates with congenital heart disease (CHD) have enlarged kidneys on average, according to a study published online Sept. 11 in Pediatric Research.
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Persistent Post-Op Opioid Use in Young Cancer Patients Explored
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Higher inpatient pain scores and postoperative opioid consumption are associated with persistent opioid use of up to six months among children and adolescents who have undergone cytoreductive surgery with hyperthermic intraperitoneal chemotherapy, according to a study published in a recent issue of Pediatric Anesthesia.
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High Nicotine Concentrations Delivered by ‘Pod Mods’
WEDNESDAY, Sept. 26, 2018 (HealthDay News) — “Pod mods,” which are small, rechargeable devices that aerosolize liquid solutions containing nicotine encapsulated in cartridges, pose a danger to adolescent users, according to a perspective article published in the Sept. 20 issue of the New England Journal of Medicine.
Lack of CHD4 Leads to Abnormal Myofibrils, Heart Defects
TUESDAY, Sept. 25, 2018 (HealthDay News) — The absence of CHD4 in heart cells results in inappropriate production of non-cardiac muscle proteins, which subsequently leads to heart defects, according to an animal study published recently in the Proceedings of the National Academy of Sciences.
Education Can Up Emotional Intelligence in Residents
TUESDAY, Sept. 25, 2018 (HealthDay News) — Following an educational intervention, residents from pediatrics and med-ped residency programs have an increase in total emotional intelligence (EI), according to a study published online Sept. 20 in Advances in Medical Education and Practice.
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Physician-Group ACOs Generate Medicare Savings
TUESDAY, Sept. 25, 2018 (HealthDay News) — Physician-group accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) generated significantly more savings for Medicare that grew from 2012 to 2015 compared with hospital-integrated ACOs, according to research published in the Sept. 20 issue of the New England Journal of Medicine.
AAP Report Addresses Managing Fetal Alcohol Spectrum Disorder
TUESDAY, Sept. 25, 2018 (HealthDay News) — In a clinical report published online Sept. 10 in Pediatrics, recommendations are presented to support pediatric providers in managing patients with a diagnosis of fetal alcohol spectrum disorder (FASD).
In 2016, Proportion of Uninsured Americans Down to 10 Percent
TUESDAY, Sept. 25, 2018 (HealthDay News) — From 2013 to 2016 there was a reduction in uninsurance among Americans from 17 to 10 percent, according to a report published in September by the Robert Wood Johnson Foundation (RWJF) and the Urban Institute.
Gender Nonconformity Linked to Students’ Mental Distress
MONDAY, Sept. 24, 2018 (HealthDay News) — Gender nonconformity (GNC) is associated with mental distress for female and male students, according to a study published online Sept. 24 in JAMA Pediatrics.
Abstract/Full Text
Editorial (subscription or payment may be required)
Prenatal, Postnatal Homelessness Tied to Poor Health in Children
MONDAY, Sept. 24, 2018 (HealthDay News) — Homelessness is associated with an increased risk of adverse pediatric outcomes regardless of whether it occurs prenatally or postnatally, according to a study published online Sept. 3 in Pediatrics.
Ground Beef Recalled After E. Coli Outbreak
FRIDAY, Sept. 21, 2018 (HealthDay News) — More than 132,000 pounds of ground beef have been recalled by a Colorado company following a suspected outbreak where one person was killed and 17 were sickened by Escherichia coli after eating the meat.
AP News Article
Cargill Statement
Some Clinicians, Patients Record Clinic Visits for Patient Use
FRIDAY, Sept. 21, 2018 (HealthDay News) — A considerable proportion of clinicians and patients report having recorded a clinic visit for the patient’s personal use, according to a study published in the September issue of the Journal of Medical Internet Research.
Pediatric End-Stage Liver Disease Score Underestimates Mortality
FRIDAY, Sept. 21, 2018 (HealthDay News) — The Pediatric End-stage Liver Disease (PELD) score underestimates the actual probability of 90-day pretransplant mortality for children undergoing a primary liver transplant, according to a study published online Sept. 17 in JAMA Pediatrics.
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Editorial 1 (subscription or payment may be required)
Editorial 2 (subscription or payment may be required)
Dozens of Medical Groups Join Forces to Improve Diagnoses
FRIDAY, Sept. 21, 2018 (HealthDay News) — Every nine minutes, a patient in a U.S. hospital dies because a diagnosis was wrong or delayed — resulting in 80,000 deaths a year. That sobering estimate comes from the Society to Improve Diagnosis in Medicine (SIDM).
Repeat CT Common in Peds Traumatic Epidural Hematoma
FRIDAY, Sept. 21, 2018 (HealthDay News) — For children with traumatic epidural hematomas (EDHs), repeated computed tomography (CT) imaging is common, but rarely impacts management, according to a study published in the September issue of Pediatrics.
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Educational Disabilities More Likely With Neonatal Abstinence
THURSDAY, Sept. 20, 2018 (HealthDay News) — Children with a history of neonatal abstinence syndrome (NAS) are more likely to be referred for a disability evaluation and meet criteria for a disability, according to a study published in the September issue of Pediatrics.
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Cannabinoid Trials Needed for Peds Neurologic Disorders
THURSDAY, Sept. 20, 2018 (HealthDay News) — There is an urgent need for clinical trials to investigate the use of cannabinoids in pediatric patients with neurological disorders, according to a commentary published in the Aug. 27 issue of CMAJ, the journal of the Canadian Medical Association.
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Research Links Doctor Burnout to Patient Safety Incidents
THURSDAY, Sept. 20, 2018 (HealthDay News) — Physician burnout is associated with increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction, according to a review published online Sept. 4 in JAMA Internal Medicine.
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Editorial (subscription or payment may be required)
Black Individuals at Highest Risk of Legal Intervention Injury
THURSDAY, Sept. 20, 2018 (HealthDay News) — Black males were at the highest risk of legal intervention injury per capita from 2005 to 2015, according to a study published online Sept. 14 in JAMA Network Open.
>60 Percent of Adults Report Adverse Childhood Experiences
THURSDAY, Sept. 20, 2018 (HealthDay News) — More than 60 percent of adults report having had at least one adverse childhood experience (ACE), and almost 25 percent report three or more, according to a study published online Sept. 17 in JAMA Pediatrics.
Few Yogurt Products Qualify As Low-Sugar
THURSDAY, Sept. 20, 2018 (HealthDay News) — There is considerable variability in the sugar content of yogurts, with very few yogurts qualifying as low-sugar, according to a study published in the August issue of BMJ Open.
Gestational Diabetes Tied to Subsequent Glucose Disorders
THURSDAY, Sept. 20, 2018 (HealthDay News) — Untreated gestational diabetes (GD) is associated with development of subsequent glucose metabolism disorders in mothers, but is not significantly associated with the composite outcome of childhood overweight/obesity in long-term follow-up of offspring, according to a study published in the Sept. 11 issue of the Journal of the American Medical Association.
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Hospitals Charge 479 Percent of Cost of Drugs on Average
THURSDAY, Sept. 20, 2018 (HealthDay News) — On average, hospitals mark up drugs by 479 percent of their cost, according to a report from The Moran Company, commissioned by the Pharmaceutical Research and Manufacturers of America (PhRMA).
Residents Should Take Advantage of Paid Time Off
THURSDAY, Sept. 20, 2018 (HealthDay News) — Although there are many demands on residents, taking advantage of paid vacation time is one of the perks and should be maximized, according to an article published in the American Medical Association’s AMA Wire.
Pediatricians Have Role in Supporting Transgender Youth
WEDNESDAY, Sept. 19, 2018 (HealthDay News) — In an American Academy of Pediatrics policy statement published online Sept. 17 in Pediatrics, recommendations are presented to ensure comprehensive care and support for youth who identify as transgender and gender diverse (TGD).
Global Prevalence of Insufficient Activity 27.5 Percent
Global Prevalence of Eczema Estimated for Children, Teens 
Immunization Schedule for Children, Teens Updated for 2023 
Most Children Exposed to Makeup, Body Products for Play 
Surge in Severe Strep Cases in Children Was Really a Return to Normal: CDC 
2013 to 2022 Saw Increase in Group A Streptococcal Infections 
Rhinoviruses, Enteroviruses Persisted During Pandemic Among Pediatric Patients 
Genetic, Environmental Prenatal Risk Factors Play Role in Early Atopic Dermatitis 
Measles Outbreak in Ohio Declared Over After 85 Cases 
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