CMS seeks input on future of Open Payments program
The Centers for Medicare & Medicaid Services is seeking physician input on the Open Payments program. The agency signaled its intent to gather information in its
Source: Pediatric News - July 21, 2016 Category: Journals (General) Source Type: news

Feds sue to block mega-mergers by health insurers
The U.S. Department of Justice (DOJ) is suing to block two mega-mergers between four of the largest health insurers in the nation, claiming the alignments will harm competition and reduce patient... (Source: Pediatric News)
Source: Pediatric News - July 21, 2016 Category: Journals (General) Source Type: news

Lessons learned from merging EHR systems
WASHINGTON – As practices merge, how hard is it to merge EHRs? Even in what might seem to be the best circumstances, it can be a huge challenge, according to
Source: Pediatric News - July 21, 2016 Category: Journals (General) Source Type: news

Hepatitis C infection rates rising in women, young children
Rates of hepatitis C virus detection increased in U.S. women aged 15-44 years and in children less than 2 years old from 2011 to 2014, according to investigators from the Centers for Disease Control... (Source: Pediatric News)
Source: Pediatric News - July 21, 2016 Category: Journals (General) Source Type: news

Global HIV/AIDS mortality declines, but infection rate is unimproved
HIV/AIDS mortality has been declining at a steady pace since 2005, but the annual rate of new infections has remained relatively constant in that same period, according to a study published July 19... (Source: Pediatric News)
Source: Pediatric News - July 20, 2016 Category: Journals (General) Source Type: news

HPV vaccination rates not improved by increased awareness
Increased awareness did not increase adolescent HPV vaccination rates in a high-risk population, according to Jessica Fishman, PhD, of the University of Pennsylvania, Philadelphia, and her... (Source: Pediatric News)
Source: Pediatric News - July 20, 2016 Category: Journals (General) Source Type: news

MRI-VA improves view of anomalous coronary arteries
Failure to achieve a rounded and unobstructed ostia in children who have surgery to repair anomalous coronary arteries can put these children at continued risk for sudden death, but cardiac MRI with... (Source: Pediatric News)
Source: Pediatric News - July 19, 2016 Category: Journals (General) Source Type: news

Decision Support in Medicine: Atopic Dermatitis
1. Are you confident of the diagnosis?Atopic dermatitis (AD) is a chronic, relapsing, pruritic dermatosis that commonly presents in early infancy or childhood. Diagnosis depends on... (Source: Pediatric News)
Source: Pediatric News - July 19, 2016 Category: Journals (General) Source Type: news

Treatment of posttraumatic stress disorder
Traumatic events are extremely common, with as many as 60% of children experiencing some trauma by age 18 years. About 15% of these children will develop posttraumatic stress disorder (PTSD).
Source: Pediatric News - July 19, 2016 Category: Journals (General) Source Type: news

A prescription for health literacy
As physicians, we have a responsibility to stay abreast of the medical literature to provide state of the art pediatric care. We have at our disposal reliable resources to stay current, from... (Source: Pediatric News)
Source: Pediatric News - July 19, 2016 Category: Journals (General) Source Type: news

Supreme Court offers mixed take on false claim liability
A U.S. Supreme Court ruling that expands liability under the federal False Claims Act (FCA) could have both positive and negative implications for physicians accused of submitting false claims to the... (Source: Pediatric News)
Source: Pediatric News - July 19, 2016 Category: Journals (General) Source Type: news

Health officials investigating mysterious Zika infection
Health officials are looking into a case of Zika virus infection in Utah, where a person was infected after caring for an elderly family member with the virus. In the new case, the person had not... (Source: Pediatric News)
Source: Pediatric News - July 18, 2016 Category: Journals (General) Source Type: news

Resolving patients’ complaints
For most physicians, the resolution of patients’ complaints ranks second only to firing an employee on the Least Favorite Tasks List. With so many potential problems, and so many ways patients can... (Source: Pediatric News)
Source: Pediatric News - July 18, 2016 Category: Journals (General) Source Type: news

Study links severe childhood eczema to sedentary behaviors
SCOTTSDALE, ARIZ. – Children with severe atopic dermatitis were significantly more likely to log at least 5 hours of screen time a day, and were significantly less likely to exercise than were... (Source: Pediatric News)
Source: Pediatric News - July 18, 2016 Category: Journals (General) Source Type: news

Lower courts block state abortion restrictions
In the wake of the U.S. Supreme Court’s ruling to strike down a Texas abortion law as unconstitutional, a number of lower courts have temporarily blocked abortion restrictions in their states. On... (Source: Pediatric News)
Source: Pediatric News - July 15, 2016 Category: Journals (General) Source Type: news

First female-to-male sexual transmission of Zika virus
A suspected case of sexual transmission of the Zika virus from a female to a male has occurred in New York City, according to the New York City Department of Health and Mental Hygiene (DOHMH). “This... (Source: Pediatric News)
Source: Pediatric News - July 15, 2016 Category: Journals (General) Source Type: news

9-valent, quadrivalent HPV vaccines have comparable safety
The 9-valent human papillomavirus vaccine was well tolerated in 16-26 year olds and had a safety profile comparable to that of the quadrivalent vaccine, according to an analysis of seven phase III... (Source: Pediatric News)
Source: Pediatric News - July 15, 2016 Category: Journals (General) Source Type: news

Teen birth rate continues to decline
The U.S teen birth rate has dropped for another consecutive year, adding to the long-term decline in teen pregnancy, according to a federal report on trends in child health and well being.
Source: Pediatric News - July 14, 2016 Category: Journals (General) Source Type: news

CMS: Projected overall growth rate in health spending holding firm
Health spending is projected to grow on average 5.8% from 2015-2025, the same projected rate of grown as announced last year covering 2014-2024, according the CMS Office of the Actuary. However,... (Source: Pediatric News)
Source: Pediatric News - July 13, 2016 Category: Journals (General) Source Type: news

CMS to Congress: We might delay MACRA start
Implementation of some MACRA provisions could be delayed, CMS Acting Administrator Andy Slavitt told committee members at a July 13
Source: Pediatric News - July 13, 2016 Category: Journals (General) Source Type: news

40% of top-rated sunscreens fall short of AAD guidelines
Customer satisfaction ratings of sunscreens do not always reflect the products’ effectiveness, as 40% of the 65 top-rated sunscreens available on Amazon.com did not adhere to all three of the... (Source: Pediatric News)
Source: Pediatric News - July 13, 2016 Category: Journals (General) Source Type: news

HHS issues guidance on ransomware attacks
The U.S. Department of Health & Human Services’ Office of Civil Rights has issued new guidance to help physicians and their practices combat a ransomware attack. Ransomware – a type of... (Source: Pediatric News)
Source: Pediatric News - July 13, 2016 Category: Journals (General) Source Type: news

Dexlansoprazole approved to treat heartburn in younger patients
The Food and Drug Administration has approved dexlansoprazole (Dexilant) for gastroesophageal reflux disease patients aged 12-17 years, according to a press release from Takeda... (Source: Pediatric News)
Source: Pediatric News - July 13, 2016 Category: Journals (General) Source Type: news

Dexilant approved to treat heartburn in younger patients
The Food and Drug Administration has approved Dexilant (dexlansoprazole) for gastroesophageal reflux disease patients aged 12-17 years, according to a press release from Takeda Pharmaceuticals. FDA... (Source: Pediatric News)
Source: Pediatric News - July 13, 2016 Category: Journals (General) Source Type: news

CDC forecasts low chance of mosquito-borne Zika infection at Olympics
With only a few weeks left until the 2016 Olympic Games get underway in Rio de Janeiro, officials at the Centers for Disease Control and Prevention are urging anyone traveling to the Olympics to take... (Source: Pediatric News)
Source: Pediatric News - July 13, 2016 Category: Journals (General) Source Type: news

Cervical spine injury common in children under age 2 with abusive head trauma
BALTIMORE – Cervical spine injuries may be more prevalent than previously thought among young children who sustain abusive head trauma, results of a 4-year, multicenter, retrospective study presented... (Source: Pediatric News)
Source: Pediatric News - July 13, 2016 Category: Journals (General) Source Type: news

New antibiotics targeting MDR pathogens are expensive, but not impressive
The U.S. Food and Drug Administration has approved a number of new antibiotics targeting multidrug-resistant bacteria in the past 5 years, but the new drugs have not led to a substantial improvement... (Source: Pediatric News)
Source: Pediatric News - July 13, 2016 Category: Journals (General) Source Type: news

Incidence of HPV-associated cancers on the rise
The incidence of human papillomavirus–associated cancers is increasing in the United States, but many of these cases could be prevented by the HPV vaccine, investigators from the Centers for Disease... (Source: Pediatric News)
Source: Pediatric News - July 12, 2016 Category: Journals (General) Source Type: news

Hanger: Incidence of HPV-associated cancers on the rise
The incidence of human papillomavirus–associated cancers is increasing in the United States, but many of these cases could be prevented by the HPV vaccine, investigators from the Centers for Disease... (Source: Pediatric News)
Source: Pediatric News - July 12, 2016 Category: Journals (General) Source Type: news

FDA approves first retinoid for OTC acne treatment
The Food and Drug Administration has approved adapalene gel 0.1% for over-the-counter use, making it the first retinoid for treating acne that will be available in the United States without a... (Source: Pediatric News)
Source: Pediatric News - July 11, 2016 Category: Journals (General) Source Type: news

Childhood trauma, cannabis use disorders examined in schizophrenia
New findings suggest childhood trauma and cannabis use disorders have no significant interaction in outcomes for patients with schizophrenia, according to Grégoire Baudin and his associates.
Source: Pediatric News - July 11, 2016 Category: Journals (General) Source Type: news

High rates of early complications seen in youth with diabetes
NEW ORLEANS – There is a high burden of early complications among young adults with type 1 or type 2 diabetes, results from an ongoing study demonstrated. “We are witnessing a recent increase in... (Source: Pediatric News)
Source: Pediatric News - July 11, 2016 Category: Journals (General) Source Type: news

Delayed resolution of concussion symptoms linked to somatization
BALTIMORE – Children whose parents rated them higher on a psychological assessment of somatization were more likely to show persistent postconcussive symptoms, according to a recent study. Joe... (Source: Pediatric News)
Source: Pediatric News - July 11, 2016 Category: Journals (General) Source Type: news

Nonwhite race, lower socioeconomic status predicts persistently active AD
Among patients with atopic dSCOTTSDALE, ARIZ. –Among patients with atopic dermatitis, persistently active disease was significantly more common among females of nonwhite race with a history of atopy... (Source: Pediatric News)
Source: Pediatric News - July 7, 2016 Category: Journals (General) Source Type: news

Medical errors and the law
Question: A patient was admitted with heart failure, developed deep vein thrombosis, and was started on warfarin and Lovenox as “bridge” therapy. On day 4, the patient achieved anticoagulation... (Source: Pediatric News)
Source: Pediatric News - July 7, 2016 Category: Journals (General) Source Type: news

Apologizing for medical errors
Question: A patient was admitted with heart failure, developed deep vein thrombosis, and was started on warfarin and Lovenox as “bridge” therapy. On day 4, the patient achieved anticoagulation... (Source: Pediatric News)
Source: Pediatric News - July 7, 2016 Category: Journals (General) Source Type: news

Sleep apnea in pregnancy linked to preterm birth
DENVER – Pregnant women with sleep apnea are more likely to have planned obstetric interventions, results of an Australian population-based cohort study suggest. The study included all 636,227... (Source: Pediatric News)
Source: Pediatric News - July 6, 2016 Category: Journals (General) Source Type: news

Zika study to focus on U.S. Olympic athletes
Zika virus exposure will be monitored by researchers supported by the National Institutes of Health during the 2016 Summer Olympics and Paralympics in Rio De Janeiro. The study, funded by NIH’s... (Source: Pediatric News)
Source: Pediatric News - July 6, 2016 Category: Journals (General) Source Type: news

Decision Support in Medicine: Asthma
1. OVERVIEW: What every practitioner needs to knowAre you sure your patient has asthma? What are the typical findings for this disease?Diagnostic criteria for... (Source: Pediatric News)
Source: Pediatric News - July 6, 2016 Category: Journals (General) Source Type: news

VIDEO: Expert roundtable explores 50 years of contraception
WASHINGTON – What has the increased access to contraception over the last 50 years meant for American women? We asked Ob.Gyn. News editorial advisory board member Dr. Eve Espey, professor and chair... (Source: Pediatric News)
Source: Pediatric News - July 6, 2016 Category: Journals (General) Source Type: news

Pediatric cancer survivors at increased risk for endocrine abnormalities
Patients who survived pediatric-onset cancer are at increased risk for developing or experiencing endocrine abnormalities. Risk was significantly higher in survivors who underwent high-risk... (Source: Pediatric News)
Source: Pediatric News - July 5, 2016 Category: Journals (General) Source Type: news

Supreme Court will not hear pharmacy religious liberty case
The U.S. Supreme Court has refused to decide whether pharmacists with strongly held religious beliefs can be forced to dispense emergency contraception to patients. Justices did not explain their... (Source: Pediatric News)
Source: Pediatric News - July 1, 2016 Category: Journals (General) Source Type: news

Sticks and stones and words
“Sticks and stones may break my bones, but words will never hurt me.” This mantra was the retort of choice for thousands of apparently resilient premillennial children. But you and I, and just about... (Source: Pediatric News)
Source: Pediatric News - July 1, 2016 Category: Journals (General) Source Type: news

Multisite NIH-sponsored research can now use single IRB
In an effort to streamline multisite clinical research, the National Institutes of Health announced a new policy related to the use of institutional review boards (IRBs).  
Source: Pediatric News - July 1, 2016 Category: Journals (General) Source Type: news

Malaria vaccine disappoints in phase II trial
The efficacy of an investigational malaria vaccine waned from 36% to 2.5% over a period of 7 years in Kenya, at which time it was even associated with an excess of cases in areas of high malaria... (Source: Pediatric News)
Source: Pediatric News - July 1, 2016 Category: Journals (General) Source Type: news

Analysis supports daily folate for children with psoriasis on methotrexate
SCOTTSDALE, ARIZ. – Children and adolescents receiving methotrexate for psoriasis were significantly less likely to experience gastrointestinal side effects when they took a folate supplement every... (Source: Pediatric News)
Source: Pediatric News - July 1, 2016 Category: Journals (General) Source Type: news

Children’s lead levels in Flint, Mich., fluctuate as water supply switched
In Flint, Mich., the prevalence of elevated blood lead levels rose among children under age 6 years after the switch in the city’s water source, dropped after an advisory was issued, and then dropped... (Source: Pediatric News)
Source: Pediatric News - June 30, 2016 Category: Journals (General) Source Type: news

Initiative aims to improve transition from pediatric to adult care
Gregg Michael Talente, MD, remembers well a young patient who nearly fell through the gap between pediatric an adult health care. The woman was treated for lupus by her pediatrician until age 19... (Source: Pediatric News)
Source: Pediatric News - June 30, 2016 Category: Journals (General) Source Type: news

Rash, microcephaly not always present with congenital Zika syndrome
The largest study so far of congenital Zika virus syndrome suggests that microcephaly and maternal rash are not sufficient to detect affected babies. Writing in the June 29 online edition of The... (Source: Pediatric News)
Source: Pediatric News - June 29, 2016 Category: Journals (General) Source Type: news

In T1D, quality of life measures fall short
NEW ORLEANS – Quality of life measures are sorely lacking for patients with type 1 diabetes, but researchers are attempting to identify measures of patient well-being that go beyond the hemoglobin... (Source: Pediatric News)
Source: Pediatric News - June 29, 2016 Category: Journals (General) Source Type: news