No link found between prenatal Tdap vaccination, autism | Global development aid for teen health programs lacking, study finds | Conduct, substance use disorders linked to early mortality among teens
August 13, 2018
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No link found between prenatal Tdap vaccination, autism
A study in Pediatrics showed that autism spectrum disorder incidence was 3.78 per 1,000 person-years among children whose mothers received the Tdap vaccine during pregnancy, compared with 4.05 per 1,000 person-years among those whose mothers weren't vaccinated during pregnancy. Prenatal Tdap vaccination was more likely among Asian-Americans or Pacific Islanders, those who were nulliparous, those with at least a bachelor's degree and those who gave birth at 37 or more weeks' gestation.
MedPage Today (free registration) (8/13) 
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Global development aid for teen health programs lacking, study finds
Only 1.6% of the global development health assistance in low- and middle-income countries from 2003 to 2015 was allocated for adolescents, who account for more than 10% of the disease burden and 26% of the population in developing countries, according to a study in JAMA Network Open. Researchers also found that most of the teen health funding was allocated for HIV/AIDS, diarrhea, tuberculosis and violence.
HealthDay News (8/10),  Xinhua News Agency (China) (8/11) 
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Pediatric Health Care
Conduct, substance use disorders linked to early mortality among teens
Researchers found that teens with conduct and substance use disorders had a fivefold increased likelihood of premature death compared with peers. The findings in the journal Addiction also showed that conduct disorder was a stronger independent risk factor of early mortality than substance use severity.
Business Standard (India) (tiered subscription model)/Asian News International (8/12),  The Denver Post (tiered subscription model) (8/10) 
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Depression more likely among girls with obesity, study finds
Girls with obesity had a 44% increased risk of developing depression, UK researchers reported in the Archives of Disease in Childhood. However, the findings, based on a review of 22 studies involving nearly 144,000 youths, didn't show a higher likelihood of depression among girls who were overweight, and weight wasn't tied to depression risk in boys.
Reuters (8/10) 
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Low birth weight ups metabolic syndrome risk in adulthood, study finds
A study in The Journal of Clinical Endocrinology & Metabolism showed that 13% of adults who were born preterm with very low birth weights had metabolic syndrome, compared with 10% of those born at full term but small for gestational age and 7% of controls. Norwegian researchers used a cohort of 189 white adults and found a larger number of those born with very low birth weights had at least one MetS characteristic, compared with controls.
Healio (free registration)/Endocrine Today (8/10) 
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Antibiotics tied to pediatric Lyme disease symptom resolution
Researchers found that most children with early-disseminated or late-stage Lyme disease who received appropriate antibiotic therapy had resolved symptoms within three to 18 days. However, the findings in the Journal of the Pediatric Infectious Diseases Society showed prolonged recovery among those with a longer joint symptom duration prior to treatment.
Healio (free registration)/Infectious Diseases in Children (8/10) 
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Trends & Technology
Researchers look at nonmedical cost burden in pediatric hospitalizations
Families of hospitalized children had a median nonmedical cost of $51.40 daily or 45% of their median income per day, according to a study in Pediatrics. The findings, based on 2015 to 2016 data involving families of 1,500 hospitalized youths, showed significantly higher cost burdens among African-Americans, single parents, those with lower educational attainment and less employment, and those reporting financial or social hardships.
2 Minute Medicine (8/13) 
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Study: Hospitals are years away from maximizing EHR functionality
Researchers who analyzed data from HIMSS Analytics' eight-stage EMR Adoption Model collected between 2006 and 2014 found that although the number of hospitals at stages 5 and 6 should peak by 2019 and 2026, respectively, the number of hospitals on Stage 7 will not peak by 2035. The findings in the Journal of Medical Internet Research indicated that "US hospitals are decades away from fully implementing sophisticated decision support applications and interoperability functionalities in EHRs," the authors wrote.
Becker's Health IT & CIO Report (8/10) 
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Hot Topics
Health Policy & Regulations
States take action to preserve access to health coverage
Tired of waiting for the Trump administration to solve their health care challenges, state governments are taking matters into their own hands to ensure residents have access to health care coverage. Some of the actions taken by states include expanding Medicaid eligibility, establishing mandates that individuals enroll in health coverage, introducing bills to address prescription drug prices and approving measures to restrict access to short-term health plans.
U.S. News & World Report (8/10) 
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Pediatric ADHD bedtime medication gets FDA nod
Ironshore Pharmaceuticals' Jornay PM, a new methylphenidate formulation to be taken in the evening, was approved by the FDA as treatment for children with attention-deficit/hyperactivity disorder ages 6 and older. Two late-stage trials showed the drug's efficacy in reducing the severity of ADHD symptoms in youths ages 6 to 12 during the early morning and throughout the day, the company said.
Medscape (free registration) (8/10) 
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It's bad policy to speculate on what you'll do if a plan fails, when you're trying to make a plan work.
Condoleezza Rice,
diplomat and political scientist
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