Children's medical homes should clarify guardianship of youths placed in the care of their extended family during routine office information updates, while pediatric practices should increase their awareness of legal services and local statutes on consent and guardianship for children in kinship care, according to an American Academy of Pediatrics policy statement in Pediatrics. The recommendations also urge pediatricians to implement AAP care guidance for youths in foster care for those in kinship care, as well; provide them with standardized behavioral and developmental health screenings; and offer assistance to their families.
Children who were exclusively breast-fed for at least six months had slightly less hyperactive behavior at age 3 but not at age 5, compared with those who weren't breast-fed, but there were no significant differences in cognitive development at ages 3 and 5, Irish researchers reported in Pediatrics. However, breast-feeding continues to offer child, maternal and societal benefits, according to an editorial accompanying the study.
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Chinese researchers found that antibiotic treatment was safe and effective in 90.5% of patients with pediatric appendicitis. However, the findings in JAMA Pediatrics, based on a meta-analysis of five studies, showed a nine times higher risk of treatment failure among those who took antibiotics than those who had initial appendectomy.
Researchers examined 2004 to 2013 data involving 1,826 ambulance-treated asthma attacks among youths ages 5 to 18 in Houston and found that most cases were among blacks. The findings in the Journal of School Health also showed a twofold, threefold and fivefold higher likelihood of ambulance-treated asthma attacks in high-rate high schools, middle schools and elementary schools, respectively, compared with other school zones.
A study in The American Journal of Clinical Nutrition has found a connection between the plasma fatty acid composition of children's blood and the risk of developing cardiometabolic disorders, including diabetes. The study noted a link between vegetable oil-based margarines and lower saturated and monounsaturated fatty acid content, as well as high polyunsaturated fatty acid content, in plasma fatty acid.
The rate of neonatal abstinence syndrome among infants in Ohio rose from 19 per 10,000 live births in 2005 to 159 in 2015, according to a report from the state health department. Data from the Ohio Department of Mental Health and Addiction Services showed a 158% increase in drug-dependent pregnant women in the state between 2004 and 2015.
Only 17 states require automated external defibrillators in schools as of February 2016, only one of which mandates AEDs in public and private grade schools and colleges, according to a study in Journal of the American College of Cardiology. The findings also showed that only five states provide funding for schools to purchase AEDs.
The CMS' goal of shifting a proportion of Medicare spending to alternative payment models is in question after the agency delayed expansion of a joint replacement program, writes Elizabeth Whitman. CMS officials are considering postponing all mandatory bundled-payment initiatives until 2018, and HHS Secretary Tom Price has said he opposes the mandatory initiatives.
When GOP leaders pulled the proposed American Health Care Act from the House floor Friday after falling short on votes, Speaker Paul Ryan, R-Wis., called the Affordable Care Act "the law of the land," and it appeared the administration would move on to other priorities. But Republicans speaking over the weekend said their efforts to reshape health care are not finished, and some advocated for a bipartisan approach.