White youths show increased type 1 diabetes rate | NYC physician tests positive for Ebola | Mother's gestational diabetes may lead to daughter's obesity
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October 24, 2014
AAP SmartBrief
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White youths show increased type 1 diabetes rate
A study in the journal Diabetes found the rate of type 1 diabetes among non-Hispanic white youths grew from 24.4 cases per 100,000 in 2002 to 27.4 cases per 100,000 in 2009. Researchers noted significant increases in type 1 diabetes rates in patients ages 5 to 19, but not in those 4 and younger. DailyRx.com (10/23)
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NYC physician tests positive for Ebola
A New York City physician who worked with Doctors Without Borders in Guinea tested positive for Ebola virus on Thursday, marking the city's first known case. Dr. Craig Spencer developed a fever Thursday, six days after he returned from West Africa and 11 days after he stopped caring for Ebola patients. Officials have quarantined several people he had close contact with and continue to assess risk. Reuters (10/24), The New York Times (tiered subscription model) (10/24)
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Pediatric Health Care
Mother's gestational diabetes may lead to daughter's obesity
Girls whose mothers developed gestational diabetes during pregnancy were more than three times as likely to become obese in childhood compared with those who had healthier mothers, a study says. Data also showed that girls whose mothers suffered excess prepregnancy weight and eventual gestational diabetes had more than fivefold increased odds of obesity. The findings appear in Diabetes Care. HealthDay News (10/23)
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Analysis shows varying C-section rates across U.S. hospitals
Approximately 33% of births in more than 1,300 hospitals in 2011 were via cesarean section, according to an analysis published in the journal PLOS Medicine. C-section rates varied between hospitals, ranging between 19% and 48%. This variation was not triggered by differences in maternal diagnoses or pregnancy complexity, researchers said. HealthDay News (10/23)
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Daylight savings linked to greater activity levels in youths
Adjusting clocks forward by an hour for the whole year would give children and teens more time to do moderate to vigorous physical activity each day, U.K. researchers wrote in the International Journal of Behavioural Nutrition and Physical Activity. The study showed that daily levels of exercise were 15% to 20% greater during summer than in winter. BBC (10/23)
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Many Halloween costumes are tainted with toxic chemicals
An Ecology Center report published on healthystuff.org found elevated levels of toxic chemicals such as lead and flame retardants on many popular Halloween costumes and decorations for children. These chemicals have been associated with health hazards such as birth abnormalities, asthma and cancer. The Hill (10/23)
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Trends & Technology
AHRQ expands quality toolkit for hospitals
An updated version of the Agency for Healthcare Research and Quality's resource Quality Indicators Toolkit for Hospitals includes best practices for six additional patient safety and quality metrics. BeckersHospitalReview.com (10/23)
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Exome sequencing may help detect genetic disorders in children
Exome sequencing, a test designed to detect a single mutation out of an individual's 20,000 genes, helped diagnose a boy with a rare genetic abnormality called Pitt-Hopkins syndrome, a U.S. study showed. The findings, published in the Journal of the American Medical Association, support the need for routine use of such genetic scans to improve diagnosis of rare disorders, researchers said. HealthDay News (10/23)
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Health Policy & Regulations
HHS announces $840M in funding to modernize doctors' offices
A total of $840 million in funding will be allotted for helping individual medical practices shift from volume-based care to value-based care, HHS officials said Thursday. The Transforming Clinical Practice program aims to improve the use of electronic health records and coordination of patient care among providers. The Hill (10/23)
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CBO: Added funding for Medicare, Medicaid anti-fraud efforts beneficial
A report from the Congressional Budget Office showed that additional funding for anti-fraud efforts by Medicare, Medicaid and the Children's Health Insurance Program would be beneficial and even generate savings that would offset the added cost. The CBO said expenditures on fraud prevention efforts have been "limited" and added up to approximately $1.4 billion in the 2014 fiscal year. Government Executive (10/22)
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The Last Word - News from the AAP
AAP Quality Connections fall newsletter now available
The fall 2014 issue of AAP Quality Connections is now available. AAP Quality Connections is a newsletter of the Council on Quality Improvement and Patient Safety (COQIPS) that communicates timely information and increases awareness of the importance of quality improvement. The newsletter also provides updates on current AAP quality improvement programs and projects. Learn more.
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Parent handouts on childhood nutrition
The AAP, in partnership with the National Dairy Council, has developed handouts about children's nutrition. The program, "Airplane Choo Choo," offers a series of colorful, easy-to-read handouts that are broken down by age. Each handout offers information on portion sizes and feeding tips. To view these, visit the NDC website.
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Happiness is like a butterfly: the more you chase it, the more it will elude you, but if you turn your attention to other things, it will come and sit softly on your shoulder."
-- Henry David Thoreau,
American writer and naturalist
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This news roundup is provided as a timely update to AAP members and other health professionals about child health topics in the media. Links to articles are provided for the convenience of pediatricians who may find them of use in discussions with patients or colleagues.
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