ADHD symptoms in some children may be tied to rare tumors, study finds | Childhood obesity tied to prenatal BPA exposure, study finds | Review of maternal hemorrhage deaths finds cases where plasma was needed
May 20, 2016
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ADHD symptoms in some children may be tied to rare tumors, study finds
NIH researchers found that 21% of children with rare pheochromocytoma and paraganglioma tumors in their adrenal glands had attention-deficit/hyperactivity disorder before tumor identification, compared with a general population rate of 7.2%. The findings in Hormone and Metabolic Research, based on 2006 to 2014 data involving 43 pediatric patients, showed one-third of the children with ADHD who had their tumors removed no longer displayed ADHD symptoms after surgery.
LiveScience.com (5/17),  eMPR.com (5/17) 
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Nursing, Health & Medical Science
Childhood obesity tied to prenatal BPA exposure, study finds
Children with prenatal exposure to bisphenol A were more likely to have increased measures of obesity, including percent body fat, fat mass index and waist circumference, at age 7, according to a study in Environmental Health Perspectives. Researchers used a cohort of 1,301 children, whose urine samples were measured in the prenatal period and at ages 3 and 5.
Healio (free registration)/Endocrine Today (5/18) 
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Review of maternal hemorrhage deaths finds cases where plasma was needed
Researchers reviewed data on 46 pregnancy-related deaths due to hemorrhage from 1998 to 2011 in Michigan and found that only three of the women received the widely accepted one-to-one ratio of fresh frozen plasma to packed red blood cells. In 17 of the 23 bleeding deaths that were deemed preventable, the women received no fresh frozen plasma.
Family Practice News (5/16) 
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Study: Father's lifestyle affects offspring's epigenetic programming
A child's gene expression is influenced by his or her father's lifestyle and age at conception, and future generations may be affected as well, a study published in the American Journal of Stem Cells suggests. The father's age, weight, diet, stress levels and alcohol use affect the child's behavioral traits as well as risks for obesity and certain diseases, the researchers found. More studies are needed to understand the interplay between maternal and paternal influences on children's epigenetics, senior investigator Joanna Kitlinska said.
Genetic Engineering & Biotechnology News (5/16) 
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Better lung function found in sickle cell patients receiving hydroxyurea
A lower-than-expected rate of decline in pulmonary function was found after initiation of hydroxyurea treatment among 94 children and young adults with sickle cell disease, according to a 94-patient study presented at a meeting of the American Thoracic Society. The findings may be useful in promoting adherence, said Anya McLaren of the Hospital for Sick Children in Toronto.
HealthDay News (5/18),  Healio (free registration)/HemOnc Today (5/18) 
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How to do more with less? Reconfigure cost structures.
Risk-based contracting and population health management require new investments in technology and services. To fund them, healthcare organizations large and small are reconfiguring cost structures in labor, clinical operations, and more. Learn how. Download the report from HFMA, the Healthcare Financial Management Association.
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Trends & Technologies
Study compares virtual health platform, telemedicine use in health care delivery
A study in JAMA Internal Medicine showed that patients who used Zipnosis' virtual care platform for treatment of acute sinusitis received guideline-adherent care in 95.4% of cases, compared with those who used live video- and phone-based telemedicine, with adherence to national best practice guidelines for care ranging from 34.4% to 66.1%. Researchers evaluated 1,760 virtual care encounters and found an association between adherence to national best practice guidelines and higher-quality care with fewer medical errors.
HIT Consultant (5/16) 
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Patient care is shifting from fee-for-service to a value-based model.
By 2018, 50% of healthcare payments will be based on healthy outcomes rather than services provided. Those navigating the transition need to consider the different viewpoints of payers, providers as well as today's empowered consumer.
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Work-Life Balance
Why job seekers should explain career breaks taken to raise children
Mothers who take time off from their careers to raise children may have a hard time getting hired when they re-enter the workforce. Experts say it may be best for job seekers to address the reasons for this type of resume gap rather than ignoring the issue.
The New York Times (free-article access for SmartBrief readers) (5/19) 
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From the Patient's View
Washington, D.C., health system notifies patients about data breach
Children's National Health System, in Washington, D.C., has issued notifications to the families of up to 4,107 patients regarding a data breach after Ascend Healthcare Systems, a former vendor, accidentally placed medical transcription files on the Internet. The incident, which may have compromised patient names, birth dates, physician notes on diagnoses and treatments, and medications, was added to Breach Check, a federal reporting database.
American City Business Journals/Washington, D.C. (5/19) 
Legislative Policy & Regulatory News
States mull rules for storing, using newborns' blood samples
Hospitals routinely draw blood from newborn babies to screen them for serious inherited diseases, and in many cases those samples are retained or used for research, which has prompted a series of lawsuits. Privacy advocates warn that testing of the samples could lead to privacy breaches, discrimination or government intrusion, but such fears are not justified, says Natasha Bonhomme, vice president of strategic development at the Genetic Alliance. Indiana sought to address the issue by requesting parental permission to store blood samples and to use them for medical research.
Bioscience Technology online/The Associated Press (5/16) 
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ANA News
Just released! Genetics/Genomics Nursing: Scope and Standards of Practice, 2nd Edition
Genetics/genomics nursing uses a number of theories for assessing, diagnosing, planning, implementing, and evaluating care that is responsive to the essential attributes of genetics/genomics nursing practice. Such theories are derived from nursing, genetic/genomic, biological, behavioral, social and medical sciences, as well as other fields. Learn more.
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