Study links rapid weight gain in youths to later hypertension | Infant GERD is tied to severe bronchiolitis, wheezing at 2 years | Maternal migraines may increase risk of colic in babies
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April 27, 2012
AAP SmartBrief
News for pediatricians and other child health professionals

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Study links rapid weight gain in youths to later hypertension
An Australian study of children from birth to age 14 showed that the top 32% with the most rapid weight gain had high blood pressure, and it was detectable as early as age 3. Reducing childhood obesity and early fat gain could curb levels of metabolic conditions, such as diabetes and hypertension, the lead researcher said. The findings were presented at the European Society of Hypertension conference. United Press International (4/26)
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Infant GERD is tied to severe bronchiolitis, wheezing at 2 years
Babies with pre-existing gastroesophageal reflux disease were more likely to suffer from severe bronchiolitis and recurrent wheezing at age 2 than those without GERD, a study showed. Researchers found no difference in asthma diagnosis at age 2 years. The findings were presented at an American Academy of Allergy, Asthma and Immunology meeting. Family Practice News (4/26)
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Pediatric Health Care
Maternal migraines may increase risk of colic in babies
An estimated 29% of mothers who reported migraine headaches had colicky babies compared with 11% of mothers without migraines, according to a study presented at an American Academy of Neurology meeting. Researchers found no evidence linking paternal migraines to babies with colic but said the study may not have included enough fathers. The findings suggest that colic may be an early sign of migraines, the researchers said. (4/26)
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Survey looks at sports-related injuries in children
One in three U.S. children suffers injuries requiring medical attention while playing team sports, according to a Safe Kids survey. Health groups recommend children refrain from a particular sport for two to three months each year to prevent overuse, overtraining and burnout, but the survey revealed that most parents underestimate how long their children should refrain from playing a sport to prevent these problems. HealthDay News (4/26)
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For more:
Visit the AAP website for information on injury prevention.
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Laparoscopic surgery prevents recurrence of teen endometriosis
Teens who underwent complete laparoscopic excision of all areas of abnormal peritoneum for endometriosis reported fewer pain symptoms and improved quality of life, a study showed. Researchers also observed a zero recurrence rate of endometriosis. The findings were presented at an Endometriosis Foundation of America meeting. Family Practice News (4/26)
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Antiretroviral drugs during breast-feeding cut HIV transmission
The cumulative risk of HIV-1 mother-to-infant transmission at 48 weeks was significantly lower among breast-feeding HIV-positive mothers who received antiretroviral drugs or whose infants received antiretroviral drugs, CDC researchers wrote in the journal The Lancet. The trial in Malawi also found a greater risk of diarrhea, delayed growth, malaria, tuberculosis and death in infants after weaning by 28 weeks. News (4/26)
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Trends & Technology
Discrepancy exists in doctors' intention, readiness to meet MU
There is a disparity between the intentions of doctors to receive meaningful use payments and their preparedness to achieve even two-thirds of the key requirements, according to the authors of a study in Health Affairs. The study, which included a survey of 3,996 doctors in 2011 and was conducted by a team of researchers led by Chun-Ju Hsiao, indicated that 91% of doctors nationwide believed they qualify for Medicare or Medicaid incentives, while only 10% aimed to apply for the MU initiative. Healthcare IT News (4/25)
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Studies find small providers continue to lag in EHR use
A pair of studies in Health Affairs indicated small, rural hospitals and physician practices still fall behind large, urban facilities in implementing EHRs. The researchers recommended the federal government continue to provide incentives and assistance to smaller practices and step up efforts to help slow adopters deploy EHRs. Modern Healthcare (subscription required) (4/25)
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Health Policy & Regulations
CMS proposes payment rules for readmissions, quality programs
A CMS proposed rule would pay acute care hospitals 2.3% more for treating Medicare patients if inpatient quality reporting programs are in place. The agency also proposed a calculation for penalties assessed to hospitals with high 30-day readmission rates. And CMS said it wants to add surgical site infections from cardiac implantable electronic device and iatrogenic pneumothorax with venous catheterization as conditions subject to hospital-acquired condition payment provisions for 2013. HealthLeaders Media (4/25)
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Virginia governor signs emergency epinephrine bill
All public schools in Virginia will be required to provide epinephrine auto-injectors and have trained personnel to administer them to children with serious allergic reaction, according to a bill signed into law Thursday by Gov. Bob McDonnell. The bill was prompted by the death of 7-year-old Amarria Johnson after she suffered a severe allergic reaction while at school. WTVR-TV (Richmond, Va.) (4/26)
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Featured Content
The Last Word - News from the AAP
Thank you for participating in National Infant Immunization Week
As National Infant Immunization Week and World Immunization Week wraps up, the AAP encourages health care providers to continue discussions with parents about the life-saving importance of vaccines. Health care providers are parents’ most trusted source of information about immunizations for their children, and they play a critical role in supporting parents in understanding and choosing vaccinations. Visit the AAP website for vaccine resources for parents and providers.
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Resources on foster care
The AAP is promoting the availability of a flyer promoting foster care. It includes information about the AAP Healthy Foster Care America program, as well as a tool on the flip side that can be copied and used immediately.
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Ideas are like rabbits. You get a couple and learn how to handle them, and pretty soon you have a dozen."
-- John Steinbeck,
American writer
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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.
External Resources are not a part of the website. AAP is not responsible for the content of sites that are external to the AAP. Linking to a website does not constitute an endorsement by AAP of the sponsors of the site or the information presented on the site.
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