Racial disparities found in rising pediatric autism prevalence | Maternal quinolone exposure ups odds of pediatric resistant infections | Medium dosing of methylphenidate is best for youths with ADHD
September 13, 2019
Pediatrics Today SmartBrief
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Racial disparities found in rising pediatric autism prevalence
The rate of Hispanic and black youths born from 2007 to 2013 who were diagnosed with autism at ages 3 to 5 rose by 73% and 44%, respectively, compared with a 25% increase among white youths, according to a study in the Journal of Autism and Developmental Disorders. Researchers said that a difference in risk factors or another factor, not improved autism awareness and detection, is likely behind the racial differences in pediatric autism rates.
HealthDay News (9/12) 
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Maternal quinolone exposure ups odds of pediatric resistant infections
A study in Clinical Infectious Diseases showed that children and teens whose mothers were given quinolone antimicrobial therapy were about 50% more likely to develop quinolone-resistant bacteriuria, compared with those whose mothers didn't receive quinolones. The findings, based on data involving 40,204 youths ages 6 months to 17 years, also showed a higher likelihood of quinolone-resistant bacteriuria among those younger than 12 compared with older youths.
Healio (free registration)/Infectious Diseases in Children (9/12) 
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Free CE: Use of NHANES data in pediatric undernutrition
Hear a summary of the AND/ASPEN consensus statement on pediatric malnutrition; learn about NHANES survey methodology and recent malnutrition data analysis; and more. [FREE: 1.0 RN CE/RD CPEU]
Pediatric Health Care
Medium dosing of methylphenidate is best for youths with ADHD
Children with attention-deficit/hyperactivity disorder who received any dose of methylphenidate had significantly improved inhibitory control, compared with those who were given placebo, but the greatest standardized mean difference over placebo was found with medium methylphenidate dosing, according to a Dutch study presented at the European College of Neuropsychopharmacology Congress. The findings were based on a meta-analysis of 18 studies involving more than 600 youths with ADHD.
Medscape (free registration) (9/12) 
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Worse lifestyle habits found in children exposed to gestational diabetes
Researchers found that youths born to mothers with gestational diabetes had lower fruit consumption and moderate-to-vigorous physical activity, but similar sleep, screen time and sedentary time, compared with those whose mothers didn't have gestational diabetes. The findings in the journal Diabetes & Metabolic Syndrome: Clinical Research & Reviews also showed that a healthy lifestyle, or adherence to three to four lifestyle recommendations, correlated with reduced android fat mass and fat mass percentages among those with gestational diabetes exposure.
Endocrinology Advisor (9/12) 
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Air pollution tied to risk of 2nd pregnancy preterm birth
Women who had increased exposure to carbon monoxide and ozone during their second pregnancy had 51% and 48% increased odds of having infants born preterm, respectively, researchers reported in the Journal of Environmental Research and Public Health. The findings also associated elevated nitrogen dioxide and sulfur dioxide exposure during second pregnancy to a 45% and 41% higher likelihood of preterm birth, respectively.
United Press International (9/12) 
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Study: Fish oil has little impact on preterm delivery rates
An Australian study of 5,486 pregnant women published in The New England Journal of Medicine found virtually identical rates of preterm delivery among those who took fish oil capsules and those who took vegetable oil capsules. Past studies found those who ate more fish had lower rates of preterm delivery.
Reuters (9/11) 
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Trends & Technology
CMIO says to focus on health care providers when customizing EHRs
Health systems customizing EHRs should focus on health care provider operations and clinical decision support tools, says Kshitij Saxena, MD, chief medical informatics officer at Marshfield Clinic Health System in Wisconsin. Marshfield is revising its medical and surgical order set in inpatient and outpatient EHRs with an evidence-based vendor product.
Becker's Health IT & CIO Report (9/12) 
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Health Policy & Regulations
Administration may switch focus from ACA replacement to court ruling
The Trump administration may be abandoning efforts to develop a replacement for the Affordable Care Act to focus instead on the potential fallout should a federal judge next month rule the law is unconstitutional, according to a White House staffer, congressional aides and activists. The White House said it has not stopped work on a plan to replace the ACA, but conservative groups said they have not been provided information on any potential overhaul.
The Washington Post (tiered subscription model) (9/12) 
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Mepolizumab gains FDA nod for pediatric severe eosinophilic asthma
An expanded indication for GlaxoSmithKline's Nucala, or mepolizumab, gained the FDA's approval as a treatment for pediatric patients with severe eosinophilic asthma between the ages of 6 to 11. The subcutaneous injection received FDA approval in 2015 as a supplementary maintenance therapy for patients with severe asthma aged 12 years or older.
Medscape (free registration) (9/12) 
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Are student-parents informed about child care aid?
A report from the US Government Accountability Office finds colleges and universities are not providing enough information to students with children about federal financial assistance available for child care. Congress approved funding for student-parent child care services last year, but the GAO report found that two-thirds of colleges do not mention the program in information given to students.
National Public Radio (9/12) 
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Ditch the dream and be a doer, not a dreamer.
Shonda Rhimes,
television producer, writer
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