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September 2019 Briefing – Pediatrics

Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for September 2019. This roundup includes the latest...
The U.S. Preventive Services Task Force (USPSTF) finds that the current evidence is insufficient to recommend primary care-based interventions to prevent illicit drug use in children

USPSTF Finds Evidence Lacking to Prevent Illicit Drug Use in Youth

Evidence insufficient to recommend primary care interventions to prevent, cut drug use in youth
Childhood secondhand smoke exposure predicts an increased risk for adulthood atrial fibrillation after adjusting for other risk factors

Childhood Secondhand Smoke Tied to Later Atrial Fibrillation

Each pack/day increase in parental smoking ups offspring risk by 18 percent
Sports specialization is associated with a greater volume of vigorous sports activity and increased risk of injury

Sports Specialization Ups Injury Risk, Especially in Girls

Volume of vigorous activity is a strong predictor of injuries for both boys and girls
In contrast to findings in black adolescents and adults

Step-Up Strategy May Differ in Black Children With Asthma

Poorly controlled asthma in black children may respond to increased dose of inhaled glucocorticoid
Young female athletes take longer than young male athletes to recover from sports-related concussion

Girls Take Longer to Recover From Concussion Than Boys

Sex difference in concussion recovery may be explained by delay in seeking specialty care
Polysomnographic resolution of obstructive sleep apnea (OSA) and changes in polysomnographic severity of OSA in children account for a small but significant proportion of changes in symptoms and disease-specific quality of life

Polysomnographic Thresholds of Limited Use in Pediatric OSA

Polysomnographic resolution accounted for small proportion of change in symptoms, quality of life
Female physicians remain underrepresented in adult cardiology

Women, Minorities Underrepresented in Cardiology Workforce

Women making gains in pediatric cardiology, but number of minorities remain low in adult, pediatric practice
Pediatricians have a role to play in encouraging children and adolescents to reduce sugary drink consumption

Pediatricians Can Play Role in Cutting Sugary Drink Intake

Policy recommendations include approaches to increase drink price, reduction of marketing to children
The rate of off-label ordering of systemic drugs has increased for children

Off-Label Ordering of Systemic Drugs Up for Children

Over time, off-label orders have increased for antihistamines, several psychotropics