Pediatric News RSS feed: Current Issue. To order this journal, and for more information, go to http://www.imng.com/ http://www.pediatricnews.com/?rss=yesElsevier Inc.en © 2010 Elsevier Inc. All rights reserved. Pediatric News0031-398X447July 2010 © 2010 Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.pediatricnews.com/article/PIIS0031398X10702885/abstract?rss=yesATLANTA — Children aged 6 months through 8 years who did not receive at least one dose of a 2009 H1N1 influenza monovalent vaccine during the 2009–2010 influenza season should receive two doses of a 2010–2011 seasonal influenza vaccine, which will include H1N1 coverage, according to a new recommendation from the Centers for Disease Control and Prevention.Flu Vaccine Recommendations For Young Children Are UpdatedSHARON WORCESTER10.1016/S0031-398X(10)70288-5Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2News11http://www.pediatricnews.com/article/PIIS0031398X10702897/abstract?rss=yesNEW YORK — The American Academy of Pediatrics is likely to drop its recommendation for lumbar puncture and culture in all children 6–18 months of age who present with a first, simple febrile seizure, according to the chair of the AAP committee considering the change.AAP to Drop Routine Lumbar Puncture in Infant Febrile SeizureDAN HURLEY10.1016/S0031-398X(10)70289-7Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2News11http://www.pediatricnews.com/article/PIIS0031398X10702903/abstract?rss=yesATLANTA — The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices voted to remove language from its meningococcal vaccine statement warning that a history of Guillain-Barré syndrome should be considered a “precaution” to administering meningococcal conjugate vaccines.GBS History Not an Issue in Meningococcal VaccinationSHARON WORCESTER10.1016/S0031-398X(10)70290-3Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2News22http://www.pediatricnews.com/article/PIIS0031398X10702915/abstract?rss=yesThe federal government has published regulations that will allow for temporary certification of electronic health records—the first step in helping physicians and other providers get the software and hardware required to be eligible for bonus payments under federal health programs.Feds Issue Rule on HIT Certification, Meaningful UseALICIA AULT10.1016/S0031-398X(10)70291-5Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2News22http://www.pediatricnews.com/article/PIIS0031398X10702927/abstract?rss=yesVital Signs: Enrollment in HSA/HDHPs as a Percentage of Total Private Insurance Enrollment10.1016/S0031-398X(10)70292-7Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2News22http://www.pediatricnews.com/article/PIIS0031398X10702939/abstract?rss=yesPresident Obama on June 25 signed into law a bill that replaces the 21% Medicare physician payment cut with a 2.2% pay raise for 6 months. The legislation (H.R. 3962) provides physicians with a 2.2% increase in their Medicare payments through Nov. 30. The change is retroactive to June 1, the date that the 21% cut officially went into effect. Officials at the Centers for Medicare and Medicaid Services held claims from June 1 to June 18 to give Congress time to reverse the cuts, but has been paying physicians at the lower rate since then.Medicare Pay Law Means 6-Month ReprieveMARY ELLEN SCHNEIDER10.1016/S0031-398X(10)70293-9Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2News45http://www.pediatricnews.com/article/PIIS0031398X10702940/abstract?rss=yesThe Federal Trade Commission has again postponed enforcement of the “Red Flags” rule, giving physicians until the end of 2010 before they must implement identity-theft prevention programs in their practices.‘Red Flags’ Rule Delayed To Late 2010MARY ELLEN SCHNEIDER10.1016/S0031-398X(10)70294-0Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2News55http://www.pediatricnews.com/article/PIIS0031398X10702952/abstract?rss=yes Major Finding: Children with Kawasaki disease who had persistence of only symptoms other than fever after initial IVIG treatment had 18-fold higher odds of developing coronary artery abnormalities relative to their symptom-free peers.Nonfever Symptoms After IVIG in KawasakiSUSAN LONDON10.1016/S0031-398X(10)70295-2Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2News66http://www.pediatricnews.com/article/PIIS0031398X10702964/abstract?rss=yes Major Finding: Seventy-seven percent of pediatricians and family physicians reported being very or somewhat willing to participate with public health organizations to set up community clinics where their patients could be vaccinated, and 76% reported being very or somewhat willing to refer certain patients to public clinics or pharmacies.Doctors Surveyed Would Collaborate on VaccinesROXANNA GUILFORD-BLAKE10.1016/S0031-398X(10)70296-4Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Infectious Diseases77http://www.pediatricnews.com/article/PIIS0031398X10702976/abstract?rss=yesATLANTA — The problem of how to reduce vaccine-related errors was raised during the lively question-and-answer session at the conference, which was sponsored by the Centers for Disease Control and Prevention.Training Stressed to Reduce Vaccine ErrorsROXANNA GUILFORD-BLAKE10.1016/S0031-398X(10)70297-6Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Infectious Diseases88http://www.pediatricnews.com/article/PIIS0031398X10702988/abstract?rss=yesVANCOUVER, B.C. — The inability of older adolescents to provide consent for vaccinations creates a barrier to vaccine delivery, research has shown. In a survey of 280 medical providers from 43 states, 95% said that 17-year-olds “sometimes” or “often” present without a parent. Ten percent reported that this is true for 12-year-olds.Teens Face Consent Barrier to Getting VaccinatedPATRICE WENDLING10.1016/S0031-398X(10)70298-8Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Infectious Diseases1010http://www.pediatricnews.com/article/PIIS0031398X1070299X/abstract?rss=yes Major Finding: Of the estimated 12,000 Florida children infected with hepatitis C, 14% have been diagnosed and 1% have been treated.Majority of Children With Hepatitis C May Be UndiagnosedMICHELE G. SULLIVAN10.1016/S0031-398X(10)70299-XPediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Infectious Diseases1010http://www.pediatricnews.com/article/PIIS0031398X10703003/abstract?rss=yes DR. JACKSON is chief of pediatric infectious diseases at Children's Mercy Hospital, Kansas City, Mo., and professor of pediatrics at the University of Missouri–Kansas City. Dr. Jackson said she had no relevant financial disclosures to make. E-mail her at pdnews@elsevier.com.Multidrug-Resistant Shigellosis OutbreaksMARY ANNE JACKSON10.1016/S0031-398X(10)70300-3Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2ID Consult1616http://www.pediatricnews.com/article/PIIS0031398X10703015/abstract?rss=yes Major Finding: Compared with parents whose adolescent daughters had not been vaccinated for HPV, parents with vaccinated daughters were more likely to believe that vaccines are safe (94% vs. 76%) and that the HPV vaccine prevents cervical cancer (91% vs. 50%).Perceived HPV Vaccine Safety, Efficacy May Drive UptakeSUSAN LONDON10.1016/S0031-398X(10)70301-5Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Infectious Diseases1616http://www.pediatricnews.com/article/PIIS0031398X10703027/abstract?rss=yesMONTREAL — Uptake of human papillomavirus vaccination is too slow, say some experts, while others still question whether enough is known about the risk-benefit ratio to deem the vaccine truly necessary.HPV Vaccine Acceptance Deemed Too LowKATE JOHNSON10.1016/S0031-398X(10)70302-7Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Infectious Diseases1717http://www.pediatricnews.com/article/PIIS0031398X10703039/abstract?rss=yes Major Finding: In the 7- to10-day postvaccination period, use of MMRV was associated with 4.3 additional febrile seizures per 10,000 doses, compared with separate administration of MMR and varicella vaccine.Combo MMRV Vaccine Tied to Higher Febrile Seizure RiskROXANNA GUILFORD-BLAKE10.1016/S0031-398X(10)70303-9Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Infectious Diseases1717http://www.pediatricnews.com/article/PIIS0031398X10703040/abstract?rss=yes DR. PRETLOW, board certified in pediatrics, lectures on overweight in children and teens and use of the Internet in medicine. He is founder and director of www.weigh2rock.com, an online weight loss system for teens and preteens. Contact Dr. Pretlow at director@weigh2rock.com or 206–448–4414. He has started a blog called Childhood Obesity News (http://childhoodobesitynews.com) for pediatricians, parents, teachers, counselors, and young people.Why Do Kids Overeat?ROBERT PRETLOW10.1016/S0031-398X(10)70304-0Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Commentary1818http://www.pediatricnews.com/article/PIIS0031398X10703052/abstract?rss=yesI agree with Dr. H. Garry Gardner that following the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices guidelines regarding postvaccination syncope is problematic (“Time, Lack of Space Are Barriers,” May 2010, p. 6). Both space and time are equally expensive parameters to adjust. Few of us can afford to build out another few hundred square feet for a recovery area. But there is a solution to the shortage of time.LettersWilliam G. Wilkoff, Mark Nupen, Amar Dave10.1016/S0031-398X(10)70305-2Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Opinion1818http://www.pediatricnews.com/article/PIIS0031398X10703064/abstract?rss=yes DR. WILKOFF practices general pediatrics in a multispecialty group practice in Brunswick, Maine. E-mail him at pdnews@elsevier.com. I've been a bit grumpy the last couple of weeks. We had to put down our 10-year-old electronic medical record system, and I am still working through the grieving process.A Thousand WordsWILLIAM G. WILKOFF10.1016/S0031-398X(10)70306-4Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Letters From Maine2323http://www.pediatricnews.com/article/PIIS0031398X10703076/abstract?rss=yesDR. FLEMING is with the department of obstetrics and gynecology at the University of Ottawa. She said she had no conflicts of interest to disclose. Ruptured ectopic pregnancy is the leading cause of morbidity and mortality during the first trimester. Death rates for adolescents are higher than those of adults, mostly due to delays in diagnosis and delays in accessing care.Is medical or surgical Tx preferred for ectopic pregnancy in teens?NATHALIE FLEMING, NANCY VAN EYK10.1016/S0031-398X(10)70307-6Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Point Counterpoint2424http://www.pediatricnews.com/article/PIIS0031398X10703088/abstract?rss=yes DR. EASTERN practices dermatology and dermatologic surgery in Belleville, N.J. E-mail him at pdnews@elsevier.com. It doesn't occur to most physicians that a supplier might be ripping them off, but if adequate purchase controls are not in place, then it's possible, and even likely.Office Supply ScamsJOSEPH S. EASTERN10.1016/S0031-398X(10)70308-8Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Perspective2424http://www.pediatricnews.com/article/PIIS0031398X1070309X/abstract?rss=yes Major Finding: At 12 months' follow-up, 22% of all smokers in the intervention group had abstained for the past 6 months, compared with 18% in the control group.School-Centered Outreach Helped Smokers QuitHILLEL KUTTLER10.1016/S0031-398X(10)70309-XPediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Behavioral Pediatrics2626http://www.pediatricnews.com/article/PIIS0031398X10703106/abstract?rss=yesSAN ANTONIO — Children with obstructive sleep apnea get worse grades in school than do their classmates without sleep-disordered breathing, a study shows. The study included 163 overweight youths aged 10–16 years, who were recruited from sleep or weight management clinics. Investigators rated 42 of them as having moderate to severe OSA based on an apnea-hypopnea index in excess of 5 events/hr. Another 58 had mild OSA, defined by an apnea-hypopnea index of 1–5 events/hr.Obstructive Sleep Apnea Linked to Lower GradesBRUCE JANCIN10.1016/S0031-398X(10)70310-6Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Behavioral Pediatrics2727http://www.pediatricnews.com/article/PIIS0031398X10703118/abstract?rss=yes Major Finding: Adolescents with type 1 diabetes and clinically significant symptoms of depression are more likely to have higher hemoglobin A1c values and to perform less-frequent blood glucose monitoring than nondepressed adolescents with diabetes.Depression May Impair Diabetes Tx ComplianceNEIL OSTERWEIL10.1016/S0031-398X(10)70311-8Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Behavioral Pediatrics2828http://www.pediatricnews.com/article/PIIS0031398X1070312X/abstract?rss=yes DR. HOWARD is assistant professor of pediatrics at The Johns Hopkins University, Baltimore, and creator of the Child Health & Development Interactive System, CHADIS (www.CHADIS.com). Dr. Howard's contribution to this publication was as a paid expert to Elsevier. E-mail her at pdnews@elsevier.com.Urge Parents to React Calmly to Sibling RivalryBARBARA J. HOWARD10.1016/S0031-398X(10)70312-XPediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Behavioral Consult2929http://www.pediatricnews.com/article/PIIS0031398X10703131/abstract?rss=yesORLANDO — Primary care is a “ripe and rich environment” for youth suicide screening, and a new computer-based tool shows promise for identification of patients at risk, Guy Diamond, Ph.D., said.Computerized Screening Assesses Suicide Risk: Teens can complete the Web-based screen in about 10 minutes before seeing their pediatrician.DAMIAN McNAMARA10.1016/S0031-398X(10)70313-1Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Behavioral Pediatrics3030http://www.pediatricnews.com/article/PIIS0031398X10703143/abstract?rss=yesORLANDO — A Web-based toolkit provides guidance and information for primary care physicians in the screening, management, and referral of patients at risk of suicide. The overall aim of using the kit is to optimize interactions between physicians and at-risk patients. It includes advice on when and how to question patients about their risks, how to refer them to mental health specialists, and finding community resources.Suicide Prevention Tool Geared to Primary Care PhysiciansDAMIAN McNAMARA10.1016/S0031-398X(10)70314-3Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Behavioral Pediatrics3030http://www.pediatricnews.com/article/PIIS0031398X10703155/abstract?rss=yes Major Finding: Of 1,179 children and teens, 10.4% had symptoms consistent with significant depression and were about 21 times more likely to report suicidal ideation than were nondepressed peers.Adult Support Staves Off Suicidal IdeationDAMIAN McNAMARA10.1016/S0031-398X(10)70315-5Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Behavioral Pediatrics3131http://www.pediatricnews.com/article/PIIS0031398X10703167/abstract?rss=yes Major Finding: Adolescents who report drinking alcohol before age 13 are at increased risk for suicide ideation/attempt (adjusted OR, 2.40).Young Alcohol Initiation Tied to Risk of SuicideDAMIAN McNAMARA10.1016/S0031-398X(10)70316-7Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Behavioral Pediatrics3232http://www.pediatricnews.com/article/PIIS0031398X10703179/abstract?rss=yesLOS ANGELES — Children experience persistent anxiety, behavior changes, and posttraumatic stress disorder symptoms following severe illnesses or injuries that require treatment in pediatric intensive care units.PICU Stays Often Result in Psychological SequelaeBETSY BATES10.1016/S0031-398X(10)70317-9Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Behavioral Pediatrics3435http://www.pediatricnews.com/article/PIIS0031398X10703180/abstract?rss=yes Major Findings. Those with a diagnosable psychiatric disorder in preschool had a 3.5-fold increased likelihood of being diagnosed with the same disorder and/or another during the early school years, when they were 6- to 9-years-old.Study: Preschoolers' Psychiatric Pathology PersistsBETSY BATES10.1016/S0031-398X(10)70318-0Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Behavioral Pediatrics3636http://www.pediatricnews.com/article/PIIS0031398X10703192/abstract?rss=yes Major Finding: Children with asthma who underwent adenotonsillectomies required significantly less asthma medication and had fewer hospitalizations, compared with presurgical utilization.Adenotonsillectomy Improved Asthma SymptomsHEIDI SPLETE10.1016/S0031-398X(10)70319-2Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds3737http://www.pediatricnews.com/article/PIIS0031398X10703209/abstract?rss=yesMIAMI — Food allergies in children appear to beincreasing in prevalence, can be diagnosed based on history and testing, and are often best managed using a multidisciplinary approach and careful follow-up, Dr. Vivian Hernandez-Trujillo said.Food Allergies: Diagnose by History, Testing, Expert SaysDAMIAN McNAMARA10.1016/S0031-398X(10)70320-9Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds3737http://www.pediatricnews.com/article/PIIS0031398X10703210/abstract?rss=yes DR. HIRSCH is chief of the section of child and adolescent psychiatry at the University of Chicago. She has no relevant financial disclosures. E-mail her at pdnews@elsevier.com.The Child or Adolescent With AnxietySHARON L. HIRSCH10.1016/S0031-398X(10)70321-0Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Subspecialist Consult3838http://www.pediatricnews.com/article/PIIS0031398X10703222/abstract?rss=yesFor 11- and 12-year-olds who play ice hockey, playing in a league that allows body checking triples the risk of all injuries, concussion, severe injuries, and severe concussion, according to a report in JAMA.Allowing Body Checks Tripled Ice Hockey Injuries in KidsMARY ANN MOON10.1016/S0031-398X(10)70322-2Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds3838http://www.pediatricnews.com/article/PIIS0031398X10703234/abstract?rss=yes Major Finding: With each additional hour of fasting, levels of total and HDL cholesterol remained the same, levels of LDL cholesterol increased by 0.46 mg/dL, and levels of triglycerides decreased by 0.86 mg/dL.Fasting May Not Be Needed Before Lipid ScreenSUSAN LONDON10.1016/S0031-398X(10)70323-4Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds4040http://www.pediatricnews.com/article/PIIS0031398X10703246/abstract?rss=yesMADRID — Sunscreens alone are not sufficient to prevent the development of melanocytic nevi in children, with a consequent increased risk for melanoma later in life, results of numerous studies showed.Sunscreens Alone Fail to Prevent Melanocytic NeviBRUCE JANCIN10.1016/S0031-398X(10)70324-6Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds4040http://www.pediatricnews.com/article/PIIS0031398X10703258/abstract?rss=yesSEATTLE — The key to evaluating head deformities in children is distinguishing positional plagiocephaly—usually a condition that responds well to conservative treatment—from craniosynostosis, an early skull-suture fusion that requires surgical intervention, according to Dr. Michael Cunningham, medical director of the craniofacial center at Seattle Children's Hospital.Distinguishing Head Deformities Key, Expert SaysM. ALEXANDER OTTO10.1016/S0031-398X(10)70325-8Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds4141http://www.pediatricnews.com/article/PIIS0031398X1070326X/abstract?rss=yesSEATTLE — With the use of clonidine on the rise, there's been an uptick in cases of pediatric clonidine poisoning, which mimics opioid poisoning, according to Dr. Suzan Mazor, a toxicologist and pediatrician at Seattle Children's Hospital.Cases of Pediatric Clonidine Poisoning on the UpswingM. ALEXANDER OTTO10.1016/S0031-398X(10)70326-XPediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds4141http://www.pediatricnews.com/article/PIIS0031398X10703271/abstract?rss=yes Major Finding: Ninety percent of respondents reported switching a pediatric patient from one growth hormone brand to another, with 50% experiencing repeated switches.Growth Hormone Brand Switches Raise ConcernPATRICE WENDLING10.1016/S0031-398X(10)70327-1Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds4343http://www.pediatricnews.com/article/PIIS0031398X10703283/abstract?rss=yesSEATTLE — Proton-pump inhibitors are often the wrong choice when it comes to treating abdominal pain in children, according to Dr. Ghassan Wahbeh. Dr. Wahbeh, director of the inflammatory bowel disease program at Seattle Children's Hospital, sees many children referred to him with gastrointestinal complaints who are on proton-pump inhibitors (PPIs) when they are not indicated. He suspects the drugs are overused.Functional Constipation Is UnderrecognizedM. ALEXANDER OTTO10.1016/S0031-398X(10)70328-3Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds4445http://www.pediatricnews.com/article/PIIS0031398X10703295/abstract?rss=yesThe Ages & Stages Questionnaires, Third Edition (ASQ-3), will be available online on Child Health and Development Interactive System (CHADIS) at no additional cost to its core sales package.ASQ-3 Available on CHADIS10.1016/S0031-398X(10)70329-5Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds4545http://www.pediatricnews.com/article/PIIS0031398X10703301/abstract?rss=yes Major Finding: Nonalcoholic fatty liver disease in obese children, adolescents, and young adults was twice as high among males as females, with 27% vs. 13% having ALT levels above 40 IU/L. The NAFLD prevalence increased with age in males but decreased with age in females.Study Finds NAFLD in 19% of Obese YouthMIRIAM E. TUCKER10.1016/S0031-398X(10)70330-1Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds4646http://www.pediatricnews.com/article/PIIS0031398X10703313/abstract?rss=yesLAS VEGAS — In cases of suspected child sexual abuse, parents, police, and attorneys tend to assume that any physician—particularly any pediatrician or gynecologist—should be able to determine whether abuse has occurred.Tips for Conducting a Child Sexual Abuse ExamROBERT FINN10.1016/S0031-398X(10)70331-3Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds4747http://www.pediatricnews.com/article/PIIS0031398X10703325/abstract?rss=yes Major Finding: Overweight and obese teenage girls were 60%–260% more likely than their normal-weight peers to have sex before age 13, 30% more likely to have more than three sexual partners, 18%–19% less likely to use condoms, and 33%–39% less likely to use contraception.Overweight Teens More Prone to Risky Sexual BehaviorsSHERRY BOSCHERT10.1016/S0031-398X(10)70332-5Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Clinical Rounds4747http://www.pediatricnews.com/article/PIIS0031398X10703337/abstract?rss=yes Major Finding: After the intervention, the residents showed significant improvements on 16 of 18 areas.Resuscitation Techniques ImprovedHEIDI SPLETE10.1016/S0031-398X(10)70333-7Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Practice Trends4848http://www.pediatricnews.com/article/PIIS0031398X10703349/abstract?rss=yes Major Finding: Most of the children seen (53%) had public insurance, 43% had private insurance, and the rest were uninsured.When Times Are Tough, Parents May Use The ED Instead of the Pediatrician's OfficeMICHELE G. SULLIVAN10.1016/S0031-398X(10)70334-9Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Practice Trends4849http://www.pediatricnews.com/article/PIIS0031398X10703350/abstract?rss=yesOne of the first provisions of the Patient Protection and Affordable Care Act to take effect is the $250 rebate for Medicare beneficiaries who fall into the Part D doughnut hole. The first rebate checks were mailed on June 10. The rebates are the first step in a multiyear effort to trim drug costs for seniors and other Medicare beneficiaries.Closing the Doughnut Hole10.1016/S0031-398X(10)70335-0Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Implementing Health Reform5151http://www.pediatricnews.com/article/PIIS0031398X10703362/abstract?rss=yesFor the second time in a year, Kellogg Company has agreed to drop a questionable health claim from one of its cereals. In an expanded settlement with the Federal Trade Commission, Kellogg agreed to stop using statements on Rice Krispies that the product “now helps support your child's immunity” and “has been improved to include antioxidants and nutrients that your family needs to help them stay healthy.” In the original settlement last year, the company stopped claiming that Frosted Mini-Wheats cereal was “clinically shown to improve kids' attentiveness by nearly 20%” and agreed it would refrain from cognitive health claims about its breakfast or snack products. The expanded settlement now prohibits Kellogg from making claims about any health benefit of any food unless those claims are backed by scientific evidence.Policy & Practice: Want more health reform news? Subscribe to our podcast – search ‘Policy & Practice’ in the iTunes storeJane Anderson10.1016/S0031-398X(10)70336-2Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Practice Trends5151http://www.pediatricnews.com/article/PIIS0031398X10703374/abstract?rss=yesLooking to buy or implement an electronic health record in your practice? Help is on the way. The Department of Health and Human Services has awarded more than $640 million in grants to set up regional extension centers around the country, with the goal of helping physicians and hospitals achieve “meaningful use” of electronic health record (EHR) technology. At press time, several centers were preparing to enroll physicians.HHS Funds Centers to Spur Adoption of EHRs: Small, primary care practices are being targeted, in part because they reach a large number of patients.MARY ELLEN SCHNEIDER10.1016/S0031-398X(10)70337-4Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Practice Trends5353http://www.pediatricnews.com/article/PIIS0031398X10703386/abstract?rss=yesPresident Obama announced the recess appointment of Dr. Donald Berwick to be the administrator of the Centers for Medicare and Medicaid Services, bypassing what looked like a lengthy fight to have the nominee confirmed by the Senate.Recess Appointment Makes Pediatrician CMS ChiefALICIA AULT10.1016/S0031-398X(10)70338-6Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Practice Trends5353http://www.pediatricnews.com/article/PIIS0031398X10703398/abstract?rss=yes Dr. Beers is an assistant professor of pediatrics at Children's National Medical Center in Washington. She also is a member of the American Academy of Pediatrics Committee on Residency Scholarships. Dr. Beers had no conflicts of interest to disclose. E-mail Dr. Beers at pdnews@elsevier.com.Women in PediatricsLEE SAVIO BEERS10.1016/S0031-398X(10)70339-8Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2On the Learning Curve5454http://www.pediatricnews.com/article/PIIS0031398X10703404/abstract?rss=yesThe number of uninsured Americans rose last year, with 21% of all adults aged 18–64 years reporting that they were uninsured at the time that they were interviewed for the National Health Interview Survey, federal officials reported.Uninsured Rate Climbs, Reflecting 10-Year TrendALICIA AULT10.1016/S0031-398X(10)70340-4Pediatric News 44, 7 (2010)2010-07-01Pediatric News2010-07-01447S0031-398X(10)X7007-2Practice Trends5555