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This Month in Archives of Pediatrics & Adolescent Medicine |

This Month in Archives of Pediatrics and Adolescent Medicine FREE

Arch Pediatr Adolesc Med. 2012;166(4):301-302. doi:10.1001/archpediatrics.2011.524.
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ACADEMIC MEDICAL CENTERS AND EQUITY IN SPECIALTY CARE ACCESS FOR CHILDREN

Bisgaier et alArticle found that while affiliation with academic medical centers in Cook County, Illinois, was associated with fewer discriminatory denials of children covered by Medicaid–Children's Health Insurance Program, these children had significantly longer wait times compared with privately insured children.

THE IMPACT OF STATE LAWS AND DISTRICT POLICIES ON PHYSICAL EDUCATION AND RECESS PRACTICES IN A NATIONALLY REPRESENTATIVE SAMPLE OF US PUBLIC ELEMENTARY SCHOOLS

This national study by Slater et alArticle found that state and school district policies mandating the amount of physical education per week and encouraging daily recess were approximately twice as likely to have these activities. However, it appeared that schools may substitute recess for physical education time rather than increasing it overall.

PARENTAL RECALL OF DOCTOR COMMUNICATION OF WEIGHT STATUS: NATIONAL TRENDS FROM 1999 THROUGH 2008

Less than one-quarter of parents of overweight children recalled having been told by their doctor that their child was overweight, Perrin et alArticle found. This was especially true for younger children, the group that is perhaps easiest with which to intervene.

MEDICAL HOME ACCESS AND HEALTH CARE USE AND EXPENDITURES AMONG CHILDREN WITH SPECIAL HEALTH CARE NEEDS

Among 9816 children with special health care needs, Romaire et alArticle found that having a medical home was associated with higher total, outpatient, prescription medication, and dental expenditures. However, among those children with a functional or sensory limitation, medical homes were associated with a $968 lower annual inpatient cost.

ASSOCIATION BETWEEN HIV-RELATED RISK BEHAVIORS AND HIV TESTING AMONG HIGH SCHOOL STUDENTS IN THE UNITED STATES, 2009

Balaji et alArticle found that less than one-quarter of sexually active US adolescents have ever been tested for the human immunodeficiency virus (HIV). Current testing practices are falling short of making HIV testing a normal part of medical care for sexually active adolescents.

EXPOSURE TO GESTATIONAL DIABETES MELLITUS AND LOW SOCIOECONOMIC STATUS: EFFECTS ON NEUROCOGNITIVE DEVELOPMENT AND RISK OF ATTENTION-DEFICIT/HYPERACTIVITY DISORDER IN OFFSPRING

Both maternal gestational diabetes and low socioeconomic status were associated with a 2-fold increased risk for attention-deficit/hyperactivity disorder (ADHD) at 6 years of age. The risk for ADHD was increased nearly 14-fold in children exposed to both, according to Nomura et alArticle.

EARLY IMPACT OF THE US TDAP VACCINATION PROGRAM ON PERTUSSIS TRENDS

There has been a significant and substantial change in the incidence of pertussis among adolescents after the initiation of the Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine) vaccination program. However, Skoff et alArticle also found there did not seem to be any impact on the incidence of pertussis among infants younger than 1 year.

HOSPITALIZATIONS FOR INTUSSUSCEPTION BEFORE AND AFTER THE REINTRODUCTION OF ROTAVIRUS VACCINE IN THE UNITED STATES

Since the reintroduction of rotavirus vaccine in 2006, there has not been a detectable increase in the incidence of hospital discharges for US infants with intussusceptions, Zickafoose et alArticle found. There has been a gradual decrease in intussusceptions over time.

PREVALENCE OF CLINICALLY IMPORTANT TRAUMATIC BRAIN INJURIES IN CHILDREN WITH MINOR BLUNT HEAD TRAUMA AND ISOLATED SEVERE INJURY MECHANISMS

In an analysis of a large prospective observational cohort study of 42 412 children by Nigrovic et alArticle, 3302 (8%) had isolated severe injury mechanisms. Only 0.3% of children younger than 2 years and 0.6% of those older than 2 years had clinically important traumatic brain injuries.

RECENT PROGRESS IN UNDERSTANDING PEDIATRIC BIPOLAR DISORDER

GoldsteinArticle wrote that bipolar disorder is one of the most severe psychiatric illnesses, particularly when onset occurs during childhood or adolescence. The past 15 years have seen substantial and rapid progress in the diagnosis, course, and treatment of this disorder in pediatric patients.

NASAL INTERMITTENT POSITIVE-PRESSURE VENTILATION VS NASAL CONTINUOUS POSITIVE AIRWAY PRESSURE FOR PRETERM INFANTS WITH RESPIRATORY DISTRESS SYNDROME: A SYSTEMATIC REVIEW AND META-ANALYSIS

This systematic review and meta-analysis by Meneses et alArticle found that nasal intermittent positive-pressure ventilation decreased the need for invasive ventilation. There was no difference in the risk for bronchopulmonary dysplasia.

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