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Pediatrics

Medication or placebo to prevent migraine?A trial comparing amitriptyline, topiramate, and placebo for prevention of migraine in children and adolescents with a history of migraine found that all 3 had about the same effect on reducing headache frequency or headache-related disability.
Overweight is not treated in children hospitalized with asthmaA retrospective record review for youngsters admitted with asthma to a Midwestern children’s hospital revealed that overweight and obesity were underrecognized, underdiagnosed, and undertreated.
Concentration matters in newer urinalysis techniquesIn a retrospective study of 27,000 infants aged younger than 3 months evaluated for urinary tract infection (UTI) with paired urinalysis and urine culture, investigators set out to determine the optimal urine white blood cell (WBC) threshold for UTI when using an automated urinalysis system stratified by urine concentration.
Trump nominates new leader for CMSPresident-elect Donald Trump has announced he will nominate Seema Verma, MPH, a consultant with extensive work in Medicaid in several states, to lead the Centers for Medicare and Medicaid Services (CMS).
Time for renewed dialog on vaccinesWill the Trump administration promote vaccine hesitancy or create policies that are less than vaccine friendly? Or will his doubts about vaccines encourage hesitancy?
MACRA changes physician reimbursement modelThe new “MACRA” system, underway as of January 2017, massively changes the way physicians are paid under Medicare and will impact pediatricians indirectly but substantially, say experts.
Cures Act covers vaccines, ACIP, and moreA congressional fact of life is the dangerous “Christmas tree” bill, which passes with so much on it that many things don’t get the scrutiny they deserve. The 21st Century Cures Act, signed into law by President Obama on December 13, 2016, is such a bill.
Injury prevention starts with youThe article “National hospital initiative targets preventable injuries,” in the most recent issue of Contemporary Pediatrics, describes 35 years of impressive work by a nationwide coalition of concerned pediatricians and pediatric trauma surgeons who have championed hospital, school-based, and community-wide initiatives to reduce the prevalence and incidence of unintentional injuries in children.
Your peers on morale, money, and meddlingHere is the state of pediatrics in 2016, according to our 4th annual Issues and Attitudes Survey.
Pediatrics in 2016: MeddlingGovernmental regulations, insurance companies and their requirements, and other hassles have made your jobs more difficult in 2016, according to our 4th annual Issues and Attitudes survey.