CDC REPORTS RECORD-LOW BIRTH RATE IN THE US
Preliminary data from the CDC's Vital Statistics Rapid Release show that the general fertility rate among US women ages 15 to 44 fell by 2% between 2018 and 2019, dropping to a record low of 58.2 births per 1,000 women, while the teen birth rate decreased by 5% also to a record-low level. The report found that the percentage of preterm births rose to 10.23% in 2019, while cesarean deliveries fell to 31.7%. ... See MoreSee Less
TO MASK OR NOT TO MASK CHILDREN TO OVERCOME COVID-19?
It has been reported that asymptomatic people can transmit the new coronavirus disease 2019 (COVID-19) and become important sources of COVID-19. To reduce the role of asymptomatic or poorly symptomatic people in COVID-19, universal use of face masks in addition to hand hygiene and safety distance seems extremely useful. Consequently, preparing the healthy child to use face masks is strongly needed. To obtain maximal compliance, reasons for mask wearing without attempts of removing must be clearly explained. Moreover, child’s will must not be forced.
On the basis of clinical findings, we think that the universal use of facial masks seems necessary when people have to go out in their everyday lives. In addition to the availability of masks of different sizes capable of adapting perfectly to the face, it is necessary that the use of masks in children is preceded by a strong parental work and school lessons on this issue and other hygiene topics with the main aim to obtain child cooperation. ... See MoreSee Less
CONDITION AFFECTING KIDS WITH COVID-19 REMAINS VERY RARE
Amid recent warnings about a possible link between COVID-19 in children and an inflammatory condition called Kawasaki disease that can harm the heart and other organs, heart experts stress that such cases seem to be rare.
As of past Friday, there were only 85 cases nationwide and only 3 at Children's Hospital Los Angeles
Most kids with COVID-19 have mild symptoms or none at all, but a small number have developed Kawasaki disease, often requiring hospitalization and occasionally, intensive care.
Features of Kawasaki disease include fever above 102 to 104 degrees Fahrenheit for at least five days, swelling of the neck glands and rash.
Other symptoms include redness and swelling of the palms of the hands and soles of the feet, bloodshot eyes, irritation and inflammation of the mouth, lips and throat, according to the American Heart Association (AHA). Patients may also develop heart, kidney, gastrointestinal or neurological disorders.
"We want to reassure parents -- this appears to be uncommon," said Dr. Jane Newburger of AHA's Council on Lifelong Congenital Heart Disease and Heart Health in the Young. "While Kawasaki disease can damage the heart or blood vessels, the heart problems usually go away in five or six weeks, and most children fully recover."
The American Academy of Pediatrics has more on Kawasaki disease.
SOURCE: American Heart Association, news release, May 6, 2020 ... See MoreSee Less
CDC and AMERICAN ACADEMY OF PEDIATRICS RECOMMENDATIONS ON IMMUNIZATIONS DURING COVID-19 PANDEMIC:
- Prioritize newborn care and vaccination of infants and young children (through 24 months of age) when possible
- Schedule well visits in the morning and sick visits in the afternoon
- Separate patients spatially, such as by placing patients with sick visits in different areas of the clinic or another location from patients with well visits.
For more information:
American Academy of Pediatrics (AAP): COVID-19 Clinical Guidance Q & A
CDC Pediatric Guidance: Maintaining Childhood Immunizations During COVID-19 Pandemic ... See MoreSee Less
AND AGAIN MULTIPLE UNKNOWNS
Among the guidelines for "Opening Up America Again," states shouldn't start to reopen until they have a downward trajectory of documented cases in a 14-day period or a downward trajectory of positive tests as a percent of total tests in a 14-day period.
The select criteria were adequate hospitalization, testing capacity and an increasing contact-tracing capacity
As more governors start reopening their states and others set the date, they're pushing to get a better idea of how hard their state has been hit through antibody testing.
Experts warn there's still a lot researchers don't know about the accuracy of the tests, and the World Health Organization has cautioned that no evidence exists yet that antibodies prevent a second infection. ... See MoreSee Less
RESEARCHERS SUGGEST PANDEMIC MAY WORSEN CHILDHOOD OBESITY EPIDEMIC IN US
Medscape (4/15, Subscription Publication) reports, “Although priority number one lies in controlling the spread of” coronavirus, “public health researchers are calling attention to the long-term repercussions of the pandemic on children’s health.” In a perspective piece in Obesity, researchers say the epidemic of childhood obesity may be noticeably worsened by school closures in the United States. The researchers “estimate that time spent out of school will double this year because of school closures due to” the pandemic, and “that, along with shelter-in-place orders, will pose challenges both for physical activity and healthy eating among children.” ... See MoreSee Less
TEENS & COVID-19: CHALLENGES AND OPPORTUNITIES
Social distancing to slow the spread of COVID-19 can be especially hard for teens, who may feel cut off from their friends. Many also face big letdowns as graduations, proms, sports seasons, college visits and other long-planned events are cancelled or postponed.
Here are a few ways you can help your teen through this difficult time.
Work together to create a new normal
Help your teen create a healthy and productive routine:
Stick to a schedule that works with online learning. Set a time to wake up, exercise, shower, get dressed, have breakfast, or whatever they need to start the “school day." If it helps, allow your teen to sleep in a little later than normal. Like they would be in class, phones should be off while doing schoolwork. Keep the TV off during school hours, too, and limit time watching the news. Plan mini breaks and a 1-hour lunch break.
Make dinner a transition time between the "school day" and the evening. Dinner is a great time to gather the whole family together to talk and share a meal. Try fun conversation starters, such as, “My favorite part of today was…" or "Today I am grateful for...". This may be the time your family may choose to observe a quiet moment together. Help them keep their usual sleep time routine so they are ready for learning each day.
Allow "down time." It's normal for teens to crave more privacy from their family. Give them space for some quiet time, creative time, music time, or to virtually hang out with friends. This can help ease any feelings of being isolated from their friends or difficulties with routine-change.
Communicate honestly & openly
Share information about what is happening in a calm and factual way to help ease their concerns about the virus. Discuss facts about COVID-19 and correct misinformation when you hear it. Reinforce the basics, like the importance of frequent hand washing and avoiding touching their face.
Stress that staying home saves lives. Talk about how social distancing is an important way they are helping slow the spread of the virus and protecting those most at risk. Have a strict “no cheating" rule and stress that it is NOT okay to hang out with friends in person or play outdoor sports like basketball and softball.
Help your teen look forward by helping them shift away from what was lost and identify ways to move on with plans and goals.
Watch for signs your teen may need more support
Teens who feel sad, depressed, hopeless, nervous or angry, during the COVID-19 pandemic may need more support. Ask your pediatrician if your teen's social and emotional health can be screened in an e-visit. During the visit, the doctor will ask whether your teen has been bothered by problems such as feeling down, depressed or hopeless in the past two weeks. The doctor also might ask if your teen has lost interest or in pleasure in doing things.
Be aware of the signs of mental health problems in teens such as frequent irritability, changes in weight or sleep habits, repeated thoughts about an unpleasant event and conflicts with friends and family.
Stay safely connected
Reach out virtually. Allow your teen to stay connected to friends and loved ones during social distancing by phone, text, video chat, or social media. (Remind them to check their privacy settings so they are not posting too much personal information online.) Playing games online with friends can also be relaxing and enjoyable for your teen. But be sure to agree on screen time during school days.
Help others connect. Many teens have expertise in using technology and can teach parents or grandparents how to video chat or use social media. This is also an opportunity for them to bring you into their virtual world.
What about media use?
While limits are still important, it's understandable that under these unusual circumstances, your teen's screen time will likely increase. Work together to come up with a plan that includes both online and offline time. Our Family Media Plan tool can help. Allowing your teen to be a part of making a media plan can help them stick to it.
Support family & community
New responsibilities. Routines have changed, and your family may need extra help in caring for younger children or keeping the house clean. Talk to your teen about ways they can play a bigger role. For example, can they help plan or cook dinner? How about teaching their siblings a new dance or fun game?
Virtual guests. Ask your teen to help you come up with creative ways to stay connected with family and friends on a regular basis. Try hosting a "virtual dinner" by setting up a laptop or iPad at the table with the invited guests. Or use a video conferencing platform like Zoom to have an online party where everyone can see each other.
Family projects. Suggest your teen take the lead in projects that involve the entire family, like organizing family photos or recreating the family's history. This is a great topic for calls to grandparents, who may be able to describe challenging times in the past, and how the family coped with stress.
Declutter and donate. Encourage them to clean out their room, the basement, or declutter the garage and prepare items to donate to charity.
Volunteer within the community. Following social distancing and local regulations, suggest your teen look online for local opportunities to serve. Show acts of kindness by making someone's day better with a phone call, text, or social media post. Volunteer to help tutor children of neighbors or friends online.
Risky times for risky behaviors
As schools move to online learning, teens may have more unscheduled time. This can leave them more likely to experiment with risky behaviors. Be sure to talk with your teen about how this is an especially important time to avoid vaping and smoking, for example. Experts warn these habits may harm lung health and immune function, potentially increasing COVID-19 risk.
Mind and body health
Help your teen find ways to keep their mind and body healthy, such as:
Go for a walk or a run outside, either by themselves or as a family. Remind them of the social distancing rules and to stay 6 feet away from others.
Read a book or visit the library online where there are thousands of e-books, audiobooks, and musical recordings. Research new hobbies or skills to learn.
Do video workouts. Many can be found online, and some park districts are offering access to virtual exercise classes, too.
Watch movies or TV shows together as a family or virtually with friends.
Create a video blog of life during the COVID-19 outbreak.
Start a scrapbook showing what it was like to be a teenager during the outbreak, or a family journal where each family member can take turns describing the day's happenings.
Take a virtual tour of a museum, or walk through the Grand Canyon with Google Earth. Challenge your teen to research 10 places they might like to visit someday and show you why.
Get plenty of sleep!
Source: American Academy of Pediatrics ... See MoreSee Less
POSITIVE PARENTING & COVID-19:
10 TIPS TO HELP KEEP THE CALM AT HOME
Calmly teaching your child good behavior can become more difficult, though no less important, during stressful times. The American Academy of Pediatrics (AAP) offers these tips for families facing long periods of time isolated at home during the COVID-19 outbreak.
With schools closing and many parents working at home or facing job uncertainty, it's more important than ever to use positive parenting and healthy approaches to discipline. Some examples:
1. Prevent boredom. Bored or frustrated children are more likely to act out. Many U.S. children have had their lives disrupted--they are out of school, and they can't play with their friends. Try to keep kids busy with a healthy and productive schedule at home.
2. Address fears. Children who are old enough to follow the news may be afraid, for example, that they or their parents are going to die. The medical research about COVID-19 shows that healthy people under 60 are unlikely to get very sick or die. Talk with children about any frightening news they hear.
3. Use time-outs. This discipline tool works best by warning children they will get a time-out if they don't stop. Remind them what they did wrong in as few words―and with as little emotion―as possible. Then, remove them from the situation for a pre-set length of time (1 minute per year of age is a good guide).
4. Redirect bad behavior. Sometimes children misbehave because they don't know any better and need some guidance. Find something else for your child to do.
5. Know when not to respond. As long as your child isn't doing something dangerous and gets plenty of attention for good behavior, ignoring bad behavior can be an effective way of stopping it. Ignoring bad behavior also can teach children natural consequences of their actions. For example, if your child keeps dropping food on purpose, there will be nothing left to eat.
6. Praise success. Children need to know when they do something bad—and when they do something good. Notice good behavior and point it out, praising success and good tries. This is particularly important in these difficult times, when children are separated from their friends and usual routines.
7. Allow time for attention. The most powerful tool for effective discipline is attention—to reinforce good behaviors and discourage others. When parents are trying to work at home with children who are out of school or child care, this can be tough. Clear communication and setting up expectations, particularly with older children, can help with this.
8. Avoid physical punishment. The Academy reminds parents that spanking, hitting, and other forms of physical or “corporal" punishment risks injury and isn't effective. Physical punishment can increase aggression in children long-term, and fails to teach children to behave or practice self-control. In fact, research shows it may harm the child and inhibit normal brain development. Corporal punishment may take away a child's sense of of safety and security at home, which are especially needed now.
The Academy reminds parents and caregivers never to shake or jerk a child, which could cause permanent injuries and disabilities and even result in death. Tips for calming a fussy baby and advice for caregivers who have reached a breaking point can be found here. If you have a friend relative or neighbor with the new baby at home, think of ways you can reach out to provide support during the isolation period.
9. Take care of yourself. Caregivers also should be sure to take care of themselves physically: eat healthy, exercise and get enough sleep. Find ways to decompress and take breaks. If more than one parent is home, take turns watching the children if possible.
10. Remember to take a breath. In addition to reaching out to others for help, the AAP recommends parents feeling overwhelmed or especially stressed try to take just a few seconds to ask themselves:
Does the problem represent an immediate danger?
How will I feel about this problem tomorrow?
Is this situation permanent?
In many cases, the answers will deflate the panic and the impulse to lash out physically or verbally at children.
American Academy of Pediatrics/ April, 2020 ... See MoreSee Less
Let me summarize general recommendations for self care:
As everyone takes action to reduce the spread of COVID-19, I want to remind you of the importance of taking care of your immune system.
Physical distancing and washing your hands are important, but let’s not forget that a strong immune system is critical for protecting your body from infection. We all need to focus on proper nutrition, sleep, stress management, and gut health to maintain our health.
If the gut is healthy, the immune system will be healthy. During a time when grocery stores are facing shortages you want to make food choices that are as nutrient dense as possible, as opposed to foods with empty calories and high carbohydrates.
Avoid foods that come in a box and reduce your sugar and alcohol consumption. If selection is limited, look to canned foods like beans, vegetables, meats, fish (sardines are a great source of Omega-3 fatty acids), chicken/beef broths, and rice. Foods that are high in antioxidants are a great choice.
Multi-vitamins and fish oil are good for foundational health, but for immune support I recommend Vitamins A, C, and D, as well as Zinc and DMG. Maitake mushroom extract is also known for containing beta-glucans, which increase immune defense.
Lastly, quality probiotics are essential for promoting natural antibodies and keeping harmful bacteria at bay. Use these supplements to help bridge nutritional gaps in your diet and support stronger immune system function.
Staying home doesn’t mean forgetting your exercise routine. Keeping active reduces stress hormones and stimulates endorphins, so make time for working out indoors or taking a walk outside. Natural sunlight will also help regulate your circadian rhythm and promote a good night’s rest.
Turn off your devices at least an hour before bed, and maybe read a book instead. Blue light from laptops and phones suppress melatonin and mess with your sleep. Listening to relaxing music and taking a warm bath are other good ways to “wind down” and help you relax.
High cortisol and increased stress weaken the immune system. This is a pervasive problem among adults, and recent events are not helping.
Meditation and breathing exercises are the best approaches to lowering cortisol, and there are several apps and methods out there to help. The 4-7-8 breathing technique is a great way to immediately lower stress. Remind yourself to focus on the things you can control right now — how you react to situations and the actions you can take.
Most importantly, remember you are not alone. We are all facing similar challenges right now, and we will get through them together. I am confident our community will emerge from this predicament stronger than ever. Until then, please know my team and I are here to support you on your wellness journey.
Stay safe and be well.
Marina Burstein, MD ... See MoreSee Less
Just off topic, but informative:
CDC REPORTS 38M FLU CASES, AND 23K FLU DEATH
CDC officials estimated that the number of flu cases in the US reached 38 million and flu-related hospitalizations reached 390,000 during the week ending March 14. There have been 23,000 flu-related deaths this season, including 149 pediatric deaths, recording the highest mortality rate among people ages 18 and younger since the 2009 flu season. ... See MoreSee Less
ANOTHER WEEK.... WHAT DO WE KNOW AND WHAT WE DO NOT HAVE?
COVID-19 infection in the majority of cases is mild-moderate self-limited respiratory infection
Kids are not frequently being affected
Is quite deadly to older population
Our hospitals, mainly ICU's may get overwhelmed with number of sick patients. Outbreak only in one nursing home will saturate local hospital ICU
We do not have enough tests, medical equipment, protective gear. Our Health Care system is not capable of meeting Community needs as of now
Lack of testing is affecting our statistics, increasing panic in population
In a state of crisis a lot of people are showing not their best
Vaccine development is on the way, but may take up to another year
Data from another countries is very promising in regards to Hydroxy-Chloroquin use for treatment and prophylaxis with great safety profile
Few antiviral agents are being tested and already used in other countries, and have shown excellent results
Hopefully we will have several medications approved for use in USA very soon
Our office is open. We are canceling all Preventive Visits; seeing only emergencies; practicing telemedicine where it is appropriate; accommodating our patients with minimal time in the waiting room
Call us if you need anything, or even if you need just to talk..
Stay safe and well, enjoy your time with your family
And bad times will pass
MB ... See MoreSee Less
Situation is changing rapidly, so this update is for today 3/10/2020
We do believe that Corona virus is a real threat, especially to older people 60+, and is much worse than Influenza Virus.
Only 2% of severe cases were under age of 20 y.o.Pediatric population seems to be safe.
There are probably a lot of mild cases which are not being tested , because of shortage of tests.
So, we do not know exact numbers to calculate the mortality overall.
The fact that outbreak is now almost contained in China and Korea, is telling us, that large population was infected , with mild symptoms and now most of them are immune.
More tests are available at Public Health labs, but patients are required to have Influenza and common Respiratory viruses be ruled out first.
There are new developments in testing of some antimalarial medications, possibly be effective against Corona virus.
Measures we are taking in the office which are recommended by Academy of Pediatrics:
- Minimizing Well Child appointments
- Carefully triaging sick patients through separate waiting room
- Diligently sanitizing office space 3 times a day
- Encouraging patients with appointments to check in by
phone and wait in the car until they are ready to be seen
- Personnel to wear masks and wash hands with every patient ... See MoreSee Less
A QUOTE FROM AN EXPERT:
James Robb, MD FCAP, UCSD
"Dear Colleagues, as some of you may recall, when I was a professor of pathology at the University of California San Diego, I was one of the first molecular virologists in the world to work on coronaviruses (the 1970s). I was the first to demonstrate the number of genes the virus contained. Since then, I have kept up with the coronavirus field and its multiple clinical transfers into the human population (e.g., SARS, MERS), from different animal sources.
> The current projections for its expansion in the US are only probable, due to continued insufficient worldwide data, but it is most likely to be widespread in the US by mid to late March and April.
> Here is what I have done and the precautions that I take and will take. These are the same precautions I currently use during our influenza seasons, except for the mask and gloves.:
> 1) NO HANDSHAKING! Use a fist bump, slight bow, elbow bump, etc.
> 2) Use ONLY your knuckle to touch light switches. elevator buttons, etc.. Lift the gasoline dispenser with a paper towel or use a disposable glove.
> 3) Open doors with your closed fist or hip - do not grasp the handle with your hand, unless there is no other way to open the door. Especially important on bathroom and post office/commercial doors.
> 4) Use disinfectant wipes at the stores when they are available, including wiping the handle and child seat in grocery carts.
> 5) Wash your hands with soap for 10-20 seconds and/or use a greater than 60% alcohol-based hand sanitizer whenever you return home from ANY activity that involves locations where other people have been.
> 6) Keep a bottle of sanitizer available at each of your home's entrances. AND in your car for use after getting gas or touching other contaminated objects when you can't immediately wash your hands.
> 7) If possible, cough or sneeze into a disposable tissue and discard. Use your elbow only if you have to. The clothing on your elbow will contain infectious virus that can be passed on for up to a week or more!
> What I have stocked in preparation for the pandemic spread to the US:
> 1) Latex or nitrile latex disposable gloves for use when going shopping, using the gasoline pump, and all other outside activity when you come in contact with contaminated areas.
> Note: This virus is spread in large droplets by coughing and sneezing. This means that the air will not infect you! BUT all the surfaces where these droplets land are infectious for about a week on average - everything that is associated with infected people will be contaminated and potentially infectious. The virus is on surfaces and you will not be infected unless your unprotected face is directly coughed or sneezed upon. This virus only has cell receptors for lung cells (it only infects your lungs) The only way for the virus to infect you is through your nose or mouth via your hands or an infected cough or sneeze onto or into your nose or mouth.
> 2) Stock up now with disposable surgical masks and use them to prevent you from touching your nose and/or mouth (We touch our nose/mouth 90X/day without knowing it!). This is the only way this virus can infect you - it is lung-specific. The mask will not prevent the virus in a direct sneeze from getting into your nose or mouth - it is only to keep you from touching your nose or mouth.
> 3) Stock up now with hand sanitizers and latex/nitrile gloves (get the appropriate sizes for your family). The hand sanitizers must be alcohol-based and greater than 60% alcohol to be effective.
> 4) Stock up now with zinc lozenges. These lozenges have been proven to be effective in blocking coronavirus (and most other viruses) from multiplying in your throat and nasopharynx. Use as directed several times each day when you begin to feel ANY "cold-like" symptoms beginning. It is best to lie down and let the lozenge dissolve in the back of your throat and nasopharynx. Cold-Eeze lozenges is one brand available, but there are other brands available.
> I, as many others do, hope that this pandemic will be reasonably contained, BUT I personally do not think it will be. Humans have never seen this snake-associated virus before and have no internal defense against it. Tremendous worldwide efforts are being made to understand the molecular and clinical virology of this virus. Unbelievable molecular knowledge about the genomics, structure, and virulence of this virus has already been achieved. BUT, there will be NO drugs or vaccines available this year to protect us or limit the infection within us. Only symptomatic support is available.
> I hope these personal thoughts will be helpful during this potentially catastrophic pandemic. You are welcome to share this email. Good luck to all of us! Jim" ... See MoreSee Less
LATER BEDTIME IS LINKED TO HIGHER BMI IN KIDS, STUDY SUGGESTS
CNN (2/18) reports that research “found that children who habitually went to sleep late – defined by the researchers as past 9 p.m. – had a wider waist and higher BMI...by the end of the study.” The findings were published in Pediatrics. ... See MoreSee Less
PEDIATRIC CASES OF CORONAVIRUS WITH SEVERE SYMPTOMS SEEM RARE
The New York Times (2/5) reports “relatively few children appear to have developed severe symptoms” from coronavirus “so far, according to the available data.” A report published in JAMA said, “The median age of patients is between 49 and 56 years. Cases in children have been rare.” The article quotes several experts discussing this trend. For example, Dr. Malik Peiris, chief of virology at the University of Hong Kong who developed a diagnostic test for the virus, said, “My strong, educated guess is that younger people are getting infected, but they get the relatively milder disease.” ... See MoreSee Less
NO PLANS TO DECLARE PUBLIC HEALTH EMERGENCY OVER CORONAVIRUS
HHS Secretary Alex Azar said the novel coronavirus spreading in China does not constitute a public health emergency at present because although suspected cases are being monitored in about 30 states, all confirmed infections are travel-related. The CDC and National Institute of Allergy and Infectious Diseases are working on potential vaccines, and airport screenings are being expanded to 20 airports.
The Hill (1/28), United Press International (1/28) ... See MoreSee Less
WHAT DO YOU THINK?
DO WE NEED TO START SCREENING DADS FOR PERINATAL DEPRESSION?
Perinatal depression screenings for fathers urged.
Fathers should also be screened for perinatal depression during well-child visits "It is time for the focus on perinatal depression within pediatrics to include fathers, too," said lead author Tova Walsh. Reuters ... See MoreSee Less
AT LEAST 1.3 K PEOPLE DIED FROM FLU THIS SEASON, CDC SAYS
The CDC estimates there have been at least 2.6 million flu cases, 23,000 flu-related hospitalizations and 1,300 flu-related deaths so far this season, according to the CDC. As of the week ending Dec. 29, the illness has spread significantly in all states except Alaska, and widespread flu activity was reported in 23 states.
www.lavalleypediatrics.com ... See MoreSee Less
Happy holidays! This is WOODLAND HILLS-CALABASAS PEDIATRICS last publication for 2019. To close out the year, I have selected the most-read news/ topics that have caught readers' attention past week . Hope you enjoy this special edition, and I look forward to keeping you smart in 2020!
-Essential oils may cause abnormal breast growth in young girls, boys, tea tree and lavender specifically
-At least 1.3K people died from flu this season, CDC says
The CDC estimates that there have been at least 3.7 million flu cases, 32,000 flu-related hospitalizations and 1,800 flu-related fatalities, including 19 pediatric deaths, so far this season, and the majority of laboratory-confirmed flu cases were caused by influenza B/Victoria viruses.
-Study links antibiotic use in infancy to higher risk of allergies
-Marijuana vaping becomes more prevalent among US teens
-Report ranks Boston Children's as No. 1 pediatric hospital
-Minn. ranked No. 1 state for physicians to practice ... See MoreSee Less
CDC RECOMMENDATION OF FLU SHOTS FOR MIGRANTS REJECTED BY BORDER PATROL
The US Customs and Border Protection dismissed the CDC's recommendation that detained migrant families and their children be given flu vaccinations, according to a letter sent by CDC Director Dr. Robert Redfield to Rep. Rosa DeLauro, D-Conn. The current administration's policies prolonging migrant detainment have prompted flu outbreaks at detention facilities and Boarder Patrol's persistent refusal to vaccinate detainees against the flu is "unconscionable," DeLauro said.
The Washington Post (tiered subscription model) ... See MoreSee Less
OBESITY MAY AFFECT PEDIATRIC BRAIN DEVELOPMENT
Researchers who scanned the brains of children using MRI found that those with the highest body mass index had slightly smaller cortical volumes, particularly in the prefrontal region, which is involved in executive functioning, compared with those with normal weight. The findings in JAMA Pediatrics also found higher BMI was associated with slightly reduced scores on tests of executive functiond.
The Associated Press (12/9), HealthDay News (12/9) ... See MoreSee Less
REPORT SHOWS GROWING NUMBER OF UNINSURED CHILDREN IN THE US
The number of US children without insurance rose from 3.6 million in 2016 to 4.1 million in 2018, amid delayed Children's Health Insurance Plan funding, efforts to unravel the Affordable Care Act and changes to Medicaid, according to a report from the Georgetown University Center for Children and Families. "For children who are uninsured, I worry about the critical services they are missing out on and what it will mean for their short- and long-term health," said American Academy of Pediatrics spokesperson Lanre Falusi. CNN (10/30), ... See MoreSee Less
MATERNAL GASTRIC BYPASS INCREASES RISK OF PEDIATRIC BIRTH DEFECTS
Swedish researchers found that 3.4% of babies born to mothers who underwent BARIATRIC surgery developed major birth defects, compared with 4.9% of those whose mothers didn't receive gastric bypass surgery. The findings in the Journal of the American Medical Association also showed that 60% of birth defects among those born after surgery were major heart defects, while none of those in the surgery group developed neural tube defects, compared with 0.07% of controls. Physician's Briefing/HealthDay News ... See MoreSee Less
CDC REPORTS RECORD HIGH STD PREVALENCE IN THE US IN 2018
A CDC report showed that new cases of sexually transmitted diseases such as chlamydia, gonorrhea and syphilis reached a record high of 2.4 million in 2018, nearly 1.8 million of which were from chlamydia. Researchers also found that 1,306 infants had congenital syphilis last year, including 94 deaths, and Texas had the most cases of congenital syphilis. CNN (10/8), Los Angeles Times ... See MoreSee Less
PUBLIC HEALTH EMERGENCY DECLARED AND E-CIGARETTES BANNED
Mass. governor seeks temporary ban on e-cigarette, vaping product sales. The outbreak of vaping-related lung injuries across the US has prompted Massachusetts Gov. Charlie Baker to declare a public health emergency and call on the state's public health council to prohibit all e-cigarette and vaping product sales for four months, effective immediately. "We as a Commonwealth need to pause sales in order for our medical experts to collect more information about what is driving these life-threatening vaping-related illnesses," Baker said.CNN (9/24) ... See MoreSee Less
PROBIOTIC SUPPLEMENTS MAY BENEFIT YOUTH WITH OBESITY
Researchers found that children with obesity who received probiotic supplements had significantly greater weight reduction and improved metabolic health, compared with those who weren't given probiotics. The findings, presented at the European Society for Pediatric Endocrinology's annual meeting, suggest the viability of probiotic supplementation in preventing and treating pediatric obesity but more studies are still needed, said researcher Rui-Min Chen. The Independent (London) (tiered subscription model) (9/20) ... See MoreSee Less
PRENATAL WELL BEING MAY AFFECT CHILDHOOD BEHAVIOR
Children whose mothers had stress or anxiety during pregnancy had increased odds of developing behavioral problems, such as restlessness, spitefulness and temper tantrums, at age 2, compared with those whose mothers didn't have stress or anxiety during gestation, according to a study in the journal Development and Psychopathology. Researchers also found increased odds of emotional problems among those whose parents had relationship problems early after childbirth. ... See MoreSee Less
That's what I am hearing from my anti-vaxers daily:
"Почему я не делаю прививок, почему я не обращаюсь к врачам, почему мои дети веганы...
Ну или почему я не пользуюсь пешеходными переходами...
Почему я не пользуюсь пешеходным переходом и разрешающим сигналом светофора. Все мои знакомые им пользуются, они не задумываются о пользе и вреде пешеходного перехода и просто тупо шпарят по нему через дорогу.
Я тоже была такой. Совсем недавно. Как же я ошибалась! Когда я готовилась стать мамой, я впервые задумалась о том, так ли необходимы в нашей жизни переходы? И так ли опасны машины?... Я изучила статистику дорожных происшествий, море альтернативной информации и вот, что я вам скажу: я больше не пользуюсь переходами! Моему ребёнку год , и мы ни разу не переходили дорогу по зебре!
И мы живы!! Более того, я хочу сказать, мы точно опережаем по развитию наших сверстников, пользующихся зеброй: у нас крепкие ноги, ведь мы постоянно перебегаем перед носом машин, у нас крепкие нервы, по этой же причине, и главное!!! Мы не прикармливаем ГИБДД! Мы не спонсируем производителей светофоров и краски для полос разметки! Мы вступили в клуб ненавистников пешеходных переходов и будем отстаивать наши права. А вы...вы!! несчастные добропорядочные бараны!! Давайте, водите детей по этим губителям детского здоровья! соблюдайте правила и скоростной режим - нам же безопаснее!! Ведь, если подумать, а так ли опасны машины? Ну даже если вы попадёте под машину, скорее всего вы отделаетесь ссадинами и ушибами, а сколько плюсов! Вы точно больше никогда не будете так беспечны, вы станете поклонниками ЗОЖ и будете вихрем проноситься перед носом у водителей, потренируете регенерацию организма и прочее. Подумайте! Вы словно стадо баранов прётесь по этим жалким переходам, когда мир , вот он! рядом! Поверьте, если вы будете поклонником ЗОЖ, любая машина обогнёт вас, не причинив вреда! Любая! Что касается многотонных фур, которые, якобы, не могут затормозить сразу,
то я вообще сомневаюсь в их существовании.
У нас в центре города они не ездят, т.к. проезд запрещен! А значит, вы с ними никогда не встретитесь, ими лишь пугают доверчивых дурочек. Даже если предположить, что они существуют, и вы их даже встретите в центре города (это миф, поверьте!), но вдруг...- то они все равно не причинят вреда, т.к. на дороге в 98% случаев они просто стоят, ну не ездят они, а значит, вы можете только сами о них удариться и всё. Всё!! Все эти правила созданы для того, чтобы погубить наших детей, нашу свободу, наше национальное самосознание, а этим гаишникам только бы запретить переходить дорогу не по зебре. Бре-е-ед... Мамы, помните! Это нарушение наших прав и свободы. А потом, не зря же говорят продвинутые люди, в полосках зебры зашифровано число зверя 666... Девочки, как страшно! Берегите детей, не пользуйтесь зебрами и обязательно распространите эту информацию!!!"
Лидия Станкевич ... See MoreSee Less
We are hiring, please email me
Bursteinmarina@gmail.com ... See MoreSee Less
TOP RANKING OF BEST STATES FOR HEALTHCARE
WalletHub ranked Minnesota, Massachusetts, Rhode Island, Washington, D.C., and Vermont as tops for health care, based on factors such as health care costs, accessibility and outcomes. Rounding out the top 10 were New Hampshire, Hawaii, Maine, North Dakota and Iowa, while Arkansas, South Carolina, Mississippi, North Carolina and Alaska were at the bottom of the list. ... See MoreSee Less
INCREASE IN PRETERM BIRTH IS SEEN AMONG HISPANICS AFTER TRUMP'S ELECTION
There were 2,337 additional preterm births to Hispanic mothers during the nine months after the election of President Donald Trump in November 2016, compared with the expected number of premature births during that time, researchers reported in JAMA Network . CNN (7/19), ... See MoreSee Less
DRUG USE IS ON THE RISE. FOSTER CARE ENTRIES STATISTICS
A study in JAMA Pediatrics showed that the rate of children entering the foster care system because of parental drug use rose from 14.53% of entries in 2000 to 36.26% in 2017. Researchers also found increased odds of parental drug-use-related foster care placements among those ages 5 and younger and among whites. WBUR-FM (Boston) (7/15) ... See MoreSee Less
MORE US AND CANADIAN TEENS ARE VAPING, STUDY SHOWS
Researchers found that the rate of US and Canadian adolescents ages 16 to 19 who reported vaping during the past month increased by nearly 50% and almost twofold, respectively, from 2017 to 2018. The findings also showed that teen Juul e-cigarette use became more prevalent in all countries, with the rate of US youths with Juul as their preferred brand rising from 1% to 4.5% during the study period. Reuters (6/28) ... See MoreSee Less
BRAIN CHANGES FOUND IN YOUTH WITH REGULAR CANNABIS USE
Teens and young adults with frequent cannabis use who underwent a cognitive control task had reduced brain activity in the frontostriatal circuits involved in conflict resolution and cognitive control, compared with those who didn't use cannabis, with elevated and more persistent changes among those with earlier cannabis initiation, researchers reported in the Journal of the American Academy of Child & Adolescent Psychiatry. The findings were based on functional MRI scans from 60 youths ages 14 to 23. Psych Central (6/22) ... See MoreSee Less
Study looks at motorized scooter-related craniofacial injuries
The annual incidence of motorized scooter-related head and facial injuries rose by threefold from 2008 to 2017, and young children ages 6 to 12 and teens ages 13 to 18 accounted for 33.3% and 16.1% of the injuries, respectively, according to a study in the American Journal of Otolaryngology. The findings should prompt standardization of electric scooter policies and license requirements to curb risky behaviors, said researcher Dr. Amishav Bresler.
Physician's Briefing/HealthDay News (6/14) ... See MoreSee Less
TEENS MAY BENEFIT FROM LATER SCHOOL START TIMES
A study in the journal Sleep showed that middle- and high-school students had 31 minutes and 48 minutes longer sleep on school nights a year after their school start times were delayed by 50 minutes and 70 minutes, respectively. The findings, to be presented at the annual meeting of the Associated Professional Sleep Societies, also associated later school start times to reduced rates of homework sleepiness, as well as significantly increased academic engagement among youths. Psych Central (6/8) ... See MoreSee Less
CHILDREN ARE EATING LESS FISH
Children have consumed less seafood each year since 2007, and eat less fish than meat, researchers wrote in an American Academy of Pediatrics report published in Pediatrics that examined the benefits and risks associated with fish consumption. Registered dietitian Maria Romo-Palafox said fish has a specific taste, so children should learn to like it early, because by age 5 they have most of their eating habits and preferences in place. ... See MoreSee Less
MOST AMERICANS SUPPORT MEASLES VACCINATION
Seventy-seven percent of US adults said that measles vaccinations should be given to children despite the objection of their parents, while only 4% believed that vaccines were unsafe, according to a Reuters/Ipsos survey. The poll also found that 22% of adults were either unvaccinated against measles or were unsure if they had received the vaccine in childhood.Medscape/Reuters ... See MoreSee Less
HERE'S WHERE MEASLES OUTBREAKS ARE MOST LIKELY
A study published in The Lancet Infectious Diseases ranked the top 50 US counties at greatest risk of measles outbreaks based on four factors: population, international air travel volume, nonmedical vaccine exemptions and measles incidence in countries people visit. The top five counties are Cook County, Ill.; Los Angeles County; Miami-Dade County, Fla.; Queens County, N.Y.; and King County, Wash.CNN (5/11) ... See MoreSee Less
CDC: MORE US YOUTHS DEVELOPING AUTISM SPECTRUM DISORDER (ASD). OVERLY DIAGNOSED?
CDC researchers reported that the rate of autism spectrum disorder among 4-year-olds in the US rose from 13.4 per 1,000 children in 2010 to 17 per 1,000 in 2014. The findings in the agency's Morbidity and Mortality Weekly Report also showed significantly higher ASD rates among boys. Physician's Briefing/HealthDay News (4/11) ... See MoreSee Less
CDC: 314 MEASLES CASES CONFIRMED IN 15 STATES
CDC officials reported that 314 measles cases in 15 states have been confirmed this year as of March 21, compared with 372 confirmed cases for all of 2018. An outbreak in Rockland County, New York, has prompted an emergency declaration that prohibits unvaccinated people younger than 18 from public places. ... See MoreSee Less
CATCH UP SLEEP ON WEEKENDS MAY HAVE NEGATIVE EFFECT ON METABOLISM
The findings, based on 36 healthy young adults, showed that those who had catch-up sleep on the weekend had reduced insulin sensitivity in the muscles and liver, which could lead to type 2 diabetes, compared with those who did not sleep in on the weekend. Most likely due to nighttime overeating on the weekdays, which also is strongly correlating with weekend sleeping in. HealthDay News (2/28) ... See MoreSee Less
NEW RECOMMENDATIONS TO CURB PEDIATRIC ALLERGIES
The American Academy of Pediatrics issued an updated clinical report in Pediatrics stating that there is strong evidence linking peanut introduction at age 4 months to peanut allergy prevention among high-risk infants. The report also showed eczema protection among those exclusively breastfed among until ages 3 months to 4 months, and any further breastfeeding provided wheezing protection until age 2 and asthma protections until ages 5 and older, but maternal avoidance of allergenic foods during gestation and breastfeeding and special hydrolyzed formulas didn't have a protective effect against pediatric allergic conditions.
CNN (3/18) ... See MoreSee Less
LARGE STUDY CONFIRMS THAT MMR VACCINATION IS NOT TIED TO HIGHER AUTISM RISK
Children who received the measles, mumps and rubella vaccine didn't have higher odds of developing autism compared with those who weren't given the MMR vaccine, according to a Danish study in the Annals of Internal Medicine. The findings, based on data involving 657,461 Danish children born from 1999 to 2010, also showed no association between MMR vaccination and increased autism risk among those who had siblings with autism and other risk factors. CNN (3/5), Reuters (3/4) ... See MoreSee Less
CHILDHOOD GREEN SPACE EXPOSURE MAY BENEFIT LATER MENTAL HEALTH
A Danish study in the Proceedings of the National Academy of Sciences showed that adults who lived near parks or forests in childhood had a 52% lower risk of developing substance abuse disorders, including a 55% and 44% reduced risk of alcohol and cannabis abuse, respectively, as well as a 40% reduced likelihood of developing stress-related or neurotic disorders. Researchers also found reduced odds of schizophrenia, personality disorders, and bipolar and mood disorders among those who lived near green spaces as children. ... See MoreSee Less
CDC REPORTS WIDESPREAD FLU ACTIVITY IN 48 STATES
CDC officials reported that 48 states had widespread flu activity during the week ending Feb. 9, while 26 states and New York City had high levels of activity. Six additional pediatric deaths were documented, bringing the season total to 34, according to the CDC. ... See MoreSee Less
MORE BENEFITS OF REPEATED FLU VACCINE
Repeated flu vaccines may protect against pediatric respiratory illness
Dutch researchers looked at 4,183 youths with pre-existing medical conditions and found that repeated annual inactivated influenza vaccination was tied to lower odds of respiratory illness. The findings were published in the Annals of Family Medicine. ... See MoreSee Less
US FLU ACTIVITY WORSENING, CDC SAYS
CDC officials report that US flu activity has worsened over the past week, with the hospitalization rate reaching 14.8 per 100,000 people for the week ending Jan. 19. A total of 18 states plus New York City reported high influenza-like illness activity, up from nine states in the week ending Jan. 12, while the number of states reporting widespread flu activity increased from 30 to 36. CNN (1/25) ... See MoreSee Less
EVEN SMALL AMOUNT OF MARIJUANA USE IS TIED TO BRAIN CHANGES IN TEENS. ANOTHER PERFORMANCE TEST IS REQUIRED TO DETERMINE BENEFIT VS.HARM
Adolescents who used marijuana once or twice had significantly increased gray matter volume in some brain regions, especially in the hippocampus, which is involved in reasoning and memory, and the amygdala, which is involved in emotion processing, compared with those who never tried marijuana, Australian researchers reported in the Journal of Neuroscience. The findings were based on brain imaging data from 46 14-year-olds in England, France, Germany and Ireland. ... See MoreSee Less
NEUROLOGIC SYMPTOMS SEEN IN SOME YOUTH WITH FLU
VACCINATE YOUR KIDS! In Colorado, 18% of children with influenza who presented at a hospital during the 2017-2018 flu season had neurological symptoms of influenza, such as encephalopathy or seizures. The study in the Journal of the Pediatric Infectious Diseases found that 85% of children who had neurologic manifestations of influenza had the H3N2 strain./Infectious Diseases in Children (1/3) ... See MoreSee Less
FRIDAY REPORT CARDS TIED TO CHILD ABUSE RISK
The number of confirmed child physical-abuse reports on the Saturdays after a Friday report card distribution were nearly four times higher than on regular Saturdays, according to a study published in JAMA Pediatrics based on 2015-16 data involving 1,943 confirmed child-abuse hotline calls among Florida youths ages 5 to 11. Researchers found, however, that releasing report cards on other days of the week didn't seem to affect child-abuse incidence rates. The New York Times (tiered subscription model) (12/17) ... See MoreSee Less
STUDY SHEDS LIGHT ON EFFECTS OF HEAVY SCREEN TIME IN CHILDHOOD
Children ages 9 and 10 who spent at least seven hours on screens daily had early thinning of the cortex in MRI scans, and those with more than two hours of daily screen time had lower language and thinking test scores, compared with those with shorter daily screen times, according to an ongoing NIH study. However, further study is needed to determine the association between prolonged screen times and premature cortex thinning in youths, as well as any related outcomes. The study will follow 11,000 children for 10 years to see how prolonged screen time affects the brain. CBS News (12/9) ... See MoreSee Less
CDC REPORTS RECORD LOW SMOKING RATES IN THE USA
Smoking rate among adults ages 18 to 24 declined from 13% in 2016 to 10% in 2017, according to a study in the CDC's Report. Full implementation of comprehensive smoke-free laws, increased tobacco taxes and raising the legal smoking age to 21 could further decrease smoking rates, said Campaign for Tobacco-Free Kids President. CNN (11/8) ... See MoreSee Less
STUDY: OVER 20% OF PEDIATRIC SCALD INJURIES ARE DUE TO INSTANT SOUPS AND NOODLE CUPS
Researchers found that 21.5% of scald injuries among US children ages 4 to 12 in emergency departments between 2006 and 2016 were due to instant soups and noodles. The findings, presented at the AAP annual meeting, also showed that instant soup- and noodle-related injuries were most prevalent among 7-year-olds and girls. ... See MoreSee Less
PEDIATRIC VACCINE EXEMPTION IS GIVEN QUESTIONABLY BY SOME DOCTORS IN CALIFORNIA
A study showed that the rate of kindergarten students in CA who were given all required vaccinations increased from 92.8% to 95.1%, but the rate of those with medical exemptions rose from 0.2% to 0.7% after the implementation of state legislation eliminating personal belief exemptions in 2015. Interviews with local health officials showed they have concerns regarding their authority to approve or disapprove of questionable medical exemptions and concerns about physicians who charge fees to authorize medical exemptions.Los Angeles Times ... See MoreSee Less
IT'S NOT AS BENIGN AS WE THINK
Cannabis Use Disorder: DSM-58
The DSM-5 defines CUD as a pattern of cannabis use that leads to clinically significant impairment or distress, as evidenced by the presence of at least two of the following criteria within a 12-month period:
Taking more cannabis than intended
Difficulty controlling or cutting down cannabis use
Spending a lot of time on cannabis use
Problems at work, school, and home as a result of cannabis use
Continuing to use cannabis despite social or relationship problems
Giving up or reducing other activities in favor of cannabis
Taking cannabis in high-risk situations
Continuing to use cannabis despite physical or psychological problems
Tolerance to cannabis
Withdrawal when discontinuing cannabis ... See MoreSee Less
NEW SPECULATIONS ABOUT ANTIBIOTIC USE IN EARLY CHILDHOOD
Newsweek (9/19) reports researchers “believe the bacteria that live in a toddler’s mouth could provide clues as to whether they will become obese.” After collecting “the gut and oral microbiota of 226 two-year-old children by swabbing their mouths and taking stool samples,” investigators found that “children with rapid infant weight gain – a growth pattern which is a key indicator of whether a baby will become obese – were found to have a less diverse range of microbes in their mouths.” ... See MoreSee Less
AND THIS IS A BITTER TRUTH:
Hospital costs could be cut by $2B if patients follow prescriptions
Half of people who have been prescribed a drug do not take it properly, and getting patients to adhere to prescriptions could reduce hospital costs by $2 billion by 2025, according to the National Council for Behavioral Health's Medical Director Institute.FierceHealthcare (9/20) ... See MoreSee Less
EARLY LIFE ACETAMINOPHEN MAY INCREASE ODDS OF ASTHMA
Youths who were regularly given acetaminophen before age 2 were more likely to develop asthma by age 18, and those with a particular form of the GSTP1 gene and regular acetaminophen use had 1.8 times increased odds of asthma, researchers reported at a meeting of the European Respiratory Society. The findings were based on data involving 620 children ... See MoreSee Less
AMERICAN ACADEMY OF PEDIATRICS RECOMMENDS FLU SHOTS FOR EVERYONE OLDER THAN 6 MO
The New York Times (9/6) reports, The AAP policy “states that the inactivated influenza vaccine, which is given as a shot, is best.” The Times adds, “Influenza can be fatal: 180 children died from the flu during the 2017-18 season, according to the CDC, and about 80 percent of those children” had not had a flu shot. The chairwoman of the A.A.P.’s committee on infectious disease,” said, “When we look at kids with the flu who died...half of them have no underlying health conditions. This is not a simple cold. It’s a significant cause of hospitalization and death.” ... See MoreSee Less
PARENTS, BE A ROLE MODELS
Survey Reveals Bad Driving Behaviors In Parents And Teens. “A new national study” of 2,000 adolescents and “1,000 parents” revealed that “37 percent of parents of teen drivers use apps while driving, which is almost at the same rate of teens at 38 percent.” The survey “also found that parents admit to speeding, driving while tired and even taking selfies behind the wheel at similar or higher rates than teenagers.” Notably, “more than a third of teens said their parents claimed more experience as a justification for bad driving habits.” ... See MoreSee Less
CDC: Opioid use disorder prevalence up among pregnant women. CDC researchers found that the rate of US pregnant women with opioid use disorder rose from 1.5 per 1,000 deliveries in 1999 to 6.5 in 2014. The findings in the agency's Morbidity and Mortality Weekly Report also showed that OUD among pregnant women was most prevalent in Vermont and least prevalent in the District of Columbia. CNN (8/9), United Press International (8/9) ... See MoreSee Less
SERVE YOUR CHILD'S FOOD RIGHT WAY
Researchers found that children who were given plates with compartments that had pictures of fruits and vegetables took larger average servings and consumed more fruits and vegetables daily, compared with when they received regular plates. The findings in JAMA Pediatrics were based on data involving 325 preschoolers. Reuters (8/6) ... See MoreSee Less
Children who received a fruit drink with omega-3 fatty acids were less likely to have disruptive behaviors, compared with those who took the fruit drink alone, researchers reported in Aggressive Behavior. The findings also showed a lower likelihood of interpartner psychological aggression and verbal abuse among parents of those in the omega-3 group. Xinhua News Agency (7/25) ... See MoreSee Less
BABIES BORN FROM IVF REACH 8 MILLION WORLDWIDE
Eight million infants have been born from in-vitro fertilization and other assisted reproductive technologies around the world since the first IVF baby was born in 1978, according to an International Committee Monitoring Assisted Reproductive Technologies report presented at the European Society of Human Reproduction and Embryology annual meeting. The report also showed that the prevalence of twins and multiple births has dropped over the past 40 years and is now at 14%.CNN (7/3) ... See MoreSee Less
TEEN DRIVING. RISK REDUCTION
The findings suggest that a less abrupt reduction in adult supervision may benefit teens during the first few months of independent driving, researchers said. An NIH study in the Journal of Adolescent Health showed that adolescent drivers had an eightfold higher risk of being involved in a collision or near-crash event during the first three months after receiving a driver's license, compared with the previous three months when they were still on a learner's permit. ... See MoreSee Less
Obesity rates in the US consistently rose across groups and regions since 1999, with obesity and severe obesity prevalence among boys, but not girls, continuously rising to reach 20.6% and 7.5%, respectively, in 2015-2016, researchers reported at the American Society for Nutrition annual meeting. The findings also showed that nearly 33% of children ages 6 to 11 and about 50% of teens ages 12 to 19 will be overweight or obese by 2030 if current trends continue.
Physician's Briefing/HealthDay News ... See MoreSee Less
GET TECH SMART FOR YOUR KIDS
Parents can effectively manage their children's media consumption by using the TECH parenting style that urges them to talk with their children regarding media use; educate them about various media risks; actively co-view and co-use media with children; and create clear media use rules in the household, according to a perspective paper in Pediatrics. "We believe that better home media management will lead to lower youth risk for engagement in health risk behaviors such as substance abuse or risky sexual behaviors later in development," said lead author Joy Gabrielli.Medscape /Reuters (7/2) ... See MoreSee Less