American Academy of Pediatrics, Oct. 8 to 11 – Consumer Health News

This year’s annual meeting of the American Academy of Pediatrics took place virtually from October 8-11 and attracted participants from around the world, including primary care pediatricians, pediatric medical subspecialists, pediatric surgical specialists and other health care professionals. The conference consisted of scientific sessions focusing on the latest advances in care for infants, children, adolescents and young adults.

In a quality improvement study, Alexandra Byrne, MD, of the University of Florida at Gainesville, and colleagues found that providing department-wide firearm safety training and evidence-based recommendations, free firearm locks and Be SMART© educational materials significantly improve firearms screening and anticipatory guidance during child checks.

The authors provided pediatric department-wide training on firearms safety and evidence-based recommendations for screening and anticipatory counseling. Free firearms locks and be SMART© posters and health care information cards were provided to all University of Florida pediatric clinics. Self-reported data were collected via anonymous electronic surveys at baseline and three to four months after each intervention. The researchers found that safety screening of pediatricians increased (from 37.8 to 72.4 percent), along with the provision of free safety locks for firearms (from 9.6 to 79.3 percent). In addition, both guidance that the safest home is one without firearms and guidance on safe weapons storage increased.

“Our study increased firearms screening and the provision of free firearms locks, which we hope will result in safer firearms storage and fewer firearms injuries in children,” Byrne said.

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In a prospective observational study, Usha Sethuraman, MD, of Central Michigan University in Mount Pleasant and DMC Children’s Hospital of Michigan in Detroit, and colleagues found that levels of two cytokines (MIG and CXCL-10) are higher in children and adolescents. with a severe COVID-19 infection than in those with a milder to moderate infection.

In an effort to develop a model that can predict severe COVID-19 in children, the authors evaluated saliva biomarkers (cytokines and microRNA) in participants with and without severe illness due to severe acute respiratory syndrome coronavirus 2. A preliminary analysis of 180 saliva samples for cytokines and 129 saliva samples for microRNA were performed. Although three salivary cytokine levels were significantly elevated in children with severe COVID-19, a model containing cytokines contributed only 4 percent variance between severe and non-severe cases. However, 63 salivary microRNA levels were differentially expressed in children (more than twofold difference) with severe COVID-19, and 60 percent of these were down-regulated. A model of six microRNAs in preliminary results was able to distinguish severe and non-severe cases with very high sensitivity (96 percent) and accuracy (85 percent).

“If salivary cytokines and/or microRNAs are determined to be differentially expressed in children with severe COVID-19, this could provide a simple emergency department test that can help health care providers determine disposition and early treatment,” said Sethuraman. “In addition, because they are non-invasive, saliva biomarkers could be a game changer in the approach to diagnosis and prediction of severity in children who generally do not like to be poked for blood samples.”

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In a retrospective review of the medical record of neonates born less than 34 weeks’ gestational age (more than six weeks before their due date) and admitted to a neonatal intensive care unit, Natalie Davis, MD, of the University of Maryland School of Medicine and the University of Maryland Children’s Hospital in Baltimore, and colleagues found that breast milk from tetrahydrocannabinol (THC) positive mothers is not harmful to the short-term health of this early preterm population.

The authors wanted to evaluate differences in outcomes between neonates who did and did not have exposure to THC, both prenatally and postnatally (via breast milk). When the researchers compared the health outcomes of the preterm newborns, they found no evidence that providing breast milk from THC-positive mothers harmed the health of the infants due to hospital discharge.

“That said, we still don’t have data on the longer-term effects, which would be very important to know when making decisions on this topic,” Davis said. “Therefore, we still recommend that women who are planning to become pregnant and are breastfeeding, or those who are pregnant or breastfeeding, avoid all marijuana use, including exposure to THC products.”

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AAP: Magnets, ingestion of foreign objects in electronics during COVID-19

TUESDAY, Oct. 12, 2021 (HealthDay News) — During the COVID-19 pandemic, the frequency of total foreign body ingestion did not increase significantly, but the proportion of magnets and electronic foreign body ingestion increased significantly, according to a study presented on the annual meeting of the American Academy of Pediatrics, held virtually from October 8-11.

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AAP: More burns reported for children during pandemic

FRIDAY, Oct. 8, 2021 (HealthDay News) — During the COVID-19 pandemic, there was an increase in burn injuries among children, especially school-age children, according to a study presented at the annual meeting of the American Academy of Pediatrics, held virtually from 8 a.m. to 5 p.m. 11 October.

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AAP: Non-accidental trauma for more than 5 seconds during home order

FRIDAY, Oct. 8, 2021 (HealthDay News) — According to a study presented at the American Academy’s annual meeting, there was an increase in non-accidental trauma during the 2020 Home Orders of Pediatrics, held virtually Oct. 8-11.

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AAP: Ohio Social Distancing Measures Reduce RSV, Flu Rates

FRIDAY, Oct. 8, 2021 (HealthDay News) — Ohio social distancing measures in 2020 reduced rates of influenza and respiratory syncytial virus, according to a study presented at the annual meeting of the American Academy of Pediatrics, held virtually from Oct. 8 to 11.

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AAP: Infant-Related Injuries Most Common in Babies 5 Months and Under

FRIDAY, Oct. 8, 2021 (HealthDay News) — Injuries related to carrying babies are most common in children 5 months or younger, and 19.3 percent of these babies require hospitalization, according to a study presented on the annual meeting of the American Academy of Pediatrics, held virtually October 8-11.

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