Marian Freedman
Marian Freedman is a freelance writer.
Nonoperative management of acute appendicitis
Compared with traditional appendectomy, nonoperative management (NOM) of uncomplicated appendicitis using parenteral antibiotics is associated with more subsequent emergency department (ED) visits and hospitalizations, as well as more subsequent appendectomies.
Childhood firearm injuries remain a public problem
Almost 1300 US children die and 5790 are treated for gunshot wounds each year, according to an analysis of information in several national databases.
Antibiotics improve outcomes in small skin abscesses
Antibiotic treatment with either clindamycin or trimethoprim- sulfa - methoxazole (TMP-SMX) leads to better outcomes than incision and drainage with placebo in patients with uncomplicated cutaneous abscesses, particularly those caused by Staphylococcus aureus, according to a large study.
Pediatricians could be overprescribing combination antifungal/corticosteroids
A review of a large claims-based database suggests that they are. Investigators identified almost 10,000 children aged up to 14 years who were prescribed either Lotrisone or Mycolog-II creams (antifungal and corticosteroid combination products) by pediatricians and other specialists from 2007 through 2014.
Novel approach to neonatal abstinence syndrome shortens hospital stay
Infants with neonatal abstinence syndrome (NAS) treated with supportive nonpharmacologic interventions have a substantially shorter hospital stay and are less likely to be treated with morphine, a new study shows.
Q-tips are still causing pediatric ear injuries
Between 1990 and 2010, more than 260,000 children were treated in emergency departments (EDs) for ear injuries related to use of cotton-tip applicators (CTAs), according to data from the National Electronic Injury Surveillance System.
Mealtime TV use during infancy is likely to persist
More than one-third of families of 184 infants surveyed every 6 months during a 4-year period reported exposing their child to TV during meals.
Adverse childhood experiences are linked to ADHD
Diagnosis of attention-deficit/hyperactivity disorder (ADHD) at age 9 years is associated with adverse childhood experiences (ACEs), according to an analysis of data for 1572 children who are part of the Fragile Families and Child Wellbeing Study (FFCWS) birth cohort.
Are children with asthma prescribed too many OCSs?
An analysis of 2015 claims data for about 69,000 children with an asthma diagnosis suggests that the answer to this question is “yes.” Of these children, who were insured through a large Texas health plan for children with Medicaid and CHIP and who ranged in age from 1 to 18 years, 42.1% were given an oral corticosteroid (OCS) 1 or more times during the year; 9.9%, 2 or more times; and 3.3%, 3 or more times.
Gene variants relate to risk of respiratory infections and AOM
Certain polymorphisms in mannose-binding lectin (MBL) and toll-like receptors (TLRs), genes that have a role in the innate immune system, promote susceptibility to or protection against respiratory and rhinovirus infections and acute otitis media (AOM), according to a study in Finnish infants.

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