News for Providers
Top stories summarized by our editors
11/20/2017

The Iowa Department of Human Services is updating its policies and training procedures after two cases involving the deaths of teens adopted out of foster care.
The state's social worker 3s and 2s, which handle DHS child abuse cases, are estimated to have double the caseload recommended by the Child Welfare League of America.

11/20/2017

Post-traumatic stress disorder is not just a combat disorder and can affect people in other stressful situations, such as social workers assigned to foster care cases. Other factors can include experiencing abuse or sexual assault, surviving an accident or disaster, or witnessing death.

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National Public Radio
11/20/2017

King County, Wash., is transferring oversight of youth detention to Public Health -- Seattle & King County as part of an effort to cut back on youth detention. "We know from research that youth trauma can have a collective impact ... We also know that there are ways to rewrite that script if we provide the right support for youth at the right time," says Patty Hayes, director of Public Health -- Seattle & King County.

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KUOW-FM (Seattle)
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public health
11/20/2017

Researchers examined 2012 to 2015 routine lab screening data involving 1,977 youths entering foster care ages 21 and younger in Ohio and found that fewer than 1% had hepatitis B or C, tuberculosis, or syphilis and there were no new HIV cases, while Medicaid laboratory costs totaled $370,214, 94% of which were tied to negative or normal results. The findings in Pediatrics suggest that targeted lab screenings, based on other risk factors and local prevalence rates, may be more clinically beneficial and cost-effective for children entering foster care, researchers said.

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syphilis, Medicaid, HIV
11/20/2017

Children ages 6 months to 23 months and those ages 2 years to 4 years who were fully vaccinated against influenza were 48% and 67% less likely to be hospitalized due to flu, respectively, compared with those who weren't vaccinated, Canadian researchers reported in PLOS ONE. The findings also showed a 39% lower odds of flu-related hospitalization among those who were partially vaccinated.

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HealthDay News
11/20/2017

Adults whose mothers were affected by the 1944 to 1945 famine in the Netherlands during pregnancy had significantly poorer mental health, compared with those whose mothers were pregnant before and after the famine, researchers reported in the journal Aging and Mental Health. The findings also showed that women's mental health was more affected by prenatal famine exposure than men's.

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Medical News Today
11/20/2017

A study in Pediatrics found that newborns who received combination analgesics during circumcision had significantly reduced pain, with those who received a ring block in addition to local anesthetic or EMLA cream and oral sucrose experiencing the least pain, compared with those who received EMLA cream alone.

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Pain
11/20/2017

An observational study in the Annals of the Rheumatic Diseases of 524 patients with cancer who received immune checkpoint inhibitors found a 6.6% incidence of rheumatic and musculoskeletal immune-mediated adverse events. The findings also showed higher tumor response rates among those with rheumatic or musculoskeletal events, compared with those without immune-related events.

11/20/2017

Two Japanese studies found the drug candidate relugolix reduced menstrual bleeding and lowered pain levels among women with uterine fibroids. Myovant Sciences, which is developing the drug with Takeda Pharmaceutical, has two ongoing trials testing relugolix to treat pain related to endometriosis.

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Endometriosis News
11/20/2017

A study in PLOS Medicine found a 0.08% rate of perinatal in-hospital death when pregnant women ages 35 and older were induced at 40 weeks, compared with a 0.26% perinatal death rate when women had expectant management. Researchers noted slightly higher rates of use of instruments, such as forceps, and emergency cesarean section with earlier induction.