Children who received inhaled albuterol before undergoing anesthesia for tonsillectomy had significantly reduced odds of perioperative respiratory adverse events compared with those who were given preoperative placebo, with albuterol most significantly reducing the prevalence of coughing, laryngospasm and oxygen desaturation, Australian researchers reported in JAMA Pediatrics. The findings also showed increased albuterol benefit among youths with moderate to severe obstructive sleep apnea.
Pediatricians should ensure that children diagnosed with neurofibromatosis type 1 meet at least two of seven diagnostic criteria and be aware of age-dependent clinical manifestations that may make diagnoses difficult in nonfamilial pediatric cases, according to an updated American Academy of Pediatrics clinical report in Pediatrics. The report also recommended the administration of genetic testing for NF1 diagnosis, family planning and genetic counseling, and while molecular genetic confirmation isn't needed among youths meeting NF1 diagnostic criteria, it can provide suspected diagnosis confirmation before a second feature appears.
Researchers at Rady Children's Institute for Genomic Medicine found that the rapid Whole Genome Sequencing system, which uses clinical natural language processing and automated machine learning, yielded 99% precision in diagnosing 95 children with rare genetic diseases, compared with expert manual interpretation diagnoses. The findings in Science Translational Medicine also showed that the rWGS provided diagnoses at a median time of just over 20 hours.
Legislation that would end personal or philosophical exemptions for pediatric measles vaccination has been passed by Washington state lawmakers, amid an outbreak in the state that has affected 74 individuals so far this year, most of whom were unvaccinated youths ages 10 or younger. The bill awaits the signature of Gov. Jay Inslee.
The Federal Trade Commission charged Surescripts with using anti-competitive contracts to maintain monopolies of routing and eligibility in the electronic prescriptions market. The contracts "denied customers and, ultimately, patients, the benefits of competition -- including lower prices, increased output, thriving innovation, higher quality, and more customer choice," according to a statement from Bureau of Competition Director Bruce Hoffman.
Fifty-four percent of Americans responding to a Kaiser Family Foundation poll said they do not want the Supreme Court to invalidate the Affordable Care Act, and 64% said Congress should focus on protections for people with existing health conditions. Sixty-eight percent said lawmakers should take steps to reduce drug prices, and half said Congress should focus on health care balance billing.
Investments in cybersecurity for the health care industry are set to rise to $8.7 billion by 2023 as organizations look to address vulnerabilities in emerging technologies such as cloud hosting, internet of things and artificial intelligence, Frost & Sullivan reports. However, the study notes that the growth rate of cybersecurity threats still outpaces health care firms' budgets for IT and cybersecurity.
Health care CIOs are uniquely positioned to steer health providers and payers toward sharing data to create a more efficient system of care delivery and payment, writes John Santelli, UnitedHealth Group CIO and Optum Technology executive vice president. With CIOs' help, providers and payers can apply one another's expertise and data toward creating viable risk arrangements, he writes.
Three documents that have recently been released for public comment by HHS seek to create a platform for nationwide health data exchange -- the first draft of the Qualified Health Information Network Technical Framework and second drafts of the Trusted Exchange Framework and the Minimum Required Terms and Conditions for trusted exchange. They would form a Common Agreement that lays out requirements for sharing electronic health information between disparate networks across the US.
- Page 5