The FDA said it is investigating all use of codeine-containing cough syrups in children under 18, due to the drug’s potentially life-threatening side effects such as respiratory depression.
In 2013, the agency recommended these products not be used for children following tonsillectomy and/or surgery on adenoids due to slow or difficult breathing associated with its use. But the European Medicines Agency issued a much stronger statement in April, saying cough syrup with codeine is now contraindicated for all children under 12, as well as for those 12 to 18 with asthma or chronic breathing problems.
An EMA drug safety committee concluded that codeine is especially dangerous for younger children because of the “more variable and unpredictable” way that codeine is converted into morphine in this population, which may result in breathing difficulties. The panel also noted that coughs and colds are generally self-limiting, and cited the limited evidence that codeine is effective for treating coughs in children.
“FDA will blah, blah, blah…the agency said Wednesday.
During the FDA review, the agency…urged that both healthcare professionals and patients report all adverse events observed through use of these products to the FDA’s MedWatch Safety and Adverse Event Reporting Program.
The agency also asked that parents and caregivers speak with healthcare professionals or a pharmacist if they have questions or concerns about products containing codeine.
Or you could just follow the FDA protocol and read the reports from Europe.
Yes – highly magnified
A hardy parasite has led federal health officials to warn pool goers to be careful in the water this summer.
Outbreaks related to pools, hot tubs and other recreational uses of water can be dangerous and according to a new report the U.S. Centers for Disease Control and Prevention found that 90 outbreaks between 2011 to 2012 resulted in 1,788 illnesses, 95 hospitalizations and one death.
A major cause of the outbreaks in treated water, including hot tubs and pools, is a hardy parasite called Cryptosporidium, which is encased in a tough shell and causes acute gastrointestinal issues such as diarrhea.
Michele Hlavsa, chief of the CDC’s Healthy Swimming Program, said the parasite is particularity troubling due to how long it can live in treated water.
“It can survive for 10 days,” Hlavasa told ABC News, noting that other bacteria including E. coli are killed in minutes to hours in a treated pool.
“With these outbreaks, we see they disproportionately affect young children,” Hlavasa said. “They’re the ones who can go to a pool and young children tend to carry lots of germs.”…
To stay safe, pool goers should look to see if their pool’s most recent inspection was posted through their local health department or even look into buying their own chlorine tests that can be used to test if the water is properly treated.
Eeoough! You’re often better off if you can avoid the young of your own species. :)
More than one-quarter of all children nationwide have been exposed to violence involving a weapon…
Over 17.5 million children (26.5% of the sample) ages 2 to 17 have either been victimized by weapons, such as a knife, gun, stick, or rock, or witnessed victimization with a weapon, reported Kimberly J. Mitchell, PhD, of the University of New Hampshire, and colleagues.
Of those surveyed, 2 million children (12.5%) experienced direct victimization, while 13.1% reported indirect victimization, they wrote in Pediatrics.
The study separately examined weapons with a “high lethality risk,” such as guns and knives, with 3.1% of the victimized sample reporting at least one direct (2.1%) or indirect (0.9%) incident involving these types of weapons in the past year. Risk factors included those children living with a non-parent adult caregiver (7.9%) and older age (6.3% of 14- to 17-year-olds).
Not surprisingly, those victimized by a knife or gun were more likely to be associated with personal weapon carrying (13.2%), peer weapon carrying in the past year (12.3%), and victimization at least seven times (“poly-victimization status”) in the last year (8.4%)…
Mitchell told MedPage Today in a separate interview that while other previous studies about youth and violence have examined how personal weapon carrying leads to negative outcomes, this study wanted to explore the effect that trauma had on the children involved.
“The results underscore the importance of health professionals asking all children about their exposure to weapons and remembering that it is particularly essential to do so in children with histories of victimization,” she said. “Moreover, when young people have been exposed to weapons, the mental health consequences must be assessed and addressed.”
Tidy, taut and timely, this report brings professionalism and perhaps a bit too much objectivity to the lives of children affected by violence. Too many concern themselves only with their “right” to involve violent means in defense of whatever they wish to defend, to punish anyone they wish to punish. Absent law and lawfulness.
Still, I wish it could serve as testimony to change laws used over and again to defend circumstances that lead to abuse and death for children more in need of care than weapons.
Vo Huu Nhan was in his vegetable boat in the floating markets of the Mekong Delta when his phone rang. The caller from the United States had stunning news — a DNA database had linked him with a Vietnam vet thought to be his father.
Nhan, 46, had known his father was an American soldier named Bob, but little else.
“I was crying,” Nhan recalled. “I had lost my father for 40 years, and now I finally had gotten together with him.”
The journey toward their reconciliation has not been easy. News of the DNA match set in motion a chain of events involving two families 8,700 miles apart that is still unfolding and has been complicated by the illness of the veteran, Robert Thedford Jr., a retired deputy sheriff in Texas.
When the last American military personnel fled Saigon on April 29 and 30, 1975, they left behind a country scarred by war, a people uncertain about their future and thousands of their own children.
These children — some half-black, some half-white — came from liaisons with bar girls, “hooch” maids, laundry workers and the laborers who filled sandbags to protect American bases.
They are approaching middle age with stories as complicated as the two countries that gave them life. Growing up with the face of the enemy, they were spat on, ridiculed, beaten…They were called “bui doi,” which means “the dust of life.”
Forty years later, hundreds remain in Vietnam, too poor or without proof to qualify for the program created by the Amerasian Homecoming Act of 1987 that resettles the children of American soldiers in the United States.
Now, an Amerasian group has launched a last-chance effort to reunite fathers and children with a new DNA database on a family heritage website. Those left behind have scant information about their GI dads. DNA matches are their only hope.
RTFA for detail, anecdotes – even some good news. I’m not surprised the grunt side of the war is doing something to sort out what our nation “accomplished” in Southeast Asia.
I don’t expect today’s crew in Congress to do a damned thing?
New research shows that if you want ADHD kids to learn, you have to let them squirm. The foot-tapping, leg-swinging and chair-scooting movements of children with attention-deficit/hyperactivity disorder are actually vital to how they remember information and work out complex cognitive tasks…
…New research conducted at UCF shows that if you want ADHD kids to learn, you have to let them squirm. The foot-tapping, leg-swinging and chair-scooting movements of children with attention-deficit/hyperactivity disorder are actually vital to how they remember information and work out complex cognitive tasks…
The findings show the longtime prevailing methods for helping children with ADHD may be misguided…
The research has major implications for how parents and teachers should deal with ADHD kids, particularly with the increasing weight given to students’ performance on standardized testing. The study suggests that a majority of students with ADHD could perform better on classroom work, tests and homework if they’re sitting on activity balls or exercise bikes, for instance.
The study at the UCF clinic included 52 boys ages 8 to 12. Twenty-nine of the children had been diagnosed with ADHD and the other 23 had no clinical disorders and showed normal development…
“What we’ve found is that when they’re moving the most, the majority of them perform better,” Rapport said. “They have to move to maintain alertness.”
By contrast, the children in the study without ADHD also moved more during the cognitive tests, but it had the opposite effect: They performed worse.
Now, broader, larger studies will be needed to verify and reproduce these results. Lots of emotional baggage stuck into existing conclusions.
An extract of marijuana shows promise as a treatment for children with severe epilepsy who have been unresponsive to other treatments, after an early-phase safety study is presented at the American Academy of Neurology’s annual conference.
The study is an analysis of early clinical trialing, so mainly designed to be the first test of the potential medicine’s safety and tolerability for patients as well as its possible effectiveness. The extract under investigation is cannabidiol (CBD), and was taken in a liquid form once daily…
All the children had severe forms of epilepsy – including Dravet and Lennox-Gastaut syndromes, which can mean lifelong disabling seizures – and their conditions had not responded to other treatments. They received the experimental treatment under the FDA’s expanded access program, which makes investigational drugs available for testing to people with serious or life-limiting conditions.
The results provided so far – and to be presented at the American Academy of Neurology’s annual meeting, which starts at the end of this week in Washington, DC – give only the relative reductions in numbers of seizures suffered by the participants – there was a decrease in these during the study of around half.
Only future phases of clinical trialing could test effectiveness properly – using greater numbers of patients in randomized controlled trials, which will also help to reduce the effects of bias…
Dr. Orrin Devinsky said: “While cannabis has been used to treat epilepsy for centuries, data from double-blind randomized, controlled trials of CBD or THC in epilepsy is lacking. Randomized controlled studies of CBD in targeted epilepsy groups, such as patients with Dravet or Lennox-Gastaut syndromes, are in the planning stages.”
Overdue. Why? Because we are a nation of powerless electors – limited to TweedleDee and TweedleDumb, two wings of the same useless, bought-and-sold, political hacks.
The history of laws and regulations governing cannabis in the United States have absolutely nothing to do with science or reality 101. Religion, myth, superstition, opportunist fumbling under the money-tables of our legal temples have all played a role in codifying stupidity. With the collaboration of cowards as often self-defined as Liberal as Conservative.
For a little more background to the efforts of folks willing to challenge idjit law, wander over to this post from last June.
One CEO has taken a step that could help fend off Thomas Piketty’s nightmare vision of rising wealth inequality: He’s giving thousands of his workers a raise.
Aetna Chairman and CEO Mark Bertolini announced…that the health-insurance company will be raising wages for its lowest-paid employees. Starting in April, the minimum hourly base pay for Aetna’s American workers will be $16 an hour, according to a company press release.
The 5,700 workers affected by the change will see an average pay raise of about 11 percent. The lowest-paid workers, who currently make $12 an hour, will get a 33-percent raise.
The Wall Street Journal reported that Bertolini recently requested that Aetna executives read Capital In The Twenty-First Century, by the French economist Piketty. The book, which has been hailed as the “most important book of the twenty-first century,” warns that the gap between the haves and the have-nots is heading toward Gilded Age levels of inequality and calls on the world’s largest economies to fix the problem.
The U.S. government, which last raised the federal minimum wage to $7.25 an hour in 2009, has not exactly scrambled to respond. Aetna’s move is one way companies could help close the gap…
Other factors may have influenced Aetna’s decision to boost pay. The Affordable Care Act is helping millions of Americans get insured, which means insurance companies have to beef up their consumer services to stay competitive.
“Health care decisions are increasingly consumer driven,” Bertolini said in a statement emailed to The Huffington Post. “We are making an investment in the future of health-care service.”
The job market is healing, as well, which should eventually push wages higher. Last month capped the best year for hiring since 1999, as the unemployment rate fell to 5.6 percent. That said, even though the job market has improved, wages have been slow to grow.
Still, some large employers, including Aetna, Starbucks and the Gap, have raised wages in the past year.
In the interview, Tom Keene makes the point that wages have been stagnant for years. Bertolini describes the segment that most influenced his decision were single moms who needed food stamps to get by in Connecticut’s capitol. Their kids often were on Medicaid because they couldn’t even afford the company’s healthcare plan.
60% of the increase dedicated to benefits. 40% of the budget increase went to the wages – raised to $16/hour minimum. Doing it this way produced the best possible increase in personal disposable income. Not that any of this means crap to Republicans and other tightwads pretending to be conservatives.
Bertolini’s cogent point is that healthcare is a growing segment in our service economy. Workers who are well-paid always perform better than folks treated like serfs. As much as today’s conservatives prefer the latter. Something not noted in this article are the changes in workplace life, as well. More advanced sectors in the American economy – like the tech sector – long ago proved that a small portion of time away from necessary work reduces tedium, makes for increased acuity in all tasks. That should include physical changes, exercise – as well a bit of time to rest your brain.
Aetna now brings in a bit of yoga, a little meditation time to their workplace. Something else, fundamentalist curmudgeons will also hate.
Head Start preschool programs had a positive effect on the body mass index (BMI) for obese and overweight children over the course of an academic year. Both obese and overweight children who participated in Head Start saw a greater decline in BMI z score during their first academic year than their counterparts in comparison groups, according to a new study to be published in the February issue of Pediatrics…
Julie Lumeng said that Head Start is a valuable intervention for clinicians concerned about the health and well-being of their low-income patients. “Practically speaking, if you’re a pediatrician or family medicine doctor who’s working with children and you’re concerned about their weight, if those children are low-income, meaning they would be eligible for the Head Start preschool program, just suggesting to the parent that they sign them up for Head Start might actually help them achieve a healthier weight,” she concluded…
The study may also have implications for the overall population health of children. “By looking at adopting not just developmental and educational policies, but also implementing strategies or evidence around food or playtime, it proves there’s a benefit to this when you compare it to fairly similar populations,” said Stephen Cook, MD, MPH…at the University of Rochester Medical Center in New York…
One of the most important limitations of the study may be the study design, which Lumeng calls “second best” compared with a randomized, controlled trial. However, she says a randomized controlled trial would be extremely unethical for this particular population. “You couldn’t enroll a family in a study and say ‘Well, I’m going to flip a coin basically and decide if your child’s going to get preschool or not’ when they’re living in poverty,” said Lumeng…
Cook sees this study as a jumping off point for further data collection, possibly involving Head Start providers, as well as the siblings and parents of the children involved. He hypothesized there might be a “halo effect” with kids’ healthier eating habits and greater physical activity having a positive impact on the adults in their lives.
Head Start is a federally funded preschool program that is free to 3- to 5-year-old US children living in poverty. Head Start program regulations mandate nutritional and health services, adequate time and space for active play, and parental involvement.
Republicans hate it.
Principal cartoon characters are more than twice as likely to be killed off as their counterparts in films for adults released in the same year, reveals research from the University of Ottawa and University College London, published in the Christmas issue of The British Medical Journal.
The findings prompt the authors to describe children’s cartoons as “rife with death and destruction,” with content akin to the “rampant horrors” of popular films for adults given restrictive age ratings.
“Rather than being innocuous and gentler alternatives to typical horror or drama films, children’s animated films are, in fact, hotbeds or murder and mayhem” say the study leaders Dr Ian Colman and Dr James Kirkbride…
On-screen death and violence can be particularly traumatic for young children, and the impact can be intense and long lasting. Because of this many parents will not let their children see the “endemic gore and carnage” typical of films aimed at adult audiences, say the Canadian and UK researchers.
In a bid to assess the amount of violence young children might be exposed to, they analysed the length of time it takes for key characters to die in the 45 top-grossing children’s cartoons, released between 1937 (Snow White) and 2013 (Frozen), and rated either as suitable for a general audience (G) or with parental guidance suggested (PG).
They also looked at whether the first on-screen death was a murder or involved a main character’s parent.
The study found that two thirds of the cartoons depicted the death of an important character compared with half of the adult films.
After taking account of total run-time and years since release, children’s main cartoon characters were 2.5 times as likely to die as their counterparts in films for adults, and almost three times as likely to be murdered.
Yes, I know the automatic excuse of most “moral” censorship is that “we have to protect the children”. I don’t think these researchers are engaged so much in protecting children as trying to understand how we educate children.
I think it probably is useful to teach kids that a violent death isn’t necessarily the solution of choice for life’s problems. Even if one of those problem is Rumpelstiltskin.