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Vaccine Financing From the Perspective of Primary Care Physicians
Because of high costs of newer vaccines, financial risk to private vaccination providers has increased. Previous studies have shown general dissatisfaction with payment for the cost of vaccines and administration fees, with some providers considering no longer providing childhood vaccines.
We show that many providers are dissatisfied with payment for vaccine purchase and administration from all types of payers and that, for new vaccines, providers are using a variety of strategies with parents to handle uncertainty about insurance coverage.
Recent Trends in Outpatient Antibiotic Use in Children
Antibiotic use for children has decreased dramatically over the last 20 years. Programs encouraging judicious antibiotic use have focused both on decreasing overall antibiotic use and appropriate prescribing of broad-spectrum agents.
Large declines in antibiotic rates were prominent in the early 2000s. This trend has attenuated, and use has leveled off in some age groups and locales; continued improvement in the use of broad-spectrum agents is possible.
Trends in Caffeine Intake Among US Children and Adolescents
The majority of caffeine intake among children and adolescents is due to soda and tea consumption. Energy drinks, which provide a potent source of caffeine, have increased in availability in the United States in recent years.
This analysis presents trends in caffeine intake between 1999 and 2010, which have previously not been described in the United States, and reveals the impact of increasing energy drink use, also previously not described, on these trends among children and adolescents.
Ultrasound as a Screening Test for Genitourinary Anomalies in Children With UTI
Current guidelines recommend renal ultrasound as a screening test after febrile urinary tract infection, with voiding cystourethrogram (VCUG) only if the ultrasound is abnormal. Few studies have evaluated the accuracy of ultrasound as a screening test for VCUG-identified abnormalities.
This study shows that ultrasound is a poor screening test for genitourinary abnormalities identified on VCUG, such as vesicoureteral reflux. Neither positive nor negative ultrasounds reliably identify or rule out such abnormalities. Ultrasound and VCUG provide different, but …
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In this issue
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- Article
- Vaccine Financing From the Perspective of Primary Care Physicians
- Recent Trends in Outpatient Antibiotic Use in Children
- Trends in Caffeine Intake Among US Children and Adolescents
- Ultrasound as a Screening Test for Genitourinary Anomalies in Children With UTI
- Risk Perceptions and Subsequent Sexual Behaviors After HPV Vaccination in Adolescents
- Invasive Procedures in Preterm Children: Brain and Cognitive Development at School Age
- Local Food Prices and Their Associations With Children’s Weight and Food Security
- Role of Financial and Social Hardships in Asthma Racial Disparities
- Peer Victimization in Fifth Grade and Health in Tenth Grade
- Cost Analysis of Youth Violence Prevention
- Income Inequality and Child Maltreatment in the United States
- A Pacifier-Activated Music Player With Mother’s Voice Improves Oral Feeding in Preterm Infants
- Sexual Orientation and Anabolic-Androgenic Steroids in US Adolescent Boys
- Pulse Oximeter Sensor Application During Neonatal Resuscitation: A Randomized Controlled Trial
- In-School Neurofeedback Training for ADHD: Sustained Improvements From a Randomized Control Trial
- Epidemiology of Tuberculosis in Young Children in the United States
- Effectiveness of Nebulized Beclomethasone in Preventing Viral Wheezing: An RCT
- Duration of Protection After First Dose of Acellular Pertussis Vaccine in Infants
- Economic Burden of Childhood Autism Spectrum Disorders
- Need and Unmet Need for Care Coordination Among Children With Mental Health Conditions
- Clinical Utility of PCR for Common Viruses in Acute Respiratory Illness
- Long-term Motor and Cognitive Outcome of Acute Encephalitis
- Variation in Congenital Heart Surgery Costs Across Hospitals
- Feasibility of Critical Congenital Heart Disease Newborn Screening at Moderate Altitude
- Risk and Prevalence of Developmental Delay in Young Children With Congenital Heart Disease
- Adult Talk in the NICU With Preterm Infants and Developmental Outcomes
- Fertility Rate Trends Among Adolescent Girls With Major Mental Illness: A Population-Based Study
- Long-Term Outcomes of Adolescents With Juvenile-Onset Fibromyalgia in Early Adulthood
- Ophthalmic Outcomes of Congenital Toxoplasmosis Followed Until Adolescence
- Incidence and Impact of CMV Infection in Very Low Birth Weight Infants
- Dental Caries and Growth in School-Age Children
- Epidemiology of Male Genital Abnormalities: A Population Study
- Trial of Daily Vitamin D Supplementation in Preterm Infants
- Dietary Sodium, Adiposity, and Inflammation in Healthy Adolescents
- Growth Patterns of Large for Gestational Age Children up to Age 4 Years
- Symmetrical and Asymmetrical Growth Restriction in Preterm-Born Children
- Indiscriminate Behaviors in Previously Institutionalized Young Children
- Safety of Medical Interventions in Children Versus Adults
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