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Calming Parents Might Help Kids Cope With Anesthesia
The start of anesthesia can be distressing for children. Although antianxiety drugs can help keep kids calm, side effects exist. Non-drug methods offer alternatives, but a new review of studies finds that no single method shows a clear advantage in keeping the child calm and cooperative. The most commonly used tactic having the parent present while the child receives anesthesia medications does not appear to have any benefit.
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Obama Open To Using MedPAC To Set Medicare Payment Rates
As the administration searches for ways to pay for health care reform and restrain medical costs, President Obama suggested Wednesday that he would consider transferring the power to set Medicare reimbursement rates from Congress to the independent advisory agency known as MedPAC, MedPage Today reports. The move reflects legislation introduced by Sen. Jay Rockefeller, D-W.Va., last month that would move MedPAC into the executive branch as "a regulatory board similar to the Federal Reserve ... The move would transfer the power to set reimbursement rates from Congress -- and perhaps the interest groups that lobby it -- to an agency that critics say is better equipped to make nuanced medical payment decisions" (Walker 3/09).
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Cost-Effective Measures Could Stop Child Pneumonia Deaths
Implementing measures to improve nutrition, indoor air pollution, immunization coverage and the management of pneumonia cases could be cost-effective and significantly reduce child mortality from pneumonia, according to a study led by the Johns Hopkins Bloomberg School of Public Health. Researchers found that these strategies combined could reduce total child mortality by 17 percent and could reduce pneumonia deaths by more than 90 percent. Pneumonia is a leading cause of death of infants in many developing countries, resulting in 2.2 million deaths each year. The study is published in the June 2009 issue of the Bulletin of the World Health Organization.
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Intervention Program Targets Siblings

"Siblings are Special," a pilot prevention program targeting fifth graders and their younger siblings, recently received $1.45 million from the National Institute on Drug Abuse as part of the National Institutes of Health"s American Recovery and Reinvestment Act funding. The award is for two years. The program aims to enhance the quality of sibling and family relationships and thereby decrease risky behavior and use of drugs among youth as they move into middle school. Previous research has shown that siblings are powerful influences on each other"s development and well being, yet sibling conflict and rivalry -- which parents say is their number one stressor at home -- has largely been ignored by researchers. Mark Feinberg, senior research associate, Prevention Research Center, Penn State"s College of Health and Human Development and Susan McHale, professor of human development and director, Penn State"s Social Science Research Institute, developed the program and are co-principal investigators on the project. Participants will be chosen from fifth grade students with siblings no more than three years younger than them. Half the sibling pairs will go through the pilot program while the other half will be in the control group. The sibling pairs will attend weekly after school sessions over twelve weeks and parents will join the children for four "Family Fun Nights" where parents will be engaged as collaborators in the program. The siblings will receive homework each week. The program combines the power of family intervention within the context of elementary school and a non-stigmatizing family focus on sibling relationships. Schools in rural and semi-rural Pennsylvania will participate in this pilot study, which will run for two years. A"ndrea Elyse Messer Penn State


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