HealthFusion June 2014 B  

July 30, 2014   Vol. V, Issue 31
For optimal functionality we recommend you VIEW  this newsletter as a web page.  


Adverse events with male circumcision (MC).

At least 1.4 million MC's are performed yearly in the USA.


A retrospective study of adverse events (AE's) from a large data set from in- and out-patients in US hospital settings indicates that for newborn males, and males under 1 year of age undergoing circumcision, the risk of AE's is <0.5%. For males older than 1 year probable AE risks increases 10-20 fold.


JAMA Pediatrics 

Topical benzocaine & frenotomy.

A frenotomy (or frenectomy, frenulectomy, frenulotomy) is the removal of a frenulum, or small fold of tissue that prevents a body part moving too far. Frequently the procedure is performed under the tongue (lingual frenotomy) for tongue-tie in babies < 1 year of age.


The US Food and Drug Administration has stated that oral preparations containing benzocaine should only be used as a topical application, by physicians, due to the potentially fatal risk of methemoglobinemia.


A study which measured crying times in 21 infants who received (or not) topical benzocaine prior to lingual frenotomy indicates NO decrease in crying times.


Acta Paediatrica 



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On Electronic cigarettes (e-cigarettes).


A new and relatively unregulated option of the pernicious act of nicotine inhalation, "e-cigarettes" (on the market since 2007 and increasingly used by adolescents) consist of a liquid cartridge (containing nicotine derived from tobacco with, or without, 240 available flavors), an atomizer and a rechargeable battery. When one draws on it, the liquid nicotine is atomized and a vapor is delivered. Flavored nicotine apparently appeals to young buyers.


E-cigarette use has increased dramatically recently (doubling between 2011 and 2012) ; among "experimenters" and US adolescents it increases the likelihood of smoking conventional cigarettes. On the other hand, its use appears perhaps to enhance interest to quit smoking in current conventional cigarettes smokers.



JAMA Pediatrics 

Video Feature
Seat belts and Child Restraints
Seat belts and Child Restraints
via YouTube

Obesity & seatbelt use: a fatal relationship.  


A retrospective study on drivers in motor vehicle crashes indicates that there are a number of pre-crash variables associated with seatbelt use.  


The odds of a normal weight individual wearing a seatbelt is higher than for all sub groups of obesity and 67% higher than for those who are morbidly obese.


The American Journal of Emergency Medicine 

The effect of saccadic training on early reading fluency. 


A saccade (coined in the 1880's by a French ophthalmologist) is a fast movement of an eye (or any other part of the body). Reading appears to require a succession of discontinuous individual saccadic eye movements.


A prospective, single-blinded randomized crossover trial of elementary students who had standardized reading fluency testing pre- and post-20 minutes, in school, saccadic training 3 days a week for 6 weeks (using remediation software) indicates significant improvement in reading fluency with treatment.


Clinical Pediatrics 

Transient erythroblastopenia of childhood (TEC).


TEC is an uncommon, self-limiting, benign hemolytic anemia of unknown cause, generally occurring in children 18 to 26 months of age, and characterized by reduced or absent mature red cells precursors in an otherwise normal bone marrow, a normochromic normocytic anemia and a low reticulocyte. Its etiology is unknown, however genetic (siblings frequently affected), viral, immunologic and environmental mechanisms have been suggested. Usually children present with gradually increasing pallor only, and recovery frequently occurs within 2 months.


Acta Pediatrica