Although it is known that relatively minor abusive injuries sometimes precede more severe physical abuse, the prevalence of these previous injuries in infants evaluated for abuse was not known.

A history of bruising or oral injury in a precruising infant evaluated for abuse should heighten the level of suspicion because these injuries are common in abused infants and rare in infants found not to be abused. (Read the full article)

Expectations are high that electronic health record–based clinical decision support and performance feedback will improve adherence to guidelines by delivering relevant and actionable information to clinicians. Few studies have evaluated these assertions or examined the combined effects of decision support and feedback.

Clinical decision support customized to a patient’s history and presentation and performance feedback are both effective for improving adherence to guidelines for otitis media. However, the combination of the 2 interventions is no better than either delivered alone. (Read the full article)

Although a growing body of literature suggests links between parental incarceration and negative child outcomes, research that uses representative US samples and focuses on health outcomes is limited.

Using a nationally representative US sample, we examined the association between parental incarceration and young adult mental and physical health outcomes. Results suggest childhood exposure to parental incarceration is associated with increased risk of long-term health problems. (Read the full article)

Physicians have little knowledge of health care costs and charges. Studies suggest that education and awareness of hospital finances can decrease unnecessary utilization of resources. Little is known about pediatricians’ awareness of the economics of health care delivery in the inpatient setting.

Both general pediatric attending physicians and trainees acknowledged a limited understanding of hospital finances, and they demonstrated a lack of awareness of costs, charges, and reimbursements for inpatient care. (Read the full article)

Physical punishment is associated with a range of Axis I and II mental disorders in adulthood. More research is needed on the possible long-term relationship between physical punishment and physical health.

To our knowledge, this is the first nationally representative examination of harsh physical punishment and physical health. Harsh physical punishment in the absence of child maltreatment is associated with higher odds of cardiovascular disease (borderline significance), arthritis, and obesity. (Read the full article)

The number of overweight and obese children has dramatically increased in recent decades. To combat this trend, information on possible gender-related differences in risk factors of overweight and obesity is critical.

This study examines associations of gender and physiologic and behavior measurements with potential cardiovascular risk. Lunch consumption and screen time were associated with weight; however, other associations with weight differ by gender. This information can be used to tailor future interventions. (Read the full article)

Effective implementation of Pediatric Emergency Care Applied Research Network head trauma rules depends on their early application. As the registered nurse (RN) is often the first to evaluate children with blunt head trauma, initial RN assessments will be an important component of this strategy.

We demonstrated fair to moderate agreement between RN and physician providers in the application of the Pediatric Emergency Care Applied Research Network head trauma rules. Effective implementation strategies may require physician verification of RN predictor assessments before computed tomography decision-making. (Read the full article)

The prevalence of overweight and obesity in US adolescents has increased over the last century. However, recent evidence indicates a potential change in this trend. Parallel trends in adolescent behaviors that drive this epidemic have not been well studied.

Analyses of recent data indicate the prevalence of overweight and obesity may be stabilizing. Over the same period, adolescent physical activity, breakfast eating, and fruit and vegetable consumption increased and television viewing and consumption of sweets and sweetened beverages decreased. (Read the full article)

Physical activity (PA) levels in preschool children vary considerably between preschools, and are positively associated with the overall quality of the preschool. However, knowledge regarding specific characteristics of the preschool environment hypothesized to promote PA is inconsistent and lacking.

This study tested multiple potential correlates of preschool children’s objectively measured moderate and vigorous PA level during preschool attendance, identifying size of indoor area per child and location of preschool building on the playground as new potentially modifiable correlates. (Read the full article)

Levels of daily physical activity in children are decreasing worldwide. This implies risk factors for cardiovascular and metabolic diseases.

Strength training makes children not only stronger but significantly increases their daily spontaneous physical activity outside the training intervention. (Read the full article)

The effects of previous school-based physical activity promotion interventions have been modest, and none have demonstrated significant or meaningful increases in children’s physical activity outside of school, a period characterized by disproportionally low levels of physical activity in youth.

This study adds to the evidence-base for the effectiveness of comprehensive school health programs by demonstrating that such novel interventions lead to statistically significant, meaningful increases in the amount of physical activity children achieved on weekends and after school hours. (Read the full article)

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. (Read the full article)

Individuals living in Mediterranean countries have historically had a lower risk of cardiovascular disease. Important changes in diet and lifestyle have taken place in these countries in recent years, and it is unknown how these changes might influence current cardiovascular health.

Fitness and fatness levels indicate that urban adolescents from southern Europe are less healthy than those from central northern Europe. The extent to which these differences might be explained by physical activity, diet, and genetics is analyzed and discussed in this article. (Read the full article)

Physical activity interventions aimed at improving body composition in childhood have had limited success and often targeted overweight children. Therefore, the efficacy of physical activity randomized controlled trials in improving body composition among children with varying adiposity levels remains unknown.

This randomized controlled trial demonstrated that a physical activity program designed to meet daily physical activity recommendations can improve cardiorespiratory fitness, decrease total fat mass, and prevent accumulation of central adiposity in a group of children with varying adiposity levels. (Read the full article)

Public awareness and usage of physician-rating Web sites have been increasing over the last few years. Such ratings can influence adults’ decisions about choosing a physician, but their influence on decisions for children’s physicians has not been characterized.

In this nationally representative survey of parents, we found that the majority (74%) are aware of rating Web sites and slightly more than one-quarter (28%) had sought information on rating Web sites when choosing a primary care physician for their children. (Read the full article)

Preparticipation physical evaluations (PPEs) are considered necessary for a high standard of care for US scholastic athletes. However, important questions remain regarding consistency of implementation and content of cardiovascular screening practices among states.

Our results show that PPE policies are variable among US states, and adoption of current PPE-4 best practices is slow, demonstrating the need for nationwide PPE standardization. (Read the full article)

Menu labels depicting physical activity calorie equivalents may lead to ordering of fast food meals totaling fewer calories for adults. The effects of physical activity calorie equivalent labeling on parents’ fast food decisions for their children have not been examined.

Parents shown menus with any type of caloric content label may order fast food meals totaling fewer calories for their children. Menu labels showing physical activity equivalents may be more likely to influence parents to encourage their children to exercise. (Read the full article)

Some parents choose to "spread out" the recommended vaccine schedule for their child by decreasing the number of simultaneous vaccines or delaying certain vaccines until an older age. Epidemiologic studies demonstrate increasing numbers of parents are choosing to delay vaccines.

We demonstrate that almost all providers encounter requests to spread out vaccines in a typical month and, despite concerns, increasing numbers are agreeing to do so. Providers report many strategies in response to requests but think few are effective. (Read the full article)

Although there is evidence regarding comorbidity of physical and mental disorders from clinical samples of specific disorders and treatment registries, there is limited evidence from systematic samples of youth with comprehensive information on the full range of mental and physical disorders.

This report is the first study to investigate the specificity of associations between a broad range of mental and physical conditions by using a large, systematically obtained pediatric sample with enriched information from electronic medical records and direct interviews. (Read the full article)

The majority of youth are not meeting the recommended physical activity guidelines. Dance classes are popular for girls and have potential to provide physical activity for many youth. Little is known about how active youth are in different dance types.

Objectively measured physical activity in dance classes are low and generally provide less physical activity than youth sports. There is a public health imperative to engage the dance profession in efforts to improve the health impact of youth dance classes. (Read the full article)

Parental hesitancy about childhood vaccines is prevalent and related to delay or refusal of immunizations. Physicians are highly influential in parental vaccine decision-making, but may lack confidence in addressing parents’ vaccine concerns.

A physician-targeted communications intervention designed to reduce maternal vaccine hesitancy through the parent-physician relationship did not affect maternal hesitancy or physician confidence communicating with parents. Further research should determine the most effective approaches to addressing vaccine hesitancy. (Read the full article)

Previous research has described important variability in the medical evaluation of suspected child physical abuse. This variability may contribute to bias and reduce reliability in the medical diagnosis of abuse.

A panel of child abuse pediatricians participated in a Delphi Process, defining critical elements for the medical evaluation of suspected physical abuse in children. Results can be used to reduce practice variability that may contribute to potential bias in evaluation. (Read the full article)

The US Preventive Services Task Force recommends primary care clinicians apply fluoride varnish to the teeth of all young children, but no studies have examined the effect of comprehensive preventive oral health services on children’s clinical oral health status.

Comprehensive preventive oral health services delivered by primary care clinicians can help improve the oral health of Medicaid-enrolled children, but more work is needed to link medical and dental offices to ensure the continuity of dental care for these children. (Read the full article)

Communication between parents and providers is an important driver of parent experience of care. The impact of nighttime communication, which has become increasingly relevant after changes in resident physician duty hours, on parent experience is unknown.

Parent communication with nighttime doctors and nurses, and parent perceptions of communication and teamwork between these providers, may be important drivers of parent experience. Efforts to improve nighttime communication, both with parents and between team members, may improve parent experience. (Read the full article)

The American Academy of Pediatrics discourages providers from dismissing families who refuse vaccines for their children, yet some providers continue to do so.

We show that ~1 in 5 pediatricians dismiss families who refuse vaccines, and there is significant regional variation in the practice. Dismissing families for refusing vaccines was also associated with stricter state nonmedical exemption policies. (Read the full article)

Many teachers are tapped to teach physics without prior training or experience. A new study explores a possible solution.

OBJECTIVES:

Infantile hemangiomas (IHs) are common; some cases require timely referral and treatment to prevent complications. We developed and validated a reliable instrument for timely and adequate referral of patients with IH to experts by nonexpert primary physicians.

Douglas K. Richardson
Mar 1, 1993; 91:617-623
ARTICLES

Yong Y. Han
Dec 1, 2005; 116:1506-1512
ARTICLES

Eight Penn State Health doctors have been named among the Pennsylvania Medical Society's "Top Physicians Under 40."

NEW CASTLE (Jan. 2, 2019) – The number of full-time equivalent primary care physicians providing direct patient care in Delaware in 2018 declined about 6 percent from 2013, a trend that resulted in a slightly lower percentage of physicians statewide who are accepting new patients, according to a new University of Delaware study of the […]

  Introduction Mobile games with stunning graphics and realistic physics are now possible due to the increasing compute power now available on mobile devices. Effects such as grenade explosions in sh...

  Download PDF When developing games and simulations, you may want your users to be able to influence assets that are active in a physics simulation. In this article, you learn how to develop a Unity...

Trade association says proposal misunderstands complexity of spray formation

Prof. Shai Izraeli says ‘When you talk about specific cancers, like Hodgkin lymphoma and standard-risk acute lymphoblastic leukemia, the rate of survival is more than 90%.’

In the lead-up to the Truth Matters conference in October, we will be focusing our attention on the sufficiency, authority, and clarity of Scripture. Of our previous blog series, none better embodies that emphasis than Frequently Abused Verses. The following entry from that series originally appeared on August 17, 2016. -ed.

Most of us have heard of faith healers. They exist almost exclusively within the charismatic movement and claim to be divinely gifted to supernaturally heal the sick.

For these miracle workers to have any longevity—some of them have thriving ministries that last for decades—they need to develop the illusion of legitimacy. Sensational claims and spectacular crusades certainly play a role in drawing an enthusiastic crowd. But enthusiasm only gets you so far; they also require a façade of biblical authority. And for many of these false teachers, Isaiah 53:5 is the go-to verse, ripped from its context and contorted to fit their self-serving interpretation.

But He was wounded for our transgressions,
He was bruised for our iniquities;
The chastisement for our peace was upon Him,
And by His stripes we are healed. (Isaiah 53:5, NKJV) 

Isaiah 53 is the most renowned Old Testament passage on Christ’s atoning work. John MacArthur refers to it as “the first gospel” or The Gospel According to God. It contains vivid and precise prophetic imagery concerning Christ’s suffering and crucifixion. And the “stripes” mentioned in verse five refer to the lashes Christ received at the hands of Roman soldiers.

Word-Faith charismatic teachers routinely claim that Isaiah 53:5 is proof that physical healing is inherent in the atonement—that it was won by Christ’s physical suffering. For example, Joseph Prince argues that physical healing is the right of all believers—something they can simply “confess” into reality:

But what came on [Jesus] was not just the whip stripping the flesh off His bare back, but your sicknesses and diseases. Each time He was whipped, every form of sickness and disease, including arthritis, cancer, diabetes, bird flu and dengue fever, came upon Him. “The chastisement for our peace was upon Him, and by His stripes we are healed.”

Today, healing is your right because Jesus has paid the price for your healing. So if the devil says, “You cannot be healed,” just declare, “Jesus has paid for my healing. Disease has no right to be in my body. I am healed in Jesus’ name!”

Every curse of sickness that was supposed to fall on you fell on Jesus instead. He bore every one of those stripes, so that you can walk in divine health all the days of your life. The price has been paid so that you can rise up and get out of your bed of affliction! ^[1] http://www.josephprince.org/daily-grace/grace-inspirations/single/by-jesus-stripes-you-are-healed

Prince’s view of the atonement is really only a potential atonement. It doesn’t actually deliver you from sickness but rather gives you the ability to “rise up and get out of your bed of affliction.” And how do you activate the atonement to receive the healing that’s rightfully yours? Kenneth Hagin’s testimony provides the answer.

Hagin staked the credibility of his healing ministry on 1 Peter 2:24—a New Testament quotation of Isaiah 53:5—and his claims regarding his personal experience of divine healing:

Some years ago, I was awakened at 1:30 A.M. with severe symptoms in my heart and chest. I knew something about such symptoms because I had been bedfast and given up to die with a heart condition as a teenager.

The Devil said to my mind, “You’re going to die. This is one time you’re not going to get your healing.” I pulled the covers over my head and began to laugh. I didn’t feel like laughing, but I just laughed anyway for about ten minutes. Finally, the Devil asked me what I was laughing about.

“I’m laughing at you!” I said. “You said I wasn’t going to get my healing. Ha, ha, Mr. Devil. I don’t expect to get my healing! Jesus already got it for me! Now, in case you can’t read, I’ll quote 1 Peter 2:24 for you.” And I did.

After quoting the last phrase, “By whose stripes ye were healed,” I said, “Now if we were—I was! So I don’t have to get it. Jesus already got it! And because Jesus got it for me, I accept it, and claim it, and I have it. Now you just gather up your little symptoms and get out of here, Mr. Devil!” ^[2] Kenneth E. Hagin, Faith Food Devotions (Tulsa, OK: Faith Library Publications, 1998) Page unknown.

For Hagin, and countless other Word-Faith preachers like him, supernatural healings need only to be spoken into reality. Joyce Meyer expands on that idea, arguing that Satan is involved in the illegal activity of inflicting “sickness on us, and there is no good reason to let him do it.”

How do you stand against sickness? For starters, plead the blood of Jesus against the sickness and over every part of your body—your immune system, your organs, your blood cells and so on. Then speak the Word over your body. You can pray, “Father, I believe it’s Your will that I be in health. I believe that by the stripes of Jesus, I am healed. Your Word is health and life to my body, and it will accomplish that which You please and purpose.” ^[3] http:/www.joycemeyer.org/OurMinistries/Magazine/0703/Healing+and+Wholeness.htm

So according to Joyce Meyer, healing is a right but it isn’t always fait accompli for the Christian. It’s something that’s been provided for believers, but they need to successfully claim it. It needs to be confessed into reality—spoken into existence through the power of faith. Like Joseph Prince, Meyer describes a potential atonement that requires our activation. That’s a cruel doctrine to inflict on Christians who have sought healing but continue to spend their lives in wheelchairs, on respirators, and under medication.

The belief that Christ’s physical suffering somehow guarantees our physical healing in this life isn’t merely an abuse of Scripture—it’s a form of mental and spiritual torture to those who sit under such false teaching. It’s a lie that has left many churchgoers disappointed with the gospel. Rather than longing for their heavenly home, they are gripped by unrealized expectations in the here and now. The sickness they struggle with leaves them feeling like failures who lack the necessary faith to claim the healing that’s rightfully theirs.

The fact that everyone still dies should be proof enough that on this side of eternity all people are still subject to Adam’s curse. Sickness is a very real part of life in this fallen world, and no amount of claiming divine health is going to change that. Even the disciples of the early church didn’t rebuke their physical ailments into oblivion—they dealt with them as best they could like everybody else.

Paul left Trophimus behind during one of his missionary journeys because of illness (2 Timothy 4:20). He recommended wine to Timothy for his “stomach and [his] frequent ailments” (1 Timothy 5:23). Epaphroditus got so sick he nearly died (Philippians 2:25–27). And sometimes God sent sickness to discipline members of His church (1 Corinthians 11:29–32).

So what does Isaiah 53:5 promise Christians if it’s not an offer of immediate, unblemished health for all Christians? John MacArthur sheds clear light on the matter in his commentary on 1 Peter 2:24 (which, noted earlier, quotes from Isaiah 53:5):

Christ died for believers to separate them from sin’s penalty, so it can never condemn them. The record of their sins, the indictment of guilt that had them headed for hell, was “nailed to the cross” (Colossians 2:12–14). Jesus paid their debt to God in full. In that sense, all Christians are freed from sin’s penalty. They are also delivered from its dominating power and made able to live to righteousness (cf. Romans 6:16–22).

Peter describes this death to sin and becoming alive to righteousness as a healing: by His wounds you were healed. This too is borrowed from the Old Testament prophet when he wrote “by His scourging we are healed” (Isaiah 53:5). Wounds is a better usage than “scourging” since the latter may give the impression that the beating of Jesus produced salvation. Both Isaiah and Peter meant the wounds of Jesus that were part of the execution process. Wounds is a general reference—a synonym for all the suffering that brought Him to death. And the healing here is spiritual, not physical. Neither Isaiah nor Peter intended physical healing as the result in these references to Christ’s sufferings. Physical healing for all who believe does result from Christ’s atoning work, but such healing awaits a future realization in the perfections of heaven. In resurrection glory, believers will experience no sickness, pain, suffering, or death (Revelation 21:1–4; 22:1–3). ^[4] John MacArthur, The MacArthur New Testament Commentary: 1 Peter (Chicago: Moody Press, 2004) 171–72.

To be fair, Matthew’s gospel does seem to make a connection between Isaiah 53:5 and physical healings that occurred during Christ’s earthly ministry:

They brought to Him many who were demon-possessed; and He cast out the spirits with a word, and healed all who were ill. This was to fulfill what was spoken through Isaiah the prophet: “He Himself took our infirmities and carried away our diseases.” (Matthew 8:16–17)

But was Christ’s healing ministry His end game, or did it point to an eternal cure? After all, the people he healed still died. Lazarus was raised from the dead, but he still eventually died again. People were healed but the curse wasn’t reversed. Jesus died for the sins of men, but men still continued to sin. He defeated death but His followers continued to die. There is an ultimate fulfillment of Christ’s atoning work that will not be realized this side of eternity (Romans 8:22–25). That’s why John MacArthur rightly observes:

Those who claim that Christians should never be sick because there is healing in the atonement should also claim that Christians should never die, because Jesus also conquered death in the atonement. The central message of the gospel is deliverance from sin. It is the good news about forgiveness, not health. Christ was made sin, not disease, and He died on the cross for our sin, not our sickness. As Peter makes clear, Christ’s wounds heal us from sin, not from disease. “He Himself bore our sins in His body on the cross, that we might die to sin and live to righteousness” (1 Peter 2:24). ^[5] John MacArthur, The MacArthur New Testament Commentary: Matthew 8–15 (Chicago: Moody Press, 1987) 19.

There is healing in Christ’s atonement but it’s obviously not fully realized in the present. Christians and non-Christians alike still feel the effects of the curse, and will ultimately die. Our ultimate perfect healing is certain, but it awaits us in the same way that we still await our resurrection bodies. And that shouldn’t bring disappointment to this present life. Rather, it is a glorious future reality for us to anticipate with great joy.

Lawmakers on both sides of the political divide are considering whether to report their rivals to police after a row in Hong Kong’s legislature over control of a key committee descended into chaos in the chamber.Two opposition legislators revealed on Saturday they planned to make formal allegations of assault, while the pro-establishment camp was mulling filing complaints of its own to the force.It follows a turbulent meeting of the Legislative Council’s House Committee on Friday, when a pro…

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