Health information exchanges are supposed to improve the speed, quality, safety and cost of patient care, but there is little evidence of that in existing health information exchange benefit studies, according to a research paper published this month in the prestigious journal Health Affairs.

Researchers synthesized and quantitatively assessed 27 health information exchange benefit studies, said Nir Menachemi, a professor and chair of the Department of Health Policy and Management in the Richard M. Fairbanks School of Public Health at Indiana University-Purdue University Indianapolis and one of the authors of the paper. He was at the University of Alabama at Birmingham while the review of the health information exchange studies study was conducted.

Shakespeare said "to be or not to be" is the question, and now scientists are asking how life forms grow to be the correct size with proportional body parts.

Probing deeply into genetics and biology at the earliest moments of embryonic development, researchers at Cincinnati Children's Hospital Medical Center report March 26 in Nature Communications they have found new clues to explain one of nature's biggest mysteries. Their data from fruit flies show the size and patterning accuracy of an embryo depend on the amount of reproductive resources mothers invest in the process before an egg leaves the ovary.

3 percent of younger children and 17 percent of 9-13 year olds skip lunch on a given school day and 23 percent of 9-13 year olds skip lunch on the weekends - yet obesity is a growing problem.

They may be eating more junk food instead. Lunch skippers had lower intakes of nutrients, including calcium and fiber, than lunch consumers. In addition, the data show that for some children, the lunch meal was primarily responsible for the higher essential nutrient intakes of vitamin D, potassium and magnesium, as well as a nutrient of concern, sodium. 

More than 60 percent of the world's population is infected with a type of herpes virus called human cytomegalovirus, which replicates by commandeering the host cell's metabolism, but the details of this maneuver have been unclear.

Researchers have discovered that cytomegalovirus manipulates a process called fatty acid elongation, which makes the very-long-chain fatty acids necessary for virus replication. They identified a specific human enzyme - elongase enzyme 7 - that the virus induces to turn on fatty acid elongation.

"Elongase 7 was just screaming, 'I'm important, study me,'" said John Purdy, a post-doctoral researcher at Princeton and lead author of the study. 

Cigarette smoking is down, thanks to fines and taxes on cigarette companies that fund anti-smoking campaigns - but hookah (water pipe) use is up. A new paper in Cancer Causes and Control worries that almost one in four high school seniors may try smoking hookah and 78,200 youth are current water pipe users.

Water pipes work by bubbling tobacco smoke through water, leading some users to believe that they carry less risk than cigarettes. The study, which analyzed data from the national 2012-2013 Youth Smoking Survey, found that over a third of youth believe it is less harmful to smoke tobacco in a water pipe than smoking a cigarette. 

Bisphenol A (BPA) is a chemical that is used in a variety of consumer products, such as water bottles, dental composites and resins used to line metal food and beverage containers. Often, aquatic environments such as rivers and streams become reservoirs for contaminants, which can include products containing BPA.

A new experiment was able to expose fish to endocrine-disrupting chemicals and cause them to pass adverse reproductive effects onto their offspring as many as three generations later, leading the authors to suggest that BPA could have adverse reproductive effects for fish and also humans and their offspring who are exposed to BPA as well.