Survey: A third of US teens don’t realize HIV is an STD
Nearly nine in 10 US teens say they’re not at risk for HIV, according to a new MAC AIDS Fund survey. I’s true HIV affects a very small portion (less than 1 percent) of the US population, but health experts warn that the lack of awareness about the disease could be one of several factors driving an increase in HIV diagnoses and infections among youth. (Vox, 8/4)

Children With Jailed Family Members More Likely to Have Poor Health Later
Adults whose childhood included having a family member in prison are about 15 percent more likely to have poor physical and mental health than those who didn’t, a new study showed.  The findings suggest that the high rate of imprisonment in the U.S. may be contributing to long-term health problems in some families, the researchers noted. (HealthDay News, 8/6)
Insulin Sensitivity Is Key Renal Marker in Youth With T2DM
Among adolescents with type 2 diabetes, insulin sensitivity is an important marker of renal health, according to research published online in Diabetes Care.  The researchers found that, compared with obese or lean adolescents, adolescents with type 2 diabetes had significantly lower GIR, higher eGFR, and higher ACR. (Physician’s Briefing, 8/6)
Automated phone interviews enhance pediatric PCP visits
Engaging parents in automated phone interviews prior to routine primary care visits could improve the quality of the visits, according to a study in Pediatrics.  In the study, parents of patients between 4 months and 11 years old called the automated, interactive voice response system, the Personal Health Partner, and answered questions regarding the upcoming visit. (Bleeker’s Hospital CIO, 8/6)
Kids are at risk of biological damage results from microwave radiation emitted by wireless devices
A new article on wireless safety, published online in the Journal of Microscopy and Ultrastructure, reports that children and fetuses are the most at risk from neurological and biological damage that results from microwave radiation emitted by wireless devices, due to the higher rate of absorption of microwave radiation by children than by adults. (News Medical, 8/6)
Diagnostic Algorithm for Appendicitis Cuts Pediatric CT Use
For pediatric patients under 18 years of age, implementation of a diagnostic algorithm for appendicitis correlates with a significant reduction in CT use without impacting diagnostic accuracy, according to a study.   The authors write, “given the concern for increased risk of cancer after CT, these results support use of an algorithm in children with suspected appendicitis.” (Physician’s Briefing, 8/7)
Pelvic x-rays unnecessary for children with blunt force trauma
Pelvic x-rays ordered as a matter of course for children under 18 years of age who have suffered blunt force trauma do not accurately identify all cases of pelvic fractures or dislocations and are usually unnecessary for patients for whom abdominal/pelvic CT scanning is otherwise planned. A new study published casts doubt on a practice that has been recommended by the ATLS, considered the gold standard.  (News Medical, 8/7)

Fitness May Help Ward Off Depression in Girls
The more fit middle-school girls are, the less likely they may be to develop symptoms of depression, according to a new study.  Although the effect of fitness on depression was small, improvements in fitness may be part of an overall strategy for reducing the risk of depression.  The researchers also found that depression among sixth-grade boys predicted poorer fitness in seventh grade.  (HealthDay News, 8/7)
Researchers recommend laparoscopic surgical removal of gallbladder for pediatric patients
A recent study conducted by Mayo Clinic researchers recommends laparoscopic cholecystectomies (surgical removal of the gallbladder) for pediatric patients suffering from gallstones and other gallbladder diseases. This study was published in Surgical Laparoscopy Endoscopy & Percutaneous Techniques.  (News Medical, 8/8)
Psychotic Experiences may Predict Early Suicide Risk in Teens
Suicide remains the third leading cause of death among adolescent youths between the ages of 15-24.  A recent study specifically examines the relationship between psychosis and suicide attempts or self-harm in adolescents. Findings revealed that the number of psychotic experiences and/or psychological distress experienced by kids could potentially predict their suicide risk. (Science World Report, 8/8)
Parents drive kids to distraction, really, they do
Talking or texting on a cell phone while on the road is called distracted driving, but now a new study about teenagers behind the wheel shows it’s their parents driving them to distraction.  Parents are calling their kids while the kids are driving: More than half of 408 participating teens reported being on the phone with mom or dad, according to new research. (USA Today, 8/8)
Will Regular Marijuana Use Turn Teen Brains To Mush? Yes, Say Psychologists
Several studies dedicated to the effect of marijuana on our brains have shown a relation between drug use and the development of psychosis in later life. Psychologists discussing the public health implications of marijuana legalization have endorsed these earlier findings by stating that frequent marijuana use can significantly impact the brains of young adults leading to decreased cognition, poor attention and memory, and decreased IQ. (Medical Daily, 8/9)
West Nile virus and La Crosse virus dominate infections caused by mosquitoes
Among the infections that attack the nervous system, La Crosse virus and West Nile virus were the most common in children, a recent study found.  The study looked at children’s infections caused by insects and ticks from 2003 through 2012, specifically focused on “neuro-invasive” infections in those under age 18.
(Daily Rx, 8/10)
Junk food consumption tracking New Zealand teenage depression epidemic: expert
New Zealand’s soaring consumption of junk food might be driving an epidemic of teenage depression, a University of Auckland health expert warned Monday.  A study showed adolescents on a diet high in junk food had lower mental health scores, while on a diet high in healthy food had higher mental health scores.
(Global Post, 8/11)
Acidic Drinks Can Damage Kids’ Teeth Permanently, Expert Warns
High acidity levels in soft drinks, fruit juice and sports beverages pose a threat to youngsters’ teeth, a new study reports.  “Our research has shown that permanent damage to the tooth enamel will occur within the first 30 seconds of high acidity coming into contact with the teeth. This is an important finding and it suggests that such drinks are best avoided,” study corresponding author said. (HealthDay News, 8/11)
Intervention Cuts Catheter-Related Pediatric UTIs
Enactment of a quality improvement prevention bundle at a tertiary care children’s hospital significantly reduced the rate of catheter-associated urinary tract infections (CAUTI), according to new research.  The researchers observed a 50 percent reduction in the mean monthly CAUTI rate from 5.41 to 2.49 per 1,000 catheter following implementation of the CAUTI prevention bundle. (Physician’s Briefing, 8/11)
Regardless of location, concussions serious: study
Concussions in high school football players are equally serious no matter where on the head the hit occurred, according to a new study.  Regardless of where on the head the players were hit, their symptoms were similar, as were the length of time symptoms lasted and how long players stayed off the field, researchers found. (Reuters, 8/11)

Children’s Hospitals Vary in Admission Rates
U.S. children’s hospitals show three-fold variation in admission rates for common pediatric conditions, even when adjusting for severity of illness, according to a new study.  “Although local practices and hospital-level factors may partly explain this variation, our findings highlight the need for greater focus on the standardization of decisions regarding admission,” the authors write. (Physician’s Briefing, 8/12)
After childhood cancer, young women’s sexual health may suffer
Adult women who survived cancer as a child report having less sex, less interest, less desire and less satisfaction than their sisters who never had cancer, according to a new study.  Women who had been diagnosed as teens, been treated with radiation of the brain or who ceased menstruating at a younger age (or never began) were at the biggest risk for sexual dysfunction.   (Reuters, 8/12)
Study: Hand sanitizers not shown to cut school absences
Putting alcohol-based hand sanitizers in classrooms in the hopes of reducing school absences due to illness may not be worth the expense in high-income countries where clean water for washing hands is readily available, a study says.  It finds that adding the sanitizers to school-age kids’ usual hand hygiene routine, washing with soap and water, did not reduce illness-related absences.  (USA Today, 8/12)
Secure texting improves provider satisfaction, workflow
While pagers are still ubiquitous in hospital settings as a means of physician to physician communication, group messaging smartphone applications are proving to improve team communication, found a study.  The HIPAA-compliant group messaging was rated more effective both in allowing users to communicate thoughts and integrating into workflow during rounds and patient discharge, as compared to paging. (Becker’s Hospital CIO, 8/12)
ADHD, substance abuse and conduct disorder develop from the same neurocognitive deficits
Researchers traced the origins of ADHD, substance abuse and conduct disorder, and found that they develop from the same neurocognitive deficits, which in turn explains why they often occur together. “Psychopathology exists on multiple continua of brain function.  Some of these dimensions contribute to a multitude of problems, others contribute to specific problems,” said the authors.  (Health Canal, 8/12)
Teen drug use gets supersize study
Almost nothing is known about whether or how marijuana affects the developing adolescent brain, especially when used with alcohol and other drugs.  The US NIDA is accelerating the launch of an ambitious effort to follow 10,000 US adolescents for ten years in an attempt to determine whether marijuana, alcohol and nicotine use are associated with changes in brain function and behaviour.  (Nature, 8/12)
Children Prescribed Growth Hormone May Face Stroke Risk Later: Study
Children who are prescribed human growth hormone may be at greater risk of a stroke in early adulthood than their peers are, a new study published in Neurology suggests.  While the study raises important questions about the safety of human growth hormone treatments, the study’s researchers encouraged parents to discuss the pros and cons of treatment with their child’s physician.  (HealthDay News, 8/13)
Drug target identified for common childhood blood cancer
In what is believed to be the largest genetic analysis of what triggers and propels progression of tumor growth in T-cell acute lymphoblastic leukemia, researchers report that they have identified a possible new drug target for treating the disease.  An estimated one-quarter of the 500 adolescents and young adults with this cancer diagnosis each year in the U.S. fail to achieve remission with standard chemotherapy drug.  (Oncology Nurse Advisor, 8/13)
Adolescents scared of crime less likely to become criminals
A new study has demonstrated that adolescents who are more frightened of crime are less suitable to become victims and culprit of violent acts. The study conducted by the Michigan State University displayed that reducing fear would not help citizens become better informed on issues that could affect their routine activities and safety.  (Business Standard, 8/13)
Bionic pancreas tested in diabetic kids at a summer camp
At a summer camp outside of Boston, a group of children is taking part in an unprecedented test of potentially life-changing medical technology.  The kids have diabetes, and they’re testing a bionic pancreas in challenging real-world conditions. It’s the first time the device has been tested in children ages 6 to 11.   (CBS News, 8/13)



DOJ finds NYC’s Rikers Island breaches rights of young inmates
New York City’s Department of Correction routinely violates the constitutional rights of male teenagers at the Rikers Island jail complex by tolerating a “culture of violence” that permits the savage beating of young inmates, according to a federal report released on Monday.  The 79-page report, prepared by the U.S. Justice Department, describes a fearful and brutalized environment. (Reuters, 8/4)
Majority of doctors go digital
A majority of doctor’s offices and hospitals have adopted electronic health records, according to new studies by the DHHS.  According to the studies published in the journal Health Affairs, 78 percent of office-based physicians said they had adopted electronic health records as of 2013.  About half of physicians also said they are able to share patient data electronically with other institutions. (The Hill, 8/7)
U.S. Hospitals See Big Rise in Drug-Related Suicide Attempts
Drug-related suicide attempts in the U.S. increased over a recent six-year period, with dramatic increases seen among young and middle-aged adults, health officials reported Thursday.  Overall, suicide attempts involving prescription medications and other drugs jumped by 51 percent among people 12 and older between 2005 and 2011, according to the SAMHSA. (HealthDay News, 8/7)
Medicaid enrollments top 7M under O-Care
Medicaid and CHIP sign-ups have exceeded 7 million since ObamaCare’s new coverage options opened for enrollment last October, the government reported. The HHS announced that 7.2 million people have gained health insurance through Medicaid or CHIP, both designed to serve families with lower incomes.  (The Hill, 8/8)
Using meetup apps to promote safer sex
The ability to find a sexual partner with a few taps on a phone screen has raised concern among health officials and physicians, who say these meetup apps, more commonly known as hookup apps, may be partially responsible for a rise in common STIs.  Health officials hope to use the mobile platforms as a way to spread public health messages about safe sex and testing for STIs.  (The Boston Globe, 8/11)
Suicide contagion and social media: The dangers of sharing ‘Genie, you’re free’
As fans around the world began to grieve Robin Williams’s death, the Academy of Motion Picture Arts and Sciences sent out what may be the iconic social media image of Williams’s death.  More than 270,000 people have shared the tweet, which means that as many as 69 million people have seen it.  The problem? It violates well-established public health standards for how we talk about suicide.  (The Washington Post, 8/12)

Idaho reports alarming rise in whooping cough cases
Idaho health officials on Tuesday urged vaccination to combat what they said was an alarming rise this year in the number of cases of whooping cough, which has killed an infant and afflicted 240 other state residents since January.  Rates of whooping cough are highest among children aged 5 to 17 in Idaho, which has one of the lowest vaccination rates in the United States.  (Reuters, 8/12)
The Challenges After Surviving a Childhood Disease
Some novel programs are addressing a growing gap in health care: helping the millions of survivors of serious childhood diseases find treatment when they grow up.  Thanks to medical advances, there are a growing number of survivors of childhood cancers as well as patients living longer with diseases like CF and spina bifida.  Switching to adult care raises a range of issues.  (The Wall Street Journal, 8/12)
Tough Laws Continue to Target Tobacco Sales to Minors
Only about 10 percent of inspected stores across the U.S. illegally sold tobacco products to minors during 2013, a U.S. government report says.  That is half the 20 percent target rate set by a national and state effort called the Synar Amendment program to end illegal tobacco sales to youth. (HealthNews Day, 8/14)




Nigeria: Cervical Cancer As Consequence of Underage Marriages
Nigeria has been listed among 10 African countries with highest absolute numbers of cervical cancer, which a new report has said is a consequence of the high numbers of underage marriages.  Findings released shows that the high incidence, risk and mortality from cervical cancer in Africa are driven by inadequate multisectoral action by governments on interaction of HPV with wide spread HIV, and poor sexual, reproductive and maternal health. (All Africa, 8/6)
Nigeria: UNFPA Tasks Govts on Youths’ Mental Health
As the world marked International Youth Day on August 12, the UNFPA has urged governments to prioritise the mental health of young people.  International Youth Day is commemorated yearly and that of 2014 had the theme, ‘Mental health matters.’ It focused on complete physical, mental and social well-being of young people.  (All Africa, 8/13)
Malawi among African countries with highest cervical cancer deaths
Malawi is one of the countries with the highest incidences and deaths of cervical cancer in Africa, the African Coalition on Maternal, Newborn and Child Health said.  In a statement, the organisation’s 2014 multi-indicator revealed that Malawi has 79.9 incidences per 100,000 across the 10 to 15 age group followed by Mozambique with 65 per 100,000.  (Star Africa, 8/13)
Plan Ghana urges GES to tackle adolescent reproductive health issues
Plan Ghana urged the Ghana Education Service to vigorously tackle the issue of adolescent sexual reproductive health, in order to address and reduce the incidence of teenage pregnancy and unprepared motherhoods.  The Plan Ghana Programme Manager in-charge of Operations said education is a fundamental human right and the most effective way to alleviate poverty. (Business Ghana, 8/14)





SAHM and AAP collaborate on statement on non-viral STIs
A new policy statement from the AAP’s Committee on Adolescence, with collaboration by SAHM members, offers recommendations on nonviral STI screening and developing clinical procedures to incorporate risk assessment, screening, treatment and prevention counseling. (SAHM, 8/8)
Meningococcal Vaccination in Children and Young Adults Updated: An In-Depth Guide
On July 28, 2014, the AAP updated recommendations for the administration of the meningococcal vaccine in children. This vaccine helps reduce the risk of developing Neisseria meningitidis infection, which may lead to diverse complications including meningitis, bacteremia, and pneumonia.  (Pharmacy Times, 8/7)
Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents 
These guidelines from the DHHS update a previously published guideline summary.  They provide guidance to HIV care practitioners on the optimal use of ARV agents for the treatment of HIV infection in adults and adolescents in the U.S.  (AHRQ, 8/12)
Presentation, diagnosis, and medical management of heart failure in children: Canadian Cardiovascular Society guidelines.
This publication presents guidelines for the recognition, diagnosis, and early medical management of heart failure in infancy, childhood, and adolescence, and to assist practitioners in office-based or emergency room practice, who encounter children with undiagnosed heart disease and symptoms of possible HF, rather than those who have already received surgical palliation. (AHRQ, 8/12)



Therapies for Children With Autism Spectrum Disorder: Behavioral Interventions Update
New research suggests that behavior-focused therapies have positive results for some children with autism spectrum disorder. The update found that the quality of research studies on these therapies has improved since AHRQ’s 2011 review of studies on ASD, and that many young children who receive early intervention with intensive, long-term applied behavior analysis types of approaches showed improvements in cognitive and language skills, compared with children receiving other interventions. (AHRQ, 8/12)
Free FDA College Health Back to School Resources
The FDA Office of Women’s Health encourages you to use their free health resources for your Back to School planning and health promotion activities. Join over 160 colleges and universities who are participating in their National College Women’s Campaign.

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Fall 2014 Clinical Vaccinology Course
Scheduled for November 7-9 in Houston, TX, this 2 1/2 day course focuses on new developments and issues related to the use of vaccines. Expert faculty will provide the latest information on both current and prospective vaccines, updated recommendations for vaccinations across the lifespan, and innovative and practical strategies for ensuring timely and appropriate vaccination. Faculty includes physicians, nurse and nurse practitioners, pharmacists, and public health officials including representatives from the CDC and ACIP work groups.   Early registration deadline is September 29, 2014.  Participants can earn up to 19.75 CE credits.

Posted: 8/14/2014 10:26:10 AM by Chelsea Kolff | with 0 comments
Filed under: ADHD, Affordable Care Act, autism, cancer, CHIP, concussions, driving, exercise, HIV/AIDS, marijuana, mental health, suicide

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