Teens speak more openly with doctors in private
Teenagers are more likely to discuss topics like sexual health and drug use with their doctors if their parents are out of the room for at least part of their check-up, a new study shows.  Researchers found the greatest number of health-related topics were discussed when parents were present for some of the visit but outside the room for the rest.  The AMA, AAP and SAHM all recommend that practitioners provide confidential health services for teens.  (Reuters, 7/25)




Gene Study Gives New Insight Into Puberty in Girls
The timing of a girl’s first menstrual period may be determined by hundreds, and possibly thousands, of gene variations, a new study suggests.  Researchers have identified over 100 regions of DNA that are connected to the timing of menarche. The researchers hope these findings will shed light on the biology of a number of diseases ranging from type 2 diabetes to breast cancer. (HealthDay News, 7/23)
Study: Standardized handoff process reduces care failures by nearly 18%
The implementation of a standardized handoff process across 23 children’s hospitals resulted in a significant decrease in handoff-related care failures, according to a new study.  The quality improvement collaborative that included 23 children’s hospitals was guided by evidence-based recommendations regarding handoff intent and content, standardized handoff tools/methods and clear transition of responsibility. (Becker’s Hospital Review, 7/23)
Too Few Kids Get HPV Vaccine, CDC Says
Too few kids are getting HPV vaccines, federal health officials reported. And lackluster response to the vaccine might be because pediatricians just aren’t recommending it, the CDC said.  The annual survey of how many U.S. children are getting vaccinated shows hardly any improvement in use of the HPV vaccine.  (NBC News, 7/24)
Teens pay high psychiatric toll when raised in conditions of political conflict
A new study finds that Israeli youths exposed to protracted conflict suffer far higher levels of anxiety, phobia, fear, depression, obsessive-compulsive symptoms, and paranoia than their counterparts in the U.S.   The research showed that, over a 14 year period, Israeli adolescents suffered from severe psychiatric symptoms and disorders. Adolescent girls reported even higher levels of psychiatric pathologies than adolescent boys. (Medical Express, 7/24)
Study: Older communication systems can compromise safety
Much of the U.S. healthcare industry still conducts business using older communications solutions, which in turn can negatively impact patient safety, delay patient care and result in operational inefficiencies, according to a report from global growth consulting firm Frost & Sullivan.  Many providers continue to use inefficient systems, like pagers and paper-based written records.  (Clinical Innovations and Technology, 7/24)
Children who experience stress early in life have emotional, physical health problems
Children who have been abused or neglected early in life are at risk for developing both emotional and physical health problems. In a new study, scientists have found that maltreatment affects the way genes are activated, which has implications for children’s long-term development.   In the new study, researchers were able to measure the degree to which genes were turned “on” or “off” through methylation.  (News Medical, 7/25)
Fewer cardiac scans in low-risk childhood cancer survivors can safely reduce costs
A less frequent screening schedule would both reduce health care charges and still protect low-risk childhood cancer survivors from heart ailments caused by drug therapy, according to recently published findings.  According to the data, the frequency of such post-cancer screenings can be safely reduced for low-risk patients—with large cost-savings and little reduction in overall quality of patient care. (Oncology Nurse Advisor, 7/25)
Covering Youth Sexuality: How the Media Can Do Better
Beyond how the media covers female sexuality and the sexuality of individuals whose gender expressions don’t fit neatly into society’s gender binary system, there’s another group that the media fails when it comes to coverage regarding sexuality: youth. A recent analysis of the messaging the general public receives on youth sexual behavior and youth sexual health will be crucial to efforts to improve the portrayal of youth sexuality. (RH Reality Check, 7/25)
Electronic screening tool to triage teenagers and risk of substance misuse
An electronic screening tool that starts with a single question to assess the frequency of substance misuse appears to be an easy way to screen teenagers who visited a physician for routine medical care.  A study examined use of an electronic screening and assessment tool to triage adolescents into four categories regarding nontobacco substance use.  The tool also can assess tobacco use.  (Medical Express, 7/28)
Part-time work ‘positive’ for students
Taking up an after-school job gives school students a good work ethic before they enter the workforce.  A new study in New Zealand has found schoolchildren who take on a part-time job do not suffer any long-term disadvantage to their wellbeing or education.  (Wanganui Chronicle, 7/28)
Healthy Choices Lowered Health Risks in Cancer Survivors
Childhood cancer survivors can be more susceptible to heart disease and other health problems as adults. But new research shows they can lower their risk through lifestyle choices.  Having a healthy lifestyle decreased the risk for metabolic syndrome in those who survived cancer as children, researchers found.  (Daily Rx News, 7/28)
Study: iPad-based HIV prevention game increased adolescents’ knowledge of the disease
Children who played iPad-based HIV prevention game PlayForward: Elm City Stories knew more about HIV risk than those that played other video games, according to an oral abstract on a randomized control trial of 198 adolescents presented at the AIDS conference. The mean age of children in this trial was 13. (Mobi Health News, 7/29)
Injured Teens Have Same Outcomes at Pediatric and Adult Trauma Centers
In the minutes after a traumatic injury involving a teenager, two things may be unclear—the exact age of the patient and the best place to send them: the local pediatric trauma center or the local adult trauma center.  After a review of outcomes from both types of centers in Ohio, investigators can report that, for certain states, teen patients have generally the same outcomes at either type of facility.  (Health Canal, 7/29)
Sugary Drinks May Damage Children’s Brains So Badly It Affects Their Memory
Sugary drinks may be doing far more harm than just causing tooth decay and weight gain; it may be damaging our brains. Researchers from the University of Southern California have found a disturbing connection between sugary drinks and memory and will present their research at the Annual Meeting of the Society for the Study of Ingestive Behavior.  (Medical Daily, 7/29)
New research describes trends in substance use among high school athletes
Newly published research reports on the current trends of substance use by high school student athletes and notes an increase in the use of prescription pain medications among football players. “The study seeks to account for multiple determinants of substance use before attempting to draw substantive conclusions about sport-specific patterns,” wrote researcher Bryan Denham. (Medical Express, 7/29)
Legalizing pot has not spurred use among U.S. teens: study
A rise in marijuana use among U.S. teens over the past 20 years has no significant tie to the legalization of marijuana for medical use in many states, according to new research.  Comparing surveys conducted annually by the CDC, researchers found the probability that a high schooler had used pot in the last 30 days was no more than 0.8 percent higher in legal states compared to states that had not approved medical marijuana. (Reuters, 7/29)
Moving Children From CHIP To Exchange Plans Would Increase Costs: Study
Cost sharing would increase and the number of child-specific services covered would decline if millions of low-income children now enrolled CHIP were forced to receive coverage through the health law’s insurance exchanges, according to a new study.  CHIP enrollees in some states could see their cost sharing increase 10-fold if they were transitioned to exchange plans, according to the analysis from the Wakely Consulting Group done for the Robert Wood Johnson Foundation.  (Kaiser Health News, 7/29)
Young people with HIV respond well to human papillomavirus vaccine
The quadrivalent HPV vaccine worked as well for teens and young adults with HIV as it did for their HIV-negative counterparts, according to study.  HIV-positive people tend to harbour more HPV types, are less likely to spontaneously clear HPV and may experience faster disease progression from dysplasia to cancer.  (NAM Aids Map, 7/29)
Psychiatric disorder prevalence among homeless young
Vulnerable young people have a higher occurrence of psychiatric disorders and there is a vital need for better uptake of long-term treatment services, a study has found.  The researchers discovered that young people with experience of homelessness had higher levels of psychiatric disorders, but few were able to access the mental healthcare available, turning instead to GPs and hospital services.  (Medical Express, 7/30)
Dieting at young age affects women’s health later in life, study says
The earlier in life a woman starts dieting, the worse long-term consequences it can have for her health, a new study suggests.  Researchers found that an early age of first dieting was related to extreme weight-control behaviors, greater alcohol consumption and misuse, and a greater chance of being overweight or obese at the 10-year follow-up. (CBS News, 7/30)
Tonsillectomy For Sleep Apnea Increases Adolescents’ Risk For Weight Gain
Overweight children who suffer from sleep apnea and have their tonsils removed may experience future weight gain, a new study finds, highlighting the importance of proper nutrition and fitness levels to alleviate underlying conditions.  (Medical Daily, 7/30)
Teen insomnia is linked with depression and anxiety
A study of high school students by psychology researchers has shed new light on the links between insomnia-related mental health conditions among teens.  Researchers surveyed Australian high school students to better understand their sleep habits, mental health condition and the time of day they were most active.  The results may have implications for the clinical treatment of teens experiencing sleep and mental health issues.  (Medical Express, 7/30)
Insulin Sensitivity Predicts Kidney Health in Adolescent Diabetes
A new study reports high rates of microalbuminuria and renal hyperfiltration in adolescents with type 2 diabetes, which forecast early renal morbidity and mortality. In this observational study, insulin sensitivity measured by hyperinsulinemic-euglycemic clamp studies, rather than adiposity, blood pressure, lipid and glycemic control was associated with markers of renal health.  (Medical Research News, 7/30)
E-Cig Benefits Outweigh Their Harms, New Research Says
The debate over e-cigarettes is constantly up in smoke.  A new paper published in Addiction looking at over 80 studies on e-cigarettes’ safety and their effects on users plays devil’s advocate.  The researchers found that based on the evidence, e-cigs are much less harmful to smokers and bystanders compared to conventional cigarettes.  (Time, 7/31)



Many Kids With Medicaid Use ER as Doctor’s Office: CDC
Children covered by Medicaid visit the emergency room for medical care far more often than uninsured or privately insured youngsters, a U.S. survey finds.  And kids with Medicaid were more likely than those with private insurance to visit for a reason other than a serious medical problem, according to the 2012 survey conducted by the CDC.  (HealthDay News, 7/24)
U.S. appeals court backs Florida law in ‘Docs v. Glocks’ case
A U.S. appeals court ruled on Friday in favor of a Florida law that bars doctors from asking patients about gun ownership, overturning a decision in the so-called “Docs v. Glocks” case by a lower court that had struck it down.  A federal judge ruled the law unconstitutional in 2012, and the state swiftly appealed.  (Reuters, 7/25)
Doctors Urge Meningitis Shots for Vulnerable Infants, Children
Infants and children who are at risk of contracting meningitis because of specific health problems should be vaccinated against the infection, according to updated recommendations from the AAP.  Routine vaccinations for the potentially deadly infection should continue for adolescents and college students, the AAP says. (HealthDay News, 7/28)
Surgeon general: Stop tanning and save your skin
The call to action from acting Surgeon General Boris Lushniak, released Tuesday, says that skin cancer is a “major public health problem” and that too much exposure to indoor and outdoor ultraviolet light is a major cause. It comes just two months after the FDA announced it will soon require labels on tanning beds and lamps warning against use by anyone younger than 18.  (USA Today, 7/29)
Senators Offer Bill to Curb Campus Sexual Assault
A bipartisan group of senators on Wednesday introduced legislation designed to curb the striking number of sexual assaults on college campuses. The measure would require schools to make public the result of anonymous surveys concerning assault on campuses, and impose significant financial burdens on universities that fail to comply with some of the law’s requirements. (The New York Times, 7/30)
Teens Are Setting Themselves On Fire In Hopes Of Becoming Social Media Famous
This summer, teenagers have begun lighting themselves on fire in hopes of becoming social media famous on platforms like YouTube and Vine.  If you search through the #FireChallenge hashtag on Vine or Twitter, you get a horrifying look at what this trend entails. These kids are dousing themselves in lighter fluid and then taking a match to their skin. (Business Insider, 7/30)



Africa: Young People Speak Out Against Stigma of Youth Condom Use
Young people around the world are not receiving clear messages or support to use condoms to prevent HIV infection, according to delegates at the AIDS 2014 conference.  Health experts and youth organisations have pointed to inadequate sex education and stigma facing young people who are sexually active as factors in rising rates of sexually transmitted infections among adolescents. (All Africa, 7/25)
UN urges Chile to allow abortion in some cases
The UN Human Rights Committee asked Chile Thursday to make exceptions to its ban on abortion in cases of rape, incest and the health of the mother.  Chile is one of the few countries in the world that prohibits abortions for any reason.  Legislation that would create exceptions has been blocked in the Chilean parliament. (Raw Story, 7/25)
Uganda: Your Teenage Girl, Possibly, Needs Family Planning
Among the many sexually active adolescents worldwide, large numbers want to avoid, delay or limit pregnancy but lack the knowledge, agency or resources to make decisions regarding their reproduction.  On average, unmet need for contraception is greater among unmarried adolescents than those who are married. Married adolescents ages 15-19 experience a higher percentage of unmet need than all married women.  (All Africa, 7/28)
Child sexual assault a silent violent epidemic: Nimhans
Child Sexual Abuse (CSA) is a “silent violent epidemic,” which requires a “protocol-based systemic response to ensure that the child’s agenda, that is, healing and recovery, is at the core of it,” states an advisory issued by the National Institute for Mental Health (Nimhans) of India, to all the stakeholders, including parents, police, media and schools on how to tackle the “national menace” of CSA.  (The Deccan Chronicle, 7/30)
Novartis vaccine Bexsero sees high uptake in first large-scale public vaccination programme to help protect against devastating meningitis B
Novartis has announced the initial results of a large-scale vaccination campaign with Bexsero, a Meningococcal Group B Vaccine, within Québec, Canada. This public programme adds to the growing real-world experience of Bexsero, which is approved in 34 countries.  This regional programme is the first of its kind globally and has reached 81 per cent of the campaign’s target population of infants, young children and adolescents within the first three months. (Pharma Biz, 7/30)
Nigerian First Lady, Patience Jonathan, canvases reproductive health policies
The First Lady of Nigeria, Patience Jonathan, in Windhoek, Namibia has called for the institutionalization of reproductive health policies in Africa.  Mrs. Jonathan said Africa has to rise to implement sustainable and achievable reproductive health policies.  Mrs. Jonathan also advocated compulsory health education of adolescent and young adult females on factors associated with cervical cancer. (Premium Times, 7/30)


New Toolkits Ease the Transition from Pediatric to Adult Health Care
The new Transitions of Care initiative spearheaded by the Endocrine Society provides interactive toolkits to help young adults who have hormone conditions navigate the shift from a pediatric to an adult health care team. The Society partnered with several health care organizations on the initiative, which offers resources for young adults, their parents and health care providers. 
Better care for transgender youth
A study team from the University’s Adolescent Health Research Group, has put forward recommendations, together with young people, about the care transgender young people receive at the hands of their communities and schools.  These are based on the results from the nationally representative New Zealand Adolescent Health Survey (Youth’12) of more than 8,500 young people.  (Medical Express, 7/30)        



New app helps teens calm anxiety
Anxiety disorders affect one in eight teens.  Now there’s even an app that can help alleviate symptoms.  The MindShift app aims to teach young adults how to combat everyday anxiety, panic, conflict and worry. Teens can input their symptoms and the app will create a plan to help reduce stress.  The Mindshift app gives users the ability to customize tools like mindfulness, visualization and positive thinking.  The free app also includes articles, questionnaires and a tracking system to analyze results over time.
Kurbo: A Health App Yielding a Healthier Youth
Kurbo is, according to sources, the first kid safe, obesity-eliminating tool offered to children that is completely administered over a mobile device. Using smartphone apps, virtual feedback, and live acutely targeted coaching, Kurbo is a training program teaching children the ‘ins and outs’ of weight loss as achieved through a healthier diet. (Health Tech Zone, 7/30)


Save the Date: 2015 AAP Legislative Conference
The AAP Legislative Conference will be held April 12 to 14, 2015, in Washington, DC. Participants will have the opportunity to develop federal advocacy skills through interactive workshops, learn about timely child health policy topics, hear from several guest speakers from Congress and the Administration, and visit with their legislators on Capitol Hill. If you are interested in attending and would like to be notified when registration opens, e-mail


July 31 Webinar on Implementing Novel Health IT Interventions
AHRQ is hosting a free webinar July 31 from 2:30 to 4 p.m. ET, titled “The Impact of Implementing Novel Health IT Interventions for Cancer Screening, Diabetes and Childhood Illnesses.”. Speakers will review the methodology, implementation and evaluation of health information technology interventions that affect preventive cancer screening rates, diabetes outcome measures and use of telemedicine services for acute childhood illnesses. There are 1.5 CE credits available to participants who attend the entire webinar and complete an online evaluation. Registration is open.
Getting to the Heart of the Matter: Relationship Education for Juvenile Detention and Re-Entry Programming
When teens and young adults are incarcerated, they often return to society still lacking healthy relationship skills necessary for successful family reunification and job retention.  Register to attend this free 60 minute webinar from the Dibble Institute about building of the developmental assets missing in this population on Wednesday, August 13, 2014, at 4:00 pm Eastern time.
Webinar: How the Healthier Generation Benefit is shifting obesity care
Join a webinar discussing the key points of the Alliance for a Healthier Generation’s Healthier Generation Benefit, current data collected related to parent perceptions and utilization, the forthcoming AAP Institute for Healthy Childhood Weight quality improvement project (COPI – Childhood Obesity Performance Improvement), and resources that can support you in your obesity care.  This webinar will be held on August 14th at 1 p.m. EDT.


Centers of Excellence Funding Opportunity
The AHRQ seeks to award cooperative agreements of up to three Centers of Excellence on Comparative Health Systems, as part of PCOR dissemination.  The Comparative Health System Performance in Accelerating PCOR Dissemination (U19) Funding Opportunity Announcement seeks applications to improve the uptake of PCOR findings among health care organizations and their clinicians.  It also wants to compare the performance of these systems to each other and to the performance of more traditional forms of delivery system.  Deadline for applications is October 17, 2014.  

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