Survey: Physicians, Medical Students Need Sex-Trafficking Education

A need exists for standardized human sex trafficking education for physicians, residents, and medical students, according to a new report. While physicians and medical trainees may believe that knowing about human sex trafficking is important to them, many lack knowledge about how big the problem is and where to turn if they encounter a trafficking victim in their practices, according to a new survey. (Times Record, 6/19)





High School Football Players May Be at Doubled Risk of Migraine
High school football players appear to be twice as likely to have migraines as the average person, which may be due to head injuries and concussions the athletes endure during play, two small new studies suggest. The first study found that one-third of a group of 74 football players from Louisville, Kentucky-area high schools reported migraine-like symptoms. (HealthDay News, 6/18)
Puberty age affects many diseases, says study
The age puberty starts can be a factor in developing a range of diseases from cancer to diabetes, suggests a study. Starting early or late could alter the risk of nearly 48 separate conditions, including the age of menopause. The analysis of half a million people, published in Scientific Reports, showed early puberty increased the odds of type 2 diabetes by 50%. (BBC News, 6/18)
What Happened When a Town Raised the Smoking Age
Should the legal age be 21 for smoking? Some experts are saying it should after seeing the effects in one Massachusetts town. “In April of 2005, Needham, MA became the first town in the USA to raise the tobacco sales age to 21,” wrote authors of the new study. When compared to surrounding towns with a minimum tobacco sales age of 18, Needham saw a greater drop in teen smoking and teen tobacco purchases. (Daily Rx, 6/19)
Pre-Op Workshop Cuts Post-Op Maladaptive Behaviors in Kids
A preoperative preparation workshop can reduce postoperative maladaptive behaviors (POMBs) in children, according to a study published in Pediatric Anesthesia. Researchers conducted a prospective cohort study to examine whether a family-centered preoperative preparation workshop can reduce the incidence of POMB and preoperative anxiety in patients aged 3 to 18 years. (Physician’s Briefing, 6/19)
Gardasil 9 Effectively Stops 90% Of Cancers Caused By HPV In Girls and Boys
The newest HPV vaccine safely and effectively prevents at least four different kinds of cancer in the population recommended to receive it, according to a study in Pediatrics. Researchers tested the vaccine in preteens and teens, those that the CDC’s ACIP recommends receive the vaccine, to ensure the vaccine works at least as well as it did in those in earlier clinical trials. The verdict? It works even better. (Forbes, 6/22)
Social-media cyberbullying not uncommon among youths
About a quarter of adolescents experience cyberbullying through social media, according to a fresh look at some past research. Much of that past research also found links between cyberbullying and depression, the researchers write in JAMA Pediatrics. For the review, the study team analyzed data from 36 studies of cyberbullying on social media.  (Reuters, 6/22)
Scientists identify evidence-based predictors of biphasic reactions in kids
A new study has provided a deeper insight into newly identified evidence-based predictors of biphasic reactions in kids. Children are more likely to have a repeat, delayed anaphylactic reaction from the same allergic cause, depending on the severity of the initial reaction. At least half of the biphasic reactions were serious in nature, and required treatment with epinephrine. (Business Standard, 6/22)
Teens Unfamiliar With Harms of Pot, E-Cigs, Study Finds
Teens may have a firm grasp on the dangers of smoking cigarettes, but they appear less clear about how using marijuana or electronic cigarettes might harm their health, new research suggests. “The most striking finding from this study was how little information adolescents were getting regarding risks related to marijuana and e-cigarettes,” said lead author Maria Roditis. (HealthDay News, 6/23)
Teen Use of E-Cigarettes, Hookahs Way Up: Survey
Although fewer American children are smoking cigarettes, the use of controversial e-cigarettes has more than doubled in just three years, a federal survey reports. "While we're glad to see cigarette smoking decreasing in middle and high school youth, the increase in the use of e-cigarettes and hookahs undermines progress in reducing tobacco use among kids," Catherine Corey, an epidemiologist with the FDA, said. (HealthDay News, 6/23)
Unhealthy teens face college and job obstacles
Being in poor health as a teenager can have a long-term influence on someone’s educational and job opportunities in adulthood, a new review suggests. Researchers found that teens with either mental health or chronic physical health conditions were less likely to graduate high school or finish college, and were more likely to be unemployed or have lower-income jobs as adults compared with healthy teens. (Fox News, 6/23)
Narrow-Spectrum Antibiotic Use for CAP Up After Guideline Implementation
A new study states that use of narrow-spectrum antibiotics for treatment of childhood community-acquired pneumonia (CAP) increased following new recommendations and active hospital-based efforts to distribute them. In 2011, national guidelines by the Pediatric Infectious Disease Society and Infectious Diseases Society of America recommend narrow-spectrum antibiotics for the management of childhood CAP.  (Monthly Prescribing Reference, 6/23)
Girls suffer more overuse injuries in teen sports
A new study shows that when it comes to overuse injuries in high school sports, girls are at a much higher risk than boys. Overuse injuries include stress fractures, tendonitis and joint pain. Researchers analyzed 3,000 male and female injury cases over a seven year period across 20 high school sports such as soccer, volleyball, gymnastics and lacrosse. (Medical Xpress, 6/24)
Innovative male circumcision device for HIV prevention receives WHO prequalification
The ShangRing, a novel medical device for voluntary medical male circumcision, has received prequalification from the WHO for use. The prequalification indicates that the ShangRing meets international standards of safety and has the potential to rapidly increase access to the device in sub-Saharan Africa and other regions where the burden of HIV is highest. (Medical Xpress, 6/24)
In Teens, Sedentary Behavior Independently Tied to Adiposity
For adolescents, sedentary behavior is associated with markers of adiposity, independent of dietary intake, according to a systematic review. Researchers explored the correlations between various sedentary behaviors and cardiometabolic risk markers. Data were included from 25 studies that assessed the association between sedentary behaviors and cardiometabolic markers in 12- to 18-year-olds, with adjustment for dietary intake. (Physician’s Briefing, 6/24)
Teens think up clever condoms that would change colors to indicate STD exposure
Students from England’s Isaac Newton Academy have created a concept for a smart condom that would alter its hue when exposed to common STDs. There would be antibodies on the condom that would interact with the antigens of STDs, causing the condom to change colors depending on the disease. For instance, if the condom were exposed to chlamydia, it might glow green — or yellow for herpes and purple for HPV. (Washington Post, 6/24)
Even Slightly Elevated BP May Pose Problems for Young Adults
Young adults with even slightly elevated blood pressure may be at risk of cardiac dysfunction later in life, according to a study published in the Journal of the American College of Cardiology. The researchers found that those who had slightly elevated blood pressure that was still considered within normal range when they were between 18 and 30 years old were more likely to have problems with their left ventricle in middle age. (Physician’s Briefing, 6/24)



Draft House Bill Would Eliminate AHRQ, Cut PCORI, CMMI Funding
On June 16 the U.S. House Appropriations Committee released its draft fiscal year 2016 Labor, Health and Human Services funding bill. Although the draft bill would increase funding for the NIH by 3.6 percent, it would eliminate the Health & Human Services’ Agency for Health Research on Quality. A statement from the Association of American Medical Colleges (AAMC) called aspects of the draft bill troubling. (Healthcare Informatics, 6/17)
Zomig Nasal Spray Approved for Pediatric Migraine
The U.S. FDA this week approved Zomig Nasal Spray for the treatment of migraine with or without aura in pediatric patients aged 12 years and older. It is the first nasal spray approved for such use in pediatric patients. Following the review of clinical trial data, the FDA concluded that Zomig Nasal Spray 5mg, a serotonin (5-HT)1B/1D receptor agonist, is safe and effective. (Neurology Advisor, 6/19)
Study Says Repealing ‘Obamacare’ Would Add to Budget Deficit
A nonpartisan government study says repealing President Barack Obama’s signature health care law would modestly increase the budget deficit and the number of uninsured Americans would rise by more than 20 million. The report from the Congressional Budget Office comes ahead of a highly anticipated Supreme Court ruling that could have a major impact on the Affordable Care Act. (ABC News, 6/20)
Uninsured Rate Falls to Lowest Since Obamacare Implementation
The share of working-age people without health insurance fell by more than 4 percentage points in 2014, the biggest drop since the U.S. Centers for Disease Control and Prevention began reporting the data in 1997. Last year, 16.3 percent of adults under age 65, or about 31.7 million people, lacked medical coverage, according to a CDC survey. That’s down from 20.4 percent a year earlier. (Bloomberg Business, 6/23)
Health Panel Recommends Cautious Approach to Meningitis B Vaccine
A panel of health experts stopped short of recommending that all American adolescents and young adults be vaccinated against a strain of meningitis that has caused recent outbreaks, opting instead to let doctors decide whether to give the vaccine. A committee of outside medical and public health experts convened by the CDC voted, 14 to 1, to recommend the more limited use of the vaccine in people ages 16 to 23. (New York Times, 6/24)
U.S. Supreme Court upholds key Obamacare insurance subsidies
The U.S. Supreme Court handed President Barack Obama a major victory on Thursday by upholding tax subsidies crucial to his signature healthcare law, with Chief Justice John Roberts saying Congress clearly intended for them to be available in all 50 states. The court ruled on a 6-3 vote that the 2010 Affordable Care Act did not restrict the subsidies to states that establish their own online healthcare exchanges. (Reuters, 6/25)
Shortage of child psychiatrists plagues the US
When Laura Amann, began looking for a psychiatrist for her severely depressed 14-year-old daughter, she discovered what many parents have found. There is a shortage of child psychiatrists in the U.S. “There is a workforce shortage. We simply don’t have them to meet the need at this point,” said Debra Koss, a child and adolescent psychiatrist and a member of the American Academy of Child and Adolescent Psychiatry. (Al Jazeera America, 6/25)
House committee passes HHS funding bill that ends AHRQ
The House Appropriations Committee voted 30-21 in favor of passing a draft fiscal 2016 budget for HHS that would eliminate AHRQ. The move is the latest in a series of budget measures proposed by GOP lawmakers in both the House and Senate that would significantly cut programs and agencies that provide evidence-based medicine research on patient outcomes. (Modern Healthcare, 6/25) 




UNICEF Report Describes Grim Trends for the Poorest Children
UNICEF warned of what it described as grim trend lines for the world’s poorest children over the next 15 years, saying in a new report that many millions face preventable deaths, diseases, stunted growth and illiteracy. The forecasts in the report by UNICEF suggested that despite reductions of poverty and other deprivations in underdeveloped countries since 2000, as seen in improved national averages, those statistics had obscured a worsening trend among the poorest segments of their populations. (New York Times, 6/22)
STIs soaring in gay men - warning
The number of sexually transmitted infections being spread in gay men is soaring, according to Public Health England. Figures for 2014 showed a 46% increase in syphilis infections, 32% in gonorrhoea and 26% in chlamydia. The report said there were “high levels of condomless sex” in general and “rapid” transmission of infections in HIV-positive men. Public Health England recommends regular STI testing. (BBC, 5/23)


Eating disorders experts weigh in on Avoidant/Restrictive Food Intake Disorder – two years after classification as a mental health condition
In May 2013, a new category of eating disorder emerged in the DSM-5. Now, a new commentary by experts from The Hospital for Sick Children (SickKids) and the Children’s Hospital of Eastern Ontario (CHEO) reflects on the clinical impact of the diagnosis of Avoidant/Restrictive Food Intake Disorder (ARFID), and the work that remains in terms of treatments and improved outcomes. (Health Canal, 6/18)
QuickStats: Percentage of Children and Adolescents Aged 3–17 Years with a Reported Communication Disorder During the Previous 12 Months,* by Sex and Age Group — National Health Interview Survey, United States, 2012
During 2012, among children and adolescents aged 3–17 years, males were more likely than females to have had a communication disorder during the previous 12 months; this difference was observed overall and also for each age group (3–6, 7–10, and 11–17 years). The percentage of children and adolescents who had a communication disorder in the previous 12 months declined with increasing age for both males and females. (CDC MMWR, 6/25)


AHRQ Leadership Videos Raise Awareness of the Agency and Efforts To Improve Patient Care
AHRQ has released videos featuring members of the Agency’s leadership team. The AHRQ Leadership Videos highlight different aspects of the Agency’s mission, priorities, and programs. (AHRQ, 6/20)
New Resources for National HIV Testing Day
June 27 is National HIV Testing Day, which is a reminder to get the facts, get tested, and get involved to take care of yourself and your partners. The Act Against AIDS Instagram will launch the week of June 22, and supporters can raise awareness about the importance of HIV testing and early diagnosis of HIV using posters, infographics, and social media badges or by using this handout on what you can do. (CDC, 6/22)
New Medscape CDC Expert Commentary on 9-valent HPV vaccine
On Monday June 22, 2015, Medscape published a CDC Expert Commentary about 9-valent HPV vaccine featuring CDC medical epidemiologist Dr. Lauri Markowitz. In this video, Dr. Markowitz addresses HPV vaccine safety and other common provider questions about the 9-valent HPV vaccine recommendations made by the Advisory Committee on Immunization Practices. (CDC, 6/24)
Now available - 2015 Red Book, Print Edition
Extending a seven-decade tradition of excellence, Red Book: 2015 Report of the Committee on Infectious Diseases, 30th edition, is the AAP’s most trusted resource on the manifestations, etiology, epidemiology, diagnosis and treatment of more than 200 childhood conditions. AAP members receive a 50% discount off the retail price of the print edition. (AAP, 6/24)


Registration is now open for the 2015 AAP National Conference & Exhibition
Taking place in our nation’s capital Oct. 24 to 27 (pre-conference activities - Friday, Oct. 23), don’t miss out on this monumental experience, which includes the best in pediatric education, networking with peers, and the largest pediatric-focused exhibit hall. Register before Sept. 11 to receive the lowest registration rates. (AAP, 6/22)


Upcoming webinar -- Unraveling the Mystery of Acute and Chronic Pain 
On July 2, the AAP is hosting the first of a six-part webinar series aimed at preventing, identifying and treating opioid dependence. In order to appropriately manage pain in children and adolescence, general pediatricians must first understand the neurobiology of pain and pain pathways. This one hour webinar will be held on Thursday, July 2 at 12:00 PM EDT. (AAP, 6/23)
2015 CDC STD Guidelines: New testing, treatment, and disease
NYPATH, the New York City STD Prevention Training Center, and Physicians for Reproductive Health are holding a new webinar on Friday, July 17 2015 from 12:00 – 1:00 PM EST.  The webinar is designed for medical providers involved in providing healthcare services to adolescents.  The purpose is to review significant 2015 CDC STD Treatment Guidelines changes and discuss practices targeted for adolescents. (NYPATH, 6/23)
Webinar - Value Based Contracting with Payers
Public and private payers are moving away from fee-for-service volume-driven health care services to value-based payment models. Regardless of the specific entity with which the pediatrician is negotiating, it is vital to identify key issues that will enhance the pediatrician’s opportunities for successful contract negotiations. This AAP webinar will be held on July 15 at 1 p.m. ET. (AAP, 6/24)


Late Breaker Abstracts
Late breaker abstract submission for the 2015 National HIV Prevention Conference (NHPC) will open on July 8th! Late breaker abstract submissions will be due by July 31, 2015. Only individual oral and panel presentation abstracts will be considered. As in years past, late breaker abstracts are intended for data not previously available. Late breaker abstract acceptance will be highly competitive. (CDC, 6/18)
Call for Proposals
The SAHM Program Committee invites professionals in adolescent health and medicine to submit proposals for Educational Sessions and abstracts for Scientific Presentations for consideration at the 2016 Annual Meeting. Submissions that fit our meeting theme, "Youth in Context: Interactions Among Adolescents, Environments and Healthcare" are especially welcome.  Submissions are due by July 28, 2015. (SAHM, 6/18)

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