Strength-Based Parenting Helps Improve Children’s Stress Levels
New findings published in the journal Psychology reveal that children may call on their personal strengths to help regulate some of the stress in their life. Researchers discovered that strength-based parenting could help build up a child’s resources, helping him or her cope better and deal with demands that might result in higher stress levels otherwise. (Science World Report, 5/27)
Chronic Gambling Linked to Depression, Impulsivity
Young men who are chronic gamblers probably suffer from depression, a new study suggests. The Canadian researchers also found boys with impulsive behaviors in childhood were more likely to gamble later in life. “Gambling problems may be more a personal problem similar to an addiction: Once acquired, they are difficult to get rid of,” wrote study leader Frederic Dussault. (HealthDay News, 5/27)
Newer contraceptive pills may further raise risk of blood clots
Newer versions of the Pill may raise a woman’s risk of dangerous blood clots even more than older versions, a large U.K. study suggests. Women taking any combined oral contraceptive pills were three times as likely to develop a blood clot in a deep vein in the leg or pelvis, compared to women not on the Pill. The risk was higher still with all the newer Pill versions except one, researchers found. (Reuters, 5/27)
Teen Drivers a Danger to Others on the Road, Report Warns
Teen drivers are a threat to everyone on the road, a new study warns. Sixty-seven percent of people injured and 66 percent of those killed in crashes involving teen drivers are people other than the teen driver, according to the AAA Foundation for Traffic Safety. That’s a large number of people. On U.S. roads in 2013, more than 371,000 people were injured and almost 3,000 were killed in crashes involving teen drivers. (HealthDay News, 5/28)
The psychology of getting kids (and spouses) to eat better
Want to get your child or other loved ones to eat better? Try telling them how good their veggies are for them instead of pointing out how bad that cookie is, experts say.  After analyzing 43 published international studies that involved either positive or negative nutrition messages, researchers found that messages emphasizing what we should be eating instead of what we shouldn’t are more effective. (CBS News, 5/28)
Migraine Surgery Found Effective For Teens With Severe Headaches
Fortunately, for teens who are dealing with severe migraines that don’t respond to typical treatments, a young migraine surgery may be beneficial. “Our data demonstrate that surgery for refractory migraine headaches in the adolescent population may improve and potentially completely ameliorate symptoms for some,” researchers of the American Society of Plastic Surgeons noted, in a news release. (Science World Report, 5/29)
Teens More Satisfied Than Adults With Lumbar Disc Herniation Surgery
Adolescent patients are more satisfied with surgery for lumbar disc herniation than younger or older adults, according to a new study. Researchers compared the outcomes of surgery for lumbar disc herniation in adolescents and adults using data from the Swedish Spine Register and found that 86 percent of adolescents were satisfied at follow-up, compared with 78 percent of younger adults and 76 percent of older adults. (Physician’s Briefing, 5/29)
Millennials Turning Their Backs on Religion
Millennials - those born in the 1980s and 1990s - are the least religious generation of Americans in the last six decades, a new study says. Researchers analyzed data from 11.2 million participants in four national surveys of U.S. teens conducted between 1966 and 2014.  The investigators found that millennials are less likely to say religion is important to them, less approving of religious organizations, and less spiritual.  (HealthDay News, 5/29)
What will EHRs look like in 2020?
In an article published in the Journal of the American Medical Informatics Association, an AMIA task force takes on the thorny issues associated with the use of electronic medical record systems and offers recommendations for improvement. “Health information technology is a key part of enhancing health and health care, and empowering patients to be first-order participants in their care,” said the president of AMIA. (Healthcare IT News, 5/29)
Improved Therapies Have Extended Life Spans of Childhood Cancer Survivors
Treatment adjustments have significantly increased the life spans of childhood cancer survivors in the United States and Canada, according to new research. Deaths among five-year survivors 15 years after diagnosis have been halved since the 1970s - falling from just over 12 percent to 6 percent, the study of more than 34,000 people revealed. (HealthDay News, 5/31)
Training Doctors To Talk About Vaccines Fails To Sway Parents
Since numerous studies show that doctors are the most trusted communicators of information about vaccines, the Group Health Research Institute in Seattle wanted to see if it would help to train doctors and other providers on how they communicate with mothers hesitant about vaccines. The goal of the intervention was to help doctors address parents’ concerns but still make a strong recommendation; however, it did not work. (NPR, 6/1)
Tougher Alcohol Laws for Adults May Also Lower Teen Drinking
New research suggests that as a state’s alcohol laws get tougher, teen drinking rates drop - even if the laws are targeting adults and not teens.  ”There’s a strong overall relationship between [alcohol] policies and teen drinking, but if you account for the difference in youth-specific policies, you find the adult-oriented policies have an equal or greater effect on teen drinking,” said study co-author Timothy Naimi. (HealthDay News, 6/1)
Inactivity in childhood linked to poor health outcomes in adolescence
How active you are as a child could have an impact on your weight and risk of chronic disease from as early fifteen years of age, according to new research. The landmark study followed more than 4,600 children for four years and found that those who were more active in late childhood were healthier teens, with lower body fat and reduced risk factors for cardiovascular disease and diabetes. (Health Canal, 6/1)
The less you sleep, the more you eat
A new paper published in the Journal of Health Psychology, suggests that disrupted sleep could be one factor contributing to excessive food intake and thus leading to long term chronic health damage in both adults and children. Though it is well-known that a bad night’s sleep can affect our ability to perform daily duties, what is less known is how disrupted sleep can influence both our food choices and intake. (Medical Xpress, 6/1)
Study links exposure to common pesticide with ADHD in boys
A new study links a commonly used household pesticide with ADHD in children and young teens. The study found an association between pyrethroid pesticide exposure and ADHD, particularly in terms of hyperactivity and impulsivity, rather than inattentiveness. The association was stronger in boys than in girls. The study is published in the journal Environmental Health. (Medical Xpress, 6/1)
Study: Nearly third of teens changed health habits based on online search
In the first national study in more than a decade to look at how adolescents use digital tools for health information, nearly one-third of teenagers said they used online data to improve behavior — such as cutting back on drinking soda, using exercise to combat depression and trying healthier recipes — according to a study by researchers at Northwestern University. (Washington Post, 6/2)
1 in 5 Younger Americans Tested for HIV
Nearly one-fifth of teens and younger adults in the United States have been tested recently for HIV, federal health officials reported. In 2011, more than 1 million Americans 13 and older had HIV, but one in seven did not know their infection status. Researchers analyzed data from 5,600 females and more than 4,800 males, ages 15-44, who took part in the 2011-2013 National Survey of Family Growth. (HealthDay News, 6/2)
Melanoma Rates Way Up Among Young People in U.S.
Melanoma, the potentially deadly skin cancer, has increased by 250 percent among U.S. children and young adults since the 1970s, researchers report. Young women appear to be especially vulnerable, accounting for two-thirds of cases diagnosed in 2011, scientists reported. The findings were scheduled for presentation this week at the annual meeting of the American Society of Clinical Oncology. (HealthDay News, 6/2)
Bullied Teens at Risk for Later Depression, Study Finds
Young teens who are bullied appear to be at higher risk of depression when they reach early adulthood, according to new research.  The study found that teenagers who reported being frequently bullied were twice as likely to be clinically depressed at 18 years old. The investigators used data on nearly 4,000 teens in the Avon Longitudinal Study of Parents and Children, a community-based group born in the United Kingdom. (HealthDay News, 6/2)
Review: Monitor Weight for Youth on Antipsychotics
Youth prescribed antipsychotic medication should be monitored for exaggerated weight gain, and agents other than olanzapine, clozapine, and risperidone may be best in patients where obesity is a pre-existing concern, according to a new review. Researchers conducted a comprehensive literature review to examine studies reporting weight in relation to antipsychotic and antidepressant use in children and adolescents. (Physician’s Briefing, 6/2)
Therapy Program Improves Teens’ Diabetes, Depression
The evidence-based family therapy program Behavioral Family Systems Therapy for Diabetes (BFST-D) improves both diabetes health outcomes and depressive symptoms among adolescents with type 1 diabetes, according to a study published in Diabetes Care. “In addition to improving treatment adherence and glycemic control, BFST-D has collateral benefits on depressive symptoms,” the authors write. (Physician’s Briefing, 6/3)
Anti-Vaccine Parents Cluster in Rich, White Areas
Parents who cite “personal beliefs” to get their children exempted from vaccinations are typically white and well-to-do - at least in California, a new study finds. The results confirm what other studies have suggested: Anti-vaccine sentiment in the U.S. appears strongest among wealthier white families. California schools with high rates of personal-belief exemptions often also had high rates of exemptions for medical reasons. (HealthDay News, 6/3)
Healthy Teens Exhibit Exercise-Induced Bronchoconstriction
Healthy adolescents may have exercise-induced bronchoconstriction, according to a study published in the Annals of the American Thoracic Society. Researchers determined the effect of two exercise protocols on pulmonary function testing in 56 healthy adolescents. The researchers found that 10 participants (17.8 percent) had a significant decrease in forced expiratory volume in one second. (Physician’s Briefing, 6/4)     



New rule ignites fight over insurer profits
A sweeping new regulation is reigniting the debate over the profits of health insurance companies.  The rule states that insurance companies that manage Medicaid plans have to spend at least 85 percent of their revenues on medical care, as opposed to profit or administrative expenses. Similar limits, known as a medical loss ratio, were imposed on commercial insurance plans in the implementation of the ACA. (The Hill, 5/28)
As King v. Burwell decision approaches, CDC details sharp drop in uninsured
The number of people who were uninsured for at least part of last year dropped to a low not seen in decades. When the CDC went out to survey the insurance landscape during the first nine months of 2014, it found that only 11.9% of respondents indicated they were uninsured. The preliminary data release comes just weeks before the Supreme Court is expected to issue a ruling in King v. Burwell. (Modern Healthcare, 5/28)
U.S. Teen Trends In Sex, Bullying, Booze and More
Good news: Today’s teens experience notably low rates of bullying, drinking, pregnancy and unprotected sex. The latest statistics on teenagers paint a rosy portrait of American teens. They’re drinking, smoking and bullying less than they used to, and fewer are getting pregnant. “Adolescence is an inherently risky time,” says Dr. Stephanie Zaza, the director of the CDC’s Division of Adolescent and School Health. (Time, 5/28)
GOP’s Obamacare ‘fixes’ carry their own big risks
Republican proposals to avoid immediate harm to millions of Obamacare customers from a potential Supreme Court ruling actually could end up seriously hurting the health insurance market, a leading professional group warns in a new report. The group of actuaries said that if implemented the GOP plans could threaten the viability of that market, and would “only delay the inevitable market disruption.” (CNBC, 6/1)
CMS Opens its Data to the Private Sector
The Centers for Medicare and Medicaid Services will make its data available to the private sector for the first time, the agency’s acting administrator announced. Previously, CMS data has only been available to researchers not intending to develop commercial products. It now will be available to innovators and entrepreneurs, CMS Acting Administrator Andy Slavitt said. (HealthData Management, 6/2)
Federal Report Critical of W. Virginia Mental Health System
West Virginia’s mental health system relies too much on facilities like psychiatric hospitals to treat children and should make changes such as expanding in-home services to comply with the Americans with Disabilities Act, authorities said. The U.S. DOJ said West Virginia never implemented its 2005 response plan to federal requirements that the mentally disabled be placed in the community whenever appropriate. (ABC News, 6/2)            



Child abuse costs E Asia, Pacific $209 billion a year - U.N. report
Child abuse and neglect are costing countries in East Asia and the Pacific an estimated $209 billion a year, equivalent to 2 percent of the region’s GDP, researchers said in the region’s first study of the economic impact of abuse. Child abuse affects victims’ education, long-term physical and mental health and work performance, and increases the risk of adult aggression, violence and criminality, the researchers said. (Reuters, 6/1)
Zambia: Fistula among adolescents worries Centre for Reproductive Health
The Centre for Reproductive Health says cases of fistula among adolescent girls in rural areas is worrying and needs urgent attention. Executive director Amos Mwale said Zambia’s population which is most vulnerable to fistulas are adolescent girls in rural areas. Mr Mwale said fistula is preventable when women and girls have access to high-quality, comprehensive sexual and reproductive health services. (Zambia Daily Mail, 6/3)
‘Sexual reproductive healthcare key to sustainable development’
A human right activist and the Chief Executive Officer of Global Media Foundation (GLOMEF), Raphael Godlove Ahenu, has observed that addressing sexual and reproductive health needs of young adults was key to achieving sustainable development. He appealed to government to ensure that all young people and adolescents, easily accessed comprehensive health and sex education, to enable them make informed choices. (GhanaWeb, 6/3)



ACOG urges expedited partner therapy for some STIs
Researchers from the Committee on Gynecologic Practice and the Committee on Adolescent Health Care discuss use of expedited partner therapy to help prevent the high rates of STIs seen among young women, specifically from reinfection from an untreated sexual partner. According to the report, expedited partner therapy allows providers to prescribe medications to patients to take to their partners. (Medical Xpress, 5/25)

Notes from the Field: Outbreak of Skin Lesions Among High School Wrestlers — Arizona, 2014
Skin infections are a common problem among athletes at all levels of competition. Wrestlers are at risk because of the constant skin-to-skin contact required during practice and competition. On February 7, 2014, the Maricopa County Department of Public Health was notified of multiple wrestlers who reported skin lesions 2 weeks after participating in a wrestling tournament at school A.  (CDC, 5/28)
AHRQ Stats: Children’s Health Care Expenses
This Medical Expenditures Panel Survey Statistical Brief from AHRQ covers the top five most costly conditions among children ages 0-17 in 2012.  The highest total health care expense in 2012 for children age 17 and under was for mental health, with $13.9 billion spent on treatment of mental disorders.  Chronic obstructive pulmonary disease and asthma also ranked in the top five in terms of direct medical spending. (AHRQ, 6/2)
Vital Signs: Melanoma Incidence and Mortality Trends and Projections — United States, 1982–2030
Melanoma incidence rates have continued to increase in the United States, and risk behaviors remain high. This report analyzes and estimates melanoma trends in the United States from 1982 through 2030. (CDC, 6/2)
Sexually Transmitted Diseases Treatment Guidelines, 2015
This report presents guidelines for the treatment of persons who have or are at risk for sexually transmitted diseases (STDs). The guidelines update those from 2010. Physicians and other health-care providers can use these guidelines to assist in the prevention and treatment of STDs. (CDC, 6/4)
Prevalence of Sexual Violence Against Children and Use of Social Services — Seven Countries, 2007–2013
In many countries, the extent of sexual violence against children is unknown; estimates are needed to stimulate prevention and response efforts and to monitor progress. Consequently, CDC collaborated with Cambodia, Haiti, Kenya, Malawi, Swaziland, Tanzania, and Zimbabwe to conduct national household surveys of children and youth aged 13–24 years to measure the extent of violence against children. (CDC, 6/4)
Rapid Large-Scale Deployment of Tuberculosis Testing in a High School — Riverside County, California, 2013–2014
In November 2013, a student at a southern California high school with approximately 2,000 students and staff members was diagnosed with active pulmonary TB. Because of an unexpectedly high number of positive tuberculin skin test results in the initial contact investigation, testing was extended to the entire school population. (CDC, 6/4)



New Podcast Series: Population Health for the Clinician
Population Health for the Clinician is an audio podcast series consisting of eight, 15-minute episodes. The series introduces practicing and student clinicians to the principles and practices of population health. It describes resources used to improve the health of individuals and communities. Free CE credit is available. (CDC, 6/1)
New mobile app may help adolescents make more informed decisions about sexual behavior
Teenagers, parents, educators and clinicians will have a new tool to help adolescents make more informed decisions about their sexual behavior. “Seventeen Days,” a mobile app based on the interactive movie of the same name, will be available at no cost on iPhone, iPad and Android devices beginning June 4. The goal of creating the mobile app is to get it into as many hands as possible. (News Medical, 6/3)



Registration is now open for the 2015 AAP National Conference & Exhibition
Taking place in our nation’s capital October 24 to 27 (pre-conference activities -- Friday, October 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 September 11 to receive the lowest registration rates. (AAP, 6/4)


Register Now: June 10 AHRQ Webinar Features Success Stories From Hospital Patient Safety Organization Members
This free AHRQ webcast will highlight the AHRQ Patient Safety Organization (PSO) program and present success stories from hospitals that are members of one or more PSOs. Hospitals will share how their organizations have used their PSO for meaningful patient safety and quality improvement. Registration is open. (AHRQ, 6/2)
Register Now: June 24 AHRQ Webinar on Improving Informed Consent and End-of-Life Communication
AHRQ will host a webinar June 24 from 1 to 2 p.m. ET to share results from recent reviews of interventions to improve informed consent processes and documentation of patients’ preferences for end-of-life care. The webinar will describe the seven elements of the informed consent process. The webinar also will address strategies to improve advance health care directive completion for end-of-life care. (AHRQ, 6/2)
2015 STD Treatment Guidelines Overview Webinar
The 2015 STD Treatment Guidelines have been released and include updated testing, treatment, and diagnosis recommendations. Please join this webinar hosted by the CDC’s Division of STD Prevention and the National Network of STD/HIV Prevention Training Centers to learn about these key changes. The webinar will be held at 2:00 p.m. ET on Monday, June 22. CE credits available.


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