A Call for Fertility and Sexual Function Counseling in Pediatrics
The American Academy of Pediatrics wrote a recommendation for the formation of an interdisciplinary task force to develop specific guidelines regarding fertility and sexual function counseling in at-risk pediatric populations. This panel could include experts from the AAP, SAHM, and other professional medical societies, and would work to improve reproductive outcomes, and increase knowledge, training, and guidance about how to assess and discuss fertility status and management options with adolescents and young adults on an ongoing basis. (AAP, 5/20)






Government Accountability Office (GAO) Study: Segregation Worsening in U.S. Schools
U.S. public schools are increasingly segregated by race and class, according to new findings. GAO investigators found that from 2000-2001 to 2013-2014, both the percentage of K-12 public schools in high-poverty and the percentage comprised of mostly African-American or Hispanic students grew significantly, and schools with so-called racial or socio-economic isolation grew from 9% to 16%. (USA Today, 5/17)
Refugee Kids Face Learning Challenges in Early School Years Compared to Older Youth
Even though some older refugee children may do as well in school as their native-born peers, younger immigrants can still face unique learning challenges in elementary school, a research review suggests. Researchers found their risk of difficulties could be influenced by parental misunderstandings about a foreign education system, teacher stereotyping and bullying or discrimination. (Reuters, 5/18)
Eating Past 8 p.m. Won’t Make Your Kids Fat
It’s a long held belief among dieters that eating after 8 p.m. can lead to a greater weight gain, but now, researchers have reported finding no such link. Statistical analysis of the data showed no greater risk of being obese or overweight when eating dinner between 8pm and 10pm compared to eating between 2pm and 8pm for either of the age groups studied (4-10 years and 11-18 years). (Business Standard, 5/18)
Fatty Foods During Teen Years May Influence Later Breast Cancer Risk
Teens who eat high amounts of saturated fats or low amounts of healthier mono- and polyunsaturated fats tend to have denser breasts 15 years later, new research suggests. That’s important because greater breast density is a risk factor for breast cancer, the study authors said. (HealthDay News, 5/19)
CDC Study: Nearly 8 in 10 Public Swimming Pools Failed Routine Safety Inspections
report warns that nearly 8 in 10 routine inspections of public pools turned up at least one violation of safety rules. In addition, about 1 in 8 of these inspections found problems so serious that the pool had to be closed immediately. These disheartening statistics are based on 84,187 routine inspections of 48,632 public pools and other “aquatic venues” in Arizona, California, Florida, New York and Texas. (The Los Angeles Times, 5/19)
Nocturnal Hypoglycemia Often Occurs in Children With T1DM
Nocturnal hypoglycemia frequently occurs in children with type 1 diabetes, and is mainly asymptomatic, according to recent research of 60 children aged 2-17 years old. The researchers identified 128 episodes of nocturnal hypoglycemia, of which 8 were symptomatic. One or more episodes of hypoglycemia occurred on 32.7% of nights. (Physician’s Briefing, 5/19)
Concussion Tied to More School Problems Than Other Sports Injuries
Students who suffer a concussion may face more school difficulties than their peers with other sports-related injuries, a new study suggests. Researchers found that concussed high school and college students had more trouble performing at a normal academic level one week later compared to students who injured their arms or legs. (HealthDay News, 5/20)
Tough Neighborhoods Linked to Teen Obesity and Cognitive Delays
Teens living in disadvantaged neighborhoods face a higher risk of obesity and reduced cognitive ability, according to new research. Adolescent girls in the most disadvantaged environments are also more likely than boys to become obese. Peers, adults, and institutions the teen interacts with, as well as physical conditions, like sidewalks and educational resources may trigger some of these problems. (Medical Xpress, 5/20)
Growth Spurts Can Throw Off Teen Boys’ Strut
Growth spurts can affect teen boys’ coordination and knock the swagger right out of their stride, a new study reveals. A sudden increase in height affects the body’s ability to control established motor skills, such as walking. Those with growth spurts had a more awkward gait than those with steady growth, the researchers found. (HealthDay News, 5/20)
Frat Brothers Keep Chugging Despite Anti-Booze Efforts
Current intervention methods appear to have limited effectiveness in reducing alcohol consumption and alcohol-related problems among fraternity and possibly sorority members. Researchers reviewed data on more than 6,000 fraternity and sorority members, and found no differences in drinking behaviors between those who had received some kind of anti-drinking intervention, and those who had not. (HealthDay News, 5/20)

Children in Car Crashes Fare Better at Pediatric Trauma Centers, Study Says
Because of their greater levels of training and experience treating pediatric conditions, children under the age of 18 injured in car crashes fare far better at pediatric trauma centers than at general or adult trauma centers, according to a recent study. Children treated at an adult trauma center had a greater risk for complications, and adolescents were at a greater risk of death if treated at either an adult or combination center. (UPI, 5/20)
Delayed Treatment for Concussion May Prolong Recovery
New research suggests delayed treatment for concussion could prolong recovery. Many college athletes, however, don’t immediately recognize or report concussion symptoms, the study of nearly 100 players found. And compared to head-injured athletes who were evaluated right away, those who put off reporting symptoms were sidelined about five days longer on average. (HealthDay News, 5/20)
Tweeting Your Weight Loss? Is There A Link Between Microblogging, Eating Disorders?
Social media is saturated with messages encouraging people to eat healthily and take plenty of exercise, but these messages exacerbate the effects of an eating disorder. In a new study, investigators explored the relationship between social media, eating disorders, and compulsive exercise. (Science Daily, 5/23)
E-Cigarette Marketing Linked to Teen E-Cigarette Use
Exposure to e-cigarette marketing messages is significantly associated with e-cigarette use among middle school and high school students, according to researchers. Using data from the 2014 National Youth Tobacco Survey, researchers found that youth were exposed to e-cigarette marketing messages through many channels: retail settings, internet, print, television and movies. (Science Daily, 5/23)
Researchers Look at CVD Risk in Low, High Birth Weight Adolescents
Children born with high or low birth weight are more likely to be overweight or obese by puberty, and are at higher risk for cardiovascular disease, according to a recent study. Researchers found children at both ends of the weight spectrum at birth are at higher risk to develop fat around organs, as well as insulin resistance and inflammation that may not be modified through diet and lifestyle. (UPI, 5/23)




The Federal Government Quietly Expands Transgender Rights
The U.S. Department of Health and Human Services has explicitly ruled that hospitals, clinics, and other health-care providers can’t discriminate against patients on the basis of gender identity. This includes denying a transgender person insurance coverage for hormonal therapy just because they’re trans, refusing to provide sex-specific treatment, and harassing patients for the way they express their gender. (The Atlantic, 5/16)
As Attention Grows, Transgender Children’s Numbers Are Elusive
The Obama administration’s directive last week for public schools has set off an intense debate. But, for all of the heated debate, a central fact remains elusive: How many students are we talking about? Researchers have not figured out how to obtain consistent, reliable answers from teenagers, much less younger children, but the best estimates are that the population is small, probably under 1% of adolescents. (The New York Times, 5/17)
Fewer Kids Could Receive Free School Meals Under House Bill
Fewer students would receive free and reduced-price meals at school under legislation that Republicans pushed through the House. On a vote of 20-14, the Education and Workforce Committee backed the bill, which would scale back the number of schools in which all students receive free or reduced-price meals. Hunger and nutrition advocates from the AAP and AHA sharply criticized the legislation. (ABC News, 5/18)
Oklahoma Governor Vetoes Bill That Would Charge Abortion Doctors
Gov. Mary Fallin of Oklahoma vetoed a bill after the Legislature had passed the bill that would impose felony charges on doctors who perform abortions, calling the measure vague and unconstitutional. Although a conservative Republican with a strong record of supporting restrictions on abortion, she acknowledged the virtual certainty that the bill would be struck down by the courts. (The New York Times, 5/20)
Makeover Coming for Food Nutrition Labels
A new look is coming to Nutrition Facts labels on food packages, with more attention to calorie counts and added sugars. And no longer will a small bag of chips count as two or three servings. Michelle Obama said parents will be the beneficiaries. “You will no longer need a microscope, a calculator, or a degree in nutrition to figure out whether the food you’re buying is actually good for our kids,” the first lady said. (The Washington Post, (5/20)
Colorado Tops Survey of Substance Use; Maine Among Leaders in Marijuana and Alcohol
The Substance Abuse and Mental Health Services Administration annually surveys Americans age 12 and older about whether they use opioid painkillers for non-medical reasons or consume any marijuana, alcohol or cocaine. Colorado stands out as the only state which is a top consumer of all four substances. Northern New England is another notable concentration of heavy use. (Portland Press Herald, 5/23)
Crucial Role of Hormone Therapy In Treating Transgender Adolescents Highlighted During National Endocrinology Congress
Role hormonal therapy was the focus of two presentations during a national conference. Although the focus in earlier years was to treat those transgender patients who were committed to surgically changing their biological sex, today the emphasis is on patient-directed outcomes, making the role of endocrinology and hormone treatment much more important. (Business Wire, 5/23)




England’s Teenage Pregnancy Strategy to Become Global Blueprint
A teenage pregnancy prevention strategy that is credited for halving the rate of conceptions among teenagers in England is to be used as a blueprint in countries that want to emulate its success. Alison Hadley, who led the 10-year program resulting in record lows in teenage pregnancies, has been asked by the WHO to share the lessons of the project so they can be applied globally. (The Guardian, 5/23)
Non-Surgical Male Circumcision Device Approved for Use in Adolescents by the World Health Organization
The WHO expanded the intended use of the currently-prequalified PrePex device to include adolescents aged 13 years, and above. Effective immediately, the PrePex device, manufactured by Circ MedTech, can be offered for adult and adolescent males in the 14 priority countries in Southern and Eastern Africa. (PR Newswire, 5/23)
Abortion, Taboo in Jamaica, Makes its Way into Island Dancehalls
Abortion might seem an unlikely topic at a party but in Jamaica, it can be the subject of lyrics that get people dancing and singing along. Abortion is illegal in Jamaica except to save a woman’s life or preserve her physical or mental health, but many Jamaicans, including medical experts, say it is quite common. Music is now playing a role in enforcing moral codes, especially about abortion or sexual orientation. (Reuters, 5/24)




ASHA’s Position Paper on the ‘Role of the School Health Coordinator’
In a recent position paper, ASHA states that a school health coordinator would ensure that all school system health initiatives, services, and programs, are aligned, complementary, efficient, and effective.  They would reduce the duplication of efforts, maximize resources, and ensure that evidence-based programs and interventions are provided that build and sustain a healthy school community. (ASHA, 5/11)
Guideline Reviews Corticosteroids for Youth with Duchenne Muscular Dystrophy
The AAP-endorsed guideline from the American Academy of Neurology, updated from 2005, recommends that the corticosteroid prednisone be given at a dose of 0.75 mg/kg per day for children with Duchenne muscular dystrophy to prevent adverse effects from the medication, while deflazacort continued to lack enough evidence to recommend a preferred dosage. (AAP, 5/23)

At Least 1 Full-Time Nurse Per School, Pediatric Group Recommends
Every school should have at least one full-time registered nurse, a new AAP policy statement says. School nursing is one of the most effective ways to keep children healthy and in school and to prevent chronic absenteeism. But school district policies about nurses may lack uniformity, and such policies often need updating, the AAP noted. (U.S. News and World Report, 5/23)

Everyone’s Right to Know: Delivering Comprehensive Sexuality Education for All Young People
This report recommends that high quality comprehensive sexuality education (CSE) should be delivered to all young people, both inside and outside schools. It highlights the need for CSE to be delivered by well-trained professionals in a participatory way, and emphasizes the importance of including topics related to young people’s well-being and sexuality that go beyond health outcomes. (International Planned Parenthood Federation, 5/24)




Mortality in Children and Adolescents, 1990-2013
The Visualizing Health Metrics infographic, based on the Global Burden of Disease Study 2013, provides information on mortality for children and adolescents from four age groups, including both sexes, from 1990 to 2013. The top causes of death in developed versus developing countries, as well as mortality rates by World Health Organization (WHO) region, are illustrated. (JAMA, 5/17)

Healthy and Safe Swimming Week: May 23–29, 2016
Public health professionals can find various materials to help them inform the public, media, community leaders, and others about Healthy and Safe Swimming Week. These resources are meant to assist public health professionals engage their target audiences and increase awareness of this yearly observance. (CDC, 5/19)
Program Raises Awareness of Postpartum Depression and Anxiety
The NIH has launched Moms’ Mental Health Matters, a new initiative to raise awareness among pregnant and postpartum mothers, their families and health care providers about depression and anxiety during pregnancy and after the baby is born. The NIH has developed free materials in English and Spanish, including an action plan, posters, and a conversation starter postcard. (NIH, 5/23)
AAP Offers Resources to Help Physicians Advocate for Children and Teens in Foster Care
Healthy Foster Care America, an initiative of the AAP to improve the health and well-being outcomes of children and teens in foster care, has resources and materials to help physicians advocate for children and teens in foster care. (AAP, 5/24)




AAFP’s Family Medicine Experience Conference
Join AAFP in Orlando from September 20th -24th for the new annual AAFP meeting. At this year’s meeting you can renew your passion for patient care with solutions-focused CME and expert faculty, connect with 4,000-plus of your family physician colleagues from all over the country, and share best practices while learning from each other. (AAFP, 5/19)




Call for Abstracts: Community Pediatrics Poster Display
The AAP Community Access to Child Health (CATCH) program and the Council on Community Pediatrics (COCP) invite abstracts for a poster display session at the 2016 AAP National Conference and Exhibition, occuring on Saturday, October 22, 2016 from 5:30pm-7:00pm. The deadline for abstract is June 3rd at 5:00pm EDT. (AAP, 5/19)

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