Obesity prevention programs can help improve blood lipids in kids
A federally-funded systematic review and meta-analysis of 17 childhood obesity prevention programs in high-income countries has found programs that promoted healthy diet and physical activity significantly improved lipid profiles in children and may reduce their risk of cardiovascular disease in adulthood. In addition, programs that improved lipid profiles did so whether or not they lowered obesity risk. (Medical Xpress, 10/30)
Child’s Appendix More Likely to Rupture in Regions Short of Surgeons
Children and teens with poor access to general surgeons are at increased risk of suffering a ruptured appendix, and the risk is particularly high among children younger than 18, a new study finds. The risk of ruptured appendix was 1.7 times higher among patients who were transferred to another hospital, and 1.4 times higher among those who came from areas with a severe shortage of general surgeons. (HealthDay News, 10/31)
Exercise May Benefit Kids with Chronic Kidney Disease (CKD)
Acute exercise may benefit children and adolescents with chronic kidney disease (CKD) via anti-inflammatory effects, according to the findings of a Canadian pilot study published in Pediatric Nephrology. Researchers studied 9 children and adolescents with CKD stages 3-5 who performed a graded exercise test to determine peak oxygen uptake. (Renal and Urology News, 10/31)
High School Football Players Aren’t Well-Educated About Concussion
Despite recent efforts to create awareness about concussion among young athletes, a new study found that high school football players still don’t know enough about the symptoms and consequences of this type of head injury. Fewer than 50 percent of high school athletes are likely to report a concussion, the researchers noted, and around one-quarter of college football players with symptoms of a concussion play anyway. (HealthDay News, 11/1)
Better Detection, Diagnosis Major Factors Behind Rise in Autism Cases: Study
The dramatic increase in the number of children diagnosed with an autism spectrum disorder is largely the result of changes in how the condition is reported, Danish researchers contend. At least in Denmark, the researchers say, most of the increase -- 60 percent -- can be attributed to changes in diagnostic criteria and the inclusion of out-of-hospital diagnoses. (HealthDay News, 11/3)
Typical ADHD Care Leaves Room for Improvement, Study Finds
Many pediatricians provide inadequate care for children with ADHD, relying too heavily on drugs and failing to thoroughly assess kids’ symptoms, a new study reports. Nearly one-third of pediatricians who diagnose children with ADHD do not consult the Diagnostic and Statistical Manual of Mental Disorders, a necessary step in determining if the kids meet the criteria for the brain disorder, researchers found. (HealthDay News¸ 11/3)
Sleep Apnea Procedure May Improve Childhood Asthma
A recent study looked at children with asthma who had their tonsils and adenoids removed — a common treatment for sleep apnea. In the year following the operation, those children had fewer asthma attacks and asthma-related hospital visits than in the year prior. The researchers suggested that the sleep apnea procedure could improve asthma conditions for children. (Daily Rx, 11/4)
Poor Quality Housing Tied to Higher Asthma Rates Among Kids
In a new study, researchers tracked links between community housing code violations such as the presence in homes of mold and cockroaches and the health of children. They found that children who lived in areas with higher numbers of housing code violations were nearly twice as likely to be re-hospitalized or to revisit the emergency department within 12 months, compared to those who lived in areas with fewer housing violations. (HealthDay News, 11/4)
Mobile messaging increases system efficiency, clinician accountability, study finds
A communication system based on smartphone messaging helped increase perceived efficiency and accountability among physicians and nurses, according to a study in the Journal of Hospital Medicine. Researchers implemented a communication system from May 2011 to August 2012 that supported physician handover on two general medicine wards in a hospital in Toronto, Ontario.  (Becker’s Health IT & CIO Review, 11/5)
Research Questions Link Between Media Violence, Violent Behavior
New research suggests that movies and video games might not deserve the blame for real-life crime. Homicide rates actually fell over the past couple of decades, even as violence in movies escalated, the research found. The findings aren’t definitive and don’t prove any cause-and-effect relationship. But study author Christopher Ferguson said they suggest that the debate over onscreen violence may be overblown. (HealthDay News, 11/5)
Oregon research team scores with ‘The Concussion Playbook’
The online educational tool “Brain 101: The Concussion Playbook” successfully increased knowledge and attitudes related to brain injuries among students and parents in a study that compared its use in 12 high schools with the usual care practices of 13 other high schools during the fall 2011 sports season. The findings are in the Journal of Adolescent Health. (Medical Xpress, 11/5)
Kids With Epilepsy Face Higher Early Death Risk, Study Reports
Children with epilepsy have an increased risk of dying prematurely, according to a new U.S. government report. The study found that for children up to 18 years old with epilepsy, the annual risk for death was 0.84 percent, compared with 0.22 percent for children of the same ages without epilepsy, according to the CDC. (HealthDay News, 11/6)
‘Unconditional Regard’ Buoys Kids’ Self-Esteem
Kids who believe their friends like them, no matter what, may be less prone to feeling bad about themselves when things go wrong, a new study hints. Researchers found that when they had public school students think about times when their friends showed them “unconditional regard,” it seemed to buffer them against low self-esteem when they got a bad report card. (HealthDay News, 11/6)
For Reasons Unknown, Colon And Rectal Cancer Rates Are Rising In People Under 50
It’s a bit of a cancer and epidemiology puzzle. Since 1975 the overall rates of colon and rectal cancers have been dropping among U.S. residents, by about 0.9% annually. Over the same interval, however, the incidence of these tumors in people under age 50 has been climbing. As reported in JAMA Surgery, the increase in colorectal cancers is most pronounced among men and women between the ages of 20 and 35. (Forbes, 11/6)
Arm Pain in Young Baseball Players is Common, Preventable
The most in-depth survey of its kind found that arm pain is common among supposedly healthy young baseball players and nearly half have been encouraged to keep playing despite arm pain. The findings suggest that more detailed and individualized screening is needed to prevent overuse injury in young ballplayers. The study was published in the American Journal of Sports Medicine. (Health Canal, 11/6)
Teen Smoking Facts: New Research Shows Children Who Live Near Tobacco Shops More Likely To Smoke
The number of tobacco shops in an area could affect teenagers’ smoking habits, according to recent research from the University of Edinburgh in Scotland. Teens who live close to several tobacco shops are nearly 50 percent more likely to start smoking than those who do not. (International Business Times, 11/6)
Multicenter patient-safety study reduces injuries from hospital medical errors by 30% with improved handoff communications
Improvements in communication between health care providers during patient handoffs can reduce injuries due to medical errors by 30 percent, according to a multicenter study. The results show that I-PASS—an original system of bundled communication and training tools for handoff of patient care between providers—can greatly increase patient safety without significantly burdening existing clinical workflows. (Health Canal, 11/6)                   



Medical societies seek extension of Medicaid/Medicare parity
Four leading medical societies are trying to persuade Congress to continue reimbursing primary care and immunization services provided under Medicaid at the same level as Medicare. Representatives of the AAFP, ACP, AOA, and AAP fanned out across Capitol Hill on to ask lawmakers to extend payment parity for at least two more years. (Medical Economics, 10/31)
More scrutiny coming for Medicare Advantage, Obamacare
Federal officials are planning a wide range of audits into billing and government spending on managed health care in the new fiscal year, ranging from private Medicare Advantage groups that treat millions of elderly to health plans rapidly expanding under the ACA. The HHS Office of Inspector General, which said it would conduct “various reviews” with an eye toward curbing overcharges. Results are due next year. (Kaiser Health News, 11/3)
Election Will Leave Medicaid Policies Largely Unchanged
The re-election of four Republican governors means that the future of Medicaid expansion under the ACA is unlikely to change course. Republicans in Florida, Wisconsin, Maine and Kansas won their bids for re-election. Three of them oppose expansion of the program. Rick Scott, the Republican governor of Florida, has endorsed the expansion, but has never advocated for it forcefully, and he is not expected to now. (The New York Times, 11/4)                                   



Child mental health services ‘unfit’
There are “serious and deeply ingrained problems” with child and adolescent mental health services in the UK, officials warn. The Health Select Committee says the whole system - from prevention and early intervention through to inpatient services - has issues. While demand for care is rising, in many parts of the country funding is being frozen or cut. (BBC News, 11/4)
Gambia: Secondary Education Remains Challenge for Adolescent Girls
The largest gains in primary school completion over the past decade were observed among girls, while secondary education remains a challenge for adolescent girls in many regions, says the governor of West Coast Region, Aminata Sifaye Hydara. More than one in every three students across the Sub-Saharan Africa and South and West Asia who started primary school in 2011 will not make it to the last grade. (All Africa¸11/4)
Nigeria: Population Council Moves to Review Age of Consent in Nigeria
In a view to confronting critical health and developmental issues in the country, Population Council has made moves geared towards reviewing the age of consent among youths in Nigeria. This step began when the council hosted over thirty adolescents from Southern geopolitical zones to deliberate on guidelines for conduct of research and provision of Sexual and Reproductive Health services among adolescents in Nigeria. (All Africa, 11/6)





October OAH Picks: Five Treats to Support Adolescent Health (No Tricks!)
This October OAH Picks includes resources on substance use, bullying, caring for teens’ mental health, preventing violence in all forms, and using evidence-based programs. (HHS, 10/31)
TEDMED: The Realities of Risk Perception: Can Better Understanding Drive Healthy Behavior?
SAHM Member Dr. David Bell participated in this TEDMED Google+ event on risk perception, providing a view on adolescents. The Great Challenges Google+ Live Online Event explores the ever-evolving ‘Role of the Patient’ with a diverse line-up of experts who dive deeper into the question of how to arm patients with a realistic understanding of their risks to encourage healthy choices.


Register for Webinar: Best practices for measuring Practice Transformation to Implement the Triple Aim
The Agency for Healthcare Research and Quality is hosting a webinar Wednesday, November 19th from 3:00-4:30pm ET, on successful models that have been used by PBRNs to measure practice transformation. The presenters will discuss models they have used including: TRANSLATE Model; Solberg-Mold Practice Change/QI Model; Improving Primary Care through Health Information Technology (IPC-H-IT); and the Vermont Integration Project. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. (AHRQ, 10/31)


Draft Electronic Quality Measures Available for Public Comment on USHIK Website
A new set of draft electronic clinical quality measures (eCQMs) have been posted for public comment on AHRQ’s United States Health Information Knowledgebase website. To access and comment on a draft measure, select the draft measures tab in USHIK and select the individual measure to view and provide comments. To submit feedback, select “provide feedback” on the individual measure’s page and fill out the form. Users can also submit feedback directly at the website the Office of the National Coordinator uses to track issues or bugs associated with the eCQMs. The new draft eCQMs that have been posted for comment are: HIV Screening, HIV Screening for Patients with Sexually Transmitted Infection (STI), Oral Health Sealant for Children between 6–9 years, and Oral Health Care Continuity for Children between 2–20 years. (AHRQ, 11/4)

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