AAP, other groups, lawmakers urge FDA action on JUUL e-cigarette use in youths | Vt. leads US in pediatric health care | Researchers examine link between cannabis use, cognitive functioning in youths
April 19, 2018
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AAP, other groups, lawmakers urge FDA action on JUUL e-cigarette use in youths
The American Academy of Pediatrics and five other health organizations have sent a letter urging the FDA to promptly act to address the rising use of JUUL e-cigarettes among teens, while Sen. Dick Durbin, D-Ill., and 10 other senators issued separate letters to JUUL Labs and the FDA seeking steps to restrict pediatric use of the e-cigarettes. A survey in the journal Tobacco Control showed that 63% of youths ages 15 to 24 who used JUUL were unaware of its nicotine content.
MedPage Today (free registration) (4/18) 
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Vt. leads US in pediatric health care
Vt. leads US in pediatric health care
(Joe Raedle/Getty Images)
A WalletHub report ranked Vermont, Washington, D.C., and Massachusetts as the top places in the US for pediatric health care, while Nevada, Louisiana and Texas ranked the worst. Vermont, Delaware, New Hampshire, Massachusetts and D.C. had the most pediatricians and family doctors per capita, while New Hampshire, Washington, Colorado, Utah and Oregon had the lowest pediatric obesity rates.
U.S. News & World Report (4/18) 
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Pediatric Health Care
Researchers examine link between cannabis use, cognitive functioning in youths
A study in JAMA Psychiatry showed that teens and young adults who were heavy and frequent cannabis users had smaller than expected short-term cognitive deficits, compared with nonusers. The findings, based on a systematic review and meta-analysis of 69 studies involving 8,727 youths ages 18 to 30, showed that more than 72 hours of abstinence was associated with insignificant memory and thinking deficits among heavy cannabis users, compared with controls.
HealthDay News (4/18),  Healio (free registration)/Psychiatric Annals (4/18) 
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Youths may benefit from self-regulation interventions
Sixty-six percent of curriculum-based, exercise-based, mindfulness and yoga, social and personal skills, and family-based interventions were associated with consistent self-regulation improvements in children and teens, UK researchers reported in JAMA Pediatrics. The findings, based on a systematic review and meta-analysis of 49 studies involving 23,098 youths ages 2 to 17, also showed that most intervention groups had better academic, behavioral and health outcomes, compared with controls.
Physician's Briefing/HealthDay News (4/18) 
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Study assesses link between asthma, lung function in teens born preterm
A study in Thorax found preschool wheeze was significantly more frequent among children born very prematurely. The findings, based on 304 adolescents born preterm and 47 children born at term, indicated bronchopulmonary dysplasia and prematurity were associated with lower lung function in adolescence, researchers said.
Pulmonology Advisor (4/18) 
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Should middle school start after 8 a.m.?
Should middle school start after 8 a.m.?
Students attending middle schools with start times after 8 a.m. get an average of 17 more minutes of nightly sleep than those with earlier start times, according to a study in the Journal of School Health. Researchers also found less daytime sleepiness among middle-school students with later school-start times.
Reuters (4/18) 
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Trends & Technology
Pediatrician compensation remains one of the lowest
Pediatricians earned an average annual income of $212,000 in 2018, the second lowest among all physician specialties despite a 5% increase from 2017, according to the Medscape Compensation Report. The survey also showed that only 53% were satisfied with their compensation, while only 26% and 7% participated in the Merit-based Incentive Payment System and Alternative Payment Models, respectively.
Medscape (free registration) (4/18) 
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Primary care docs cite third-party interference as top challenge
Medical Economics' 89th Annual Physician Report found 70% of primary care physicians said "third-party interference" was their biggest challenge. Solutions cited by physicians included dropping a payer, making workflow changes or switching to a direct primary care practice model.
Modern Medicine/Medical Economics (4/18) 
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Health Policy & Regulations
Senate bill calls for use of data, health IT to fight opioid crisis
Senate health committee leaders unveiled the Opioid Crisis Response Act of 2018, a bipartisan bill that includes measures increasing data collection, sharing and analysis, as well as reliance on EHR and telemedicine technology and Prescription Drug Monitoring Program databases. The legislation "could help states and communities begin to bring an end to the opioid crisis by reducing the number of prescription opioids, stopping illegal drugs at the border and accelerating research on non-addictive pain medicines," said committee chairman Sen. Lamar Alexander, R-Tenn.
Health Data Management (free registration) (4/18) 
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Schools seek to extinguish vaping trend
Schools seek to extinguish vaping trend
Administrators in some schools are taking steps to curb student use of vaping devices and e-cigarettes. Efforts include teaching students about the downside of vaping, banning USB thumb drives and educating teachers about the devices.
District Administration magazine online (4/18) 
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The sea does not reward those who are too anxious, too greedy or too impatient. ... One should lie empty, open, choiceless as a beach -- waiting for a gift from the sea.
Anne Morrow Lindbergh,
author and aviator
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