Pediatric cancer survivors may have poorer mental, physical health as adults | Mortality from drug overdose quadruples among youths in 5 states | Study examines antibiotic prescription in children with URI
November 20, 2015
AAP SmartBrief
News for pediatricians and other child health professionals

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Pediatric cancer survivors may have poorer mental, physical health as adults
Survivors of childhood brain cancer, leukemia and Hodgkin lymphoma had almost double the risk of being hospitalized up to 34 years after surviving the disease, according to a Danish study of over 33,000 young cancer survivors diagnosed between 1943 and 2004. A second study, based on 119 people, revealed adults who had survived osteosarcoma, a type of bone cancer, had lower scores on attention, memory and reading tests and a slower brain processing speed than those who didn't have cancer as children. Both studies were published online in JAMA Oncology. HealthDay News (11/19)
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Mortality from drug overdose quadruples among youths in 5 states
The mortality rate for teenagers and young adults has more than doubled across the US and increased fourfold in Kansas, Montana, Ohio, Wisconsin and Wyoming, according to a new report. The Trust for America's Health found 7.3 deaths per 100,000 people ages 12 to 25 years were due to drug overdose in 2011-2013, up from 3.1 in 1999-2001. Over half of overdoses in 2013 were attributed to prescription painkillers. HealthDay News (11/19)
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Blend Content and Community to Create Truly Interactive Websites
Websites need to evolve. Visit any website today and they're much the same as those in the 1990's: entirely one-way. In this eBook, we detail six reasons for blending an online community to make your website interactive.

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Study examines antibiotic prescription in children with URI
A study in the Annals of Family Medicine showed a 93.5% overall rate for appropriate management of upper respiratory tract infections among children. Researchers evaluated data of 20,581 patients with URI, ages 3 months to 18 years, who were diagnosed from 2007 to 2012 and found family medicine clinicians, urgent care clinicians and patients who were white or aged 12 to 18 years were predictive of antibiotic prescription. News (11/19)
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Children on ADHD meds more likely to be bullied, study finds
Researchers found children with attention-deficit/hyperactivity disorder who took medications were more likely to be bullied than those with ADHD who didn't take such medications, while both groups were more likely to be bullied than youths without ADHD. The findings in the Journal of Pediatric Psychology, based on almost 5,000 public-school students, showed that 1 in 5 of those who took ADHD medications were approached to sell or share them, and half of those approached said they sold or shared the drugs. Healthline (11/19)
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Self-control test may predict child's future academic ability
An ongoing longitudinal study in Germany involving 558 children who were born preterm and full-term revealed preterm children scored lower in a self-control test and were more likely to struggle academically by age 8, compared with children born full-term. The findings were reported in the Journal of Pediatrics. United Press International (11/19)
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Helping Pediatric Cancer Patients Survive and Thrive
As one of the six survivorship transition clinics in the nation designed to meet the ongoing and unique health care needs of young adult cancer survivors, Children's Mercy is working to help patients whom have developed chronic health conditions thrive as they move into adulthood. Learn more about Children's Mercy's transforming pediatric cancer care.
Trends & Technology
Few Americans eat recommended amounts of vegetables
Fruit And Vegetables Recommended Intake
(Christopher Furlong/Getty Images)
The 2015 Report Card from the National Fruit and Vegetable Alliance shows just 4% of Americans eat enough vegetables to meet daily recommended levels, and average vegetable consumption has decreased 6% over the past five years. The report card gave a D grade to consumption of vegetables by children. San Francisco Chronicle (free content) (11/18)
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Study examines e-prescribing rate among ED staff members
A study conducted by Children's National Health System found e-prescribing rates to be higher among nurse practitioners and physician assistants than physicians in the emergency department. The e-prescribing rate among physician assistants was 46.2%, and 38.6% among nurse practitioners, compared with 41.1% among pediatric emergency physicians with at least five years of experience. The study, which examined e-prescribing from December 2013 to October 2014, found that less-experienced attendings and fellows had rates close to 30%. (11/18)
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How to secure EHRs during transition to cloud
Moving EHRs to the cloud may be beneficial to health care organizations, but it could also put patient data at risk if not effectively done, writes Digital Guardian Chief Technology Officer Salo Fajer. In addition to assessing whether current information policies are still applicable to cloud data, Fajer suggests that organizations examine present usage of cloud storage to spot inappropriately saved information. Test systems on-site, look closely at long-term costs, involve those responsible for data entry and access, set credible expectations for use, and closely consider what information should be kept on the cloud, including what data should require encryption. (11/18)
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Health Policy & Regulations
Bill would pay Medicare recipients for completing advance directive
Bipartisan legislation would give Medicare patients a small financial payment if they give physicians and families clear legal guidance on their care preferences should they become incapacitated. The Medicare Choices Empowerment and Protection Act also would provide a website telling Medicare patients they can decide to reject or accept medical care based on their values. The Examiner (Washington, D.C.) (11/19)
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Calif. exchange draws 33,000 to dental coverage in initial weeks
Dentist at work.
(Peter Macdiarmid/Getty Images)
Adults in California who shop for insurance on the Covered California exchange can obtain dental coverage through optional add-on plans, and about 33,000 adults have done so, including about 6,000 first-time exchange users, said exchange Executive Director Peter Lee. Pediatric dental benefits continue to be paired with health plans, but parents can enroll for their own coverage alongside a health plan. Among state exchanges, only Washington does not offer dental plans, Delta Dental's Jeff Album said. Kaiser Health News (11/19), The Modesto Bee (Calif.) (11/11)
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The Last Word - News from the AAP
Join today’s #FACEPoverty Twitter chat
The AAP Section on Medical Students, Residents and Fellowship Trainees FACE Poverty advocacy campaign empowers pediatricians in training to address many facets of poverty at the community, state and federal levels. Participate in today’s Twitter chat at 3 p.m. ET to join the conversation and share resources about how we can #FACEPoverty. SOMSRFT will be joined by leaders of the AAP Council on School Health, who will share information about food insecurity, access to health care and quality early education.
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Home safety tips from the AAP
The AAP is working with Procter & Gamble to provide parents with information to keep children safe around household cleaning and fabric care products. As part of these efforts, AAP content - including specific tips on how to keep various areas of the home safe and secure - is available on
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Character cannot be developed in ease and quiet. Only through experience of trial and suffering can the soul be strengthened, vision cleared, ambition inspired, and success achieved."
-- Helen Keller,
writer and activist
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This news roundup is provided as a timely update to AAP members and other health professionals about child health topics in the media. Links to articles are provided for the convenience of pediatricians who may find them of use in discussions with patients or colleagues.
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