Teens who take topiramate for migraines may be at risk of eating disorder | Fewer U.S. youths are diagnosed with melanoma | Study suggests poverty influences asthma risk among children
April 10, 2015
AAP SmartBrief
News for pediatricians and other child health professionals

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Teens who take topiramate for migraines may be at risk of eating disorder
Weight loss associated with the migraine drug topiramate, recently approved for use in teens, may trigger disordered eating in some teenagers, according to a report in the journal Pediatrics. The findings were based on the case histories of seven patients whose eating disorders were aggravated or who developed an eating disorder after taking the drug. Experts stressed that the study did not prove a causal relationship, but they said the findings support anecdotal observations and recommend against prescribing topiramate to teens with eating disorders. HealthDay News (4/9)
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Fewer U.S. youths are diagnosed with melanoma
An analysis of national cancer registry data found a 12% annual decline in new cases of pediatric melanoma in the U.S. from 2004 to 2010. The incidence among youths aged 15 to 19 declined by about 11% between 2003 and 2010 for girls and 8% for boys. The findings appear in the Journal of Pediatrics. HealthDay News (4/9)
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Want to Be a Better Salesperson? Build Relationships
Today's knowledge-hungry consumers often know as much about a product as the people trying to sell it. So what's your sales edge? Learning to build stronger relationships with your clients. Read the featured article.

Pediatric Health CareAdvertisement
Study suggests poverty influences asthma risk among children
Children living in Detroit and rural Georgia had almost identical rates of asthma, suggesting that poverty may be a bigger factor in asthma risk than living in a city, researchers reported in the Journal of Allergy and Clinical Immunology. The study found a 15% rate of diagnosed asthma and 8% rate of undiagnosed asthma among about 7,300 high-school students in Detroit. The comparable rates were 14% and 7.5% for about 2,500 high-school students in rural Georgia. HealthDay News (4/9)
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Early brain scans forecast language skills in children with autism
Brain scans of children with autism spectrum disorder may be able to predict whether they will develop normal language skills, according to a study in the journal Neuron. Using functional MRI, researchers examined the brains of 103 children about 1 year to 2 years old while they listened to a narration. Scans of children with ASD and good language development showed language-related brain regions similar to typically developing children, while youths with ASD and poor language development exhibited reduced activity in those areas. HealthDay News (4/9)
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Are oscillometric readings overestimated in ill neonates?
Research reported in the Journal of the American Society of Hypertension indicates that standard oscillometric measurement overestimates blood pressure in very ill neonates, showing a statistically significant difference between oscillometric measurements and measurements obtained with umbilical artery or peripheral artery catheters. Learn more.
Trends & TechnologyAdvertisement
Clock is ticking on Sunshine Act review period
The 45-day review period has begun for physicians to challenge financial data to be made public under the Physician Payments Sunshine Act. Physicians have until May 20 to review and dispute the information provided by drug and medical device companies before it is made public. The law is aimed at increasing transparency and accountability in health care. PhysiciansBriefing.com/HealthDay News (4/8)
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Texas panel weighs future of telemedicine in state
The Texas Medical Board is set to decide whether to prohibit physicians from prescribing medications via Internet or telephone to patients they have not seen in person. Teladoc, a telehealth company, sued the board after the board challenged its practice of enabling doctors to write prescriptions remotely. American City Business Journals/Dallas/Morning Edition blog (4/9)
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Alternative to Bleach Baths for Eczema Prone Skin
For years, physicians have known that bleach baths can effectively improve eczema symptoms and decrease the spread of infection. But most parents are noncompliant. Preserved with sodium hypochlorite, CLn® BodyWash offers the effectiveness of a bleach bath without the complexity, inconvenience and anxiety of bathing in diluted bleach.
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Health Policy & RegulationsAdvertisement
U.S. sees growing opposition to Medicare Advantage payment cuts
Senators who are opposed to reducing payments under the Medicare Advantage program grew to 53 in 2015 from 40 in 2014. The CMS this week proposed a 1.25% increase to the program after learning that projected health care costs for the year would increase more than expected. The Hill (4/9)
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Neb. Senate advances bill on children's behavioral health screening
A bill that would continue offering behavioral health screenings for children passed the Nebraska Senate by a 32-11 vote Tuesday. The bill could also extend the program to five other locations aside from Columbus, Scottsbluff and Omaha. KVNO-FM (Omaha, Neb.) (4/8)
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SHRM Exec Study: Impact of Absence
Read the compelling results of this 2014 survey conducted by SHRM and Kronos® that demonstrate how a clearly defined strategy to monitor and manage absence, with proper training and automation, can help control costs associated with absences and improve your bottom line. Click here to learn more.

The Last Word - News from the AAP
Webinar: Tobacco Control and the Patient-Centered Medical Home
April 16
2 p.m. ET
This webinar sponsored by the AAP Richmond Center and co-sponsored by the American Academy of Family Physicians will explain the concept and discuss the benefits of a patient-centered medical home. It will also cover how tobacco prevention and control in the practice setting complements the patient-centered medical home. Register here.
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New society for pediatric pain medicine
This society brings together specialists in pediatric acute and chronic pain, regional anesthesia and palliative care. The Society for Pediatric Pain Medicine just concluded its 2nd annual conference for physicians, nurses and health care providers interested in pediatric pain management. For more information, visit the SPPM website.
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Each man must look to himself to teach him the meaning of life. It is not something discovered; it is something molded."
-- Antoine de Saint-Exupery,
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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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