CDC, FDA report finds declining tobacco product use, interest among US youths | US fares poorly on youth fitness | AAP members offer insights on transport team decision-making
September 23, 2016
AAP SmartBrief
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CDC, FDA report finds declining tobacco product use, interest among US youths
Just saying no. One of a worrying number of teenag
(Wayne Wilson/Getty Images)
CDC and FDA researchers found that the rate of teens who never used cigarettes or cigars declined from 26.4% and 21.2% in 2012 to 22.4% and 17.6% in 2014, respectively, while the rate of those who never used and were never curious about cigarettes and cigars increased by 3%, during the same period. The findings in Preventing Chronic Disease, based on 2012 to 2014 National Youth Tobacco Survey data involving students from the sixth to 12th grades, also showed that 10.8% were curious about e-cigarettes but never used such products.
Medical News Today (9/22),  HealthDay News (9/22) 
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US fares poorly on youth fitness
The US ranked 47th in a 50-country comparison of physical fitness levels among children ages 9 to 17, according to a study in the British Journal of Sports Medicine. Data showed that countries with higher income inequality were more likely to have less physically fit youths, with Tanzania, Iceland, Estonia, Norway and Japan having the most fit children and Mexico having the least fit.
United Press International (9/22) 
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Pediatric Health Care
AAP members offer insights on transport team decision-making
Medical transport teams consider safety concerns, availability of resources and environmental issues such as distance, geography, traffic and weather when making decisions on pediatric patient care, write Dr. Michael Stroud and Webra Price-Douglas of the AAP Section on Transport Medicine Executive Committee. Communicating such decision-making practices is crucial for referring centers, transport teams and accepting centers to bolster patient outcomes, they write.
AAP News (9/22) 
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High-flow therapy tied to increased treatment failure among preemies
A study in The New England Journal of Medicine found that 25.5% of preterm infants with early respiratory distress who had high-flow therapy as primary support had treatment failure, compared with 13.3% of those who received continuous positive airway pressure. However, the findings, based on an international, multicenter, non-inferiority trial involving 564 babies born at 28 weeks of gestation or later, didn't show significant differences in the rates of intubation within 72 hours and adverse events between both groups.
Physician's Briefing/HealthDay News (9/22) 
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Study: HIV PrEP usage lower among young men
Only 10% of young gay and bisexual men use pre-exposure prophylaxis, with black and Latino youths reporting less awareness of PrEP than their white counterparts, according to a study by APLA Health and the California HIV/AIDS Research Program.
Specialty Pharmacy Times (9/21) 
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Trends & Technology
Pediatric candidates postponing board exam may have lower scores, pass rates
Researchers found that candidates for pediatric board certification who didn't postpone taking their general pediatrics exam had an average score of 504 and a pass rate of 85%, compared with scores and pass rates of 450 and 66%, respectively, among those who slightly delayed their exam, and 380 and 47% among those who delayed for at least two years. The findings in the Journal of Pediatrics, based on data involving 32,917 board candidates, also showed that those who didn't delay their pediatric specialty exam and those with a short delay both had an average score of 497 and pass rates of 85% and 84%, respectively, compared with 457 and 71% among those who postponed for at least two years.
AAP News (9/22) 
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ONC examines adoption, use of health IT in US states
The Office of the National Coordinator for Health IT reported that 96% of hospitals across the US are using EHR systems. Arizona, Louisiana and South Dakota are the states with the lowest percentage of hospitals that have the capability to exchange summary of care records, while Alaska, Delaware, Maryland and Rhode Island have the highest percentage of hospitals capable of interoperability. (9/21) 
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Survey: Many physicians expect practice changes
A survey of physicians at 340 small practices found 50% have or would consider purchasing, buying into, merging or selling their practices and 73% expect to do so within four years, while 46% say the cost of doing business is pushing them to make a change. The survey for TD Bank found 43% of physicians said they expect to increase revenues during the next two years.
HealthLeaders Media (9/20) 
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Health Policy & Regulations
Family First Act can help treat critical ills, advocate says
The Family First Act now before the US Senate is a necessary response to child protection failures, Nebraska child welfare professional Sarah Helvey writes. It "makes unprecedented investments in prevention services, including mental health and substance abuse treatment" and "addresses a longstanding problem of children being inappropriately placed in group care," she writes.
The Chronicle of Social Change (9/21) 
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Medicaid spends less on care at community health care centers
Compared with other health care providers, spending on care at nonprofit community health centers is $2,371 less per Medicaid patient, in part because the care is associated with 25% fewer hospitalizations and 33% less spending on specialty care. Dan Hawkins of the National Association of Community Health Centers says community health care centers' low-income patient populations mean value is central to care decisions. The study will be published in the American Journal of Public Health.
HealthLeaders Media (9/21) 
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The Last Word - News from the AAP
Provide a circle of support for children with asthma
Improving health and school-related outcomes for children with asthma requires integrated care coordination between families, clinicians and school nurses. Working together with the AAP and a host of additional organizations, the American Academy of Allergy, Asthma & Immunology has launched a School-based Asthma Management Program (SAMPRO), which standardizes recommendations for school-based asthma management, and provides useful resources for the care of children with asthma in schools including an asthma action plan. Read more in the September issue of The Journal of Allergy and Clinical Immunology. For additional resources on asthma, visit
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PCO Webinar—Rescue Medication and Seizure Emergency Planning
This Pediatric Care Online (PCO) webinar focuses on the following:
  • What a seizure emergency plan is, why it is created, and what it should contain
  • The basics of how to create an effective school seizure action plan
  • The various seizure rescue medications, their side effects, and the practical considerations that come into play when prescribing them for the school setting
Pediatric Care Online is supported by Mead Johnson Nutrition.
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Whatever you want in life, other people are going to want too. Believe in yourself enough to accept the idea that you have an equal right to it.
Diane Sawyer,
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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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