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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 www.aap.org/MedHomeChamps.
PCO Webinar—Rescue Medication and Seizure Emergency Planning
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