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Riding a slide while on a parent's lap increases the risk of injury

The study abstract, "The Mechanisms and Injuries Associated with Playground Slides in Young Children: Increased Risk of Lower Extremity Injuries with Riding on Laps," will be presented Monday, Sept. 18, at the American Academy of Pediatrics National Conference & Exhibition in Chicago. New research looks at the nature of injuries young children experience on playground slides. Of those under 6 years old, toddlers age 12-23 months had the highest percentage of injuries. The most common injury overall was a fracture at 36 percent, usually involving the lower leg. In the majority of cases, this type of fractures happens when the child's foot catches the edge or bottom of the slide, then twists and bends backward while sitting on a parent's lap. "Many parents and caregivers go down a slide with a young child on their lap without giving it a second thought," states lead researcher Charles Jennissen, MD, Clinical Professor and Pediatric Emergency Medicin...

Campaign increases likelihood parents will ask about guns before a playdate

"Gun violence is a public health epidemic in the United States, but a simple question or short conversation about gun safety can protect children from this danger," said lead author Nina Agrawal MD, FAAP . "This study shows us that parents are far more likely to ask about guns in a home before a playdate if they feel empowered by their pediatricians to do so, and asking can save precious young lives." The AAP recommends that physicians talk to families about gun safety as part of routine injury-prevention guidance, just like they counsel families about child safety seats, safe sleep and water safety. The ASK campaign encourages caregivers to ask family and friends if there is a gun where their child plays and, if a gun is present, to ensure that it is locked with the ammunition separately. The study was conducted in the South Bronx neighborhood of New York, a neighborhood with high rates of gun violence. Nine percent of participants said they knew someone who ...

Immigrant parents report fewer adverse childhood experiences than US-born parents

The abstract, "Adverse Childhood Experiences Among Immigrants and their Children," will be presented on Sunday, Sept. 17 at McCormick Place in Chicago. Prior research shows half of the U.S. population had at least one adverse childhood experience, or ACE, such as abuse, neglect, household violence, substance abuse or mental illness, or loss of family members through divorce, separation or incarceration. As many as one-third experienced four or more, which puts them at higher risk for later depression, violent behavior, and a number of chronic diseases . "Our findings suggest that violence, abuse, and neglect may be much less common in the lives of immigrant parents and their children than in the lives of U.S.-born counterparts. This may challenge assumptions about immigrants and what their unique health risks and needs may be," said Keith Martin, DO, MS, one of the abstract's authors and third-year pediatrics resident Children's Mercy Hospital in Kansa...

Girl soccer players who give up other sports may feel more stressed, less rested

The abstract, "Sport Specialization Is Associated with Impaired Sleep and Well-Being in Female Adolescent Athletes," will be presented on Saturday, Sept. 16, at Chicago's McCormick Place West conference center. For the study, conducted in Wisconsin, 49 female youth soccer players between ages 13 and 18 underwent pre-season evaluation to determine soccer experience and previous sports participation. During the four-month soccer season, study participants reported daily training load using perceived exertion. They also recorded how many hours of sleep they got each night and rated several factors related to their perceived well-being every day. Players were considered specialized if they participated in soccer exclusively and had previously quit other sports. The study found no differences between the 19 specialized 30 and non-specialized athletes with respect to age, years of experience, or in-season training load. However, despite getting roughly the same amount of ...

Green schoolyards offer physical and mental health benefits for children

A research abstract, "Green Schoolyards Support Healthy Bodies, Minds and Communities," that explores the concept of a green schoolyard will be presented Saturday, Sept. 16 at the American Academy of Pediatrics National Conference & Exhibition in Chicago. "Green schoolyards can include outdoor classrooms, native gardens, storm water capture, traditional play equipment, vegetable gardens, trails, trees and more," says Stephen Pont, MD, MPH, FAAP, medical director, Dell Children's Texas Center for the Prevention & Treatment of Childhood Obesity and Assistant Professor of Pediatrics, UT-Austin Dell Medical School. "And outside of school time, these schoolyards can be open for the surrounding community to use, benefitting everyone." Green schoolyards offer an opportunity for children to experience a healthy outdoor environment as part of their daily lives. After school hours, they provide value to the entire community through improved health...

Need for epinephrine in schools -- and staff trained to administer it

The study abstract, "National School Nurse Survey of Epinephrine Use in Schools," will be presented on Sunday, Sept. 17, at the American Academy of Pediatrics 2017 National Conference & Exhibition in Chicago. For the study, more than 1,200 school nurses completed an electronic survey about the use of epinephrine in schools as emergency treatment for anaphylaxis, a severe allergic reaction, during the 2014-15. Nearly one-quarter (23.9 percent) of participants reported epinephrine being administered in their school during the past year. In total, out of the 482 administrations of epinephrine reported, 16.2 percent were by unlicensed staff or students. In addition, researchers said, 33.6 percent of administrations were to students who did not have an allergy known to the school. The survey also found that 10.8 percent of students having a severe allergic reaction required more than one dose of epinephrine before emergency medical responders arrived. "The finding...

300,000 families living in US-Mexico border towns face exposure to toxic stress

The study abstract, "Assessing Health Status and Housing Quality of Families Living in Model Subdivisions (Colonias) of the Rio Grande Valley," will be presented on Sunday, Sept. 17, at the American Academy of Pediatrics 2017 National Conference & Exhibition in Chicago. "Colonias" are unincorporated, residential model subdivisions that can be found along the U.S.-Mexico border. Researchers conducted 63 surveys of these communities and conducted home visits to understand and document the experiences and conditions of families living there. Colonia dwellers are nearly exclusively of Hispanic ethnicity, the majority of whom are U.S. citizens, though mixed status families are common. There are many children growing up in these homes with nearly half (46 percent) of families in severely overcrowded environments. The neighborhoods had poor infrastructure including lack of water, electricity, paved roads, streetlights, adequate sewage, wastewater treatment, and tr...