Adolescence

CMA strongly opposes government efforts to restrict access to care

Retrieved on: 
Tuesday, February 20, 2024

OTTAWA, ON, Feb. 20, 2024 /CNW/ - The Canadian Medical Association (CMA) is deeply concerned about any government proposal that restricts access to evidence-based medical care, including the Alberta government's proposed restrictions on gender-affirming treatments for pediatric transgender patients.

Key Points: 
  • OTTAWA, ON, Feb. 20, 2024 /CNW/ - The Canadian Medical Association (CMA) is deeply concerned about any government proposal that restricts access to evidence-based medical care, including the Alberta government's proposed restrictions on gender-affirming treatments for pediatric transgender patients.
  • An approach that restricts the most appropriate care options for some patients has the potential to cause permanent harm.
  • Ensuring children have universal access to a full range of medical care is essential for their well-being.
  • We strongly urge governments to consult with health-care professionals — experts in their field — when considering policy changes related to health care.

Repare Therapeutics Doses First Patient in Phase 1 Clinical Trial of RP-1664

Retrieved on: 
Thursday, February 15, 2024

“RP-1664 exhibited deep tumor growth inhibition and regressions in multiple TRIM37-high solid tumor and neuroblastoma xenograft models, both internally and in collaboration with Children’s Hospital of Philadelphia.

Key Points: 
  • “RP-1664 exhibited deep tumor growth inhibition and regressions in multiple TRIM37-high solid tumor and neuroblastoma xenograft models, both internally and in collaboration with Children’s Hospital of Philadelphia.
  • After evaluating safety in the LIONS clinical trial, we expect to move rapidly into a Phase 1/2 clinical trial in high risk, recurrent pediatric neuroblastoma, in which patients have a high prevalence of TRIM37-altered tumors and limited treatment options,” said Maria Koehler, MD, PhD, Executive Vice President and Chief Medical Officer of Repare.
  • “RP-1664 is Repare’s third internally-developed clinical therapeutic candidate, a testament to the productivity of our platform.”
    The LIONS clinical trial ( NCT06232408 ) is a first-in-human, multicenter, open-label Phase 1 study to investigate safety, pharmacokinetics, pharmacodynamics and the preliminary efficacy of RP-1664.
  • The clinical trial is expected to enroll approximately 80 patients with molecularly selected advanced solid tumors, including those with gain or amplification of TRIM37, among other genetic alterations.

MannKind Announces Enrollment Goal Completion of INHALE-1 Pediatric Diabetes Trial Utilizing Afrezza®

Retrieved on: 
Thursday, February 15, 2024

Secondary endpoints include change in fasting plasma glucose after 26 weeks and rate of hypoglycemic events.

Key Points: 
  • Secondary endpoints include change in fasting plasma glucose after 26 weeks and rate of hypoglycemic events.
  • The multi-center study evaluated Afrezza in combination with basal insulin vs. multiple daily injections (MDI) of insulin in children and adolescents aged 4-17 who are living with type 1 or type 2 diabetes.
  • “We are excited to reach this milestone in exploring the potential of Afrezza for a younger generation living with diabetes,” said Dr. Kevin Kaiserman, Senior Vice President, Clinical Development and Medical Affairs for MannKind Corporation.
  • “We expect to complete a primary endpoint analysis in the fourth quarter.”
    More information on the study details is available at: https://www.clinicaltrials.gov/study/NCT04974528

Why banning gym selfies could do us all a lot of good

Retrieved on: 
Wednesday, February 14, 2024

It’s easy to see why taking selfies could be considered inappropriate in such cases.

Key Points: 
  • It’s easy to see why taking selfies could be considered inappropriate in such cases.
  • When considered alongside a rise in toxic influencer culture and widespread body-image insecurity, it could be argued banning gym selfies is a positive step.

Self-obsession in the digital age

  • One of the most famous Greek myths is that of Narcissus, who gave us the word “narcissist”.
  • This is the tale of a young man captivated by his own image.
  • Yet research shows narcissism is not only very prevalent in the modern age, in many cases it’s lucratively rewarded.

Gyms push back against selfies

  • Gym selfies can be tied particularly closely to influencer culture.
  • Influencers posting gym selfies will typically gain a lot of views and likes, and in some cases may attract mass followings.
  • Research shows gym selfies can also influence people’s motivations for exercising.
  • Study participants reported becoming more conscious of their own bodies when they saw gym selfies online.

Self-care in the social media age

  • And social media are a potent driver of the latter.
  • This promotes an obsession with self-image and pushes us to reach social media-worthy levels of muscularity or leanness.
  • Research shows adolescents in particular can have negative mental health outcomes as a result of self-image comparisons on social media.

Exercising for ourselves

  • At the same time, these individuals wield significant power within communities (both online and offline) and have an opportunity to shape norms around fitness and body image.
  • It might just be the beginning of people exercising for themselves and nobody else.


Samuel Cornell receives funding from Meta Platforms, Inc. His research is also supported by a UNSW University Postgraduate Award funded by the Australian Government. Timothy Piatkowski is a Lecturer and Researcher at Griffith University. He is also affiliated with Queensland Injectors Voice for Advocacy and Action.

MORE TEENS ARE DYING IN CRASHES BECAUSE THEY’RE NOT WEARING A SEAT BELT

Retrieved on: 
Wednesday, February 14, 2024

TxDOT’s Teen Click It or Ticket campaign is urging all teens to buckle up—every seat, every ride.

Key Points: 
  • TxDOT’s Teen Click It or Ticket campaign is urging all teens to buckle up—every seat, every ride.
  • The number of teenagers killed in Texas who weren’t wearing their seat belt increased from 144 in 2021 to 162 in 2022, the equivalent of three full school buses.
  • In 2022, 51% (162 of 320) of teens killed in vehicle crashes were not wearing seat belts.
  • The Teen Click It or Ticket campaign will travel the state Feb. 1-15, reaching out to Texas teens with its imperative seat belt safety message.

Violence prevention can transform Canadian hockey culture — but only if implemented properly

Retrieved on: 
Tuesday, February 13, 2024

The recent charges against five members of Canada’s gold medal-winning 2018 world junior hockey team in connection with an alleged sexual assault has thrust Hockey Canada and its issues back into the public eye.

Key Points: 
  • The recent charges against five members of Canada’s gold medal-winning 2018 world junior hockey team in connection with an alleged sexual assault has thrust Hockey Canada and its issues back into the public eye.
  • A woman sued Hockey Canada in 2022, alleging she had been sexually assaulted in a hotel room by eight Canadian Hockey League players, some of whom were members of the 2018 world junior team.
  • While coverage of this case continues to raise important questions about the systemic failures within Hockey Canada, many have been left wondering what can be done to prevent gender-based and sexual violence in the future.

Hockey Canada lacks accountability

  • But, as some critics have already articulated, their plans lack transparency, accountability and foresight in preventing violence.
  • In November 2023, Hockey Canada said they would not release their third-party report on the alleged 2018 sexual assault to the public.

The spectrum of violence

  • This Hockey Canada issue is not isolated; there have been many high-profile domestic and sexual violence cases in professional and competitive sports, including claims of hazing, harassment and sexual violence all the way down to the amateur level.
  • Gender-based violence doesn’t occur in a vacuum; it thrives in environments that facilitate it — particularly the normalization of hazing that is predicated on sexism, racism and homophobia.
  • Practices like hazing also create an environment where misogyny, homophobia and racism can escalate into tangible forms of violence outside the locker room.

Violence prevention programs

  • In my experience running gender-based violence prevention programs with young male athletes, many initially balk at violence prevention programs as they are seen as vilifying boys and men.
  • These findings contradict current models of violence prevention in professional or competitive sport, such as the OHL’s mandatory Onside training, which is a two-hour workshop for new players on sexual violence.

Addressing violence in sport

  • To meaningfully address violence in sport, gender-based violence programs must be ongoing and dynamic instead of being treated like a mere checkbox.
  • Investing in violence prevention that is evidence-based and sustainable is the key to ensuring that this violence stops.


Maddie Brockbank works at Interval House of Hamilton in the MentorAction program. Maddie is a Vanier Scholar and received doctoral funding from the Social Sciences and Humanities Research Council of Canada (SSHRC).

MemorialCare's Vice President of Clinical Integration Shines Bright in Modern Healthcare's 40 Under 40

Retrieved on: 
Monday, February 12, 2024

FOUNTAIN VALLEY, Calif., Feb. 12, 2024 /PRNewswire/ -- MemorialCare is proud to announce that Elizabeth "Liz" Acord, vice president of clinical integration, for MemorialCare Cancer Institute was recognized by Modern Healthcare as one of its 40 Under 40 for 2024.

Key Points: 
  • FOUNTAIN VALLEY, Calif., Feb. 12, 2024 /PRNewswire/ -- MemorialCare is proud to announce that Elizabeth "Liz" Acord, vice president of clinical integration, for MemorialCare Cancer Institute was recognized by Modern Healthcare as one of its 40 Under 40 for 2024.
  • Modern Healthcare's 40 Under 40 recognizes the health care industry's rising stars age 40 and under who contribute to a culture of innovation and help their organizations achieve and exceed financial, operational, and clinical goals.
  • As vice president of clinical integration at MemorialCare, Acord oversees the system-wide cancer program and spearheads clinical research initiatives.
  • She brings extensive experience building hospital departments, developing innovative programs, and fostering collaboration between health care stakeholders.

Juntendo University Broadens the Scope of Mitochondrial Disease Testing

Retrieved on: 
Monday, February 12, 2024

TOKYO, Feb. 12, 2024 /PRNewswire/ -- Mitochondrial disease occurs when malfunctioning mitochondria cannot sustain the production of adenosine triphosphate (ATP)—the energy currency of life—in the inner mitochondrial membrane. The loss of this vital molecule has far-reaching consequences that affect various organ systems and can cause psychiatric symptoms, cardiomyopathy, seizures, kidney and liver dysfunction, and hearing loss.

Key Points: 
  • The Intractable Disease Research Center at Juntendo University will conduct broader analyses of mitochondrial genetic data to confirm genetic diagnosis.
  • Unfortunately, mitochondrial disease is the most common congenital metabolic condition, with one case detected for every 5000 live births.
  • In terms of testing, Juntendo University screens many babies diagnosed with mitochondrial disease each year.
  • In this regard, Prof. Murayama's team commenced mitochondrial disease outpatient care at Juntendo Medical Center's Pediatric and Adolescent Department in July 2023.

Younger Age of Primary ACL Injury, Decreased Time to Return to Sport Significantly Increases Risk of Secondary ACL Injury in Adolescent Athletes

Retrieved on: 
Monday, February 12, 2024

The study, "Predictors of Anterior Cruciate Ligament Reinjury and Return to Sport in Adolescent Athletes," found that when the age of primary ACLR increases by one year, the rate of secondary ACL injury decreases by 29% and a one-month delay in RTS decreases the rate of a secondary ACL injury by 17%.

Key Points: 
  • The study, "Predictors of Anterior Cruciate Ligament Reinjury and Return to Sport in Adolescent Athletes," found that when the age of primary ACLR increases by one year, the rate of secondary ACL injury decreases by 29% and a one-month delay in RTS decreases the rate of a secondary ACL injury by 17%.
  • ACL injuries in adolescent athletes are increasing mainly due to the rise of younger athletes playing in competitive sports at an earlier age and an increased awareness of ACL injuries.
  • [iv]
    The researchers sought to identify recent epidemiologic trends of ACL injuries and recurrent tear rates in high school athletes, and determine variables related to sustaining a secondary ACL injury.
  • After adjusting for all variables, a younger age at primary ACLR and time to RTS were significantly associated with an increased rate of secondary ACL injury.

How an online tool allows parents and therapists to work together to help children with anxiety

Retrieved on: 
Wednesday, February 7, 2024

When the number of young people needing help is so great, services become overstretched and there are enormous challenges in providing timely support.

Key Points: 
  • When the number of young people needing help is so great, services become overstretched and there are enormous challenges in providing timely support.
  • Our research has explored ways of getting help to more children more quickly.
  • We focused on children with anxiety problems because they are extremely common, often first occur in childhood and their negative impact can persist into adulthood.

Finding time

  • Children are helped to develop new ways of thinking by testing out their fears in a supported way.
  • In our approach, a therapist supports a parent, who then applies CBT skills and strategies in their child’s daily life.
  • We’ve developed an online platform to help parents apply CBT strategies with their child, with remote therapist support.
  • During these telephone appointments, the therapist helps them to plan how best to apply the approach with their child and to address any problems they may have encountered.
  • To make the treatment easy to understand and accessible, modules provide content in a range of formats, such as text, videos and quizzes.
  • There was an immediate and sudden need for remotely delivered interventions, together with an increased need for mental health support.

Working with families

  • The families we invited to join our study had children aged from five to 12 years who were experiencing anxiety problems, and had approached either NHS child and adolescent mental health services, local authorities, or charities for help.
  • Half of the children and their families were randomly assigned to receive our online treatment.
  • The rest were assigned the traditional treatment offered by the mental health services that they approached for help.
  • They also asked about other things, such as whether the child or parent used other health care services beyond the treatment for child anxiety problems.
  • Mara Violato receives wider funding from the National Institute for Health and Care Research (NIHR), Oxford and Thames Valley NIHR Applied Research Collaboration, and Oxford Health NIHR Biomedical Research Centre.
  • This work was funded by a Department for Health and Social Care and United Kingdom Research and Innovation Research Grant, the NIHR Research Policy Research Programme, Oxford and Thames Valley NIHR Applied Research Collaboration, and Oxford Health NIHR Biomedical Research Centre.
  • Shuye Yu receives wider funding from the National Institute for Health and Care Research (NIHR) and Oxford Health NIHR Biomedical Research Centre.