Developmental Medicine

USPSTF finds insufficient evidence for autism screening in all children

USPSTF finds insufficient evidence for autism screening in all children

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The USPSTF has found insufficient evidence to support screening all young children for autism spectrum disorder if a parent or clinician has no expressed concerns.

CDC: Autism affects 1 in 68 children

CDC: Autism affects 1 in 68 children

Increase likely due to better diagnosis of the developmental disorder.

Managing speech-delayed patients

Managing speech-delayed patients

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Screening for speech deficiencies at each visit can identify potential delays and target interventions to achieve milestones.

Pets help kids with autism improve social skills

Pets help kids with autism improve social skills

Getting a pet may help people with autism improve their social skills, particularly with offering to share and offering comfort, study results suggest.

Common etiology ID'd for autism, schizophrenia, bipolar disorder

Common etiology ID'd for autism, schizophrenia, bipolar disorder

Having a first-degree relative with schizophrenia or bipolar disorder increases risk for autism spectrum disorders.

Walking while bottle drinking causes injuries in toddlers

Walking while bottle drinking causes injuries in toddlers

During the past two decades, more than 45,000 U.S. children aged younger than 3 years required emergency treatment after falling with a bottle, pacifier or sippy cup in their mouth.

Youths with ASDs have poor postsecondary outcomes

Youths with ASDs have poor postsecondary outcomes

More than 50% of youths with an autism spectrum disorder did not participate in education or employment opportunities in the two years after high school.

Publication bias accounts for SSRI benefit in autism

Publication bias accounts for SSRI benefit in autism

Both positive and negative clinical trial results must be made available to researchers and the public in order to accurately guide therapy and prevent unnecessary repetition in research.

Maternal obesity, diabetes linked to autism

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Mothers who are obese or who have diabetes may be more likely to have children with neurodevelopmental disorders, including autism, research suggests.

Studies confirm genetic complexity of autism

Studies confirm genetic complexity of autism

Exome sequencing used to describe "de novo" genetic mutations and their role in ASD risk reveal that few mutations occur in the same genes and few participants experienced the same changes.

Autism prevalence on the rise

Autism prevalence on the rise

The CDC estimates that one in every 88 children has an autism spectrum disorder, with prevalence up 23% since 2006 and 78% since 2002.

Use well infant and child exams to identify toxic stress

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Exposure to stress hormones in infancy can lead to permanent structural brain changes that contribute to chronic physical and mental health conditions.

Implementing standardized developmental screening in pediatrics

Implementing standardized developmental screening in pediatrics

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Does your pediatric practice use standardized developmental screening tools for autism spectrum disorder? Research shows that developmental surveillance based on clinician experience alone is not good enough.

Excess neurons associated with autism

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Children with autism had 67% more neurons in the prefrontal cortex, an area of the brain that controls social and emotional development, as well as communication, providing the first evidence that neurons and not other brain cells, may be involved in the developmental disorder.

In utero BPA exposure linked to tots' behavior problems

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Bisphenol A exposure in the womb may contribute to ADHD, anxiety and depression in toddlers.

Sibling's status may help predict autism risk

Autism recurrence rates are higher than previously estimated for younger siblings of children with an autism spectrum disorder.

Smoke exposure may contribute to childhood learning disorders

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Children exposed to secondhand cigarette smoke had a 50% increased risk for neurobehavioral disorders compared with those with no exposure, data from the National Survey of Children's Health indicated.

Fetal environment may play greater role in autism than genetics

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Autism prevalence has increased 10-fold since the 1960s. New data from the California Autism Twins Study suggests that shared environmental factors may outweigh shared genetics in the etiology of the disorder.

A 5-minute screen to diagnose autism

A checklist that takes about five minutes for a caregiver to complete can help clinicians identify autism in very young children.

Autism screening variability may influence prevalence estimates

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Including a general population cohort yielded higher autism prevalence estimates — 2% to 3% vs. earlier 0.7% to 1.8% estimates.

Can acetylcholinesterase inhibitors help students cram?

The acetylcholinesterase inhibitors have produced excellent results in patients with Alzheimer's disease or dementia, but are they also beneficial for students preparing for exams?

Will puberty occur after anorexia?

A woman with primary amenorrhea attributable to prepubertal anorexia nervosa has restored her weight at age 23 years. What is the likelihood of her developing pubertal changes?

Relationship between seizures and autism remains unclear

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More research is needed to determine how epilepsy might contribute to progressive cognitive and behavioral decline in people with autism.

Combination therapy effective for asthma rescue

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Administering beclamethasone with albuterol better than albuterol alone.

Misuse and abuse of ADHD medication

Misuse and abuse of ADHD medication

When used as prescribed, these drugs are not addictive. However, abuse is on the rise, and clinicians need to be able to identify the signs.

Psychotropic drugs in children and teens

Psychotropic drugs in children and teens

Most children with psychiatric disorders do not receive appropriate evaluation and treatment. A practice parameter offers guidance.

Autism vs. pervasive developmental disorder

Is there a way to eliminate the confusion between autism and pervasive developmental disorder not otherwise specified (PDD-NOS)?

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