News

Obstetricians, gynecologists, and pediatricians joined forces to issue a new task force report on identifying the causes of newborn brain injuries. In doing so, they hope to unearth prevention strategies for neonatal encephalopathy, cerebral palsy, and other neurologic problems.

Despite clear health advantages, the rate of neonatal circumcision in the United States has fallen slightly over the past 50 years from a high of 83% in the 1960s to 77% in 2010, according to a recent report.

As of 2010, 1 in every 68 children aged 8 years had autism spectrum disorder (ASD), according to new data from the Centers for Disease Control and Prevention (CDC). This is up from 1 in 88 in 2008; 1 in 110 in 2006; and it’s up 123% from 2002 when 1 in every 150 children aged 8 years was diagnosed with ASD.

Using guidelines issued by the Institute of Medicine (IOM), about 1 in every 10 US children is at risk of vitamin D inadequacy and about 1 in 20 is at risk of deficiency, according to a new report. These figures are drastically lower than previous estimates.

Researchers have found areas of disruption in the brains of young children with autism spectrum disorder (ASD), indicating that ASD originates sometime early in the prenatal period, according to a new small explorative study.

Roberto Fernández Galán, PhD, assistant professor, Department of Neurosciences, at Case Western Reserve University School of Medicine, Cleveland, Ohio, discusses his study on the "noisy brain" of children with autism with Karen Donley-Hayes.

Detectable serum and salivary cotinine-a biomarker of tobacco exposure-is common among children admitted for asthma or bronchodilator-responsive wheezing and is associated with readmission, a study in asthmatic youngsters showed. Caregiver reports of secondhand smoke exposure do not appear to be significant predictors of hospital readmissions, however.

Audio recordings of 253 annual health maintenance visits of adolescent patients showed that in one-third of such visits, sexuality issues including sexual activity, dating, or sexual identity were not mentioned. Even in the visits that included some sexual content, the duration of the talk was brief-an average of 36 seconds.

The interim final rule on infant formula quality and nutrition announced recently by the US Food and Drug Administration (FDA) will set standards going forward.

I am responding to Dr. Horst D. Weinberg’s thoughtful and well-elucidated letter to Contemporary Pediatrics (“Pediatrics, then and now”; Contemp Pediatr. 31[2[:10-12).

An obituary

An autopsy is educational as one physician might inform another as to the cause of death. The practicing physician, then educated, would be able to explain to family members the exact cause of the demise. Once understood, treatment of future cases might even be modified. In an obituary, we learn about the deceased, but can only mourn.

Transition programs prepare adolescent patients for their transfer from pediatric to adult healthcare. Primary care physicians must incorporate sexual health self-management into transition planning for adolescents and young adults, but most especially for those with chronic illness or developmental disabilities.

There is growing evidence that nutrition may play a role in managing symptoms of autism in some children. Here is a look at the current research supporting these nutritional interventions.

“We know there is gender bias in neurodevelopmental disorders, ranging from autism to intellectual disability,” begins Bradley P. Coe, PhD, senior fellow, Eichler Lab, Department of Genome Sciences at the University of Washington School of Medicine, Seattle, and coauthor of a new study that may help explain the gender chasm.

“It is well known that autism has a strong genetic component; that’s indisputable, but my interpretation [of this latest study] is that environmental insult also has a very strong effect.” The remark comes from Andrey Rzhetsky, PhD, Pritzker Scholar and professor of Genetic Medicine and Human Genetics at the University of Chicago, Illinois.

A 17-year-old white female is transferred from an outside hospital with the chief complaint being painful oral ulcers. Over the last 72 hours, the pain from her ulcers has progressively worsened, leading to the inability to speak or eat. She also has a diffuse papulopustular rash. There is an extensive family history of autoimmune disease, and she tested positive for mononucleosis 2 months prior to hospitalization.

Previous Peds v2.0 articles have discussed cutting-edge technologies for screening patients and for expediting diagnoses. The technologies that are just as important in the pediatric office practice are the many electronic devices we often take for granted. Here’s the scoop on the tech you need to run an efficient, modern pediatrics practice.

Riddling autism

Contemporary Pediatrics was already a 4-year-old toddler in 1980 when autism was first listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM), the bible of US psychiatry.

Rates of third-generation cephalosporin-resistant (G3CR) and extended-spectrum ß-lactamase (ESBL)-producing Enterobacteriaceae infections are on the rise in kids, in both inpatient and outpatient settings across the country, according to a new study.

The US Food and Drug Administration (FDA) recently approved the first drug to receive a Rare Pediatric Disease Priority Review Voucher, a new FDA program that aims to encourage development of new drugs and biologics for the prevention and treatment of rare pediatric diseases by helping speed such agents to market.