Three-quarters of preschool suspensions and expulsions affect children with disabilities, although comprise only 13% of total enrollment, according to a new report. Children ages three to five with behavioral problems are 43 times more likely to be suspended or expelled than their peers, notes the Center for American Progress.
Indiana agencies would be required to track school enrollment and completion for children in foster care under a bill approved by a state legislative committee. Providers and advocates hope the proposed annual reports would lead to better services for the population.
The American Academy of Pediatrics has released a policy statement in Pediatrics urging pediatricians to promote exclusive breastfeeding until age 6 months and advocate for healthy diets that provide nutrients such as protein, choline, folate, iron, key vitamins, zinc and long-chain polyunsaturated fatty acids in the first two years of life to achieve optimal neurodevelopment. Pediatricians should also refer pregnant and breastfeeding women, babies, and young children to local, state and federal nutrition programs for support, according to the statement.
Pediatricians should work together with public health professionals to develop prevention and health promotion programs addressing chronic diseases and disabilities in children; collaborate with families to promote healthy environments; consider youths, especially those with special needs, in disaster planning; and disseminate important public health information to families in their communities, according to an American Academy of Pediatrics policy statement in Pediatrics. The guidance also urged pediatricians to be up to date on reporting requirements; utilize public health agencies' resources and recommendations; and advocate for population-based health care approaches within their organizations.
Two US Preventive Services Task Force draft evidence reviews and draft recommendations found insufficient evidence to assess the harms and benefits of using nontraditional risk factors for cardiovascular disease assessment in adults and of using the ankle-brachial index for peripheral arterial disease testing in asymptomatic patients. The AAFP will provide comments to the task force and issue its recommendations after the USPSTF releases final guidance.
A study of 1,422 hospitalized adults with acute respiratory illness or non-localizing fever found 28% had clinician-ordered influenza testing, and those who received testing tended to be younger and more likely to have an influenza-like illness, according to a study in the Journal of the American Geriatrics Society. Researchers said additional strategies are needed to increase the rate of influenza testing in older patients.
A Korean study in Annals of Internal Medicine found use of the antithyroid drug methimazole for Graves' disease during the first trimester of pregnancy was tied to a significantly greater risk of congenital malformations in the circulatory, nervous and digestive systems. The findings, based on data for nearly 2.9 million pregnancies linked to live births, also showed that use of both propylthiouracil and methimazole was tied to a higher risk of cleft lip, cleft palate and congenital malformations in the nervous and circulatory systems.
A CDC review found slowed progress in reducing infant sleep-related mortality, which includes about 3,500 sleep-related infant deaths each year from sudden infant death syndrome, accidental suffocation and unknown causes. The CDC offered recommendations on ways health care professionals can promote safe infant sleep.
The American College of Cardiology and the American Heart Association recommend the use of telehealth and EHR strategies, antihypertensive drug therapy and out-of-office blood pressure measurements to help prevent, detect, evaluate and manage high BP in adults, according to a summary of 2017 clinical practice guidelines published in Annals of Internal Medicine. The guidelines also recommend screening for secondary hypertension and using BP thresholds and cardiac risk estimation for guiding pharmacologic treatment.
A Pew Research Center report said 86% of women ages 40 to 44 are mothers, compared with 80% in 2006, with the increase credited in part to more births among women who never marry and those with advanced degrees. Women had, on average, 2.07 children during their lifetime, an increase from 1.86 in 2006, the lowest rate recorded.