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Suspect in custody after firearm incident Thursday at Rainy River hospital, OPP say

Provincial Police have a suspect in custody after a firearms incident Thursday morning at the hospital in the small northwestern Ontario community of Rainy River.



  • News/Canada/Thunder Bay

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Incidence of Parksinson's higher in miners who inhaled McIntyre Powder, Ontario WSIB study concludes

A new study facilitated by the Workplace Safety and Insurance Board of Ontario states miners who were forced to inhale an aluminum powder were found to have a higher risk of Parkinson’s disease.



  • News/Canada/Sudbury

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RCMP take man into custody after incident in Souris, P.E.I. ends without injuries

RCMP in Souris, P.E.I., say an incident that shut down the community from 6 p.m. Friday until close to midnight ended with one man in custody and no injuries.



  • News/Canada/PEI

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Neighbour relieved Souris gun incident ended peacefully

Sheldon Lavers didn't leave his window for hours Friday night as police negotiated with a man next door who they believed had a gun and was smashing items inside.



  • News/Canada/PEI

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Backcountry users reminded to use caution as SAR teams see increase in incidents

Adventure Smart says search and rescue incidents increased 35 per cent last week, compared to the same time last year — and during the COVID-19 pandemic, SAR teams have to do extra work for each call.



  • News/Canada/British Columbia

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Vancouver police investigate child luring incident in Point Grey neighbourhood

Vancouver police are investigating an incident where a man attempted to lure a child to his car in the city’s West Point Grey neighbourhood on Wednesday.



  • News/Canada/British Columbia

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RCMP investigating incident at Tiny House Warriors village in Blue River, B.C.

RCMP in Clearwater, B.C., are investigating an incident that took place at the Tiny House Warriors village in Blue River over the weekend. 




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Staining Nucleic Acids

This introduction describes the features and uses of ethidium bromide, methylene blue, and SYBR dyes for staining nucleic acids.




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No Coincidence

The softball camp in Hungary was not originally planned. But there in the 38-degree (100° F) heat, prayers and decisions opened lives to the Lord.




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No coincidence: an answer to prayer

Puerto Barrios, Guatemala :: Logos Hope is welcomed by the mayor, who believes the ship brings what the city needs.




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Lucidchart

Online diagramming app Lucidchart supports real-time collaborative editing, has well-stocked libraries of templates and objects, and offers many options for exporting and presenting your diagrams.




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Primary and Secondary Prevention of Youth Suicide

Youth suicide is a national and global public health crisis. Pediatricians can use primary and secondary prevention strategies to intervene with youth before or after the onset of suicidal behaviors. Universal suicide risk screening programs can be used to identify youth in medical settings who may otherwise pass through the health care setting with undetected suicide risk. Pediatricians are uniquely positioned to help foster resilience in their young patients and equip families of at-risk youth with safety plans and lethal means safety counseling. Pediatricians on the frontlines of this critical public health crisis require education and training in detecting suicide risk, managing those who screen positive, and connecting their patients to much needed mental health interventions and treatments. Evidence-based suicide risk screening and assessment tools, paired with interventions, are feasible and potentially life-saving in the medical setting.




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Andy Murray says deciding when tennis can return is not important right now

Andy Murray does not think getting the professional tennis circuit back up and running should be a priority any time soon.




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Samsung Accidentally Confirms 5G-Ready Galaxy Tab S6

5G tablets are on the way, and Samsung's Galaxy Tab S6 could be repackaged as one of the first. The South Korean company accidentally listed the 5G-ready model on its website. Now, it's only a matter of time before the Galaxy Tab S6 5G goes official.




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Coaches, Athletic Director Facing Charges Following Alleged Hazing Incident

Two high school basketball coaches and an assistant principal/athletic director are facing criminal charges stemming from an alleged hazing incident that resulted in the hospitalization of a 15-year-old boy.




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Teen Suicides Rising Sharply, Federal Data Show

Suicide rates increased by 76 percent for 15- to 19-year-olds between 2007 and 2017 and nearly tripled for 10- 14-year-olds, the Centers for Disease Control and Prevention.




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Revisiting Using Edtech for Bullying and Suicide Prevention

Every year about this time, I write a series of articles about suicide and bullying prevention, and this year will be no different. I can always count on advocates and education companies from all over the world to send me information about what's new in the field. Out of all the companies and produ




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Colette Douglas Home: Far from an easy choice in deciding to launch strikes over Syria

An armoured car guarded the Grand Place in Brussels city centre yesterday as a group of women sat drinking coffee at an outdoor table. A reporter asked one of them what she would do if terrorists started shooting? She said: "Smile. Sit. Drink coffee. Enjoy – even if it is the last."




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Bilingual Education in California? State Voters to Decide (Video)

In California, nearly 1 in every 4 children don't speak English fluently. On Election Day, the state's voters will decide whether to overturn a longstanding policy of teaching these children in English-only classrooms, or whether to embrace bilingual forms of teaching.




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Symptoms and Time to Medical Care in Children With Accidental Extremity Fractures

A delay in seeking medical care for children with significant injury often raises a concern about child abuse, but there are few data describing the range of responses children display after accidental fracture for providers to use in comparison.

This study presents the range of responses exhibited by children after accidental fractures and identifies factors associated with a delay in seeking medical care. No child was asymptomatic, although a minority did not manifest all expected responses after their injury. (Read the full article)




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Intellectual, Behavioral, and Social Outcomes of Accidental Traumatic Brain Injury in Early Childhood

Traumatic brain injury in school-aged children is associated with intellectual, behavioral, and social deficits. Research into outcomes of children injured before 3 years of age is limited despite data suggesting a high incidence of injury in this age group.

Results show that a moderate to severe traumatic brain injury before 3 years of age is associated with lowered cognitive function. Furthermore, this study highlights the link between social disadvantage and poor outcomes after traumatic brain injury in early childhood. (Read the full article)




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Incidence and Timing of Presentation of Necrotizing Enterocolitis in Preterm Infants

Necrotizing enterocolitis (NEC) can present within the first week of life in term infants. In preterm infants, NEC usually appears after commencement of feeds and can occur between 2 and 3 weeks of life.

Among infants <33 weeks’ gestation, NEC appears to occur at mean age of 7 days in more mature infants, whereas onset of NEC is delayed to 32 days of age in smaller, lower gestational age infants. (Read the full article)




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Using US Data to Estimate the Incidence of Serious Physical Abuse in Children

Limited data exist about the frequency and incidence of serious injuries due to physical abuse of children. Data from Child Protective Services, which are published yearly, do not have information about severity.

This is the first study to provide US estimates on the occurrence of serious injuries due to physical abuse. The incidence was highest in infants on Medicaid. Such data can be used to track changes due to prevention. (Read the full article)




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Incidence and Cost of Injury Among Youth in Agricultural Settings, United States, 2001-2006

Several studies have analyzed fatal or nonfatal youth injury incidence in US agricultural settings, but none have combined those estimates to form an overall picture. The only detailed study of costs related to such injuries is restricted to nonfatal injury.

This study provides a comprehensive analysis of the annual incidence and cost of agricultural youth injuries in the United States. It analyzes them from different perspectives: fatal versus nonfatal, at work versus not at work, and requiring hospitalization versus not requiring hospitalization. (Read the full article)




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Developmental Outcome at 6.5 Years After Acidosis in Term Newborns: A Population-Based Study

Conflicting results exist concerning long-term outcome in healthy infants with metabolic acidosis at birth.

Neonates who appear well after perinatal metabolic acidosis do not have an increased risk of neurologic or behavioral problems in need of referral actions or pedagogic arrangements at the age of 6.5 years. (Read the full article)




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A Double-Blind, Placebo-Controlled Trial of Omega-3 Fatty Acids in Tourette's Disorder

Omega-3 fatty acids (O3FA) are commonly used as complementary treatments in pediatric psychiatric disorders, including Tourette’s disorder (TD), and are well known to have anti-inflammatory properties. However, no studies to date have examined the effects of O3FA on pediatric TD.

This is the first double-blind, placebo-controlled clinical trial of O3FA in pediatric TD. The results indicate that O3FA supplementation may be beneficial in the reduction of tic-related impairment for some children and adolescents with TD, but not tics per se. (Read the full article)




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Neurocognitive Phenotype of Isolated Methylmalonic Acidemia

Isolated methylmalonic acidemia, one of the most common inborn errors of organic acid metabolism, is known to be associated with variably impaired intellectual functioning and severe biochemical and clinical abnormalities. However, the neurocognitive outcomes have yet to be fully described.

This research defines the neurocognitive phenotype of isolated methylmalonic acidemia and identifies processing speed as a specific impairment. Clinical, biochemical, and molecular genetic covariates were explored. A history of hyperammonemia at diagnosis was found to correlate with poorer cognitive outcomes. (Read the full article)




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Childhood Cancer Incidence Trends in Association With US Folic Acid Fortification (1986-2008)

The hypothesis that maternal prenatal folic acid lowers risk for childhood malignancy in offspring is supported by experimental and epidemiologic evidence, including 2 Canadian ecologic studies that showed inverse associations for some cancer types in the very young.

Examining Surveillance Epidemiology and End Results Program data, a decrease in the incidence of some childhood cancers (Wilms tumor, primitive neuroectodermal tumors) was observed in those <5 years after mandatory US folic acid fortification, with stronger effects detected in infants. (Read the full article)




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Rates of Nonsuicidal Self-Injury in Youth: Age, Sex, and Behavioral Methods in a Community Sample

Known rates of nonsuicidal self-injury, hurting oneself without the intent to die, are between ~7% and 24% in samples of early adolescents and older adolescents, yet research has not reported rates for youth younger than 11 years old.

Children as young as 7 years old report engaging in nonsuicidal self-injury. There is a grade by gender interaction for nonsuicidal self-injury, such that ninth-grade girls report the greatest rates of engagement and do so by cutting themselves. (Read the full article)




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Thrombocytopenia in the First 24 Hours After Birth and Incidence of Patent Ductus Arteriosus

To date, 4 small to moderate sized studies have revealed conflicting results on the clinically important question whether thrombocytopenia contributes to persistent patent ductus arteriosus (PDA) in very immature, preterm infants.

Thrombocytopenia in the first 24 hours after birth was not associated with the incidence of PDA at postnatal day of life 4 to 5 in a large cohort of preterm infants with <1500 g birth weight. Platelet dysfunction, rather than platelet number, might play a role in ductus arteriosus patency. (Read the full article)




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Incidence of Chronic Bilirubin Encephalopathy in Canada, 2007-2008

Severe neonatal hyperbilirubinemia can lead to acute bilirubin encephalopathy and, subsequently, chronic bilirubin encephalopathy (CBE). This condition is preventable through routine identification and proper treatment; therefore, it is rare for permanent neurologic complications to occur.

This article describes the incidence of CBE in Canada, which is higher than previously reported in the literature. Furthermore, it describes the underlying causes of CBE and the spectrum of neurologic disease. (Read the full article)




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Incidence of Serious Injuries Due to Physical Abuse in the United States: 1997 to 2009

National data from child protective services agencies have shown a 55% decrease in the incidence of substantiated cases of physical abuse from 1992 to 2009, but no study has tracked the occurrence of serious injuries due to physical abuse.

Using national data from hospitalized children, we found a statistically significant increase in the incidence of serious injuries due to physical abuse from 1997 to 2009. These results are in sharp contrast to data from child protective services. (Read the full article)




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Subclinical Cerebral Edema in Children With Diabetic Ketoacidosis Randomized to 2 Different Rehydration Protocols

Cerebral edema (CE) occurs frequently during treatment of diabetic ketoacidosis (DKA) in children. Severe, life-threatening CE occurs rarely, but subclinical CE is common. Whether the rate of infusion of intravenous fluids influences the occurrence or severity of CE is unknown.

This study demonstrates that the rate of fluid infusion in children with DKA does not substantially affect MRI measures of CE. Studies assessing measures other than edema formation are necessary to determine whether fluid infusion rates influence DKA-related brain injury. (Read the full article)




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Incidence of Childhood and Adolescent Melanoma in the United States: 1973-2009

The incidence of childhood and adolescent melanoma has been significantly increasing up to 2004. Risk factors (fair skin, light-colored hair/eyes, female gender, presence of nevi, family history, increased number of sunburns, and exposure to UV radiation) are associated with melanoma.

This study describes incidence trends of melanoma diagnosed between the ages of 0 and 19 years and from 1973 through 2009 by gender, stage and age at diagnosis, primary site, and exposure to UV radiation. (Read the full article)




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Incidence of Rash After Amoxicillin Treatment in Children With Infectious Mononucleosis

Antibiotics-induced rash in Epstein-Barr virus acute infectious mononucleosis, especially the aminopenicillins-induced type, was first described during the 1960s, with a reported incidence of 80% to 100%. This phenomenon was not further investigated but is well-established in pediatric textbooks.

The main observation of this study is that rash induced by amoxicillin in confirmed Epstein-Barr virus acute infectious mononucleosis was found at a rate of ~30%, which is much lower than previously reported. (Read the full article)




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Serum Uric Acid and Blood Pressure in Children at Cardiovascular Risk

Uric acid (UA) is associated with hypertension in children, after body weight adjustment. Whether the whole spectrum of variables, such as visceral adiposity, insulin resistance, puberty, and renal function, influence the relationship between UA and blood pressure is unknown.

In a cohort of children at relatively high cardiovascular risk, the association between UA and blood pressure levels is independent of several well-known factors implicated in the development of hypertension, such as insulin resistance, pubertal status, and renal function. (Read the full article)




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Incidence and Risk Factors of Chronic Daily Headache in Young Adolescents: A School Cohort Study

Several studies have investigated the prevalence of chronic daily headache (CDH) and analyzed the risk factors for its persistence. However, the etiologic factors that lead to new-onset CDH remain unsettled in adolescents.

This study was the first incidence study of CDH conducted in young adolescents. We reported the incidence rates and found that some risk factors for incident chronic migraine and chronic tension-type headache were different. (Read the full article)




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Patterns of Care and Persistence After Incident Elevated Blood Pressure

Screening for hypertension in asymptomatic children and adolescents occurs during routine care. For those with elevated blood pressure, a repeat measurement within 1 to 2 weeks is recommended. However, little is known about patterns of care after an incident elevated blood pressure.

In a population of 72 625 children and adolescents, 6108 (8.4%) had an incident elevated blood pressure. Among these, 1275 (20.9%) had their blood pressure measurement repeated within 1 month. However, few individuals with an incident elevated blood pressure subsequently developed hypertension. (Read the full article)




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The Incidence of Positional Plagiocephaly: A Cohort Study

The incidence of plagiocephaly varies widely and is based on anecdotal evidence of increase in the number of referrals to specialty clinics. Five studies have produced varying results, indicating that the incidence of plagiocephaly ranges from 3.1% to 61.0%.

This is the first study to estimate the incidence of positional plagiocephaly using 4 community-based data collection sites in infants ranging from 7 to 12 weeks of age. The estimated incidence of positional plagiocephaly was found to be 46.6%. (Read the full article)




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Variation in Resource Use and Readmission for Diabetic Ketoacidosis in Children's Hospitals

Diabetic ketoacidosis (DKA) is a short-term complication of type 1 diabetes and is a major cause of preventable hospitalization in children. Hospital resource utilization and readmission rates for DKA across the US are not known.

Readmission for DKA within a year of hospitalization is common, accounting for one-fifth of all DKA admissions. Resource use, hospital length of stay, and readmission rates vary widely across major US children’s hospitals, even after adjusting for hospital differences in patients. (Read the full article)




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Incidental Findings in Children With Blunt Head Trauma Evaluated With Cranial CT Scans

The evaluation of blunt head trauma in children who undergo cranial computed tomography will occasionally reveal incidental findings. These findings may require further evaluation or intervention. The prevalence of incidental findings has previously been described using small cohorts, limiting generalizability.

This study is the largest pediatric multicenter description of the prevalence of incidental findings on cranial computed tomography. Incidental findings are categorized by urgency to describe the spectrum of abnormalities, providing a context for clinicians faced with these unexpected results. (Read the full article)




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The Rising Incidence of Celiac Disease in Scotland

The overall incidence of pediatric celiac disease (CD) is rising, as are other autoimmune conditions. Additionally, increasing numbers of children are older at the point of diagnosis and are diagnosed with CD through active screening.

Accounting for screened and nonclassic cases, there is an independent 2.5-fold rise in the incidence of classically presenting cases of pediatric CD (Oslo definitions). Thus, indicating a true rise in pediatric CD incidence in southeast Scotland in 20 years. (Read the full article)




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Risk of Suicide Attempt in Adopted and Nonadopted Offspring

Adoptees living in Sweden are at increased risk of suicide attempt compared with nonadopted individuals, although factors mediating this risk are largely unknown. Whether adoption status represents a risk for adoptees living in the United States remains unresolved.

The odds for reported suicide attempt are elevated in US adoptees relative to nonadoptees, the first demonstration of increased risk in US adoptees placed in nonrelative families. This risk is partially mediated by other established risk factors for suicide attempt. (Read the full article)




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Evaluation of an Early Risk Screener for PTSD in Preschool Children After Accidental Injury

Unintentional injuries lead to a significant number of children suffering from long-lasting posttraumatic stress symptoms. Therefore, early identification of individuals at risk is crucial to provide preventative interventions. However, currently, no early screener has been evaluated in preschool-aged children.

Good sensitivity (85%) and acceptable specificity (63%) were found for an early screening measure for preschool-aged children after accidental injury. Hence, the 21-item Pediatric Emotional Distress Scale–Early Screener, a reliable and valid early screening instrument, is suggested for use within a stepped-care model. (Read the full article)




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Hypospadias and Residential Proximity to Pesticide Applications

Some studies suggest a contribution of environmental exposures such as pesticides to risk of hypospadias, whereas others do not. One of the challenges that has limited current knowledge is the lack of detailed exposure data.

This study examined a more detailed assessment of exposure to pesticides than previous studies. Exposure assignments, whether to groups of chemicals, specific chemicals, or a composite involving a number of chemicals, showed a general lack of association with hypospadias. (Read the full article)




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Incidence of Obesity Among Young US Children Living in Low-Income Families, 2008-2011

One study examined the incidence of obesity among low-income children aged <5 years who participated in federally funded child health and nutrition programs during 1985–1990. The study examined the variations by baseline age but not by gender or race/ethnicity.

This study provides most recent data on incidence and reversing of obesity and variations across gender, baseline age, and racial/ethnic subgroups among young low-income children. We conducted multivariable analyses to examine the relative risk of obesity in population subgroups. (Read the full article)




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Antidepressants and Suicide Attempts in Children

Warnings of increased risk for suicidality have been placed on antidepressant medications. Because antidepressants differ in their characteristics, including effects on neurotransmitters, it is possible that the risk of suicidal behavior for individual medications may differ.

In a cohort of 36 842 children with review of medical records for confirmation of suicide attempts, we found no difference for risk of suicide attempts among individual medications compared with fluoxetine, the currently recommended antidepressant for treatment of depression. (Read the full article)




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Changes in the Incidence of Candidiasis in Neonatal Intensive Care Units

The incidence of invasive candidiasis in hospitalized infants is related to postnatal exposures, but large-scale studies relating the incidence of invasive candidiasis to changes in exposures over time are not available.

This study describes the association between the incidence of invasive candidiasis and changes in use of antifungal prophylaxis, empirical antifungal therapy, and broad-spectrum antibacterial antibiotics over time. (Read the full article)




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Incidence and Impact of CMV Infection in Very Low Birth Weight Infants

Congenital cytomegalovirus (CMV) infection is a leading cause of sensorineural hearing loss and neurodevelopmental impairment in full-term infants. The incidence of congenital CMV infection in preterm infants and the possible associations with developmental outcomes are unknown.

This study defines the incidence of congenital CMV infection in very low birth weight infants and identifies strong associations of congenital CMV infection with hearing loss and adverse neurodevelopmental outcomes in this population. (Read the full article)




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Trends in the Prevalence of Ketoacidosis at Diabetes Diagnosis: The SEARCH for Diabetes in Youth Study

Diabetic ketoacidosis (DKA) is a life-threatening condition and often the presenting symptom of newly diagnosed type 1 or type 2 diabetes in youth. SEARCH previously reported that the prevalence of DKA at diagnosis was 25.5% in 2002–2003.

DKA in youth with type 1 diabetes remains a problem, with almost one-third presenting with DKA. Among youth with type 2 diabetes, DKA was less common and decreased by ~10% per year, suggesting improved detection or earlier diagnosis. (Read the full article)