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TV review: State of Happiness; Inside Central Station; The A Word; First Dates Hotel

SOMETIMES, for a giggle, I like to imagine what Scotland would have been like had we kept the oil for ourselves. Like Saudi Arabia without the weather and executions, maybe? Or more like canny Norway, investing the cash in a big brolly for some future rainy day?




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Herald View: Goodwill and a readiness to support one another will be the tests that matter above all

THE Government’s ambition to reach a daily target of 100,000 tests across the UK by the end of the month will, as Matt Hancock admitted, require a “huge amount of work”.




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The Promise of Interactive TV Ruined Online Advertising

It's resulted in a creepy Orwellian environment where Google, Facebook, Amazon, and others have replaced Big Brother.




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Is Online Early-Childhood Education the Next Big Thing?

Waterford UPSTART, an online program that offers literacy and math enrichment lessons aimed at preschoolers, received support from a philanthropy dedicated to funding "bold ideas for social change."




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Is Betsy DeVos Trying to Throw Private Schools a Lifeline Using Coronavirus Aid?

New guidance from the U.S. Department of Education says all private school students are entitled to "equitable services" under federal coronavirus emergency relief. Let's explore what that means.




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Video: Learning From Mistakes: Linear Equations

Watch students in 8th grade teacher Susie Morehead's class deepen their understanding of math principles by working through problems with their peers.




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For Your Consideration: Education Plotlines for 'House of Cards,' Season 2

The first season of the Netflix political potboiler was rich with education-policy plotlines, and we're hoping for more of the same.




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Bring Back Anti-Discrimination Guidance on School Discipline, Commission Urges

But the U.S. Commission on Civil Rights was not unanimous in its support of the findings that students of color were not more likely to commit discipline-worthy offenses.




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School Discipline

Race—but not whether a student is enrolled in special education—appears to be a driver of disproportionate suspension rates, finds a new study in the Journal of School Psychology.




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School Discipline

Being suspended or expelled from school is more likely to lead students to use drugs later as adolescents or young adults than being arrested, according to a new longitudinal study in the journal Justice Quarterly.




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Black-White Achievement Gaps Go Hand in Hand With Discipline Disparities

As black-white achievement gaps widen in schools, so, too, do disparities in discipline rates between black and white students, according to a study published Wednesday of 2,000 schools.




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The Haunting Reality of Discrimination in School Discipline

Discrimination based on race and disability demands our attention—and action, writes Catherine E. Lhamon, the chair of U.S. Commission on Civil Rights.




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Student Discipline

American adults favor supportive student-discipline solutions, like school climate efforts and training for teachers, over stricter practices like detentions or suspensions, a new survey finds.




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School Discipline

In schools that use corporal punishment, students with disabilities and black students are disproportionately more likely to be hit than their peers, finds a new report by the Southern Poverty Law Center.




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How to Manage Discord Over Student Discipline

Student misbehavior and discipline is a major source of friction between principals and teachers. Veteran educators share how they build consensus around discipline in their schools.




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Handle School Discipline Realistically




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The Nation's Top School Counselor Is Slashing Discipline Disparities. Here's How

The 2020 school counselor of the year draws on her previous experience as a counselor for gang members in a prison to reform discipline in her school in an Atlanta suburb. She shares her insights in this Q&A with Education Week.




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Schuylkill awards $6,000 to three startups in annual Business Plan Competition

Penn State Schuylkill LionLaunch held its fourth annual Business Plan Competition on Thursday, April 16. The program awarded $6,000 in funding to three small businesses at the competition, totaling $69,000 awarded to 21 small businesses throughout Schuylkill County over the last four years.




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Schuylkill’s senior athletes shine brightly despite early end to spring season

With their spring season canceled due to the global coronavirus pandemic, three senior student-athletes reflect on their time as Penn State Schuylkill Nittany Lions.




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Schuylkill Speaks: Business major Morgan Edge triumphs on and off the court

Having transferred to Penn State Schuylkill from another school her sophomore year, current senior Morgan Edge didn’t let a non-traditional start hold her back. She succeeded academically and athletically, captaining the women’s basketball team this year and leading them from an 0-23 season in 2018-19 to a PSUAC playoff berth in 2019-20.




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Association Between Sexually Transmitted Diseases and Young Adults' Self-reported Abstinence

The extent to which young adults' laboratory-confirmed sexually transmitted disease results and self-reported sexual behaviors are consistent has not been assessed in a nationally representative sample.

The primary purpose of this study was to determine whether young adults' reports of recent sexual behavior (presence of penile/vaginal sex in the previous 12 months) correspond with the presence of laboratory-confirmed nonviral STDs assessed by nucleic acid amplification testing. (Read the full article)




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Metronidazole Population Pharmacokinetics in Preterm Neonates Using Dried Blood-Spot Sampling

Little is known about the pharmacokinetics and required dosage of metronidazole in preterm neonates.

In this study the pharmacokinetics of metronidazole in preterm neonates was investigated by measurement of the drug in dried blood-spot samples. A dosage regimen is proposed that should result in more appropriate, less frequent dosing in the most preterm neonates. (Read the full article)




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Trivalent Inactivated Influenza Vaccine Is Not Associated With Sickle Cell Crises in Children

Children with sickle cell disease are at high risk of complications from influenza infection and have been recommended to receive annual influenza vaccine since the 1970s. Few safety studies, however, have examined the safety of influenza vaccine in this population.

This large cohort study did not find an association between influenza vaccination and hospitalization for sickle cell crises in children with sickle cell anemia. (Read the full article)




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Impact of a Transcutaneous Bilirubinometry Program on Resource Utilization and Severe Hyperbilirubinemia

Predischarge serum or transcutaneous bilirubinometry (TcB) measurements are recommended as appropriate screening options for identifying infants at risk for neonatal hyperbilirubinemia (NH). Visual inspection for jaundice is not reliable at identifying infants with NH in the community.

When compared with visual inspection alone, coordinated TcB screening for NH in acute-care and community settings is associated with significant improvements in laboratory utilization, patient care, convenience, and safety. (Read the full article)




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Bovine Lactoferrin Prevents Invasive Fungal Infections in Very Low Birth Weight Infants: A Randomized Controlled Trial

Lactoferrin is a glycoprotein with anti-infective activities being part of the innate defensive network. Bovine and human lactoferrin share high homology. Bovine lactoferrin can prevent late-onset sepsis in preterm very low birth weight neonates.

In preterm very low birth weight infants, bovine lactoferrin is able to prevent not only late-onset sepsis but also systemic fungal infections. This protection is achieved independently from their colonization status. (Read the full article)




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Impact of a Guideline on Management of Children Hospitalized With Community-Acquired Pneumonia

Community-acquired pneumonia (CAP) is a common pediatric illness caused by Streptococcus pneumoniae. New pediatric Infectious Diseases Society of America CAP guidelines are now available recommending ampicillin as empirical treatment of children hospitalized with uncomplicated CAP.

This study found that a CAP guideline led to an increase in the narrow-spectrum antibiotic ampicillin. Additionally, an increase in the use of amoxicillin at discharge was observed. Furthermore, change in therapy did not lead to increased adverse outcomes. (Read the full article)




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Nicotine Replacement Therapy During Pregnancy and Infantile Colic in the Offspring

Infantile colic affects almost 10% of all infants and is characterized by crying and fussing in an otherwise healthy and well-fed infant. Prenatal exposure to tobacco smoking is a risk factor, but it is unclear whether nicotine causes the association.

Infants exposed to nicotine replacement therapy during pregnancy had elevated infantile colic risk of the same magnitude as infants exposed to tobacco smoking. Intrauterine exposure to nicotine may play a causal role in the pathogenesis of infantile colic. (Read the full article)




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Decline in Infantile Hypertrophic Pyloric Stenosis in Germany in 2000-2008

Infantile hypertrophic pyloric stenosis incidence varies over different regions and time periods. Recently, a decline was reported in the United States, Sweden (concurrent with a decline in sudden infant death syndrome), Scotland, and Denmark. The etiology remains unclear; therefore, epidemiologic data are valuable.

A decline in the incidence of infantile hypertrophic pyloric stenosis in Germany from 2000 to 2008 was noted but with wide regional variations. The regional distribution of infantile hypertrophic pyloric stenosis was different from that of sudden infant death syndrome. (Read the full article)




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Impact of Rotavirus Vaccine on Diarrhea-Associated Disease Burden Among American Indian and Alaska Native Children

In the prerotavirus vaccine era, diarrhea-associated hospitalization and outpatient rates among American Indian and Alaska Native children were higher than those among the general US population. Routine rotavirus vaccination has dramatically decreased rotavirus diarrhea burden in the general US population.

Decreases in diarrhea-associated hospitalization and outpatient rates among American Indian and Alaska Native children in postvaccine years were observed in all Indian Health Service regions, with declines greater in each subsequent year after vaccine introduction. (Read the full article)




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Prenatal Methamphetamine Exposure and Childhood Behavior Problems at 3 and 5 Years of Age

Prenatal methamphetamine exposure has been related to deficits in fetal growth, changes in infant neurobehavior, and fine motor deficits, but little is known about its developmental effects on behavior problems in early childhood.

This is the first prospective study to identify behavior problems associated with prenatal methamphetamine exposure. Mood difficulties and acting-out behavior are increased in exposed children by age 3 years. Early identification and intervention may prevent escalation into delinquency and psychopathology. (Read the full article)




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Measles-Containing Vaccines and Febrile Seizures in Children Age 4 to 6 Years

Febrile seizure risk 7 to 10 days after measles-mumps-rubella-varicella (MMRV) is double that of separate measles-mumps-rubella (MMR) and varicella vaccines among 1-year-olds. Whether MMRV or MMR and varicella affect febrile seizure risk among 4- to 6-year-olds has not been reported.

Using Vaccine Safety Datalink data, we examined risk for febrile seizures after measles-containing vaccines. This study provides reassurance that MMRV and separately administered MMR and varicella were not associated with increased risk of febrile seizures among 4- to 6-year-olds. (Read the full article)




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Maternal Caffeine Consumption and Infant Nighttime Waking: Prospective Cohort Study

Fetus and infants until 3 months of age are unable to metabolize caffeine, which crosses the placenta and in adults has a somnolytic effect. Little is known about the effect of caffeine consumption by pregnant or nursing mothers over infant sleeping.

In this setting where caffeine is largely consumed in pregnancy and by nursing mothers, heavy consumption (≥300 mg/day) did not increase the number of nighttime awakenings by their 3-month-old infants. (Read the full article)




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Association of Malodorous Urine With Urinary Tract Infection in Children Aged 1 to 36 Months

The presence of malodorous urine is often mentioned as one of the clinical manifestations of urinary tract infection (UTI) in young children, yet the few studies looking at this symptom are contradictory.

Our study demonstrates that malodorous urine as reported by parents increases the likelihood of UTI among young children evaluated for suspected UTI. However, this association is not strong enough to definitely rule in or out a diagnosis of UTI. (Read the full article)




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Complementary and Alternative Medicine Use and Adherence With Pediatric Asthma Treatment

Complementary and alternative medicine (CAM) use for pediatric asthma is increasing. It is well known that effective asthma management depends on patient adherence to treatment. The authors of previous cross-sectional studies have linked CAM use with decreased adherence to conventional asthma treatment regimens.

This longitudinal data set was unique, allowing us to focus on patients who initiated CAM and to follow subsequent asthma medication adherence. We found that CAM use was not associated with adherence, suggesting that patients may practice CAM alongside conventional therapies. (Read the full article)




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Characteristics of Pediatric Traditional Chinese Medicine Users in Taiwan: A Nationwide Cohort Study

More than one-tenth pediatric patients use complementary and alternative medicines (CAM) for their medial conditions in the United States. Traditional Chinese medicine (TCM) is the most commonly used CAM in East Asia but large-scale epidemiologic studies are lacking.

In comparing TCM and non-TCM users among children in Taiwan, children’s age and parental TCM use were strongly associated with TCM use. Additionally, dyspepsia and allergic rhinitis were positively related to increasing TCM use. (Read the full article)




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Randomized Trial of Sumatriptan and Naproxen Sodium Combination in Adolescent Migraine

Treatment of adolescent migraine remains a significant unmet medical need. In adults, the combination of sumatriptan and naproxen sodium has demonstrated superior efficacy, with similar tolerability, to its components in the acute treatment of migraine.

This study constitutes the first large-scale, placebo-controlled evidence for the acute relief of adolescent migraine pain and associated symptoms with an oral medication. (Read the full article)




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Hypertonic Saline and Acute Wheezing in Preschool Children

Most acute wheezing episodes in preschool children are associated with rhinovirus, which decreases extracellular adenosine triphosphate levels, leading to airway surface liquid dehydration and submucosal edema, which cause failure of mucus clearance. These children respond poorly to available treatments.

Hypertonic saline inhalation, a pro–airway surface liquid hydration therapy, significantly decreases both length of stay by 33% (1 day) and the absolute risk of hospitalization by 30% in preschool children presenting with acute wheezing episode to the emergency department. (Read the full article)




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Dynamic Evolution of Practice Guidelines: Analysis of Deviations From Assessment and Management Plans

Adherence to guidelines has generally been shown to improve patient care and reduce the cost of care. Current understanding of the varying reasons why clinicians deviate from guidelines is based on surveys and retrospective reviews.

We examined clinician deviations from guidelines in a prospective fashion and attempted to categorize those deviations. Better elucidation of clinician reasoning behind deviations may inform care improvement and help define strategies to eliminate unjustifiable deviations. (Read the full article)




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Trends in Candida Central Line-Associated Bloodstream Infections Among NICUs, 1999-2009

Emphasis on preventing central line-associated bloodstream infections (CLABSIs) in US health care facilities and prophylactic antifungal medication use in neonates may impact incidence of Candida spp. CLABSIs. However, data on trends in incidence of neonatal Candida spp. CLABSIs are lacking.

Data from a large sample of US NICUs was analyzed to assess trends in incidence over time. This analysis provides a description of the epidemiology of Candida spp. CLABSIs in a national health care-associated infections surveillance system. (Read the full article)




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Adherence to PALS Sepsis Guidelines and Hospital Length of Stay

Adherence to Pediatric Advanced Life Support resuscitation guidelines for children with sepsis is low; however, few studies have been conducted in the tertiary care emergency department setting.

Adherence to septic shock guidelines in a tertiary care pediatric emergency department is low. Adherence to fluid guidelines and the entire PALS algorithm was associated with a shorter hospital length of stay. (Read the full article)




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Vaccine-Type Human Papillomavirus and Evidence of Herd Protection After Vaccine Introduction

Clinical trials have demonstrated that prophylactic human papillomavirus (HPV) vaccines are highly effective in preventing HPV infection, but the impact of vaccination on HPV prevalence rates in real-world, community settings is uncertain.

This study provides evidence of a substantial decrease in the prevalence of vaccine-type HPV among young women and evidence of herd protection in a community only 4 years after the quadrivalent HPV vaccine was licensed. (Read the full article)




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Caffeine Intake During Pregnancy and Risk of Problem Behavior in 5- to 6-Year-Old Children

In humans, evidence for an association between maternal caffeine intake during pregnancy and alterations in fetal brain development with persistent alterations in the offspring’s brain and behavior in later life is inconclusive.

Prenatal caffeine intake is not associated with a higher risk for behavior problems in young children. Results do not provide evidence to advise pregnant women to reduce their caffeine intake to prevent problem behavior in their children. (Read the full article)




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Dose-Response Relationship of Phototherapy for Hyperbilirubinemia

A dose-response relationship exists between light irradiance and decrease of total serum bilirubin concentration (TsB) at relatively low irradiances. It has been questioned whether by increasing irradiance a "saturation point" exists, above which no further decrease of TsB is seen.

We found a linear relation between light irradiance in the range of 20 to 55 μW/cm2/nm and decrease in TsB after 24 hours of therapy, with no evidence of a saturation point. (Read the full article)




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Haemophilus influenzae Type b Disease and Vaccine Booster Dose Deferral, United States, 1998-2009

Since the introduction of effective vaccines in the United States, the incidence of invasive Haemophilus influenzae type b (Hib) disease in children aged <5 years has decreased by 99%. In 2007, in response to limited vaccine supply, Hib booster doses were deferred for 18 months.

This review found no significant change in the incidence of invasive Hib disease in the United States during the booster dose deferral period, suggesting that booster dose deferral is a reasonable approach to Hib vaccine shortages in the short-term. (Read the full article)




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Timing of Measles Immunization and Effective Population Vaccine Coverage

Many children are vaccinated against measles with a delay. This may influence effective measles vaccine coverage even in countries with high overall immunization levels. Official vaccine coverage statistics do not usually report on the impact of timeliness of measles vaccination.

Delayed measles vaccination results in 48.6% effective coverage in children aged 6 months to 2 years when 84.5% of 25-month-olds are up-to-date for 1 measles vaccination. Analyzing patterns of measles vaccination could help to address low coverage in infants and toddlers. (Read the full article)




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Social Inequalities in Mental Health and Health-Related Quality of Life in Children in Spain

The importance of and interest in childhood mental problems have increased worldwide. There are few population studies on child and adolescent mental health and health-related quality of life (HRQoL).

A social gradient was found in childhood mental health according to maternal education level and social class, but none was found in HRQoL, although children from disadvantaged social classes had somewhat lower HRQoL scores than their more advantaged counterparts. (Read the full article)




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Neonatal Hyperbilirubinemia in the Low-Intermediate-Risk Category on the Bilirubin Nomogram

The higher the predischarge bilirubin percentile reading on the hour of life–specific nomogram, the higher becomes that infant's risk of developing significant hyperbilirubinemia. Neonates in the low-risk zones (≤75th percentile) have a low risk of developing hyperbilirubinemia.

Thirty-two percent of newborns readmitted for hyperbilirubinemia had low-risk zone predischarge bilirubin percentile values, predominantly in the intermediate low-risk zone (41st–75th percentile). The intermediate low-risk zone may not be as low risk as previously thought. (Read the full article)




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Bone Mineral Density and Vitamin D Status Among African American Children With Forearm Fractures

Forearm fractures are unique injuries which are associated with lower bone mineral density in adults and white children. The relationships among bone mineral density, 25-hydroxyvitamin D status, and risk for forearm fracture have not been investigated in African American children.

Our data support an association between both lower bone mineral density and vitamin D deficiency and increased odds of forearm fracture in African American children. Promotion of bone health is indicated in this population. (Read the full article)




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Decline in Gastroenteritis-Related Triage Calls After Rotavirus Vaccine Licensure

Rotavirus is a major cause of acute gastroenteritis among children worldwide. Vaccines targeting rotavirus have been demonstrated to be highly efficacious against severe disease in clinical trials and postlicensure studies. Vaccine impact on mild gastroenteritis has not been well studied.

We used a novel surveillance platform consisting of telephone triage data to capture mild gastroenteritis not detected in other surveillance systems. Since rotavirus vaccine licensure, gastroenteritis-related call proportions have declined, and peak gastroenteritis-related calls are correlated with community norovirus circulation. (Read the full article)




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Trends of Transcutaneous Bilirubin in Neonates Who Develop Significant Hyperbilirubinemia

Although the natural course of bilirubin levels has been extensively studied in general neonatal populations, there is a paucity of data regarding bilirubin trends in neonates before the development of significant hyperbilirubinemia.

This study provides data on the natural course of transcutaneous bilirubin before the development of significant hyperbilirubinemia, and on the effect of different demographic and perinatal risk factors on the rate of bilirubin increase in neonates with borderline bilirubin values. (Read the full article)