As per the normal review of market volatility to ensure adequate collateral coverage, the Chicago Mercantile Exchange Inc., Clearing House Risk Management staff approved the performance bond requirements for the following products listed in the advisory at the link below. Please email any questions to Clearing.RiskManagement@cmegroup.com

The rates will be effective after the close of business on Friday, May 8, 2020.

For the full text of this advisory, please click here.

German translation of the BIS Press Release on the presentation of the Annual Report (25 June 2017)

The number of Americans filing for unemployment benefits topped 3 million for a seventh straight week, signaling little relief in sight for the economy since the coronavirus began closing restaurants, factories and offices from coast to coast in mid-March.

The African Union Development Agency says countries should think about how they choose the lesser of the two evils because strict lockdowns have severe consequences.

To preserve Southern Africa’s relative peace in the face of rising challenges and threats, Southern African Development Community (SADC) member states must collectively reinforce its peace and security architecture.

A group of believers worshiping Jesus in public leads to the opportunity to share the Gospel with a young, religious Jew.

An unexpected connection on a prayer walk leads to multiple opportunities to share spiritual truth with one Muslim family.

Tired but jubilant, the Freedom Climbers arrive back safely in Loitokitok, Kenya, on 16 January.

150 gathered for the first Freedom Climb Conference in September to learn how to become advocates for oppressed women and children around the world.

Forty-five women from around the world begin their trek on 9 April to Mt. Everest Base Camp and summit of Kala Patthar Peak in Nepal.

London, England, May 1, 2020 / 05:00 am (CNA).- The metropolitan archbishops of England and Wales acknowledged the pain of Catholics who cannot receive the sacraments because of the coronavirus lockdown in a message issued Friday. 

In the message, entitled “A People who Hope in Christ”, published May 1, the archbishops said that while livestreamed Masses nourished faith, they were no substitute for public liturgies.

“None of us would want to be in the situation in which we find ourselves,” they wrote. “While the livestreaming of the Mass and other devotions is playing an important part in maintaining the life of faith, there is no substitute for Catholics being able to physically attend and participate in the celebration of the Mass and the other sacraments.”

Writing on behalf of the Catholic bishops of England and Wales, the five archbishops continued: “Our faith is expressed powerfully and beautifully though ‘seeing, touching, and tasting.’ We know that every bishop and every priest recognizes the pain of Catholics who, at present, cannot pray in church or receive the sacraments. This weighs heavily on our hearts.” 

“We are deeply moved by the Eucharistic yearning expressed by so many members of the faithful. We thank you sincerely for your love for the Lord Jesus, present in the sacraments and supremely so in the Holy Sacrifice of the Mass.” 

“The bishops and priests of every diocese are remembering you and your loved ones at Mass each day in our churches as we pray ‘in hope of health and well-being.’ We thank our priests for this faithfulness to their calling.”

Nevertheless, the archbishops said, the Catholic community had to play its part in preserving life and seeking the common good amid the pandemic. Restrictions on public liturgies would therefore have to remain in place until they are lifted by the government.

The U.K. is among the countries worst affected by the pandemic. With a population of 67 million, the U.K has had more than 172,000 documented coronavirus cases and 26,700 deaths as of May 1, according to Johns Hopkins University Coronavirus Resource Center.

The archbishops emphasized that Church officials were in talks with public health agencies and the government about the reopening of churches, which were closed March 24. 

“As the government’s restrictions are relaxed step by step, we look forward to opening our churches and resuming our liturgical, spiritual, catechetical and pastoral life step by step,” they said. 

“This will also be of service to those beyond the Catholic Church who depend on our charitable activity and outreach through which much goodness is shared by so many volunteers from our communities...”

“Together with Catholics across England and Wales, we desire the opening of our churches and access to the sacraments. Until then, we are continuing to pray and prepare.”

The message was signed by Cardinal Vincent Nichols of Westminster, Archbishop Malcolm McMahon of Liverpool, Archbishop Bernard Longley of Birmingham, Archbishop George Stack of Cardiff and Archbishop John Wilson of Southwark.

The archbishops concluded: “May the peace of the risen Lord reign in our hearts and homes as we look forward to the day we can enter church again and gather around the altar to offer together the Sacrifice of Praise.”

By Maureen Ferguson

One can be forgiven for thinking all of Washington, D.C., has been consumed by impeachment frenzy these past weeks. Look closer, though, and you’ll see that while Trump administration lawyers have been tied down by the Senate trial, other administration officials have been engaged in a flurry of policy making. These new policies have gone largely unnoticed, but they are of crucial – and positive – importance to all people of faith.   

 

The last weeks alone have witnessed sweeping developments on prayer in public schools, discrimination against religious organizations, mandatory abortion coverage in health insurance plans, and government funding of programs encouraging childbirth over abortion. Additionally, the president himself attended the March for Life, and Vice President Pence held a significant meeting with Pope Francis.

 

On school prayer, Education Secretary Betsy DeVos issued guidance clarifying that students do not compromise their right to pray because they attend a public school or university. The DeVos directive also ensures that religious student groups remain on equal footing with secular student groups. This is a critical response to the recent trend of universities’ disallowing any and all religious expression or association at public institutions of higher education. As DeVos stated, "Too many misinterpret a separation of church and state as an invitation for government to separate people from their faith."

 

Public colleges and universities won’t be able to get away with this any longer, thanks to the Trump Administration. The DeVos directive reaffirms the First Amendment right of students to express religious beliefs in their schoolwork as well as to gather to pray at appropriate times. This sends a strong message to school bureaucrats inclined to ban students from praying before high school football games or to defund Christian student groups at public universities.

 

The administration also issued far-reaching rules stating that religious and non-religious charities must be treated equally in the federal grant process. Team Trump has leveled the playing field. Religious charities will now be free to compete for federal grants to serve their fellow Americans. Not only is this a huge win for religious freedom, but it’s also a huge win for the poor and vulnerable. Because, as we know, Catholic and other religious charities are highly regarded as among best in the field of adoption and foster care, caring for victims of human trafficking, providing for the elderly and the poor, and working with refugees and other vulnerable immigrant populations. Nine federal agencies participated in this rule making. The new rule applies across the entire federal government, removing discriminatory regulatory burdens that push religious entities out of the public square – and out of public service. In short, our nation’s social safety net just got stronger.

 

Another significant announcement is that the administration will vigorously enforce the Weldon Amendment, a longstanding law protecting conscience rights. California has been flagrantly violating this law by forcing all health insurance plans in the state, including Catholic health plans, to cover and pay for elective abortions. The U.S. Conference of Catholic Bishops called the policy “abhorrent, unjust and illegal… [a] supreme injustice.” The bishops welcomed the Trump administration’s action as “extraordinarily good news for the right to life, conscientious objection, religious freedom, and the rule of law.”

 

Moreover, the Department of Health and Human Services just came down squarely in support of state healthcare programs that recognize the sanctity of life. Texas had decided years ago that its Medicaid program would support pregnant women and their unborn children, but not abortion-promoting groups like Planned Parenthood. The Obama administration went after Texas but the Trump Administration just granted the necessary waiver supporting Texas’ pro-life policy.

 

That’s all policy, but it’s worth noting again what President Trump and Vice President Pence have been doing themselves. Trump addressed the March for Life rally in person, something no other president has done. Ever. The vice president also spoke to the pro-life March via video from St. Peter’s square at the Vatican, where Pence also had an hour-long private meeting with Pope Francis. The pope and vice president reportedly had a very warm meeting in which they agreed that the cause of life is the “most pressing moral issue of our time.” They also shared their commitment to persecuted Christians and other religious minorities in the Middle East. Pence talked of how proud he is that the United States has partnered with the Knight of Columbus to help rebuild Christian communities once decimated by ISIS in the Nineveh plain.

 

So while the media obsesses over Bolton bombshells and the McConnell vs. Schumer showdown, hardworking policy makers across the administration, empowered by the president to act, have made a significant difference in the lives of people of faith – and the children of God they serve.

CNA Staff, May 8, 2020 / 04:15 pm (CNA).- As parishes and dioceses across the country deal with a drop in collections and the prospects of layoffs amid the pandemic, many parishes have managed to avail themselves of government loans designed to cover eight weeks of payroll expenses.

CBS News reported Friday that an estimated 12,000-13,000 of the 17,000 Catholic parishes in the U.S. had applied for Paycheck Protection Program (PPP) payroll loans from the Small Business Administration (SBA), and 9,000 so far had received them.

Guidance from the SBA on eligibility for the loans states that “no otherwise eligible organization will be disqualified from receiving a loan because of the religious nature, religious identity, or religious speech of the organization.”

Religious organizations are eligible for the loans as long as they meet the requirements of Section 501(c)(3) nonprofit and employ 500 or fewer people, the SBA said.

“The PPP isn't about the federal government assisting houses of worship or churches,” Pat Markey, the executive director of the Diocesan Fiscal Management Conference, told CBS News.

“PPP is about keeping people on payrolls, and a large segment of our society [in] the not for profit world...are churches and houses of worship. And they have people on payrolls too. So, if what this is about is keeping people on payrolls, then we all should have availability to do that.”

The Diocesan Fiscal Management Conference did not reply by press time to CNA’s request for additional comment.

Congress passed the Coronavirus Aid, Relief, and Economic Security (CARES) Act March 27 to help relieve the economy during the coronavirus pandemic.

The CARES Act initially authorized some $350 billion in loans to small businesses, intended to allow them to continue to pay their employees. The loans were given on a first come, first serve basis.

The second round of funding, with some $310 billion in additional funds available, began April 27.

The loans were capped at $10 million, were open to businesses with fewer than 500 employees per location, and were intended to cover two months of payroll costs.

The federal government promised to forgive the loans if a business used at least 75% of the funds to maintain its payroll at “pre-pandemic levels” for eight weeks after the loan is disbursed, the New York Times reports.

The remaining money could be used only to pay for certain expenses, such as a mortgage, rent, and utilities, according to the Times.

A survey of Protestant pastors by LifeWay Research found that about 40% had applied for PPP loans with more than half of them reporting being approved.

NPR reports that synagogues have also applied for government funding, though in a smaller proportion— of nearly 4,000 synagogues in the United States, about 250 were approved for PPP loans in the first round of lending, according to surveys by the Jewish Federations of North America and the Union of Orthodox Jewish Congregations of America.

The PPP has been subject to some criticism since its launch, including from those who say business owners with criminal records have been excluded from the program thus far.

In addition, several large companies, such as Ruth’s Chris Steakhouse, have received multi-million dollar loans through the program. Some of these large companies, such as Shake Shack, have since returned their loans.

Two New York dioceses— Rochester and Buffalo— are suing the Small Business Administration for access to PPP funds, after they were denied loans because of their bankruptcy status.

An SBA rule stipulated that the funds would not go to bankruptcy debtors. Both the dioceses of Rochester and Buffalo have filed for bankruptcy in the past several months, after being named in hundreds of clergy sex abuse lawsuits filed under New York Child Victims Protection Act.

 

New OM team members feel encouraged to be an instrument of God in Mexico.

CNA Staff, May 4, 2020 / 11:45 am (CNA).- Modern society is formulating an “anti-Christian creed” and punishing those who resist it with “social excommunication,” Benedict XVI has said in a new biography, published in Germany May 4.

In a wide-ranging interview at the end of the 1,184-page book, written by German author Peter Seewald, the pope emeritus said the greatest threat facing the Church was a “worldwide dictatorship of seemingly humanistic ideologies.”

Benedict XVI, who resigned as pope in 2013, made the comment in response to a question about what he had meant at his 2005 inauguration, when he urged Catholics to pray for him “that I may not flee for fear of the wolves.”

He told Seewald that he was not referring to internal Church matters, such as the "Vatileaks" scandal, which led to the conviction of his personal butler, Paolo Gabriele, for stealing confidential Vatican documents. 

In an advanced copy of “Benedikt XVI - Ein Leben” (A Life), seen by CNA, the pope emeritus said: “Of course, issues such as ‘Vatileaks’ are exasperating and, above all, incomprehensible and highly disturbing to people in the world at large.”

“But the real threat to the Church and thus to the ministry of St. Peter consists not in these things, but in the worldwide dictatorship of seemingly humanistic ideologies, and to contradict them constitutes exclusion from the basic social consensus.”

He continued: “A hundred years ago, everyone would have thought it absurd to speak of homosexual marriage. Today whoever opposes it is socially excommunicated. The same applies to abortion and the production of human beings in the laboratory.”

“Modern society is in the process of formulating an ‘anti-Christian creed,’ and resisting it is punishable by social excommunication. The fear of this spiritual power of the Antichrist is therefore only too natural, and it truly takes the prayers of a whole diocese and the universal Church to resist it.”

The biography, issued by Munich-based publisher Droemer Knaur, is available only in German. An English translation, “Benedict XVI, The Biography: Volume One,” will be published in the U.S. on Nov. 17.

In the interview, the 93-year-old former pope confirmed that he had written a spiritual testament, which could be published after his death, as did Pope St. John Paul II.

Benedict said that he had fast-tracked the cause of John Paul II because of “the obvious desire of the faithful” as well as the example of the Polish pope, with whom he had worked closely for more than two decades in Rome.

He insisted that his resignation had “absolutely nothing” to do with the episode involving Paolo Gabriele, and explained that his 2010 visit to the tomb of Celestine V, the last pope to resign before Benedict XVI, was “rather coincidental.” He also defended the title “emeritus” for a retired pope.

Benedict XVI lamented the reaction to his various public comments since his resignation, citing criticism of his tribute read at the funeral of Cardinal Joachim Meisner in 2017, in which he said that God would prevent the ship of the Church from capsizing. He explained that his words were “taken almost literally from the sermons of St. Gregory the Great.”

Seewald asked the pope emeritus to comment on the “dubia” submitted by four cardinals, including Cardinal Meisner, to Pope Francis in 2016 regarding the interpretation of his apostolic exhortation Amoris laetitia.

Benedict said that he did not want to comment directly, but referred to his last general audience, on Feb. 27, 2013.

Summing up his message that day, he  said: “In the Church, amid all the toils of humanity and the confusing power of the evil spirit, one will always be able to discern the subtle power of God's goodness.”

“But the darkness of successive historical periods will never allow the unadulterated joy of being a Christian ... There are always moments in the Church and in the life of the individual Christian in which one feels profoundly that the Lord loves us, and this love is joy, is ‘happiness’.”

Benedict said that he treasured the memory of his first meeting with the newly elected Pope Francis at Castel Gandolfo and that his personal friendship with his successor has continued to grow.

Author Peter Seewald has conducted four book-length interviews with Benedict XVI. The first, “Salt of the Earth,” was published in 1997, when the future pope was prefect of the Vatican Congregation for the Doctrine of the Faith. It was followed by “God and the World” in 2002, and “Light of the World” in 2010.

In 2016, Seewald published “Last Testament,” in which Benedict XVI reflected on his decision to step down as pope.

Publisher Droemer Knaur said that Seewald had spent many hours talking to Benedict for the new book, as well as speaking to his brother, Msgr. Georg Ratzinger and his personal secretary, Archbishop Georg Gänswein.

In an interview with Die Tagespost April 30, Seewald said that he had shown the Pope Emeritus a few chapters of the book before publication. Benedict XVI, he added, had praised the chapter on Pope Pius XI’s 1937 encyclical Mit brennender Sorge.
 

 

CNA Staff, May 7, 2020 / 03:45 pm (CNA).- Hours after the publication of a controversial open letter regarding the coronavirus pandemic, the prefect of the Church’s dicastery for liturgy and sacraments, listed among the signers of the letter, said he did not sign it.

The letter, titled “Appeal for the Church and the World,” says the coronavirus pandemic has been exaggerated to foster widespread social panic and undercut freedom, as a preparation for the establishment of a one-world government.

Cardinal Robert Sarah, prefect of the Vatican's Congregation for Divine Worship and Sacraments, tweeted: “I share on a personal basis some of the questions or concerns raised with regard to restrictions on fundamental freedoms, but I have not signed this petition.”

“A cardinal prefect of the Roman Curia must observe a certain reserve in political matters, Sarah wrote in another tweet, “so I explicitly asked this morning the authors of the petition titled ‘for the Church and for the world’ not to mention me.”

Sarah was listed as a signatory of the letter when it was published May 7 by the National Catholic Register, LifeSiteNews, and other websites. Sarah's denial raises questions about the legitimacy of other reported signatories to the letter.

Jeanette DeMelo, editor of the National Catholic Register, told CNA that the principal author of the letter is Archbishop Carlo Vigano, a former papal emissary to the United States.

Vigano made headlines for an August 2018 letter that alleged Vatican officials had ignored warnings about the sexual abuse of disgraced former cardinal Theodore McCarrick. Since that time, Vigano has released numerous letters expressing his viewpoints on matters in the Church, which include criticisms of Pope Francis and other curial officials.

DeMelo said that Vigano had vouched for the authenticity of Sarah's signature.

“The Register contacted Archbishop Vigano, the principal author, and asked him specifically about the authenticity of the signature of Cardinal Sarah and he said ‘I can confirm 100% that Cardinal Sarah signed it.,” DeMelo told CNA.

The letter laments the social distancing and stay-at-home orders issued to slow the spread of the coronavirus pandemic, suggesting they are contrived mechanisms of social control, with a nefarious purpose.

“We have reason to believe, on the basis of official data on the incidence of the epidemic as related to the number of deaths, that there are powers interested in creating panic among the world’s population with the sole aim of permanently imposing unacceptable forms of restriction on freedoms, of controlling people and of tracking their movements,” the letter said.

“The imposition of these illiberal measures is a disturbing prelude to the realization of a world government beyond all control,” it added. (bold original)

Among the letter’s reported signatories are four cardinals: Sarah, who has now indicated he is not a signatory; Cardinal Gerhard Muller, former prefect of the Congregation for the Doctrine of the Faith, Cardinal Joseph Zen, emeritus bishop of Hong Kong, and Cardinal Janis Pujats, emeritus archbishop of Riga, Latvia.

Two U.S. bishops are also alleged signatories: Bishop Rene Gracida, emeritus bishop of Corpus Christi, and Bishop Joseph Strickland, the Bishop of Tyler, Texas. 

Strickland told CNA by email May 7 that he “did sign off on this letter.”

Along with several other bishops, the well-known auxiliary bishop of Astana, Kazakhstan, Bishop Athanasius Schneider, is listed as a signer of the letter.

Another reported signatory is Fr. Curzio Nitoglia, a priest of the Society of St. Pius X, a traditionalist group in “irregular communion” with the Church. Nitoglia is the author of “The Magisterium of Vatican II,” a 1994 article that claims that “the church of Vatican II is therefore not the Apostolic and Roman Catholic Church instituted by our Lord Jesus Christ.”

The May 7 letter argued that the coronavirus pandemic has been sensationalized and exploited, to impede civil rights and exact government control over individuals and families.

The letter said that “the facts have shown that, under the pretext of the Covid-19 epidemic, the inalienable rights of citizens have in many cases been violated and their fundamental freedoms, including the exercise of freedom of worship, expression and movement, have been disproportionately and unjustifiably restricted.”

“Many authoritative voices in the world of science and medicine confirm that the media’s alarmism about Covid-19 appears to be absolutely unjustified.”

Nearly 4 million people worldwide have tested positive for the coronavirus, and at least 270,000 have died. In some countries, death rates in the months of the coronavirus pandemic have far exceeded death rates over the same months in previous years, suggesting to some demographers and epidemiologists that coronavirus deaths have been dramatically undercounted.

The pandemic, and the social distancing and stay-at-home orders issued to slow its spread, have become a source of considerable controversy in recent weeks. In the U.S., protests in several state capitals have gathered demonstrators in close proximity to one another, a move public health experts say could lead to new outbreaks of the disease.

The letter said that the economic crisis occasioned by the global pandemic “encourages interference by foreign powers and has serious social and political repercussions. Those with governmental responsibility must stop these forms of social engineering, by taking measures to protect their citizens whom they represent, and in whose interests they have a serious obligation to act.”

“The criminalization of personal and social relationships must likewise be judged as an unacceptable part of the plan of those who advocate isolating individuals in order to better manipulate and control them,” the authors added.

No cure or therapeutic treatment has yet been identified for the virus. In early weeks of the pandemic, President Donald Trump hypothesized that hydroxychloroquine, an inexpensive anti-malarial medication, could help treat the disease. U.S. researchers have largely moved away from the medication, especially after a study by the Veterans’ Administration found that administering the drug leads to higher death rates among patients receiving it.

Some, including television hosts Laura Ingraham and Sean Hannity have alleged that the study is inaccurate. Some protestors have suggested the VA study was intended to discredit Trump or profit vaccine manufacturers.

In an apparent reference to the hydroxychloroquine controversy, the letter said that: “Every effort must be made to ensure that shady business interests do not influence the choices made by government leaders and international bodies. It is unreasonable to penalize those remedies that have proved to be effective, and are often inexpensive, just because one wishes to give priority to treatments or vaccines that are not as good, but which guarantee pharmaceutical companies far greater profits, and exacerbate public health expenditures.” 

“Let us also remember, as Pastors, that for Catholics it is morally unacceptable to develop or use vaccines derived from material from aborted fetuses,” the letter added.

The U.S. bishops conference has also said vaccine development should avoid unethical links to abortion.

The letter argues that governments do not have the right to ban or restrict public worship or other kinds of ministry, and asks that any such restrictions be rescinded.

On the sacraments, which have been subject both to voluntary restrictions and public health orders in some states, the letter noted that “the Church firmly asserts her autonomy to govern, worship, and teach.”

“The State has no right to interfere, for any reason whatsoever, in the sovereignty of the Church. Ecclesiastical authorities have never refused to collaborate with the State, but such collaboration does not authorize civil authorities to impose any sort of ban or restriction on public worship or the exercise of priestly ministry. The rights of God and of the faithful are the supreme law of the Church, which she neither intends to, nor can, abdicate. We ask that restrictions on the celebration of public ceremonies be removed.”

While restrictions on public worship have been met with public criticism in many places, the objections have been most pronounced in Italy.

After Italy’s prime minister announced in late April new health measures that would continue prohibiting religious gatherings, the Italian bishops released a statement denouncing the decision, which the bishops criticized as “arbitrary.” Two days later, Pope Francis seemed to signal his own view, praying while celebrating Mass that Christians would respond to the lifting of lockdown restrictions with “prudence and obedience.”

Along with cardinals, bishops, and priests, the letter’s signatories also included some academics, journalists, and scientists. Included among them are Vatican journalists Marco Tosatti and Robert Moynihan, Lifesitenews editor John-Henry Westen, Stephen Mosher, president of the Virginia-based Population Research Institute, and the leaders of pro-life groups in Texas and Ohio.

The letter’s signatories encouraged Catholics, and “all men and women of good will” to “assess the current situation in a way consistent with the teaching of the Gospel. This means taking a stand: either with Christ or against Christ.” (bold original)
 
“Let us not allow centuries of Christian civilization to be erased under the pretext of a virus, and an odious technological tyranny to be established, in which nameless and faceless people can decide the fate of the world by confining us to a virtual reality. If this is the plan to which the powers of this earth intend to make us yield, know that Jesus Christ, King and Lord of History, has promised that ‘the gates of Hell shall not prevail’ (Mt 16:18).”

The Holy See has not yet commented on the letter.
 

This story has been updated since its original publication. It is developing and will continue to be updated.

On 1 December, 22 women hiked Tongariro Alpine Crossing to raise awareness and funds for women and children trafficked in France and India.

BACKGROUND AND OBJECTIVES:

Use of specific services may help to optimize health for children with autism spectrum disorder (ASD); however, little is known about their service use patterns. We aimed to (1) define service use groups and (2) determine associations of sociodemographic, developmental, behavioral, and health characteristics with service use groups among school-aged children with ASD.

Research suggests that the prevalence of obesity in children with autism spectrum disorder (ASD) is higher than in typically developing children. The US Preventive Services Task Force and the American Academy of Pediatrics (AAP) have endorsed screening children for overweight and obesity as part of the standard of care for physicians. However, the pediatric provider community has been inadequately prepared to address this issue in children with ASD. The Healthy Weight Research Network, a national research network of pediatric obesity and autism experts funded by the US Health Resources and Service Administration Maternal and Child Health Bureau, developed recommendations for managing overweight and obesity in children with ASD, which include adaptations to the AAP’s 2007 guidance. These recommendations were developed from extant scientific evidence in children with ASD, and when evidence was unavailable, consensus was established on the basis of clinical experience. It should be noted that these recommendations do not reflect official AAP policy. Many of the AAP recommendations remain appropriate for primary care practitioners to implement with their patients with ASD; however, the significant challenges experienced by this population in both dietary and physical activity domains, as well as the stress experienced by their families, require adaptations and modifications for both preventive and intervention efforts. These recommendations can assist pediatric providers in providing tailored guidance on weight management to children with ASD and their families.

BACKGROUND:

Emergency department (ED) care processes and environments impose unique challenges for children with autism spectrum disorder (ASD). The implementation of patient- and family-centered care (PFCC) emerges as a priority for optimizing ED care. In this article, as part of a larger study, we explore PFCC in the context of ASD. Our aims were to examine how elements of PFCC were experienced and applied relative to ED care for children with ASD.

BACKGROUND AND OBJECTIVES:

Systems of care emphasize parent-delivered intervention for children with autism spectrum disorder (ASD). Meanwhile, multiple studies document psychological distress within these parents. This pilot longitudinal randomized controlled trial compared the parent-implemented Early Start Denver Model (P-ESDM) to P-ESDM plus mindfulness-based stress reduction (MBSR) for parents. We evaluated changes in parent functioning during active treatment and at follow-up.

BACKGROUND AND OBJECTIVES:

Families of children with autism spectrum disorder (ASD) often experience challenges navigating multiple systems to access services. Family navigation (FN) is a model to provide information and support to access appropriate services. Few studies have been used to examine FN’s effectiveness for families of children with ASD. This study used mixed methods to (1) characterize FN services received by a sample of families in the Autism Treatment Network; (2) examine change in parent-reported activation, family functioning, and caregiver strain; and (3) explore families’ experiences with FN services.

Family involvement in the Autism Intervention Research Network on Physical Health, the Autism Treatment Network, and the Autism Learning Health Network, jointly the Autism Networks, has evolved and grown into a meaningful and robust collaboration between families, providers, and researchers. Family involvement at the center of the networks includes both local and national network-wide coproduction and contribution. Family involvement includes actively co-authoring research proposals for large grants, equal membership of network committees and workgroups, and formulating quality improvement pathways for local recruitment efforts and other network initiatives. Although families are involved in every aspect of network activity, families have been the driving force of specifically challenging the networks to concentrate research, education, and dissemination efforts around 3 pillar initiatives of addressing comorbidities of anxiety, attention-deficit/hyperactivity disorder, and irritability in autism during the networks’ upcoming funding cycle. The expansion of the networks’ Extension for Community Healthcare Outcomes program is an exciting network initiative that brings best practices in autism care to community providers. As equal hub members of each Extension for Community Healthcare Outcomes team, families ensure that participants are intimately cognizant of family perspectives and goals. Self-advocacy involvement in the networks is emerging, with plans for each site to have self-advocacy representation by the spring of 2020 and ultimately forming their own coproduction committee. The Autism Treatment Network, the Autism Intervention Research Network on Physical Health, and the Autism Learning Health Network continue to be trailblazing organizations in how families are involved in the growth of their networks, production of meaningful research, and dissemination of information to providers and families regarding emerging work in autism spectrum disorders.

The Autism Treatment Network and Autism Intervention Research Network on Physical Health were established in 2008 with goals of improving understanding of the medical aspects of autism spectrum disorders. Over the past decade, the combined network has conducted >2 dozen clinical studies, established clinical pathways for best practice, developed tool kits for professionals and families to support better care, and disseminated these works through numerous presentations at scientific meetings and publications in medical journals. As the joint network enters its second decade continuing this work, it is undergoing a transformation to increase these activities and accelerate their incorporation into clinical care at the primary care and specialty care levels. In this article, we describe the past accomplishments and present activities. We also outline planned undertakings such as the establishment of the Autism Learning Health Network, the increasing role of family members as co-producers of the work of the network, the growth of clinical trials activities with funding from foundations and industry, and expansion of work with primary care practices and autism specialty centers. We also discuss the challenges of supporting network activities and potential solutions to sustain the network.

Acne vulgaris is an extraordinarily common skin condition in adolescents. The mainstays of acne treatment have remained largely unchanged over recent years. In the context of increasing antibiotic resistance worldwide, there is a global movement away from antibiotic monotherapy toward their more restrictive use. Classically reserved for nodulocystic acne, isotretinoin has become the drug of choice by dermatologists for moderate to severe acne. Given the virtually ubiquitous nature of acne in teenagers, there remains an appreciable need for novel therapies. In this article, we will cover the currently used acne treatments, evaluate the issues and data supporting their use, explore the issues of compliance and the mental health implications of acne care, and recommend directions for the field of acne management in adolescents in the years ahead.

Polycystic ovary syndrome (PCOS) is a common female reproductive disorder that often manifests during adolescence and is associated with disruptions in health-related quality of life. Prompt evaluation and clinical support after diagnosis may prevent associated complications and optimize overall health management. This article incorporates the most recent evidence and consensus guidelines to provide an updated review of the pathogenesis, clinical presentation, diagnostic evaluation, and management strategies for adolescents with this complex condition. We will review the recent international guidelines on PCOS; because the diagnosis of PCOS remains controversial, management of this condition is inconsistent. In 2019, PCOS remains a common, yet neglected, condition, in part, because of the lack of agreement around both diagnosis and management.

In response to the growing impact of the current opioid public health crisis in the United States on adolescents and young adults, pediatricians have an expanding role in identifying opioid use early, preventing escalation of risky use, reducing opioid-related harms, and delivering effective therapies. Research and expert consensus suggest the use of brief interventions focused on reducing risks associated with ongoing opioid use and using motivational interviewing strategies to engage youth in treatment. Because fatal opioid overdose remains a major cause of opioid-related mortality among youth, delivering overdose education as part of any visit in which a youth endorses opioid use is one evidence-based strategy to decrease the burden of opioid-related mortality. For youth that are injecting opioids, safe injection practices and linkage to needle or syringe exchanges should be considered to reduce complications from injection drug use. It is crucial that youth be offered treatment at the time of diagnosis of an opioid use disorder (OUD), including medications, behavioral interventions, and/or referral to mutual support groups. The 2 medications commonly used for office-based OUD treatment in adolescents are extended-release naltrexone (opioid antagonist) and buprenorphine (partial opioid agonist), although there is a significant treatment gap in prescribing these medications to youth, especially adolescents <18 years of age. Addiction is a pediatric disease that pediatricians and adolescent medicine physicians are uniquely poised to manage, given their expertise in longitudinal, preventive, and family- and patient-centered care. Growing evidence supports the need for integration of OUD treatment into primary care.

Peter* from MAP Australia has a Muslim friend who attended a church camp. His friend has never been the same since.

After 23 years of reaching out to refugees and immigrants in Germany, one OM couple have relocated to Canada to continue their ministry.

At times it was difficult for him, but in the end Brazilian Leandro left the OM Panama School of Missions with tears in his eyes.

Participants in OM Panama’s after-school ministry for children from underprivileged neighbourhoods get excited about small things – even ice cubes.

Historically returns are high.

A Fin24 user is looking to start a retirement savings plan as it does not form part of company benefits, he would have to pay out of pocket.

A Fin24 user who was forced into early retirement is struggling to pay credit card debt amounting to over R109 000. An expert responds.

A Fin24 reader looking to invest in a living annuity, was shocked to find that she would have to pay fees of up to R110 000 per annum. She wants to know if there are other options. An investment expert responds.

Andy Lowndes, music detective for dementia charity Playlist for Life

Canada shed three million jobs in the last two months due to the coronavirus lockdown, causing the unemployment rate to shoot up to 13% in April, the government reported Friday.

Anecdotal evidence suggests that institutional investors in South Africa and across the globe are starting to take their ownership rights more seriously.

THE news earlier this week that Tennis Scotland will be on the receiving end of a £12 million package from the Lawn Tennis Association (LTA) is hugely significant.

ANDY MURRAY will swap a tennis racket for a games controller when he takes part in a virtual Madrid Open later this month.

Born in New Jersey, USA, to Jamaican parents, Linton Hinds Jr was acquainted with the culture of their homeland. He developed an appreciation for the country's food, music and home remedies such as the roots tonic.Those natural drinks, once shunned as backward concoctions, are the rage in Jamaica, with countless brands on the market.

The OM Costa Rica team is starting a holistic ministry for women in the underprivileged community of Las Tablas in the country's capital San José.

The Lord opens doors for women in Las Tablas, a slum near San José, to learn how to sew and make mosaics.