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Neurodevelopmental Outcomes After Cardiac Surgery in Infancy

Neurodevelopmental disabilities are the most common, and potentially the most damaging, sequelae of congenital heart defects. Children with congenital heart defects undergoing surgery in infancy have problems with reasoning, learning, executive function, inattention and impulsive behavior, language skills, and social skills.

Early neurodevelopmental outcomes for survivors of cardiac surgery in infancy have improved modestly over time, but only after adjustment for innate patient risk factors. As more high-risk infants with congenital heart defects survive cardiac surgery, a growing population will require significant societal resources. (Read the full article)




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Developmental Outcomes of Extremely Preterm Infants Born to Adolescent Mothers

Infants born extremely premature and infants born to adolescent mothers are at risk for adverse developmental and behavior outcomes. There is limited research on the dual risk imparted to infants born extremely premature to adolescent mothers.

Extremely premature infants of adolescent mothers have significantly increased rates of behavior problems. Nonwhite race and living in ≥3 places by 18 to 22 months of age are risk factors for adverse behavior outcomes among infants of adolescent mothers. (Read the full article)




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Weight Growth Velocity and Postnatal Growth Failure in Infants 501 to 1500 Grams: 2000-2013

Postnatal growth failure is common for very low birth weight infants. Although many of the major morbidities experienced by these infants during their initial NICU stays have decreased in recent years, it is unclear whether growth has improved.

For infants weighing 501 to 1500 g, average growth velocity increased and postnatal growth failure decreased from 2000 to 2013. Still, in 2013, half were discharged with a weight below the 10th percentile for postmenstrual age. (Read the full article)




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Positive Parenting Practices, Health Disparities, and Developmental Progress

Interactive activities and routines promote early childhood language skills and subsequent educational achievement. Population studies describing parent-child participation in interactive activities and their associations with early child development among vulnerable populations are needed.

Significant disparities exist in parenting practices that promote child development between economically advantaged and disadvantaged parents. Participating in less interactive activities was associated with increased risk of developmental delay among low-income families, suggesting a need to enrich parenting practices. (Read the full article)




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Late Preterm Infants and Neurodevelopmental Outcomes at Kindergarten

Late preterm infants, compared with full-term infants, have less proficiency in reading and math at school age, with increased need for individualized educational plans and special education services. They also have lower cognitive performance on standardized IQ exams.

Late preterm infants have worse outcomes at school entry, and development is variable during the preschool years, so socioeconomic status, language spoken in the home, maternal education, maternal race, and being a late preterm infant have a large impact. (Read the full article)




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Developmental Trajectories of Subjective Social Status

Subjective social status (SSS), a person’s sense of their or their family’s position in the socioeconomic hierarchy, is strongly related to adult health but is not a robust predictor of adolescent health. Developmental trajectories of SSS underlying this discrepancy are unknown.

Five SSS trajectories are present in adolescence/emerging adulthood. Four stably reflect objective socioeconomic status. The fifth represents a subset of socially disadvantaged youth with "rose-colored glasses" early on. Lower SSS and membership in the fifth trajectory increase health risk. (Read the full article)




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Bladder Function After Fetal Surgery for Myelomeningocele

Urologic outcomes of prenatal myelomeningocele closure have previously been reported. This study, however, represents a large, prospectively followed cohort of these patients and presents detailed findings of urologic outcomes. To our knowledge, this is the largest study of this type.

Our study is the only trial to compare urologic outcomes in children with myelomeningocele having undergone prenatal closure with those who had postnatal repair in a prospective and systematic manner. We report our findings at 12 and 30 months. (Read the full article)




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Development of the Children With Disabilities Algorithm

There are no validated claims-based algorithms for identifying children with disabilities (CWD) to facilitate larger-scale studies of care quality for CWD.

This study develops the CWD algorithm, a claims-based algorithm for identifying diagnostic codes with a ≥75% chance of indicating CWD, and triangulates the algorithm against parent report and physician chart abstraction. (Read the full article)




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Childhood Health and Developmental Outcomes After Cesarean Birth in an Australian Cohort

A number of studies have reported an association between birth by cesarean delivery and adverse childhood health outcomes such as obesity, asthma, atopy, and a number of neurodevelopmental abnormalities. However, these studies have had limited capacity to control for confounders.

Using a prospective cohort while controlling for birth factors, social vulnerability, maternal BMI, and breastfeeding, we found few differences between children delivered by cesarean delivery and those born vaginally. Higher child BMI was explained by maternal BMI. (Read the full article)




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Barcelona in sight of unique double

Barcelona made the UEFA Women's Champions League final and could reach the men's decider too, setting up an unprecedented feat.




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Lyon v Barcelona: #UWCL final – all you need to know

Lyon will play their eighth final in a decade while Barcelona are there for the first time when they meet in Budapest on Saturday.




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Developing a Growth Mindset in Our Students

As we continue to build the leaders of the future, we must ensure their own belief in their abilities. This is the only way we can ensure their successful futures and ours.




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Cremer group developing sensors to detect coronavirus in enclosed spaces

Professor of Chemistry Paul Cremer is developing a biosensor platform that could be used to perform real-time, continuous detection of SARS-CoV-2, the virus that causes COVID-19.




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Barcelona's Lionel Messi

FC Barcelona's talisman tells us about his appetite for goals.




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Pleat on Barcelona's 4-3-3

Former Tottenham Hotspur FC manager David Pleat analyses FC Barcelona's winning formation from 2009.




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What Other Countries Can Teach the U.S. About Teacher Professional Development

Countries that score highest on an international measure of student achievement tend to have these three things in common when it comes to professional development for teachers.




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Haves and Have-Nots: We Must Prioritize Outside Professional Development for ALL Teachers

Many outside PD opportunities still separate the "haves" from the "have-nots" and uphold systemic oppression.




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Research Center's Leadership Professional-Development Program Had No Impact. Why?

A recent study found that one organization's instructional-leadership professional development had no impact. Could it be because the topic of instructional leadership needs to be expanded?




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Putting the 'Professional' Back in Teacher Professional Development

Teachers are the experts of the classroom, so they should be empowered to lead professional development, educators said at a forum that included the two national teachers' union presidents.




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Black Gold in the Congo: Threat to Stability or Development Opportunity?

Renewed oil interest in the Democratic Republic of the Congo (DRC) could nurture communal resentments, exacerbate deep-rooted conflict dynamics and weaken national cohesion.




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Complex response of the CpxAR two-component system to {beta}-lactams on antibiotic resistance and envelop homeostasis in Enterobacteriaceae [Mechanisms of Resistance]

The Cpx stress response is widespread among Enterobacteriaceae. We have previously reported a mutation in cpxA in a multidrug resistant strain of Klebsiella aerogenes isolated from a patient treated with imipenem. This mutation yields to a single amino acid substitution (Y144N) located in the periplasmic sensor domain of CpxA. In this work, we sought to characterize this mutation in Escherichia coli by using genetic and biochemical approaches. Here, we show that cpxAY144N is an activated allele that confers resistance to β-lactams and aminoglycosides in a CpxR-dependent manner, by regulating the expression of the OmpF porin and the AcrD efflux pump, respectively. We also demonstrate the intimate interconnection between Cpx system and peptidoglycan integrity on the expression of an exogenous AmpC β-lactamase by using imipenem as a cell wall active antibiotic or inactivation of penicillin-binding proteins. Moreover, our data indicate that the Y144N substitution abrogates the interaction between CpxA and CpxP and increase phosphotransfer activity on CpxR. Because the addition of a strong AmpC inducer such as imipenem is known to causes abnormal accumulation of muropeptides (disaccharide-pentapeptide, N-acetylglucosamyl-1,6-anhydro-N-acetylmuramyl-l-alanyl-d-glutamy-meso-diaminopimelic-acid-d-alanyl-d-alanine) in the periplasmic space, we propose these molecules activate the Cpx system by displacing CpxP from the sensor domain of CpxA. Altogether, these data could explain why large perturbations to peptidoglycan caused by imipenem lead to mutational activation of the Cpx system and bacterial adaptation through multidrug resistance. These results also validate the Cpx system, in particular the interaction between CpxA and CpxP, as a promising therapeutic target.




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Development of probiotic formulations for oral candidiasis prevention: Gellan gum as a carrier to deliver Lactobacillus paracasei 28.4 [Experimental Therapeutics]

Probiotics might provide an alternative approach for the control of oral candidiasis. However, studies on the antifungal activity of probiotics in the oral cavity are based on the consumption of yogurt or other dietary products, and there is a necessary to use appropriate biomaterials and specific strains to obtain probiotic formulations targeting local oral administration. In this study, we impregnated gellan gum, a natural biopolymer used as a food-additive, with a probiotic and investigated its antifungal activity against Candida albicans. Lactobacillus paracasei 28.4, a strain recently isolated from the oral cavity of a caries-free individual, was incorporated in several concentrations of gellan gum (0.6% to 1%). All tested concentrations could incorporate L. paracasei cells while maintaining bacterial viability. Probiotic/gellan formulations were stable for 7 days when stored at room temperature or 4°C. Long-term storage of bacteria-impregnated gellan gum was achieved when L. paracasei 28.4 was lyophilized. The probiotic/gellan formulations provided a release of L. paracasei cells over 24 hours that was sufficient to inhibit the growth of C. albicans with effects dependent on the cell concentrations incorporated into gellan gum. The probiotic/gellan formulations also had inhibitory activity against Candida spp. biofilms by reducing the number of Candida spp. cells (p < 0.0001), decreasing the total biomass (p = 0.0003), and impairing hyphae formation (p = 0.0002), compared to the control group which received no treatment. Interestingly, probiotic formulation of 1% w/v gellan gum provided an oral colonization of L. paracasei in mice with approximately 6 log of CFU/mL after 10 days. This formulation inhibited the C. albicans growth (p < 0.0001), prevented the development of candidiasis lesions (p = 0.0013), and suppressed inflammation (p = 0.0006) when compared to the mice not treated in the microscopic analysis of the tongue dorsum. These results indicate that gellan gum is a promising biomaterial and can be used as a carrier system to promote oral colonization for probiotics that prevent oral candidiasis.




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Development of Novel Anti-influenza Thiazolides with Relatively Broad-spectrum Antiviral Potentials [Antiviral Agents]

Seasonal and pandemic influenza causes 650,000 deaths annually in the world. The emergence of drug-resistance to specific anti-influenza drugs such as oseltamivir and baloxavir marboxil highlights the urgency of novel anti-influenza chemical entity discovery. In this study, we report a series of novel thiazolides derived from an FDA-approved drug nitazoxanide with antiviral activity against influenza and a broad range of viruses. The preferred candidates 4a and 4d showed significantly enhanced anti-influenza potentials with 10-fold improvement, compared with nitazoxanide, and were effective against a variety of influenza subtypes including oseltamivir-resistant strains. Notably, the combination using of compounds 4a/4d and oseltamivir carboxylate or zanamivir displayed synergistic antiviral effect against oseltamivir-resistant strain. Mode of action analysis demonstrated that compounds 4a/4d acted at the late phase of viral infection cycle through inhibiting viral RNA transcription and replication. Further experiments showed that treatment with compounds 4a/4d significantly inhibited influenza virus infection in human lung organoids, suggesting the druggability of the novel thiazolides. In-depth transcriptome analysis revealed a series of up-regulated cellular genes that may contribute to the antiviral activities of 4a/4d. Together, our study pointed the optimization direction of nitazoxanide as anti-influenza drug, and discovered two novel-structured candidates 4a/4d with relatively broad-spectrum antiviral potential.




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Trends in Pediatricians Developmental Screening: 2002-2016

BACKGROUND:

Current guidelines from the American Academy of Pediatrics recommend screening children for developmental problems by using a standardized screening tool and referring at-risk patients to early intervention (EI) or subspecialists. Adoption of guidelines has been gradual, with research showing many children still not being screened and referred.

METHODS:

We analyzed American Academy of Pediatrics Periodic Survey data from 2002 (response rate = 58%; N = 562), 2009 (response rate = 57%; N = 532), and 2016 (response rate = 47%, N = 469). Surveys included items on pediatricians’ knowledge, attitudes, and practices regarding screening and referring children for developmental problems. We used descriptive statistics and a multivariable logistic regression model to examine trends in screening and referral practices and attitudes.

RESULTS:

Pediatricians’ reported use of developmental screening tools increased from 21% in 2002 to 63% in 2016 (P < .001). In 2016, on average pediatricians reported referring 59% of their at-risk patients to EI, up from 41% in 2002 (P < .001), and pediatricians in 2016 were more likely than in 2002 to report being "very likely" to refer a patient with global developmental delay, milestone loss, language delay, sensory impairment, motor delays, and family concern to EI.

CONCLUSIONS:

Pediatricians’ reported use of a standardized developmental screening tool has tripled from 2002 to 2016, and more pediatricians are self-reporting making referrals for children with concerns in developmental screening. To sustain this progress, additional efforts are needed to enhance referral systems, improve EI programs, and provide better tracking of child outcomes.




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Barcelona v Napoli facts

Antoine Griezmann's first-leg away goal has given Barcelona an advantage after the game in Naples finished 1-1.




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Neurodevelopmental Outcomes of Preterm Infants With Retinopathy of Prematurity by Treatment




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Inter, Barcelona, Sporting and Győr reach finals

Holders Inter FS, two-time winners Barcelona, Sporting CP and Győr will contest the UEFA Futsal Cup finals in April after topping their elite round groups to make the last four.




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Futsal Cup semi-finals: Inter-Barcelona, Győr-Sporting

Spanish co-hosts Inter FS and Barcelona will face off in the UEFA Futsal Cup semi-finals after being drawn together in the last four of this year's event in Zaragoza, while Győr face Sporting CP.




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Velocity Micro Raptor Z55a (Ryzen 9 3950X)

The Velocity Micro Raptor Z55a is a clean, straightforward gaming desktop with excellent performance. It's a bit pricey, though, and doesn't do a lot to differentiate itself from its rivals.




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ADHD, Other Developmental Disabilities More Common in Rural Areas

Rural families are less likely to use special education or early intervention services than children living in urban areas, a new Centers for Disease Control survey reveals.




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Are Too Many Students Working Below Grade Level?

Researchers examined nearly 22,000 pieces of class work in hundreds of schools. More than 70 percent of those assignments were below grade level, according to a new report from a teacher-training group.




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Education Department Developing Vouchers for Teacher Professional Development

Despite being rebuked by Congress in its bid to do so last year, the U.S. Department of Education says it will use Education Innovation and Research funds for teacher professional development vouchers.




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Poor Predictive Validity of the Bayley Scales of Infant Development for Cognitive Function of Extremely Low Birth Weight Children at School Age

Maureen Hack
Aug 1, 2005; 116:333-341
ARTICLES




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Trends in the Prevalence of Developmental Disabilities in US Children, 1997-2008

Coleen A. Boyle
Jun 1, 2011; 127:1034-1042
ARTICLES




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Growth in the Neonatal Intensive Care Unit Influences Neurodevelopmental and Growth Outcomes of Extremely Low Birth Weight Infants

Richard A. Ehrenkranz
Apr 1, 2006; 117:1253-1261
ARTICLES




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Neurodevelopmental and Functional Outcomes of Extremely Low Birth Weight Infants in the National Institute of Child Health and Human Development Neonatal Research Network, 1993-1994

Betty R. Vohr
Jun 1, 2000; 105:1216-1226
ARTICLES




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Fund honoring beloved professor to support student enrichment experiences

To honor a favorite professor and help students with the expenses associated with internships and study abroad, 1979 Penn State alumna Maryann Hunter created a fund in political science.




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Competing for views: IST student develops app for extreme sports athletes

Thaddeus Lorenz, senior in information science and technology, wasn’t always sure what his academic path would be. After starting at Penn State in the Division of Undergraduate Studies, he took some classes centered on one of his passions: coding. Then, he decided to make it more than just a passion.




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Human Development and Family Studies faculty net $3,000 grant for workshop

Faculty from six campuses were awarded a grant from Penn State’s Schreyer Institute for Teaching Excellence to seek a multi-campus approval as a Certified Family Life Educator program.




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Hicks awarded Early Career Development Award

The Association for Clinical and Translational Science recently recognized Steven Hicks for his achievements. Hicks received the Early (Faculty) Career Development Award.




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CTS Early (Faculty) Career Development Award: Steven Hicks, MD, PhD




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E Ink Develops New Color E-Paper Display

Don't expect Amazon to use this Print-Color display in a new Kindle any time soon, but we could see Print-Color eReaders in some form by mid-2020.




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Report: Apple Developing Satellite-Based Internet for Future Devices

Satellites could transfer data directly to Apple's devices and reduce dependency on wireless carriers, Bloomberg reports. It's another sign Apple wishes to replace most outside partners with in-house technologies in the next decade.




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Bosch Develops an Intelligent, Transparent Sun Visor

Combining a transparent LCD panel, driver-facing camera, and AI facial detection system, the Virtual Visor blocks the sun's glare, not your view of the road.




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Elon Musk Teases Talking Teslas

External speakers will allow drivers to talk to pedestrians without opening a window, or play pre-recorded clips to passers-by.




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The Path to Fluent Reading: A Developmental Timeline

Some of the most important pre-literacy skills begin in infancy. This timeline shows examples of the milestones children meet on their path to fluent reading.




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Manchester City-Barcelona, Chelsea-Porto in #UYL semis

Manchester City defeated Liverpool on penalties to set up a semi-final with Barcelona, victors at Atlético Madrid, while Porto beat Tottenham Hotspur and face Chelsea, who won at Real Madrid.




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Wonderkid: Barcelona's Ansu Fati

The "jewel of La Masia", Ansu Fati scored his first Barcelona goal aged just 16 on Saturday.




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God develops hearts to care

The team in Bangladesh comprises mainly national believers in Jesus, one of whom brings vocational training and God’s light into a refugee camp.




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Fin24.com | New development shows revival of Cape Town's East City Precinct

Cape Town's East City Precinct - between the CBD and District Six - are undergoing a revival and the new The Harri residential development is an example of this trend.