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Adolescent ADHD and Adult Physical and Mental Health, Work Performance, and Financial Stress

There are a few longitudinal studies that suggest that attention-deficit/hyperactivity disorder (ADHD) in adolescence is associated with later psychiatric disorders, substance use disorders, and impaired work performance.

Adolescent ADHD is associated with a variety of internal and external stresses in adulthood. Consequently, it is essential to focus intervention efforts on adolescents with ADHD to prevent or alleviate adult difficulties in functioning. (Read the full article)




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Maternal Prepregnancy BMI and Child Cognition: A Longitudinal Cohort Study

Maternal obesity is an increasingly important public health concern and may adversely affect central nervous system development in offspring. However, few studies have explored the relationship between maternal prepregnancy BMI and neurodevelopmental outcomes in children, with conflicting results.

Using data from a large and contemporary UK birth cohort, we found that maternal prepregnancy BMI is negatively associated with children’s cognitive performance. The relationship appears to become stronger as children get older, although the overall effect size is modest. (Read the full article)




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Effect of Iron Deficiency Anemia in Pregnancy on Child Mental Development in Rural China

In humans, the brain growth spurt begins in the last trimester of pregnancy and extends through the first 2 years of life. Studies show poor cognitive and motor development among children who have iron deficiency anemia in infancy.

Prenatal iron deficiency anemia in the third trimester affects child mental development. Prenatal micronutrient supplementation with sufficient iron protects child mental development even when the woman’s iron deficiency anemia is not properly corrected during pregnancy. (Read the full article)




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Sexual Initiation, Contraceptive Use, and Pregnancy Among Young Adolescents

Among adolescents younger than 15, 18% have had sex and 16 000 pregnancies occur annually; among those aged 15 to 17, 30% have had sex and 252 000 get pregnant. Information on the youngest adolescents has not been previously published.

Sexual activity and pregnancy are rare among 10-, 11-, and 12-year-olds, and sex is more likely to be nonconsensual. This arguably represents a different public health issue than sex among older teens, who have a greater need for contraception. (Read the full article)




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Pregnancy Dose Tdap and Postpartum Cocooning to Prevent Infant Pertussis: A Decision Analysis

Infants aged <2 months are at highest risk for pertussis morbidity and mortality but are too young to receive pertussis vaccines. To protect young infants, the Advisory Committee on Immunization Practices recommends mothers receive 1 dose of Tdap during pregnancy.

This article evaluates the effect of Tdap during pregnancy compared with postpartum Tdap and cocooning in preventing infant pertussis cases, hospitalizations, and deaths, as well as their relative cost-effectiveness. (Read the full article)




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General Pediatric Attending Physicians' and Residents' Knowledge of Inpatient Hospital Finances

Physicians have little knowledge of health care costs and charges. Studies suggest that education and awareness of hospital finances can decrease unnecessary utilization of resources. Little is known about pediatricians’ awareness of the economics of health care delivery in the inpatient setting.

Both general pediatric attending physicians and trainees acknowledged a limited understanding of hospital finances, and they demonstrated a lack of awareness of costs, charges, and reimbursements for inpatient care. (Read the full article)




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Asthma During Pregnancy and Clinical Outcomes in Offspring: A National Cohort Study

Asthma is a common medical complication during pregnancy that is associated with an increased risk of adverse obstetric outcomes.

This study adds knowledge on potential long-term consequences of maternal asthma during pregnancy for offspring health, demonstrating that maternal asthma during pregnancy is linked to a wide spectrum of offspring diseases during childhood. (Read the full article)




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Vitamin D During Pregnancy and Infancy and Infant Serum 25-Hydroxyvitamin D Concentration

A serum 25-hydroxyvitamin D (25(OH)D) concentration of 20 ng/mL meets the requirements of at least 97.5% of the population older than 1 year. A recommended dietary intake to achieve this serum 25(OH)D concentration has not been established during infancy.

Daily maternal (during pregnancy) and then infant vitamin supplementation with 1000/400 IU or 2000/800 IU increases the proportion of infants with 25(OH)D ≥20 ng/mL during infancy with the higher dose sustaining this increase for longer. (Read the full article)




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Role of Financial and Social Hardships in Asthma Racial Disparities

Asthma morbidity disproportionately affects racial minorities and disadvantaged children. Differences in socioeconomic status and genetics have been offered as explanations but an in-depth understanding of differences in hardships may better explain disparities and also help to identify intervention targets.

Among children admitted for asthma, African Americans were twice as likely to be readmitted as whites. Nearly half the disparity was explained by socioeconomic status and hardships. Community-based interventions targeting hardships may be more feasible given emerging health care payment reform. (Read the full article)




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Vaccine Financing From the Perspective of Primary Care Physicians

Because of high costs of newer vaccines, financial risk to private vaccination providers has increased. Previous studies have shown general dissatisfaction with payment for the cost of vaccines and administration fees, with some providers considering no longer providing childhood vaccines.

We show that many providers are dissatisfied with payment for vaccine purchase and administration from all types of payers and that, for new vaccines, providers are using a variety of strategies with parents to handle uncertainty about insurance coverage. (Read the full article)




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Hemostatic Abnormalities in Noonan Syndrome

Noonan syndrome is associated with a bleeding diathesis and abnormal coagulation tests.

Bleeding diathesis in Noonan syndrome was evaluated by using a validated bleeding score. For the first time, platelet function was fully investigated, and a significant prevalence of platelet abnormalities likely to contribute to the bleeding diathesis was found. (Read the full article)




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Parental Smoking During Pregnancy and ADHD in Children: The Danish National Birth Cohort

Prenatal maternal smoking has been associated with attention-deficit/hyperactivity disorder in children, but the causal nature of this association is unclear. Controlling for the association with paternal smoking has been inconsistent.

Women who used nicotine replacement also had children with a higher risk of attention-deficit/hyperactivity disorder. Mother's smoking behavior appears more important than father's, suggesting a possible causal effect of nicotine exposure or factors related to maternal nicotine dependence. (Read the full article)




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The Natural History of Jaundice in Predominantly Breastfed Infants

Newborn infants who are predominantly breastfed are much more likely to develop prolonged hyperbilirubinemia than those fed formula, but the prevalence of prolonged hyperbilirubinemia in a largely white, North American, breastfed population is unknown.

Practitioners can be reassured that it is normal for 20% to 30% of predominantly breastfed infants to be jaundiced at age 3 to 4 weeks and for 30% to 40% of these infants to have bilirubin levels ≥5 mg/dL. (Read the full article)




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An Innovative Nonanimal Simulation Trainer for Chest Tube Insertion in Neonates

Practitioners caring for critically ill infants need to acquire competence in insertion of chest tubes for pneumothorax. Ethical and logistic concerns inhibit the use of animals, and there are no realistic simulation models available for neonatal chest tube insertion training.

An inexpensive, nonanimal chest tube insertion model can be easily constructed and used effectively to train interns and residents to improve their knowledge, clinical skills, and comfort levels to perform the chest tube insertion procedure in infants. (Read the full article)




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Maintenance of Certification Part 4 Credit and Recruitment for Practice-Based Research

Pediatric primary care has undergone a cultural shift. Changes in electronic health records, certification requirements, and practice structure have left many physicians feeling too busy to participate in research. Practice-based research networks must adapt to fit the current climate.

Adding quality improvement activities that meet Maintenance of Certification Part 4 criteria to research study design adds value to a practice-based research protocol. This incentive meets the needs of busy physicians, and may help researchers meet study recruitment goals. (Read the full article)




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A Randomized Trial on Screening for Social Determinants of Health: the iScreen Study

Despite growing interest around clinical screening for health-related social and environmental risk factors, little evidence exists regarding screening formats that maximize disclosure of psychosocial information.

This study compares psychosocial and socioeconomic adversity disclosure rates in face-to-face interviews versus electronic formats in a large, urban pediatric emergency department. (Read the full article)




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Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT

Although pediatric professional guidelines emphasize addressing a child’s social environment in the context of well child care, it remains unclear whether screening for unmet basic needs at visits increases low-income families’ receipt of community-based resources.

This study demonstrates that systematically screening and referring for social determinants of health during primary care can lead to the receipt of more community resources for families. (Read the full article)




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Antidepressant Use During Pregnancy and Asthma in the Offspring

Asthma is one of the most common chronic diseases in children. It has been suggested that maternal depression during pregnancy is associated with asthma in the offspring, but the role of antidepressant use during pregnancy is not known.

In our prospective cohort study, we found that maternal antidepressant use during pregnancy generally did not increase the risk of asthma except for use of older antidepressants, which could reflect confounding by the severity of maternal depression. (Read the full article)




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Nicotine Replacement Therapy in Pregnancy and Major Congenital Anomalies in Offspring

Smoking has been found to increase the risk of some specific congenital anomalies; however, results remain inconsistent. Nicotine replacement therapy (NRT) is increasingly being used as for smoking cessation in pregnancy although little is known about its association with congenital anomalies.

Being prescribed NRT while pregnant was not associated with major congenital anomalies (MCA), except a small increase in respiratory anomalies (3/1000 births). This must be considered in context of the rarity of MCAs and higher morbidities in the NRT group. (Read the full article)




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Maternal Prepregnancy Body Mass Index and Child Psychosocial Development at 6 Years of Age

Both obesity and developmental disabilities have increased in recent decades; however, the full long-term effects of prepregnancy obesity on a child’s psychosocial development remain unknown. Limited studies suggest associations between maternal prepregnancy obesity and child psychosocial development.

This study in 6-year-old children provides evidence that severe prepregnancy obesity is associated with adverse child psychosocial outcomes, including attention-deficit/hyperactivity disorder. These findings were not explained by many pregnancy and postpartum factors related to maternal obesity or child development. (Read the full article)




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Interpregnancy Interval and Risk of Autism Spectrum Disorders

Both short and long interpregnancy intervals are associated with increased risk of autism in second-born children. However, it is not known if the association is explained by unfavorable birth outcomes of the previous siblings.

Both short and long interpregnancy intervals increase risk of autism in second-born children independently of previous siblings being born premature, having low birth weight, or being born by cesarean delivery and independently of maternal antidepressant use 3 months before pregnancy. (Read the full article)




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Fin24.com | SA pensioners in dire financial state, report shows

Under a fifth of South Africans over the age of 60 are receiving private pensions, a new report has shown.




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Fin24.com | MONEY CLINIC: How can I improve my financial position while paying off R188k in debt?

A Fin24 reader under debt consolidation is left with less than R3 000 per month, finding it impossible to make ends meet. A finance expert responds.




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Escaping the Conflict Trap: Promoting Good Governance in the Congo




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Derrière le problème des minerais des conflits, la gouvernance du Congo

A la veille de l’entrée en vigueur le 15 avril de l’obligation de rendre publique l’origine des minerais pour les grandes compagnies basées aux Etats-Unis, ICG a effectué une mission au Nord Kivu afin d’évaluer les différentes stratégies de lutte contre les minerais des conflits et leur impact sur le terrain.




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Behind the Problem of Conflict Minerals in DR Congo: Governance

As legislation requiring large U.S. companies to disclose the origins of the minerals they use is meant to come into force this year, Crisis Group sent a mission to North Kivu to assess the different strategies used to fight conflict minerals and their impact in the field.




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Effect of drug pressure on promoting the emergence of antimalarial resistant parasites among pregnant women in Ghana [Mechanisms of Resistance]

Continuous spread of antimalarial drug resistance is a threat to current chemotherapy efficacy. Therefore, characterizing the genetic diversity of drug resistance markers is needed to follow treatment effectiveness and further update control strategies. Here, we genotyped Plasmodium falciparum resistance gene markers associated with sulfadoxine-pyrimethamine (SP) and artemisinin-based combination therapy (ACT) in isolates from pregnant women in Ghana. The prevalence of the septuple IRNI-A/FGKGS/T pfdhfr/pfdhps haplotypes including the pfdhps A581G and A613S/T mutations was high at delivery among post-SP treatment isolates (18.2%) compared to those of first-antenatal care (before initiation of intermittent preventive treatment of malaria in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP); 6.1%; p = 0.03). Regarding the pfk13 marker gene, two non-synonymous mutations (N458D and A481C) were detected at positions previously related to artemisinin resistance in isolates from Southeast-Asia. These mutations were predicted in silico to alter the stability of the pfk13 propeller-encoding domain. Overall, these findings highlight the need for intensified monitoring and surveillance on additional mutations associated with increased SP resistance as well as emergence of resistance against artemesinin derivatives.




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Nanit Plus

The Nanit Plus offers more features and data than any other smart baby monitor, including sleep tracking and breathing monitoring.




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Fin24.com | Organisation with an interest in financial literacy, invited to take part in Money Smart Week

Money Smart Week SA, a financial literacy campaign aimed at motivating and empowering South Africans to become more educated about their finances, is taking place from March 23 to 28, 2020.




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Fin24.com | Here's what SA financial experts would do with R10 000 in 2020

Fin24 asked financial experts how they would grow R10 000 in the new year. Here's what they said.




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Fin24.com | Free online financial literacy short course

Metropolitan is sponsoring a financial literacy short course hosted on FunDza, an online literacy portal dedicated to helping South Africans better their skills.




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Why I Bought an Apple iPod Nano in 2016

Streaming services and complicated gadgets aren't for me. Sometimes single-purpose retro tech is all you need.




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Lenovo ThinkCentre M90n Nano IoT

Thanks to its compact, fanless design, the Lenovo ThinkCentre M90n Nano IoT is a tiny and silent mini PC with enough power for basic office and media-streaming tasks, as well as vertical-market and digital-signage use.




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Net Nanny

Net Nanny boasts customizable web filters along with solid screen time and app blocking features, but it's a bit pricey and suffers from a sub-standard web interface.




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Smeal spring 2020 finance marshal excels even with student-athlete demands

Siena Salvaggio, who will graduate Saturday with a 4.0 GPA in finance and a minor in economics, has been named Smeal’s spring 2020 finance student marshal.




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Remote events scheduled for Financial Literacy Month in April

The Sokolov-Miller Family Financial and Life Skills Center at Penn State has a slate of programming for Financial Literacy Month this April and is offering help to anyone in the University community who is anxious about their financial future.




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How Fernando Santos plotted Portugal's path to glory

Team reporter Joe Walker has watched Portugal throughout UEFA EURO 2016 and explains how the coach masterminded his side's first triumph at a major tournament.




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Fernando Santos's Portugal manifesto

"We have a key word from day one: 'winning'. We are going to keep fighting hard to keep doing that," said Fernando Santos as he prepared for four more years as Portugal coach.




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UEFA Club Financial Control Body adjudicatory chamber announces decisions

029 - Six clubs fulfil conditions set out by CFCB




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Prize money for six clubs withheld for failure to comply with financial fair play requirements

053 - UEFA Club Financial Control Body investigatory chamber takes measures




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Behrend team expands financial literacy training initiative

Students and faculty members at Penn State Behrend's Black School of Business are contributing to and assessing a financial literacy curriculum that is being taught at nearly 400 high schools in eight states.






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Wintrust Financial Corporation Reports Record Full-Year 2019 Net Income of $355.7 million and Fourth Quarter 2019 Net Income of $86.0 million, up 8% from the Fourth Quarter 2018

To view more press releases, please visit http://ir.wintrust.com/news.aspx?iid=1024452.




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Wintrust Financial Corporation Announces Cash Dividends, Increasing Quarterly Common Stock Dividend Rate 12%

To view more press releases, please visit http://ir.wintrust.com/news.aspx?iid=1024452.






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Wintrust Financial Corporation to Present at RBC Capital Markets Global Financial Institutions Conference on March 10, 2020

To view more press releases, please visit http://ir.wintrust.com/news.aspx?iid=1024452.




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Wintrust Financial Corporation Announces Precautionary Decision to Help Achieve Community Health Objectives By Temporarily Closing Selected Branches

To view more press releases, please visit http://ir.wintrust.com/news.aspx?iid=1024452.