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ChristianaCare Names Its Breast Center: The Tatiana Copeland Breast Center
ChristianaCare has named its Breast Center The Tatiana Copeland Breast Center at the Helen F. Graham Cancer Center & Research Institute in recognition of Gerret and Tatiana Copeland’s generous financial support. The Copelands, local philanthropists and business entrepreneurs, provided a $1.2 million gift to the Graham Cancer Center in 2019 for breast cancer prevention and research for underrepresented women. Tatiana Copeland previously provided $800,000 to fund the purchase of two 3D mammography units. As a result of their philanthropic leadership, the Graham Cancer Center was one of the first facilities in the nation to offer 3D mammography. “ChristianaCare is deeply grateful to the Copelands for their generous support of the Helen F. Graham Cancer Center & Research Institute,” said Janice Nevin, M.D., MPH, ChristianaCare president and CEO. “They have made a tremendous difference in the lives of so many women in and around Delaware. We are deeply honored to name the Breast Center after Tatiana.” In a private event celebrating the naming, Dr. Nevin read a personal letter from President Joe Biden and First Lady Jill Biden that was sent to Tatiana about her support of the Breast Center. “Tatiana is a woman with extraordinary vision and a compassionate heart,” wrote President Biden. “As a breast cancer survivor, she has taken her pain and turned it into purpose, ensuring that all those who come in for testing at the Breast Center will receive extraordinary care. She has put lifesaving and life-altering care within the reach of those who need it most. And through it all, she has pushed for progress, fought for patients and kept hope alive.” “The Copelands share our commitment to providing our patients with the very best breast care, diagnosis and treatment,” said Nicholas J. Petrelli, M.D., Bank of America endowed medical director of the Helen F. Graham Cancer Center & Research Institute. “Their generous gifts have enabled women from Delaware and surrounding communities to receive expert, compassionate care right here at the Breast Center without ever having to leave the state. The Copelands have a way of discovering a need and then making the impossible possible.” “As longtime Graham Cancer Center supporters and as a breast cancer survivor myself who received wonderful treatment here, we are confident our investment in the Breast Center will continue to enable women to receive the same care that I did,” Tatiana Copeland said. “The atmosphere of the Breast Center is very comforting — like a nurturing hospital,” she said. “Everybody is very caring and attentive. Dr. Petrelli has created a team effort that is truly admirable. We hope our support inspires others to join us in the fight against cancer.” At The Tatiana Copeland Breast Center, patients are supported by an exceptional care team that includes radiologists, surgeons, radiation oncologists, genetic counselors and support staff. On-site capabilities include: 3D mammography. Digital mammography. Dedicated breast MRI. Breast ultrasound. Minimally invasive breast biopsies. Financial resources. Delaware’s first Center for Breast Reconstruction. According to the Delaware Division of Public Health, breast cancer is the most common cancer diagnosed among women in Delaware and the second leading cause of cancer death among women in the state after lung cancer. The Graham Cancer Center conducts community outreach to educate women about the importance of breast cancer detection and early prevention, including specially designed programs for underrepresented communities, including Black, Latinx and Asian women. “The Copelands’ ongoing generosity and support have helped us elevate the level of care at the Breast Center,” said Dia Williams, vice president of Philanthropy at ChristianaCare. “This gift will have an impact for generations to come.” To learn more about ChristianaCare’s philanthropy opportunities, visit https://christianacare.org/donors.
Research suggests nutrition education should be on the curriculum of all medical students as well as other healthcare professionals Association for Nutrition develops new curriculum ready for medical students Aston University is one of the pioneers in delivering and embedding nutrition education as part of its medical school undergraduate programme. All healthcare professionals should study a curriculum of nutrition education during their studies in order to help better support public health – new paper suggests. Nutritional researchers from Aston University, with colleagues from other universities and leading nutritional groups, worked with the Association of Nutrition (AfN) to help develop a curriculum that can be rolled out amongst all undergraduate medical school students with potential for modules to be taught to other healthcare professional courses. The paper jointly published in the British Journal for Nutrition and BMJ Nutrition, Prevention and Health examined the development of a new curriculum aimed at undergraduate medical students and made recommendations on its roll out nationally, with a view to it subsequently being implemented into other healthcare courses. The AfN Undergraduate Curriculum in Nutrition for medical doctors has been designed to be presented to medical students as an integral part of their general undergraduate training, making it clear how nutrition interrelates with the study of other systems and contributes to an inclusive understanding of health and disease. Dr Duane Mellor, clinical dietitian and senior lecturer at Aston Medical School at Aston University and co-author on the paper, said: “At present, lifestyle related health problems from living with obesity, through to high blood pressure, type 2 diabetes, heart disease and several cancers can all be linked to diet across our communities. Whereas in hospitals around a third of patients coming in can be undernourished. “Nutrition and food play a key role to both keeping us healthy and helping to manage disease, which is why it is imperative we educate our future doctors and other health professionals about the role of nutrition in patient care.” The paper sets out not only the need for nutrition education and the gaps, but how it can be included as part of what is already a very busy and content heavy curriculum. It builds on areas of the curriculum where nutrition could even be used to help teach concepts such as epidemiology. It highlights how historically medical education along with the education of many health professionals not specialising in nutrition often have only a few hours of teaching on the subject. Dr Glenys Jones, deputy chief executive at the Association for Nutrition, who led the curriculum development project and is co-author on the recent paper, said: “Nutrition is a key and modifiable determinant of health and wellbeing, therefore it is essential our future medical and healthcare professionals are equipped to be able to identify when nutrition could be involved in a patient’s condition in order for this to form part of their care. “The curriculum is not designed to turn our doctors into nutritionists or dietitians, but to give them the knowledge and skills to be able to think about whether nutrition could be playing a role and having the confidence and knowledge of who, when and how to refer on to suitable nutrition professionals when this is needed.” Aston University is a pioneer in the key area of nutrition education of the future healthcare workforce. As one of few UK universities with a dietitian or nutritionist as part of the teaching team within its medical school, these skills are now being developed to benefit the training of other health professionals. Dr Mellor added: “As one of a few dietitians and nutritionists embedded into the teaching team at Aston Medical School, we have been able to integrate nutrition across our curriculum. “It is great to be able to highlight how nutrition links to the basic science areas such as biochemistry through to how you can encourage a patient to think about changing their diet in clinical skills". Aston University has also started to explore with the Association for Nutrition the potential need for nutrition education in other professions. From this an outline of a core curriculum for nutrition for a range of health professionals is in development. Dr Mellor also plans to work with colleagues to further develop nutrition teaching at Aston University, thus helping students across subjects such as optometry and pharmacy to gain a better understanding of nutrition and how it impacts on their areas of expertise. For more information about Aston Medical School please visit our website.
988: What is it and who will it help?
Starting July 16, anyone experiencing substance use issues, a suicidal crisis, or mental health-related distress and seeking support can now simply dial “988” and connect directly with the National Suicide Prevention Lifeline. 988’s implementation will strengthen and expand the current lifeline call-center infrastructure and capacity to ensure that trained crisis counselors are available via call, text, and chat 24 hours a day. CARF proudly joins the National Action Alliance for Suicide Prevention and more than 250 partner organizations collaborating as promoters of the 988 Messaging Framework. About 988 988 is confidential, free, and available 24/7/365, connecting those experiencing a crisis with a network of trained crisis counselors located throughout the U.S. Access is available through every landline, cell phone, and voice-over-internet device in the nation. 988 call services are available in Spanish, along with interpretation services in multiple languages. Text and chat are currently available in English only. A long-term goal of 988 is building a robust nationwide crisis response system that links callers to community-based providers that can deliver a full range of crisis care services (e.g., mobile crisis teams or stabilization centers), if needed. And if you're a reporter looking to know more about the new 988 call services, or the role CARF and other organizations are playing in this nationwide effort, let us help with your questions and coverage. Michael Johnson is Senior Managing Director of Behavioral Health at CARF and is an expert in treatment strategies for mental health and substance use disorders. Michael is available to speak with media regarding this topic; simply click on his expert icon to arrange an interview today.
Assessing and Treating Heat-Related Illness in Children
Dangerously high global temperatures require an abundance of caution and preparation, especially when it comes to protecting the littlest members of society. Villanova University associate professor of nursing Michelle Kelly, PhD, CRNP, CNE, is an expert in pediatric healthcare, and she recently shared some tips for preventing and treating heat-related illness in children. Q: First, what is heat exhaustion? Dr. Kelly: Heat exhaustion is a slowly progressing condition that begins as one is exposed to increased temperatures for extended periods of time without the proper precautions. Ultimately, heat exhaustion can become heatstroke, which always requires immediate intervention. Q: What are the signs of heat exhaustion? DK: Signs of heat exhaustion include increased thirst, nausea, vomiting, irritability, headache, increased sweating, fainting, weakness, extreme tiredness and muscle cramps. The child will have cool and clammy feeling skin, with an elevated body temperature, but it will be below 105 degrees Fahrenheit (40.5 degrees Celsius). Q: When does heat exhaustion become heatstroke? DK: With heatstroke, the above symptoms progress to severe headache, weakness, dizziness, confusion, fast breathing and increased heart rate. The child will feel flushed—hot, with dry skin, little to no sweating—and may pass out or have a seizure, due to the body temperature exceeding 105 degrees Fahrenheit. This child needs immediate intervention aimed at decreasing the child’s body temperature. Q: What should caregivers do when a child experiences heat-related illness? DK: Interventions that a family can begin while getting the child emergency treatment include getting the child to lie down with feet elevated indoors or in shade. Remove excess clothing. Apply lukewarm water to the skin either with a wet cloth or spray bottle. If the child is awake, give sips of cool clear fluids. If the child is vomiting, keep the child on their side to prevent choking. Emergency treatment will include continuing to decrease the child’s body temperature, giving fluids (by mouth or with intravenous fluids), and monitoring for seizures. Q: Any tips for prevention? DK: Plan ahead if you and your children will be outside during this extreme heat. Wear light colors and plan for some sort of shade if possible. Try to arrange outdoor activities to take place in the early morning or evening, not during the heat of the day. Or better yet, spend time in a pool or indoors in air conditioning. If your child will be participating in sports during a heatwave, start hydrating 24 hours before to prevent the risk of dehydration. This means making sure they have had adequate fluids before competing, during the competition and afterward to recover. Water is the best liquid, but an alternative would be low-sugar-containing electrolyte solutions designed for children (such as Pedialyte). Stay safe!
Researchers in Georgia Southern University’s Tactical Athlete Readiness and Preparedness Program (TARP) have teamed up with the Georgia Public Safety Training Center (GPSTC) to ensure the readiness and resilience of Georgia’s public safety officials. Members of the TARP in the Waters College of Health Professions have worked to revise the fitness training standards for Georgia’s police cadets with a focus on functional fitness, mental resilience and injury prevention. In addition, the program has formed a partnership with the GPSTC, Georgia’s premier training facility for all state and local public safety related units to include police, fire and communication. Bridget Melton, Ed.D., professor of exercise science and lead faculty member of TARP, said that due to high stress and health concerns, some police and public safety officials are at high risk for cardiovascular disease or other fatal illnesses. “Our program provides state academies with fitness exercises that increase overall cadet fitness and focuses on injury prevention,” said Melton. “Our program focuses on occupational focused fitness to hopefully encourage a more positive view of exercise that will stick with cadets even after their academy training is done.” Richard Cleveland, Ed.D., associate professor of leadership, technology and human development, heads resilience and mental health for the TARP team, and has created a Mindfulness-Based Tactical Instruction curriculum for the state of Georgia. “Tactical athletes need training and support for resilience and mental health, but too often it’s only presented as a one-time workshop or seminar,” said Cleveland. “Our program dovetails into the state’s resilience curriculum for officers, but provides ‘bite-sized’ mindfulness practices within the fitness program. This gives cadets repeated practice at using mindfulness and embeds it within their context using police language, actions and behaviors.” The partnership was made possible due to a subgrant GPSTC was awarded from the Criminal Justice Coordinating Council to fund TARP at their facilities due to the program’s comprehensive view of officer wellness, which is aimed at improving de-escalation skills among recruits through mental and physical training. “We are pleased to form a partnership with the GPSTC and the Tactical Athlete Readiness and Preparedness Program,” stated Chris Wigginton, director of GPSTC. “This partnership will allow public safety professionals to be better prepared in their personal and professional lives. Some of the many benefits will be a reduction in injuries, being better prepared to use needed skills in rapidly evolving situations, and the resiliency and mental health component. As word has gotten out of the possibility of the GPSTC implementing this program we have already been contacted by several states regarding the initiative.” Additionally, graduate students in the Department of Health Sciences and Kinesiology participate in the program and gain firsthand and practical experience by performing training and assessment for state instructors. TARP is part of Georgia Southern’s Tactical Athlete Initiative, which aims to reduce the number of injuries and increase readiness and preparedness of tactical athletes. The interdisciplinary team consists of the following Georgia Southern faculty members: • Bridget Melton, Ed.D., Professor • Richard Cleveland, Ed.D., Associate Professor • Greg Grosicki, Ph.D., Assistant Professor • Haresh Rochani, DrPH, Associate Professor • Mary Beth Yarbrough, Lecturer • Sarah Davis, Lecturer TARP is just one example of the work coming from Georgia Southern University’s Tactical Athlete Initiative. The Tactical Athlete Initiative is a multi-discipline collaboration providing research, training and support for military, police, fire and EMS workers. The Tactical Athlete Initiative has partnered with multiple agencies including the Statesboro Police Department, Statesboro Fire Department, Bulloch County Sheriff’s Office, Forsyth County Sheriff’s Office, Waycross Fire Department, Georgia Public Safety Training Centers, Federal Law Enforcement Training Centers and the United States Army. If you're a reporter looking to know more about this partnership at Georgia Southern University - the let us help. Richard Cleveland, Ph.D., is an assistant professor in the Department of Leadership, Technology & Human Development at Georgia Southern - simply click on his icon to get in touch or contact Georgia Southern Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.
Lecturer Carol Jordan, left, and student Anna Bryan assist with a vitamin D assay as part of a study on racial disparities and cardiovascular health. Researchers in the Waters College of Health Professions (WCHP) at Georgia Southern University are studying why Black adults in America are 30% more likely to die from cardiovascular disease (CVD) than white adults through a study on racial disparities and cardiovascular health. Faculty and graduate students in the University’s Biodynamics and Human Performance Center and Medical Laboratory Sciences program have teamed up to examine the biological basis for these racial differences to aid in the development of effective prevention and treatment strategies. “More than half of this racial disparity may be attributed to substantially greater rates of high blood pressure and vascular dysfunction in Black adults,” said Greg Grosicki, Ph.D., principal investigator on the study and assistant professor in WCHP). The team is examining the difference in skin pigmentation, which can influence cardio preventive vitamin D levels. Through the use of an enzyme-linked immunosorbent assay (ELISA), a biochemical test to measure antibodies, antigens, proteins and glycoproteins in biological samples, the team is able to measure vitamin D levels in plasma samples. By pairing vitamin D values with measures of skin pigmentation and the team’s comprehensive assessments of cardiovascular health, they are able to determine whether low vitamin D levels may be contributing to higher blood pressure and vascular dysfunction in Black adults, which will help inform future interventions and therapeutic strategies seeking to alleviate racial disparities in CVD. The ELISAs were purchased using a Graduate Student Organization grant awarded to Josiah Frederic, a graduate student studying sports medicine. The research team consists of both faculty and students from the Department of Health Sciences and Kinesiology as well as the Department of Diagnostic and Therapeutic Sciences. Team members include the following: Brett Cross, graduate sports medicine student Joe Vondrasek, graduate sports medicine student Josiah Frederic, graduate sports medicine student Zoe Lincoln, undergraduate health science student Peter Gaither, graduate sports medicine student Wesley Blumenburg, graduate sports medicine student Andrew Flatt, Ph.D., assistant professor Greg Grosicki, Ph.D., principal investigator and assistant professor Amy Frazier, lecturer Carol Jordan, clinical coordinator and senior lecturer Anna Bryan, undergraduate medical laboratory sciences student If you're a reporter looking to know more about this important research - then let us help. Greg Grosicki, Ph.D., is available to speak with media - simply reach out to Georgia Southern Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.
‘Rising star’ graduate: Sylvia Ofori’s journey from Ghana to Georgia Southern to Harvard
On her first flight from Ghana to the United States, Sylvia Ofori arrived in Atlanta, Georgia, at 1 a.m. By 4 o’clock the next afternoon, Ofori was in her first American classroom in Georgia Southern University’s Jiann-Ping Hsu College of Public Health on the Statesboro Campus. Jet-lagged and attempting to absorb a foreign campus and classroom procedures, Ofori was out of sorts when her professor, Isaac Chun-Hai Fung, Ph.D., encouraged her to apply for a student research position following class introductions. Within days, she’d interviewed and earned the spot, supported by funding from the Centers for Disease Control and Prevention. In their first meeting, Fung challenged Ofori to publish 10 papers by the end of her public health doctoral program. “I wasn’t familiar with publications, but he threw that challenge at me from the beginning,” Ofori remembered. “Wow. His plan was for me to start working on dissertation-related projects immediately.” Ofori’s first project was a scoping review on the use of digital technology to improve and monitor handwashing in children. Following a presentation of her review at the University’s 2019 Research Symposium, her work was published in an academic journal, and many more followed as co-author with Fung and another mentor, Kamalich Muniz-Rodriguez, DrPH. By the end of her doctoral training, Sylvia had published 11 papers with Fung, and three more manuscripts will be submitted. On May 13, Ofori earned a DrPH in public health with a concentration in epidemiology as she crossed the stage in one of two Savannah commencement ceremonies. In June, she’ll begin as a Postdoctoral Fellow in the Department of Epidemiology at Harvard University to continue global public health research she began at Georgia Southern. There's a full article detailing Sylvia's amazing story - and her success to date. It's attached here: If you're a reporter looking to know more about Sylvia's story, or how Georgia Southern has students from around 100 countries across the world currently studying on both the Statesboro Campus and the Armstrong Campus in Savannah. Simply reach out to Georgia Southern Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.
School to provide increased access to preventative health services for young students so they can learn, grow and thrive To address health issues at the earliest and most preventable stages, provide whole child health, and advance health equity in the community, ChristianaCare opened a new school-based health center at Kuumba Academy Charter School in Wilmington on Friday, May 6th. The creation of the center, made possible through ChristianaCare’s partnership with the Community Education Building (CEB), which houses Kuumba Academy, means that students at the kindergarten-through-8th grade school will have increased access to an array of health services. “At ChristianaCare, we recognize the comprehensive health needs of adolescents in our community and are committed to partnering and using our resources wisely and effectively to expand our school-based health centers,” said Bettina Tweardy Riveros, J.D., chief health equity officer and senior vice president of Government Affairs and Community Engagement at ChristianaCare. “We know that childhood trauma adversely affects the ability of children to learn and build healthy relationships and it increases their risk of mental health issues and lifelong chronic disease. The opening of our school-based health center at Kuumba Academy means that ChristianaCare can support medical and behavioral health services and wraparound social care our children need, so we can positively influence their health, their education and their futures.” With the latest opening, ChristianaCare now operates 21 school-based health centers throughout the First State, in partnership with the Delaware Department of Health & Social Services, the Delaware Division of Public Health and several school districts. Kuumba Academy students, who spoke at an event Friday to celebrate the grand opening, will have access through its school-based health center to the following: Comprehensive behavioral health services. Crisis intervention and suicide prevention. Substance use disorder treatment. Tobacco cessation. Nutrition and weight management. Physical examinations. Health screenings. Treatment for minor illnesses and injuries. Reproductive health. In addition, Kuumba Academy students also will have access to resources that help their families surmount obstacles such as transportation, challenging appointment times, and worries about cost and confidentiality. “Kuumba Academy remains committed to meeting the needs of the whole child and family,” said Sally Maldonado, head of school at Kuumba Academy, the mission of which is to provide an innovative learning environment for the whole child from kindergarten through eighth grade. “The opening of this school-based health center means that our students and families will have daily access to the high-quality behavior and health services that they deserve, and we are grateful to ChristianaCare and CEB for their partnership. We are beginning to see ourselves on the other side of this pandemic and we are energized to emerge with these newfound partnerships focused on health and wellness for our village.” ChristianaCare has partnered with CEB and Kuumba Academy on community-focused health initiatives in the past. In February 2021, ChristianaCare provided more than 800 vaccinations to community members and staff at CEB. On February 7th of this year, ChristianaCare vaccinated 38 people, including 19 children, against COVID-19. This added to the more than 6,000 vaccinations that ChristianaCare Community Health has administered since 2021. “At CEB, we understand the importance that health plays on a child’s ability to learn and succeed,” said Linda Jennings, CEO at CEB. “We are beyond excited to partner with Kuumba and ChristianaCare to launch the Kuumba Academy School-Based Health Center at CEB and add to the list of holistic and integrated support we provide to students and their families.” Today’s event coincides with Better World Day, an annual, national event on the first Friday in May. During Better World Day, students showcase their learning about initiatives that they believe will have a positive impact on their community and the world. Through collaboration and acts of service, students learn the power of their voice to make change. About ChristianaCare Headquartered in Wilmington, Delaware, ChristianaCare is one of the country’s most dynamic health care organizations, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. ChristianaCare includes an extensive network of primary care and outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a freestanding emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women’s health. It also includes the pioneering Gene Editing Institute. ChristianaCare is nationally recognized as a great place to work, rated by Forbes as the 2nd best health system for diversity and inclusion, and the 29th best health system to work for in the United States, and by IDG Computerworld as one of the nation’s Best Places to Work in IT. ChristianaCare is rated by Healthgrades as one of America’s 50 Best Hospitals and continually ranked among the nation’s best by U.S. News & World Report, Newsweek and other national quality ratings. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. With its groundbreaking Center for Virtual Health and a focus on population health and value-based care, ChristianaCare is shaping the future of health care. About Kuumba Academy Charter School Kuumba Academy Charter School’s mission is to provide an innovative learning environment for the whole child from kindergarten through eighth grade. Our directors, staff, and families share the core belief that parents are children’s primary educators. KACS parents, in partnership with teachers and administrators, believe that every child can maximize his or her learning potential given the opportunity to do so. In response to the outcry from Wilmington parents looking for a high-quality public education and increased access to arts education for their children, Christina Cultural Arts Center leaders, parents, and community supporters took action and were granted a Department of Education charter to create Kuumba Academy Charter School (KACS) in 2001. KACS was the first school model in the state that partnered a public charter school with a nonprofit community organization. Christina Cultural Arts Center (CCAC) and KACS form a unique nonprofit/public school partnership committed to educational excellence. Through the innovative union of academics, arts, technology, and family engagement, each KACS student’s individual learning style is nurtured—resulting in creative learners who are agents of positive change in the community. The CCAC/KACS model is regarded by many as the single most significant achievement in Wilmington’s post public school desegregation history. About the Community Education Building (CEB) CEB was established in 2012 after Bank of America donated the former MBNA Bracebridge IV building to The Longwood Foundation. Living up to its commitment of increasing access to education, the Longwood Foundation created CEB as an independent entity, and transformed the space into an ecosystem to support the social, emotional, physical, and academic development of Wilmington’s youth. CEB is an innovative co-location and shared services model. Focused on supporting the entire family, CEB offers vibrant programs and support systems that provide a sound foundation for each student. It serves as a hub for families by offering services such as healthy meals, life coaches, and mental health services. This model leads to deeper family engagement in their child’s learning and allows schools to focus on teaching and learning, not operations and overhead. CEB is an educational ecosystem that holistically integrates programs and resources for students and their families, ensuring that every student has an equitable opportunity to succeed.
What the CDC's Updated Developmental Guidelines Mean for Parents
The Centers for Disease Control and Prevention (CDC) recently revamped their developmental guidelines for children for the first time in years, allowing parents to know earlier if their kids may be experiencing any delays. Villanova University nursing professor Michelle Kelly, PhD, CRNP, CNE, recently commented on the new guidelines: "The CDC and American Academy of Pediatrics (AAP), in response to birth provider and parent input, took a critical look at existing developmental milestones tools and handouts. Surveillance and handouts are typically parent facing items that can be used to determine if a child is meeting age-expected developmental targets." "That is in contrast to screening which is more structured, based on the surveillance but done by a primary care provider and used for referral for services, and evaluation which is done by a developmental specialist with the intent to diagnosis." "The CDC and AAP have done a thorough overhaul of developmental milestone surveillance (as opposed to screening and evaluation) to attempt to make the milestones 'evidence-based' and where possible norm-referenced." "Another major change is that the milestones are set for greater than 75%, rather than 50%. This means they are targets that 75% of children that age would have met. This eliminates phrases in the previous milestones that were confusing, such as a child 'may begin' a task at one age, but also should be doing it at the next age." "Perhaps the biggest win for children born preterm and others at risk for developmental delays is the 75% expectation virtually eliminates the 'wait and see' that occurred when the expectation was that 50% of children would exhibit a skill at that age. This means that families who have concerns, or whose children are not meeting the age-appropriate milestones, should be more readily referred for evaluation and intervention." "Additionally, an increased emphasis is placed, compared to the previous version, on open-ended questions to elicit parent concerns and ways for families to promote age-appropriate development."
Questions about colon cancer? Our experts are here to help with your coverage
Every year, National Colorectal (colon) Cancer Awareness Month is observed during the month of March in an effort to raise awareness of the importance for colon cancer screenings. The recognition offers health care providers the opportunity to educate the general public about a disease that can be preventable, but can sometimes be seen as difficult for patients to discuss with their doctors. In the spirit of education, one of Augusta University’s experts has provided some insight into the subject of colon cancer. Dr. Asha Nayak-Kapoor is an associate professor of medicine in the Division of Hematology/Oncology in the Department of Medicine at the Medical College of Georgia at Augusta University. Nayak is certified by the American Board of Internal Medicine in Hematology and Oncology Specialties. Q: What are the primary risk factors for colon cancer? “Risk factors for colon cancer include: being overweight or obese, not being physically active, certain types of diets, smoking, alcohol use, being older, a personal history of colorectal polyps or colorectal cancer, a personal history of inflammatory bowel disease, a family history of colorectal cancer or adenomatous polyps, having an inherited syndrome. Common symptoms of colorectal cancer include: bloody stool or rectal bleeding, an ongoing change in bowel habits (diarrhea, constipation, chance in stool consistency), abdominal pain or cramping, gas or persistent abdominal discomfort, you feel like your bowels are not voiding completely, weakness, fatigue, or unexplained weight loss.” Q: How can a person protect themselves from the risks of colon cancer? “Colon cancer is largely preventable if patients undergo screening tests, like a surveillance colonoscopy starting at 45 years or earlier depending on family history. Many lifestyle-related factors have been linked to colorectal cancer. In fact, the links between diet, weight, and exercise and colorectal cancer risk are some of the strongest for any type of cancer. Getting to and staying at a healthy weight may help lower your risk. A diet that's high in red meats (such as beef, pork, lamb, or liver) and processed meats (like hot dogs and some luncheon meats) raises your colorectal cancer risk. Cooking meats at very high temperatures (frying, broiling, or grilling) creates chemicals that might raise your cancer risk. It’s not clear how much this might increase your colorectal cancer risk. Stop smoking. It is best not to drink alcohol. People with a history of colorectal cancer in a first-degree relative (parent, sibling, or child) are at increased risk. The risk is even higher if that relative was diagnosed with cancer when they were younger than 50, or if more than one first-degree relative is affected.” Q: It sometimes seems that colon cancer prevention is aimed more towards men compared to women, but cancer.org lists the risks at 1 in 23 (4.3%) for men and 1 in 25 (4.0%) for women. Is there a reason why perhaps a stigma about colon cancer affecting men more has been created? “According to focus group studies, it can be seen as a taboo topic that is uncomfortable to discuss, and it is not discussed as openly in public as prostate and breast cancer screenings. It can seem embarrassing or humiliating, and can be seen as distasteful dealing with prolonged bowel preparation.” Nayak is a member of several committees, including Onyx and Bayer Speaker Bureau for Nexavar, MCG Cancer Center Molecular Oncology Programme, and MCG Cancer Center Gastrointestinal Tumor Board Committee. If you are a journalist looking to know more about colorectal cancer and would like to speak with an expert for your stories, then let us help. Nayak is available to speak with media about this important subject. Simply click on her icon now to arrange an interview today.
