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Italian churches prepare to resume funerals after eight-week ban

Rome Newsroom, Apr 30, 2020 / 11:45 am (CNA).- After eight weeks without funerals, Italian families will be able finally to gather together to mourn and pray at funeral Masses for the victims of the coronavirus starting May 4.

In Milan, the largest city in Italy’s coronavirus epicenter, priests are preparing for an influx of funeral requests in the coming weeks in the Lombardy region, where 13,679 have died.

Fr. Mario Antonelli, who oversees liturgies on behalf of the Archdiocese of Milan, told CNA that archdiocesan leadership met April 30 to coordinate guidelines for Catholic funerals as more than 36,000 people remain positive for COVID-19 in their region.

“I am moved, thinking of so many dear people who have wanted [a funeral] and still desire one,” Fr. Antonelli said April 30.

He said that the church in Milan is ready like the Good Samaritan to “pour oil and wine on the wounds of many who have suffered the death of a loved one with the terrible agony of not being able to say goodbye and embrace.”

A Catholic funeral is “not just a solemn farewell from loved ones,” the priest explained, adding that it expresses a pain like childbirth. “It is the cry of pain and loneliness that becomes a song of hope and communion with the desire for an everlasting love.”

Funerals in Milan will occur on an individual basis with no more than 15 people in attendance, as required by “phase two” of the Italian government’s coronavirus measures. 

Priests are asked to notify local authorities when a funeral is scheduled to take place and ensure that social distancing measures defined by the diocese are followed throughout the liturgy. 

Milan is home to the Ambrosian rite, the Catholic liturgical rite named for St. Ambrose, who led the diocese in the 4th century.

“According to the Ambrosian rite, the funeral liturgy includes three ‘stations’: the visit / blessing of the body with the family; community celebration (with or without Mass); and burial rites at the cemetery,” Antonelli explained. 

“Trying to reconcile the sense of the liturgy … and the sense of civic responsibility, we ask the priests to refrain from visiting the family of the deceased to bless the body,” he said.

While Milan archdiocese is limiting priests from the traditional blessing of the body in the home of the family, the funeral Mass and burial rites will be able to take place at a church or “preferably” at a cemetery, Antonelli added. 

During the nearly two months without Masses and funerals, dioceses in northern Italy have been maintaining telephone lines for grieving families with spiritual counsel and psychological services. In Milan, the service is called “Hello, is this an angel?” and is operated by priests and religious who spend time on the phone with the sick, the mourning, and the lonely. 

Aside from funerals, public Masses will still not be allowed throughout Italy under the government’s May 4 coronavirus restrictions. As Italy eases its lockdown, it remains unclear when public Masses will be allowed by the Italian government.

Italian bishops have been critical of Prime Minister Giuseppe Conte’s latest coronavirus measures, announced on April 26, saying that they “arbitrarily exclude the possibility of celebrating Mass with the people."

According to the prime minister’s April 26 announcement, the easing of lockdown measures will allow retail stores, museums, and libraries to reopen beginning May 18 and restaurants, bars, and hair salons June 1.

Movement between Italian regions, within regions, and within cities and towns is still prohibited except under strict cases of necessity.

In a letter April 23, Cardinal Gualtiero Bassetti of Perugia, the president of the Italian bishops' conference, wrote that “the time has come to resume the celebration of the Sunday Eucharist, and church funerals, baptisms and all the other sacraments, naturally following those measures necessary to guarantee security in the presence of more people in public places.”




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Monks of Norcia praying with 'greater intensity' during coronavirus

Rome Newsroom, Apr 30, 2020 / 02:01 pm (CNA).- In the central Italian countryside, at the edge of the Umbrian woods just outside Norcia, a group of Benedictine monks prays and works from well before the sun rises until it sets.

This much has not changed in the monks’ lives during Italy’s coronavirus lockdown; but what has is the visitors they receive at the monastery.

“Usually we have some guests coming from all over the world... visitors coming from Italy or the U.S., friends or retreatants,” Fr. Benedict Nivakoff, O.S.B., told CNA by phone.

“And so, the total absence of those people, of that presence, has just focused our prayer all the more and we try to do what we are called to do more seriously,” he said.

“The main thing is a greater intensity of prayer for all those who are suffering.”

Nivakoff is the prior of the monks living at the site of St. Benedict’s birth. After religious life was suppressed in the area in the 1800s, a group led by Fr. Cassian Folsom was given permission to re-establish the monastery and moved there in 2000.

The prior said when the coronavirus was at its height in Italy, the monks did a traditional procession around the property with relics of the true cross.

“And that’s a way of praying for people, invoking the saints and calling down God’s help and his mercy on the country and on the world,” he said.

St. Benedict himself “experienced plagues, famines, sickness, death, not to mention relentless attacks of the devil on him and on his monks. He saw all of those as occasions for the monks themselves and for him to renew his trust and his faith in God,” Nivakoff said.

There is a “sad and persistent temptation,” he explained, to think “the world can solve these problems, but in fact, this world is passing away and God is the only answer to the suffering that we see.”

“So St. Benedict’s message, if you will, would be that all these things that happen can work for the good, and that is for the good of … each man and woman, each monk, in drawing closer to God.”

The monks in Norcia experienced tragedy first-hand four and a half years ago when several earthquakes, including one of 6.6-magnitude, struck central Italy and Norcia in August and October 2016.

The earthquakes destroyed hundreds of homes and the monk’s own buildings, including the Basilica of St. Benedict.

They have been rebuilding, but construction has been on hold during Italy’s lockdown, Nivakoff said, noting that it may, God willing, be able to start back up in a few weeks.

“The earthquake taught us many things and maybe one of the more relevant lessons for today is to resist the temptation that everything should go back exactly as it was,” he said.

“We thought after the earthquake, ‘well the answer is [to rebuild] everything as good if not better than before.’”

“But at the root of that is a fallacy, that this is a world, and we are men touched by original sin, who will only really have happiness and completion and real restoration in heaven,” the prior said.

He noted, “we can and do and need to work to improve things and to bring order where there is chaos and disorder but not at the risk of making this world into the destination and the goal,” because “it isn’t; it’s our temporary place so that we might get to heaven.”

“The earthquake really helped us to see that in a visible form, because the ground was literally shaking beneath our feet,” he said, “and the buildings we had called home to us and to our neighbors, our families, our friends, all the people here in Italy that we know, in central Italy, as all that fell apart.”

He said this “has called for trust and faith that is hard to muster in these days when the faith is so minimal.”

According to Nivakoff, “there are so many” lessons from monastic life that could help people quarantined in their homes right now, but he emphasized “two principle challenges to solitude.”

The first is for those who are in quarantine with others. As for monks who live with other monks, charity is very important when living in the midst of many people, he said.

“This really calls for lots and lots of patience, [and] to remember that patience with others always begins with patience with ourselves,” he explained. “Accepting our sins, accepting our faults, accepting that God is patient with us, and being patient with ourselves, helps us to be more patient with others.”

He added that silence can be a really useful tool in these circumstances: “Not speaking, not responding to the irritating or difficult or perhaps provocative things … people we live with say.”

“Especially under quarantine, the people we live with are probably going to still be with us in a few hours and maybe our passions will have calmed down by then” to respond in a better way, he said.

The second principle he drew on is for those who are living alone, such as the elderly or the young.

“For them, the quarantine really means an eremitical lifestyle. And for them the hardest temptations are sadness, acedia,” Nivakoff said.

“Sadness, which can be good because it can help us to lament our sins, lament not being with God, but at the same time can be a very inward looking and very self-pitying emotion, that stems from expectations not fulfilled.”

He recommended lots of humility and accepting that you are not in charge, not placing hope in things one does not have any control over.

“We have a lot more control over whether we say our prayers at noon than whether the government stops the lockdown in one week,” he pointed out. “The ways to combat sadness are this: to make goals that depend on me, and to put our trust and hope in God.”

Nivakoff also noted that there is a lot of talk right now about the importance of regaining the liberties men and women have had and avoiding “overreach of the government.”

“And that might be true, but from a Christian perspective, it is that we men and women need to accept the limitations that this disease brings on us,” he said.

“So even this terrible virus we need to see as permitted by [God] for some good purpose and the most traditional understanding of that is for some kind of purification.”

“So, we ask for God’s mercy because we need it.”

So during the coronavirus pandemic, the monks continue their prayer and their work taking care of the animals, gardening, cooking, cleaning, and managing the nearby forest.

To support themselves the monks also brew beer, and because it is sold through the internet, the coronavirus has not negatively impacted sales.

“And thank God, that model has really been blessed at this time because with so many people not being able to leave their home, many have taken it as an occasion to sample some monastic beer,” Nivakoff said.

“We continue to export from Italy to the United States and beer is available and it seems to delight many hearts there and we are very happy.”




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Scottish pro-life student group investigated, but no action taken

CNA Staff, May 5, 2020 / 02:01 pm (CNA).- After complaints that a pro-life event held by the Aberdeen Life Ethics Society violated a 'safe space policy', an investigation has resulted in no action being taken against the pro-life group.

Ales held an event March 12 called “Does Abortion Violate Human Rights?”, about which some students at Aberdeen University complained. Among the complaints were that it included “highly graphic material,” the Gaudie, Aberdeen University's student paper, reported April 30.

Ales told the Gaudie that “In response to these unfounded complaints, we provided [the Aberdeen University Students' Association] with various examples of our efforts to warn attendees about sensitive content. We maintain that these efforts fulfilled our obligation to caution anyone who might be uncomfortable with an honest discussion of abortion (i.e., the intentional killing of antenatal humans by vacuum aspiration, poisoning, and/or dismemberment).”

“Thankfully, AUSA was satisfied with our defence against these vexatious complaints and will take no action against us. We look forward to organising future public events about the ethical importance of human life in the womb, and we pledge to continue to offer clear and explicit content warnings about the grisly reality of abortion,” the pro-life group continued.

Ausa told complainants that “the issues have been raised with ALES and they have provided assurances to AUSA that clearer and more explicit content warnings, and cautions will be issued, prior to showing similar videos in the future,” and that “on this basis we have concluded that no further action will be taken by AUSA against ALES and this matter is now concluded.”

One of those who complained about the event, Martin Le Brech, called Ausa's decision “very disappointing,” adding: I hope AUSA will thoroughly scrutinise ALES' activities and listen to the wider University community that is utterly embarrassed such misinformation and graphic contents are regularly spread on campus. We need to make sure our University is a safe space for everybody, free of bigotry and insidious violence.”

And Leah Robb, president of the Pro-Choice Society, said that if Ales “continue with similar events/demonstrations I am considering launching another complaint to AUSA.”

Ales was granted affiliation by the Aberdeen student association in May 2019, following a protracted disagreement.

In October 2018 Ausa had prevented the affiliation of Ales, citing its own pro-choice policy which it adopted in 2017. The policy says, in part, that “Ausa should oppose the unreasonable display of pro-life material within campus and at Ausa events.”

The move limited Ale's access to funds and venues at the university.

After failing to have the policy changed, Ales filed a lawsuit in April 2019 against Ausa and the university, “alleging unlawful discrimination against the society and the violation of rights protected by UK law.”

In its lawsuit, Ales charged that Ausa's no platform policy violates the Equality Act 2010 and the Human Rights Act 1998 by restricting “the freedoms of association and belief for certain students on the basis of an ideological litmus test.”

According to the Gaudie, Ales received “a financial pay-out” from Ausa over the matter.

After receiving affiliation, Ales stated: “We look forward to actively engaging with the student body and working to foster a civil yet honest conversation about the vitally important ethical issues surrounding human life. While there are some intolerant students who wanted our society to fail … we truly believe that there are many more students on this campus who are willing to take a fair-minded approach to this debate. These are the students we’ve heard from all along the way – they may not agree with our position, but they adamantly believe that we should be free to espouse our beliefs on campus.”

Pro-life groups at other Scottish universities have faced similar problems.

In 2018 the University of Strathclyde (in Glasgow) lifted a ban on pro-life groups following legal pressure. Strathclyde Sudents for Life argued that the student associaton's no platforming policy violated the Equality Act 2010 “by directly discriminating against a group of students based on their beliefs.”

Glasgow Students for Life were barred from affiliation by the Glasgow University's Students' Representative Council in November 2018.

In March 2018 a joint committee on human rights of the UK parliament noted troubling barriers to free speech at the nation's universities, writing: “Whilst the original intention behind safe space policies may have been to ensure that minority or vulnerable groups can feel secure, in practice the concept of safe spaces has proved problematic, often marginalising the views of minority groups.”




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Praying for a woman in prostitution

An OM team in Hong Kong listens to the story of a woman in prostitution and offer her comfort and prayers.




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Andrew Walther appointed president of EWTN News

CNA Staff, May 8, 2020 / 06:00 am (CNA).- EWTN Global Catholic Network, the world’s largest Catholic media organization, announced Friday that Andrew Walther – an experienced Catholic journalist, media executive, and advocate for persecuted Christians – has been named president and chief operating officer of EWTN News, Inc. The appointment is effective June 1.

Walther began his Catholic media career as a journalist writing for the National Catholic Register two decades ago. Most recently he has served as vice president for communications and strategic planning at the Knights of Columbus.

In his role as president of the news division, Walther will oversee EWTN’s vast news media platforms, which create content in English, Spanish, German, French, Portuguese and Italian. Its holdings include Catholic News Agency, the National Catholic Register, the ACI Group, ChurchPop and EWTN’s lineup of television and radio news programming.

“As well as being an accomplished Catholic journalist and media executive, Andrew Walther brings to this role unique expertise in the global Church,” said EWTN Chairman and CEO Michael P. Warsaw.

“His leadership experience with a global Catholic communications and media operation – and his previous work with the National Catholic Register and EWTN News Nightly – gives him the added advantage of already knowing the Catholic media world and many of the people within the EWTN family. We look forward to having him lead and strengthen our news division,” Warsaw said.

Since 2005, Walther has worked in senior roles at the Knights of Columbus. During his tenure at the Knights, Walther helped launch the organization’s modern communications department, overseeing work with Catholic and secular media outlets, the launch of social media channels and video production, and the organization’s global media work, especially in Europe and the Middle East. He was also heavily involved in the organization’s charitable work and disaster relief initiatives.

Walther also organized and led the Knights’ work on behalf of persecuted Christians in the Middle East, traveling to Iraq several times and successfully leading a public effort to have ISIS’ campaign of persecution declared  a genocide by Secretary of State John Kerry.

His advocacy for persecuted Christians and other religious minorities in the Middle East helped shape policy in both the Obama and Trump administrations, and he also helped play a role in forging a bipartisan legislative consensus on behalf of persecuted Christians and other victims of ISIS in the Middle East. Walther’s efforts included working with other governments and the UN as well as with Catholic, Orthodox, Protestant, Jewish and Muslim leaders to end violence and persecution and bring relief to persecuted Christian communities.

“Andrew Walther has been a good friend and a trusted colleague for many years,” said Archbishop José H. Gomez of Los Angeles, who is president of the U.S bishop’s conference and a longtime member of EWTN’s board of governors.

“Andrew is one of the Church’s finest strategic thinkers and a highly respected advocate for international religious liberty. All of this will serve him well as head of the world’s largest Catholic news organization. I wish him great success.”

While working closely over the years with many bishops, dioceses and Catholic organizations in North America, Walther also worked closely with the Vatican on several projects under both Pope Benedict XVI and Pope Francis.

“Mother Angelica created a network dedicated to ‘the advancement of truth’ and Catholic news is a vital part of this mission,” Walther said Friday.

“I look forward to working with the talented and dedicated team of journalists at EWTN News to provide news from a Catholic perspective and to highlight important stories that might otherwise be overlooked.”

In addition to his roles in media and religious freedom advocacy, Walther also oversaw the Knights’ polling and book publishing operations, which included several New York Times bestsellers. Together with his wife, Maureen, he co-authored “The Knights of Columbus: An Illustrated History,” a book released this year.




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Godly provision

A lady visits a women's conference during the OM Mexico July outreach and finds the doctor she needs.




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Imagination and prayer

Young Mexicans are challenged to do their part in missions during a conference in August, in which OM participated.




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The prettiest thing

Children from broken families in Mexico celebrate Christmas together.




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Precious like a pearl

Young girls in Mexico learn about abuse and many open up about their own experiences.




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Blessings in a prayer meeting

Three ladies attend an OM Mexico meeting to pray for Mexican workers around the world. Little did they expect to be so blessed in return.




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We can pray for you

Participants from seven churches share the Gospel in an outreach organised by OM Mexico in Monclova, Coahuila—a city known for drug trafficking.




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Weekend of creative prayer

Long-term OM workers organize weekends of intercessory art, helping community connect creativity and prayer.




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Perfectly prepared

Professional experience as a teacher and personal relationships on the field equipped one long-term worker to teach at a start-up English-speaking school.




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Getting Bibles in print and on phones

The Bible in the local Arabic dialect is shared via smartphone app in North Africa.




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Interpreting traditions

Long-term workers tell local friends the meaning of ancient traditions, sharing the Bible stories behind their rituals.




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God provides miracle visas

OM workers share how God answered prayers for visas to stay in North Africa.




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Praying God’s heart for the nations, Part 2

Workers from the Middle East North Africa Area share how they use strategic prayer to prepare the way for God to move across the region.




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Exporting local products, importing love

Workers find business opportunities using local products and model a lifestyle of integrity and love.




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Praying in the city

Prayer walking in a North African city brings some encouraging insights for a long term worker and her daughter




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Lynchee Buakham (Thailand) Profile

Name: Lynchee Buakham Home: Chaing Rai,Thailand Born in: April 1983 Joined OM Ships: January 2013 Previous employment: Marketing assistant Current job on board: Hotel Services team member




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Simple ways to a profound love

Singapore :: A Frenchman makes friends with a community of foreign workers in Singapore.




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The precious stone

Former Logos Hope port volunteer Swens Wong discovers God’s creativity in his cake-baking business and uses his creations, and story, to bring God glory.




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Prezi

Prezi frees your presentations from the sequential slide deck format. You can use it to make interactive presentations, talking head videos, and more.




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Pope Francis prays for coronavirus victims dying without their loved ones

Vatican City, May 5, 2020 / 03:30 am (CNA).- Pope Francis prayed for those who have died alone during the coronavirus pandemic at his morning Mass Tuesday.

At the start of Mass in the chapel at Casa Santa Marta, his Vatican residence, he said May 5: "Today we pray for the deceased who have died because of the pandemic. They have died alone, without the caresses of their loved ones. So many did not even have a funeral. May the Lord welcome them in His glory."

More than 250,000 people have died of COVID-19 worldwide as of May 5, according to Johns Hopkins University Coronavirus Resource Center.

In his homily, the pope reflected on the day’s Gospel reading (John 10:22-30), in which Jesus is asked to declare openly whether he is the Christ. Jesus replies that he has already told his listeners, but they have not believed him because they are not among his sheep.  

Pope Francis urged Catholics to ask themselves: “What makes me stop outside the door that is Jesus?”

One major obstacle is wealth, the pope said.

“There are many of us who have entered the door of the Lord but then fail to continue because we are imprisoned by wealth,” he said, according to a transcript by Vatican News. 

“Jesus takes a hard line regarding wealth… Wealth keeps us from going ahead. Do we need to fall into poverty? No, but, we must not become slaves to wealth. Wealth is the lord of this world, and we cannot serve two masters.”

The pope added that another barrier to progress towards Jesus is rigidity of heart.  

He said: “Jesus reproached the doctors of the law for their rigidity in interpreting the law, which is not faithfulness. Faithfulness is always a gift of God; rigidity is only security for oneself.”

As an example of rigidity, the pope recalled that once when he visited a parish a woman asked him whether attending a Saturday afternoon nuptial Mass fulfilled her Sunday obligation. The readings were different to those on Sunday so she worried that she might have committed a mortal sin. 

Rigidity leads us away from the wisdom of Jesus and robs us of our freedom, he said.

The pope named two further obstacles: acedia, which he defined as a tiredness that “takes away our desire to strive forward” and makes us lukewarm, and clericalism, which he described as a disease that takes away the freedom of the faithful. 

He identified worldliness as the final obstacle to approaching Jesus. 

“We can think of how some sacraments are celebrated in some parishes: how much worldliness there is there,” he said. 

“These are some of the things that stop us from becoming members of Jesus’s flock. We are ‘sheep’ of all these things -- wealth, apathy, rigidity, worldliness, clericalism, ideologies. But freedom is lacking and we cannot follow Jesus without freedom. ‘At times freedom might go too far, and we might slip and fall.’ Yes, that’s true. But this is slipping before becoming free.”

After Mass, the pope presided at adoration and benediction of the Blessed Sacrament, before leading those watching via livestream in an act of spiritual communion.

The congregation then sang the Easter Marian antiphon "Regina caeli."

At the end of his homily, the pope prayed: “May the Lord enlighten us to see within ourselves if we have the freedom required to go through the door which is Jesus, to go beyond it with Jesus in order to become sheep of His flock.”




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Weight Management in Primary Care for Children With Autism: Expert Recommendations

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.




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Parent Perceptions About Communicating With Providers Regarding Early Autism Concerns

BACKGROUND:

Long delays between parents’ initial concerns about their children’s development and a subsequent autism spectrum disorder (ASD) diagnosis are common. Although discussions between parents and providers about early ASD concerns can be difficult, they are critical for initiating early, specialized services. The principles of shared decision-making can facilitate these discussions. This qualitative study was designed to gain insights from parents of young children with ASD about their experiences communicating with primary care providers with the goal of identifying strategies for improving conversations and decision-making regarding the early detection of ASD.

METHODS:

Three 2-hour focus groups were conducted with 23 parents of children with ASD <8 years old. Qualitative analysis employed an iterative and systematic approach to identify key themes related to parents’ experiences.

RESULTS:

Eight themes related to communication about early ASD concerns emerged: characteristics of the child that caused parental concerns, the response of others when the parent brought up concerns, how concerns were brought up to the parent by others, parental responses when others mentioned concerns, information seeking, barriers to and facilitators of acting on concerns, and recommendations to providers. Parent responses suggest the need for increased use of shared decision-making strategies and areas for process improvements.

CONCLUSIONS:

Primary care providers can play a key role in helping parents with ASD concerns make decisions about how to move forward and pursue appropriate referrals. Strategies include responding promptly to parental concerns, helping them weigh options, and monitoring the family’s progress as they navigate the service delivery system.




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Screening Tools for Autism Spectrum Disorder in Primary Care: A Systematic Evidence Review

CONTEXT:

Recommendations conflict regarding universal application of formal screening instruments in primary care (PC) and PC-like settings for autism spectrum disorder (ASD).

OBJECTIVES:

We systematically reviewed evidence for universal screening of children for ASD in PC.

DATA SOURCES:

We searched Medline, PsychInfo, Educational Resources Informational Clearinghouse, and Cumulative Index of Nursing and Allied Health Literature.

STUDY SELECTION:

We included studies in which researchers report psychometric properties of screening tools in unselected populations across PC and PC-like settings.

DATA EXTRACTION:

At least 2 authors reviewed each study, extracted data, checked accuracy, and assigned quality ratings using predefined criteria.

RESULTS:

We found evidence for moderate to high positive predictive values for ASD screening tools to identify children aged 16 to 40 months and 1 study for ≥48 months in PC and PC-like settings. Limited evidence evaluating sensitivity, specificity, and negative predictive value of instruments was available. No studies directly evaluated the impact of screening on treatment or harm.

LIMITATIONS:

Potential limitations include publication bias, selective reporting within studies, and a constrained search.

CONCLUSIONS:

ASD screening tools can be used to accurately identify percentages of unselected populations of young children for ASD in PC and PC-like settings. The scope of challenges associated with establishing direct linkage suggests that clinical and policy groups will likely continue to guide screening practices. ASD is a common neurodevelopmental disorder associated with significant life span costs.1,2 Growing evidence supports functional gains and improved outcomes for young children receiving intensive intervention, so early identification on a population level is a pressing public health challenge.3,4




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Improving Behavior Challenges and Quality of Life in the Autism Learning Health Network

OBJECTIVES:

To summarize baseline data and lessons learned from the Autism Learning Health Network, designed to improve care and outcomes for children with autism spectrum disorder (ASD). We describe challenging behaviors, co-occurring medical conditions, quality of life (QoL), receipt of recommended health services, and next steps.

METHODS:

A cross-sectional study of children 3 to 12 years old with ASD receiving care at 13 sites. Parent-reported characteristics of children with ASD were collected as outcome measures aligned with our network’s aims of reducing rates of challenging behaviors, improving QoL, and ensuring receipt of recommended health services. Parents completed a survey about behavioral challenges, co-occurring conditions, health services, and the Patient-Reported Outcomes Measurement Information System Global Health Measure and the Aberrant Behavior Checklist to assess QoL and behavior symptoms, respectively.

RESULTS:

Analysis included 530 children. Challenging behaviors were reported by the majority of parents (93%), frequently noting attention-deficit/hyperactivity disorder symptoms, irritability, and anxiety. Mean (SD) scores on the Aberrant Behavior Checklist hyperactivity and irritability subscales were 17.9 (10.5) and 13.5 (9.2), respectively. The Patient-Reported Outcomes Measurement Information System Global Health Measure total score of 23.6 (3.7) was lower than scores reported in a general pediatric population. Most children had received recommended well-child (94%) and dental (85%) care in the past 12 months.

CONCLUSIONS:

This baseline data (1) affirmed the focus on addressing challenging behaviors; (2) prioritized 3 behavior domains, that of attention-deficit/hyperactivity disorder, irritability, and anxiety; and (3) identified targets for reducing severity of behaviors and strategies to improve data collection.




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The Autism Treatment Network: Bringing Best Practices to All Children With Autism

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.




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Maternal and Child Health Bureaus Autism Research Program

OBJECTIVES:

To provide an overview and quantitatively demonstrate the reach of the Health Resources and Services Administration’s Maternal and Child Health Bureau autism research program.

METHODS:

We reviewed program reports and internal data from 59 autism research grantees. The US federal Interagency Autism Coordinating Committee’s strategic plan questions were used as a framework to highlight the contributions of the autism research program in advancing the field.

RESULTS:

The autism research program grantees advance research in several ways. Grantees have strengthened the evidence for autism interventions by conducting 89 studies at 79 distinct research sites. A total of 212 708 participants have enrolled in autism research program studies and 361 researchers have contributed to furthering autism research. The program addresses topics that align with the majority of the Interagency Autism Coordinating Committee’s priority topic areas, including advancements in treatments and interventions, services and supports, and identifying risk factors. Grantee products include 387 peer-reviewed publications, 19 tools, and 13 practice guidelines for improving care and intervention practices.

CONCLUSIONS:

The autism research program has contributed to medical advances in research, leveraged innovative training platforms to provide specialized training, and provided access to health services through research-based screening and diagnostic procedures. Autism research program studies have contributed to the development of evidence-based practice guidelines, informed policy guidelines, and quality improvement efforts to bolster advancements in the field. Although disparities still exist, the Health Resources and Services Administration’s Maternal and Child Health Bureau can reduce gaps in screening and diagnosis by targeting interventions to underserved populations including minority and rural communities.




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Editors Note and Prologue




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Promoting Ideal Cardiovascular Health Through the Life Span




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Perspectives on Informed Consent Practices for Minimal-Risk Research Involving Foster Youth




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Improving Antibiotic Prescribing for Pediatric Urinary Tract Infections in Outpatient Settings

OBJECTIVES:

To determine if a multicomponent intervention was associated with increased use of first-line antibiotics (cephalexin or sulfamethoxazole and trimethoprim) among children with uncomplicated urinary tract infections (UTIs) in outpatient settings.

METHODS:

The study was conducted at Kaiser Permanente Colorado, a large health care organization with ~127 000 members <18 years of age. After conducting a gap analysis, an intervention was developed to target key drivers of antibiotic prescribing for pediatric UTIs. Intervention activities included development of new local clinical guidelines, a live case-based educational session, pre- and postsession e-mailed knowledge assessments, and a new UTI-specific order set within the electronic health record. Most activities were implemented on April 26, 2017. The study design was an interrupted time series comparing antibiotic prescribing for UTIs before versus after the implementation date. Infants <60 days old and children with complex urologic or neurologic conditions were excluded.

RESULTS:

During January 2014 to September 2018, 2142 incident outpatient UTIs were identified (1636 preintervention and 506 postintervention). Pyelonephritis was diagnosed for 7.6% of cases. Adjusted for clustering of UTIs within clinicians, the proportion of UTIs treated with first-line antibiotics increased from 43.4% preintervention to 62.4% postintervention (P < .0001). The use of cephalexin (first-line, narrow spectrum) increased from 28.9% preintervention to 53.0% postintervention (P < .0001). The use of cefixime (second-line, broad spectrum) decreased from 17.3% preintervention to 2.6% postintervention (P < .0001). Changes in prescribing practices persisted through the end of the study period.

CONCLUSIONS:

A multicomponent intervention with educational and process-improvement elements was associated with a sustained change in antibiotic prescribing for uncomplicated pediatric UTIs.




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Preventing Asthma Emergencies in Schools

Asthma is a significant public health issue, impacting quality of life, morbidity, and health care costs nationally. Stock asthma rescue medication policies authorize school districts to maintain unassigned albuterol and enable trained staff members to administer the medication in response to asthma symptoms, exercise premedication, and asthma emergencies. Stock asthma rescue (or reliever) medication laws serve as an important fail-safe measure. Such laws provide districts with the ability to respond if a student has an asthma emergency at school but either lacks a diagnosis or does not have access to their own medication. As of September 2019, 13 states have enacted either a law or regulation authorizing the stocking of asthma rescue medication in schools: Arizona, Colorado, Georgia, Illinois, Missouri, New Hampshire, New Jersey, New Mexico, Oklahoma, Ohio, Texas, Utah, and West Virginia. Three additional states provide stock albuterol asthma guidelines but do not have legislation: Indiana, New York, and Nebraska. Some states have found that these policies reduce the need for 911 calls and emergency medical services transports as a result of asthma exacerbations. Initial data also demonstrate that these policies reach populations in need and improve health outcomes. This case study will describe the current state of asthma in Illinois, an innovative policy solution to address asthma emergencies in schools, and the steps taken to advocate for stock asthma rescue medication in Illinois. Legislation for stock albuterol in Illinois was signed into law in August 2018.




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Primary and Secondary Prevention of Youth Suicide

Youth suicide is a national and global public health crisis. Pediatricians can use primary and secondary prevention strategies to intervene with youth before or after the onset of suicidal behaviors. Universal suicide risk screening programs can be used to identify youth in medical settings who may otherwise pass through the health care setting with undetected suicide risk. Pediatricians are uniquely positioned to help foster resilience in their young patients and equip families of at-risk youth with safety plans and lethal means safety counseling. Pediatricians on the frontlines of this critical public health crisis require education and training in detecting suicide risk, managing those who screen positive, and connecting their patients to much needed mental health interventions and treatments. Evidence-based suicide risk screening and assessment tools, paired with interventions, are feasible and potentially life-saving in the medical setting.




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Screening for Problematic Internet Use

Problematic Internet use (PIU) by adolescents is of growing concern among both parents and pediatricians. Early controversies may have contributed to challenges in defining and measuring PIU. A variety of screening tools have evolved, aligned with different constructs of PIU, although a validated screening tool does exist. Current data and American Academy of Pediatrics policy reflect evidence-driven screening for PIU for all youth.




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Camel and donkey preach the gospel to thousands

OM Ireland's two multi-media puppet shows perform over 75 times in schools around Ireland. The gospel message is expected to be heard by thousands.




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Prayerful obedience

Sent from OM Ireland, the Fitzgibbon family followed God's call on their lives to Russia and back.




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Pub prayers for revival

“Looking around that pub at the various people enjoying their tea, I started really thinking about what he’d said,” Hannah remembers. “Praying for revival…In a country that many have come to learn is spiritually dark, have we given up on praying for the people? Has the belief in revival died, or are we still trusting that God can move in a mighty way?”




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Living on a prayer

One Namibian OM worker operates a prayer house—and does so much more.




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Prayer and the Word of God changes lives

OM worker is amazed to see God change lives, as he peers over his book table on a busy Muslim street in Australia.




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Repairing smiles in the Odessa province

A team of dentists and volunteers recently visited an orphanage in the Odessa province to fix 75 young smiles.




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Easter puppet outreach in Vinnitsa province

In the weeks around Easter, the OM team in Vinnitsa reached out with a gospel puppet show to more than 1,500 people.




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Indigenous protests cause serious problems for OM Panama

OM Panama team members struggle to continue ministry as the Gnöbe Buglé people protest and bring the country to a halt.




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Panama begins the process of recovery

After a week of tensions between government and the indigenous inhabitants, Panamá is on the road to recovery.




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Protection and forgiveness

A man goes from being sought by gangsters to being sought by God.




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Small group, big prayer

A change of plans for OM Panama volunteers leads to a powerful prayer meeting.




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Fin24.com | Property ETF 'perfect for beginners'

Property index exchange-traded fund Proptrax is a cheap and easy way to gain exposure to the property market, says an analyst.




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Fin24.com | Private investments

Historically returns are high.