Dr. Strathearn Publishes on Drug Addiction

Congratulations to Dr. Lane Strathearn (Developmental and Behavioral Pediatrics) and his research team on their recent publication in the journal Frontiers in Psychiatry.

Strathearn L, Mertens CE, Mayes L, Rutherford H, Rajhans P, Xu G, Potenza MN, Kim S. Pathways Relating the Neurobiology of Attachment to Drug Addiction. Front Psychiatry, 08 November 2019 | https://doi.org/10.3389/fpsyt.2019.00737

Abstract: Substance use disorders constitute a significant public health problem in North America and worldwide. Specifically, substance addictions in women during pregnancy or in the postpartum period have adverse effects not only on the mother, but also on mother-infant attachment and the child’s subsequent development. Additionally, there is growing evidence suggesting that parental addiction may be transmitted intergenerationally, where the child of parents with addiction problems is more likely to experience addiction as an adult. The current review takes a developmental perspective and draws from animal and human studies to examine how compromised early experience, including insecure attachment, early abuse/neglect, and unresolved trauma, may influence the development of neurobiological pathways associated with addictions, ultimately increasing one’s susceptibility to addictions later in life. We approach this from three different levels: molecular, neuroendocrine and behavioral; and examine the oxytocin affiliation system, dopamine reward system, and glucocorticoid stress response system in this regard. Increased understanding of these underlying mechanisms may help identify key targets for early prevention efforts and inform needed intervention strategies related to both insecure attachment and addiction.

Dr. Benson Publishes on Adequate Palliative Care

Congratulations to Dr. Becky Benson (General Pediatrics and Adolescent Medicine/Palliative Care) on her recent publication in the journal Pediatrics.

Levy C, Weeks KS, Benson RJ, Miller JM, Higgins J, Deutsch SA, Lantos JD. Failure to Provide Adequate Palliative Care May Be Medical Neglect. Pediatrics. 2019 Oct;144(4). pii: e20183939. doi: 10.1542/peds.2018-3939. Epub 2019 Sep 4.

Abstract: Doctors are required to notify Child Protective Services (CPS) if parents do not provide appropriate medical care for their children. But criteria for reporting medical neglect are vague. Which treatments properly fall within the realm of shared decision-making in which parents can decide whether to accept doctors’ recommendations? Which treatments are so clearly in the child’s interest that it would be neglectful to refuse them? When to report medical neglect concerns to CPS may be controversial. It would seem inhumane to allow a child to suffer because of parental refusal to administer proper analgesia. In this ethics rounds, we present a case of an adolescent with chronic pain who is terminally ill. Her parents were not adherent to recommended analgesia regimens. Her palliative care team had to decide whether to report the case to CPS.

Cifra and Tigges Publish and Receive Award

Congratulations to Christina Cifra and Cody Tigges (Critical Care) on their recent publication in the journal Diagnosis.

This work was presented as a platform presentation and was also awarded Best Quality Improvement Abstract at the recent American Academy of Pediatrics (Section on Critical Care) National Conference 2019 in New Orleans.

Dr. Vyas Publishes on Wiskott-Aldrich Syndrome

Congratulations to Dr. Yatin Vyas (Hematology/Oncology) on his recent publication in the Journal of Allergy and Clinical Immunology on Wiskott Aldrich Syndrome.

Wen KK, Han SS, Vyas YM. Wiskott-Aldrich syndrome protein senses irradiation-induced DNA damage to coordinate the cell-protective Golgi dispersal response in human T and B lymphocytes. J Allergy Clin Immunol. 2019 Oct 8. pii: S0091-6749(19)31263-1. doi: 10.1016/j.jaci.2019.09.026. [Epub ahead of print].

Conclusion:

The study identifies WASp as a novel effector of nucleus-to-Golgi, cell-survival pathway triggered by IR-induced DNA damage in the cells of the hematolymphoid lineage, and proposes impaired GDR as a new etiology in the development of a “radiosensitive” form of immune dysregulation in WAS

New Publication for Dr. Schieltz

Congratulations to Dr. Kelly Schieltz (Developmental and Behavioral Pediatrics) for her recent publication in the Journal of the Experimental Analysis of Behavior.

From the abstract:

Treatments based on differential reinforcement may inadvertently increase the recurrence of problem behavior in the face of challenges because reinforcers for appropriate behavior occur in the same context as problem behavior. The current study evaluated one potential approach to mitigating these problems with differential reinforcement treatments based on behavioral momentum theory. Specifically, appropriate behavior was trained in contexts without a history of reinforcement prior to intervening with problem behavior. Participants were 4 children with autism spectrum disorder. Treatment used telehealth to implement functional communication training (FCT) in three alternative contexts with minimal or no history of reinforcement for problem behavior before initiating FCT in the treatment context. Evaluations of the effects of treatment and tests of resurgence were conducted intermittently during treatment to evaluate maintenance. When FCT treatment was initiated in alternative contexts, initial results were comparable to more typical implementations of FCT. Resurgence was reduced to similar levels during tests of resurgence for all participants when compared to more typical previously published implementations of FCT, but clinically significant reductions in resurgence occurred more quickly in the present study. These findings support training appropriate behavior in an alternative context to mitigate the resurgence of problem behavior during differential reinforcement treatments.

Dr. Staber Publishes with American Society of Hematology

Congratulations to Dr. Janice Staber (Hematology/Oncology) on two new publication recognitions through the American Society of Hematology (ASH).

First, she was named a co-author of the ASH Daily News, which is the daily publication of the ASH annual meeting which takes place December 7-10, 2019. This involves 4 separate issues over the four days of the annual meeting and features informative articles on a wide rage of Education Program sessions, Scientific Committee sessions, and abstract presentations.

Secondly, she was interviewed for an article in the ASH Clinical News magazine for the article titled “Breakthroughs for Bleeding: Updates in Treating and Managing Hemophilia“, published online on October 1, 2019.

Dr. Paternostro Publishes Handbook on Cognitive Behavioral Therapy

Congratulations to Dr. Jennifer Paternostro (Developmental and Behavioral Pediatrics) for publishing the “Handbook of Cognitive Behavioral Therapy for Pediatric Medical Conditions“. Dr. Paternostro is co-editor of the book, and co-author on 4 chapters within the book. She is currently working on getting the book available through the UI Libraries.

Way to go, Dr. Paternostro!

Dr. Uc is Senior Author on Two New Publications

Congratulations to Dr. Aliye Uc (GI) on her recent senior authorship on two publications in the Journal of Pediatric Gastroenterology and Nutrition.

Drs. Elgin and McElroy Publish on Neonatal Intestinal Injury

Congratulations to Dr. Tim Elgin and Dr. Steve McElroy for their recent articles on neonatal intestinal injury!

Dr. Strathearn Publishes Two Articles

Congratulations to Dr. Strathearn and his two recent publications in the Journal of Neuroendocrinology and Current Behavioral Neuroscience Reports, respectively!