Wednesday, July 29, 2009
New York State Access Pass
An Access Pass permits a resident of New York State with a permanentdisability (partially defined below) free use of parks, historic sites andrecreational facilities operated by the New York State Office of Parks,Recreation and Historic Preservation and the NYS Department of EnvironmentalConservation. The pass holder may have free use of facilities operated bythese offices, for which there is normally a charge for example, parking,camping, greens fees, swimming. The Pass, however, is not valid at anyfacility within a park operated by a private concern under contract to theState, or for a waiver of fees such as those for seasonal marina dockage,for a group camp, for reservation of a picnic shelter, for performing artsprograms, for consumables (i.e. firewood, electric, or gas) forcampsite/cabin amenities, or for fees related to campsite/cabin reservationsand registrations.To qualify for an Access Pass, an applicant must be a resident ofNew York State and must provide proof of disability, in the form ofcertification for an appropriate agency (defined in the application) or by aphysician. A disability includes: Blindness, Developmental Disability,Physical Disability requiring physical assistance, wheelchair confinement,prosthetic devices. Refer to the Access Pass application for more completeinformation.To request an application, contact NYS Office of Parks andRecreation and Historic Preservation, Access Pass, Albany, NY 12238 or call518-474-2324.
Tuesday, July 28, 2009
Restrictive Diets May Not Be Appropriate for Children With Autism
July 28, 2009
Restrictive Diets May Not Be Appropriate for Children With Autism
By RONI CARYN RABIN
Many parents of autistic children have put their children on strict gluten-free or dairy-free diets, convinced that gastrointestinal problems are an underlying cause of the disorder. But a new study suggests the complicated food regimens may not be warranted.
Researchers at the Mayo Clinic reviewed the medical records of over 100 autistic children over an 18-year period and compared them to more than 200 children without the disorder. The scientists found no differences in the overall frequency of gastrointestinal problems reported by the two groups, though the autistic children suffered more frequently from bouts of constipation and were more likely to be picky eaters who had difficulty gaining weight.
The study, published on Monday in the journal Pediatrics, is the first to look at the incidence of gastrointestinal problems in an autistic population, according to the paper’s first author, Dr. Samar H. Ibrahim, a pediatric gastroenterologist at the Mayo Clinic. She suggested that autistic children should only be put on restrictive wheat-free or dairy-free diets after having appropriate diagnostic tests done.
“There is actually no trial that has proven so far that a gluten-free and casein-free diet improves autism,” she said. “The diets are not easy to follow and can sometimes cause nutritional deficiencies.”
The study found that the vast majority of both autistic and non-autistic children suffered from bouts of common gastrointestinal problems like constipation, diarrhea, abdominal bloating, reflux or vomitin.g Feeding issues and picky eating were also common. Some 77 percent of autistic children and 72 percent of non-autistic children were affected by one or more of these complaints over the 18-year period.
About 34 percent of the autistic children were affected by constipation, compared to 17.6 percent of the comparison group, while 24.5 percent of the autistic children had feeding issues and were selective in their eating, compared with only 16 percent of the non-autistic group.
But very few of the autistic children had a specific diagnosis of a gastrointestinal disease. Only one autistic child had Crohn’s disease, and one had intestinal disaccharidase deficiency and lacked enzymes necessary to digest certain carbohydrates. None suffered from celiac disease, which some reports have linked to autism.
Two of the non-autistic children in the comparison group suffered from lactose intolerance, and one had a milk allergy.
Dr. Ibrahim suggested that the loss of appetite and difficulty gaining weight in autistic children may be related to the use of stimulant medications, which are often prescribed for the condition, and that the constipation may be due to children not consuming enough fiber or drinking enough water.
Restrictive Diets May Not Be Appropriate for Children With Autism
By RONI CARYN RABIN
Many parents of autistic children have put their children on strict gluten-free or dairy-free diets, convinced that gastrointestinal problems are an underlying cause of the disorder. But a new study suggests the complicated food regimens may not be warranted.
Researchers at the Mayo Clinic reviewed the medical records of over 100 autistic children over an 18-year period and compared them to more than 200 children without the disorder. The scientists found no differences in the overall frequency of gastrointestinal problems reported by the two groups, though the autistic children suffered more frequently from bouts of constipation and were more likely to be picky eaters who had difficulty gaining weight.
The study, published on Monday in the journal Pediatrics, is the first to look at the incidence of gastrointestinal problems in an autistic population, according to the paper’s first author, Dr. Samar H. Ibrahim, a pediatric gastroenterologist at the Mayo Clinic. She suggested that autistic children should only be put on restrictive wheat-free or dairy-free diets after having appropriate diagnostic tests done.
“There is actually no trial that has proven so far that a gluten-free and casein-free diet improves autism,” she said. “The diets are not easy to follow and can sometimes cause nutritional deficiencies.”
The study found that the vast majority of both autistic and non-autistic children suffered from bouts of common gastrointestinal problems like constipation, diarrhea, abdominal bloating, reflux or vomitin.g Feeding issues and picky eating were also common. Some 77 percent of autistic children and 72 percent of non-autistic children were affected by one or more of these complaints over the 18-year period.
About 34 percent of the autistic children were affected by constipation, compared to 17.6 percent of the comparison group, while 24.5 percent of the autistic children had feeding issues and were selective in their eating, compared with only 16 percent of the non-autistic group.
But very few of the autistic children had a specific diagnosis of a gastrointestinal disease. Only one autistic child had Crohn’s disease, and one had intestinal disaccharidase deficiency and lacked enzymes necessary to digest certain carbohydrates. None suffered from celiac disease, which some reports have linked to autism.
Two of the non-autistic children in the comparison group suffered from lactose intolerance, and one had a milk allergy.
Dr. Ibrahim suggested that the loss of appetite and difficulty gaining weight in autistic children may be related to the use of stimulant medications, which are often prescribed for the condition, and that the constipation may be due to children not consuming enough fiber or drinking enough water.
Monday, July 20, 2009
Celexa May Not Help Kids With Autism
Celexa May Not Help Kids With Autism
06.01.09, 04:00 PM EDT
Study finds no benefit, and more side effects, but not all agree
MONDAY, June 1 (HealthDay News) -- In contrast to the assumptions of some doctors, new research suggests that the antidepressant Celexa does not help relieve repetitive behaviors often seen in children and teens with autism.
But the findings still need to be confirmed by other studies, and at least one autism specialist said the drug has worked well in his patients of preschool age, who are younger than those in the study.
"The jury is still out on how autism should be treated," said the specialist, Dr. Andrew Zimmerman, a pediatric neurologist and director of medical autism research at the Kennedy Krieger Institute in Baltimore.
Antidepressants known as selective serotonin reuptake inhibitors, or SSRIs, are a common treatment for autism and given to perhaps 30 percent of children with the condition, said Dr. Bryan King, lead author of the study. Other common treatments, he said, include antipsychotic drugs, which calm people who use them, and stimulants such as Ritalin, which reduce hyperactivity and impulsive behaviors.
Celexa, also known by the generic name citalopram, is lesser known than similar antidepressants such as Prozac and Paxil. But it's easier to prescribe to autistic children because it comes in a liquid form, meaning that parents don't have to force their children to take pills, said King, a researcher and director of psychiatry and behavioral medicine at Seattle Children's Hospital and the University of Washington.
Also, the drug spends less time in the body before being flushed out, making it easier for doctors to quickly adjust the dosage, he said.
King's research team assumed that Celexa reduces symptoms of autism in children, such as repetitive motions, but they wanted to understand more about its powers.
"We didn't expect it to work for everyone, but we were hoping that we'd be able to drill down into the population for whom it was very helpful and begin to identify the predictor of what a positive response would be," he said.
They randomly gave either 16.5 milligrams, on average, of Celexa or a placebo to 149 children with autism who were 5 to 17 years old. The children took the drug or fake drug for three months, and 123 of them finished the study.
The number of children who improved -- defined as not engaging in as many repetitive behaviors -- was about a third in both groups.
In other words, Celexa appeared to make no difference compared with a placebo. And children on Celexa were more likely to suffer from apparent side effects such as diarrhea, insomnia, hyperactivity and repetition of movements, the study found.
In a statement, Forest Laboratories, the maker of Celexa, said that it "was not involved in this study and therefore cannot provide comment."
The results are in the June issue of Archives of General Psychiatry.
The finding raises questions about whether similar antidepressants are also not providing benefit, or as much benefit as doctors had assumed, King said.
Zimmerman, the Baltimore autism specialist, said he's successfully treated younger autistic children, ages 3 to 5, with the drug. He added that he uses smaller doses, which appear to not create as many side effects.
"If you start at a very low dose and build it up slowly, you see improvements in mood and decreases in repetitive behaviors," he said. "The kids are more attentive."
More information
The U.S. National Institute of Neurological Disorders and Stroke has more on autism.
06.01.09, 04:00 PM EDT
Study finds no benefit, and more side effects, but not all agree
MONDAY, June 1 (HealthDay News) -- In contrast to the assumptions of some doctors, new research suggests that the antidepressant Celexa does not help relieve repetitive behaviors often seen in children and teens with autism.
But the findings still need to be confirmed by other studies, and at least one autism specialist said the drug has worked well in his patients of preschool age, who are younger than those in the study.
"The jury is still out on how autism should be treated," said the specialist, Dr. Andrew Zimmerman, a pediatric neurologist and director of medical autism research at the Kennedy Krieger Institute in Baltimore.
Antidepressants known as selective serotonin reuptake inhibitors, or SSRIs, are a common treatment for autism and given to perhaps 30 percent of children with the condition, said Dr. Bryan King, lead author of the study. Other common treatments, he said, include antipsychotic drugs, which calm people who use them, and stimulants such as Ritalin, which reduce hyperactivity and impulsive behaviors.
Celexa, also known by the generic name citalopram, is lesser known than similar antidepressants such as Prozac and Paxil. But it's easier to prescribe to autistic children because it comes in a liquid form, meaning that parents don't have to force their children to take pills, said King, a researcher and director of psychiatry and behavioral medicine at Seattle Children's Hospital and the University of Washington.
Also, the drug spends less time in the body before being flushed out, making it easier for doctors to quickly adjust the dosage, he said.
King's research team assumed that Celexa reduces symptoms of autism in children, such as repetitive motions, but they wanted to understand more about its powers.
"We didn't expect it to work for everyone, but we were hoping that we'd be able to drill down into the population for whom it was very helpful and begin to identify the predictor of what a positive response would be," he said.
They randomly gave either 16.5 milligrams, on average, of Celexa or a placebo to 149 children with autism who were 5 to 17 years old. The children took the drug or fake drug for three months, and 123 of them finished the study.
The number of children who improved -- defined as not engaging in as many repetitive behaviors -- was about a third in both groups.
In other words, Celexa appeared to make no difference compared with a placebo. And children on Celexa were more likely to suffer from apparent side effects such as diarrhea, insomnia, hyperactivity and repetition of movements, the study found.
In a statement, Forest Laboratories, the maker of Celexa, said that it "was not involved in this study and therefore cannot provide comment."
The results are in the June issue of Archives of General Psychiatry.
The finding raises questions about whether similar antidepressants are also not providing benefit, or as much benefit as doctors had assumed, King said.
Zimmerman, the Baltimore autism specialist, said he's successfully treated younger autistic children, ages 3 to 5, with the drug. He added that he uses smaller doses, which appear to not create as many side effects.
"If you start at a very low dose and build it up slowly, you see improvements in mood and decreases in repetitive behaviors," he said. "The kids are more attentive."
More information
The U.S. National Institute of Neurological Disorders and Stroke has more on autism.
Monday, July 13, 2009
News from Disability Scoop
Disability Scoop Email News: Friday, July 10 , 2009
To check out these headlines and more, visit DisabilityScoop.com everyday for the latest in developmental disability news. Like what you see here? Feel free to forward this email to your friends and colleagues. And, if you haven't already, click here to register with Disability Scoop, it's free!
Latest Headlines:
Long-Term Care Enters Health Reform DebateJuly 10, 2009White House officials tell Disability Scoop the president supports the Community Choice Act, but are mum on including it in health care reform.
Children Often Age 3 Or More Before Fragile X ConfirmedJuly 9, 2009Despite increased awareness, there’s been practically no change in the age of diagnosis over the last seven years, a study finds.
Beware Of Free Drug Samples, Consumer Group SaysJuly 9, 2009Think twice before accepting free samples of drugs like Adderall XR, Concerta and Strattera, Consumer Reports is warning.
Push For Autism Insurance Mandate Shifts Into High GearJuly 8, 2009An ad campaign launched Wednesday by Autism Speaks urges Congress to include autism insurance coverage in its health care reform efforts.
Autism Brings Moms A Whole New Level Of Stress, Study SaysJuly 8, 2009Mothers of children with autism experience more stress than mothers of kids with other types of developmental delay.
Man With Down Syndrome To Be Honored At All-Star GameJuly 8, 2009A man with Down syndrome will be one of 30 heroes honored by People Magazine and Major League Baseball at the league’s All-Star Game.
Disability Groups Unite Behind Sotomayor ConfirmationJuly 8, 2009More than two dozen national disability organizations are asking the Senate to confirm Sonia Sotomayor’s nomination to the Supreme Court.
The Scoop:
Scoop Essentials: Preventing Violence, Abuse And NeglectJuly 7, 2009People with developmental disabilities can be seen as easy prey. Learn how to avoid being victimized from Nancy Fitzsimons, an associate professor of social work at Minnesota State University, Mankato who specializes in abuse prevention for people with disabilities. Check out what Fitzsimons has to say and then click here to submit your own questions to her.
Advertise With Disability ScoopLooking to get noticed ? Our new advertising program for companies, organizations and professionals offers targeted solutions for any budget. To learn more click here.
Announcements & Reminders...
Announcing Scoop Group, The Disability Scoop Discussion ForumBe among the first to post on Disability Scoop's discussion forum. Ask for advice, advocate for your cause, share ideas. It's up to you. You came for the news. Now, stay for the community on Scoop Group, your new way to connect to the developmental disability community.
Also, Now Available: Video "The IEP And You" (View In English Or Spanish)Accepting Questions About IEPsRecently we brought you Sc oop Essentials: IEPs Inside Out, a frank discussion of IEPs with the head of one of the nation's largest special education programs, Donnalyn Jaque-Antón. She is responding to reader questions. Click here to submit your own questions and check back soon to read her responses.Accepting Questions About Disclosing A DisabilityRecently we published Scoop Essentials: Disclosing Disability, Tackling A Dicey Proposition, a conversation about talking about disability with therapist Diane Smith. She is responding to reader questions. Click here to submit your own questions and check back soon to read her responses.
Disability Scoop Is On Twitter!Follow Disability Scoop on Twitter where you can sign up to receive news alerts on your mobile phone as text messages. Click here to check it out and don't forget to become a follower.
Become A Fan On FacebookClick here to check out the Disability Scoop page on Facebook and be sure to become a fan.
About Disability ScoopDisability Scoop is the first and only nationally focused online news organization serving the developmental disability community including autism, cerebral palsy, Down syndrome, fragile X and intellectual disability, among others. Launched in 2008, Disability Scoop is the premier source for developmental disability news. Learn more at http://www.disabilityscoop.com.
To check out these headlines and more, visit DisabilityScoop.com everyday for the latest in developmental disability news. Like what you see here? Feel free to forward this email to your friends and colleagues. And, if you haven't already, click here to register with Disability Scoop, it's free!
Latest Headlines:
Long-Term Care Enters Health Reform DebateJuly 10, 2009White House officials tell Disability Scoop the president supports the Community Choice Act, but are mum on including it in health care reform.
Children Often Age 3 Or More Before Fragile X ConfirmedJuly 9, 2009Despite increased awareness, there’s been practically no change in the age of diagnosis over the last seven years, a study finds.
Beware Of Free Drug Samples, Consumer Group SaysJuly 9, 2009Think twice before accepting free samples of drugs like Adderall XR, Concerta and Strattera, Consumer Reports is warning.
Push For Autism Insurance Mandate Shifts Into High GearJuly 8, 2009An ad campaign launched Wednesday by Autism Speaks urges Congress to include autism insurance coverage in its health care reform efforts.
Autism Brings Moms A Whole New Level Of Stress, Study SaysJuly 8, 2009Mothers of children with autism experience more stress than mothers of kids with other types of developmental delay.
Man With Down Syndrome To Be Honored At All-Star GameJuly 8, 2009A man with Down syndrome will be one of 30 heroes honored by People Magazine and Major League Baseball at the league’s All-Star Game.
Disability Groups Unite Behind Sotomayor ConfirmationJuly 8, 2009More than two dozen national disability organizations are asking the Senate to confirm Sonia Sotomayor’s nomination to the Supreme Court.
The Scoop:
Scoop Essentials: Preventing Violence, Abuse And NeglectJuly 7, 2009People with developmental disabilities can be seen as easy prey. Learn how to avoid being victimized from Nancy Fitzsimons, an associate professor of social work at Minnesota State University, Mankato who specializes in abuse prevention for people with disabilities. Check out what Fitzsimons has to say and then click here to submit your own questions to her.
Advertise With Disability ScoopLooking to get noticed ? Our new advertising program for companies, organizations and professionals offers targeted solutions for any budget. To learn more click here.
Announcements & Reminders...
Announcing Scoop Group, The Disability Scoop Discussion ForumBe among the first to post on Disability Scoop's discussion forum. Ask for advice, advocate for your cause, share ideas. It's up to you. You came for the news. Now, stay for the community on Scoop Group, your new way to connect to the developmental disability community.
Also, Now Available: Video "The IEP And You" (View In English Or Spanish)Accepting Questions About IEPsRecently we brought you Sc oop Essentials: IEPs Inside Out, a frank discussion of IEPs with the head of one of the nation's largest special education programs, Donnalyn Jaque-Antón. She is responding to reader questions. Click here to submit your own questions and check back soon to read her responses.Accepting Questions About Disclosing A DisabilityRecently we published Scoop Essentials: Disclosing Disability, Tackling A Dicey Proposition, a conversation about talking about disability with therapist Diane Smith. She is responding to reader questions. Click here to submit your own questions and check back soon to read her responses.
Disability Scoop Is On Twitter!Follow Disability Scoop on Twitter where you can sign up to receive news alerts on your mobile phone as text messages. Click here to check it out and don't forget to become a follower.
Become A Fan On FacebookClick here to check out the Disability Scoop page on Facebook and be sure to become a fan.
About Disability ScoopDisability Scoop is the first and only nationally focused online news organization serving the developmental disability community including autism, cerebral palsy, Down syndrome, fragile X and intellectual disability, among others. Launched in 2008, Disability Scoop is the premier source for developmental disability news. Learn more at http://www.disabilityscoop.com.
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