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Medical knowledge


1.Premature babies are more likely to develop autism

Premature and underweight babies are particularly at risk for autism. A US study followed 862 premature babies, who weighed between 500 and 2,000 grams (1.1 to 4.4 pounds) at birth, for 20 years. The study found that 5 percent of them were diagnosed with autism during their formative years, compared with 1 percent of the general population, and that preterm babies had higher rates of cognitive impairment.

As medical technology advances, say researchers in recent years, greatly improve the survival rate of premature babies, but their health growth period were not necessarily obtain long-term follow up, can not find the sequela of premature birth brings, so the proposal is at the age of one to two autism inspections for preterm infant, believe that in the long run can help to improve their learning and social skills.

2. Too much meat and too little sugar affects mood in children

According to the Hong Kong Registered dietitian, parents should correct their children if they think they have reached the standard of balanced diet by eating a little of different types of food. For example, if you eat only dark green vegetables, which are rich in iron and folic acid, if you do not eat orange and yellow fruits and vegetables, you will not be able to absorb carotene, so you are not considered to be nutritionally balanced. Only eat meat, eat little children, also at any time because of insufficient intake of carbohydrates, become irritable, become "tyrannosaurus".

Most people know that eating a balanced diet should include the grain, vegetables, fruits, meat, dairy foods, such as Hong Kong, a registered dietitian Leslie chan pointed out that many parents get their children only the major categories of food to eat, and was regarded as a balanced diet, coupled with children's height and weight standard, eating is no problem, but it is always neglected children have the opportunity to the lack of certain developmental nutrients and don't even know it.

Leslie chan said there was a normal appearance development, 6 year old girl looks "rocks", has since childhood don't like eating carbohydrates, only like to eat meat, not even eat dumplings paper, sugar in the body is less, affect the mood and focus ability, in addition to temper, she also often not obedient and hard to concentrate. He said there were no abnormalities in the girl's height and weight development, but upon inquiry, it was found that she had insufficient carbohydrates. He reminded parents that "when the child is full, it is not a problem!" He said the food even if belong to the same category, and each has itself unique nutrients, vegetables, for example, dark green vegetables such as vegetables, spinach contains rich iron and folic acid, helps the body grow fast, orange fruits and vegetables, such as pumpkin, carrot contains rich carotene, helps vision development, so the children can not only eat enough vegetables even if the component. As for milk and dairy products, cheese is rich in probiotics, which can help with gut health, but milk has fewer of these.

Although children are generally not deficient in nutrition, the average height and weight indicators are not low. However, Mr Chan said there was no popular measurement method for the healthy mental and emotional development of children and it was easy to be ignored by parents. Therefore, parents should be encouraged to prepare food for their children in a variety of combinations. However, food styles should not be more homogeneous due to the high nutrient content of expensive ingredients. He also pointed out that parents should pay special attention to children's preference for ready-to-eat or canned food, which may affect their eating habits in the long run and lead to less consumption of fresh vegetables and fruits and more preference for rich foods.

3.New Guidelines for the treatment of hyperactivity disorder

The American academy of pediatrics published medical treatment lack of concentration and hyperactive disorder (ADHD) in the new guidelines, the diagnosis and treatment of the age of 6 to 12 years of age, and recommended by the original extended to 4 to 18 years old, and suggests that confirmed at the age of 4 to 6 children, even severe symptoms, also should with behavior therapy for the first line treatment, should not be used rashly drugs; Patients over 6 years of age may be considered for combination therapy with behavior and drugs.

An estimated five million children in the United States have been diagnosed with ADHD. ADHD often affects students' academic performance and interpersonal relationships due to insufficient concentration, too much activity or impulsiveness, and is more likely to suffer from behavioral problems when they grow up. In the past, the earliest diagnostic indicators did not show obvious symptoms until primary school, but in recent years, many studies found that the diagnosis time can be as early as kindergarten students, and patients' symptoms can be extended to 18 years old, so it is necessary to revise the diagnostic indicators. Paediatricians estimate that 5 percent of children in the United States are currently taking ADHD drugs, hoping that early diagnosis can improve treatment outcomes.

4. Beijing United Family Hospital Pediatric development and behavior specialist outpatient department

DBPS is a newly established pediatric development and Behavior clinic (DBPS) in Beijing United Family Hospital. DBPS treats infants, children and adolescents with a range of developmental and behavior disorders. Dr. Meath, the program leader, is an American pediatrician with extensive clinical experience who has worked with United Family Medical Group for many years. Dr. Meath believes that biobehavioral interventions are the best way to deal with such concerns. DBPS can evaluate and track children with developmental and behavioral disorders based on theories of biology and psychology and other related disciplines.

Dr. Meath recommends seeking professional help as soon as possible if you are concerned about the following signs of developmental and behavioral disorders.

1. Abnormal language development and motor development

2. Abnormal social, emotional and mental development

3. Learning difficulties

4.Attention deficit hyperactivity disorder

5.Autism or autism spectrum disorders

Dr. Meath also recommends counseling for children who have been in the NEONATAL intensive care unit, especially premature infants under 32 weeks of gestation and very early infants under 25 weeks of gestation. It also includes children with the following developmental and behavioural disorders:

1. Inability to adapt to school, interference with classroom teaching, excessive obsession with learning and other school-age problems

2. Cerebral palsy (cerebral palsy)

3.Down syndrome (Trisomy 21) or other chromosomal abnormalities and genetic disorders

4. Colic

5. Stereotypical behavior (low-level repetitive behaviors, such as grabbing and biting body parts, running back and forth, etc.)

"In fact, many clinical cases are associated with developmental and behavioral disorders in children listed above." "The earlier these symptoms are detected and diagnosed, the more effective early medical interventions will be," Dr. Meath said.

Dr. Meath started DBPS in the hope that children would get more attention beyond general pediatric visits. The project targeted children testing and screening, and the use of interdisciplinary research methods (combining pediatrics, psychology and speech correction, occupational therapy and physical therapy, etc.) to achieve the purpose of early detection, early intervention, children benefit.

Dr. Meath has been working in China for more than 10 years. He has worked with a large number of Chinese children in his clinical work and has rich clinical experience in childhood development and behavioral disorders. He is pleased to be able to start such a specialized program at United Family and will devote more time and energy to it. "Advances in neuroscience have shown that early intervention can greatly benefit children with developmental delays." "My hope is that with this program, we can move the needle on early intervention in China," Dr. Meath said. He added that attention and support from the medical community is also absolutely necessary for these exceptional children and their families.