Publications by authors named "W W Howard"

Article Synopsis
  • The Affordable Care Act expanded Medicaid for children, leading to differences in coverage between states that adopted the expansion and those that did not.
  • A study analyzed data on pediatric cardiac surgeries from 2010 to 2019 to see if Medicaid expansion improved surgical outcomes like mortality, complications, and length of hospital stay.
  • Results showed no significant improvement in surgical outcomes in states that expanded Medicaid, indicating that while overall surgery mortality declined, Medicaid expansion did not lead to better results compared to non-expansion states.
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Prader-Willi syndrome (PWS) is a rare genetic disorder caused by the loss of paternal genes on chromosome 15. The Aberrant Behavior Checklist (ABC) is a standardized rating scale for assessing problematic behaviors in persons with developmental disabilities. Our study aims to describe ABC scores in youth with PWS and track their change over time.

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Importance: With personalized touch-screen tablets, young children can choose content and engage in play-like activities. However, tablets may also reduce shared engagement as the action of viewing or touching the screen is often not visible to nearby adults. This may impact communicative gazing and pointing, which is critical to the formation of shared awareness and in turn supports language development.

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Article Synopsis
  • A study was conducted to examine the growth patterns of U.S. children with orofacial clefts from birth to 36 months, involving 1,334 participants from a specialized children's hospital between 2010 and 2019.
  • The findings revealed that growth slowed significantly in the first 3 to 4 months but demonstrated catch-up growth by 12 months for cleft lip and palate types and by 36 months for cleft lip only, though their growth remained below WHO standards.
  • Analysis indicated that individual differences contributed most to growth variability, and children with comorbidities experienced even greater growth deficits compared to those without.
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Introduction: Diffuse large B-cell lymphoma (DLBCL) is an aggressive malignancy of B-cells frequently encountered among people living with HIV. Immunological abnormalities are common in immunocompetent individuals with DLBCL, and are often associated with poorer outcomes. Currently, data on derangements of immunological proteins, such as cytokines and acute phase reactants, and their impact on outcomes in HIV-associated DLBCL (HIV-DLBCL) is lacking.

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