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Changes to the Definition of Autism May Help Uncover Risk Factors and Target Therapy

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With potential changes to the definition of autism in the newest (fifth) edition of Diagnostic and Statistical Manual of Mental Disorders (DSM), due to be published in May, clinicians and researchers must recognize that children who fall under the diagnostic umbrella of autism spectrum disorder are as varied as those who carry the diagnosis of cancer, says autism expert Jennifer Pinto-Martin, MPH, MD, of the University of Pennsylvania School of Nursing. Some who work in the field have coined the word “autisms” to represent the many faces of the disorder.

The DSM, from the American Psychiatric Association, is the standard reference for the diagnosis of mental disorders and has an important influence on insurance coverage and access to educational support and therapeutic services, as well as research.

The new, more restrictive criteria would combine three subgroups on the autism spectrum into one category and require a child to display more pronounced symptoms to qualify for a diagnosis. The effect may be that it is harder for some more mildly affected children to qualify for insurance to cover therapeutic and educational support services.

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ASPEN Launches Fellowship Program and Announces 2012 Inaugural Class

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The American Society for Parenteral and Enteral Nutrition (ASPEN) announced its 2012 inaugural Fellow of the American Society of Parenteral and Enteral Nutrition (FASPEN) class.

The ASPEN Board of Directors approved a Fellowship Program in October 2011. The goal of this new program is to recognize deserving ASPEN members, for their dedication to clinical nutrition and metabolism. Fellowship candidates will be selected on an annual basis by a Fellow Selection Committee comprised of up to 11 pre-existing Fellows. The selected candidates will then be submitted to ASPEN’s Board of Directors for formal approval as a Fellow.

The initial class of Fellows consists of members of the ASPEN Board of Advisors who remain current members of ASPEN.

AMCB Ensures Midwives Meet/Exceed Worldwide Standards

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The International Confederation of Midwives (ICM) released its Essential Competencies for Basic Midwifery Practice earlier this year, detailing a standard of competency for midwives throughout the world. The American Midwifery Certification Board (AMCB), the certifying body for certified nurse-midwives (CNMs) and certified midwives (CMs) in the United States, notes that its certification and recertification process ensures that its certificants meet or exceed the standards set by the ICM.

“We applaud the efforts of ICM to uphold high competency and educational standards for midwives,” says Barbara Graves, CNM, MN, MPH, FACNM, the AMCB board president. “The AMCB certification process is based on documentation that we are certifying midwives who meet and/or exceed these global standards.”

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