Disabled children risk further abuse after unsubstantiated referral for neglect, research finds

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Children with disabilities who have an initial unsubstantiated referral for neglect are at increased risk of being maltreated subsequently, a research letter published in JAMA has warned.

Researchers analysed data from the National Child Abuse and Neglect Data System, which collects data on children reported to child protection services in the United States and Puerto Rico. A total of 12 610 children with disabilities and 476 566 without disabilities who had first time unsubstantiated referrals for neglect in 2008 were included in the study and followed up for four years.

Oral antifungal is associated with increased risk of miscarriage

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Use of the oral antifungal drug fluconazole during pregnancy was associated with an increased risk of miscarriage in an analysis of 1.4 million pregnancies in Denmark published in JAMA.

Vaginal candidiasis is common during pregnancy. Although intravaginal formulations of topical azole antifungals are the first line treatment for pregnant women, oral fluconazole is often used in cases of recurrence or severe symptoms or when topical treatment has failed.