The Growing Child: 10 to 12 Months

The Growing Child: 1-Year-Olds

The Growing Child: 10 to 12 Months | Johns Hopkins Medicine

Linkedin Pinterest Babies and Toddlers: Developmental Milestones Babies and Toddlers Health Vision, Hearing and Speech

After a baby's first birthday, the rate of growth begins to slow down. Thebaby is now a toddler and is very active.

As your baby continues to grow, you will notice new and exciting abilities that develop. While babies may progress at different rates, the following are some of the common milestones your baby may reach in this age group:

  • Walks alone by 15 months, then begins to run
  • Can stop, squat, then stand again
  • Sits down on small stool or chair
  • Climbs stairs while holding on
  • Dances with music
  • Plays with push and pull toys
  • Can build towers blocks
  • Throws a ball overhand by 18 to 24 months
  • Puts 2- to 3-piece puzzles together
  • Scribbles with crayon or pencil and may imitate drawing a straight line or circle
  • Mostly feeds self with fingers
  • Begins to feed self with spoon
  • Drinks well from cup
  • Can help with dressing and may be able to undress simple clothes (such as clothes without buttons or zippers)
  • First molar (back) teeth appear
  • Takes one afternoon nap
  • May sleep 10 to 12 hours at night

What can my baby say?

Speech development is very exciting for parents as they watch their babies become social beings that can interact with others. While every baby develops speech at his or her own rate, the following are some of the common milestones in this age group:

  • Imitates animal sounds and noises
  • At one year, says 4 to 6 simple words
  • At 18 months, says 10 to 15 words
  • By 18 to 24 months, uses simple phrases or 2-word sentences (such as “Mommy up”)
  • By 2 years, says 100 or more words
  • Asks “What is…?”
  • Uses negative phrases such as “No want”

What does my baby understand?

By about 18 months of age, children begin to understand symbols—the relationship of objects and their meanings. While children may progress at different rates, the following are some of the common milestones children may reach in this age group:

  • Waves bye-bye and plays pat-a-cake
  • By 18 months understands 1-step questions and commands such as “Where is the ball?”
  • By 24 months understands 2-step questions and commands such as “Go to your room and get your shoes.”
  • Understands object permanence (a hidden object is still there)
  • Understands the cause and effect relationship better
  • s to explore drawers and boxes to see what is inside
  • Make-believe play increases (such as may imitate housework or feed a doll)
  • Recognizes own face in mirror
  • Can point to body parts (such as nose, hair, eyes) when asked
  • Begins to understand use of certain objects (such as the broom is for sweeping the floor)
  • May ask for parent's help by pointing

How does my baby interact with others?

As children begin to walk, they may begin to show independence and will try to walk further away from the parent, but will return. Separation anxiety and fear of strangers may lessen, then return at about 18 months. While every child is unique and will develop different personalities, the following are some of the common behavioral traits that may be present in your child:

  • Plays along side others without interacting. This is called parallel play.
  • May begin clinging to parents around 18 months
  • May begin to say “no” more often to commands or needs
  • May have temper tantrums
  • May use a blanket or stuffed animal as a security object in place of the parent

How to help increase your baby's learning and emotional security

Consider the following as ways to foster the emotional security of your 1-year-old:

  • Give your child toys that can be filled and emptied and toys for imaginary play.
  • Give your child simple 2- to 6-piece puzzles and balls of all sizes.
  • Help your child build towers of blocks.
  • Encourage your child to “help” you with household tasks.
  • Give your child paper and large crayons to scribble and draw.
  • Talk to your child with clear simple language about what you are doing.
  • Use the correct names for objects, even if your child does not. For example, your child might say “wa-wa,” and you say “Water, that is right.”
  • Expand your child's sentences. If your child says, “Want cookie,” you say, “Do you want another cookie?”
  • Read to your child every day using picture and story books.
  • Feed your child at family mealtimes.
  • Provide consistent firm, appropriate discipline without yelling or hitting.

Source: https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-growing-child-1yearolds

Johns Hopkins International Injury Research Unit

The Growing Child: 10 to 12 Months | Johns Hopkins Medicine

A study by Olakunle Alonge and other researchers at the Johns Hopkins International Injury Research Unit found that establishing home-based community-led daycare centers in rural Bangladesh was effective in reducing the number of drowning deaths among children 9 to 47 months old by 88 percent.

The study, published online May 11, 2020 in Injury Epidemiology, also uncovered the extent to which drownings burden the country, especially among children. Drowning accounts for 42 percent of all deaths among children aged 1 to 4 years old in Bangladesh.

“This study shows how drowning causes a terribly high burden of childhood deaths in Bangladesh.

About two children between the ages of 1 and 4 die every hour from drowning in Bangladesh,” says study lead author Olakunle Alonge, MD, assistant professor in the Department of International Health at the Bloomberg School. “Fortunately, community-based daycares can be highly effective at reducing drowning risk.”

Click here to learn more.

Johns Hopkins International Injury Research Unit Leadership Participates in 3rd Global Ministerial Conference on Road Safety

On February 19-20, 2020, leadership from the Johns Hopkins International Injury Research Unit joined representatives from more than 140 countries for the 3rd Global Ministerial Conference on Road Safety in Stockholm, Sweden.

The conference, organized by the World Health Organization (WHO), minister-led delegations, and the Government Offices of Sweden, featured important meetings and discussions with multidisciplinary road safety leaders from around the world.

JH-IIRU Director Dr. Abdul Bachani, along with Drs. Connie Hoe and Kent Stevens collaborated with ministers, senior officials, researchers, and private sector leaders to take stock of where the field is, discuss successes as well as challenges, and chart a way forward to reduce the toll of road traffic crashes.

“Our time in Sweden for the 3rd Global Ministerial Conference was incredibly important and a great indicator of future progress for the field of global road safety,” said Dr. Bachani.

“Over the last few days, our team was able to connect with a wide array of passionate, hard-working experts across industries, share ideas for global road safety, and listen to others build upon the inspiring, lifesaving efforts already being implemented at an international level.”

Johns Hopkins International Injury Research Unit Partners with Bloomberg Philanthropies for Reinvestment in Global Road Safety

The Johns Hopkins International Injury Research Unit, along with collaborating organizations from around the world, is pleased to join Bloomberg Philanthropies as a partner in its reinvestment in the Bloomberg Philanthropies Initiative for Global Road Safety (BIGRS). The six-year plan and commitment of $240 million by Bloomberg Philanthropies through 2025 expects to save an estimated 600,000 lives and prevent as many as 22 million injuries in low- and middle-income countries.

To learn more, please click here.

Johns Hopkins International Injury Research Unit Director Participates in Fifth International Traffic Safety Forum & Exhibition

Johns Hopkins International Injury Research Unit Director Dr. Abdul Bachani traveled to Saudi Arabia for the 5th International Traffic Safety Forum & Exhibition on February 10-12, 2020. Dr.

Bachani joined road safety experts from around the world for the three-day conference organized by the Saudi Society for Traffic Safety (SALAMH) in collaboration with the Imam Abdulrahman bin Faisal University, among other partners.

On Monday, December 3, 2018 at 8:30 a.m. EST, the Johns Hopkins International Injury Research Unit hosted a special webinar, “How Can the Safety of Secondhand Cars in Low-Resource Settings Be Improved?”

The webinar will feature presentations from JH-IIRU leadership and Global NCAP's Jessica Truong.

Click here to watch the live stream beginning at 8:30 a.m. EST.

Trauma and Emergency Care Panel Held at Johns Hopkins Bloomberg School of Public Health

On Monday, May 1, 2018, we hosted the next event in our 10th Anniversary schedule, “Trauma and Emergency Care across the Lifespan.” The seminar featured a multidisciplinary panel of trauma experts. A light reception was provided for all guests in attendance. 

A live webcast was offered to virtual participants and the recording is available to replay here.

Replay our 10th Anniversary Celebration Kickoff Event, “Alcohol: Leading Risk Factor for Public Health”

On Thursday, February 15, 2018, we kicked off our 10th anniversary celebration with a special conversation on alcohol, a leading risk factor for public health.

Leadership from the Johns Hopkins International Injury Research Unit and Center on Alcohol Marketing and Youth spoke alongside an expert from the National Academies of Sciences, Engineering and Medicine, which recently released its report, “Getting to Zero Alcohol-Impaired Driving Fatalities: A Comprehensive Approach to a Persistent Problem.”

To watch the event, click here.

Watch Video from International Symposium on Road Safety and Sustainable Development Goals

On Friday, December 8, 2017 at the Johns Hopkins Bloomberg School of Public Health, the Johns Hopkins International Injury Research Unit (JH-IIRU) hosted the International Symposium on Road Safety and Sustainable Development Goals. The event featured an overview of the Bloomberg Initiative for Global Road Safety Project, as well as a panel featuring road safety experts from across the globe.

To watch the full event, please click here.

Enroll Now! Free Online Course on Road Safety Legislation

The World Health Organization (WHO) in collaboration with the Johns Hopkins International Injury Research Unit (JH-IIRU) is pleased to offer a free, online course developed to support capacity building in the field of road safety legislation. 

More information can be found here.

On Monday, January 14, the Johns Hopkins International Injury Research Unit hosted a special webcast event live from the Johns Hopkins Bloomberg School of Public Health.

The JH-IIRU team, along with international leaders from Bloomberg Philanthropies, WHO, PAHO, and the city of Fortaleza, Brazil discussed key road safety and sustainable development goal issues in this 90-minute panel discussion and Q&A.

Source: https://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-international-injury-research-unit/

Teen Agrees Johns Hopkins Cancer Center Deserves U.S. Ranking

The Growing Child: 10 to 12 Months | Johns Hopkins Medicine

ST. PETERSBURG, FL — Johns Hopkins All Children's Hospital in St. Petersburg is among the best pediatric hospitals in the country, according to U.S. News & World Report's annual rankings.

The best children's hospitals for 2019-20 rankings released on Tuesday feature the 50 best hospitals in 10 pediatric specialties.

Johns Hopkins All Children's Hospital, 501 6th Ave. S., ranked 44th among 50 hospitals in pediatric cancer and pediatric pulmonology and lung surgery.

Johns Hopkins All Children's was the only children's hospital on Florida's West Coast to make the list.

“Johns Hopkins All Children's Hospital is honored to receive this recognition.

Our cancer and pulmonology specialists care for some of the region's most medically complex children, and we are grateful for this recognition of their hard work,” said Tom Kmetz, interim president of the hospital.

“Within these areas and across the entire hospital, our staff is committed to delivering high-quality, safe care to our young patients and their families.”

Johns Hopkins Children's Center in Baltimore, which is another member of the Johns Hopkins Health System, ranked in 10 specialty areas, placing them on the Best Children's Hospitals 2019–20 Honor Roll.

Since joining the Johns Hopkins Health System in 2011, specialists at Johns Hospkins All Children's in St. Petersburg have been collaborating with their colleagues in Baltimore on a variety of treatment and research initiatives.

In a note to all Johns Hopkins Medicine employees, Paul B. Rothman, M.D., dean of the medical faculty and CEO of Johns Hopkins Medicine, and Kevin W. Sowers, president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine, congratulated both hospitals on their efforts.

“The pediatric care at Johns Hopkins Children's Center and Johns Hopkins All Children's Hospital is among the best in the nation. We want to thank the caregivers and staff members at both hospitals for their commitment to clinical excellence and patient- and family-centered care.”

Among the patients benefiting from the pediatric cancer care at John Hopkins All Children's is 15-year-old Cade.

Cade was always tired, but his parents chalked it up to stress from school and baseball tryouts for both high school and travel teams.

But when he asked his mom, Nina, one day if his stomach looked bloated, she started thinking they might be dealing with a kidney infection.

She took Cade to an emergency center near their home in Seminole, but they sent him home. She pushed harder and had the pediatrician do some additional blood work, still thinking something was going on with his kidneys. Then they got the call: “Take him to Johns Hopkins All Children's Hospital immediately.”

Still not sure what was going on, the family arrived at the hospital to a team waiting to take him immediately to 7 South—the cancer unit.

“We had been thinking he was taking supplements for tryouts … maybe,” Nina recalled. “You don't know, but you aren't yet ready to accept the worst option. I was scared, but I didn't want Cade to see that.”

Cade was scared, too.

Burkitt's lymphoma is a fast-growing form of B-cell non-Hodgkin's lymphoma.

“It was practically doubling in size every 24 hours,” Nina said.

At that point the lymph node near the lung was Stage 3.

“There is no doubt this is an aggressive cancer. Cade was very sick,” said Peter Shaw, M.D., deputy director of the Johns Hopkins All Children's Cancer & Blood Disorders Institute. “But Cade took it all in stride. He handled it with a great attitude. The two of us bonded over sports so we had some good talks.”

The Burkitt's caused enough damage in its brief life that Cade's kidneys were failing and he needed dialysis for a short time before he could even begin treatment for the cancer itself.

He had five rounds of chemotherapy, spending nearly six months in the hospital, including Thanksgiving and Christmas. But it wasn't all bad.

His baseball teammates visited him regularly and called to share details on their wins. He was even invited to appear on Fox Sports Sun at a Rays game during Cancer Survivor Day.

Cade kept up with school through the Pinellas County Schools Homebound program, which brought his subjects to him.

It wasn't easy and it helped to have other kids around him in the same situation.

These days Cade, now 17, is back to baseball—including regional quarterfinals—and heading into his senior year.

U.S. News says its methodology in tabulating the rankings takes into account measures patient outcome, including mortality and infection rates, and also available clinical resources and compliance with best practices. (You can read more about the methodology here.)

To see the full list of best children's hospitals via U.S. News, click here.

Karen Steinke of Johns Hopkins conducted the interview with Cade and his mother.

Source: https://patch.com/florida/bloomingdale/15-year-old-agrees-st-johns-cancer-center-deserves-u-s-ranking

Dejan Budimirovic, MD

The Growing Child: 10 to 12 Months | Johns Hopkins Medicine

Dejan Budimirovic, M.D., (pronounced Day-ahn Boo-dee-meer-o-vich) is the main co-Investigator physician at Clinical Trials Unit and the medical co-director of the Fragile X Clinic at Kennedy Krieger Institute, the Johns Hopkins Medical Institutions (JHMI).

He is also an attending developmental neuropsichiatrist at the Institute's Clinical Research Center, and an assistant professor at Johns Hopkins University School of Medicine. Dr.

Budimirovic is board certified by the American Board of Psychiatry and Neurology in adult, child, and adolescent psychiatry.

Dr Budimirovic's earned his undergraduate degree from a pre-medical program and his medical degree from Belgrade University. He graduated magna cum laude and achieved dozens of awards and honors as the top student in the Class of 1987.

One of his most notable honors was the extraordinary opportunity he was given to complete his medical internship with the University Hospitals in Belgrade. He then completed residencies at Belgrade, Harvard, and New York Universities. He also completed postgraduate study in biological psychiatry. In short, over the past 20 years, Dr.

Budimirovic has steadily solidified his clinical, research, and educational experience at Harvard, New York, Yale, and Johns Hopkins Universities, respectively.

Dejan's commitment to his academic career is enduring.

He had an entry-level job at Yale as a full-time assistant professor and co-director, then he spent one year as the medical director of children’s psychiatric unit, and this has been followed by a now already 12-year tenure at the Johns Hopkins School of Medicine and the JHMI at the rank of full-time faculty-assistant professor.

At the Institute, his clinical and research expertise comes from a very large pool (~500) of patients with and without developmental disabilities (i.e., ~>50% carry the clinical diagnosis of autism spectrum disorder (ASD);>100 carry medical/genetic diagnosis of fragile X associated disorders-FXD).

Dejan has significantly contributed to the expansion of clinical and research activities at the Fragile X Clinic, and subsequently CTU that was established under the leadership of Michael Johnston, MD, Chief Medical Officer and Executive Vice President of the Institute. Namely, in February of 2012, Dr Budimirovic was promoted to serve as Medical Director of the Institute's Fragile X Clinic, a role that he shares with a colleague from the Department of Neurogenetics.

Specifically, as the fragile X clinic's leader, clinician, and the only co-Investigator at the time, he has recruited and retained more than two-dozen participants. Such initial achievement was critical to establish the thriving CTU. Upon arrival of Prof dr Robert L. Findling, Leonard and Helen R.

Stulman Endowed Professor in Child and Adolescent Psychiatry and Director, Bob's stature and leadership has enabled Dejan to expand his co-Investigator's effort to over 40 clinical trials to date as the main co-Investigator not only in the field of pediatric, and adult FXS but also in idiopathic ASD and other areas (i.e., ADHD).

Dr Budimirovic has been described as a compassionate, talented and skillful physician-developmental neuropsychiatrist with growing and now nationally recognized expertise in the field of FXD and ASD, who has steadily contributed to the Institute's CTU and other goals and objectives of the Institute. Dr.

Budimirovic is board certified by the American Board of Psychiatry and Neurology in adult, child, and adolescent psychiatry, and has been re-certified in child and adolescent psychiatry with excellent-outstanding grades.

Since 1999, he has been an active member of the American Academy of Child and Adolescent Psychiatry, and a former member of the American Psychiatric and the American Medical Associations.

Research

Dr Budimirovic has steadily contributed to the Fragile X Research Program at the Kennedy Krieger Institute as a child neuropsychiatrist and the main co-Investigator physician.

His initial research activities have focused on characterizing social behavior determinants of ASD status in Fragile X Syndrome (FXS) (Budimirovic et al., 2006; Kaufmann et al., 2008; Budimirovic and Kaufmann, 2011).

Such effort has generated a meaningful model that has contributed to identifying a factored FXS-specific Social Avoidance-Indifference structure.

The findings were then replicated by refactoring the ABC-C for FXS (ABC-CFX) through a multi-site of the Consortium's collaboration using a sample that was 10-times larger (Sansone et al., 2012).

Defining the FXS-specific factor structure (ABC-CFX Social Avoidance) has since been relevant to a series of unfolding clinical trials in FXS, and ASD.

To advance the understanding of the pathophysiology of antipsychotic-induced hyperprolactinemia, Dejan have collaborated with the Section on Cellular Signaling at NICHD led by Stanko Stojilkovic, PhD.

He led all aspects of a fruitful study of cellular mechanisms underlying prolactin-related effects of paliperidone and aripiprazole on lactotroph function as a senior author that was published in Nature Scientific Report (Kucka et al., 2015).

The study showed for the first time that dopamine receptors in lactotrops exhibit small intrinsic (in the absence of ligand occupancy) activity and that binding of paliperidone silences such activity, leading to enhanced coupling of electrical activity and prolactin secretion.

While paliperidone effectively blocks the dopamine action in the lactotrops, in contrast, aripiprazole normalizes the secretory output of the lactotrops independently of dopamine levels by clamping the calcium–secretion coupling.

Since 2012, Dr Budimirovic has been a member of the Consortium’s Clinical and Clinical Trials Committee. Furthermore, Dejan has been the PI for the Institute on ongoing FXS-related projects in humans funded by the NIH and the CDC, respectively.

The CDC has funded the Fragile X Clinical and Research Consortium’s major database projects.

As the PI for the Institute Dr. Budimirovic remains an active member on several of the FXCRC (database-CDC funded renewed Data Interest Groups such as Cognition/Behavior/Sleep and Psychopharmacology-Behavior. In addition, over the last years, he has been either the PI, co-PI or co-Investigator on half a dozen unfunded grant applications.

Dr Budimirovic has been also selected as a DoD study sections reviewer in the field of FXS and ASD. Further recognized by his peers in the field, in 2014 he led the Consortium Clinical Practices Committee’s consensus document titled ‘ASD in FXS’ featured on the National Fragile X Foundation (NFXF) website, http://www.fragilex.

org/2014/support-and-resources/fragile-x-syndrome-and-autism-spectrum-disorder-similarities-and-differences/; and recently, he led an effort among renewed experts in the field on an invited manuscript re: tools to measure outcomes of clinical trials in FXS.

Since 2011, Dejan has initiated and established all year long a well-accepted and now popular clinical tutorial.

He primarily teaches undergraduate students majoring in neuroscience from Johns Hopkins University Homewood Campus on basic clinical features of ASD and FXD.

In order to disseminate knowledge in the field of fragile X and ASD, he encourages, facilitates, and edits writings of his clinical tutorial students.

Dr Budimirovic's mentorship effort has resulted that his undergraduate student was recently awarded with one year NIH Undergraduate Scholarship Program (aspiring physician-scientist) and that his predoctoral fellow received a fund ($25, 000) by the Autism Science Foundation.

Furthermore, Dr Budimirovic has also been a committed advocate at the Capitol Hill for the fragile X cause, which further strengthen his ties in the mid-Atlantic region with fragile X parent-support groups, and nationally through the NFXF.

Next, as the PI on an investigator-initiated now NIH funded study, Dr.

Budimirovic continues to build up a sampling (FMRP blood draws) effort for a March 2013-present IRB NA_00069920 approved study ‘Genotype-Phenotype: High Resolution FMR1 Genetic and Epigenetic Molecular Assessments in Fragile X Patients.

’ The study uses the novel PCR method that precisely quantifies the FMR1 alleles aimed at advancing an understanding of autism in fragile X mutations. The study's preliminary results have been extensively presented nationally and internationally.

A complete list of published work in Dr. Budimirovic's bibliography: http://www.ncbi.nlm.nih.gov/sites/myncbi/1XoOrXgB2c05-/bibliography/48898825/public/?sort=date&di

Elsevier Fingerprint Engine Profile for Dejan Budimirovic

Research Publications 

Hinton R, Budimirovic DB, Marschik PB, Talisa VB, Einspieler C, Gipson T, Johnston MV(2013). Parental reports on early language and motor milestones in fragile X syndrome with and without autism spectrum disorders. Dev Neurorehabil. 16(1), 58-66. 

Other Publications

Kaufmann, W.E., Kidd, S.A., Andrews, H.F., Budimirovic, D.B., Esler, A., Haas-Givler, B., Stackhouse, T., Peacock, G., Riley, C., Sherman, S.L., Berry-Kravis, E., Brown, W.T. (2015, in press).

Autism spectrum disorder in fragile X syndrome: characterization using the Fragile X Online Registry With Accessible Research Database (FORWARD). Pediatrics. Invited an original article for a Suppl focused on FXS.

Budimirovic, D. B., and Subramanian, M. (2016). Neurobiology of Autism and Intellectual Disability: Fragile X Syndrome. In Johnston, M. V. (Eds.), Neurobiology of Disease (2nd ed.) Chapter 52 (375-384). New York: Oxford University Press.

Budimirovic D.B., and Phan D. Q (2015).  Neurobehavioral Features and Targeted Treatments in     Fragile X Syndrome: Current insights and Future Directions. Engrams 37(4): 5-19. UDK: 616.89-008.434.5-057; doi:10.5937/engrami1504005B; http://scindeks-clanci.ceon.rs/data/pdf/0351-2665/2015/0351-26651504005B.pdf  An invited review.

Budimirovic D.B., Phan D. Q (2016). Challenges in Translating Therapeutic Frontiers in  Clinical Trials: Where Are We Now and What's Next? Madridge J Neuro Sci. 1(1): e1-e3. doi:  10.18689/mjns.2016-e101. An invited editorial.

Budimirovic D., Berry-Kravis E., Erickson C., Hall S., Hessl D., Reiss A., King M., Abbeduto L., Kaufmann W (2016, submitted JNDD-D-16-00077). Updates Report on Tools to Measure Outcomes of Clinical Trials in Fragile X Syndrome. J Neurodev Disord. An invited review. 

Berry-Kravis E., Hagerman R., Visootsak J., Budimirovic D., Kaufmann W., Bear M., Walton-Bowen K., Wang P., Carpenter R (2016, submitted JNDD-D-16-00048). Arbaclofen in Fragile X Syndrome: Results of Phase 3 Trials. J Neurodev Disord. An original invited paper. 

Erickson C., Davenport M., Schaefer T., Wink L., Pedapati E., Sweeney J., Fitzpatrick S., Budimirovic D., Hagerman R., Hessl D., Hagerman R., Brown T., Kaufmann W., Berry-Kravis E. (2016, under submission). Fragile X Targeted Pharmacotherapy: Lessons Learned and Future Directions. J Neurodev Disord.

Selected Poster and Oral Presentations

“Sequential Factor and Cluster Analyzes Support Co-morbid ASD plus Social Anxiety Phenotype in FXS,” (2010) poster at the ADAA Annual Meeting in Baltimore, MD  

“Structural Neuroimaging Correlates of Autism and Social Anxiety in Boys with FXS” (2010) research session on Fragile X and Autism, 12th International Fragile X Conf, Detroit, MI

“Clinical Trials Center at Kennedy Krieger Institute” (2012)poster presentation at the IDDIRC Annual Meeting, Johns Hopkins Hospital, Baltimore, MD

“High Resolution FMR1 Genetic and Epigenetic Molecular Assessments in a Well Characterized Cohort of Full Mutation and Premutation Fragile X Patients” (2013) oral presentation at 1st International Conf on the FMR1 Premutation: Basic Mechanisms and Clinical Involvement, research session “Diagnosis and Screening,” Perugia, Italy

“High Resolution FMR1 Genetic and Epigenetic Molecular Assessments in a Well Characterized Cohort of Full Mutation and PM Fragile X Patients” (2014) poster presentation at ACMG Annual Clinical Genetics Meeting 2014, # 493, Nashville, TN 

“High Resolution FMR1 Genetic and Epigenetic Molecular Assessments in a Well Characterized Cohort of Full Mutation and Premutation Fragile X Patients” (2014) poster presentation at Annual Research Potpourri: Department of Psychiatry and Behavioral Sciences, Johns Hopkins Hospital, Baltimore, MD.

“High Resolution FMR1 Genetic and Epigenetic Molecular Assessments in a Cohort of Full Mutation and Premutation Fragile X Patients” (2014) poster presentation at the 14th International Fragile X Conference, # 15548, P7, Orange County, CA

“Arbaclofen in Fragile X Syndrome: Results of Phase 3 Trials” (2014) oral presentation at the 43rd Annual Meeting of the Child Neurology Society (E. Berry-Kravis, R. Hagerman, J. Visootsak, D. Budimirovic, W. Kaufmann, M. Bear, K. Walton-Bowen, R. Carpenter, P. Wang), Annals of Neurology, Vol 76, Special Issue, suppl 18, pp S174-S174 ( PL1-1), Columbus, OH

“Molecular-clinical profiles in fragile X: High resolution FMR1 genetic and epigenetic molecular assessments in a cohort of full-mutation and premutation patients” (2015) oral poster presentation at the 2nd International Conference on FMR1 Premutation: Basic Mechanisms and Clinical Involvement, Sitges-Barselona, Spain, EU.

“Molecular-clinical profiles in fragile X: High resolution FMR1 genetic and epigenetic molecular assessments in a cohort of full-mutation and premutation patients” by invitation (2016) poster presentation at the Gordon Research Conference “Fragile X and Autism-Related Disorders,” West Dover, VT

“A Quantitative FMRP Assay Demonstrates Reliable Performance in Two Different Laboratories and Informs Links between Genotype and Phenotype” (2016)  poster #108 (Eran Bram), 15th International Fragile X Conference, San Antonio, TX    

“Autism Spectrum Disorder in Fragile X Syndrome: Co-Occurring Conditions and Current Treatment,” (2016) at oral presentation 183 (Walter Kaufmann), Clinical Science-FORWARD Results, 15th International Fragile X Conference, San Antonio, TX. 

Source: https://www.kennedykrieger.org/patient-care/faculty-staff/dejan-budimirovic

The Growing Child: 10 to 12 Months

The Growing Child: 10 to 12 Months | Johns Hopkins Medicine

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While all babies may grow at a different rate, the following indicates the average for boys and girls 10 to 12 months of age:

  • Weight: average gain of about 13 ounces each month, birthweight is doubled at approximately 4 to 5 months and tripled at 1 year
  • Height: average growth of just over 1/2 inch each month with most infants growing 10 inches in the first year. 
  • Head size: average growth of about 1/2 inch each month

As your baby continues to grow, you will notice new and exciting abilities that develop. While babies may progress at different rates, the following are some of the common milestones your child may reach in this age group:

  • Pulls up to a standing position
  • Can sit back down from standing position
  • Cruises or walks around holding onto furniture
  • May stand next to furniture without holding on
  • May walk holding on to your finger or hand
  • May begin to take steps and walk on own
  • Plays ball by receiving and returning a rolled ball
  • Able to pick up food and small objects with fingers
  • Can feed self finger foods
  • Drinks from cup with spout
  • Can turn pages in a book, often several at a time
  • Bangs objects together
  • Imitates scribble
  • New teeth continue to erupt; may have 4 to 6 teeth by 1 year old
  • Takes 2 naps a day and is able to sleep up to 12 hours at night without a feeding
  • Make wake up at night looking for parents

Family Programs – JHU Human Resources

The Growing Child: 10 to 12 Months | Johns Hopkins Medicine
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Child Care Information & FAQ's

How do I reach the Family Programs team at JHU if I need help?
The JHU Family Support Services team is maintaining a list of up-to-date childcare resources during this crisis. You can reach them through the Benefits Service Center at 410-516-2000 or by email at Benefits@jhu.edu.

Are the JHU partner childcare centers staying open?
Governor Hogan issued an executive order requiring that all child care centers in Maryland be closed unless they are providing care for essential workers.

The Johns Hopkins Child Care and Early Learning Center at East Baltimore, Weinberg Early Childhood Center, and Homewood Early Learning Center are open for essential workers only.

Even if you are already enrolled, you must fill out an application to enroll during this emergency period.

My child’s school has closed but JHU is open, and I need childcare. What do I do?
You are expected to work your normal schedule and follow JHU’s normal leave policies. Work with your manager to determine whether your position is eligible and appropriate for Workplace Flexibility.

Please refer to the Sick and Safe Leave policy and JHU’s general Sick Leave policy. Also, FMLA entitles eligible employees to take up to 12 weeks of unpaid, job-protected leave in a 12-month period for specified family and medical reasons. For specific questions regarding leave, contact HR Business Services at 443-997-2157 or HRBusinessServices@jhu.edu.

There is state-supported school age and early childhood care available for hospital health care workers.

Contact the Maryland Family Network, and a LOCATE specialist can refer you to child care providers who are accepting essential employees’ children.

Request service in the LOCATE: Child Care Registration Form, or call 1-800-999-0120, option 2. The State of Maryland website has additional information.

Plus, JHU provides all employees with 20 days (through June 30, 2020) of backup care through Care.com. You also receive a free premium Care.com membership, which allows you to perform self-directed searches for a variety of caregiving needs. You must register through JHU’s portal at or call 855-781-1303.

JHU provides support programs for all employees and their families through mySupport. You can reach mySupport 24/7, 365 at 443-997-7000 or online. For online access, the username is JHU and the password is JHU.

Are nannies, elder care workers, and backup childcare providers considered essential workers?
Child care and other types of “residential services” are considered essential.

 This means that a nanny, babysitter, or other type of caretaker can travel from one house to another and from one jurisdiction to another.

Maryland’s Office of Legal Counsel issued specific guidance stating that people taking care of children, seniors, or those with special needs can continue their work.

In this situation you are the employer for your caregiver. We suggest that you provide your caregiver with a letter to carry on public transportation or in the car. The suggested content for the letter is:

  • The name and address of the employee.
  • The name and address of the employer (your name and home address).
  • The nature of the employee’s work.
  • A brief statement of your work (attach your essential employee letter from Hopkins if you have one).
  • A signature and contact information for yourself.

Please remember that you are the employer for in-home caregivers, even if they have been hired through an agency such as care.com. The State of Maryland website provides exact guidance.

Part II of the panel discussion will keep the conversation going and allow panelists to answer more of the questions you may have.

Whether you’re having a baby, raising a child, or caring for an aging relative, we have resources for you, from lactation support, to adoption assistance, to help finding—and paying for—child care and eldercare.

Use the links below to find benefits and programs that fit your needs. And remember, our mySupport program can also help with a variety of issues, including finding child care or eldercare.

Be sure to also check out our LifeMart employee discount program. LifeMart offers discounts on select child care and eldercare services, as well as on other family-friendly services such as meal delivery.

Get ready for that new addition to your family.  The Johns Hopkins Baby Shower provides new and expectant parents with information about available leave policies, lactation support, child care options, and other available resources.

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Looking for quality child care in Maryland? Find options through our LOCATE: Child Care partnership and receive individual counseling to assess your child care needs and then be matched with available services.

You’ll receive referrals to registered family child care providers and licensed group programs, as well as follow-up assistance until placement is found. LOCATE also provides materials on specialized child care options and services, federal income tax credits for families, and state financial assistance programs.

Our Finding Child Care page also offers links to child care provider networks and services, some of which offer discounted rates to JHU employees.

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We’ve partnered with Care.com to provide 20 days of backup care per year at a reduced rate that’s your salary. Care.

com prescreens qualified caregivers to help you find in-home backup emergency care for children and adults, or in-center backup care for children. You also receive a free premium Care.

com membership, which allows you to perform self-directed searches for a variety of care-giving needs.

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Your JHU benefits include two programs that can help offset the cost of child care: child care vouchers and dependent care flexible spending accounts. Our LifeMart employee discount program can also help cut your costs.

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JHU Child Care Center Partners

JHU partners with three high-quality Baltimore-area child care centers that give admission and wait list priority to JHU employees. We also have relationships with other quality centers that offer wait list priority to our employees.

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As a parent, you’re responsible for assessing and monitoring the quality of the child care you choose. It’s important—and sometimes stressful—but we’ve got resources that can help, including safety information offered through our partnership with Care.com.

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Locate and register to use lactation rooms equipped with hospital-grade pumps and other comforts, get tips on successful milk expression after your return to work, and find manager resources, plus information on laws and JHU policies.

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Family Leave for New Parents

Parents can take paid time off using JHU’s birth recovery leave and parental leave after the birth or adoption of a child younger than 12. For a mother, this can mean up to 10 weeks of paid leave after childbirth (fathers and adoptive parents can get up to four weeks of paid leave).

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In addition to paid parental leave for parents adopting a child under the age of 12, we offer an Adoption Assistance Plan that can provide up to $15,000 toward eligible adoption costs.

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Gestational Surrogacy Program

Outside of the Adoption Assistance Plan, we offer a separate gestational surrogacy benefit that can provide up to $15,000 for eligible expenses associated with gestational surrogacy.

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We have a host of programs that can ease the challenges—emotional, financial, and practical—of caring for an aging adult.

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Source: https://hr.jhu.edu/benefits-worklife/family-programs/