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Related Concept Videos

Genetic Screens02:46

Genetic Screens

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Genetic screens are tools used to identify genes and mutations responsible for phenotypes of interest. Genetic screens help identify individuals or a group of people at risk of developing  genetic diseases and help them with early intervention, targeted therapy, and reproductive options.
Forward genetic screens
Forward or “classical” genetic screens involve creating random mutations in an organism’s DNA using radiation, mutagens, or insertion of additional bases, which...
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Autism Spectrum Disorder01:19

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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
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Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
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Updated: Jul 6, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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ScreenPlus: A comprehensive, multi-disorder newborn screening program.

Nicole R Kelly1, Joseph J Orsini2, Aaron J Goldenberg3

  • 1Department of Pediatrics, Albert Einstein College of Medicine and Children's Hospital at Montefiore, Bronx, NY 10467, USA.

Molecular Genetics and Metabolism Reports
|January 4, 2024
PubMed
Summary
This summary is machine-generated.

ScreenPlus is a pilot newborn screening (NBS) program in NYC enrolling over 100,000 infants for 14 rare genetic disorders. This study evaluates screening accuracy, feasibility, and ethical considerations for NBS expansion.

Keywords:
ELSIEthicsExpanded conditionsNewborn screeningPilot studiesResearch

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Area of Science:

  • Medical Genetics
  • Public Health
  • Bioethics

Background:

  • Novel therapies necessitate early detection of rare genetic disorders through newborn screening (NBS).
  • Pilot NBS studies are crucial for assessing screening feasibility, accuracy, disease incidence, and ethical, legal, and social implications (ELSI).

Purpose of the Study:

  • To evaluate a consented pilot NBS program, ScreenPlus, enrolling over 100,000 infants in New York City.
  • To assess an analyte-based, multi-tiered screening platform for enhanced accuracy in detecting 14 rare genetic disorders.
  • To gather parental and stakeholder opinions on ELSI topics related to NBS expansion.

Main Methods:

  • ScreenPlus utilizes a consented, multi-tiered screening platform for 14 disorders in over 100,000 infants.
  • Abnormal results trigger confirmatory testing, management, and longitudinal outcome data collection.
  • Parental consent is obtained actively and passively, with translated materials for diverse populations.
  • Online surveys capture parental opinions on NBS policy, blood spot retention, and disorder inclusion.

Main Results:

  • The ScreenPlus program is designed to enroll over 100,000 infants, providing data on screening feasibility and accuracy.
  • A multi-sponsored, stakeholder-based funding model supports the pilot program.
  • The study will yield critical data on NBS for a broad panel of disorders and inform ethically sensitive decision-making.

Conclusions:

  • ScreenPlus serves as a model for multi-sponsored pilot NBS programs.
  • The program will generate essential data for NBS expansion, considering both technical and ethical aspects.
  • Findings will guide policy development for rare genetic disorder screening in newborns.