From the *Department of Pediatrics, Division of Developmental-Behavioral Pediatrics and Psychology, Case Western Reserve University School of Medicine, Cleveland, OH; †Adult Down Syndrome Center, ‡Department of Family Medicine, Lutheran General Hospital, Park Ridge, IL.
Received August 2010; accepted March 2011.
Funding was provided by the Developmental-Behavioral Pediatrics Fellowship Training Grant from the Maternal and Child Health Bureau (grant T77MC00004B0; PI: Roizen) and from the Rainbow Babies and Children's Foundation.
Disclosure: The authors declare no conflict of interest.
Address for reprints: Nancy J. Roizen, MD, Rainbow Babies and Children's Hospital, Rainbow Child Development Center, 10524 Euclid Ave, Suite 3150, Cleveland, OH 44106; e-mail: Nancy.Roizen@uhhospitals.org.