Pediatrics最新文献_第9页

Children's Understanding of Commonly Used Medical Terminology. 儿童对常用医学术语的理解。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-01-01 DOI: 10.1542/peds.2024-067871

Rheanne Maravelas, Zachary Linneman, Jordan Marmet, Marissa A Hendrickson, Scott Lunos, Emily Hause, Alexis Quade, Katherine Allen, Michelle M Kelly, Sage Marmet, Brett Norling, Aarabhi S Rajagopal, Madeline Suk, Michael Pitt

引用次数: 0

An Improvement Project to Lower Pneumothorax Rates in Neonates Born at 36 Weeks' Gestational Age or Beyond. 降低36周及以上胎龄新生儿气胸发生率的改进项目。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-01-01 DOI: 10.1542/peds.2023-064227

Jenica Sandall, Craig Hilborn, Stephen Welty

{"title":"An Improvement Project to Lower Pneumothorax Rates in Neonates Born at 36 Weeks' Gestational Age or Beyond.","authors":"Jenica Sandall, Craig Hilborn, Stephen Welty","doi":"10.1542/peds.2023-064227","DOIUrl":"10.1542/peds.2023-064227","url":null,"abstract":"Objective: Our institutional data revealed high pneumothorax rates in term neonates resuscitated in the delivery room (DR). Other studies have reported that high rates of continuous positive airway pressure (CPAP) in the DR are associated with increased pneumothorax rates. We sought to test the hypothesis that quality improvement efforts to reduce the use of CPAP in the DR would be associated with a reduced incidence of pneumothorax.Methods: We performed a series of interventions to make minor revisions to our DR respiratory care algorithm focusing on optimizing CPAP use by providing education to the DR team to the revisions. For neonates born at 36 weeks of gestation or beyond, we evaluated the use of CPAP in the DR and the number of births between pneumothorax events before and after the algorithm was implemented. We used statistical process control charts to assess improvement.Results: CPAP utilization in the DR for infants 36 weeks or older decreased from 3.4% to 1.0%. Frequency of pneumothorax decreased, with births between pneumothorax events increasing from 293 to 530. We found no increase in the number of neonates requiring a higher level of care with respiratory distress.Conclusion: We found that a reduction in the use of CPAP in DR was associated with a decrease in the rate of pneumothorax without an increase in neonates requiring additional care with respiratory distress.","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of "The Talk" and Its Themes in Black Youths' Anticipatory Stress of Police Brutality. “谈话”及其主题在黑人青年对警察暴行的预期压力中的作用。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-01-01 DOI: 10.1542/peds.2024-067065

Lindsey Webb, Monique Jindal, J'Mag Karbeah, Alexander Testa, Rebecca L Fix, Dylan B Jackson

{"title":"The Role of \"The Talk\" and Its Themes in Black Youths' Anticipatory Stress of Police Brutality.","authors":"Lindsey Webb, Monique Jindal, J'Mag Karbeah, Alexander Testa, Rebecca L Fix, Dylan B Jackson","doi":"10.1542/peds.2024-067065","DOIUrl":"10.1542/peds.2024-067065","url":null,"abstract":"Background and objectives: Research on conversations between caregivers and their children about how to prepare or conduct themselves when stopped by police (ie, \"the talk\") has grown in recent years. However, little is known about how having \"the talk\" may influence youths' stress about future experiences of police brutality (ie, anticipatory stress of police brutality). The objective of the present study is to examine how youths' anticipatory stress regarding police brutality varies by whether they have had \"the talk\" with their caregivers.Methods: Data come from the Survey of Police-Adolescent Contact Experiences (SPACE), a cross-sectional survey of a community-based sample of Black youth aged 12 to 21 years in Baltimore, Maryland (n = 339), collected from August 2022 to July 2023. Multivariable ordinary least squares regressions were conducted to (1) examine associations between \"the talk\" and anticipatory stress of police brutality among a sample of Black youth in Baltimore and (2) examine the associations between messages in \"the talk\" and anticipatory stress of police brutality among youth who received \"the talk.\"Results: Findings indicate that having \"the talk\" was associated with lower anticipatory stress of police brutality. Moreover, among youth who received \"the talk,\" certain messages from parents during \"the talk\" were associated with significant increases in anticipatory stress of police brutality compared with other messages.Conclusions: Findings underscore the need for a nuanced understanding of \"the talk's\" broader implications on youth well-being and may be used to expand opportunities for youth to encounter affirmative racial socialization messages.","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes 50 Years After Preterm Birth: A Golden Opportunity to Reflect on Pathways Toward Thriving. 早产 50 年后的结果：反思茁壮成长之路的良机。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-01-01 DOI: 10.1542/peds.2024-068441

Jonathan S Litt, Henning Tiemeier

引用次数: 0

Health Outcomes 50 Years After Preterm Birth in Participants of a Trial of Antenatal Betamethasone. 产前倍他米松试验参与者早产后50年的健康结局

IF 6.2 2区医学

Pediatrics Pub Date : 2025-01-01 DOI: 10.1542/peds.2024-066929

Anthony G B Walters, Greg D Gamble, Caroline A Crowther, Stuart R Dalziel, Carl L Eagleton, Christopher J D McKinlay, Barry J Milne, Jane E Harding

{"title":"Health Outcomes 50 Years After Preterm Birth in Participants of a Trial of Antenatal Betamethasone.","authors":"Anthony G B Walters, Greg D Gamble, Caroline A Crowther, Stuart R Dalziel, Carl L Eagleton, Christopher J D McKinlay, Barry J Milne, Jane E Harding","doi":"10.1542/peds.2024-066929","DOIUrl":"10.1542/peds.2024-066929","url":null,"abstract":"Background and objectives: Preterm birth results in neonatal and childhood morbidity and mortality. Additionally, population-based studies show poorer cardiovascular health in adult survivors, but a full range of health outcomes has not been investigated into midlife. We aimed to assess the health outcomes after preterm vs term birth at 50 years in survivors of a randomized trial of antenatal betamethasone.Methods: Participants were asked to complete a health questionnaire and for consent to access administrative data. Participants deceased prior to follow-up were assessed with administrative data alone. The primary outcome was a composite: any of diabetes mellitus, prediabetes, treated hypertension, treated dyslipidemia, or a previous major adverse cardiovascular event. Secondary outcomes included respiratory, mental health, educational, and other health outcomes.Results: We included 470 participants: 424 assessed at mean age 49.3 years and 46 who died after infancy. The primary outcome occurred in 34.5% (112/325) of those born preterm and 29.9% (43/144) of those born at term; adjusted relative risk (aRR) 1.14 (95% CI, 0.85-1.54; P = .37). Cardiovascular events were less common in those born preterm (9/326 [2.8%] vs 10/144 [6.9%]; aRR 0.33, 95% CI, 0.14-0.79), while self-reported hypertension was more common (101/291 [34.7%] vs 23/116 [19.8%]; aRR 1.74, 95% CI, 1.16-2.61), although treated hypertension was not statistically significantly different (66/323 [20.4%] vs 22/143 [15.4%]; aRR 1.32, 95% CI, 0.84-2.06). Other components of the composite endpoint were similar between those born preterm and at term.Conclusions: Those aged 50 years born preterm were more likely to have hypertension but had similar risk of diabetes, prediabetes, and dyslipidemia than those born at term, and their risk of cardiovascular events was lower.","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Newborn Screening for Critical Congenital Heart Disease: A New Algorithm and Other Updated Recommendations: Clinical Report. 新生儿先天性心脏病筛查：新算法及其他更新建议：临床报告。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-01-01 DOI: 10.1542/peds.2024-069667

Matthew E Oster, Nelangi M Pinto, Arun K Pramanik, Allison Markowsky, Bryanna N Schwartz, Alex R Kemper, Lisa A Hom, Gerard R Martin

{"title":"Newborn Screening for Critical Congenital Heart Disease: A New Algorithm and Other Updated Recommendations: Clinical Report.","authors":"Matthew E Oster, Nelangi M Pinto, Arun K Pramanik, Allison Markowsky, Bryanna N Schwartz, Alex R Kemper, Lisa A Hom, Gerard R Martin","doi":"10.1542/peds.2024-069667","DOIUrl":"10.1542/peds.2024-069667","url":null,"abstract":"Critical congenital heart disease (CCHD) screening was added to the US Recommended Uniform Screening Panel in 2011 and adopted by all US states and territories by 2018. In addition to reviewing key developments in CCHD screening since the initial American Academy of Pediatrics (AAP) endorsement in 2011, this clinical report provides 3 updated recommendations. First, a new AAP algorithm has been endorsed for use in CCHD screening. Compared with the original AAP algorithm from 2011, this new algorithm a) has a passing oxygen saturation threshold of ≥95% in both pre- and post-ductal measurements; and b) has only 1 retest instead of 2 for infants who did not pass the first screen. Second, to continue to improve screening, state newborn screening programs should collect a recommended minimum uniform dataset to aid in surveillance and monitoring of the program. Finally, stakeholders should be educated on the limitations of screening, the significance of non-CCHD conditions, and the importance of protocol adherence. Future directions of CCHD screening include improving overall sensitivity and implementing methods to reduce health inequities. It will remain critical that the AAP and its chapters and members work with health departments and hospitals to achieve awareness and implementation of these recommendations.","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analyzing Pediatric Safety Events Using Antiracist Principles. 用反种族主义原则分析儿科安全事件。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-01-01 DOI: 10.1542/peds.2024-068489

Kavita Parikh, Maranda C Ward, Matt Hall, Sunitha V Kaiser, Joel S Tieder

引用次数: 0

The More Things Change, One Thing Stays the Same. 万变不离其宗

IF 6.2 2区医学

Pediatrics Pub Date : 2025-01-01 DOI: 10.1542/peds.2024-069567

Lewis R First, Kate Larson, Joseph Puskarz, Alex R Kemper

引用次数: 0

Advancing Equitable Participation in Pediatric Clinical Trials Through Cognitive Interviewing. 通过认知访谈促进儿科临床试验的公平参与。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-01-01 DOI: 10.1542/peds.2024-068666

Grace W Ryan, Melissa Goulding, Deicy Mejia Agudelo, Stephanie Simms, Michelle Spano, Juliana Arenas, Sarah Becker, Sonia Radu, Stephenie C Lemon, Milagros Rosal, Lori Pbert, Michelle Trivedi

引用次数: 0

Listen Up: Autistic Youth Need to Be Heard. 倾听：自闭症青少年需要被倾听。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-01-01 DOI: 10.1542/peds.2024-069175

Jace E Pooley

引用次数: 0