Journal of Pediatrics最新文献_第5页

The Pittsburgh Study: A Tiered Model to Support Parents during Early Childhood. 匹兹堡研究：支持幼儿期父母的分层模式。

IF 3.9 2区医学

Journal of Pediatrics Pub Date : 2024-11-12 DOI: 10.1016/j.jpeds.2024.114396

Chelsea Weaver Krug, Alan L Mendelsohn, Jordan Wuerth, Erin Roby, Daniel S Shaw

{"title":"The Pittsburgh Study: A Tiered Model to Support Parents during Early Childhood.","authors":"Chelsea Weaver Krug, Alan L Mendelsohn, Jordan Wuerth, Erin Roby, Daniel S Shaw","doi":"10.1016/j.jpeds.2024.114396","DOIUrl":"10.1016/j.jpeds.2024.114396","url":null,"abstract":"Objective: To test the feasibility of implementing The Pittsburgh Study's (TPS) Early Childhood Collaborative, a population-level, community-partnered initiative to promote relational health by offering accessible preventive parenting program options for families with young children.Study design: TPS partnered with healthcare and community agencies serving families in Allegheny County, Pennsylvania, to enroll and screen 878 parents of 1040 children 4-years-old and under. Participants were assigned to 1 of 4 tiered groups based on identified needs: (1) universal, (2) targeted/universal, (3) secondary/tertiary, or (4) tertiary programs. Parents were offered choices in empirically supported parenting programs within group ranging from texting programs to intensive home visiting. Program selection was optional. Chi-square tests were conducted to examine the likelihood of selecting a program by group.Results: About 25% of participants were assigned to each tiered group; 78% of parents chose to enroll in a parenting program. In general, parents with higher levels of adversity were more likely to select a parenting program compared with those reporting less adversity, including secondary/tertiary vs targeted/universal groups (81.4% vs 72.8%), and tertiary vs universal and targeted/universal groups (83% vs 74.1% and 72.8%, respectively; P < .001).Conclusions: Our high program enrollment rate supports the feasibility of TPS. TPS successfully engaged families in the study by offering choices in, and optimizing accessibility to, parenting programs. TPS is highly aligned with recent recommendations by the American Academy of Pediatrics for tiered approaches as part of a broad public health strategy for supporting early relational health.Trial registration: The Pittsburgh Study Early Childhood (TPS-ECC): NCT05444205.","PeriodicalId":54774,"journal":{"name":"Journal of Pediatrics","volume":" ","pages":"114396"},"PeriodicalIF":3.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632638","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

Noninvasive Respiratory Support for Stabilization After Birth is a Safe Approach in Infants Who are Micropreterm. 为稳定微早产儿出生后的状况而提供无创呼吸支持是一种安全的方法。

IF 3.9 2区医学

Journal of Pediatrics Pub Date : 2024-11-12 DOI: 10.1016/j.jpeds.2024.114395

Ayman Abou Mehrem, Marc Beltempo

引用次数: 0

New Technologies Bring New Questions in Perinatal HSV 新技术带来围产期 HSV 的新问题

IF 3.9 2区医学

Journal of Pediatrics Pub Date : 2024-11-09 DOI: 10.1016/j.jpeds.2024.114353

Sarah S. Long MD

引用次数: 0

Substantiating the Need for NICU “Follow Through” 证明新生儿重症监护室 "全程跟踪 "的必要性

IF 3.9 2区医学

Journal of Pediatrics Pub Date : 2024-11-09 DOI: 10.1016/j.jpeds.2024.114354

Raye-Ann deRegnier MD

引用次数: 0

Information for Readers 读者信息

IF 3.9 2区医学

Journal of Pediatrics Pub Date : 2024-11-09 DOI: 10.1016/S0022-3476(24)00452-9

引用次数: 0

Respiratory Outcomes of Infants Born Extremely Preterm in the Necrotizing Enterocolitis Surgery Trial 坏死性小肠结肠炎手术试验中极度早产儿的呼吸系统预后。

IF 3.9 2区医学

Journal of Pediatrics Pub Date : 2024-11-08 DOI: 10.1016/j.jpeds.2024.114391

Sara B. DeMauro MD, MSCE , Erik A. Jensen MD, MSCE , Scott A. McDonald BS , Susan Hintz MD, MS , Jon Tyson MD , David K. Stevenson MD , Martin L. Blakely MD, MS

引用次数: 0

Congenital Goiter due to Inborn Error in Synthesis with Treatment Response. 先天性合成错误导致的先天性甲状腺肿大及治疗反应。

IF 3.9 2区医学

Journal of Pediatrics Pub Date : 2024-11-07 DOI: 10.1016/j.jpeds.2024.114387

Ankush Patel, Rekha Krishnasarma

引用次数: 0

Liberation from Respiratory Support in Bronchopulmonary Dysplasia. 解除支气管肺发育不良患者的呼吸支持。

IF 3.9 2区医学

Journal of Pediatrics Pub Date : 2024-11-07 DOI: 10.1016/j.jpeds.2024.114390

Matthew J Kielt, Isabella Zaniletti, Joanne M Lagatta, Michael A Padula, Theresa R Grover, Nicolas F M Porta, Erica M Wymore, Erik A Jensen, Kristen T Leeman, Jonathan C Levin, Jacquelyn R Evans, Sushmita Yallapragada, Leif D Nelin, Shilpa Vyas-Read, Karna Murthy

{"title":"Liberation from Respiratory Support in Bronchopulmonary Dysplasia.","authors":"Matthew J Kielt, Isabella Zaniletti, Joanne M Lagatta, Michael A Padula, Theresa R Grover, Nicolas F M Porta, Erica M Wymore, Erik A Jensen, Kristen T Leeman, Jonathan C Levin, Jacquelyn R Evans, Sushmita Yallapragada, Leif D Nelin, Shilpa Vyas-Read, Karna Murthy","doi":"10.1016/j.jpeds.2024.114390","DOIUrl":"https://doi.org/10.1016/j.jpeds.2024.114390","url":null,"abstract":"Objective: To estimate the association between the mode of respiratory support administered at 36 weeks' post-menstrual age (PMA) with time-to-liberation from respiratory support (LRS) in infants with grade 2/3 bronchopulmonary dysplasia (BPD).Study design: Daily respiratory support data were abstracted for infants born <32 weeks' gestation with grade 2/3 BPD enrolled in the Children's Hospitals Neonatal Database between 2017 and 2022. The main exposure was the mode of respiratory support received at 36 weeks' PMA: high flow nasal cannula >2 L/min (HFNC), continuous positive airway pressure (CPAP), non-invasive positive pressure ventilation (NIPPV), or mechanical ventilation (MV). The primary outcome was time-to-LRS, defined as the PMA when infants weaned to nasal cannula <2 L/min or room air for >2 days. The independent association between the main exposure and time-to-LRS was estimated using restricted mean survival time analysis.Results: Among 3,483 included infants from 41 centers, 17% received HFNC, 36% CPAP, 16% NIPPV, and 32% MV at 36 weeks' PMA. After censoring those who died (4.2%), survived with tracheostomy (7.6%), or were transferred to another facility (7.5%), the median (IQR) time-to-LRS differed between groups: HFNC 37 [37, 39]; CPAP 39 [37, 41] NIPPV 41[39, 45]; and MV 44 [40, 48] weeks' PMA (P<0.001). Across centers, a 10-fold difference in time-to-LRS was observed after adjustment for clinical risk factors.Conclusions: For infants with grade 2/3 BPD, the mode of respiratory support prescribed at 36 weeks' PMA and center of care were each associated with time-to-LRS independent of patient and clinical characteristics.","PeriodicalId":54774,"journal":{"name":"Journal of Pediatrics","volume":" ","pages":"114390"},"PeriodicalIF":3.9,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632497","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

National Trends in Breastfeeding by Gestational Age Category 按妊娠年龄分类的全国母乳喂养趋势。

IF 3.9 2区医学

Journal of Pediatrics Pub Date : 2024-11-06 DOI: 10.1016/j.jpeds.2024.114388

Nikita S. Kalluri MD, MPH , Erika G. Cordova-Ramos MD , Sunah S. Hwang MD, MPH, PhD , Katherine R. Standish MD, MS , Margaret G. Parker MD, MPH

引用次数: 0

Cardiopulmonary Physiology of Hypoxemic Respiratory Failure Among Preterm Infants with Septic Shock. 脓毒性休克早产儿低氧呼吸衰竭的心肺生理学。

IF 3.9 2区医学

Journal of Pediatrics Pub Date : 2024-11-06 DOI: 10.1016/j.jpeds.2024.114384

Ashraf Kharrat, Sagee Nissimov, Faith Zhu, Poorva Deshpande, Amish Jain

{"title":"Cardiopulmonary Physiology of Hypoxemic Respiratory Failure Among Preterm Infants with Septic Shock.","authors":"Ashraf Kharrat, Sagee Nissimov, Faith Zhu, Poorva Deshpande, Amish Jain","doi":"10.1016/j.jpeds.2024.114384","DOIUrl":"10.1016/j.jpeds.2024.114384","url":null,"abstract":"Objective: To examine cardiopulmonary physiological alterations associated with hypoxemic respiratory failure (HRF; fraction of inspired oxygen ≥0.60) among preterm neonates requiring vasopressors/inotropes during sepsis (septic shock).Study design: We conducted a retrospective cohort study from 2015 through 2022 at a tertiary neonatal intensive care unit. Neonates <34 weeks gestational age who had septic shock and underwent a comprehensive targeted neonatal echocardiography (TNE) ≤72 hours of sepsis onset were included. TNE findings of patients with shock and HRF were compared with those with shock without HRF. Indices of pulmonary vascular resistance (PVR), right ventricular (RV) and left ventricular (LV) systolic and diastolic function, measured using conventional, tissue Doppler imaging and speckle-tracking echocardiography, were examined.Results: Of 52 included infants with septic shock, 19 (37%) also had HRF. Baseline characteristics were similar. On TNE, although the HRF group more frequently had bidirectional/right-to-left flow across the patent ductus arteriosus (67% vs 33%; P = .08), all indices of PVR and RV function were similar. However, the HRF group demonstrated reduced LV systolic function (ejection fraction, 51.8% ± 12.3% vs 62.6% ± 13.0%; global peak systolic longitudinal strain -15.2% ± 4.5% vs -18.6% ± 4.5%), diastolic function (early [2.3 ± 1.0/s vs 3.6 ± 1.2/s]) and late (2.4/s [IQR, 1.9-2.6/s] vs 2.8/s [2.3-3.5/s] diastolic strain rate), and higher frequency of LV output <150 mL/min/kg (44% vs 12%) (all P < .05).Conclusions: Acute HRF occurring in preterm neonates with septic shock is associated with alterations in TNE measures of LV function, and not PVR or RV function. Future studies should evaluate the impact of supporting LV function in these patients.","PeriodicalId":54774,"journal":{"name":"Journal of Pediatrics","volume":" ","pages":"114384"},"PeriodicalIF":3.9,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606565","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