Abstract:
OBJECTIVE:The American Academy of Pediatrics' (AAP) recommendation for side or supine sleep position in healthy babies has generated much controversy. We surveyed primary care physicians to determine the effect of the AAP statement on physician attitude toward infant sleep position and advice to parents. METHODS:We sent a 23-question survey to 194 physicians in Western New York. The survey addressed their attitude toward the AAP recommendations and its impact on their advice to parents. RESULTS:Of the 149 physicians treating newborns, 121 (82%) completed the questionnaire; 98% were aware of the AAP statement. The most common sources of information were the AAP (86%) and professional literature (77%). Of the respondents, 79% agreed with the AAP statement. Reasons for reservation were lack of data (64%), potential adverse consequences of supine position (52%), and their own experience (47%). Gender, years in practice, and type of reimbursement did not influence attitude toward the AAP recommendation. The AAP statement increased the frequency with which physicians routinely discussed sleep position from 34 to 70% (P < .02). Physicians recommending the prone position decreased from 57 to 7% (P < .001), while those recommending supine sleep position increased from 10 to 42% (P < .001). CONCLUSIONS:Most physicians agreed with the AAP statement and more frequently discussed sleep position following the AAP recommendations. However, they did not routinely recommend supine sleep position. The majority (69%) recommended the side position even though it is unstable. Although the AAP statement has increased discussion of infant sleep position by primary care physicians in WNY, only a minority recommend that infants sleep supine.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Hudak BB,O'Donnell J,Mazyrka Nsubject
Has Abstractpub_date
1995-01-01 00:00:00pages
55-8issue
1eissn
0031-4005issn
1098-4275journal_volume
95pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract:OBJECTIVE:To determine the sound environment of preterm infants cared for in the NICU and to test the hypothesis that infants exposed to more adult language will make more vocalizations. METHODS:This was a prospective cohort study of 36 infants who had a birth weight of ≤1250 g. Sixteen-hour recordings of the infant s...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2011-0609
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To provide reference data for ambulatory blood pressure monitoring (ABPM) and to determine the influence of age, sex, and race on these values. METHODS:ABPM was performed on 300 healthy, normotensive boys and girls between the ages of 10 and 18 years, including 160 boys and 140 girls, of whom 149 were white ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1994-08-01 00:00:00
abstract::Ventricular arrhythmia in the perinatal period is observed with greater frequency than reported in the literature. Four cases from the authors' experience and an analysis of the literature are presented. Of the total of 45 cases, nine were detected in utero, three persisted beyond the neonatal period, and two resulted...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1979-05-01 00:00:00
abstract::An epidemic of acute myositis affecting children occurred in association with influenza B infections. The myositis followed the initial influenza-like episode, and almost exclusively involved the gastrocnemius and soleus muscles. Patients improved without specific treatment and made a complete recovery in four to five...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1976-02-01 00:00:00
abstract:OBJECTIVE:Extracorporeal membrane oxygenation (ECMO) has dramatically improved the survival of neonates with life-threatening respiratory and cardiac failure. However, ECMO requires numerous transfusions with significant risks. This study evaluated the effects of changing transfusion practices and blood component manag...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
abstract::Height, weight, and head circumference data up to age 4 years are reported for 124 children with phenylketonuria (PKU) who had been started on diet management before 4 months (121 days) of age and who were participating in the Collaborative Study of Children Treated for Phenylketonuria. Growth measurements of both the...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1979-05-01 00:00:00
abstract::Circadian rhythms are endogenously generated rhythms with a period length of approximately 24 hours. Evidence gathered during the past decade indicates that the circadian timing system develops prenatally and the suprachiasmatic nuclei, the site of a circadian clock, is present by midgestation in primates. Recent evid...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.112.2.373
更新日期:2003-08-01 00:00:00
abstract::Outdoor air pollution at levels occurring in many urban areas around the world has substantial adverse effects on health. Children in general, and children with asthma in particular, are sensitive to the adverse effects of outdoor air pollutants, including ozone, nitrogen oxides, and respirable particulate matter. A g...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-2233G
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:To examine factors associated with the maternal perception of the weight status in related and unrelated children and to examine whether associated health risks for children's physical and mental health are recognized. PATIENTS AND METHODS:Two hundred nineteen mothers with children between 3 and 6 years of a...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-1845
更新日期:2009-07-01 00:00:00
abstract::Children's hospitals play a central role in our child health care system. These hospitals face unique challenges under health care reform. They care for children with the most complex medical problems but often are not reimbursed for good preventive care, care coordination, or quality. We discuss a proposal by childre...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2013-0252g
更新日期:2013-04-01 00:00:00
abstract::Splenic function in sickle hemoglobinopathy syndromes was assessed to determine the developmental pattern of splenic dysfunction. Nonvisualization of the spleen using technetium-99 metastable (99mTc) spleen scans correlated strongly with pocked (vesiculated) RBCs greater than or equal to 3.5%. Cross-sectional analysis...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1985-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Previous research has documented racial/ethnic disparities in diabetes treatments and outcomes. It remains controversial whether these disparities result from differences in socioeconomic status (SES) or other factors. We examined racial/ethnic disparities in therapeutic modalities and diabete...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2014-1774
更新日期:2015-03-01 00:00:00
abstract::We report on 6 infants who underwent elective surgery and developed postoperative encephalopathy, which had features most consistent with intraoperative cerebral hypoperfusion. All infants were <48 weeks' postmenstrual age and underwent procedures lasting 120 to 185 minutes. Intraoperative records revealed that most o...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-0973
更新日期:2014-03-01 00:00:00
abstract::A 3 6/12-year-old previously healthy girl had intermittent attacks of abdominal pain following a blunt abdominal trauma. At admission to the hospital, she had jaundice and hepatomegaly. Results of laboratory tests indicated an obstructive pattern, and ultrasonography revealed an intraluminal mass in the distal common ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1986-06-01 00:00:00
abstract:BACKGROUND:Excessive fruit juice intake (>12 ounces/day) has been reported to be associated with short stature and obesity in preschool children. OBJECTIVE:To confirm whether excess fruit juice intake was associated with short stature and obesity in preschool children, we assessed growth parameters and fruit juice int...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.103.1.58
更新日期:1999-01-01 00:00:00
abstract::Viral gastroenteritis is one of the most frequently encountered problems in the day-care setting. Four different viruses are proven diarrhea pathogens, and each consists of multiple antigenic types. Most vial gastroenteritis cases occur during outbreaks, indicating that exposure is high once the agent is in the center...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract:OBJECTIVE:Each year, children die from heat stroke after being left unattended in motor vehicles. In 2003, the total was 42, up from a national average of 29 for the past 5 years. Previous studies found that on days when ambient temperatures exceeded 86 degrees F, the internal temperatures of the vehicle quickly reache...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-2368
更新日期:2005-07-01 00:00:00
abstract::The pharmacokinetics of chloramphenicol following intravenous and oral administration were studied in 14 infants with Haemophilus influenzae meningitis. Following five days of treatment with intravenous chloramphenicol (100 mg/kg/day every six hours), oral chloramphenicol was substituted at the same dose. Multiple ser...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1981-05-01 00:00:00
abstract::Kawasaki disease (KD) is the leading cause of acquired heart disease in children in the United States. It is a systemic vasculitis characterized by diffuse inflammation of medium and small blood vessels. If untreated it can lead to myocardial infarction, ischemic heart disease, or sudden death. Early recognition and t...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2015-3936
更新日期:2016-08-01 00:00:00
abstract::Although bone age estimates are traditionally used to monitor children receiving growth hormone therapy, few data support this practice. Bone age determination is fraught with technical difficulties, resulting in high interobserver differences. Longitudinal studies show that an individual's bone age can change erratic...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:To assess growth retardation in male adolescent patients who have a diagnosis of anorexia nervosa (AN) and the effect of weight restoration on catch-up growth. METHODS:Medical charts of all male adolescent AN patients (n = 12) who were admitted to the Pediatric Psychosomatic Department at the Sheba Medical C...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.111.2.270
更新日期:2003-02-01 00:00:00
abstract::The possibility that arterial oxygen saturation (SaO2) decreases during sleep in children with chronic bronchial asthma was investigated. The relationship between decreases in sleep SaO2 and airflow obstruction and ventilatory drives, as characterized by ventilatory and inspiratory muscle activity responses to hypoxia...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1980-11-01 00:00:00
abstract::The effects of beclomethasone, dipropionate aerosol (DBA) (400 microgram/day) on clinical course, pulmonary function, and pituitary-adrenal function was studied in 34 steroid-dependent asthmatic children. Asthma severity was assessed by daily symptom and medication scores, peak flow measured three times a day, and wee...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章
doi:
更新日期:1978-08-01 00:00:00
abstract::To improve child health at a community level, pediatricians require knowledge and skills that have not been traditionally included in residency training. Recent policy statements from the American Academy of Pediatrics and requirements from Accreditation Council for Graduate Medical Education Residency Review committe...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-2825J
更新日期:2005-04-01 00:00:00
abstract::The presence of pulsus paradoxus (PP) in 13 episodes of status asthmaticus in 12 children, ages 13 months to 15 years, was compared sequentially to a clinical score, peak expiratory flow rate (PEFR), heart rate, arterialized capillary pH, carbon dioxide pressure (PCO2), and the ratio of inspired oxygen to oxygen press...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1978-01-01 00:00:00
abstract:BACKGROUND:Children with trisomy 13 and trisomy 18 (T13-18) have low survival rates and survivors have significant disabilities. For these reasons, interventions are generally not recommended by providers. After a diagnosis, parents may turn to support groups for additional information. METHODS:We surveyed parents of ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-0151
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:To determine parents' knowledge and attitudes of medicolegal issues affecting adolescent medical care. DESIGN:An anonymous, mailed survey with 16 questions concerning Minnesota consent and confidentiality laws that affect adolescents' medical care. SETTING:A community of >70 000 in rural, southeastern Minne...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.103.3.582
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:To determine how sociodemographic factors and type of insurance influence use of medical and health-related services by children with special health care needs (CSHCN), after controlling for need. METHODS:A cross-sectional analysis of 1994 National Health Interview Disability Survey was conducted. Children b...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.112.3.593
更新日期:2003-09-01 00:00:00
abstract::Perinatal depression (PND) is the most common obstetric complication in the United States. Even when screening results are positive, mothers often do not receive further evaluation, and even when PND is diagnosed, mothers do not receive evidence-based treatments. Studies reveal that postpartum depression (PPD), a subs...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2018-3259
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:We followed a cohort (N = 306) of infants at well-baby visits in two suburban pediatric practices to assess the relation of exclusive breastfeeding, and other environmental exposures, to episodes of acute otitis media (AOM) and otitis media with effusion (OME). METHODS:Detailed prospective information about ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.100.4.e7
更新日期:1997-10-01 00:00:00