Pediatric Considerations Before, During, and After Radiological or Nuclear Emergencies.


:Infants, children, and adolescents can be exposed unexpectedly to ionizing radiation from nuclear power plant events, improvised nuclear or radiologic dispersal device explosions, or inappropriate disposal of radiotherapy equipment. Children are likely to experience higher external and internal radiation exposure levels than adults because of their smaller body and organ size and other physiologic characteristics, by picking up contaminated items, and through consumption of contaminated milk or foodstuffs. This policy statement and accompanying technical report update the 2003 American Academy of Pediatrics policy statement on pediatric radiation emergencies by summarizing newer scientific knowledge from studies of the Chernobyl and Fukushima Daiichi nuclear power plant events, use of improvised radiologic dispersal devices, exposures from inappropriate disposal of radiotherapy equipment, and potential health effects from residential proximity to nuclear plants. Policy recommendations are made for providers and governments to improve future responses to these types of events.










Has Abstract


2018-12-01 00:00:00












  • Identifying children with chronic arthritis based on chief complaints: absence of predictive value for musculoskeletal pain as an indicator of rheumatic disease in children.

    abstract:OBJECTIVE:To examine complaints for which children were referred to a pediatric rheumatology service and to determine whether there are specific complaints that are more likely to indicate the presence of chronic arthritis or chronic, systemic inflammatory disease. METHODS:A retrospective chart review of 414 children ...


    pub_type: 杂志文章


    authors: McGhee JL,Burks FN,Sheckels JL,Jarvis JN

    更新日期:2002-08-01 00:00:00

  • Gastrointestinal symptoms in children with type 1 diabetes screened for celiac disease.

    abstract:BACKGROUND:The association between celiac disease (CD) and type 1 diabetes mellitus (DM) is recognized. Most cases of CD in patients with DM are reported to be asymptomatic. OBJECTIVES:The objectives of this study were to (1) compare and audit our practice with the published standards for screening for CD in children ...


    pub_type: 杂志文章


    authors: Narula P,Porter L,Langton J,Rao V,Davies P,Cummins C,Kirk J,Barrett T,Protheroe S

    更新日期:2009-09-01 00:00:00

  • Arkansas' experience: statewide surveillance and parental information on the child obesity epidemic.

    abstract::Parents, clinicians, public health officials, and policy makers need readily available information on the extent of the childhood obesity epidemic. As in any epidemic, the strategies and tools used to combat the imminent threat are frequently based on scientific rationale and experience but applied in areas in which w...


    pub_type: 杂志文章


    authors: Thompson JW,Card-Higginson P

    更新日期:2009-09-01 00:00:00

  • Prophylactic Lactobacillus GG reduces antibiotic-associated diarrhea in children with respiratory infections: a randomized study.

    abstract:OBJECTIVES:Antimicrobial treatment may disturb the colonization resistance of gastrointestinal microflora, which may induce clinical symptoms, most commonly diarrhea. The severity of antibiotic-associated diarrhea may range from a brief, self-limiting disease to devastating diarrhea with electrolyte disturbances, dehyd...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Arvola T,Laiho K,Torkkeli S,Mykkänen H,Salminen S,Maunula L,Isolauri E

    更新日期:1999-11-01 00:00:00

  • Vesicoureteral reflux in the primate. IV. Infection as cause of prolonged high-grade reflux.

    abstract::High-grade reflux commonly lasts longer than moderate reflux, which disappears with maturation of the ureterovesical junction. It is known that ureteral function is affected by urinary tract infection from studies in experimental animals, as well as through clinical findings in patients with upper tract infection. Whe...


    pub_type: 杂志文章,评审


    authors: Roberts JA,Kaack MB,Morvant AB

    更新日期:1988-07-01 00:00:00

  • Efficacy of psychosocial group intervention for children with chronic illness and their parents.

    abstract:OBJECTIVE:To investigate the efficacy of a cognitive-behavioral group intervention for children with chronic illnesses and to test the effect of an added parent component. METHODS:Children (n = 194) and their parents participated in a multicenter randomized clinical trial comparing a child-only intervention and a pare...


    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Scholten L,Willemen AM,Last BF,Maurice-Stam H,van Dijk EM,Ensink E,Zandbelt N,van der Hoop-Mooij A,Schuengel C,Grootenhuis MA

    更新日期:2013-04-01 00:00:00

  • A randomized controlled trial of propranolol for infantile hemangiomas.

    abstract:OBJECTIVE:Propranolol hydrochloride is a safe and effective medication for treating infantile hemangiomas (IHs), with decreases in IH volume, color, and elevation. METHODS:Forty children between the ages of 9 weeks and 5 years with facial IHs or IHs in sites with the potential for disfigurement were randomly assigned ...


    pub_type: 杂志文章,随机对照试验


    authors: Hogeling M,Adams S,Wargon O

    更新日期:2011-08-01 00:00:00

  • Diagnostic performance of BMI percentiles to identify adolescents with metabolic syndrome.

    abstract:OBJECTIVES:To compare the diagnostic performance of the Centers for Disease Control and Prevention (CDC) and FITNESSGRAM (FGram) BMI standards for quantifying metabolic risk in youth. METHODS:Adolescents in the NHANES (n = 3385) were measured for anthropometric variables and metabolic risk factors. BMI percentiles wer...


    pub_type: 杂志文章


    authors: Laurson KR,Welk GJ,Eisenmann JC

    更新日期:2014-02-01 00:00:00

  • Lack of vancomycin-associated nephrotoxicity in newborn infants: a case-control study.

    abstract:OBJECTIVE:The purpose of this study was to compare the incidence of nephrotoxicity, defined as doubling of baseline serum creatinine concentration, in newborn infants with peak vancomycin serum concentrations 40 microg/mL. A secondary...


    pub_type: 杂志文章


    authors: Bhatt-Mehta V,Schumacher RE,Faix RG,Leady M,Brenner T

    更新日期:1999-04-01 00:00:00

  • Hypertrophic obstructive cardiomyopathy in an infant with an adrenocortical tumor.

    abstract::Nonfamilial cardiomyopathies in childhood have been only sporadically ascribed to endocrine disorders. We report on a 4-month-old male infant presenting with Cushing's syndrome associated with excessive body weight (8.9 kg; >97th percentile) and features of virilization (Tanner stage 2 for pubic hair development). Abd...


    pub_type: 杂志文章


    authors: Hauser J,Riedl S,Michel-Behnke I,Minkov M,Perneczky E,Horcher E

    更新日期:2013-08-01 00:00:00

  • Development of eating behaviors among children and adolescents.

    abstract::The prevalence of obesity among children is high and is increasing. We know that obesity runs in families, with children of obese parents at greater risk of developing obesity than children of thin parents. Research on genetic factors in obesity has provided us with estimates of the proportion of the variance in a pop...


    pub_type: 杂志文章,评审


    authors: Birch LL,Fisher JO

    更新日期:1998-03-01 00:00:00

  • Neuroprotection with prolonged head cooling started before postischemic seizures in fetal sheep.

    abstract:OBJECTIVE:Cerebral hypothermia has been shown to reduce damage from experimental hy-poxia-ischemia if started shortly after reperfusion. However, in the newborn infant it may not be feasible to determine prognosis so soon after exposure to asphyxia. The aim of this study was to determine whether head cooling, delayed u...


    pub_type: 杂志文章


    authors: Gunn AJ,Gunn TR,Gunning MI,Williams CE,Gluckman PD

    更新日期:1998-11-01 00:00:00

  • Children riding in the back of pickup trucks: a neglected safety issue.

    abstract::Motor vehicle-related trauma is the leading cause of death in children in the United States. All states have pediatric restraint requirements for passenger vehicles to help prevent these deaths and injuries. Only a few states, however, possess safety laws or restrictions for passengers who ride in the back of pickup t...


    pub_type: 杂志文章


    authors: Woodward GA,Bolte RG

    更新日期:1990-11-01 00:00:00

  • The role of schools in strengthening delivery of new adolescent vaccinations.

    abstract::Schools offer an opportunity to deliver new vaccines to adolescents who may not receive them in their medical home. However, school budgets and health priorities are set at the local level; consequently resources devoted to health-related activities vary widely. Partnering with schools requires soliciting buy-in from ...


    pub_type: 杂志文章


    authors: Lindley MC,Boyer-Chu L,Fishbein DB,Kolasa M,Middleman AB,Wilson T,Wolicki J,Wooley S,Working Group on the Role of Schools in Delivery of Adolescent Vaccinations.

    更新日期:2008-01-01 00:00:00

  • Access to digital technology among families coming to urban pediatric primary care clinics.

    abstract:OBJECTIVE:Digital technologies offer new platforms for health promotion and disease management. Few studies have evaluated the use of digital technology among families receiving care in an urban pediatric primary care setting. METHODS:A self-administered survey was given to a convenience sample of caregivers bringing ...


    pub_type: 杂志文章


    authors: Demartini TL,Beck AF,Klein MD,Kahn RS

    更新日期:2013-07-01 00:00:00

  • Feasibility and preliminary outcomes of a scalable, community-based treatment of childhood obesity.

    abstract:OBJECTIVE:Clinic-based treatments of childhood obesity are effective but typically have limited reach and are costly. In this study, we evaluated the effects of a scalable weight management program for children and teenagers. METHODS:Participants were 155 children and their parent/guardian. Children had a mean ± SD ag...


    pub_type: 临床试验,杂志文章


    authors: Foster GD,Sundal D,McDermott C,Jelalian E,Lent MR,Vojta D

    更新日期:2012-10-01 00:00:00

  • Implementation of potentially better practices for the prevention of brain hemorrhage and ischemic brain injury in very low birth weight infants.

    abstract:OBJECTIVE:Using an evidence-based approach, a Vermont Oxford Network focus group whose goal was to reduce brain injury developed and implemented a number of potentially better practices. Each center approached implementation of the practices differently. Reducing the incidence of intraventricular hemorrhage and periven...


    pub_type: 杂志文章


    authors: McLendon D,Check J,Carteaux P,Michael L,Moehring J,Secrest JW,Clark SE,Cohen H,Klein SA,Boyle D,George JA,Okuno-Jones S,Buchanan DS,McKinley P,Whitfield JM

    更新日期:2003-04-01 00:00:00

  • Increased rates of morbidity, mortality, and charges for hospitalized children with public or no health insurance as compared with children with private insurance in Colorado and the United States.

    abstract:BACKGROUND:There has been a gradual decrease in the proportion of children covered by private health insurance in Colorado and the United States with a commensurate increase in those with public insurance or having no insurance which may impact access to care and outcomes. OBJECTIVE:The purpose of this work was to det...


    pub_type: 杂志文章


    authors: Todd J,Armon C,Griggs A,Poole S,Berman S

    更新日期:2006-08-01 00:00:00

  • Palivizumab, a Humanized Respiratory Syncytial Virus Monoclonal Antibody, Reduces Hospitalization From Respiratory Syncytial Virus Infection in High-risk Infants.

    abstract::Objective. To determine the safety and efficacy of prophylaxis with palivizumab in reducing the incidence of hospitalization because of respiratory syncytial virus (RSV) infection in high-risk infants. Methods. A randomized, double-blind, placebo-controlled trial was conducted at 139 centers in the United States, the ...


    pub_type: 杂志文章



    更新日期:1998-09-01 00:00:00

  • Physical education class injuries treated in emergency departments in the US in 1997-2007.

    abstract:OBJECTIVE:The goal was to describe the epidemiological features of physical education (PE)-related injuries treated in US emergency departments. METHODS:A retrospective analysis was conducted with data for children and adolescents (5-18 years of age) from the National Electronic Injury Surveillance Study of the US Con...


    pub_type: 杂志文章


    authors: Nelson NG,Alhajj M,Yard E,Comstock D,McKenzie LB

    更新日期:2009-09-01 00:00:00

  • Television-viewing habits and sleep disturbance in school children.

    abstract:OBJECTIVE:To investigate the relationship between specific television-viewing habits and both sleep habits and sleep disturbances in school children. METHODS:The parents of 495 children in grades kindergarten through fourth grade in three public elementary schools completed two retrospective survey questionnaires, one...


    pub_type: 杂志文章


    authors: Owens J,Maxim R,McGuinn M,Nobile C,Msall M,Alario A

    更新日期:1999-09-01 00:00:00

  • Subscapular abscess due to Haemophilus influenzae type B.

    abstract::Localized abscess formation is a rare but previously described manifestation of Haemophilus influenzae infection. A majority of the reported cases were caused by nontypeable strains of H influenzae. We report a case of an extensive subscapular abscess due to beta-lactamase-negative H influenzae type B. This, to our kn...


    pub_type: 杂志文章


    authors: San Joaquin VH,Kimball JB

    更新日期:1980-02-01 00:00:00

  • Effect of hospital characteristics on outcomes from pediatric cardiopulmonary resuscitation: a report from the national registry of cardiopulmonary resuscitation.

    abstract:OBJECTIVE:Cardiac arrest is uncommon among pediatric patients. Prehospital data demonstrate differences in care processes between children and adults receiving cardiopulmonary resuscitation and advanced life support. We sought to evaluate whether children receiving in-hospital cardiopulmonary resuscitation would attain...


    pub_type: 杂志文章


    authors: Donoghue AJ,Nadkarni VM,Elliott M,Durbin D,American Heart Assocation National Registry of Cardiopulmonary Resuscitation Investigators.

    更新日期:2006-09-01 00:00:00

  • Identification and evaluation of children with autism spectrum disorders.

    abstract::Autism spectrum disorders are not rare; many primary care pediatricians care for several children with autism spectrum disorders. Pediatricians play an important role in early recognition of autism spectrum disorders, because they usually are the first point of contact for parents. Parents are now much more aware of t...


    pub_type: 杂志文章,评审


    authors: Johnson CP,Myers SM,American Academy of Pediatrics Council on Children With Disabilities.

    更新日期:2007-11-01 00:00:00

  • Transition care for children with special health care needs.

    abstract:BACKGROUND:Approximately 750,000 children in the United States with special health care needs will transition from pediatric to adult care annually. Fewer than half receive adequate transition care. METHODS:We had conversations with key informants representing clinicians who provide transition care, pediatric and adul...


    pub_type: 杂志文章,评审


    authors: Davis AM,Brown RF,Taylor JL,Epstein RA,McPheeters ML

    更新日期:2014-11-01 00:00:00

  • Smoking patterns among adolescents with asthma attending upper secondary schools: a community-based study.

    abstract:OBJECTIVE:Smoking among people who have asthma may be a serious health problem. We studied the prevalence of smoking and the relations between smoking and asthma, symptoms, medicine, and gender differences among adolescents with asthma. METHODS:A national cross-sectional study on health and lifestyles was performed in...


    pub_type: 杂志文章


    authors: Precht DH,Keiding L,Madsen M

    更新日期:2003-05-01 00:00:00

  • Successful implementation of a radiology sedation service staffed exclusively by pediatric emergency physicians.

    abstract:OBJECTIVE:As the number of diagnostic imaging studies performed has increased, the demand for sedation in support of these radiologic tests has also increased. Our objectives were to (1) assess the safety and efficacy of a radiology sedation service that is staffed exclusively by pediatric emergency medicine (PEM) phys...


    pub_type: 杂志文章


    authors: Pershad J,Gilmore B

    更新日期:2006-03-01 00:00:00

  • Adenosine infusion improves oxygenation in term infants with respiratory failure.

    abstract:OBJECTIVES:Adenosine infusion causes selective pulmonary vasodilation in fetal and neonatal lambs with pulmonary hypertension. We investigated the effects of a continuous infusion of adenosine on oxygenation in term infants with persistent pulmonary hypertension of newborn (PPHN). DESIGN:A randomized, placebo-controll...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Konduri GG,Garcia DC,Kazzi NJ,Shankaran S

    更新日期:1996-03-01 00:00:00

  • Fatal acute splenic sequestration at 4 months of age.

    abstract::A patient with homozygous sickle cell anemia is the youngest known to have died from acute splenic sequestration crisis. A cord blood screening program might have prevented this infant's death. ...


    pub_type: 杂志文章


    authors: Walterspiel JN,Rutledge JC,Bartlett BL

    更新日期:1984-04-01 00:00:00

  • Eosinophilic Pneumonia and Lymphadenopathy Associated With Vaping and Tetrahydrocannabinol Use.

    abstract::Idiopathic acute eosinophilic pneumonia is a rare and potentially life-threatening condition that is defined by bilateral pulmonary infiltrates and fever in the presence of pulmonary eosinophilia. It often presents acutely in previously healthy individuals and can be difficult to distinguish from infectious pneumonia....


    pub_type: 杂志文章


    authors: Mull ES,Erdem G,Nicol K,Adler B,Shell R

    更新日期:2020-04-01 00:00:00