Cross-Cultural Differences in Communication About a Dying Child.

Abstract:

:There are more migrants, refugees, and immigrants adrift in the world today than at any time in the recent past. Doctors and hospitals must care for people from many different cultures, countries, and religious backgrounds. We sometimes find our own deeply held beliefs and values challenged. In this "Ethics Rounds," we present a case in which a Pakistani immigrant family faces a tragic medical situation and wants to deal with it in ways that might be normative in their own culture but are aberrant in ours. We asked the American doctors and 2 Pakistani health professionals to think through the issues. We also invited the father to talk about his own experience and preferences. We conclude that strict adherence to Western ethical norms may not always be the best choice. Instead, an approach based on cultural humility may often allow people on both sides of a cultural divide to learn from one another.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Cochran D,Saleem S,Khowaja-Punjwani S,Lantos JD

doi

10.1542/peds.2017-0690

subject

Has Abstract

pub_date

2017-11-01 00:00:00

issue

5

eissn

0031-4005

issn

1098-4275

pii

peds.2017-0690

journal_volume

140

pub_type

杂志文章
  • Health consequences of behaviors: injury as a model.

    abstract::Injury is the third leading cause of death in the United States and the leading cause for children, adolescents, and young adults. Injury results from multiple factors and so may its prevention. The first and simplest approach toward preventing injuries has been to innovatively and aggressively apply a traditional pub...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Irwin CE Jr,Cataldo MF,Matheny AP Jr,Peterson L

    更新日期:1992-11-01 00:00:00

  • Nocturnal arterial oxygen saturation and academic performance in a community sample of children.

    abstract:OBJECTIVE:Hypoxemia, often assessed via pulse oximetry, is associated with neurocognitive deficits in children. The best way to qualify hypoxemia, or which level of hypoxemia already affects cognition, is unknown. METHODS:We assessed the association of pulse oximetry-derived variables that qualify hypoxemia with impai...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-1256

    authors: Urschitz MS,Wolff J,Sokollik C,Eggebrecht E,Urschitz-Duprat PM,Schlaud M,Poets CF

    更新日期:2005-02-01 00:00:00

  • Age and height at diagnosis in Turner syndrome: influence of parental height.

    abstract::Age and height at diagnosis was studied in 100 patients with Turner syndrome: 41 with the 45,X karyotype and 59 with various other karyotypes. In 15 patients diagnosis was made at birth. In the remaining patients median age at diagnosis was 12.9 years in those with 45,X karyotype and 11.6 years in the others. Mean +/-...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Massa GG,Vanderschueren-Lodeweyckx M

    更新日期:1991-12-01 00:00:00

  • Toe tourniquet syndrome in association with maternal hair loss.

    abstract::Increased hair loss a few months after delivering an infant is a common postpartum condition known as telogen effluvium. A much less common condition involving young infants is the hair-thread tourniquet syndrome, or toe tourniquet syndrome, which involves hair or thread becoming so tightly wrapped around an appendage...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.111.3.685

    authors: Strahlman RS

    更新日期:2003-03-01 00:00:00

  • Early-Onset Sepsis Risk Calculator Integration Into an Electronic Health Record in the Nursery.

    abstract:BACKGROUND AND OBJECTIVES:An early-onset sepsis (EOS) risk calculator tool to guide evaluation and treatment of infants at risk for sepsis has reduced antibiotic use without increased adverse outcomes. We performed an electronic health record (EHR)-driven quality improvement intervention to increase calculator use for ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2018-3464

    authors: Stipelman CH,Smith ER,Diaz-Ochu M,Spackman J,Stoddard G,Kawamoto K,Shakib JH

    更新日期:2019-08-01 00:00:00

  • Pacifying effects of nonnutritive sucking on term and preterm neonates during heelstick procedures.

    abstract::Behavioral state, heart rate, and respiration were monitored during heelstick procedures in samples of healthy, term neonates (N = 48) and preterm neonates treated in minimal care (N = 48) and intensive care (N = 48) nurseries. The treated infants who were given pacifiers spent significantly less time fussing and cryi...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Field T,Goldson E

    更新日期:1984-12-01 00:00:00

  • Research Gaps in Primary Pediatric Hypertension.

    abstract::Hypertension affects >40% of the US population and is a major contributor to cardiovascular-related morbidity and mortality. Although less common among children and adolescents, hypertension affects 1% to 5% of all youth. The 2017 Clinical Practice Guideline for the Diagnosis and Management of High Blood Pressure in C...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2018-3517

    authors: Taylor-Zapata P,Baker-Smith CM,Burckart G,Daniels SR,Flynn JT,Giacoia G,Green D,Kelly AS,Khurana M,Li JS,Pratt C,Urbina EM,Zajicek A

    更新日期:2019-05-01 00:00:00

  • Is childhood vaccination associated with asthma? A meta-analysis of observational studies.

    abstract:BACKGROUND:The possible link between immunization and atopic diseases has been under intense debate in the last decade. OBJECTIVE:The aim of this study was to systematically review the available evidence on the association of whole-cell pertussis and BCG vaccination with the risk of asthma in childhood and adolescence...

    journal_title:Pediatrics

    pub_type: 杂志文章,meta分析

    doi:10.1542/peds.2006-3569

    authors: Balicer RD,Grotto I,Mimouni M,Mimouni D

    更新日期:2007-11-01 00:00:00

  • Selective screening device for the early detection of normal or delayed cognitive development in infants at risk for later mental retardation.

    abstract::The present study tested the predictive validity at 3 years of age of a screening device for the early identification of later cognitive delay. The screening device, administered between 3 and 7 months of age, is based on the infant's differential fixation "to novel" over previously shown pictures. The sample was comp...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Fagan JF 3rd,Singer LT,Montie JE,Shepherd PA

    更新日期:1986-12-01 00:00:00

  • Renal function in obstructive nephropathy: long-term effect of reconstructive surgery.

    abstract::Renal function was studied in 24 children with chronic hydronephrosis and renal insufficiency. The follow-up period after reconstructive surgery was 1 to 12 years. Glomerular filtration rate (GFR) was assessed by the clearance of endogenous creatinine or inulin. Effective renal plasma flow was assessed by the clearanc...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Mayor G,Genton N,Torrado A,Guignard JP

    更新日期:1975-11-01 00:00:00

  • A cluster of children with seizures caused by camphor poisoning.

    abstract:BACKGROUND:Isolated cases of camphor-induced seizures have been reported in young children after gastrointestinal, dermal, and inhalation exposure. In 1982, after a series of unintentional ingestions of camphor products, the US Food and Drug Administration restricted the camphor content to <11% in some products intende...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-2097

    authors: Khine H,Weiss D,Graber N,Hoffman RS,Esteban-Cruciani N,Avner JR

    更新日期:2009-05-01 00:00:00

  • Do pediatricians recognize mothers with depressive symptoms?

    abstract:OBJECTIVE:To determine whether pediatric health care providers recognize maternal depressive symptoms and to explore whether maternal, provider, and visit characteristics affect pediatric providers' ability to recognize inner-city mothers with depressive symptoms. DESIGN:A cross-sectional study was conducted at a hosp...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.6.1367

    authors: Heneghan AM,Silver EJ,Bauman LJ,Stein RE

    更新日期:2000-12-01 00:00:00

  • Gender differences in presentation and course of disease in pediatric patients with Crohn disease.

    abstract:OBJECTIVE:The objective of this study was to determine gender differences in pediatric patients with Crohn disease. METHODS:We conducted a retrospective cohort study of 989 consecutive pediatric patients (566 boys, 423 girls) who had Crohn disease (aged 0 to 17 years at diagnosis) by using the Pediatric IBD Consortium...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-0905

    authors: Gupta N,Bostrom AG,Kirschner BS,Ferry GD,Winter HS,Baldassano RN,Gold BD,Abramson O,Smith T,Cohen SA,Heyman MB

    更新日期:2007-12-01 00:00:00

  • Metabolic syndrome in childhood predicts adult cardiovascular disease 25 years later: the Princeton Lipid Research Clinics Follow-up Study.

    abstract:OBJECTIVE:The goal was to assess the association of metabolic syndrome in childhood with adult cardiovascular disease 25 years later. METHODS:Data from the National Heart, Lung, and Blood Institute Lipid Research Clinics Princeton Prevalence Study (1973-1976) and the Princeton Follow-up Study (2000-2004) were used. BM...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-1699

    authors: Morrison JA,Friedman LA,Gray-McGuire C

    更新日期:2007-08-01 00:00:00

  • The Seattle children's bicycle helmet campaign: changes in helmet use and head injury admissions.

    abstract:OBJECTIVE:To describe the impact of a community bicycle helmet campaign on helmet use and the incidence of bicycle-related head injuries. SETTING:Metropolitan community and a large health maintenance organization. INTERVENTIONS:Communitywide bicycle helmet campaign. OUTCOMES:Rate of observed bicycle helmet use in th...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Rivara FP,Thompson DC,Thompson RS,Rogers LW,Alexander B,Felix D,Bergman AB

    更新日期:1994-04-01 00:00:00

  • Pulse oxygen saturation levels and arterial oxygen tension values in newborns receiving oxygen therapy in the neonatal intensive care unit: is 85% to 93% an acceptable range?

    abstract:OBJECTIVE:Our aim was to define the relationship of PaO(2) and pulse oxygen saturation values during routine clinical practice and to evaluate whether pulse oxygen saturation values between 85% and 93% were associated with PaO(2) levels of <40 mmHg. METHODS:Prospective comparison of PaO(2) and pulse oxygen saturation ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-0117

    authors: Castillo A,Sola A,Baquero H,Neira F,Alvis R,Deulofeut R,Critz A

    更新日期:2008-05-01 00:00:00

  • Optimal thermal management for low birth weight infants nursed under high-powered radiant warmers.

    abstract::Servocontrol of skin temperature for the critically ill premature neonate nursed on a radiant warmer bed has been assumed to be analogous to skin temperature control for infants nursed in convection-warmed incubators. There are significant differences between these two warming techniques, and no definitive data exist ...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Malin SW,Baumgart S

    更新日期:1987-01-01 00:00:00

  • Motivational interviewing with parents for obesity: an RCT.

    abstract:BACKGROUND AND OBJECTIVE:Motivational interviewing (MI) has been shown to be an effective strategy for targeting obesity in adolescents, and parental involvement is associated with increased effectiveness. The aim of this study was to evaluate and compare the role of parental involvement in MI interventions for obese a...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2014-1987

    authors: Pakpour AH,Gellert P,Dombrowski SU,Fridlund B

    更新日期:2015-03-01 00:00:00

  • Iron deficiency in early childhood in the United States: risk factors and racial/ethnic disparities.

    abstract:BACKGROUND:Iron deficiency affects 2.4 million US children, and childhood iron-deficiency anemia is associated with behavioral and cognitive delays. Given the detrimental long-term effects and high prevalence of iron deficiency, its prevention in early childhood is an important public health issue. OBJECTIVES:The stud...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-0572

    authors: Brotanek JM,Gosz J,Weitzman M,Flores G

    更新日期:2007-09-01 00:00:00

  • Cost-effective treatment of phimosis.

    abstract:OBJECTIVE:To determine the most cost-effective treatment for phimosis. DESIGN:The costs of three treatment strategies for treating phimosis were evaluated using a decision-tree analysis. Three therapeutic approaches were considered: circumcision, preputial plasty (the use of plastic surgical techniques to enlarge the ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.102.4.e43

    authors: Van Howe RS

    更新日期:1998-10-01 00:00:00

  • Renal tubular acidosis in children treated with trimethoprim-sulfamethoxazole during therapy for acute lymphoid leukemia.

    abstract::The antibiotics trimethoprim (TMP) and sulfamethoxazole (SMZ), when used in combination, can cause metabolic acidosis, renal bicarbonate wasting, and growth failure. Retrospective review of repeated random serum chemistries from 10 children receiving TMP-SMZ and maintenance chemotherapy for acute lymphoid leukemia rev...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Murphy JL

    更新日期:1992-06-01 00:00:00

  • Pancreatitis in human immunodeficiency virus-infected children receiving dideoxyinosine.

    abstract::To define predictive or contributory risk factors for pancreatitis in human immunodeficiency virus-infected children receiving dideoxyinosine (ddI), the authors evaluated 95 children, 3 months to 18 years of age, who had received ddI at 60 to 540 mg/m2 per day for a mean of 56 weeks. Pancreatitis developed in 7 patien...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Butler KM,Venzon D,Henry N,Husson RN,Mueller BU,Balis FM,Jacobsen F,Lewis LL,Pizzo PA

    更新日期:1993-04-01 00:00:00

  • Cholestasis and Hepatic Iron Deposition in an Infant With Complex Glycerol Kinase Deficiency.

    abstract::We present a 6-week-old male infant with persistent hyperbilirubinemia, hypertriglyceridemia, elevated creatine kinase levels, and transaminitis since the second week of life. When he developed hyperkalemia, clinical suspicion was raised for adrenal insufficiency despite hemodynamic stability. A full endocrine workup ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2016-1479

    authors: Montoya-Williams D,Mowitz M

    更新日期:2017-07-01 00:00:00

  • Correlates of objectively measured sedentary behavior in US preschool children.

    abstract:OBJECTIVE:To identify correlates of objectively measured sedentary behavior in a diverse sample of preschool children. METHODS:A total of 331 children (51% male, 51% black) from a wide range of ethnic and socioeconomic backgrounds in greater Columbia, South Carolina, were recruited for this study. Sedentary behavior (...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-0748

    authors: Byun W,Dowda M,Pate RR

    更新日期:2011-11-01 00:00:00

  • Treatment of pyogenic granuloma in children with the flashlamp-pumped pulsed dye laser.

    abstract:OBJECTIVE:Pyogenic granuloma is a common, acquired, vascular tumor of the skin in children, often ulcerates or bleeds, and is commonly localized to the face. The treatment of choice has been surgical removal, either by excision or shave, followed by electrocautery. The site, young age of the patient, and the inherent n...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.99.3.368

    authors: Tay YK,Weston WL,Morelli JG

    更新日期:1997-03-01 00:00:00

  • Apnea of infancy and subsequent neurologic, cognitive, and behavioral status.

    abstract::A pilot study investigated the neurologic, cognitive, and behavioral consequences of nonfatal infancy apnea. Fifteen formerly apneic, monitored children were compared with age-similar siblings and with age-sex matched playmates. Significant impairment in gross motor development and mild cognitive deficiencies were obs...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Deykin E,Bauman ML,Kelly DH,Hsieh CC,Shannon D

    更新日期:1984-05-01 00:00:00

  • The psychological consequences of Turner syndrome and review of the National Cooperative Growth Study psychological substudy.

    abstract:OBJECTIVE:To present longitudinal data on the psychological profile of a cohort of girls with and without Turner syndrome (TS) treated for 3 years with growth hormone (GH). METHODS:Among a sample of 283 children with short stature, 37 girls with TS were recruited at 27 US medical centers. Of the original cohort, 22 gi...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Siegel PT,Clopper R,Stabler B

    更新日期:1998-08-01 00:00:00

  • A parent-led family-focused treatment program for overweight children aged 5 to 9 years: the PEACH RCT.

    abstract:OBJECTIVE:To evaluate a healthy lifestyle intervention to reduce adiposity in children aged 5 to 9 years and assess whether adding parenting skills training would enhance this effect. PARTICIPANTS AND METHODS:We conducted a single-blinded randomized controlled trial of prepubertal moderately obese (International Obesi...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2009-1432

    authors: Magarey AM,Perry RA,Baur LA,Steinbeck KS,Sawyer M,Hills AP,Wilson G,Lee A,Daniels LA

    更新日期:2011-02-01 00:00:00

  • Renal outcome of neonatal renal venous thrombosis: review of 28 patients and effectiveness of fibrinolytics and heparin in 10 patients.

    abstract:OBJECTIVES:Neonatal renal venous thrombosis is a rare disorder that can result in severe renal damage. To evaluate the experience over 10 years and review the effectiveness of fibrinolytic and/or heparin therapy, chart reviews were performed for newborns with renal venous thrombosis. PATIENTS, INTERVENTIONS, AND OUTCOM...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-1461

    authors: Messinger Y,Sheaffer JW,Mrozek J,Smith CM,Sinaiko AR

    更新日期:2006-11-01 00:00:00

  • Community Access to Child Health (CATCH) in the historical context of Community Pediatrics.

    abstract:OBJECTIVES:As part of the evaluation of the American Academy of Pediatrics (AAP) Community Access to Child Health (CATCH), to 1) identify, retrospectively, the actual chronology of activities undertaken through CATCH, and 2) review its antecedents within the AAP, and its predecessor program-Healthy Children. METHODS:K...

    journal_title:Pediatrics

    pub_type: 历史文章,杂志文章

    doi:

    authors: Hutchins VL,Grason H,Aliza B,Minkovitz C,Guyer B

    更新日期:1999-06-01 00:00:00