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  • 1
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 65, No. 4 ( 1980-04-01), p. 848-849
    Abstract: PACE 8 is the final Academy examination in the PACE series. The self-assessment program for pediatricians began in 1970 with SEEP followed by PACE in 1976-1979 and is currently continued as part of the PREP program. This report summarizes the data of the PACE 8 See Table in the PDF File See Images in the PDF File multiple-choice examination. Of the 3,635 subscribers, 1,155 returned answer sheets to the Academy for CME credit. All participants had the option of completing the assessments open book (using references), closed book, or both. All of the examinations (577) designated as "closed book" were scored to compile these data. The descriptive statistics generated provide an opportunity for PACE 8 participants to compare their performance with that of the sample. Table 1 gives the statistical summary for the total examination. Table 2 lists the mean percent scores for the topic areas. Table 3 gives information on the difficulty of each question in terms of the percent of participants answering the item correctly. A histogram of PACE 8 total scores is presented in the Figure. The data have been presented in a similar format to the PACE 7 Report (Pediatrics 63:922, 1979) for comparison. PACE 8, like the previous examinations, was designed as an educational activity, only sampling knowledge base, and was not given in the usual controlled conditions. ACKNOWLEDGMENT Floy Helwig, MD, FAAP, PACE Science Editor, and the Academy gratefully acknowledge the assistance of Melton E. Golmon, PhD, Director of Medical Education, Northwestern University Medical School, in the preparation of the statistics.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1980
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  • 2
    Online Resource
    Online Resource
    American Academy of Pediatrics (AAP) ; 1950
    In:  Pediatrics Vol. 6, No. 3 ( 1950-09-01), p. 402-424
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 6, No. 3 ( 1950-09-01), p. 402-424
    Abstract: Two cases of glycogen storage disease of the heart occurring in siblings are reported. The first patient died at the Babies Hospital in 1922 and the diagnosis was established at autopsy. The second patient was admitted in 1948 and died after 33 days in the hospital. The family history reveals that the mother of the two patients had eight other children, of whom two are suspected of having succumbed to the same condition. Detailed clinical, chemical and pathologic studies were carried out on the second patient. Numerous chemical determinations were performed both before and after death. The pathologic changes were characteristic of those previously described in cases of glycogen storage disease of the heart. Despite the name of the disease, the abnormal glycogen accumulation and the consequent altered cellular structure were not limited to the heart, but were found in many other organs and tissues of the body. The chemical data revealed an apparently normal sequence of events in the mechanisms for carbohydrate metabolism that could be investigated. It was therefore hypothesized that the metabolic error lay in an excessive rate of accumulation of glycogen in the tissues. It was suggested that this might be consequent to the formation of a polysaccharide closely allied to glycogen, but differing from it in its chemical structure, or to inability of these patients to transform carbohydrate to fat.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1950
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  • 3
    Online Resource
    Online Resource
    American Academy of Pediatrics (AAP) ; 1980
    In:  Pediatrics Vol. 66, No. 2 ( 1980-08-01), p. 176-182
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 66, No. 2 ( 1980-08-01), p. 176-182
    Abstract: Low-income mother-infant pairs were randomly assigned to rooming-in (N = 143) or to routine (N = 158) postpartum contact to determine whether rooming-in affects subsequent adequacy in parenting. At mean age 17 months, two rooming-in and ten control children had experienced inadequate parenting. One rooming-in and eight control children were hospitalized for these problems. One rooming-in and five control families were reported to Protective Services for mistreatment of the study child; five control and no rooming-in children were in the care of adults other than their parents at the time of data analysis. In this study, rooming-in correlated with fewer subsequent cases of parenting inadequacy.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1980
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  • 4
    Online Resource
    Online Resource
    American Academy of Pediatrics (AAP) ; 1982
    In:  Pediatrics Vol. 70, No. 5 ( 1982-11-01), p. 769-773
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 70, No. 5 ( 1982-11-01), p. 769-773
    Abstract: Large families and inadequate spacing of children increase the risk for abuse. Twin births incorporate both of these factors, yet the association of twinning with subsequent abuse has not been explored. Forty-eight families with twins from St Vincent Hospital and Medical Center and Nashville General Hospital were compared with 124 single-birth families, matched for hospital of delivery, birth date, maternal age, race, and socioeconomic status. Three control (2.4%) and nine twin (18.7%) families were reported for maltreatment (P & lt; .001). Mothers of twins experienced greater previous parity than did control subjects (P & lt; .001). Twins also had significantly longer nursery stays (P & lt; .001), lower birth weights (P & lt; .001), and lower Apgar scores at one (P & lt; .01) and five (P & lt; .05) minutes. A regression analysis incorporating all of these variables, however, showed that twin status was most predictive of subsequent abuse.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1982
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  • 5
    Online Resource
    Online Resource
    American Academy of Pediatrics (AAP) ; 1980
    In:  Pediatrics In Review Vol. 1, No. 8 ( 1980-02-01), p. 239-244
    In: Pediatrics In Review, American Academy of Pediatrics (AAP), Vol. 1, No. 8 ( 1980-02-01), p. 239-244
    Abstract: Wheezing is a common symptom in infants and children, engendered by anatomic and developmental features as well as innate susceptibility to infection. Congenital anomalies also may involve the air passages, still further complicating differential diagnosis. From the foregoing discussion it is apparent that history and clinical evaluations remain of paramount importance in establishing the proper diagnosis with support from radiology and the laboratory. Because of the potentially serious import of wheezing in the child, early diagnosis and treatment are of utmost importance.
    Type of Medium: Online Resource
    ISSN: 0191-9601 , 1526-3347
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1980
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  • 6
    Online Resource
    Online Resource
    American Academy of Pediatrics (AAP) ; 1971
    In:  Pediatrics Vol. 47, No. 4 ( 1971-04-01), p. 650-657
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 47, No. 4 ( 1971-04-01), p. 650-657
    Abstract: Adrenal cortical function may influence the development of hyaline membrane disease. Corticosteroid administration to animal fetuses reportedly accelerates some parameters of lung maturation. Analysis of 387 consecutive autopsies on human neonates demonstrated that adrenal glands were 19% lighter in infants with hyaline membrane disease than in those without the disorder owing to a greater number of adrenal cortical cells in the latter infants. A positive correlation was found between the presence of infection arising before birth and the absence of hyaline membrane disease, the infected infants having larger adrenal glands. It was found that anencephalic neonates who had little or no adrenal fetal cortical zone and half sized adult zones had 45% the mass of osmiophilic granules in pulmonary type II alveolar cells as did nonanencephalic control infants. The osmiophilic granules are reportedly the anatomic representation of surfactant.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1971
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  • 7
    Online Resource
    Online Resource
    American Academy of Pediatrics (AAP) ; 1952
    In:  Pediatrics Vol. 10, No. 2 ( 1952-08-01), p. 150-161
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 10, No. 2 ( 1952-08-01), p. 150-161
    Abstract: Forty-eight cases of fatty liver disease in infancy coming to autopsy over the past 10 years at Gorgas Hospital are reported. The diagnosis of this condition is extremely difficult clinically; liver biopsy is the only certain way of making the premortem diagnosis. In Panama, vomiting, diarrhea and fever are the most frequent presenting complaints. Physical findings of help are the stunted growth, fever, and possibly enlarged liver. Other findings seen commonly in the African cases, such as edema, glossitis and dermatosis, are usually not, seen. The essential pathologic finding is a markedly fatty liver. Pancreatic changes consisting of acinar atrophy were seen in some cases. The cause of the deficiency state appears to be an inadequate protein intake, and will not be simple to deal with, as poverty and ignorance, rather than neglect, would seem to be responsible for this disease. The prognosis is extremely poor, only 11 of the 48 patients surviving for more than 24 hours after medical attention was sought. It is probable that fatty liver disease in infants is relatively common in Panama but almost completely overlooked clinically.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1952
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  • 8
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 151, No. 2 ( 2023-02-01)
    Abstract: The American Academy of Pediatrics National Registry for the Surveillance and Epidemiology of Perinatal coronavirus disease 2019 (COVID-19) (NPC-19) was developed to provide information on the effects of perinatal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. METHODS National Registry for the Surveillance and Epidemiology of Perinatal COVID-19 participating centers entered maternal and newborn data for pregnant persons who tested positive for SARS-CoV-2 infection between 14 days before and 10 days after delivery. Incidence of and morbidities associated with maternal and newborn SARS-CoV-2 infection were assessed. RESULTS From April 6, 2020 to March 19, 2021, 242 centers in the United States centers reported data for 7524 pregnant persons; at the time of delivery, 78.1% of these persons were asymptomatic, 18.2% were symptomatic but not hospitalized specifically for COVID-19, 3.4% were hospitalized for COVID-19 treatment, and 18 (0.2%) died in the hospital of COVID-related complications. Among 7648 newborns, 6486 (84.8%) were tested for SARS-CoV-2, and 144 (2.2%) were positive; the highest rate of newborn infection was observed when mothers first tested positive in the immediate postpartum period (17 of 125, 13.6%). No newborn deaths were attributable to SARS-CoV-2 infection. Overall, 15.6% of newborns were preterm: among tested newborns, 30.1% of polymerase chain reaction-positive and 16.2% of polymerase chain reaction-negative were born preterm (P & lt; .001). Need for mechanical ventilation did not differ by newborn SARS-CoV-2 test result, but those with positive tests were more likely to be admitted to a NICU. CONCLUSIONS Early in the pandemic, SARS-CoV-2 infection was acquired by newborns at variable rates and without apparent short-term effects. During a period that preceded widespread availability of vaccines, we observed higher than expected numbers of preterm births and maternal in-hospital deaths.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 2023
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  • 9
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 49, No. 2 ( 1972-02-01), p. 305-307
    Abstract: A subcommittee of the Inter-Society Commission for Heart Disease Resources recently recommended an immediate, nationwide change in dietary habits to reduce the risk of coronary heart disease in later life.1 Specifically, the Commission urges that people eat less than 300 mg of cholesterol each day, that the total calories from fat be less than 35% of the diet, and that the fat calories essentially be divided equally among saturated, monounsaturated, and polyunsaturated sources. (A commentary on these recommendations appears in this issue of Pediatrics.2) The Committee on Nutrition, realizing that pediatricians will increasingly be asked about diets for children to reduce the risk of heart disease in later life, has evaluated the Commission's report for its application to pediatric practice. The Committee stresses that such dietary intervention is, at present, experimental and recommends against dietary changes for all children. Dietary intervention may be warranted in special circumstances, but not before 1 year of age. Reasons for these recommendations will be given in this report. The evidence relating dietary cholesterol to coronary heart disease is summarized as follows: 1. Some inborn or acquired diseases with hypercholesterolemia are associated with premature atherosclerosis. 2. Serum cholesterol levels are higher than usual in persons with coronary heart disease. 3. Persons with high cholesterol levels in prospective studies developed coronary heart disease more often than those with normal levels. 4. The mortality rate from coronary heart disease in different countries varies in relation to the average blood cholesterol values (or dietary fat intake). 5. Experimentally induced hypercholesterolemia in animals is associated with atherosclerotic deposits.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1972
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  • 10
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 133, No. 4 ( 2014-04-01), p. 758-761
    Abstract: Immersion in water has been suggested as a beneficial alternative for labor, delivery, or both and over the past decades has gained popularity in many parts of the world. Immersion in water during the first stage of labor may be associated with decreased pain or use of anesthesia and decreased duration of labor. However, there is no evidence that immersion in water during the first stage of labor otherwise improves perinatal outcomes, and it should not prevent or inhibit other elements of care. The safety and efficacy of immersion in water during the second stage of labor have not been established, and immersion in water during the second stage of labor has not been associated with maternal or fetal benefit. Given these facts and case reports of rare but serious adverse effects in the newborn, the practice of immersion in the second stage of labor (underwater delivery) should be considered an experimental procedure that only should be performed within the context of an appropriately designed clinical trial with informed consent. Facilities that plan to offer immersion in the first stage of labor need to establish rigorous protocols for candidate selection, maintenance and cleaning of tubs and immersion pools, infection control procedures, monitoring of mothers and fetuses at appropriate intervals while immersed, and immediately and safely moving women out of the tubs if maternal or fetal concerns develop.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 2014
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