NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1963 ◽  
Vol 32 (5) ◽  
pp. 943-946
Keyword(s):  
Los Angeles ◽  
Infants And Children ◽  
Childrens Hospital ◽  
New Concepts ◽  
Sick Children ◽  
Day Program

The Childrens Hospital of Los Angeles will hold the Second Clinical Conference in Pediatric Anesthesiology, January 25, 1964. The 2-day program will be devoted to the practical aspects of the preanesthetic, anesthetic, and postanesthetic managemnt of infants and children. In addition, one afternoon will be devoted to new concepts in pediatric anesthesiology. Guest faculty will include Drs. M. Kathleen Belton, Oxnard, California; Alan Conn, Hospital for Sick Children, Toronto, Canada; and Robert Smith, Boston, Massachusetts.

Esophageal Hiatal Hernia in Infants and Children

1981 ◽  
Vol 90 (4) ◽  
pp. 387-391 ◽  
Author(s):  
Blair Fearon ◽  
Israel Brama
Keyword(s):  
Hiatal Hernia ◽  
Sudden Infant Death ◽  
Infants And Children ◽  
High Rate ◽  
Sudden Infant ◽  
Esophageal Hiatal Hernia ◽  
Esophageal Strictures ◽  
Sick Children ◽  
Medical Regime ◽  
In Infants And Children

Although prior to 1950 esophageal hiatal hernia (EHH) in children was a seldom recognized entity, it has since then become well known. The symptoms in children are considerably different from those in adults. The cause of EHH is still somewhat in doubt. The term gastroesophageal reflux (GER) is often applied as a diagnosis where the diagnosis is uncertain. The authors have reviewed case histories of 56 patients admitted to the Hospital for Sick Children, Toronto, from 1972 to 1980. A comparison is made with 101 cases admitted between 1952 and 1960. It is our firm belief that all patients with symptoms of GER should be esophagoscoped for definitive diagnosis as well as for assessment of the esophagus. Because there is a high rate of respiratory complications in infants and children with GER, bronchoscopy should be carried out concurrently with the esophagoscopy. Infants with GER are at risk from the possibility of aspiration and it is possible that an unknown number of sudden infant death syndrome is due to this factor. The majority of patients with EHH can be managed by a medical regime. Those with esophageal strictures are treated by dilatation but many require surgical correction.

FEASIBILITY STUDY OF A PEDIATRIC TELEPHONE CONSULTATION SERVICE

PEDIATRICS ◽  
1972 ◽  
Vol 50 (2) ◽  
pp. 307-311
Author(s):  
Russell W. Mapes ◽  
Elmore W. Lewis ◽  
David G. Covell ◽  
Hugh M. Peterson ◽  
Phil R. Manning
Keyword(s):  
Los Angeles ◽  
Patient Care ◽  
General Practitioners ◽  
Feasibility Study ◽  
Southern California ◽  
Consultation Service ◽  
Telephone Consultation ◽  
Childrens Hospital ◽  
Experienced Nurse ◽  
Affect Patient Care

A pediatric telephone consultation service with consultants based at Childrens Hospital of Los Angeles has been made available to a group of physicians practicing in Southern California. Data collected reveal that this service has been utilized by many pediatricians and general practitioners. Ninety-one percent of the calling physicians indicated that they were helped by the consultation, and in over one-third of the instances both the practitioner and the consultant felt that the outcome of the problem was changed by the consultation. In the majority of instances, incoming calls were efficiently handled by an experienced nurse-operator and an appropriate consultant was made available within 5 minutes 38% of the time and within 1 hour in 86% of all calls. Among the pediatric telephone consultants who provided the service, the majority (76%) felt that this kind of service, if expanded, would favorably affect patient care in a signifficant way. Among practitioners who used the service, 94% asked that such a service be continued.

Hospitalization of Children With Status Asthmaticus: A Review

PEDIATRICS ◽  
1989 ◽  
Vol 84 (1) ◽  
pp. 111-118
Author(s):  
Warren Richards
Keyword(s):  
Los Angeles ◽  
General Hospital ◽  
Status Asthmaticus ◽  
Hospital Admissions ◽  
Childrens Hospital ◽  
Asthma Mortality

A review of hospital admissions of patients with status asthmaticus at the Childrens Hospital of Los Angeles showed a marked increase in admissions in recent years. Asthma mortality did not increase. Patients tended to be young, boys, and black as compared with patients admitted to a general hospital. Interviews with 100 patients and/or their parents admitted between February and June 1988 indicated that the majority of patients had frequent, severe, and/or disabling symptoms and a significant number were undertreated. Forty-five percent of these patients and 46% of all patients admitted between January 1986 and October 1988 because of status asthmaticus also had sinusitis, otitis, or pneumonitis.

Epiglottitis

1978 ◽  
Vol 87 (4) ◽  
pp. 461-467 ◽  
Author(s):  
Seymour R. Cohen ◽  
John Chai
Keyword(s):  
Los Angeles ◽  
Endotracheal Intubation ◽  
Acute Epiglottitis ◽  
Safe Method ◽  
Artificial Airway ◽  
Childrens Hospital ◽  
Prolonged Hospitalization ◽  
Airway Problem

One hundred and seventy patients with acute epiglottitis were admitted to the Childrens Hospital of Los Angeles between the years 1957 to 1977. No deaths occurred in any of these patients, all of whom were treated with tracheotomy to support and ensure the airway. The records of 147 of these patients were available for review. No serious complications occurred from tracheotomy in any of the patients in this study. Tracheotomy is a safe method for caring for the airway problem in epiglottitis in a setting such as is available at the Childrens Hospital of Los Angeles. The median range of total days with tracheotomy was five to six days, and the median range for total days of hospitalization was six to seven days. Complications were never severe and in the extreme, merely prolonged hospitalization by a few days. This highly lethal disease is curable with antibiotics and an artificial airway, and it is questionable whether conservative medical measures with observation should be acceptable. The establishment of an airway, whether by tracheotomy or endotracheal intubation, is mandatory in the treatment of this disease.

Research Design, Organization, and Sample Characteristics of the Maternal PKU Collaborative Study

PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_4) ◽  
pp. 1519-1522 ◽  
Author(s):  
Richard Koch ◽  
Colleen Azen ◽  
Eva Friedman ◽  
William Hanley ◽  
Harvey Levy ◽  
...  
Keyword(s):  
Los Angeles ◽  
Collaborative Study ◽  
Obstetric Care ◽  
Fetal Outcome ◽  
Professional Services ◽  
Psychological Assessments ◽  
University Of Texas ◽  
Childrens Hospital ◽  
Blood Phenylalanine ◽  
Monitoring Protocols

Objective. The Maternal PKU Collaborative Study (MPKUCS) was initiated in 1984 by the National Institute of Child Health and Human Development (NICHD). The purpose was to assess the efficacy of dietary restriction of phenylalanine in reducing morbidity in offspring of women with hyperphenylalaninemia (HPA). A contract was awarded to Childrens Hospital Los Angeles as the Coordinating Center to provide implementation of the research protocol, data collection, and analysis. Methods. The Study included four regional contributing centers: Childrens Hospital Los Angeles (Western Region), Boston Children’s Hospital (Northeast Region), University of Illinois (Midwest Region), and University of Texas Medical Branch, Galveston (Southeast Region). Within each region, many participating clinics were responsible for obstetric care, treatment, and monitoring protocols. In 1985, Canada joined the MPKUCS, and in 1992, Germany entered. They were selected because they provided dietary supplies and strong professional services. Acquisition began in 1984 and ended in October 1995. The study included 574 pregnancies in women with HPA and 100 control subjects matched on age, race, parity, and weeks of gestation. The sample included women with blood phenylalanine values >240 μmol/L, 66% of whom had classical PKU, 22% had atypical PKU, and 12% had mild HPA. Informed consents were obtained on all participants. The women ranged in age from 15 to 36 years of age, with a mean age at conception of 23 years. Teenage pregnancies accounted for 19%. Seventy-five percent graduated from high school. Offspring included 416 newborns, 317 of whom were evaluated at 4 years of age and 289 at 6 to 7 years. Follow-up involved medical, nutritional, psychosocial, and psychological assessments. Conclusion. Women with PKU treated before conception and in control of their blood phenylalanine levels between 120 and 360 μmol/L (2–6 mg) exhibited normal pregnancies and neonatal outcome. Surprisingly, women who achieved control in the recommended range by 8 weeks of pregnancy also had a normal fetal outcome.

Reticuloendothelioses: A review of the childrens hospital of Los Angeles experience

1981 ◽  
Vol 7 ◽  
pp. 92
Author(s):  
David W. Mantik ◽  
Stephen M. Stowe ◽  
Nomie A. Shore ◽  
Hart Isaacs
Keyword(s):  
Los Angeles ◽  
Childrens Hospital
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