ACCEPTANCE OF THE PRESIDENCY OF THE AMERICAN ACADEMY OF PEDIATRICS

THIS change of blue to purple ribbon on my badge is a great honor. I thank you for selecting me to serve the Academy in this way. However, acceptance of the presidency at this time gives me some feelings of trepidation, despite your support and the support of a strong Executive Board and Central Office staff. American medicine is undergoing revolutionary changes: scientifically and educationally as well as in its methods of delivery. Pediatrics as a major division of medicine is not exempt from these changes. Government is playing an ever-increasing role in medical activities. Whether we agree with these changes or not is beside the point. The fact is, they are with us. But these changes are not unique to the United States. They seem to be part of worldwide scientific and social alterations. This year, you as Academy members must become accustomed not only to the usual yearly change of a president but also to a change of executive directorship. Dr. Christopherson's years in this office have been years of tremendous accomplishment. We are all confident that Dr. Frazier's will be the same. Those of us to whom the mantles of responsibility are being given are grateful for the firm foundation that has been built by our predecessors in office. We shall, to the best of our ability, face present and future problems with equanimity, dispatch, good sense, and the best possible judgment. As we undertake these tasks we shall always keep before us the section of our Constitution which states: "the object of the Academy shall be to foster and stimulate interest in Pediatrics and correlate all aspects of the work for the welfare of children which properly come within the scope of Pediatrics."

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ACCEPTANCE OF PRESIDENCY

PEDIATRICS ◽

10.1542/peds.33.1.135 ◽

1964 ◽

Vol 33 (1) ◽

pp. 135-135

Author(s):

Frank H. Douglass

Keyword(s):

American Academy ◽

Central Office ◽

Executive Board ◽

Office Staff ◽

Good Fortune ◽

American Academy Of Pediatrics

THIRTY-THREE men have held this office before me—thirty-three of the greatest names in Pediatrics. With such a heritage I feel very grateful and humble. It has been my good fortune to have known most of these men personally, and to the following three, I am particularly indebted: Dr. J. B. Bilderback, who was my teacher; Dr. Henry Dietrich, under whom I had my residency; and Dr. Jay I. Durand who was the first to interest me in our Academy and who was always an inspiration to me. The founders and officers of the Academy who have served before me have set the purpose of the voyage of the Good Ship American Academy of Pediatrics; the Executive Board of the Academy continually reviews our problems and charts our course; the Execcutive Director and Central Office staff arrange the cargo, but you—the stock holders—must work the cargo if our voyage is to be successful. I will try to the best of my ability to run a happy and efficient ship— and hold her steady as she goes.

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PRESIDENT'S ADDRESS

PEDIATRICS ◽

10.1542/peds.34.6.885 ◽

1964 ◽

Vol 34 (6) ◽

pp. 885-886

Author(s):

Frank H. Douglass

Keyword(s):

American Academy ◽

Executive Director ◽

Central Office ◽

Executive Board ◽

Office Staff ◽

American Academy Of Pediatrics ◽

The World ◽

One Year ◽

Do So

UPON ASSUMING this office one year ago I stated that the founders and officers of the Academy who had served before me had set the purpose of the voyage of the Good Ship American Academy of pediatrics; the Executive Board of the Academy continually reviews our problems and charts our course, the Executive Director and Central Office staff arrange the cargo, but you, the stockholders, must work the cargo if our voyage is to be successful. Our 1963-64 voyage is completed. I have brought the good ship back to the home port and she is again ready to sail under Captain Harry Towsley. I am happy to tell you that you have worked the cargo well in every port of call. Our committees have been dedicated and active as their reports show. This next year the committee reports will be published in a special booklet as heretofore. I urge every one of you to read these reports so you may better understand what you are getting from your membership. The Executive Board has not wavered one bit from the original purpose of our voyage, though I am sure there are some among us who would have them do so. The Board, your Officers, and even the Academy itself cannot be all things to all people, but we have tried hard to please as many as possible. I can assure you that every effort is made to comply with the wishes of the majority and to carry out the original precepts that made us the largest and most influential organization interested in children in all the world.

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PRESIDENT'S ADDRESS 1972

PEDIATRICS ◽

10.1542/peds.50.6.961 ◽

1972 ◽

Vol 50 (6) ◽

pp. 961-963

Keyword(s):

United States ◽

Rural Areas ◽

Good Health ◽

The United States ◽

The Past ◽

American Academy Of Pediatrics ◽

Collective Attention ◽

Per Capita ◽

Manpower Needs ◽

Goals And Objectives

This year marks the 42nd anniversary of the American Academy of Pediatrics. From its original 35 members, in this short span of years, the Academy has become a progressive, rapidly growing, vigorous group of more than 14,000 Fellows-four-fifths of all the United States pediatricians and a representative percentage of the pediatricians in Central and South America and Canada. During this interval, the Academy has consistently developed its programs and activities to advance and promote the health and welfare of children. Yet for the first 35 years we were basically an educational, disease-oriented organization, with little impact on community-oriented medical services, or on the socioeconomics of health care. Fortunately in the past several years there has been a decided change in the policies, priorities, and direction of the Academy. This is best reflected by its recent expanded goals and objectives in a complete revision of Article III, Section I of its Constitution. Even though we are still primarily disease-oriented physicians, we must not forget the problems that are deterrents to good health. We can hardly expect mcdicine to solve every social, political, and economic ill of the ghetto, suburbia, and the rural areas of our country; however, we do have an important role to play and we do have an important contribution to make in our communities. These areas, large or small and wherever they may be, will not have the same medical health and manpower needs, nor the same priorities, and will continually need our individual and collective attention. The United States has more physicians per capita than all but three or four other nations.

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Why Accept Stories About China?

PEDIATRICS ◽

10.1542/peds.58.3.464a ◽

1976 ◽

Vol 58 (3) ◽

pp. 464-465

Author(s):

Robert O. Fisch

Keyword(s):

United States ◽

American Academy ◽

The United States ◽

Official Journal ◽

American Academy Of Pediatrics ◽

The People ◽

Scientific Report

I am always amazed by the fascination of the American public with the "stories" from behind the Bamboo Curtain. The data of Dr. Wray in his article1 are biased, i.e., "I was told," etc. Any other article based upon similarly described data, especially from the United States, would not even be considered for publication by an editor, especially not by the editors of the official journal of the American Academy of Pediatrics. Dr. Wray's last sentence, "... Chairman Mao's command: ‘Serve the People!’" sounds more like a Marxist manifesto than the conclusion of a scientific report.

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Cardiopulmonary Resuscitation of the Newborn

Pediatrics in Review ◽

10.1542/pir.12.5.136 ◽

1990 ◽

Vol 12 (5) ◽

pp. 136-141

Author(s):

Robert A. Sinkin ◽

Jonathan M. Davis

Keyword(s):

United States ◽

American Academy ◽

American Heart Association ◽

Life Support ◽

American Heart ◽

Neonatal Resuscitation ◽

Heart Association ◽

The United States ◽

Delivery Room ◽

American Academy Of Pediatrics

Approximately 3.5 million babies are born each year in approximately 5000 hospitals in the United States. Only 15% of these hospitals have neonatal intensive care facilities. Six percent of all newborns require life support in the delivery room or nursery, and this need for resuscitation rises to 80% in neonates weighing less than 1500 g at birth. Personnel who are skilled in neonatal resuscitation and capable of functioning as a team and an appropriately equipped delivery room must always be readily available. At least one person skilled in neonatal resuscitation should be in attendance at every delivery. Currently, a joint effort by the American Academy of Pediatrics and the American Heart Association has resulted in the development of a comprehensive course to train appropriate personnel in neonatal resuscitation throughout the United States. Neonatal resuscitation is also taught as part of a Pediatric Advanced Life Support course offered by the American Heart Association. In concert with the goals of the American Academy of Pediatrics and the American Heart Association, we strongly urge all personnel responsible for care of the newborn in the delivery room to become certified in neonatal resuscitation. The practical approach to neonatal resuscitation is the focus of this article.

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APGAR STAMP

PEDIATRICS ◽

10.1542/peds.94.4.544 ◽

1994 ◽

Vol 94 (4) ◽

pp. 544-544

Author(s):

L. J. Butterfield

Keyword(s):

United States ◽

Annual Meeting ◽

San Antonio ◽

The United States ◽

Press Conference ◽

Postal Service ◽

United States Postal Service ◽

American Academy Of Pediatrics ◽

One Year ◽

United States Postal

On Monday, October 24, 1994 at 2:00 PM, a definitive stamp will be dedicated to Dr Virginia Apgar at the American Academy of Pediatrics (AAP) annual meeting in Dallas. A definitive stamp lasts for years while the commemorative stamp is printed just one year. The United States Postal Service announced the 1994 stamp program on December 7, 1993 during a press conference at the National Postal Museum. Dr Apgar was nominated for a stamp in 1987 by the AAP. The initiative was spawned by the Perinatal Section at the 1985 annual meeting of the AAP in San Antonio.

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Circumcision Decision: Prominence of Social Concerns

PEDIATRICS ◽

10.1542/peds.80.2.215 ◽

1987 ◽

Vol 80 (2) ◽

pp. 215-219

Author(s):

Mark S. Brown ◽

Cheryl A. Brown

Keyword(s):

United States ◽

Parental Education ◽

The United States ◽

Self Concept ◽

Obstetrics And Gynecology ◽

Controlled Trials ◽

American Academy Of Pediatrics ◽

Social Concerns ◽

Policy Statements ◽

Medical Indications

Despite policy statements against routine circumcision of newborns by the American Academy of Pediatrics and the American College of Obstetrics and Gynecology more than 10 years ago, there has been virtually no change in circumcision practices in the United States. In addition, controlled trials of programs to educate parents about the lack of medical indications for routine newborn circumcision have shown that parental education has little impact on the circumcision decision. We hypothesized that parents based their circumcision decision predominantly on social concerns rather than on medical ones. We prospectively surveyed parents of 124 newborns soon after they made the circumcision decision to learn their reasons for the decision. The strongest factor associated with the circumcision decision was whether or not the father was circumcised (P.0001). The survey also showed that concerns about the attitudes of peers and their sons' self concept in the future were prominent among parents deciding to circumcise. The circumcision decision in the United States is emerging as a cultural ritual rather than the result of medical misunderstanding among parents. In counseling parents making the circumcision decision, the health care provider should provide a knowledgeable and honest discussion of the medical aspects of circumcision. Until information is available that addresses parents' social concerns about circumcision, it is unreasonable to expect a significant change in circumcision customs in the United States.

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Professional Liability Coverage for Residents

PEDIATRICS ◽

10.1542/peds.84.1.195a ◽

1989 ◽

Vol 84 (1) ◽

pp. 195-196

Author(s):

BRAD COHN

Keyword(s):

United States ◽

American Academy ◽

The United States ◽

Medical Professional ◽

Professional Liability ◽

American Academy Of Pediatrics

As a member of the American Academy of Pediatrics' Committee on Liability, I have been asked to comment further on professional liability coverage for residents (Pediatrics 1989;83:311). The positions stated are satisfactory. However, the problems encountered by residents who "moonlight" under a professional liability coverage written on a "claims made" form were not addressed. Most medical professional liability individual policies in the United States are now written on a "claims made" form. This classification means that the insured is covered only for claims arising and reported during the policy year for which a premium has been paid.

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Abstract TP77: Race/Ethnic Disparity Trends in tPA Administration in the United States

Stroke ◽

10.1161/str.47.suppl_1.tp77 ◽

2016 ◽

Vol 47 (suppl_1) ◽

Author(s):

Michelle P Lin ◽

Steven Cen ◽

Amytis Towfighi ◽

May Kim-Tenser ◽

William Mack ◽

...

Keyword(s):

United States ◽

Ischemic Stroke ◽

Acute Ischemic Stroke ◽

Rate Ratio ◽

The United States ◽

Racial Groups ◽

Primary Analysis ◽

Targeted Interventions ◽

Yearly Change ◽

Administration Rate

Introduction: Prior studies have shown racial disparities in tPA use for acute ischemic stroke. With the implementation of nationwide quality improvement measures, we sought to describe the temporal change in racial disparity in tPA administration. Hypothesis: Disparity in tPA administration improved across all racial groups in the past decade Methods: Data were obtained from all US states that contributed to the Nationwide Inpatient Sample. All patients (N=5,932,175) admitted to hospitals between 2000 and 2010 with a discharge diagnosis of ischemic stroke (ICD9 codes) were included. Primary analysis was the proportion of patients who received tPA administration stratified by race (white, black, Hispanic, Asian) temporally. Survey-weighted Poisson regression was used to estimate the rate ratio and compare the trend for yearly change between race categories. Results: Of the patients with ischemic stroke, 55.4% were white, black 11.89%, Hispanic 5.32%, Asian 1.89%, others 1.77%, missing race 23.31%. tPA administration rate increased from 2000 to 2010 regardless of race. In 2000, tPA administration rate was 0.96%, 0.40%, 0.73%, 0.59% in white, black, Hispanic, Asian, respectively. In 2010, tPA administration rate was 4.0%, 2.14%, 2.09%, 2.13% respectively. The relative change was the greatest in black with rate ratio of 6.7 (5.95-7.54), compared to other racial groups, Asian 5.36 (4.23-6.78), Hispanic 3.93 (3.42-4.51), and white 3.88 (3.74-4.03). Conclusions: Over the last decade, the rate of tPA administration for acute ischemic stroke in the United States have increased for every racial group. There is a lasting but improved disparity in tPA administration in non-white race. Targeted interventions designed to increase treatment and close disparity gap focusing on culturally tailored education and communications to address barriers need to be further explored.

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Treatment of Infants with Acute Diarrhea: What's Recommended and What's Practiced

PEDIATRICS ◽

10.1542/peds.90.1.1 ◽

1992 ◽

Vol 90 (1) ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Jorge A. Bezerra ◽

Theodore H. Stathos ◽

Burris Duncan ◽

John A. Gaines ◽

John N. Udall

Keyword(s):

United States ◽

Acute Diarrhea ◽

Treatment Guidelines ◽

The United States ◽

Policy Statement ◽

Family Practitioner ◽

Family Practitioners ◽

American Academy Of Pediatrics ◽

Number Of Patients ◽

Strength Formula

In 1985, the American Academy of Pediatrics (AAP) published a policy statement on the treatment of infants with acute diarrhea complicated by mild to moderate d ehydration. To determine how closely physicians in the United States follow the AAP's treatment guidelines, a questionnaire was sent to 457 pediatricians and 360 family practitioners. The questionnaire presented a hypothetical infant with acute diarrhea complicated by mild to moderate dehydration and included questions regarding the number of such patients seen yearly, length of time used to rehydrate the infant, and how formula or solids are introduced following rehydration. Complete responses were received from 53% of pediatricians and 40% of family practitioners. The number of patients with acute diarrhea seen per year did not affect physician's treatment. Pediatricians and family practitioners responded similarly to most questions. Contrary to the AAP's guidelines to rehydrate in 4 to 6 hours, 62% of responding physicians extend the rehydration period to 12 to 24 hours. Also contrary to the AAP's recommendations, 62% of pediatricians and family practitioners use a lactose-free formula. The majority of responding physicians do follow the AAP's treatment guidelines to initiate feedings with diluted formula. Significantly more pediatricians than family practitioner advance to a full-strength formula within 1 day (P = .011). Fewer than 50% of physicians polled started solids within 24 hours as suggested by the AAP. Overall, the findings suggest that very few pediatricians and family practitioners follow all aspects of the AAP's treatment guidelines for infants with acute diarrhea complicated by mild to moderate dehydration.

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