Pediatric Telephone Advice: Seattle Hotline Experience

PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 814-816
Author(s):  
JAMES L. TROUTMAN ◽  
JEFFREY A. WRIGHT ◽  
DONALD L. SHIFRIN

Pediatric hotlines gives parents and interested parties the opportunity to call pediatricians with questions regarding child health issues. More than a dozen such hotlines have been held by state chapters of the American Academy of Pediatrics in all regions of the United States. They were promoted by regional newspapers and generally preceded by feature articles centered on child health concerns. The first hotline was held in 1987 by pediatricians in Delaware, District of Columbia, Maryland, and Virginia in conjunction with the Washington, DC, chapter of the American Academy of Pediatrics and the newspaper USA Today. Seattle-area pediatricians and The Seattle Times sponsored a 1-day, 8-hour hotline in March 1989.

PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_3) ◽  
pp. 735-737
Author(s):  
O. Marion Burton

The Issue. Advocacy on behalf of children who are medically underserved and the pediatricians who care for them has been a long-standing core commitment of the Royal College of Paediatrics and Child Health and the American Academy of Pediatrics. Although different in etiology, barriers to adequate health care exist in both nations. In the United States, almost 18 million children have either no health insurance or inadequate coverage, whereas in the United Kingdom, parents can, in most cases, readily enroll their youngsters in a universal health insurance program that is not dependent on employers or employment.1 However, despite universal access to health care in the United Kingdom, as in the United States, there are infants and children who do not regularly use or otherwise connect to available health care delivery systems. Many of these families are not participants in other social systems (eg, church, school, voting, employment, property ownership/rental) and therefore are not known to governments, agencies, authorities, or health care professionals. Both nations have citizens living in extreme poverty with its associated environmental and health hazards and tendencies to health risk behaviors. Both the Royal College of Paediatrics and Child Health and the American Academy of Pediatrics have strategies and programs to address these issues and to support pediatricians who work in their communities to improve the lives of children. The following describes the American Academy of Pediatrics Community Access to Child Health infrastructure that supports practicing community pediatricians in these efforts and opportunities to develop collaborative international endeavors to advance the practice of community pediatrics.


PEDIATRICS ◽  
1973 ◽  
Vol 52 (2) ◽  
pp. 272-277 ◽  
Author(s):  
Alfred Yankauer

It is something of a paradox that pediatricians should question the worth of child health supervision, "the foundation of pediatrics," as a recent statement of the American Academy of Pediatrics has asserted.1 It was the concepts of prevention, education, and counsel rather than the peculiarities of children's disease which set Cadogan, Armstrong and John Bunnell Davis apart from other English physicians in the Age of Enlightenment. It was the linkage of child health supervision to the swell of social reform at the turn of the present century which sowed the seeds of pediatrics as a specialty in the United States.


PEDIATRICS ◽  
1992 ◽  
Vol 89 (6) ◽  
pp. 1105-1109 ◽  
Author(s):  

The pediatrician is faced with a difficult challenge in providing recommendations for optimal nutrition in older infants. Because the milk (or formula) portion of the diet represents 35% to 100% of total daily calories and because WCM and breast milk or infant formula differ markedly in composition, the selection of a milk or formula has a great impact on nutrient intake. Infants fed WCM have low intakes of iron, linoleic acid, and vitamin E, and excessive intakes of sodium, potassium, and protein, illustrating the poor nutritional compatibility of solid foods and WCM. These nutrient intakes are not optimal and may result in altered nutritional status, with the most dramatic effect on iron status. Infants fed iron-fortified formula or breast milk for the first 12 months of life generally maintain normal iron status. No studies have concluded that the introduction of WCM into the diet at 6 months of age produces adequate iron status in later infancy; however, recent studies have demonstrated that iron status is significantly impaired when WCM is introduced into the diet of 6-month-old infants. Data from studies abroad of highly iron-deficient infant populations suggest that infants fed partially modified milk formulas with supplemental iron in a highly bioavailable form (ferrous sulfate) may maintain adequate iron status. However, these studies do not address the overall nutritional adequacy of the infant's diet. Such formulas have not been studied in the United States. Optimal nutrition of the infant involves selecting the appropriate milk source and eventually introducing infant solid foods. To achieve this goal, the American Academy of Pediatrics recommends that infants be fed breast milk for the first 6 to 12 months. The only acceptable alternative to breast milk is iron-fortified infant formula. Appropriate solid foods should be added between the ages of 4 and 6 months. Consumption of breast milk or iron-fortified formula, along with age-appropriate solid foods and juices, during the first 12 months of life allows for more balanced nutrition. The American Academy of Pediatrics recommends that whole cow's milk and low-iron formulas not be used during the first year of life.


PEDIATRICS ◽  
1978 ◽  
Vol 62 (1) ◽  
pp. 128-128
Author(s):  
Hugh C. Thompson

In the April 1977 issue of Pediatrics (59:636, 1977), Dr. Cunningham recommends that the patient's medical record be given to the family to keep. He urges that the Committee on Standards of Child Health Care consider this subject. For at least 20 years the American Academy of Pediatrics has published for this very purpose, a "Child Health Record." This is publication HE-4 of the Academy and was last revised in 1968. The central office of the Academy tells me that, at the present time, between 50,000 and 100,000 of these are sold annually to physicians for the distribution that Dr. Cunningham recommends.


PEDIATRICS ◽  
1952 ◽  
Vol 9 (6) ◽  
pp. 801-804
Author(s):  
EDWARD A. WISHROPP ◽  
EDGAR E. MARTMER

At the annual meeting of the State Chairmen of the American Academy of Pediatrics in 1952, Dr. Edward A. Wishropp made a brief report of the plan for giving comprehensive pediatric care in Windsor, Ontario. This had been studied by the Academy's Committee on Medical Care Plans. In order that the membership of the Academy might have more information about the work of this important committee, the editor of this column requested Dr. Wishropp and Dr. Edgar E. Martmer to prepare a communication on this subject. INSURANCE PLAN REPORT THERE are many programs throughout the United States, Canada and several foreign countries, providing some degree of medical services for infants and children. These range from governmentally financed programs, offering supposedly complete care, to those furnished by individual pediatricians having agreements between the pediatrist and the parents. Because no comprehensive review of these various plans has been made, the Executive Board of the American Academy of Pediatrics created a committee to study insurance plans and programs. The president, Dr. Warren Quillian, appointed a Committee on Medical Care Plans as a fact-finding group. Serving with Dr. Edward A. Wishropp, chairman, are:[See Table In Source PDF] Some basic considerations, presented by Dr. S. J. Axelrod, Assistant Professor of Public Health at the University of Michigan, can be outlined as follows and these must serve as a working nucleus in determining a worth while and workable plan.


PEDIATRICS ◽  
1976 ◽  
Vol 58 (3) ◽  
pp. 464-465
Author(s):  
Robert O. Fisch

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.


1990 ◽  
Vol 12 (5) ◽  
pp. 136-141
Author(s):  
Robert A. Sinkin ◽  
Jonathan M. Davis

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.


PEDIATRICS ◽  
1988 ◽  
Vol 82 (1) ◽  
pp. 123-133
Author(s):  
Edgar O. Ledbetter

The following directory contains more than 80 organizations that recruit US pediatricians for both long- and short-term service opportunities overseas. This list was compiled by the staff of the Task Force on International Child Health of the American Academy of Pediatrics. Facts concerning each program were obtained through correspondence and telephone interviews with organization representatives. We have tried to make the list as complete and current as possible. Anyone knowing of a service organization that has been omitted is encouraged to supply the necessary information to:


PEDIATRICS ◽  
1994 ◽  
Vol 93 (1) ◽  
pp. 11-11
Author(s):  

The American Academy of Pediatrics is requesting nominations for the 1994 E. H. Christopherson Lectureship on International Child Health. Nominees must be internationally recognized individuals (not necessarily physicians) who have made significant contributions to international child health. The nomination deadline is January 31, 1994. For additional information contact: Jean Dow, MEd, Director of the Division of Medical Journals, or Kyle Ostler, Division Secretary, American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, IL 60007. Tel.:800-433-9016.


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