Who Do You Want to Care for Your Sick Newborn?

PEDIATRICS ◽  
1994 ◽  
Vol 94 (1) ◽  
pp. 133-134
Author(s):  
Gerald H. Katzman

In a previous letter to the editor entitled "Neonatal Person-power,"1 I presented my view as to how the need for neonatologists should be addressed. My conclusion and approach differed from the American Academy of Pediatrics Committee on Fetus and Newborn2 but was in agreement with Dr Robertson's position.3 The reason for the differences in the conclusions related to using calculated ratios of neonatologists to live births or lengths of stay without an orientation to the around-the-clock critical care needs of physiologically unstable neonates.

PEDIATRICS ◽  
1987 ◽  
Vol 79 (5) ◽  
pp. 836-837
Author(s):  
GERALD KATZMAN

To the Editor.— There have been several attempts to define the person-power needs for neonatologists in the United States.1-3 The reports by Merenstein et al2 and the AAP Committee on Fetus and Newborn1 maintain that there is presently an adequate number of neonatologists, whereas in a 1981 editorial, Robertson3 predicted increasing shortages of neonatologists. Why the difference between the conclusions? My answer to this question is that the reports by Merenstein et al and the AAP used calculated ratios of neonatologists to live births or lengths of stay, whereas the Robertson editorial expressed concern about the critical care needs of the physiologically unstable neonate.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (1) ◽  
pp. 132-132
Author(s):  
Gerald B. Merenstein

We thank Drs Arroll and Thompson for their interest and comments on the American Academy of Pediatrics Vitamin K Task Force statement. They raise two concerns—the validity of the Golding1 paper suggesting an increased risk of cancer and the appropriateness of recommending the use of oral vitamin K. In both the task force statement2 and in response3 to a previous letter to the editor, we have clearly stated that the risks of cancer from intramuscular vitamin K are unproven and unlikely.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 852-852
Author(s):  

The Critical Care Section of the American Academy of Pediatrics, in conjunction with the Pediatric Section of the Society of Critical Care Medicine, is again sponsoring an informal fellowship match program for Pediatric Critical Care. This program is designed to be of service to fellowship applicants who have not yet secured a position for the academic year 1995-96, as well as to program directors who still have vacant positions available. For further information, applicants and program directors should contact Dr Greg Stidham by phone (901/572-3132) or in writing at the following address:


PEDIATRICS ◽  
1974 ◽  
Vol 53 (6) ◽  
pp. 952-953
Author(s):  
Samuel Livingston ◽  
Wulfred Berman ◽  
Lydia L. Pauli

We were stunned to read in the reply (Pediatrics, 52:754, 1973) by the Committee on Drugs of the American Academy of Pediatrics to our letter, Amphetamines in Epilepsy, that their "thorough" search of the medical literature failed to elicit any documentation of the value of amphetamines in epilepsy. A cursory glance at the literature would at least reveal publications by more than 30 eminent physicians, including Carter, Eisenberg, Gastaut, Glaser, Goldensohn, Lennox, Schmidt and Yahr, in addition to our 28 articles, relative to the use of amphetamines in the management of epilepsy (efficacy and/or alleviation of anticonvulsant-induced drowsiness [references will be supplied upon request]).


PEDIATRICS ◽  
1972 ◽  
Vol 49 (6) ◽  
pp. 923-923
Author(s):  
Robert L. Brent

The suggestion of the Infectious Disease Committee of the American Academy of Pediatrics virtually to eliminate vaccinia immunization in this country is an important decision. Frequently important decisions are made unilaterally without laying the legal and political groundwork for an orderly transition from the old to the new status. The transition is already underway to make the U.S.A. a population susceptible to smallpox. Should we not consider more carefully: (1) The present policies in Russia, China, and other nations with regard to their plans for creating a susceptible population.


PEDIATRICS ◽  
1986 ◽  
Vol 78 (3) ◽  
pp. 546-547
Author(s):  
HOWARD C. MOFENSON ◽  
THOMAS R. CARACCIO ◽  
SHARON OKUN ◽  
JOSEPH GREENSHER

To the Editor.— In a recent letter to the editor, Cotton and Davidson1 have brought the hazards of baby powder aspiration to the attention of the medical community. We have been monitoring episodes of possible powder inhalation and ingestion in our community (population 3 million) since 1980, when two infants were hospitalized [See table in the PDF file] for powder aspiration and one required ventilator therapy for two days. Our recent data (Table) shows a progressive decrease in the number of possible inhalations and ingestion episodes since 1981 when our article2 was published in Pediatrics and the American Academy of Pediatrics publicized the hazard of baby powder.


PEDIATRICS ◽  
1996 ◽  
Vol 98 (1) ◽  
pp. 164-165 ◽  
Author(s):  
Christian F. Poets

The data presented by Johnson et al suggest that the recommendation to place infants on their back or side, issued by the American Academy of Pediatrics in 1992, has so far had very little effect on the way parents put their infants to sleep. This is particularly disappointing as recent data from Europe and New Zealand demonstrate that child care practices can indeed be influenced very effectively. For example, in Avon, United Kingdom, the proportion of infants usually sleeping in the prone position fell from 59% in 1988 to 2% in 1992.


PEDIATRICS ◽  
1993 ◽  
Vol 92 (1) ◽  
pp. 166-175 ◽  
Author(s):  

Pediatric critical care medicine has matured dramatically during the past two decades. Knowledge of the pathophysiology of life-threatening processes and the technologic capacity to monitor and treat pediatric patients suffering from them have advanced rapidly during this period. Along with the scientific and technical advances has been the evolution of the pediatric intensive care unt (PICU), where the special needs of critically ill or injured children can be met by pediatric specialists. In 1985, the American Board of Pediatrics recognized the new subspecialty of Pediatric Critical Care Medicine and established criteria for subspecialty certification. The American Boards of Medicine, Surgery, and Anesthesiology gave similar recognition to the subspecialty. In 1990, the Residency Review Committee of the Accreditation Council for Graduate Medical Education completed its first accreditation of Pediatric Critical Care Medicine Training Programs. In view of these developments, the Pediatric Section of the Society of Critical Care Medicine and the American Academy of Pediatrics Section on Critical Care Medicine and Committee on Hospital Care believe that existing published1 guidelines should now be revised for the pediatric intensive care unit. This policy represents the consensus of the three above-mentioned groups who believe the recommendations that follow are current, necessary, and attainable in 1993. The guidelines are not intended as a statement of the ideal or ultimate requirements for PICUs. We expect standards for PICUs to rise as critical care medicine continues to develop and appropriately trained providers become more readily available. In view of these developments, the Pediatric Section of the Society of Critical Care Medicine and the American Academy of Pediatrics Section on Critical Care Medicine and Committee on Hospital Care believe that existing published1 guidelines should now be revised for the pediatric intensive care unit.


PEDIATRICS ◽  
1970 ◽  
Vol 45 (6) ◽  
pp. 1041-1042
Author(s):  
Charles M. Schlossman

I wish to protest the recent change of the format of the first page of Pediatrics, from the traditional heading of the journal with the seal of the American Academy of Pediatrics, to the present format which I find esthetically quite disturbing and unappealing. I wish to request that the title page be changed back to its previous format.


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