0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
This Month in Archives of Pediatrics and Adolescent Medicine |

This Month in Archives of Pediatrics & Adolescent Medicine FREE

Arch Pediatr Adolesc Med. 2003;157(5):413. doi:10.1001/archpedi.157.5.413.
Text Size: A A A
Published online

INFANT SLEEP POSITION AND ASSOCIATED HEALTH OUTCOMES

The decline in the incidence of sudden infant death syndrome associated with the change in infant sleep position to supine has been remarkable. However, this change was initially resisted because of fear of adverse health outcomes such as aspiration. In this longitudinal study of 3733 infants, Hunt and colleagues found that infants sleeping supine and on their side had no higher risk of any health condition studied compared with infants sleeping prone. In fact, infants sleeping supine had fewer sleep problems at age 6 months and fewer visits for otitis media. Infants sleeping on their side had outcomes intermediate between those sleeping prone and those sleeping supine. This study should give even greater impetus to national efforts promoting supine sleep position.

LONGITUDINAL CARE IMPROVES DISCLOSURE OF PSYCHOSOCIAL INFORMATION

One of the tenets of primary care is that longitudinal care of patients promotes increased trust and improves patient-physician communication. In this study, Wissow and colleagues sought to examine how gender and ethnicity affect communication and how this in turn is modulated by the length of time the physician treats the the child. African American mothers were found to disclose less psychosocial information to white physicians than did white mothers, and for white mothers, having a female physician led to more disclosure of information than was the case for male physicians. These differences tended to lessen with time as the mothers and physicians came to know one another. Whereas the duration of the relationship was important, communication skills are more important and can be taught.

ANTIBODIES REACTIVE TO RICKETTSIA RICKETTSII AMONG CHILDREN LIVING IN THE SOUTHEAST AND SOUTH CENTRAL REGIONS OF THE UNITED STATES

Although Rocky Mountain spotted fever is the most common fatal tick-borne disease in the United States, it remains relatively rare. In this survey of 1999 children living in the southeastern and south central United States, 12% of children had Rickettsia rickettsii titers of at least 1:64. There was a strong relationship between increasing age and seroprevalence at each cutoff titer. Seroprevalence also varied with location, from 3.5% in Louisville, Ky, to 21.9% in Little Rock, Ark. These data suggest that infections with R rickettsii may be common and subclinical, and they point out the limited usefulness of single-antibody titers in diagnosing Rocky Mountain spotted fever.

USING TEST DUMMY EXPERIMENTS TO INVESTIGATE PEDIATRIC INJURY RISK IN SIMULATED SHORT-DISTANCE FALLS

Short-distance falls, such as from a bed, are often falsely reported scenarios in child abuse. In attempting to differentiate between abusive and nonabusive injury, knowledge of factors that influence injury risk in falls could prove useful. Using a test dummy to model a 3-year-old child, Bertocci and colleagues examined the forces resulting in falls from bed height onto various surfaces. Whereas the type of impact surface did affect the forces generated, rolling from a lying posture off of a bed and onto a floor did not generate forces high enough to cause head, pelvis, or lower extremity injury.

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.