Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Nov 2010
Multicenter StudyComplicated grief and associated risk factors among parents following a child's death in the pediatric intensive care unit.
To investigate the extent of complicated grief symptoms and associated risk factors among parents whose child died in a pediatric intensive care unit. ⋯ Parents who responded to our survey experienced a high level of complicated grief symptoms 6 months after their child's death in the pediatric intensive care unit. However, our estimate of the extent of complicated grief symptoms may be biased because of a high number of nonresponders. Better understanding of complicated grief and its risk factors among parents will allow those most vulnerable to receive professional bereavement support.
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Arch Pediatr Adolesc Med · Apr 2010
Multicenter StudyLearning that leads to action: impact and characteristics of a professional education approach to improve the care of critically ill children and their families.
To determine the impact of an innovative professional educational approach on clinicians' confidence and ability to make institutional improvements in pediatric palliative care. ⋯ The intervention was successful in improving clinicians' confidence and catalyzed improvements in pediatric palliative care within participating institutions. Relational learning holds promise for professional learning, especially when the educational goal is tied to enabling a shift in social and ethical norms.
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Arch Pediatr Adolesc Med · Jan 2010
Multicenter StudyNovel influenza A(H1N1) in a pediatric health care facility in New York City during the first wave of the 2009 pandemic.
To describe the burden of care experienced by our pediatric health care facility in New York, New York, from May 3, 2009, to July 31, 2009, during the novel influenza A(H1N1) pandemic that began in spring 2009. ⋯ At our center, 2.5% of children with ILI presenting to the emergency departments during the first wave of the 2009 novel influenza A(H1N1) pandemic were hospitalized. Of the 115 hospitalized children with confirmed influenza A, 9.6% had respiratory failure and 0.9% died. These findings can be compared with the disease severity of subsequent waves of the 2009 novel influenza A(H1N1) pandemic.
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Arch Pediatr Adolesc Med · Nov 2009
Multicenter StudyAntibacterial medication use during pregnancy and risk of birth defects: National Birth Defects Prevention Study.
To estimate the association between antibacterial medications and selected birth defects. ⋯ Reassuringly, penicillins, erythromycins, and cephalosporins, although used commonly by pregnant women, were not associated with many birth defects. Sulfonamides and nitrofurantoins were associated with several birth defects, indicating a need for additional scrutiny.
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Arch Pediatr Adolesc Med · Oct 2009
Multicenter StudyEnd-of-life decisions in Dutch neonatal intensive care units.
To clarify the practice of end-of-life decision making in severely ill newborns. ⋯ Virtually all deaths in Dutch neonatal intensive care units are preceded by the decision to withdraw life-sustaining treatment and many decisions are based on future quality of life. The decision to deliberately end the life of a newborn may occur less frequently than was previously assumed.