bluuebunny/crossref_metadata_2025 huggingface dataset:
Increased QRS duration and dispersion are associated with mechanical dyssynchrony in patients with permanent right ventricular apical pacing
Authors:   Department of Electrophysiology, Cardiocentro Ernesto Che Guevara, Santa Clara, Villa Clara, Cuba, Chávez-González Elibet , Nodarse-Concepción Arian ,   Department of Electrophysiology, Cardiocentro Ernesto Che Guevara, Santa Clara, Villa Clara, Cuba, Donoiu Ionuț ,   Department of Cardiology, University of Medicine and Pharmacy, Craiova, Romania, Rodríguez-González Fernando ,   Department of Electrophysiology, Cardiocentro Ernesto Che Guevara, Santa Clara, Villa Clara, Cuba, Puerta Raimundo Carmona ,   Department of Electrophysiology, Cardiocentro Ernesto Che Guevara, Santa Clara, Villa Clara, Cuba, Elizundia Juan Miguel Cruz ,   Department of Electrophysiology, Cardiocentro Ernesto Che Guevara, Santa Clara, Villa Clara, Cuba, Peña Gustavo Padrón ,   Department of Electrophysiology, Cardiocentro Ernesto Che Guevara, Santa Clara, Villa Clara, Cuba, Rodríguez-Jiménez Ailed Elena ,   Cardiology Service, Camilo Cienfuegos Hospital, Sancti Spíritus, Cuba
Published: November 2021

Background: Permanent right ventricular apical pacing may have negative effects on ventricular function and contribute to development of heart failure. We aimed to assess intra- and interventricular mechanical dyssynchrony in patients with permanent right ventricular apical pacing, and to establish electrocardiographic markers of dyssynchrony. Methods: 84 patients (46:38 male:female) who required permanent pacing were studied. Pacing was done from right ventricular apex in all patients. We measured QRS duration and dispersion on standard 12-lead ECG. Intra- and interventricular mechanical dyssynchrony and left ventricular ejection fraction were assessed by transthoracic echocardiography. Patients were followed-up for 24 months. Results: Six months after implantation, QRS duration increased from 128.02 ms to 132.40 ms, p≤0.05. At 24 months, QRS dispersion increased from 43.26 ms to 46.13 ms, p≤0.05. Intra- and interventricular dyssynchrony increased and left ventricular ejection fraction decreased during follow-up. A QRS dispersion of 47 ms predicted left ventricular dysfunction and long-term electromechanical dyssynchrony with a sensitivity of 80% and a specificity of 76%. Conclusion: In patients with permanent right ventricular apical pacing there is an increased duration and dispersion of QRS related to dyssynchrony and decreased left ventricular ejection fraction. This study shows that QRS dispersion could be a better predictive variable than QRS duration for identifying left ventricular ejection fraction worsening in patients with permanent right ventricular apical pacing. The electrocardiogram is a simple tool for predicting systolic function worsening in these patients and can be used at the bedside for early diagnosis in the absence of clinical symptoms, allowing adjustments of medical treatment to prevent progression of heart failure and improve the patient's quality of life.
They Were “Heroes”. Conceptual and Narrative Analysis of the Figure of a Free Teacher in a Totalitarian Society
Authors: Rajský Andrej
Published: November 2021

Despite the context of contemporary post-heroic indifference, our intention is to re-analyze the concept of heroism, not in the modernist (totalizing and iconic), or in the post-modernist (de-heroizing and ironic) way, but in the optics of hermeneutic re-reading of the specific teachers’ stories from the Stalinist years of the totalitarian regime. In the contribution we bring a conceptual identification of features of the ethical-characterial understanding of “hero without a halo”, by which we want to break the simplistic dichotomy between heroic and everyday – we introduce a third concept – “a hero of everyday life”. We point out how the mythical-idealistic idea of heroism perverted to a collective ideology and how the reality of the communist totalitarian regime in Czechoslovakia demanded heroes – heroes of everyday life. The aim of the research is to find the occurrence of the identifying features of the “everyday hero” in particular stories of three teachers from the times of socialist Czechoslovakia, with the help of narrative analysis.
Garfinkeling in Real Life
Authors: Anderson Leon
Published: November 2021

This narrative recounts my improvisational use of breaching experiments when I was a high school student in the late 1960s. While I had no knowledge of ethnomethodologist Harold Garfinkel’s use of breaching experiments as a strategy for illuminating the taken-for-granted features of social interaction, during my last two years of high school I regularly engaged in breaching activities similar to what Garfinkel advocated for research purposes. Having become alienated from my earlier social moorings, I delighted in violating normative expectations in social interaction with high school peers, teachers, and administrators in order to assert an identity as a colorful and enigmatic young man. I describe five breaching incidents and the responses of my interactional partners, analyzing my use of breaching experiments as a form of what James Scott has referred to as “weapons of the weak.”
Teaching and learning process of test-taking strategies in answering reading comprehension section
Authors: Zulmaini Elika Aji
Published: November 2021

The study was aimed at finding the difficulties faced by test takers in Reading Comprehension section of TOEFL and describing the teaching and learning process of test-taking strategies of Reading Comprehension section of TOEFL. This study used qualitative research design. To collect the data, the researchers used document analysis and observation as the instrument of the study. The subjects of this study were the students or test takers and a teacher or tutor in TOEFL preparation class. The study showed the range of difficulty faced by students or test takers are skill 6 (57.14%), skill 8 (50%), skill 7, 9, 10, and 11 (33.3%), skill 3 (31%), skill 4 and 12 (16.7%), skill 1 (8.3%), and skill 5 (0%). In teaching and learning strategies, the Planning Strategy was applied in skills 1, 3, 9, 6, 7, 4, 5, and 8. Monitoring Strategies was applied in in skills 1, 3, 9, 6, and 4. Comprehending strategy was used in skills 1, 3, 6, 7, 4, 10, and 11. Retrieval Strategy was applied in skills 9, 5, and 8. Socioaffective strategy was applied in skill 9. Test-wiseness strategy was applied in skills 1, 3, and 9. Based on findings, the researchers found that there is still high percentage of difficult skills faced by students or test takers and more than one strategies were applied in almost every skill of the Reading Comprehension Section of TOEFL.
The discussion of body in 'Every Day' by David Levithan
Authors: Tanuwijaya Tifanny
Published: November 2021

In the novel Every Day by David Levithan, there exists a profound discussion about body through its protagonist Aâ€™s life, its plot, dialogues, and events that unfold. This paper uses qualitative textual analysis as its methods in order to obtain relevant data to be further analyzed using the theoretical framework from Stuart Hall (theory of representation (2013)) and Chris Shilling (The Body and Social Theory (2003)). Through the indexical signs from the text, there are discussions of how the body is represented, which are as something superficial, as a mask, and as something temporary. Through the analysis of the social body, it is also found that the body has become a social asset in which it could also contribute to oneâ€™s self-identity, creating the body as a project that one could work on throughout oneâ€™s life. Consequently, the metaphor of body as a machine appears, as well as the revelation that there is also a close relation between death and the body. Through death, the social body is reduced into individual body, where the living often avoids the dead, fearing subconsciously of their own. These aspects could be observed from Aâ€™s life and Rhiannonâ€™s response towards it.
Active and passive voice in Bulungan Language
Authors: Fathonah Siti , Romadhan Achmad Dicky
Published: November 2021

Bulungan Language as one of the langugaes in North Kalimantan Province has scattered speakers in 8 sub-districts. As language with scattered speakers made Bulungan Language get less attention from language researcher dan linguist to describe it thoroughly. Bulungan language has active voice and passive voice as part of its grammar which has not been studied furtherly yet. Then, the rseracher take this chance to discuss active voice and passive voice in the Bulungan language in this study. This research employed qualitative descriptive research. The data used in this study was oral data directly taken from the native Bulungan speakers. The data collection technique used in this study was by listening technique and the note-taking technique. This study revealed that the active and passive voice of the Bulungan language had different markers but same passive voice property across languages.
Language use variation of L2 writers in weblog across different gender and genres
Authors: Puspita Dian , Suprayogi Suprayogi
Published: November 2021

Despite the growing interest in investigating learners’ corpora, surprisingly little research has been conducted on the language use of L2 writers and its relation to the gender and genres in writing. Therefore, this study was aimed to find out the variation of language use in different genres or gender in weblogs, one of popular modes of computer-mediated communication (CMC). The study was done by conducting multivariate analysis using R program to weblog entries from a sample balanced of author gender (female or male) and weblog genre (diary or filter).  Taking linguistic preferential features by Argamon et al (2003) and Pennebaker (2011) as dependent variables, the effect of genres or gender toward the use of the features was analyzed. The results showed that significant effects of several features can be considered as predictors. Personal pronouns and hedges (I think, and I believe) were found as predictors for diary; while the indefinite articles a/an and numbers were found as predictors for filter. As for the different language use by gender, female predictors were personal pronoun, verbs, negation, certainty words, and hedges. Meanwhile, the indefinite articles a/an, numbers, and preposition were the predictors of male writers.
Śródoperacyjne jatrogenne oparzenie termiczne twarzy
Authors: Łaziński Łukasz , Kaczyńska Kaja , Krajewski Andrzej
Published: November 2021

70-letnia pacjentka została przeniesiona do Zachodniopomorskiego Centrum Leczenia Ciężkich Oparzeń w Gryficach z Kliniki Chirurgii Onkologicznej. Powodem przekazania było oparzenie termiczne twarzy, głównie III stopnia, powstałe w wyniku zapłonu tlenowej kaniuli donosowej i obłożenia chirurgicznego podczas zabiegu chirurgicznego Mohsa. W trakcie hospitalizacji pacjentka była leczona zachowawczo w celu uniknięcia okaleczającego zabiegu nekrektomii. Uzyskano pozytywny efekt gojenia rany oparzeniowej bez interwencji chirurgicznej. Rany oparzeniowe w obrębie twarzy wykazują duży potencjał samoistnego gojenia. Z tego względu kwalifikacja do zabiegu nekrektomii w tym obszarze powinna być szczególnie ostrożna.
Antyseptyki. Różnice i podobieństwa
Authors: Szkiler Elżbieta
Published: November 2021

Prawidłowo stosowane antyseptyki są w stanie zapobiec konieczność wdrożenia antybiotyków w leczeniu ran niegojących się. Szybko rozwijający się biofilm bardzo skutecznie blokuje penetrację rany przez antybiotyki, leczenie okazuje się nieefektywne i powoduje rozwój oporności drobnoustrojów. Prawidłowo dobrane antyseptyki są zupełnie wystarczające w leczeniu każdej rany niegojącej się.
Comparison of acid-hydrolyzed and TEMPO-oxidized nanocellulose for reinforcing alginate fibers
Authors: Shen Xiao-Jun , Huang Pan-Li , Chen Jing-Huan , Wu Yu-Ying , Liu Qiu-Yun , Sun Run-Cang
Published: November 2021

Two samples of acid-hydrolyzed nanocellulose and two samples of TEMPO-oxidized nanocellulose were separately prepared from cotton liner pulp and microcrystalline cellulose, and dispersed in water. Sodium alginate that was extracted from brown seaweed was dissolved in the nanocellulose suspensions and wet spun in a calcium chloride bath to form four kinds of alginate/nanocellulose composite fibers. The structures and properties of the obtained nanocellulose and composite fibers were investigated and compared. The results showed that all of the nanocellulose samples exhibited a needle shape with slightly different sizes. The incorporation of nanocellulose increased the opacity of the spinning dopes but improved the mechanical properties of the alginate fibers. The optimum addition amount for all of the nanocelluloses was 5% (based on the weight of sodium alginate). The TEMPO-oxidized nanocellulose produced from cotton liner pulp had the greatest influence on the strength of the fibers. All the composite fibers had an irregular cross-section with dense and uniform structure, which indicated the good compatibility between nanocellulose and alginate. In addition, the introduction of nanocellulose slightly improved the thermal stability of the alginate fibers.
Different Prevalence of Alarm, Dyspeptic and Reflux Symptoms in Patients with Cardia and Non-cardia Gastric Cancer
Authors: Franck Caspar , Zimmermann Nadja , Goni Elisabetta , Lippert Hans , Ridwelski Karsten , Kruschewski Martin , Kreuser Nicole , Lingohr Philipp , Schildberg Claus , Vassos Nikolaos , Waidmann Oliver , Peitz Ulrich , Lang Hauke , Grmminger Peter P , Bruns Christiane , Veits Lothar , Vieth Michael , Moehler Markus , Lordick Florian , Gockel Ines , Schumacher Johannes , Malfertheiner Peter , Venerito Marino
Published: November 2021

Background and Aims: Symptoms of patients with gastric cancer (GC) are often unspecific and differences in symptoms between patients with cardia and non-cardia GC have been poorly investigated. We aimed to characterize symptoms of patients with cardia and non-cardia GC.

Methods: Patients with cardia (Siewert type II and III) and non-cardia GC were recruited in the German multicenter cohort of the Gastric Cancer Research (staR) study between 2013 and 2017. Alarm, dyspeptic and reflux symptoms at the time of presentation were documented using a self-administered questionnaire.

Results: A completed self-administered questionnaire was available for 568/759 recruited patients (132 cardia GC, 436 non-cardia GC, male 61%, mean age 64 years). Dyspeptic symptoms were more common in patients with non-cardia GC (69.0 vs. 54.5%, p=0.0024). Cardia GC patients reported more frequently alarm symptoms (69.7 vs. 44.7%, p<0.0001), and were more likely to have Union for International Cancer Control (UICC) stage III-IV (54.1vs. 38.9%, p=0.0034). Especially, dysphagia and weight loss were more common in patients with cardia GC (49.2 vs. 6.4 %, p<0.0001 and 37.1 vs. 25.7%, p=0.02, respectively). No differences between the two groups were observed with respect to reflux symptoms. Patients with alarm symptoms were more likely to have UICC stage III-IV at presentation (69.4 vs. 42.9%, p<0.0001).

Conclusions: In clinical practice the symptom pattern at presentation may serve as a hint for tumor localization. Despite the fact that they are common in the general population, dyspeptic symptoms offer a chance for earlier GC detection. Thus, in patients with dyspeptic symptoms who fail empiric approaches, endoscopy should not be delayed.
Urban Processes in Ukraine in the Context of Housing and Demo graphic Change
Authors: KYCHKO І. І.
Published: November 2021

It is substantiated within the article that the course of urban processes, high level of mortality, migration, income diff erentiation of the population of Ukraine aff ects housing construction, housing sector, as the number of urban residents is declining more slowly than the number of residents of small cities, villages and settlements due to a lower level of natural population decline and migratory growth, stimulating the demand for housing in cities. Th e purpose of the article is to systematize the factors of interaction of housing construction, demographic and urban processes in Ukraine, and substantiate the corrective measures of housing policy to prevent the negative eff ects of urbanization. Th e scheme of the impact of the processes of urbanization, natural increase of the population of the need satisfaction for habitation on housing construction is developed. In the process of using the questionnaire method, it is substantiated that the level of satisfaction of needs (including housing needs) in rural areas is much lower than in the city. Th e study made it possible to conclude that with declining incomes of population, sales of country houses are declining; studio-apartments and one-and two-bedroom apartments are beginning to be in greater demand in new buildings. It is determined that meeting the need for housing involves solving such tasks as: increasing the volume of housing construction, reducing the failing housing stock, carrying out quality overhaul of housing, development of the mortgage market and rental market, etc. Measures to stimulate housing construction and housing repair as a corrective factor in the equalization of urban processes in Ukraine in order to reduce the environmental burden on megapolis, cities, as well as equalizing the level of population density in Ukraine are developed. It is argued that within the program of social responsibility of construction business, it is advisable to stimulate construction companies, to repair failing housing at the state level with the establishment of standards individually for rural and urban areas with the active use of legal, financial instruments, state subsidies to developers, who implement projects on the development of urban and rural areas to reimburse the costs of repairs, redevelopment of failing housing.
Plain Language Pediatrics
Authors: Abrams Mary Ann , Dreyer Benard P.
Published: November 2021

An essential tool to help improve communication between pediatrician and patient or family, Plain Language Pediatrics offers a framework for implementing a plain language approach to communication in your office, and provides specific steps you can take to ensure the information you present to patients and their parents is clearly understood. Included are 25 reproducible plain language patient education handouts--in English and Spanish! Plain Language Pediatrics combines health literacy and plain language principles to present information in a way that makes it as easy as possible for everyone to understand, and applies these principles to a variety of ambulatory acute, chronic, and preventive conditions. Common pediatric topics such as asthma, ADHD, ear infections, and medical dosing are addressed in detail. This robust resource is divided into 2 parts. Part I explores limited health literacy, including the scope of the problem, how it affects children in particular, and how health care providers can address and overcome health literacy issues with patients and their caregivers. At the heart of Part II is a new series of 25 reproducible patient education handouts in English and Spanish that feature need-to-know information up front, health care terms and jargon, practical pronunciation guides, low reading levels, user-friendly layouts, and simple, purposeful illustrations.
Medical Genetics in Pediatric Practice
Authors:   AAP Committee on Genetics
Published: November 2021

Embodying current Policy of the AAP, this new resource provides practice-focused help for addressing virtually any genetics-related issue you’re likely to confront. It’s replete with expert insights, pediatric-specific solutions, and quick-access aids you won’t find anywhere else.

Consult this one-stop problem-solver for:

Here’s the how, why, where, and when of pediatric genetic care:
Waking Up Dry
Authors: Bennett Howard J.
Published: November 2021

This comprehensive and authoritative self-help guide on bedwetting is written for parents, caregivers, and children (ages six to thirteen). Parents and children can address the challenge of bedwetting together with this delightful book that guides them through Dr. Bennett's Waking Up Dry Program. Includes instruction on behavior management techniques, calendars, contracts, and bedwetting alarms as well as practical tips and easy-to-follow activities.
A Parent’s Guide to Childhood Obesity
Authors:   American Academy of Pediatrics
Published: November 2021

This award-winning guide provides solutions and resources for parents and other caregivers who are concerned about childhood obesity and overweight children. Obesity among children has reached epidemic levels in the US, affecting more than 9 million children. Not surprisingly, obesity can limit a child’s physical activity and affect his or her self-esteem. But what’s more worrisome are the health risks associated with being too heavy: type 2 diabetes, hypertension, liver disease and other diseases and conditions. A Parent’s Guide to Childhood Obesity: A Roadmap to Health provides solutions and resources for parents and other caregivers who are concerned about childhood obesity and overweight children, and for those parents and others who simply want to learn how to help children lead healthier, more active lives. This comprehensive guide offers: Sensible, nutritional information and guidelines, emphasizing balanced and nourishing meals, Strategies for dealing effectively with a variety of parenting challenges, Approaches for encouraging increased physical activity, Questionnaires to evaluate how food is used in families

Guidance on how to partner with pediatricians, extended family members, schools, and child care providers to help ensure success.
Mommy Calls
Authors: Altmann Tanya Remer
Published: November 2021

Fast answers to frequent questions! Today show expert Dr. Tanya Altmann answers the most common questions caregivers ask about infants and toddlers. The new must-have resource for parents of children up to age three! Small enough to fit in a diaper bag, but big on straight-forward, medically-sound advice delivered in the warm, funny and straightforward style that has made author Tanya Altmann, MD, FAAP, a favorite on NBC's Today show. Beginning in her residency and continuing throughout her years in practice, Dr. Altmann has kept track of the various questions asked by new and experienced parents. Mommy Calls represents what she considers to be the top 101 most common questions parents ask their pediatrician. Sample questions include: How can I be sure that my newborn is getting enough to eat, What should I do if I think my child swallowed a coin, Should I worry that my child has a fever after getting his shots today, She feels better - is it safe to play with other children now, Does his cut need stiches, And most importantly: How do I know when to call the pediatrician, Organized by category and age group, Mommy Calls is filled with clever tips and fun facts, along with Pediatric Points designed to quickly and clearly communicate important AAP recommendations in easy-to-understand language. Topics include: Basic Baby Care, Breastfeeding, Formula Feeding, Solids, Milk, and Other Feeding Issues, Pooping, Stomachaches and Vomiting, Fever, Illnesses, Skin, Ingestions, Injuries, and First Aid, Growing Up, Sleep.
Sports Success Rx
Authors: Stricker Paul R.
Published: November 2021

The perfect prescription for both parents an coaches! Too often, excessive pressure to compete pushes kids into your office with overuse injuries, overwhelming stress, and burn out. Too often, excessive pressure to compete pushes kids into your office with overuse injuries, overwhelming stress, and burn out. Written by a pediatrician who is also board-certified in sports medicine, this book shows caretakers: How young bodies develop for sports, Age-appropriate skills, Proper conditioning and how it works on a cellular level, Why some kids compete to win attention,

Safer ways to help kids perform better, Positive and negative impact on young psyches, Strategies to overcome obesity and inactivity, It's a great way to help parents redefine success and provide a better, safer sports experience!
Your Baby’s First Year - (English version)
Authors:   American Academy of Pediatrics
Published: November 2021

Your Baby’s First Year is the definitive all-in-one guide to caring for baby during the first year of life.
Building Resilience in Children and Teens
Authors: Ginsburg Kenneth R. , Jablow Martha M.
Published: November 2021

Confronting the overwhelming amount of stress kids face today, this invaluable guide offers coping strategies for facing the combined elements of academic performance, high achievement standards, media messages, peer pressure, and family tension. This handbook acknowledges that adolescents commonly survive stress by either indulging in unhealthy behaviors or giving up completely, and its suggested solutions are aimed at strengthening resilience. The proposed plan enables kids from the age of 18 months to 18 years to build the seven crucial "C's"--competence, confidence, connection, character, contribution, coping, and control--needed to bounce back from challenges.

A variety of approaches are featured such as building on natural strengths, fostering hope and optimism, avoiding risky behaviors, and taking care of oneself physically and emotionally. With new chapters on perfectionism, the negative portrayal of teens, military families, and what parents can do when resilience has reached its limits, this examination also includes two personalized guides for creating customized strategies.
AM:STARs: Adolescent Dermatology, Vol. 22, No. 1
Authors:   American Academy of Pediatrics
Published: November 2021

Published by the American Academy of Pediatrics, Adolescent Medicine: State of the Art Reviews helps you stay up-to-date in key areas of current clinical practice adolescent-specific topics in dermatology including: Dermatoses in Adolescents of Color, Alopecia in Adolescents, Cutaneous Manifestations of Connective Tissue Disease, Cutaneous Manlignancy in Adolescents, Acne Therapy in Primary Care: Comprehensive Review of Current Evidence-Based Interventions and Treatments, Body Art in Adolescents: Paint, Piercings, and Perils, Dermatologic Findings in the Evaluation of Adolescents with Suspected Eating Disorders, Cutaneous Infestations and Infections, Skin Findings Associated with Obesity, Papulosquamous Disorders: Atopic Dermatitis, Psoriasis, Seborrheic Dermatitis, and Nickel Contact Dermatitis.
Berkowitz’s Pediatrics: A Primary Care Approach
Authors: Berkowitz Carol D.
Published: November 2021

The 4th edition of Berkowitz’s Pediatrics: A Primary Care Approach is custom-built for efficient primary care problem-solving. It provides concise, practice-oriented guidance on all the most common issues -- both clinical and psychosocial -- you’re likely to encounter. Here’s hands-on help on topics ranging from temper tantrums and thumb-sucking to childhood cancer, kidney disease, and diabetes. Each clinical chapter reviews pertinent epidemiology and pathophysiology, then gives you clear, concise guidelines on what symptoms to look for, what alternative diagnoses to consider, what tests to order, and how to manage your patient.
Pediatric Nurse Telephone Triage
Authors: Hertz Andrew R.
Published: November 2021

The all-new Pediatric Nurse Telephone Triage is an invaluable resource for novice and seasoned triagers alike. It provides practical, how-to-do-it guidelines that make it an ideal staff training and skills-building tool. Plus, it brings you clinically proven recommendations to help enhance call outcomes for dozens of common pediatric problems. Look here for clear, straightforward advice encompassing all the "basics" of state-of-the-art nurse triage. Improve triage procedures and administration with detailed guidelines for those who perform telephone triage. Topics covered include: The nurse telephone triage process, Triage quality assurance, Standard assessment tools, The golden rules of nurse telephone triage,

Call documentation, Red flags to watch for, Call prioritization, Dealing with difficult callers and much more.
Dad to Dad
Authors: Hill David L.
Published: November 2021

Dad to Dad: Parenting Like a Pro, is the first edition, by David L. Hill, MD, FAAP: Expert Advice, Guidance, and Insight From a Pediatrician-Dad. Dad to Dad is a modern-day, humorous, helpful guide to parenting and your child -from birth through toddlerhood and beyond - written by a pediatrician -dad who's been through it all. Inside this practical yet humorous ebook, you will find helpful information on topics such as: Infant and child development, baby basics - crying, sleeping, pooping, and eating, everyday Illnesses and what to look for - fevers, ear infections, colds, stomach bugs, and sore throats, a guide to vaccines - when to get them and just what they are for, sound advice to cope with toddlerhood and beyond.
Mama Doc Medicine
Authors: Swanson Wendy Sue
Published: November 2021

From Seattle Mama Doc blogger, pediatrician, and mom Wendy Sue Swanson comes this great resource, which is a collaboration of blog posts on parenting, work-life balance, vaccines, and prevention. This insightful book will support parents and provide a sense of relief when making decisions in parenting while also detailing Wendy Sue’s experience as a mother and pediatrician.
Pediatric Nutrition (Sponsored Member Benefit)
Authors:   AAP Committee on Nutrition
Published: November 2021

The new 7th edition provides the latest information about nutrient metabolism and nutrition to support the normal development and health of infants and children who are well, those born with congenital anomalies or disorders of metabolism, and those with acute and chronic illnesses.

Contents include:

- The latest evidence-based guidelines on feeding healthy infants and children

- Current policies and practice recommendations from the AAP Committee on Nutrition

- Several new chapters and appendices have been added, including chapters on school and daycare nutrition; gene and nutrient interaction; and metabolic programming.

- Recent advances and developments on topics that arise frequently in pediatric practice: breastfeeding, fast foods, vegetarian diets, persistent newborn diarrhea, preterm infant nutrition needs, chronic obesity, vitamin supplementation, and more

- Appendices of more than 50 tables including dietary allowances, energy requirements, composition of human milk and infant formulas, MyPlate, and more

- More than 20 growth charts for very low and low birth weights; full-term infants, children, and adolescents; down syndrome; and more

- Updated listings of resources for you and your patients, including printed materials, government agencies and Web sites
Coding for Pediatrics 2015
Authors:   AAP Committee on Coding and Nomenclature (COCN)
Published: November 2021

Coding for Pediatrics is the signature publication in a comprehensive suite of coding products offered by the American Academy of Pediatrics (AAP). This AAP exclusive complements standard coding manuals with pediatric-specific documentation and billing solutions for pediatricians, nurse practitioners, administration staff, and pediatric coders.

The 20th edition has been fully updated and revised to include all changes to the 2015 Current Procedural Terminology (CPT®) codes, complete with accompanying guidelines for their application. The numerous clinical vignettes and examples featured in the book, as well as the many coding pearls included throughout, have also been fully revised and revisited.
AM:STARs: Advances in the Treatment of Endocrine Disorders in Adolescents, Vol. 26, No. 2
Authors:   AAP Section on Adolescent Health
Published: November 2021

There are a series of endocrine disorders that can affect adolescents, some of which are related to growth and development and others that can occur at any age but may have specific implication for the adolescent age group. This issue provides a comprehensive update of endocrine issues seen in adolescents, with a focus on recent advances in diagnosis and treatment.

Contents in Advances in the Treatment of Endocrine Disorders in Adolescents include

Thyroid Disorders

Update on Diabetes Melitus

Disorders of Growth and Puberty

Bone Health in Adolescents

Polycystic Ovarian Syndrome

Adrenal Disorders

Lipid Disorders

Endocrine Disorders in Pregnancy

Endocrine Abnormalities in Patients with Eating Disorders

Turner syndrome and Klinefelter Syndrome

Disorders of Sex Development

Endocrine Disorders in Adolescent Cancer Survivors
Baby and Toddler Basics
Authors: Altmann Tanya
Published: November 2021

Parents of children from birth to age 3 will find answers to their most frequently asked questions about child health and wellness in this easy-to-understand volume. Tanya Altmann, MD, FAAP, a frequent guest on NBC'sToday show, helps parents with friendly, straightforward guidance in an easily digestible question-and-answer format.
Pediatric Pulmonology, Asthma, and Sleep Medicine: A Quick Reference Guide
Authors:   AAP Section on Pediatric Pulmonology and Sleep Medicine
Published: November 2021

This quick reference provides the latest information on the diagnosis and management of many common respiratory disorders seen in day-to-day practice, as well as a wide array of rarer pulmonary and sleep disorders. Content is presented in a concise, bulleted template featuring algorithms, tables, and figures that make it easy to find key information to aid in diagnosis and treatment. Available for purchase at https://www.aap.org/Pediatric-Pulmonology-Asthma-and-Sleep-Medicine-A-Quick-Reference-Guide-Paperback
Red Book (2018)
Authors: Diseases AAP Committee on Infectious
Published: November 2021

The definitive source for pediatric infectious disease solutions providing point-of-care access to diagnosis and treatment.
A Review of Partial Hospitalization Programs for the Treatment of Eating Disorders in Adolescents
Authors: Essayli Jamal H. , Ornstein Rollyn M.
Published: November 2021

Partial hospitalization programs (PHPs), also referred to as day programs, offer care for adolescents with eating disorders that is more intensive than outpatient treatment but less intensive than inpatient or residential treatment. At most PHPs for eating disorders, treatment is provided by a multidisciplinary team for 6 to 10 hours per day, 5 days per week. Treatment is delivered in group and individual formats and typically consists of a diverse array of interventions from overlapping modalities, including family-based therapy, cognitive behavioral therapy, exposure therapy, behavioral management, and expressive arts. Most PHPs for adolescents with eating disorders involve caregivers in patient treatment, albeit to varying degrees. Although results vary from program to program, a small number of published studies indicate that most adolescents with eating disorders exhibit significant increases in weight and reductions in eating disorder symptoms by the time of discharge, with some evidence that gains may be maintained at longer-term follow-up. Although more research is warranted, PHPs seem to be filling an important need in the care of some adolescents with eating disorders and may offer certain advantages to both inpatient and outpatient treatment.
The Female Athlete Triad
Authors: Carlson Jennifer L. , Hill Katherine B.
Published: November 2021

In 2007, the female athlete triad was redefined to include (1) low energy availability with or without disordered eating; (2) menstrual dysfunction; and (3) decreased bone mineral density. Components of the triad are common during adolescence, a critical period for bone acquisition and growth, but the prevalence varies among athlete populations based on several factors. Screening for the triad should be a routine part of the preparticipation physical examination of adolescent athletes, and new recommendations exist for the screening and management of athletes at risk for complications from the triad. Awareness and education are critical for prevention and early intervention.
Parenting Through Puberty: Mood Swings, Acne, and Growing Pains
Authors: Kowal-Connelly Suanne
Published: November 2021

Parenting Through Puberty explains the physical and emotional changes families can expect to see in their children.

https://shop.aap.org/parenting-through-puberty-paperback/
Exposure to Electronic Cigarette Television Advertisements Among Youth and Young Adults
Authors: Duke Jennifer C. , Lee Youn O. , Kim Annice E. , Watson Kimberly A. , Arnold Kristin Y. , Nonnemaker James M. , Porter Lauren
Published: November 2021

BACKGROUND AND OBJECTIVE

Currently, the US Food and Drug Administration does not regulate electronic cigarette (e-cigarette) marketing unless it is advertised as a smoking cessation aid. To date, the extent to which youth and young adults are exposed to e-cigarette television advertisements is unknown. The objective of this study was to analyze trends in youth and young adult exposure to e-cigarette television advertisements in the United States.

METHODS

Nielsen data on television household audiences’ exposure to e-cigarette advertising across US markets were examined by calendar quarter, year, and sponsor.

RESULTS

Youth exposure to television e-cigarette advertisements, measured by target rating points, increased 256% from 2011 to 2013. Young adult exposure increased 321% over the same period. More than 76% of all youth e-cigarette advertising exposure occurred on cable networks and was driven primarily by an advertising campaign for 1 e-cigarette brand.

CONCLUSIONS

E-cigarette companies currently advertise their products to a broad audience that includes 24 million youth. The dramatic increase in youth and young adult television exposure between 2011 and 2013 was driven primarily by a large advertising campaign on national cable networks. In the absence of evidencebased public health messaging, the current e-cigarette television advertising may be promoting beliefs and behaviors that pose harm to the public health. If current trends in e-cigarette television advertising continue, awareness and use of e-cigarettes are likely to increase among youth and young adults.
Childhood Firearm Injuries in the United States
Authors: Fowler Katherine A. , Dahlberg Linda L. , Haileyesus Tadesse , Gutierrez Carmen , Bacon Sarah
Published: November 2021

OBJECTIVES

Examine fatal and nonfatal firearm injuries among children aged 0 to 17 in the United States, including intent, demographic characteristics, trends, state-level patterns, and circumstances.

METHODS

Fatal injuries were examined by using data from the National Vital Statistics System and nonfatal injuries by using data from the National Electronic Injury Surveillance System. Trends from 2002 to 2014 were tested using joinpoint regression analyses. Incident characteristics and circumstances were examined by using data from the National Violent Death Reporting System.

RESULTS

Nearly 1300 children die and 5790 are treated for gunshot wounds each year. Boys, older children, and minorities are disproportionately affected. Although unintentional firearm deaths among children declined from 2002 to 2014 and firearm homicides declined from 2007 to 2014, firearm suicides decreased between 2002 and 2007 and then showed a significant upward trend from 2007 to 2014. Rates of firearm homicide among children are higher in many Southern states and parts of the Midwest relative to other parts of the country. Firearm suicides are more dispersed across the United States with some of the highest rates occurring in Western states. Firearm homicides of younger children often occurred in multivictim events and involved intimate partner or family conflict; older children more often died in the context of crime and violence. Firearm suicides were often precipitated by situational and relationship problems. The shooter playing with a gun was the most common circumstance surrounding unintentional firearm deaths of both younger and older children.

CONCLUSIONS

Firearm injuries are an important public health problem, contributing substantially to premature death and disability of children. Understanding their nature and impact is a first step toward prevention.
Gunshot Injuries in Children Served by Emergency Services
Authors: Newgard Craig D. , Kuppermann Nathan , Holmes James F. , Haukoos Jason S. , Wetzel Brian , Hsia Renee Y. , Wang N. Ewen , Bulger Eileen M. , Staudenmayer Kristan , Mann N. Clay , Barton Erik D. , Wintemute Garen
Published: November 2021

OBJECTIVE

To describe the incidence, injury severity, resource use, mortality, and costs for children with gunshot injuries, compared with other injury mechanisms.

METHODS

This was a population-based, retrospective cohort study (January 1, 2006–December 31, 2008) including all injured children age ≤19 years with a 9-1-1 response from 47 emergency medical services agencies transporting to 93 hospitals in 5 regions of the western United States. Outcomes included population-adjusted incidence, injury severity score ≥16, major surgery, blood transfusion, mortality, and average per-patient acute care costs.

RESULTS

A total of 49 983 injured children had a 9-1-1 emergency medical services response, including 505 (1.0%) with gunshot injuries (83.2% age 15–19 years, 84.5% male). The population-adjusted annual incidence of gunshot injuries was 7.5 cases/100 000 children, which varied 16-fold between regions. Compared with children who had other mechanisms of injury, those injured by gunshot had the highest proportion of serious injuries (23%, 95% confidence interval [CI] 17.6–28.4), major surgery (32%, 95% CI 26.1–38.5), in-hospital mortality (8.0%, 95% CI 4.7–11.4), and costs ($28 510 per patient, 95% CI 22 193–34 827).

CONCLUSIONS

Despite being less common than other injury mechanisms, gunshot injuries cause a disproportionate burden of adverse outcomes in children, particularly among older adolescent males. Public health, injury prevention, and health policy solutions are needed to reduce gunshot injuries in children.
Preventing Gun Injuries in Children
Authors: Crossen Eric J. , Lewis Brenna , Hoffman Benjamin D.
Published: November 2021

Firearms are involved in the injury and death of a large number of children each year from both intentional and unintentional causes. Gun ownership in homes with children is common, and pediatricians should incorporate evidence-based means to discuss firearms and protect children from gunrelated injuries and violence. Safe storage of guns, including unloaded guns locked and stored separately from ammunition, can decrease risks to children, and effective tools are available that pediatricians can use in clinical settings to help decrease children’s access to firearms. Furthermore, several community-based interventions led by pediatricians have effectively reduced firearm-related injury risks to children. Educational programs that focus on children’s behavior around guns have not proven effective.
Clinical Presentation of Intoxication Due to Synthetic Cannabinoids
Authors: Cohen Joanna , Morrison Sephora , Greenberg Jeffrey , Saidinejad Mohsen
Published: November 2021

Synthetic cannabinoids are relatively novel substances of abuse. The use of these compounds among adolescents and young adults has been increasing, making it important for pediatric providers to be familiar with the presenting signs and symptoms of intoxication. We describe three case presentations of reported synthetic cannabinoid intoxication and provide a brief discussion of these compounds.
Synthetic Cannabinoid Use Among High School Seniors
Authors: Palamar Joseph J. , Barratt Monica J. , Coney Leigh , Martins Silvia S.
Published: November 2021

OBJECTIVES

In this study, we examined the prevalence and correlates of current synthetic cannabinoid (SC) use among high school seniors in the United States.

METHODS

Monitoring the Future, an annual nationally representative survey of high school seniors, began querying current (30-day) SC use in 2014. Data were examined from the 2 most recent cohorts (2014–2015; N = 7805). Prevalence of self-reported use was examined and differences in demographics and recency and frequency of other drug use was compared between current marijuana-only users and current SC (plus marijuana) users using χ2 and generalized linear model using Poisson.

RESULTS

We found that 2.9% of students reported current SC use; 1.4% of students (49.7% of users) reported using SCs on ≥3 days in the past month. SC users were more likely to report more recent (and often more frequent) use of lysergic acid diethylamide, cocaine, heroin, and/or nonmedical use of opioids compared with marijuana-only users. Compared with current marijuana-only users, SC users were more likely to report lower parent education (P < .05) and current use of a higher number of illegal drugs other than marijuana (Ps < .001). Students using SCs ≥10 times in the past month were more likely to be boys, frequent marijuana users (Ps < .01), African American, and users of multiple other illegal drugs (Ps < .001).

CONCLUSIONS

SC use is typically part of a repertoire of polydrug use, and polydrug use is less prevalent among marijuana-only users. Current SC users are at risk for poisoning from use of the newest generation of SCs and from concurrent drug use.
Intussusception Rates Before and After the Introduction of Rotavirus Vaccine
Authors: Tate Jacqueline E. , Yen Catherine , Steiner Claudia A. , Cortese Margaret M. , Parashar Umesh D.
Published: November 2021

BACKGROUND

Recent US studies have identified a small increased risk of intussusception after rotavirus vaccination, mainly after the first dose. We examined trends in intussusception hospitalizations before (2000–2005) and after (2007–2013) rotavirus vaccine introduction to assess whether this observed temporal risk translates into more hospitalized cases at the population level.

METHODS

Intussusception hospitalizations in children <12 months of age were abstracted from the State Inpatient Database maintained by the Healthcare Cost and Utilization Project for 26 states that provided data from 2000 to 2013. Rates were calculated using bridged-race postcensal population estimates. Trends were analyzed by age groups (6–14 weeks, 15–24 weeks, and 25–34 weeks) based on the recommended ages for vaccine administration as well as 8–11 weeks when the majority of first doses are given. Rate ratios were calculated by using Poisson regression.

RESULTS

No consistent change in intussusception hospitalization rates was observed among all children <12 months of age and among children 15 to 24 weeks and 25 to 34 weeks of age. The intussusception hospitalization rate for children aged 8 to 11 weeks was significantly elevated by 46% to 101% (range: 16.7–22.9 per 100 000) in all postvaccine years except 2011 and 2013 compared with the prevaccine baseline (11.7 per 100 000).

CONCLUSIONS

The increase in the intussusception hospitalization rate in children 8 to 11 weeks when the majority of first doses of vaccine are given is consistent with recent US postlicensure studies. Given the magnitude of declines in rotavirus disease compared with this small increase in intussusception, the benefits of rotavirus vaccination outweigh the increase risk of intussusception.