bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neonatal Death: Reflections for Parents
Authors: Elliott Barbara A. 
Published: December 2021

We have something in common. My baby died, too. In fact, two of my babies died. You and I know how hard life is when that happens. That is why I am writing this—to share with you what each of us has to feel, think, and talk about before time finally numbs the emptiness. Many of my feelings are hard to write about, but I know they are normal. I want you to know that too.
It takes a long time before these feelings are no longer a part of every day or even every hour. But life eventually regains its meaning. I hope that telling you my story will help you understand your feelings and perhaps make things easier for you.
I had twin boys, and each died at 1 week of age. When my first son died, I was numb and full of hope for the other. Then the second baby died too. I was shocked at what was happening to me and was left feeling totally empty. I wanted my babies. Every time I closed my eyes, I relived the experiences in the nursery. I could see each of them and wanted them. Nothing else in my life mattered.
I felt very alone and was not able to care about other people. I ate only because food was put in front of me, and I did not sleep well. Every minute hurt as it dragged by. I wondered if I could stand it. I wanted time to go faster so the pain would not be so bad.
Tuberculosis among children in the United States: 1978
Authors: Kendig Edwin L. 
Published: December 2021

Tuberculosis mortality in the United States has declined sharply during the past three quarters of a century, from 200 per 100,000 population in 1900 to 1.8 per 100,000 population in 1974.1 The number of persons infected with tuberculosis has decreased proportionately. Whereas even 40 years ago the rate of tuberculin sensitivity among youths of high school age (15 to 19 years) was approximately 32%, a 1958 to 1969 survey of more than a million Navy recruits 17 to 21 years of age showed that only slightly more than 5% were reactors.2
From these statistics it would appear that eradication of tuberculosis in the United States is imminent.
DR. ARTHUR WENTWORTH AND THE FIRST LUMBAR PUNCTURE AT THE BOSTON CHILDREN'S HOSPITAL IN 1895
Authors: C. T. E. 
Published: December 2021

In August 1895 Dr. Arthur Wentworth performed the first lumbar puncture ever done at the Children's Hospital in Boston. The patient was a 2-year-old girl with a doubtful case of tuberculous meningitis. The experience proved a harrowing one for Wentworth, as is evident from his description of it.
We punctured the spinal canal, using for the purpose the needle from an antitoxin syringe, and withdrew six cubic centimetres of a clear fluid which looked like distilled water. No tubercle bacilli were found....
Immediately after tapping the canal the child became restless, throwing herself about the bed, clutching at her hair and giving vent to short cries. The pulse rose to over 250 in the minute, the respiration was superficial, and the skin was cool and slightly livid. Subcutaneous injections of brandy and ether were given, heaters applied, and the foot of the bed raised. This condition persisted about the same for three-quarters of an hour, and then the child became quieter.1
During the attack I felt considerable uneasiness because I was unprepared for such a result and did not know but that it would terminate fatally. I now believe that the symptoms were due to headache, caused by the removal of fluid, and that her life was not endangered.2
Congenital Cystic Adenomatoid Malformation of the Lung Associated With Abdominal Musculature Deficiency (Prune Belly)
Authors: Wilson Stephen K. , Moore C. William , Hutchins Grover M. 
Published: December 2021

"Prune belly"—a deficiency of abdominal niusculature usually associated with urinary tract anomalies and cryptorchidism—has been explained by numerous theories. Some postulate a primary defect of abdominal musculature, producing renal dysfunction1; others suggest the reverse2; other proposals include a sex-linked inherited trait3, and an intrauterine insult (between six and ten weeks of gestation).4
Congenital cystic adenomatoid malformation of the lung (CCAM) is a distinct morphological entity, characterized by a proliferation of cysts lined by bronchiolar-like epithelium and a lack of cartilage and seromucous glands.5 CCAM has been postulated to be a harnartoma,6 a focal type of pulmonary dysplasia,7 or a development anomaly.8
TV update
Authors: Feinbloom Richard I. 
Published: December 2021

The public debate over television and its impact on children is heating up. Two highly visible skirmishes of 1978 are the investigation into television advertising to children by the Federal Trade Commission (FTC) and the trial in California of a bizarre rape claimed to have been perpetrated in imitation of a crime which appeared on a television drama.
The FTC has scheduled nile-making hearings in the fall of 1978 to consider whether television advertising to young children is inherently "unfair and deceptive" and whether restrictions should be placed specifically on the advertising to children of sugared products. Entering into these deliberations will be research and anecdotal evidence and authoritative opinions about the developmental capacity of children to make discerning judgments regarding advertising; the relation between sugar intake and dental caries and obesity; and the potentially disruptive effects of TV commercials on family life.
Letter To The Editor
Authors: Wegman Myron E. 
Published: December 2021

Dr. Talbot is quite right that social and demographic factors have considerable influence on the neonatal death rate, as for almost any specific rate. As I stated, improved neonatal care seemed to me a factor because the neonatal rate had dropped much more rapidly than the postneonatal rate. I may well have given too much weight to this observation.
On the other hand, I fear that, while Dr. Talbot's proposed case fatality rate could be useful and worth doing to analyze a particular hospital's experience, it would lead to more uncertainty than precision about the community.
Raising a Hyperactive Child, edited by Mark A. Stewart, M.D., and Sally Wendkos Olds (New York, Harper & Row, 1973, 299 pp, $8.95)
Authors: Mowat Alex P. 
Published: December 2021

Pediatricians involved in helping parents of hyperactive children can recommend to them this readable, authoritative manual which by its positive, enthusiastic, but realistic tone will help them deal with difficulties presented by such children. They will find detailed advice on practical methods of influencing their children and their behavior to make life less trying for all in the short term and perhaps even in the long term.
The lack of understanding of the basic cause of this abnormality of temperament and the absence of follow-up studies showing that the recommended management has beneficial long-term effects are conceded by the authors as limiting the authority of the text.
Head Trauma for the Pediatrician
Authors: Singer Harvey S. , Freeman John M. 
Published: December 2021

A physician's concern about continued or progressive alteration in consciousness or neurologic function will result in the early recognition of head trauma complications that require medical or surgical intervention. The role of the pediatrician following "minor" head trauma is to serve as the overseer, coordinating observations and providing informed decisions on the necessity of additional medical or diagnostic requirements. This article provides an approach to handling the patient with mild head trauma based upon our experiences and interpretations of the literature.
In conclusion, we emphasize the following points: (1) patients with head trauma, especially if associated with loss of consciousness, should be examined and subsequently evaluated by reliable observers; (2) skull x-ray films rarely provide information that affects medical management; (3) deterioration in the patient's clinical condition demands consultation and appropriate neuroradiologic studies; (4) the presence of a seizure or basilar skull fracture does not in itself necessitate therapy; and (5) continued evaluation of head trauma management is required to determine the optimal approach.
THE LOW-BIRTH WEIGHT HORSE: A POOR BET
Authors: L. J. F. 
Published: December 2021

Thoroughbreds are bred solely with a view to racing, and their performances are well documented. Racehorses are good subjects, therefore, for studying the effects of perinatal disorders on physical development and achievement. Thoroughbreds become fully grown at about 3 years . . . but in flat racing they are raced first at 2 years and the majority have completed their racing careers by the end of their third year, although a few continue after this age. At 2 years some are still not fully developed and their potential ability is often not evident until the third year.
It has long been recognized by breeders and trainers that twin foals rarely develop into successful racehorses but there is little information on the outlook for single foals of low birth weight.
Juvenile Laryngeal Papillomas With Cardiomegaly and Polycythemia
Authors: Hawkins Donald B. , Udall John N. 
Published: December 2021

Juvenile laryngeal papillomas are one of the most dangerous and treacherous chronic airway problems of childhood. The following case report illustrates several interesting points regarding laryngeal papillomas and the pediatric airway.
CASE REPORT
This 1½-year-old girl was brought by her parents to the Los Angeles County-University of Southern California Medical Center in October 1973 with a history of fever, cough, and wheezing respiration for four days. Intramuscularly administered penicillin and a corticosteroid given by her private physician had not lessened these symptoms. History was significant in that her voice had always been hoarse, progressing to aphonia in recent weeks. During the preceding six months, she had been treated for wheezing and respiratory distress on four occasions.
Supporting Breast-Feeding
Authors: Kemberling Sidney R. 
Published: December 2021

For those interested in another approach to breast-feeding, Jelliffe and Jelliffe have recently published an elegant paper titled " Breast Is Best."4
Developing skills that enhance breast-feeding can be learned by reading the books listed at the end of this article. If pediatricians want to be strong advocates of breast-feeding, they must be convinced of the advantages of breast milk. Many physicians say that they support breast-feeding but will, for instance, send formula bottles to the bedside of a breast-feeding mother.
The antagonistic physician or member of the office team may make remarks such as "Are you going to breast-feed until your child goes to school?" " Are you still breast-feeding?" or " The baby needs solid foods for good nutrition." These innuendos can defeat and demoralize the breast-feeding mother. Unless the physician provides strong support against these remarks, the mother will lose her confidence. Many husbands who are advocates of breast-feeding will defend her against these discouraging remarks. Group sessions of lactating mothers also bolster morale. Many mothers find duenna substitutes whom they can communicate with by telephone. (A duenna is an elderly woman who has charge of young unmarried women in a Spanish family.) However, when breast-feeding mothers confront a serious problem for which they have no simple solution, the pediatrician has to provide the ultimate backup support.
X-LINKED LYMPHOPROLIFERATIVE SYNDROME REGISTRY
Authors: L. J. F. 
Published: December 2021

The X-Linked Lymphoproliferative Syndrome Registry was recently established and is funded by the National Cancer Institute. We invite referrals of possible cases of the X-linked lymphoproliferative syndrome (XLP) as well as unusual complications associated with infectious mononucleosis. The following criteria may be used to ascertain whether a case is a candidate for the registry:
1. Phenotypes1 of the proliferative types, including fatal infectious mononucleosis (IM), immunoblastic sarcoma of B cells, immunodeficiency with hyper IgM following IM, or American Burkitt lymphoma; or aproliferative phenotypes such as agranulocytosis, aplastic anemia, or acquired hypogammaglobulinemia are present.
2. Phenotypes of XLP are present in two or more maternally related males.
3. In affected males, following infection by Epstein-Barr virus (EBV), infected B cells grow spontaneously, saliva transforms cord lymphocytes, and EBV antibody is usually absent in sera.
By studying affected patients and their families, we seek to increase knowledge on the etiology and pathogenesis of XLP and ultimately to offer a basis for rational therapeutic intervention.
Please address all inquiries to David T. Purtilo, M.D., or Janet Hamilton, M.S., Registrar, Department of Pathology, University of Massachusetts Medical Center, Worcester, MA 01605, or telephone (617) 856-2439
THE VOICE OF FASHION
Authors: Lorie A. 
Published: December 2021

The voice of fashion has not fallen silent; rather it screams in a thousand languages and dialects. . . .
. . . its symbolic language has now become overlaid with printed verbal messages. T-shirts advertise favorite products, cultured tastes (VILLAGE VOICE, JEFFERSON STAR-SHIP), political opinions, membership in real or imaginary organizations (HARVARD UNIVERSITY, OLYMPIC SCREWING TEAM), real or imaginary personality (FOXY LADY, MALE CHAUVINIST PIG), sexual preference (GAY POWER, EAT ME), and current mood (SMILE, BLUE MONDAY). . . .
. . . according to my teenage son, the very brand of blue jeans worn in junior high school is a sign: "Freaks always wear Lees, greasers wear Wranglers, and everyone else wears Levis."
What Every Primary Physician Should Know About the Postoperative Cardiac Patient
Authors: Moss Arthur J. 
Published: December 2021

Many patients with the defects discussed here are under continuing postoperative observation by the cardiologist, and that is as it should be. This is particularly likely to be the case with tetralogy of Fallot and transposition of the great arteries. Some patients, however, are returned from distant cardiac centers, and the services of another cardiologist may not be readily available. Even if available, the cardiologist depends on the patient's local physician to detect early signs of trouble. Also, the family generally has a warmer relationship with the primary physician and looks to him for guidance and counsel. This assumes particular importance when one considers the high incidence of psychologic problems that tend to occur in children who have been subjected to cardiac surgery.63 These psychologic disturbances are attributed to such things as inability to compete physically, hospitalizations, family anxiety, and parental protectiveness or pampering.
Most patients who have experienced cardiac surgery should be reevaluated periodically, preferably by an experienced cardiologist. Of all the lesions discussed here, patent ductus arteriosus has the best long-term prognosis. With this lesion, once the electrocardiogram and roentgenogram have returned to normal, it probably is no longer necessary to reevaluate the patient from a cardiac standpoint unless there is a change in the murmur or a new one appears. With all the other lesions, continued cardiac reevaluation is recommended, the exact interval to be determined by the age of the patient, the postoperative course, and the time elapsed from the date of operation. During periods of stress, such as pregnancy and later adult life, closer observation may be necessary.
Letter To The Editor
Authors: Forsythe Alan B. , Wolf Sheldon M. 
Published: December 2021

In a follow-up article,1 we divided the children into two groups for the purpose of analysis. In the first group were children with a single, brief, generalized initial febrile seizure and no history of prenatal, perinatal, or postnatal abnormalities that might suggest the possibility of brain damage. In the second group were those children with such birth abnormalities, and/or a severe initial febrile convulsion, and/or abnormal results of neurological examination.
In the first group, the 36-month recurrence rates were 5% for those randomly assigned to continuous phenobarbital therapy and 34% for those receiving intermittent or no phenobarbital therapy (P &gt; .001).
ILLITERACY
Authors: Fiske Edward B. 
Published: December 2021

A high school graduate on Long Island sues the local school system because he cannot read above the third-grade level. The chief of personnel for the Navy reports $250,000 in damage to a diesel engine because a sailor who worked on it could not read the maintenance manual. The National Assessment of Educational Progress shows a group of 17-year-olds a replica of a traffic ticket, and more than half cannot determine the last day on which the fine can be paid.
Such anecdotes are being heard with increasing frequency these days and point to a conclusion that is becoming painfully obvious to employees, educators, politicians, and the general public alike: the United States has a serious problem of illiteracy.
OCCUPATIONAL DISEASE AMONG OPERATING ROOM PERSONNEL
Authors: H. R. J. 
Published: December 2021

United States members of the American Academy of Pediatrics served as one of two control groups in a two-year effort by the American Society of Anesthiologists to investigate the health experience of anesthesia and operating room personnel in the United States. A segment of the American Nurses' Association served as the other control group. The results are of interest not only because of the involvement of pediatricians but because of the findings of adverse effects on pregnancy and the offspring where parents are exposed to anesthetic gases.
The study was conducted by mailing questionnaires to 49,585 exposed operating room personnel in four professional societies and to 23,911 unexposed individuals in two professional societies serving as a comparison group.
For female members of the operating room-exposed group, there was an increased risk of spontaneous abortion and various types of cancer. For both female and male exposed personnel, there was an increased risk of hepatic disease and of congenital malformations in their offspring. No increase in cancer was found in exposed males.
Considerable evidence in animal studies supports the hypothesis of a cause-effect relationship between increase in the rates of these diseases and exposure to waste anesthetic gases. The present study is consonant with such a relationship but does not establish it. The report makes a strong recommendation for venting of waste anesthetic gases wherever used.
THE BIGGER THE SYSTEM, THE NARROWER AND MORE SPECIALIZED THE INTERFACE WITH INDIVIDUALS
Authors: Gall John 
Published: December 2021

In very large systems, the relationship is not with the individual at all but with his Social Security number, his driver's license, or some other paper phantom. In systems of medium size, some residual awareness of the individual may still persist. A hopeful indication was recently observed by the author in a medium-sized hospital. Taped to the wall of the nurses' station, just above the Vital Signs Remote Sensing Console, which enables the nurses to record whether the patient is breathing and even to take his pulse without actually going down the hall to see him, was the following hand-lettered reminder: THE CHART IS NOT THE PATIENT.
Unfortunately, this slogan, with its humanistic implications, turned out to be misleading. The nurses were neither attending nor making notations in the charts. They were in the hospital auditorium, taking a course in interdisciplinary function (Interdisciplinary function may be defined as the art of correlating one's own professional activities more and more with those of other professionals while actually doing less and less.)
Infant Strangulation in a Mesh Portable Crib
Authors: Sinal Sara H. , Stanton William A. 
Published: December 2021

There has been a recent surge of interest in crib accidents in the pediatric literature.1.2 Safety standards have been established by the US Consumer Product Safety Commission (USCPSC) for the manufacture of all full-size and some portable cribs.3.4 We also have evaluated at our medical center a number of crib-associated accidents. One case of infant strangulation is of particular interest because it occurred with a caretaker in the room, and involved a mesh-type portable crib not covered by current safety standards4 (Consumer Product Safety Commission, personal communication, February 1978).
CASE REPORT
An 11-month-old white female was brought to the North Carolina Baptist Hospital Emergency Room by a rescue squad with the chief complaint of having "choked on a button."
Perioral Dermatitis From a Flavored Lip Balm
Authors: Tunnessen Walter W. 
Published: December 2021

Intrigue with scents and odors of cosmetics and other medicaments occasionally has resulted in injury to the user. Frequently, the popularity of these products is enhanced by fadism and eye-catching advertising. One recent fad is Bonne Bell Lip-Smackers, large, attractively packaged, semisolid sticks available in multiple flavors and marketed to protect the lips from sunburn and chapping. The case of an 11-year-old girl with a dermatitis of four months' duration is presented to illustrate the insidious nature of sensitivity to this product.
CASE REPORT
An 11-year-old girl with an unremarkable medical history had swelling, erythema, and irritation of the lips in mid-January.
The Influence of Funding on the Future of Pediatric Nurse Practitioner Programs
Authors: Kahn Lawrence 
Published: December 2021

Current funding sources threaten the future position of PNPs as providers of primary care. Most nurse practitioner programs of all disciplines including pediatrics rely for funds on the Division of Nursing, Bureau of Health Manpower, Department of Health, Education and Welfare. These funds are sufficient only for about half of currently operational programs and other sources of financing are not adequate to support the remainder. Another factor affecting the future of such programs is the trend to modify the preparation of the nurse practitioner from the clinically centered continuing education format to that based in schools of nursing and directed toward the MS degree. This is against the fundamental philosophy of the training of the PNP and will lead to diminishing participation of pediatricians in training programs.
Unless there is evidence to show that the shift to graduate type education is fundamental to the competence of the nurse practitioner, the enthusiastic nurse who chooses to extend her professional skills should be allowed to do so without limiting this activity only to those who seek advanced academic degrees.
Chlamydial Pneumonia of Infancy vs Wilson-Mikity Syndrome
Authors: Oetgen William J. 
Published: December 2021

Tipple et al clearly delinate the clinical features and treatment of chlamydial pneumonia of infancy in Pediatrics, February 1979.1,2 They also point out the similarity between this disease and an entity called pertussoid eosinophilic pneumonia first described in 19413 and more recently in 1977.4
It is further worth noting that the clinical features of chlamydial pneumonia of infancy (ie, gradual onset of cough, tachypnea, and rales in a 1-to 3-month-old infant who is afebrile and whose chest x-ray shows interstitial infiltrates and hyperexpansion) are virtually identical with the findings on five infants described by Wilson and Mikity in 1965.5