Congratulations to Drs. Bell, Harmon, Rysavy (Neonatology fellow) and Colaizy for their recent publication in the Journal of Pediatrics on bronchopulmonary dysplasia. They were part of a larger group of authors on behalf of the Eunice Kennedy Shrive National Institute of Child Health and Human Development Neonatal Research Network.
Brumbaugh JE, Bell EF, Grey SF, DeMauro SB, Vohr BR, Harmon HM, Bann CM, Rysavy MA, Logan JW, Colaizy TT, Peralta-Carcelen MA, McGowan EC, Duncan AF, Stoll BJ, Das A, and Hintz SR for the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Behavior Profiles at 2 Years for Children Born Extremely Preterm with Bronchopulmonary Dysplasia.J Pediatr. 2020 Jan 30. pii: S0022-3476(19)31707-X. doi: 10.1016/j.jpeds.2019.12.028. [Epub ahead of print]
From the Abstract: In this study, few residents reported experience initiating medication or managing adolescent depression in the continuity clinic. Residents demonstrated increased self-assessed knowledge and confidence to diagnose and manage adolescent depression after participation in a case-based adolescent depression curriculum simulating patient-provider continuity. Incorporation of training on management of adolescent depression into AM rotation may be a feasible option to standardize training within pediatric residency.
Cathy Chaves, administrator of the Pediatrics Clerkship for medical students, was recently a contributing author on a paper in Medical Education Online about the clerkship administrator certificate program. This article provides an overview of the program, how it has been evaluated, and how it continues to evolve.
Abstract: Substance use disorders constitute a significant public health problem in North America and worldwide. Specifically, substance addictions in women during pregnancy or in the postpartum period have adverse effects not only on the mother, but also on mother-infant attachment and the child’s subsequent development. Additionally, there is growing evidence suggesting that parental addiction may be transmitted intergenerationally, where the child of parents with addiction problems is more likely to experience addiction as an adult. The current review takes a developmental perspective and draws from animal and human studies to examine how compromised early experience, including insecure attachment, early abuse/neglect, and unresolved trauma, may influence the development of neurobiological pathways associated with addictions, ultimately increasing one’s susceptibility to addictions later in life. We approach this from three different levels: molecular, neuroendocrine and behavioral; and examine the oxytocin affiliation system, dopamine reward system, and glucocorticoid stress response system in this regard. Increased understanding of these underlying mechanisms may help identify key targets for early prevention efforts and inform needed intervention strategies related to both insecure attachment and addiction.
Abstract: Doctors are required to notify Child Protective Services (CPS) if parents do not provide appropriate medical care for their children. But criteria for reporting medical neglect are vague. Which treatments properly fall within the realm of shared decision-making in which parents can decide whether to accept doctors’ recommendations? Which treatments are so clearly in the child’s interest that it would be neglectful to refuse them? When to report medical neglect concerns to CPS may be controversial. It would seem inhumane to allow a child to suffer because of parental refusal to administer proper analgesia. In this ethics rounds, we present a case of an adolescent with chronic pain who is terminally ill. Her parents were not adherent to recommended analgesia regimens. Her palliative care team had to decide whether to report the case to CPS.
This work was presented as a platform presentation and was also awarded Best Quality Improvement Abstract at the recent American Academy of Pediatrics (Section on Critical Care) National Conference 2019 in New Orleans.