Thursday, June 5th, 2014
Children whose parents are seriously injured face an elevated risk of developing post traumatic stress disorder (PTSD) even if they themselves were not injured, according to new research conducted in Seattle. The new study is reportedly the first to examine the effect of parents’ injuries on children in settings other than war zones. More from Reuters:
Researchers studied 175 pairs of parents and school-age children seen at a Seattle trauma center. They found that uninjured children whose parents were seriously hurt were twice as likely to experience PTSD symptoms months later as those whose parents were uninjured.
“If the parent is injured, the child is more likely to have more anxiety in five months,” psychiatrist Dr. Douglas Zatzick told Reuters Health. “We hope to incorporate psychological support services that allow us to anticipate the difficulties that families face in the wake of injury.”
Motor vehicle crashes were the primary cause of injury when both the parent and child were seriously hurt. Other injuries were caused by burns or falls, for instance.
About 20 percent of uninjured children whose parents were injured reported symptoms of PTSD five months later, compared to 10 percent of uninjured children whose parents were also unhurt, according to findings published in Pediatrics. The difference shrunk after a year.
Zatzick and his colleagues at the University of Washington School of Medicine in Seattle also found that injured children tended to recover more slowly physically and emotionally if their parents were also injured than children whose parents were not seriously hurt.
Image: Woman in hospital bed, via Shutterstock
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Friday, August 23rd, 2013
A report by the National Center for Health Statistics reveals that circumcisions of newborn boys in U.S. hospitals have dropped 6 percentage points over the last 30 years, from 64.5 percent in 1979 to 58.3 percent in 2010. The sharpest declines took place in Western states, Reuters reports. The federal analysis shows that circumcision rates have risen and fallen over the years, possibly in response to changing advice from the American Academy of Pediatrics. Last year the academy revised its policy on circumcision, saying that the benefits of circumcision outweigh the risks.
The analysis didn’t include circumcisions performed outside the hospital in religious ceremonies, for example, or those performed when a boy is older.
Here are further details from USA Today:
One factor that may account for the overall decline in hospital-based circumcisions may be the decreased time babies now spend in the hospital, says pediatrician Douglas Diekema of the Treuman Katz Center for Pediatric Bioethics at Seattle Children’s Research Institute.
“Often they’re going home within 24 hours, so in some places, these procedures are increasingly being done by the pediatrician during the follow-up period in the doctor’s office or clinic as opposed to the hospital,” Diekema says.
The steep decline in the West may be related to higher rates of immigrants from countries where circumcision is less common, he says.
Recent research suggests circumcision does “help prevent certain kinds of infections,” says pediatrics group president Thomas McInerny. In particular, “there is some evidence that the cells that make up the inner surface of the foreskin may provide an optimal target for the HIV virus.” Research also shows that circumcised males have a lower risk of urinary tract infections and penile cancer, he says.
Complications associated with circumcisions are rare, and include minor bleeding, local infection and pain, says Diekema, but those factors can be easily treated.
A cost study reported last year in the Archives of Pediatrics & Adolescent Medicine said falling infant circumcision rates in the U.S. could end up costing the country billions of health care dollars when men and their female partners develop AIDS and other sexually transmitted infections and cancers that could have been prevented.
The health benefits evidence was not so strong that the AAP felt compelled to recommend routine circumcision for all newborn boys, says McInerny. “We wanted to give parents the information as we understand it from the research and let them make the decision.”
Image: Newborn boy, via Shutterstock
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Wednesday, October 31st, 2012
NYU Langone Medical Center in Lower Manhattan, out of power from both main sources and backup generators and facing 10-12 feet of water in the wake of the superstorm Sandy, evacuated all patients yesterday and this morning, including its newborns and ill babies. Hospital staff carried the young patients down 9 flights of stairs to evacuate them safely from the building, as CNN.com reports:
The evacuation was moving more slowly than expected, according to hospital spokeswoman Lisa Grenier. About 40 patients remained to be evacuated at 9 a.m. Tuesday, she said. Brotman said earlier that he anticipated the evacuation would last until around 6:30 a.m.
The dawn of a new day, however, brought some help. “At least there’s daylight coming in through the windows,” Grenier said.
Four of the newborns were on respirators that were breathing for them, and when the power went out, each baby was carried down nine flights of stairs while a nurse manually squeezed a bag to deliver air to the baby’s lungs.
“This is a labor-intensive, extremely difficult process,” Brotman said.
Image: Emergency stairs, via Shutterstock
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