Access to home apnea monitoring and its impact on rehospitalization among very-low-birth-weight infants

Article Abstract:

Home apnea monitoring may be associated with an increased incidence of rehospitalization. An analysis of very low birth weight infants after they were discharged to their homes found a big discrepancy in the rate of home apnea monitoring use among black infants and nonblack infants. Only 20% of parents of black infants used home apnea monitors versus 44% of nonblack parents, and the rate of rehospitalization for blacks was 25% versus 34% for nonblacks. Discrepancies in home apnea monitoring use and rehospitalization persisted after adjusting for socioeconomic and insurance status. Reasons for the discrepancies may be unclear. Infant characteristics were similar. Infants weighing less than 1000 grams and who were monitored in the home for one week or more were likely to be rehospitalized.

Care and treatment, Methods, Complications and side effects, Birth weight, Low, Low birth weight, Infants, Sleep, Patient monitoring, Physiologic monitoring, Apnea neonatorum

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The relationship between preceptor expectations and student performance on 2 pediatric objective structured clinical examination stations

Article Abstract:

Many medical students in family practice and pediatric clerkships are not learning the skills necessary to work in a family medicine practice. Researchers evaluated the performance of a group of medical students who were tested on two diagnostic problems using structured clinical exam stations. A survey of 37 general practitioners in the community revealed that almost all the physicians believed a resident would encounter these problems in the family medicine practice. But they disagreed on the knowledge required to do this and there was a disparity between what they believed the students should be able to do and what the students actually did.

Testing, Medical students, Surveys, Family medicine, Study and teaching, Physicians (General practice), General practitioners

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Sudden Infant Death Syndrome Among Twins

Article Abstract:

The death of both children from sudden infant death syndrome (SIDS) in twins is uncommon. Researchers reviewed 23,464 SIDS deaths among singleton births and 1,056 SIDS deaths among twins. Twins were about twice as likely to die of SIDS as singleton births, but fewer than 1% SIDS cases in twins involved the death of both children.

United States, Statistical Data Included, Patient outcomes, Mortality, Risk factors, Sudden infant death syndrome, Twins

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