On the Pulse

Dr. Douglas Diekema, a member of the American Academy of Pediatrics (AAP) Task Force on Circumcision, talked with On the Pulse recently about the updated AAP policy released August 27. Dr. Diekema is the director of education in the Treuman Katz Center for Pediatric Bioethics at Seattle Children’s Research Institute and was named to the task force to represent the AAP Committee on Bioethics.

Q. What has changed since the last time the AAP looked at the circumcision policy, and what are the key points in the new policy?

A. The task force concluded that there are significant health benefits of newborn circumcision and that those benefits outweigh the risks of the procedure.  Because of the health benefits, the task force also recommends that Medicaid and other insurance cover the cost of circumcision.  Those points are the key changes from previous policy statements. Read full post »

Parenting a child with a longstanding or life-threatening illness—including chronic pain, cancer, diabetes, asthma and traumatic brain injury—can have a negative impact on many aspects of a parent’s and family’s life.   Parents often have difficulty balancing care for their child with other responsibilities such as work, social life, finance and household tasks.

But there are very few programs in the world that address these issues for parents of children with chronic pain, based on a new Cochrane Review published August 15.

Cochrane Reviews are systematic reviews of primary research in healthcare and health policy, and are internationally recognized as the highest standard in evidence-based healthcare.  Tonya Palermo, PhD, of Seattle Children’s Research Institute is a co-author of “Psychological therapy for parents of children with a longstanding or life-threatening physical illness.”

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What can happen when otherwise attentive parents get distracted

For most of us, especially those of us in the Pacific Northwest, when the sun comes out our moods improve with the increase in temperature. Unfortunately, what also increases is  the number of children who die from hyperthermia or overheating of the body, after being unintentionally left in a car.

On average, 38 children in the U.S. die in hot cars each year. The numbers typically begin to increase in May with 3 deaths per month. By July and August, this surges to 9 deaths per month.  Although the majority of deaths occur in warmer states such as Texas, it can happen anywhere. Just this week, the National Highway Traffic Safety Administration (NHTSA) reported that in the first week of August, eight children across the U.S. have died from heatstroke in hot vehicles. Read full post »

Parents who suggest and use healthy media options with their children can improve sleep outcomes, according to a new study from Michelle Garrison, PhD, and Dimitri Christakis, MD, at Seattle Children’s Research Institute.  “The Impact of a Healthy Media Use Intervention on Sleep in Preschool Children,” was published online today in Pediatrics.

The latest research also adds evidence that the relationship between media and sleep in preschool children is one of cause and effect.  Kids whose parents were encouraged to change the channel to age-appropriate and non-violent content had significantly lower odds of sleep problems in the study, and this effect persisted across the intervention year, but faded six months after the program ended. Read full post »

Many of the cancer patients at Seattle Children’s Hospital are here for months at a time and far from the comforts of home – including the presence of their much-loved family pets. To make matters worse, these patients often need to be in isolation due to their compromised immune systems, cutting them off from the social support that can be a lifeline during a long course of treatment.

Maga Barzallo Sockemtickem is one such patient. Maga spent more than seven months at Children’s in 2011 waiting for a compatible bone marrow donor, eventually undergoing a transplant. A 16-year-old cat-lover, back at Children’s for post-transplant treatment, Maga is confined to her room and hasn’t seen her beloved cat, Merry, in nearly a month.

The staff at Children’s decided to do something about that. While they couldn’t bring Merry to Maga, they did the next best thing. A call to Children’s Facebook fans to post their favorite cat photos for Maga sparked an overwhelming response: fans sent more than 3,000 photos along with comments and heartfelt get well wishes.

Maga, touched by the outpouring of support, responded with …”You guys remind me that there is so much good in the world, and it just makes me feel so much better, and connected. I can’t tell you how it feels sometimes, feeling disconnected and cut off from the world, and then with something like cat pictures bringing me back. Thank you all for your kind words, and well wishing. Its means more than you can ever know. Thank you. Thank you. Thank you…”

With more than enough photos, staff got to work and created the Cat Immersion Project. Using the photos fans sent and adding some creative magic with sound, sheets, and projectors, they created a virtual cat cocoon, making Merry seem just a little bit closer.

Watch Maga experience the Cat Immersion installation for the first time:

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A new study says “yes.”

University of Minnesota researchers interviewed the parents of 60 youth basketball players and found that the young athletes commonly had sweets, such as candy, ice cream and doughnuts; pizza; hot dogs; salty snacks, including chips, nachos and cheese puff and soda and sports drinks.

The parents also reported frequent visits to fast-food restaurants when their children were playing sports.

And, even though the parents agreed that these foods and beverages are unhealthy, they said rushing to practices and games made them rely more on these types of products due to their convenience. Read full post »

As a medical resident, Dr. Ben Wilfond remembers working with a family whose baby had trisomy 21 (down syndrome).  He was with the physician when she first talked with the family about their new baby.  “She walked in, introduced herself, and the next thing she said was, ‘Congratulations on your baby,'” Wilfond said. The remark took him by surprise.  “As a resident, I could see the problems this child was having and I knew some of what was ahead for this family.  But the doctor did not deprive them of their celebration, and she chose not to focus on the fact that the child had a disability.”

This situation isn’t always the norm. Dr. Wilfond is a co-author of a new study published in Pediatrics that found parents with children with trisomy 13 and 18 have challenging encounters with health providers.  Children born with trisomy 13 and 18 have low survival rates and survivors have significant disabilities.  They have traditionally been treated with palliative care.  Read full post »

Physicians and researchers can get any number of awards over the course of a career.  Landing a Nobel Prize is the tops, of course.  But Bonnie Ramsey, MD, received a different sort of honor this week.  She christened a petroleum barge in Portland that bears her name.  Dr. Ramsey is quite excited about the honor, even if it doesn’t seem very medically mainstream.   

“It’s a unique award,” she said.  “It’s not the sort of thing most people get, to have something that huge be named after you,” she said, with a smile.  Barges can measure more than 400 feet long, bigger than a football field.  A barge of this size carries more than 3.5 million gallons in fuel, too.

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This is what 17-year-old Seth Barronian remembers about his last regular day:

He and a friend were long-boarding (riding long-version skateboards) near Tacoma, Wash., a good distance from his home in Normandy Park. Because he loved to feel the wind in his hair, he ditched the helmet his parents insisted he wear. He was cruising downhill at about 20 miles per hour when his board hit a twig or rock and stopped cold. Read full post »

Approximately 9,300 people are seriously injured because of fireworks each year in our country – and children under the age of 14 incur nearly half of these injuries.

Indeed, if they’re not handled properly, fireworks can cause burns, as well as hand, foot and eye injuries in both children and adults. Bottle rockets are the leading cause of fireworks-related fires. And sparklers burn at over 1,200 degrees; they are one of the main fireworks that cause injuries.

The best way to protect your family is not to use any fireworks at home – attend public fireworks displays, and leave the lighting to the professionals. Read full post »