Y011154 1
1798227 86015227
[Home monitoring]
Le monitorage a domicile.
Normand M
Nurs Que (CANADA), May-Jun 1985, 5 (4) p18-25,
ISSN 0381-6419
Jrnl Code: OBD
Lang.: FRENCH
Jrnl Ann.: 8601
Subfile: Nursing
Tags: Human
Desc.: *Home Nursing; Infant Care; Infant; *Monitoring, Physiologic; Parents--Education (ED); Sleep Apnea Syndromes--Prevention and Control (PC); *Sudden Infant Death--Prevention and Control (PC)

Y011154 2
1797497 8601449
[Coping with mourning and support at the death of a newborn infant]
Rouwverwerking en begeleiding bij het overlijden van pasgeborenen.
Hohenbruck BG; de Kleine MJ; Kollee LA; Robbroeckx LM
Ned Tijdschr Geneeskd (NETHERLANDS), Aug 17 1985, 129 (33) p1582-5,
ISSN 0028-2162
Jrnl Code: NUK
Lang.: DUTCH
Summ. Lang.: ENG.
Doc Type: Eng. Abstract
Jrnl Ann.: 8601
Subfile: INDEX MEDICUS
Tags: Female; Human; Male
Desc.: *Adaptation, Psychological; Adult; Communication; *Death; *Grief; *Infant, Newborn; Physician-Patient Relations; *Social Environment *Social Support

Y011154 3
1796775 86013775
SIDS, seizures or 'sophagea' reflux Another manifestation of Munchausen syndrome by proxy.
Geelhoed GC; Pemberton PJ
Med J Aust, Oct 14 1985, 143 (8) p357-8,
ISSN 0025-729X
Jrnl Code: M26
Lang.: ENG.
Jrnl Ann.: 8601
Subfile: INDEX MEDICUS
A four-month-old boy with pseudo-seizures was extensively investigated for fits and gastro-oesophageal reflux and subsequently treated for presumed epilepsy. It was finally established that his mother was inducing the "seizures" by asphyxiation and subsequent interviews established that information concerning the parents had been falsified.
Tags: Case Report; Human; Male
Desc.: *Child Abuse; Epilepsy--Diagnosis (DI); Gastroesophageal Reflux--Diagnosis (DI); Infant; *Mothers; *Munchausen Syndrome; Seizures--Diagnosis (DI); Sudden Infant Death

Y011154 4
1795121 86012121
Sudden infant death syndrome: an update.
McClain M
JEN (US), Sep-Oct 1985, 11 (5) p227-33,
ISSN 0099-1767
Jrnl Code: KRU
Lang.: ENG.
Jrnl Ann.: 8601
Subfile: Nursing
Tags: Female; Human; Male
Desc.: Adult; Family; Financing, Government; *Health Services--Organization and Administration (OG); Infant; Infant, Newborn; Legislation; Massachusetts; Organizations; Stress, Psychological; *Sudden Infant Death

Y011154 5
1790577 86007577
[Sudden infant Death. Epidemiological factors in unexplained, partially or insufficiently explained causes of death]
Plotzlicher Sauglingstod. Epidemiologische Erhebungen bei nicht, teilweise oder hinreichend erklarbarer Todesursache.
Molz G; Hartmann HP
Anatomisches und Gerichtlich-medizinisches Institut, Universitat Zurich.
Helv Paediatr Ecta (SWITZERLAND), Dec 1984, 39 (5-6) p395-404,
ISSN 0018-022X
Jrnl Code: G59
Lang.: GERMAN
Summ. Lang.: ENG.
Doc Type: Eng. Abstract
Jrnl Ann.: 8601
Subfile: INDEX MEDICUS
Epidemiologic investigations were carried out on 185 infants, who died suddenly and on whom autopsies were performed. 53 infants died a "true sudden infant death", for 90 infants death was partly, and for 42 death was adequately explained. The three groups of SID infants were concordant with regard to the following parameters: the peak of mortality was found at about three months of age; among the SID probands, first born were less, third and later born were more numerous than in the general population; mothers of first, second and third born SID probands were younger as compared to the general population; SID probands were born twice as often in October as in March. Differences between children of Swiss or foreign parentage respectively were of minor significance with relatively few illegitimate and relatively many foster children among the foreign SID probands. 185 diseased children who had died in hospital and on whom autopsies were performed served as one control group; a second control group consisted of 1020 unselected newborns of the city of Zurich. The test groups resembled one another in their deviation from the controls and thus seem to form an entity distinct from non-SID infants.
Tags: Female; Human; Male; Support, Non-U.S. Gov't
Desc.: Adult; Autopsy; Birth Order; Ethnic Groups; Infant; Maternal Age; Pregnancy; Seasons; Socioeconomic Factors; *Sudden Infant Death--Occurrence (OC); Sudden Infant Death--Pathology (PA); Switzerland

Y011154 6
1780576 85305576
Cerebral cortical function in infants at risk for sudden infant death syndrome.
Clancy RR; Spitzer AR
Ann Neurol, Jul 1985, 1 (1) p41-7,
ISSN 0364-5134
Jrnl Code: 6AEde:
Lang.: ENG.
Jrnl Ann.: 8512
Subfile: INDEX MEDICUS
Cerebral cortical function was prospectively examined by electroencephalography (EEG) in subgroups of 257 infants at risk for sudden infant death syndrome (SIDS). Group 1 consisted of apparently healthy infants with near-miss SIDS episodes; Group 2 consisted of siblings of SIDS victims; and Group 3 consisted of neurologically suspect infants with apnea. The usual abundance and distribution of sharp EEG transients (SETs) were determined from 69 Group 1 infants. EEGs were interpreted as abnormal in the presence of ictal apnea, excessively abundant SETs, or immaturity of EEG background for conceptional age. Ninety percent of infants in Group 1 had entirely normal EEGs. There was no significant difference in the abundance or distribution of SETs between infants with normal breathing patterns and those with excessively periodic respirations.
Nonictal apnea was recorded in 7% of Group 1 infants. The unexpected diagnosis of ictal apnea was confirmed in 2 Group 1 infants (1.2%), and 5 (2.9%) had excessive SETs but no recorded seizures. Only 4 infants (2.3%) had abnormally immature EEGs for conceptional age. Nonictal apnea occurred in 5 of 33 (15.2%) Group 3 infants and ictal apnea was confirmed in 2 others (6.1%). We conclude that the majority of Group 1 and 2 infants have normal cerebral cortical activity between and during apnea and that central nervous system cortical immaturity, as measured by EEG, plays no important role in the pathogenesis of SIDS. SETs are commonly recorded in these infants and must be conservatively interpreted. However, an EEG examination was critical in establishing the unexpected diagnosis of ictal apnea in a small percentage of Group 1 and 3 infants and materially influenced subsequent evaluation, management, and prognosis.
Tags: Human
Desc.: Apnea--Complications (CO); Apnea--Physiopathology (PP); *Cerebral Cortex--Physiopathology (PP); Child, Preschool; Electroencephalography; EEG; Epilepsy--Complications (CO); Epilepsy--Physiopathology (PP); Infant; Infant, Newborn; Infant, Newborn, Diseases--Complications (CO); Infant, Newborn, Diseases--Physiopathology (PP); Risk; Sudden Infant Death--Etiology (ET); *Sudden Infant Death--Physiopathology (PP)

Y011154 7
1779086 85304086
The mistaken diagnosis of child abuse. A form of medical abuse
Kischner RH; Stein RJ
Am J Dis Child, Sep 1985, 139 (9) p873-5,
ISSN 0002-922X
Jrnl Code: 3GS
Lang.: ENG.
Jrnl Ann.: 8512
Subfile: AIM; INDEX MEDICUS
The suspected diagnosis of child abuse may prove to be unfounded. Reports in the literature have focused on unusual diseases and folk medicine practices that may mimic abuse. We report ten cases where allegations of abuse were lodged against parents because the treating physicians in the emergency room mistook life-threatening illness or postmortem artifacts for inflicted injury. In all cases the families were from the inner city, and with two exceptions the involved institutions were small hospitals without pediatric personnel present in the emergency department. Although the histories related by the parents were in all cases truthful and consistent with the results of physical examinations of the child, the involved physicians failed to take a correct diagnosis. Not only a lack of experience with severe childhood illness and death but also an atlitude of suspicion and/or hostility probably contributed to these misdiagnoses.
Tags: Case Report; Female; Human; Male
Desc.: Child; *Child Abuse; Child, Preschool; *Death, Sudden--Etiology (ET); Diagnostic Errors; Infant; Physician's Role; Sudden Infant Death--Diagnosis (DI); Sudden Infant Death--Etiology (ET)

Y011154 8
177970 85304070
Ventilatory pattern following diphtheria-tetanus-pertussis immunization in infants at risk for sudden infant death syndrome.
Keens TG; Ward SL; Gates EP; Andree DI; Hart LD
Division of Neonatology and Pediatric Pulmonology, Childrens Hospital of Los Angeles, CA 90027.
Am J Dis Child (US), Oct 1985, 139 (10) p991-4,
ISSN 0002-922X
Jrnl Code: 3GS
Contract/Grant No.: 507RR05469-17
Lang.: ENG.
Jrnl Ann.: 8512
Subfile: AIM; INDEX MEDICUS
To evaluate the effects of diphtheria-tetanus-pertussis (DTP) immunization on the ventilatory pattern during sleep in infants at increased risk for sudden infant death syndrome (SIDS), we performed overnight pneumograms (recordings of ventilatory pattern and electrocardiogram) on 30 control infants, 46 infants with unexplained apnea, and 33 subsequent siblings of SIDS victims the night before and the night following a DTP immunization. Pneumograms were quantitated for total sleep time, longest apnea (in seconds), total duration of apneas longer than 6 s (in minutes), and total periodic breathing (in minutes). Following the DTP immunization there was no significant change in any criterion quantitated on pneumograms from any group except for a decrease in periodic breathing in the unexplained apnea group. We conclude that DTP immunization does not increase abnormalities of the ventilatory pattern as recorded by the pneumogram technique in infants at increased risk for SIDS.
Tags: Female; Human; Male; Support, Non-U.S. Gov't; Support, U.S. Gov't, P.H.S.
Desc.: *Diphtheria Toxoid--Adverse Effects (AE); Drug Combinations--Adverse Effects (AE); Electrocardiography; ECG; Infant; Monitoring, Physiologic; *Pertussis Vaccine--Adverse Effects (AE); *Respiration; Respiratory Function Tests--Methods (MT); Risk; Sleep Apnea Syndromes--Physiopathology (PP); Sleep--Physiology (PH); *Sudden Infant Death--Physiopathology (PP); *Tetanus Toxoid--Adverse Effects (AE)
CAS Registry No.: 0 (DTP) vaccine)

Y011154 9
1776625 85301625
Unusual sudden death.
Warren JV
Dept. of Medicine, Ohio State Univ., Columbus.
Trans Am Clin Climatol Assoc (US), 1984, 96 p120-30,
ISSN 0065-7778
Jrnl Code: W2T
Lang.: ENG.
Jrnl Ann.: 8512
Subfile: INDEX MEDICUS
In contrast to usual sudden death seen in the course of coronary artery disease, individuals dying suddenly from other causes form a complex array of situations. In some the causes are readily identifiable. No simple pattern is available to identify the potential candidate, but on review of the many causes some moves by the physician may be helpful. For example, a more complete physical evaluation of young individuals participating in competitive athletics is in order. This is particularly true if the athlete reports an episode of unexplained syncope. This may well be the warning of a propensity towards sudden death under physical and emotional stress. Knowledge of the specific problems in underwater swimming and diving, in high altitude exposure and in various circumstances such as certain weight reduction diets and industrial exposure may lead to control of some types of unusual sudden death. Clearly, more studies are needed to give answers in so called crib death. As the incidence of usual sudden death falls, these unusual forms of sudden death will represent a more important fraction of sudden death in general.
Tags: Human
Desc.: Accidents, Occupational; Airway Obstruction--Mortality (MO) Alcoholism--Mortality (MO); Coronary Vessel Anomalies--Mortality (MO); *Death, Sudden; Diet, Reducing; Drowning; Exertion; Infant; Myocardial Diseases--Mortality (MO); Stress, Psychological--Mortality (MO); Substance Abuse--Mortality (MO); *Sudden Infant Death

Y011154 10
1763633 85288633
Dysfunctional grieving related to childbearing loss: a descriptive study.
Harris CC
Health Care Women Int (US), 1984, 5 (5-6) p401-25,
ISSN 0739-9332
Jrnl Code: HCW
Contract/Grant No.: 2 D23 NU00142-04R
Lang.: ENG.
Jrnl Ann.: 8512
Subfile: Nursing
Tags: Female; Human; Male; Support, U.S. Gov't, P.H.S.
Desc.: Abortion--Psychology (PX); Adult; *Counseling; Fetal Death; *Grief; Guilt; Handicapped; Infant, Newborn; Infant, Premature; Interpersonal Relations; *Parents--Psychology (PX); Pregnancy; PREGN

Y011154 11
176332 85288632
An examination of perinatal death literature: implications for nursing practice and research.
Hutti MH
Health Care Women Int (US), 1984, 5 (5-6) p387-400,
ISSN 0739-9332
Jrnl Code: HC?
Lang.: ENG.
Jrnl Ann.: 8512
Subfile: Nursing
Tags: Female; Human
Desc.: Abortion--Psychology (PX); Adult; *Death; *Fetal Death; Grief; Infant, Newborn; *Parents--Psychology (PX); Pregnany; PREGN; *Professional-Family Relations; Research Design; Social Support

Y011154 12
1761071 85286071
Family adjustment to the early loss of a baby born with spina bifida.
Dorner S; Atwell JD
Wessex Unit for Children and Parents, Portsmouth.
Dev Med Child Neurol (ENGLAND), Aug 1985, 27 (4) p461-6,
ISSN 0012-1622
Jrnl Code: E83
Lang.: ENG.
Jrnl Ann.: 8512
Subfile: INDEX MEDICUS
Sixteen families were contacted two to seven years after the death of their spina-bifida baby following transfer to a specialist unit and the parents' subsequent decision against active treatment. There was little evidence of serious long-term problems of adjustment on any of the measures assessing marital relationships, parental physical and mental health, and decisions about later pregnancies. Parents welcomed the unit's policy of encouraging frequent contact with their baby, and thought that it had facilitated the grieving process.
Tags: Female; Human; Male
Desc.: *Adaptation, Psychological; Adult; Attitude to Death; Family Characteristics; Follow-Up Studies; *Grief; Infant, Newborn; Marriage; *Parent-Child Relations; Psychological Tests; *Spina Bifida--Psychology (PX); Spina Bifida--Therapy (TH)

Y011154 13
1759695 85284695
Brainstem auditory evoked responses in infants at risk of sudden infant death.
Pettigrew AG; Rahilly PM
Dept. of Physiology, Univ. of Sydney, N.S.W., Australia.
Early Hum Dev (NETHERLANDS), Jul 1985, 11 (2) p99-111,
ISSN 0378-3782
Jrnl Code: EDH
Lang.: ENG.
Jrnl Ann.: 8512
Subfile: INDEX MEDICUS
Brainstem auditory evoked responses (BAERs) were recorded from 63 near-miss Sudden Infant Death Syndrome (NMSIDS) infants, 26 siblings of SIDS (SSIBS) infants and 67 control infants between 0 and 30 weeks post-term. The majority of BAERs recorded from the NMSIDS and SSIBS infants had normal form and interpeak intervals (V-I and V-IIn) within normal limits for their age. However, 15% of these infants had interpeak intervals outside the normal range, suggesting abnormal neural function in these cases. The distributions of interpeak intervals for all NMSIDS and SSIBS infants were skewed towards longer times compared to control infants. The distributions of V-IIn intervals for both groups of at risk infants were significantly different to that of control infants. While the observations confirm that the recording of BAERs is not suitable for identifying infants at risk of SIDS, they suggest, however, that maturation of neural processing in the brainstem of these infants may be delayed.
Tags: Female; Human; Male; Support, Non-U.S. Gov't
Desc.: *Brain Stem--Physiopathology (PP); *Evoked Potentials, Auditory; Gastroesophageal Reflux--Complications (CO); Infant; Infant, Newborn; Respiration; Risk; Sudden Infant Death--Complications (CO); Sudden Infant Death--Familial and Genetic (FG); *Sudden Infant Death--Physiopathology (PP); Thiamine Deficiency--Complications (CO)

Y011154 14
1748100 85273100
[Death and the dying. Health visitor's role in families when infants die]
Doden og den doende. Sundhedsplejerskens rolle i familien n.ANG.ar et spaedbarn dor.
Moldrup J; Widenmann M
Sygeplejersken (DENMARK), Apr 20 1985, 85 (16) p12-4,
ISSN 0106-8350
Jrnl Code: VF9
Lang.: DANISH
Jrnl Ann.: 8511
Subfile: Nursing
Tags: Female; Human; Male
Desc.: Adult; *Community Health Nursing; Crisis Intervention; Grief; Infant; *Professional-Family Relations; *Social Environment; *Social Support; *Sudden Infant Death

Y011154 15
1744718 85269718
Bereavement. Letting Alan go.
Malcolm D
Nurs Times (ENGLAND), Jul 17-23 1985, 81 (29) p30-1,
ISSN 0029-6589
Jrnl Code: O9U
Lang.: ENG.
Jrnl Ann.: 8511
Subfile: Nursing
Tags: Case Report; Female; Human; Male
Desc.: *Adaptation, Psychological; Adult; Child; *Death; *Family; Infant; *Neuroblastoma

Y011154 16
1735360 85260360
Identification in the theory and technique of psychoanalysis. Some thoughts on its farther reaches and functions.
Simenauer E
Int J Psychoanal (ENGLAND), 1985, 66 ( Pt 2) p171-84,
ISSN 0020-7578
Jrnl Code: GSL
Lang.: ENG.
Jrnl Ann.: 8511
Subfile: INDEX MEDICUS
A re-valuation of the concept of identification appears pertinent as it has come to embrace a multitude of psychoanalytic notions. Historically Freud has already differentiated meaning and function of identification. The original choice of object in the infant is coupled with his narcissism; identification is unconscious, partial and ambivalent; both determine the outcome if object loss occurs. Through identification the individual is being constituted. This notion culminated in Klein's concept of projective identification, among her other metapsychological extensions. By projecting not only phantasies and impulses but also part of its self the infant becomes capable of understanding and using symbols. Klein's notions on thought processes are commented upon here, with the inclusion of some language research, and it is argued that they are in line with Freud's paper 'Negation'. The traditional notion of identifacation is then extended to an 'autoplastic' one which discusses autochthonic intrapersonal processes and hereditary factors. Autoplastic identification is primary, it becomes modified by the traditionally accepted mechanism of (alloplastic) identification. A vignette from an analysis is given for illustration. The paper concludes with a discussion of the death-instinct in so far as it touches upon identification.
Tags: Case Report; Human; Male
Desc.: Cognition; Death; Ego; Fantasy; Freudian Theory; *Identification (Psychology); *IDENTIFICATION; Instinct; Language; Narcissism; Object Attachment; Projection; *Psychoanalytic Theory; Psychoanalytic Therapy; Symbolism (Psychology)

Y011154 17
1726940 85251940
Reverse transport of the deceased neonate--an aid to mourning.
Courtney SE; Thomas N; Predmore BK
Dept. of Pediatrics, Wright State Univ. School of Medicine, Dayton, Ohio.
Am J Perinatol (US), Jul 1985, 2 (3) p217-20,
ISSN 0735-1631
Jrnl Code: AA3
Lang.: ENG.
Jrnl Ann.: 8511
Subfile: INDEX MEDICUS
Parents whose infant has died mourn in a fashion similar to others who experience a significant loss. Seeing and touching the dead infant often facilitate the parents' mourning process. If an infant is transported to another facility for care, and dies while the mother remains hospitalized, the mother may never see her infant again. We have found, in selected cases, that returning the dead infant to its mother at the referring hospital can greatly facilitate parental grieving. Parents who have participated in this aspect of grieving later describe it as a very positive factor in their mourning process.
Tags: Female; Human; Male
Desc.: *Attitude to Death; *Grief; Hospitalization; *Infant, Newborn; *Parents--Psychology (PX); Referral and Consultation; REFERRAL; *Transportation of Patients

Y011154 18
1725554 8520554
Infanticide, filicide, and cot death [editorial]
Emery JL
Arch Dis Child (ENGLAND), Jun 1985, 60 (6) p505-7,
ISSN 0003-9888
Jrnl Code: 6XG
Lang.: ENG.
Jrnl Ann.: 8510
Subfile: AIM; INDEX MEDICUS
Tags: Female; Human
Desc.: Attitude to Health; Great Britain; Infant; Infant, Newborn; Infanticide; Parent-Child Relations; Pregnancy; PREGN; Sudden Infant Death--Diagnosis (DI); *Sudden Infant Death--Etiology (ET)

Y011154 19
1719752 85244752
Psychosocial predictors of sudden death: a review and critique.
Bini YM
Dept. of Psychology, McGill Univ., Montreal, P.Q., Canada.
Soc Sci Med (ENGLAND), 1985, 20 (7) 667-80,
ISSN 0277-9536 Journal Code UT9
Lang.: ENG.
Jrnl Ann.: 8510
Subfile: INDEX MEDICUS
Research and selected case studies concerning psychosocial prediction of sudden death are evaluated under three categories: sudden cardiac, sudden infant and sudden traumatic death. The psychosocial predictors reviewed include novelty-pre-exposure, control-helplessness, restraint, Type A behavior, life change, bereavement, denial, social support and contact, voodoo, psychiatric illness, mother infant separation, submission-defeat, housing, handling and environmental enrichment. Four of these predictors, controllability-helplessness, pre-exposure-novelty, repressive affect and physical restraint are repeatedly cited in both human and animal studies and their importance is critically evaluated. Methodological and substantive recommendations for future research are made and a discussion of possible mechanisms is presented.
Tags: Animal; Human; Support, Non-U.S. Gov't
Desc.: *Adaptation, Psychological; Arousal; Arrhythmia--Psychology (PX); *Death, Sudden--Etiology (ET); Electrocardiography; ECG; Heart Arrest--Psychology (PX); Life Change Events; Medicine, Traditional; Risk; *Social Environment; Social Support; Sudden Infant Death--Psychology (PX); Type A Personality; Wounds and Injuries--Psychology (PX)

Y011154 20
1719738 85244738
Social and cultural factors in the etiology of low birthweight among disadvantaged blacks.
Boone MS
Dept. of Anthropology, George Washington Univ., Washington, DC 20052.
Soc Sci Med (ENGLAND), 1985, 20 (10) p1001-11,
ISSN 0277-9536
Jrnl Code: UT9
Lang.: ENG.
Jrnl Ann.: 8510
Subfile: INDEX MEDICUS
This report gives results from eight intensive, exploratory interviews with Black women who suffered infant deaths within one year after delivery. Interviews were conducted as a final step in a research project to discover the correlates of very low birthweight among disadvantaged women in a city which maintains among the highest low birthweight and infant mortality rates in the United States. Qualitative results are presented within the context of a case/control study based on an in-depth medical record review. Statistical results showed that prenatal care, alcoholism, migrant status, smoking, hypertension history and previous poor pregnancy outcome distinguished women with very low birthweight infants. The medical record review also implicated violence, weak social support systems, poor social and psychological adjustments and ineffective contraception. Interview results further explore the social and psychological context of pregnancy for the disadvantaged inner city Black woman. Three-quarters of all women are unmarried at the time of delivery, and interviewed women expressed bitterness and resentment toward the men in their livers for non-support. They received the most help from 'girlfriends', and not consistent support--as expected--from mothers and female kin. Answers to open-ended questions and responses to a specially resigned interview section on attitudes and beliefs suggest that these women conceptually dissociate three important areas of cultural focus: relationships with men, pregnancy and childbirth; and, that they value the 'gestator' rose as separate from the role of 'mother'. They espouse contradictory beliefs about men: they believe that men are predatory and not trustworthy, but also more mainstream beliefs that call for reliance on the opposite sex. Because of their unstable relationships with men and their long histories of poor pregnancy outcome and termination, they face frequent disappointment. Responses to items in the attitudes and beliefs section suggest that these women feel powerless, hopeless and that life is somewhat meaningless. However, items designed to test Lewis' 'culture of poverty' do not support the concept of a consistent intergenerational poverty lifestyle. The report closes with a section on program and policy development in several areas: public health recordkeeping, health style education programs, special training programs for physicians and other health personnel, and some type of program to combat the social
Tags: Female; Human
Desc.: Abortion; Adolescence; Adult; Attitude to Death; Attitude to Health; *Blacks; Contraception Behavior; District of Columbia; Family Characteristics; Infant Mortality; *Infant, Low Birth Weight; *INFANT LBW; Infant, Newborn; Interpersonal Relations; Life Style; *Poverty; Pregnancy; PREGN; Social Support; Socioeconomic Factors; Stress, Psychological--Psychology (PX); Substance Abuse

Y011154 21
1711623 85236623
Development of a perinatal grief checklist.
Beckey RD; Price RA; Okerson M; Riley KW
J Obstet Gynecol Neonatal Nurs, May-Jun 1985, 14 (3) p194-9,
ISSN 0090-0311
Jrnl Code: JG8
Lang.: ENG.
Jrnl Ann.: 8510
Subfile: INDEX MEDICUS
The perinatal nurse face one of the most difficult tasks in caring for families surviving the death of a newborn. This situation generates anxiety, depression, and frustration unless a plan designed for such situations is available. At Woman's Hospital of Texas, a group of nurses worked together to develop a tool to use as a guide through a difficult but meaningful nursing intervention. The process of the development and use of the Perinatal Grief Checklist is described.
Tags: Female; Human; Male
Desc.: *Death; *Fetal Death; *Grief; Infant, Newborn; *Infant, Newborn, Diseases; Inservice Training--Organization and Administration (OG); Nursing Records; Nursing Staff, Hospital--Education (ED); Object Attachment; *Parents--Psychology (PX); Pregnancy; PREGN; Professional-Family Relations; Texas

Y011154 22
1685210 85210210
Grief and perinatal loss. A community hospital approach to support.
Carr D; Knupp SF
Maternity Dept., Lancaster Osteopathic Hospital, Pennsylvania.
J Obstet Gynecol Neonatal Nurs (US), Mar-Apr 1985, 14 (2) p130-9,
ISSN 0090-0311
Jrnl Code: JG8
Lang.: ENG.
Jrnl Ann.: 8509
Subfile: INDEX MEDICUS
Hospital health-care professionals sometimes fail to recognize the depth to which parents grieve over a stillbirth and to acknowledge the validity of the parents' grief. By interacting with SHARE (Support and Help in Airing and Resolving Experiences), a parent support group for those who have experienced a perinatal loss, a hospital team was able to develop a written protocol with support measures to use when stil birth occurs. This protocol has been in effect for three years and the staff has seen dual benefits. Staff members find constructive ways of offering support, and parents derive a sense of comfort and direction from the approach.
Tags: Female; Human
Desc.: Delivery; *Fetal Death; Funeral Rites; *Grief; Hospital Bed Capacity, 100 to 299; HOSP BED CAPAC 100; *Hospitals, Community; Infant, Newborn; Labor; Nurse-Patient Relations; *Nursing Staff, Hospital; *Parents--Psychology (PX); Pennsylvania; Pregnancy; PREGN; *Social Environment; *Social Support

Y011154 23
1675691 85200691
Preventing infant deaths [letter]
Thurtle OA; Cox P; Fall C; Hufton BR; Litchfield J; Tomlinson M; Litchfield J; Tomlinson M; Kinmonth AL
Br Med J [Clin Res] (ENGLAND), May 11 1985, 290 (6479) p1434-5,
ISSN 0267-0623
Jrnl Code: B4X
Lang.: ENG.
Jrnl Ann.: 8509
Subfile: AIM; INDEX MEDICUS
Tags: Female; Human; Male
Desc.: Family Practice; Infant; Infant, Newborn; Referral and Consultation; REFERRAL; *Sudden Infant Death--Prevention and Control (PC)

Y011154 24
1664858 85189858
Trauma '85. Sudden death.
Manning H
Nurs Mirror (ENGLAND), May 1 1985, 160 (18) p19-21,
ISSN 0029-511
Jrnl Code: O98
Lang.: ENG.
Jrnl Ann.: 8508
Subfile: Nursing
Tags: Female; Human; Male
Desc.: Adolescence; Adult; Aged; Child; Child, Preschool; *Death, Sudden; *Family; Infant; Infant, Newborn; Middle Age; *Stress, Psychological

Y011154 25
1663997 85188997
Helping the parents of a stillborn.
Whited L
Nursing, May 1985, 15 (5) p63,
ISSN 0360-4039
Jrnl Code: OA3
Lang.: ENG.
Jrnl Ann.: 8508
Subfile: Nursing
Tags: Female; Human; Male
Desc.: Adult; *Fetal Death; Infant, Newborn; *Parents--Psychology (PX); Pregnancy; PREGN; *Professional-Family Relations; Social Support

Y011154 26
1660379 85185379
Cot deaths: the aftermath.
Walker R
J R Coll Gen Pract (SCOTLAND), Apr 1985, 35 (273) p194-6,
ISSN 0035-8797
Jrnl Code: JV9
Lang.: ENG.
Doc Type: Review
Jrnl Ann.: 8508
Subfile: INDEX MEDICUS (14 Refs.)
Tags: Human; Support, Non-U.S. Gov't
Desc.: *Attitude to Death Coroners and Medical Examiners; CORONERS; Great Britain; Health Services; Infant; Infant, Newborn; *Parents--Psychology (PX); *Sudden Infant Death

Y011154 27
1653882 85178882
Cultural grief expressions following infant death.
York CR; Stichler JF
Dimens Crit Care Nurs (US), Mar-Apr 1985, 4 (2) p120-7,
ISSN 0730-4625
Jrnl Code: EAO
Lang.: ENG.
Jrnl Ann.: 8508
Subfile: Nursing
Tags: Human
Desc.: Adolescence; Adult; *Attitude to Death; Child; Child, Preschool; *Culture; *Ethnic Groups--Psychology (PX); Funeral Rites; *Grief; Infant; Infant, Newborn; Nurses--Psychology (PX); Religion

Y011154 28
1638926 85163926
Sudden infant death syndrome--a six-year family follow-up in Nebraska.
Dang HS; McIntire MS
Nebr Med J (US), Mar 1985, 70 (3) p91-4,
ISSN 0091-6730
Jrnl Code: NU0
Lang.: ENG.
Jrnl Ann.: 8507
Subfile: INDEX MEDICUS
Tags: Human
Desc.: Age Factors; *Family; Follow-Up Studies; Infant; Marriage; Monitoring, Physiologic; Nebraska; Questionnaires; *Sudden Infant Death--Occurrence (OC)

Y011154 29
1622889 85147889
Diaphragmatic paralysis due to spinal muscular atrophy. An unrecognised cause of respiratory failure in infancy
McWilliam RC; Gardner-Medwin D; Doyle D; Stephenson JB
Fraser of Allander Unit, Royal Hospital for Sick Children, Glasgow.
Arch Dis Child (ENGLAND), Feb 1985, 60 (2) p145-9,
ISSN 0003-9888
Jrnl Code: 6XG
Lang.: ENG.
Jrnl Ann.: 8506
Subfile: AIM; INDEX MEDICUS
An unusual form of spinal muscular atrophy presenting with respiratory failure was observed in four infants from two families. In one, whose death as attributed to pneumonia, the diagnosis was inferred retrospectively after two siblings died from an identical illness and were shown to have diaphragmatic paralysis and the typical electrophysiological and histological features of spinal muscular atrophy. Other signs of skeletal muscular weakness were absent or inconspicuous. The fourth, unrelated infant presented in an identical way but has survived for over a year on a ventilator. Two months after the onset of respiratory paralysis, more extensive skeletal muscular weakness was seen. Other infants, dying of unexplained respiratory illness, may have this disorder and some may be included in the miscellany of disorders that constitute the sudden infant death syndrome.
Tags: Case Report; Female; Human; Male
Desc.: Infant; Infant, Newborn; Muscles--Pathology (PA); *Muscular Atrophy--Complications (CO); Muscular Atrophy--Pathology (PA); *Respiratory Paralysis--Etiology (ET); Respiratory Paralysis--Pathology (PA); Spinal Cord--Pathology (PA); Sudden Infant Death--Etiology (ET)

Y011154 30
1620440 85145440
Helping children cope with death.
Siegel BS
Boston Univ. School of Medicine, Massachusetts.
Am Fam Physician (US), Mar 1985, 31 (3) p175-80,
ISSN 0002-838X
Jrnl Code: 3BT
Lang.: ENG.
Jrnl Ann.: 8506
Subfile: AIM; INDEX MEDICUS
When confronted with the death of a loved one, children usually behave according to their developmental level. In the young child, death may be perceived as separation, as the result of magical thinking, or as punishment. Children over six can understand explanations about the cause of death. Parents may seek advice from their family physician about such issues as how the child will react to the death, what the child should be old about death, and whether the child should attend the funeral.
Tags: Human
Desc.: *Adaptation, Psychological; Adolescence; Attitude to Death; Child Development; *Child Psychology; Child; Child, Preschool; *Death; Family; Funeral Rites; Infant; Physician's Role

Y011154 31
1612532 85137532
[Air pollution and bronchopulmonary disease in children]
Luftverschmutzung und bronchopulmonale Erkrankungen im Kindesalter.
von der Hardt H
Abteitung Kinderheilkunde I, Medizinischen Hochschule Hannover.
Monatsschr Kinderheilkd (GERMANY, WEST), Jan 1985, 13 (1) p2-5,
ISSN 0026-9298
Jrnl Code: NHZ
Lang.: GERMAN
Summ. Lang.: ENG.
Doc Type: Eng. Absaract; Review
Jrnl Ann.: 8506
Subfile: INDEX MEDICUS
In recent years air pollution was linked to the croup-syndrome and sudden infant death syndrome (SIDS). There is no doubt, that the incidence of bronchopulmanary disorders in infancy and childhood is higher than usual in more polluted areas. That has been proven especially for recurrent bronchitis and asthma syndrome. It may be possible, that there ist a higher frequency of pseudo-croup in extremely polluted areas. However, there is no certain link between air pollution and SIDS. Indoor pollution, or pollution of the micro-environment, is as important as outdoor pollution regarding bronchopulmonary diseases in infants and children. Smoking parents are the most important contribution to indoor pollution. Pediatricians should not only discuss airborn pollution but equally the importance of indoor environmental pollution as having a negative influence on the respiratory system as well. (28 Refs.)
Tags: Human
Desc.: *Air Pollution--Adverse Effects (AE); Child, Preschool; *Croup--Etiology (ET); Infant; *Laryngitis--Etiology (ET); *Lung Diseases, Obstructive--Etiology (ET); *Sudden Infant Death--Etiology (ET); Tobacco Smoke Pollution--Adverse Effects (AE)

Y011154 32
1611871 8513871
A program for helping grieving parents.
Mina CF
MCN (US), Mar-Apr 1985, 10 (2) p118-21,
ISSN 0361-929X
Jrnl Code: MA3
Lang.: ENG.
Jrnl Ann.: 8506
Subfile: Nursing
Tags: Female; Human; Male
Desc.: Adult; *Death; *Grief; *Infant, Newborn; Nursing Staff, Hospital--Education (ED); *Parents--Psychology (PX); *Social Environment; *Social Support; South Carolina

Y011154 33
1605177 85130177
Child health status and risk factors.
Starfield B; Budetti PP
Division of Health Policy, Johns Hopkins Univ. School of Hygiene and Public Health, Baltimore, MD 21205.
Health Serv Res (US), Feb 1985, 19 (6 P 2) p817-86,
ISSN 0017-9124
Jrnl Code: G2L
Lang.: ENG.
Doc Type: Review
Jrnl Ann.: 8506
Subfile: INDEX MEDICUS (119 Refs.)
Tags: Female; Human; Male
Desc.: Adolescence; Adult; Child Health Services--Utilization (UT) Child Nutrition; Child; Child, Preschool; Chromosome Abnormalities--Occurrence (OC); Culture; Ethnic Groups; Family Characteristics; Fetal Death--Occurrence (OC); Fetal Diseases--Occurrence (OC); *Health Status; Health Surveys; *Health; Infant Mortality; Infant; Infant, Newborn; Mass Screening; *Morbidity; *Mortality; Nutrition Surveys Parents--Psychology (PX); Pregnancy; PREGN; Risk; Social Behavior; Social Environment; Socioeconomic Factors; United States

Y011154 34
1603713 85128713
Things that go beep in the night: home monitoring for apnea.
Sheridan MS
Kapiolani Women's and Children's Medical Center, Honolulu, Hawaii.
Health Soc Work (US), Winter 1985, 10 (1) p63-70,
ISSN 0360-7283
Jrnl Code: FZ6
Lang.: ENG.
Jrnl Ann.: 8506
Subfile: INDEX MEDICUS
Home equipment for cardiorespiratory monitoring now makes it possible for parents to manage more effectively the risks of apnea, or prolonged breathing pauses, in infants. This article examines the features of a social work program that provides parents of apneic infants with education and support. It also demonstrates the important contribution of social work to monitoring.
Tags: Human
Desc.: *Home Nursing; *Home Nursing--Education (ED); Infant; *Monitoring, Physiologic; Parents--Education (ED); *Sleep Apnea Syndromes--Diagnosis (DI); Social Support; *Social Work; Sudden Infant Death--Prevention and Control (PC)

Y011154 35
1592591 85117591
Long-term reactions following a stillbirth with a congenital abnormality: a preliminary report.
Morris J; Tew B; Laurence KM
Dept. of Child Health, Univ. of Wales, College of Medicine, Heath Park, Cardiff, Great Britain.
Z Kinderchir (GERMANY, WEST), Dec 1984, 39 Suppl 2 p117-9,
ISSN 0174-3082
Jrnl Code: YF2
Lang.: ENG.
Jrnl Ann.: 8505
Subfile: INDEX MEDICUS
Just over half of the sixty women who were interviewed ten and twenty years after they were delivered of a stillborn malformed baby, seem to have resolved their grief completely and have accepted the stillbirth. The remainder have become clinically depressed or have shown physical symptoms typical of anxiety states. Factors contributing to their unresolved mourning were: 1) failure on the doctor's part to explain, comprehensively, the reasons for the stillbirth; 2) lack of emotional support during and after the stillbirth.
Tags: Female; Human; Support, Non-U.S. Gov't
Desc.: *Adaptation, Psychological; Adult; *Anencephaly--Psychology (PX); Attitude to Health; Fetal Death; Follow-Up Studies; Grief; Infant, Newborn; Marriage; *Mothers--Psychology (PX); Pregnancy; PREGN

Y011154 36
1582449 85107449
Control of ventilation in subsequent siblings of victims of sudden infant death syndrome
Brady JP; McCann EM
Dept. of Pediatrics, Children's Hospital of San Francisco, California.
J Pediatr (US), Feb 1985, 106 (2) p212-7,
ISSN 0022-3476
Jrnl Code: JLZ
Contract/Grant No.: HL24075
Lang.: ENG.
Jrnl Ann.: 8505
Subfile: AIM; INDEX MEDICUS
To learn whether the ventilatory responses to hypoxia (17% O2) and hypercapnea (4% CO2) differ in the subsequent siblings of sudden infant death victims (SIDS), we studied seven normal control infants, nine infants who had had a prolonged apneic spell (apneic infants), and 10 subsequent siblings of SIDS (mean ages 10.4 weeks, 15 weeks, and 10 weeks, respectively). With inhalation of 17% O2, one of seven controls, two of nine apneic infants, and seven of 10 siblings of SIDS breathed periodically (controls vs siblings, P less than 0.04). Heart rate and end-tidal PCO2 did not change, but respiratory rate decreased in the siblings (45 to 31 breaths per minute, P less than 0.001). Arousal occurred during 25% of the hypoxic challenges in the controls and apneic infants but was not seen in the siblings of SIDS (control vs siblings P less than 0.08, apneic vs siblings P less than 0.05). With inhalation of 4% CO2 there was a similar increase in estimated ventilation among the three groups. Arousal occurred 33% of the time in all three groups. Our findings show that, after 5 weeks of age, siblings of SIDS have a normal response to hypercapnea but respond to mild hypoxia with periodic breathing.
Tags: Female; Human; Male; Support, Non-U.S. Gov't; Support, U.S. Gov't, P.H.S.
Desc.: *Apnea--Familial and Genetic (FG); Apnea--Physiopathology (PP); Apnea--Therapy (TH); Carbon Dioxide--Physiology (PH); Heart Rate; Infant; Oxygen Inhalation Therapy; Oxygen--Physiology (PH); Partial Pressure; Respiration; *Respiration, Artificial; Respiration, Artificial--Methods (MT); *Sudden Infant Death--Physiopathology (PP); Tidal Volume
CAS Registry No.: 7782-44-7 (Oxygen)

Y011154 37
1576518 8510151
A critical comparison of the history of sudden-death infants and infants hospitalised for near-miss for SIDS.
Kahn A; Blum D; Hennart P; Sellens C; Samson-Dollfus D; Tayot J; Gilly R Dutruge J; Flores R; Sternberg B
Dept. of Pediatrics, Free Univ. of Brussels, Belgium.
Eur J Pediatr (GERMANY, WEST), Dec 1984, 143 (2) p103-?,
ISSN 0340-6199
Jrnl Code: END
Lang.: ENG.
Jrnl Ann.: 8505
Subfile: INDEX MEDICUS
To determine whether significant historical differences distinguish the near-miss for Sudden Infant Death from the infants who died of SIDS, we analysed the histories and clinical data from two groups of infants seen in our Univ. Hospital and from collaborative research group. The data were obtained with the use of a standardised questionnaire and consultation of all available medical data. Sixty-five infants were identified as near-miss for SIDS after they had suffered a severe cardiorespiratory incident during sleep for which no cause could be found despite a complete medical examination. After an autopsy had failed to reveal a cause for the unexpected death 95 cases of SIDS were retained in the study. A series of 353 variables were collected from the parents, the gynaecologists, neonatologists and attending physicians. After statistical analysis, only 15 of the 353 items studied significantly differentiated between the two groups. A step-wise discriminant analysis performed on these items led to the identification of six independent variables: the time of the incident; the circumstances leading to the observation of the child; the child's sleep position; previous minor intestinal problems; the size of the family and the mother's coffee consumption. Most variables indicate that the near-miss infants were discovered and rescued earlier than the infants who died. No other historical information appeared significantly to differentiate between the two groups of infants. These data need confirmation from a prospective epidemiological survey.
Tags: Comparative Study; Female; Human; Male; Support, Non-U.S. Gov't
Desc.: Family Characteristics; Infant; Maternal Age; Posture; Risk Seasons; Sleep; Sudden Infant Death--Etiology (ET); *Sudden Infant Death--Occurrence (OC)

Y011154 38
1573621 8508621
Bereavement counselling after sudden infant death.
Woodward S; Pope A; Robson WJ; Hagan O
Alder Hey Children's Hospital, Liverpool.
Br Med J [Clin Res] (ENGLAND), Feb 2 1985, 290 (6465) p363-5,
ISSN 0267-0623
Jrnl Code: B4X
Lang.: ENG.
Jrnl Ann.: 8505
Subfile: AIM; INDEX MEDICUS
Of 14 families who suffered a sudden infant death, eight were followed up intensively over several months and offered individual counselling, parents' group meetings, and interviews with doctors as a way of helping them come to terms with their feelings of loss. Five couples accepted short term support from their health visitor, and one refused help. Many families experienced considerable stress including marital conflict, difficulties with surviving children, and anxiety about future children becoming victims of the sudden infant death syndrome. It was concluded that medical social workers, health visitors, hospital paediatricians, general practitioners, and parent self help groups are in key positions to help. The success of such help is likely to depend on the confidence that each helper has that his or her contribution will be valued by the bereaved family.
Tags: Female; Human; Male
Desc.: *Counseling--Methods (MT); England; *Grief; Infant; Infant, Newborn; Parent-Child Relations; *Parents--Psychology (PX); Physician-Patient Relations; Self-Help Groups; *Sudden Infant Death

Y011154 39
1572309 85097309
Children dead on arrival: predictors of short-term family follow-up.
Cohen GJ
Outpatient Dept., Children's Hospital National Medical Center, Washington, DC.
Am J Emerg Med (US), Jul 1984, 2 (4) p315-20,
ISSN 0735-6757
Jrnl Code: AA2
Lang.: ENG.
Jrnl Ann.: 8505
Subfile: INDEX MEDICUS
Approximately three fourths of the parents whose children were pronounced dead in one emergency department maintained contact with a professional for at least a month following the death. Families whose children died of trauma did not maintain contact as well as those whose children died of anticipated death, sudden infant death syndrome, or infection. Strong family support system, employed parents, and appropriate response at the time of death all correlated with continued contact with a professional and adequate coping after death (P values all less than 0.04). Prior professional support was a less significant factor in follow-up, and disorganized, isolated parents with histories of poor social adjustment were far less likely to maintain contact.
Tags: Human
Desc.: Adaptation, Psychological; Child Communication; *Death, Sudden; Death, Sudden--Etiology (ET); Demography; Emergency Service, Hospital; *Family; Infant; Retrospective Studies; Social Support; Sudden Infant Death

Y011154 40
1569638 85094638
The impact of grief on ventilatory control.
Jellinek MS; Goldenheim PD; Jenike MA
Child Psychiatry Service, Massachusetts General Hospital, Boston.
Am J Psychiatry (US), Jan 1985, 142 (1) p121-3,
ISSN 0002-953X
Jrnl Code: ?VG
Lang.: ENG.
Jrnl Ann.: 8504
Subfile: AIM; INDEX MEDICUS
The authors studied ventilatory control in four parents grieving over the death of an infant. Abnormalities in respiratory control were common and resembled those previously reported in depressed patients. The results raise questions about the relationship between affective state and ventilatory control.
Tags: Female; Human; Male
Desc.: Adult; Depressive Disorder--Diagnosis (DI); Depressive Disorder--Psychology (PX); *Grief; *Parents--Psychology (PX); Personality Inventory; Pilot Projects; Psychiatric Status Rating Scales; PSR SCALES; *Respiration; Respiratory Function Tests

Y011154 41
1562819 85087819
The postmortem examination on the abused child. Pathological, radiographic, and legal aspects.
Norman MG; Smialek JE; Newman DE; Horembala EJ
Perspect Pediatr Pathol, Winter 1984, 8 (4) p313-43,
ISSN 0091-2921
Jrnl Code: OZR
Lang.: ENG.
Doc Type: Review
Jrnl Ann.: 8504
Subfile: INDEX MEDICUS
In this article we have described for a pathologist without forensic experience the need to describe meticulously all the injuries an abused child has suffered; the reasons for this required detail and attention; the need to exclude natural disease as the cause of death; the common radiographic features and morphology of injuries found in an abused child; the responsibility of the pathologist to the dead child and any living siblings; and have given an intimation of the legal processes which may follow. (125 Refs.)
Tags: Human
Desc.: Adolescence; *Autopsy--Methods (MT); Brain Injuries--Pathology (PA); Burns--Pathology (PA); Canada; Child; *Child Abuse; Child Abuse--Legislation and Jurisprudence (LJ); Child, Preschool; Diagnosis, Differential; DIAG DIFFER; Drowning; Ecchymosis--Pathology (PA) Expert Testimony; Failure to Thrive--Diagnosis (DI); Forensic Medicine; Fractures--Pathology (PA); Fractures--Radiography (RA); Head Injuries--Pathology (PA); Infant; Infant, Newborn; Infanticide; Poisoning--Diagnosis (DI); Sex Offenses; Sudden Infant Death; United States; *Wounds and Injuries--Pathology (PA); Wounds and Injuries--Radiography (RA)

Y011154 42
1562808 85087808
Terminal illness: death and bereavement--toward an understanding of its nature.
Oberfield RA
Section of Oncology, Lahey Clinic Medical Center, Burlington, Massachusetts.
Perspect Biol Med (US), Autumn 1984, 28 (1) 140-55,
ISSN 0031-5982
Jrnl Code: OZO
Lang.: ENG.
Jrnl Ann.: 8504
Subfile: INDEX MEDICUS
Tags: Human
Desc.: Aged; Anxiety, Separation; *Attitude to Death; Child; Child, Hospitalized--Psychology (PX); Family; *Grief; Infant; Interpersonal Relations; Mother-Child Relations; Object Attachment; Philosophy; Psychotherapy, Group; Self-Help Groups; Social Isolation

Y011154 43
1545544 85070544
Effect of nalaxone on ventilatory control in parents of victims of sudden infant death syndrome.
Schiffman PL; Friedman B; Santiago TV; Edelman NH
Dept. of Medicine, Univ. of Medicine and Dentistry of New Jersey, Rutgers Medical School, New Brunswick.
Am Rev Respir Dis (US), Dec 1984, 130 (6) p964-8,
ISSN 0003-0805
Jrnl Code: 426
Lang.: ENG.
Jrnl Ann.: 8503
Subfile: AIM; INDEX MEDICUS
To determine whether the decreased responses to O2, hypoxia, and flow resistive loads in parents of sudden infant death syndrome (SIDS) victims are due to an effect of endogenous opioids, we tested response to these stimuli in 10 parents (5 couples) of such children after injection of saline placebo and after injection of naloxone hydrochloride (3 mg). The responses after saline were comparable to those of our previous study, i.e., lower than normal. Ventilatory response to CO2 and hypoxia, as well as airway occlusion pressure responses to flow resistive loading, were not significantly different after naloxone compared with saline. We concluded that increased endogenous opioids do not play a significant role in these subjects' reduced ventilatory drive.
Tags: Female; Human; Male; Support, Non-U.S. Gov't
Desc.: Adult; Anoxia--Physiopathology (PP); Carbon Dioxide--Pharmacodynamics (PD); *Naloxone--Pharmacodynamics (PD); *Parents *Respiration--Drug Effects (DE); Respiratory Function Tests; *Sudden Infant Death; Work of Breathing
CAS Registry No.: 465-65-6 (Naloxone)

Y011154 44
1544661 85069661
Midtrimester amniocentesis: obstetric outcome and neonatal neurobehavioral status.
Finegan JK; Quarrington BJ; Hughes HE; Rudd NL; Stevens LJ; Weksberg R; Doran TA
Research Institute, Hospital for Sick Children, Toronto, Ontario, Canada.
Am J Obstet Gynecol (US), Dec 15 1984, 150 (8) p989-97,
ISSN 0002-9378
Jrnl Code: 3NI
Lang.: ENG.
Jrnl Ann.: 8503
Subfile: AIM; INDEX MEDICUS
The possible effects of midtrimester genetic amniocentesis on neurobehavioral status were studied in newborn infants of women who had had the procedure (N = 100) and in newborn infants of women who had declined the test (N = 56). Brazelton's Neonatal Behavioral Assessment Scale was administered to newborn infants born at term and did not reveal consequences of amniocentesis on neonatal orientation, range of state, motor ability, autonomic regulation, regulation of state, response decrement, or reflexes. Information on obstetric complications also was obtained. The findings raised questions regarding the temporal relationship between amniocentesis and fetal loss and focused attention on preterm birth as a potential risk that warrants further investigation. This study provides the foundation for our prospective longitudinal followup in which the cohort will be reassessed later in infancy and in childhood.
Tags: Female; Human; Support, Non-U.S. Gov't
Desc.: Adult; *Amniocentesis--Adverse Effects (AE); Anthropometry; *Behavior; Fetal Death--Etiology (ET); *Infant, Newborn--Psychology (PX); Infant, Premature; Longitudinal Studies; Pregnancy Complications--Etiology (ET); PREGN COMPL--Etiology (ET); Pregnancy; PREGN; Prospective Studies; Psychological Tests

Y011154 45
1543540 8068540
"What now--our baby is dead".
Lentz D
AARN News Lett (CANADA), Nov 1984, 40 (10) p1, 3,
ISSN 0001-0197
Jrnl Code: 031
Lang.: ENG.
Jrnl Ann.: 8503
Subfile: Nursing
Tags: Case Report; Female; Human; Male
Desc.: *Death; Infant, Newborn; *Parent-Child Relations; *Parents--Psychology (PX); Pregnancy; PREGN

Y011154 46
1534872 85059872
Sudden infant death. Overheating and cot death.
Stanton A
Dept. of Paediatrics, Scarborough Hospital, Yorkshire.
Lancet (ENGLAND), Nov 24 1984, 2 (8413) p119-201,
ISSN 0140-6736
Jrnl Code: L0S
Lang.: ENG.
Jrnl Ann.: 8503
Subfile: AIM; INDEX MEDICUS
Four risk factors for overheating were sought in the histories of 34 cot-death victims in Oxford and Scarborough. 19 babies were unusually hot or sweating when found dead; 14 died in an unusually warm environment; 17 had evidence of a terminal infective illness; and 24 were excessively clothed or overwrapped. 3 babies had all four risk factors, 8 had three, 17 had two, and 4 had one risk factor. Only 2 had no risk factor; both had had very low birthweights. In 6 of 15 babies (40%) whose rectal temperature was recorded after death the temperature was above 37 degrees C, the highest being 42 degrees C. If parents could be educated to anticipate the dangerous situations preceding febrile apnoea, many cot deaths could probably be avoided.
Tags: Case Report; Female; Human; Male
Desc.: Body Temperature; Clothing--Adverse Effects (AE); Fever--Complications (CO); *Heat--Adverse Effects (AE); Infant; Infant, Low Birth Weight; INFANT LBW; Infant, Newborn; Risk; *Sudden Infant Death--Etiology (ET); S?eating; Virus Diseases--Complications (CO)

Y011154 47
1521857 85046857
Pregnancy outcome and health conditions on offspring of self-poisoned pregnant women.
Czeizel A; Szentesi I; Szekeres I; Glauber A; Bucski P; Molnar C
Dept. of Human Genetics, National Institute of Hygiene, Budapest, Hungary.
Acta Paediatr Hung (HUNGARY), 1984, 25 (3) p209-36,
ISSN 0001-6527
Jrnl Code: APH
Lang.: ENG.
Jrnl Ann.: 8503
Subfile: INDEX MEDICUS
Pregnancy outcome of 142 self-poisoned pregnant females is analysed. Thirty three pregnancies were terminated, 13 ended with fetal death. Health conditions of 96 livebirths are demonstrated in detail.
Tags: Female; Human
Desc.: Adolescence; Adult; Epidemiologic Methods; Fetal Death--Etiology (ET); Fetal Death--Occurrence (OC); *Fetus--Drug Effects (DE); Gestational Age; Hungary; Infant, Newborn; Maternal-Fetal Exchange; *Poisoning; *Pregnancy; *PREGN; *Pregnancy, Unwanted; *PREGN UNWANTED; *Suicide, Attempted--Psychology (PX)

Y011154 48
1515914 85040914
[When infants die during childbirth]
N.ANG.ar barnet dor under fodselen.
Naugen IE
Sykepleien (NORWAY), Sep 5 1984, 71 (15) p16-9, 30,
ISSN 0039-7628
Jrnl Code: VFK
Lang.: NORWEGIAN
Jrnl Ann.: 8502
Subfile: Nursing
Tags: Female; Human; Male
Desc.: Abnormalities; Adult; *Crisis Intervention; *Fetal Death; Funeral Rites; Infant, Newborn; *Labor; Mothers--Psychology (PX); *Parents--Psychology (PX); Pregnancy; PREGN; Professional-Patient Relations

Y011154 49
1498017 85023017
Investigation of malignant hyperthermia in Denmark and Sweden.
Ording H; Ranklev E; Fletcher R
Dept. of Anaesthesia, Herlev Hospital, Univ. of Copenhagen, Denmark.
Br J Anaesth (ENGLAND), Nov 1984, 56 (11) p1183-90,
ISSN 0007-0912
Jrnl Code: AUO
Lang.: ENG.
Jrnl Ann.: 8502
Subfile: INDEX MEDICUS
Units for the investigation of susceptibility to malignant hyperthermia (MH) were set up in Denmark in 1977 and in Sweden in 1981. Two hundred and ten patients from 76 families have been investigated. The diagnosis of MH susceptibility (MHS) was made by in vitro exposure of muscle from vastus medialis to halothane and to caffeine. MHS criteria for the patients in this paper were established from examination of 31 control biopsies, obtained from the same muscle and with the same anaesthesia as the MH patients. The criteria have since been changed to those presented elsewhere in this issue. In our laboratories the halothane test (exposure to 0.5-2% halothane) was the more sensitive: 88% of MHS patients reacted to it. The caffeine test was positive in 68% of MHS patients, ?.5-2.0 mmol litre-1 solutions being the most discriminating. Forty-two percent of MHS patients reacted to only one test. Fulminant MH was the most common reason for investigation; all these families contained MHS members. Massete? spasm occurred as sole sign in 21 families, of which 11 were MHS. Only 10% of MHS patients had other signs or symptoms of neuromuscular disease such as muscle cramps or muscular dystrophy. Three families had experienced sudden infant death syndrome (SIDS), And two teenage brothers in a MHS family died suddenly, but death was unrelated to anaesthesia.
Tags: Female; Human; In Vitro; Male; Support, Non-U.S. Gov't
Desc.: Adolescence; Adult; Aged; Biopsy; Caffeine--Pharmacodynamics (PD); Child; Creatine Kinase--Blood (BL); Disease Susceptibility; Genetic Screening; Halothane--Pharmacodynamics (PD); *Malignant Hyperthermia--Diagnosis (DI); Malignant Hyperthermia--Familial and Genetic (FG); Malignant Hyperthermia--Prevention and Control (PC); Middle Age; Muscle Contraction--Drug Effects (DE); Muscles--Pathology (PA); Surgery, Operative
CAS Registry No.: 151-67-7 (Halothane); 58-08-2 (Caffeine) Enzyme No.: EC 2.7.3.2 (Creatine Kinase)

Y011154 50
1494493 85019493
Deaths among child and adolescent psychiatric patients.
Rydeliu PA
Acta Psychiatr Scand, Aug 1984, 70 (2) p119-26,
ISSN 0001-690X
Jrnl Code: 1VY
Lang.: ENG.
Jrnl Ann.: 8501
Subfile: INDEX MEDICUS
Of 1, 206 patients treated during the period 1970-1980 in a department of child psychiatry in a large city in Sweden 24 (2%) (14 boys and 10 girls) had died by the end of 1981. Twenty-one of these (88%) died of "injuries following external violence and poisoning", of whom 15 (63%) were suicide.
Twenty subjects (83%) had grown up in surroundings characterised by one or more psychosocial stress factors. The study indicates a possible link between psychosocial background factors and deaths from "injuries following external violence and poisoning".
Tags: Female; Human; Male
Desc.: *Accidents; Adolescence; Adult; Aggression--Psychology (PX) *Attitude to Death; Child; Child Abuse; Child Behavior Disorders--Psychology (PX); Child, Preschool; Follow-Up Studies; Infant; Psychotic Disorders--Psychology (PX); Social Environment; Substance Abuse--Psychology (PX); *Suicide--Psychology (PX); *Suicide, Attempted--Psychology (PX); Violence

Y011154 51
1484140 85009140
Preliminary report on neurodevelopmental screening in children previously at risk for sudden infant death syndrome.
Kahn A; Verstraeten F; Blum D
Dept. of Pediatrics, Free Univ. of Brussels, Belgium.
J Pediatr (US), Oct 1984, 105 (4) p666-8,
ISSN 0022-3476
Jrnl Code: JLZ
Lang.: ENG.
Jrnl Ann.: 8501
Subfile: AIM; INDEX MEDICUS
Tags: Female; Human; Male; Support, Non-U.S. Gov't
Desc.: Child Development; Child, Preschool; Follow-Up Studies; Infant; Monitoring, Physiologic; Prospective Studies; Risk; *Sudden Infant Death--Physiopathology (PP); Sudden Infant Death--Psychology (PX)

Y011154 52
1476186 85001186
Is there a link between cot death and child abuse
Roberts J; Golding J; Keeling J Sutton B; Lynch MA
Br Med J [Clin Res], Sep 29 1984, 289 (6448) p789-91,
ISSN 0007-1447
Jrnl Code: B4?
Lang.: ENG.
Jrnl Ann.: 8501
Subfile: AIM; INDEX MEDICUS
Forty five babies delivered in Oxford obstetric units who subsequently died unexpectedly in infancy were compared with 134 controls matched for maternal age, social class, parity, and year of birth to see whether five factors identified in an earlier study as predictive of subsequent child abuse would also predict the sudden infant death syndrome. Epidemiological findings had suggested certain similarities between the two events. In contrast with babies who were abused, four of the five factors did not distinguish between babies who died suddenly and unexpectedly and their controls, but there was a slight increase in the proportion of mothers of babies who died suddenly and unexpectedly for whom nursing staff thought that support and advice on feeding the baby were needed. Factors predictive of child abuse did not predict sudden infant death in this study.
Tags: Female; Human; Support, Non-U.S. Gov't
Desc.: Affective Symptoms; *Child Abuse; Infant; Infant, Newborn; Maternal Age; Parity; Social Class; *Sudden Infant Death--Etiology (ET)

Y011154 53
1456957 84296957
A prospective study of the impact of home monitoring on the family.
Wasserman AL
LeBonheur Children's Medical Center, Univ. of Tennessee Center for the Health Sciences, Memphis.
Pediatrics (US), Sep 1984, 74 (3) p323-9,
ISSN 0031-4005
Jrnl Code: OXV
Lang.: ENG.
Jrnl Ann.: 8412
Subfile: AIM; INDEX MEDICUS
Fourteen families whose infants required home monitoring for apnea were followed for approximately 5 years from the initial contact (1977). Each family received at least three psychiatric interviews and two follow-up contacts. Effects on the monitored infant, siblings, and parents were examined in open and semi-structured interviews. At first follow-up (mean of 21 months after monitoring discontinuance), seven of 14 monitored children were characterized as spoiled by parents. By the second follow-up, 2 1/2 years later, nine children showed speech, learning, and motor problems; five of these nine children had required resuscitation during their initial episode. Apnea severity was also related to both duration of monitoring and number of additional psychiatric interviews requested by parents or staff. Of 16 older siblings, 12 had psychological problems reported by their parents at first follow-up; these problems appeared to be largely resolved by the second follow-up, although three children were still having problems that caused parental concern. Monitoring, as well as the apnea itself, caused substantial distress manifested in depression, fatigue, and anxiety in many parents, particularly mothers. However, despite their considerable distress, none of the families discontinued monitoring prematurely. Results of the study indicated that the monitoring experience can be divided into four phases: doubt/acceptance, dependence/frustration, discontinuance, and late effects, with substantial differences in parents' responses occurring only in the last two phases.
Tags: Female; Human; Male
Desc.: *Home Care Services; Infant; Infant, Newborn; *Monitoring, Physiologic; Parent-Child Relations; Parents--Psychology (PX); Prospective Studies; *Sleep Aipnea Syndromes--Diagnosis (DI); *SLEEP APNEA--Diagnosis (DI); Sudden Infant Death--Diagnosis (DI)

Y011154 54
1456908 84296908
Nocturnal sleep organization in infants "at risk" for sudden infant death syndrome.
Navelet Y; Payan C; Guilhaume A; Benoit O
Service d'Explorations Fonctionnelles, Hopital A. Beclere Clamart, France.
Pediatr Res (US), Jul 1984, 18 (7) p654-7,
ISSN 0031-3998
Jrnl Code: OWL
Lang.: ENG.
Jrnl Ann.: 8412
Subfile: INDEX MEDICUS
Nocturnal sleep organization was compared in normal infants and those "at risk" for sudden infant death syndrome (SIDS) (siblings and near-miss infants). Before 12 weeks of age, sleep modifications were observed in "at risk" infants. During their sleep they had a smaller percentage of intervening wakefulness with a higher amount of active sleep. Quiet and active sleep episodes had longer durations resulting in a longer sleep cycle. After 12 weeks, sleep organization tended to normalize. This fact is discussed as a possible factor for a SIDS event: a higher arousal threshold could play a critical role if homeostasy is disturbed during sleep, mainly at an age when the homeostatic control is not fully established.
Tags: Female; Human; Male
Desc.: Age Factors; Disease Susceptibility; Infant; Infant, Newborn; Risk; *Sleep Stages--Physiology (PH); *Sudden Infant Death--Physiopathology (PP); Wakefulness--Physiology (PH)

Y011154 55
1444534 84284534
Material anxiety following bereavement by cot death and emotional security of subsequent infants.
Lewis SN
Child Psychiatry Hum Dev (US), Fall 1983, 14 (1) p55-61,
ISSN 0009-398X
Jrnl Code: D2B
Lang.: ENG.
Jrnl Ann.: 8412
Subfile: INDEX MEDICUS
Tags: Female; Human
Desc.: *Anxiety--Psychology (PX); Child Development; *Grief; Infant; Maternal Behavior; *Mother-Child Relations; *Sudden Infant Death--Psychology (PX)

Y011154 56
1439850 84279850
Home monitoring for infants at risk of the sudden infant death syndrome.
Tudehope DI; Cleghorn G
Aust Paediatr J, May 1984, 20 (2) p137-40,
ISSN 0004-993X
Jrnl Code: 9ID
Lang.: ENG.
Jrnl Ann.: 8411
Subfile: INDEX MEDICUS
This study evaluated the effectiveness and social implications of home monitoring of 31 infants at risk of sudden infant death syndrome (SIDS). Thirteen siblings of children dying of SIDS, nine near miss SIDS infants and nine preterm infants with apnoea persisting beyond 40 weeks post conceptual age were monitored from a mean age of 15 days to a mean of 10 months. Chest movement detection monitors were used in 27 and thoracic impedance monitors in four. Genuine apneic episodes were reported by 21 families, and 13 infants required resuscitation. Apnoeic episodes occurred in all nine preterm infants but in only five (38%) of the siblings of SIDS (P less than 0.05). Troublesome false alarms were a major problem occurring with 61% of the infants and were more common with the preterm infants than the siblings of SIDS. All but two couples stated that the monitor decreased anxiety and improved their quality of life. Most parents accrpted that the social restrictions imposed by the monitor were part of the caring process but four couples were highly resentful of the changes imposed on their lifestyle. The monitors used were far from ideal with malfunction occurring in 17, necessitating replacement in six, repair in six and cessation of monitoring in three. The parents became ingenious in modifying the monitors to their own individual requirements. Although none of these 31 'at risk' infants died the study sample was far too small to conclude whether home monitoring prevented any cases of SIDS.
Tags: Female; Human; Male
Desc.: Apnea--Diagnosis (DI); Apnea--Physiopathology (PP); *Home Nursing; Infant; Infant, Newborn; Infant, Premature; *Monitoring, Physiologic; Parents--Psychology (PX); Risk; Sudden Infant Death--Diagnosis (DI); *Sudden Infant Death--Physiopathology (PP)

Y011154 57
1439097 84279097
Inquiries into perinatal and early childhood deaths in a health care district.
Brimblecombe F; Bastow M; Jones J; Kennedy N; Wadsworth J
Paediatric Research Unit, Royal Devon and Exeter Hospital, Exeter.
Arch Dis Child (ENGLAND), Jul 1984, 59 (7) p682-7,
ISSN 0003-9888
Jrnl Code: 6XG
Lang.: ENG.
Jrnl Ann.: 8411
Subfile: AIM; INDEX MEDICUS
A controlled study was made of stillbirths and deaths of children under 2 years of age born to families residing within the boundaries of the Exeter District Health Authority between 1 October 1980 and 30 September 1981. The study was concerned primarily with methodology and feasibility; the numbers involved were, with few exceptions, too small to permit significant conclusions to be drawn. In practice, the design and implementation of the project proved to be effective. It is suggested that if adopted as a routine service procedure in each health district, information not currently available may be retrieved. This information has epidemiological importance and will also help to identify local problems.
Tags: Female; Human; Male
Desc.: Confidentiality; Data Collection--Methods (MT); England; Fetal Death--Etiology (ET); Fetal Death--Occurrence (OC); *Infant Mortality; Infant; Infant, Newborn; Pregnancy; PREGN; Sudden Infant Death--Etiology (ET); Sudden Infant Death--Occurrence (OC)

Y011154 58
1418360 84258360
Handling of death in special care nurseries and parental grief.
White MP; Reynolds B; Evans TJ
Stobhill General Hospital, Glasgow.
Br Med J [Clin Res] (ENGLAND), Jul 21 1984, 289 (6438) p167-9,
ISSN 0007-1447
Jrnl Code: B4X
Lang.: ENG.
Jrnl Ann.: 8411
Subfile: AIM; INDEX MEDICUS
The handling of death in a special care nursery and the needs of bereaved parents were studied in 12 families. Communication was good before death but less satisfactory thereafter, particularly with regard to postmortem results and advice concerning recurrence risk. Parents needed a lasting memory of their child and attached great importance to a tangible mement. Half had an abnormally high grief and Leeds scale score six months after the death, which seemed to be associaetd with poor marital support. All in the high scoring group favoured bereavement counselling. Communication with general practitioners needed improvement. As a result of this study a protocol for the handling of death was designed.
Tags: Female; Human; Male
Desc.: *Attitude to Death; Communication; Counseling; Family Practice; Grief; *Infant Mortality; Infant; Infant, Newborn; *Intensive Care Units, Neonatal; *Parents--Psychology (PX); Scotland

Y011154 59
1418349 84258349
Delayed psychological effects of perinatal deaths: the next pregnancy and the next generation [editorial]
Bourne S; Lewis E
Br Med J [Clin Res] (ENGLAND), Jul 21 1984, 289 (6438) p17-8,
ISSN 0007-1447
Jrnl Code: B4X
Lang.: ENG.
Jrnl Ann.: 8411
Subfile: AIM; INDEX MEDICUS
Tags: Female; Human; Male
Desc.: Family; Fetal Death; Grief; *Infant Mortality; Infant, Newborn; *Parents--Psychology (PX); *Pregnancy; *PREGN

Y011154 60
1415801 84255801
Neonatal death--the neglected side of neonatal care
McIntosh N; Eldridge C
South West Thames Regional Neonatal Unit, St George's Hospital, London.
Arch Dis Child (ENGLAND), Jun 1984, 59 (6) p585-7,
ISSN 0003-9888
Jrnl Code: 6XG
Lang.: ENG.
Jrnl Ann.: 8410
Subfile: AIM; INDEX MEDICUS
Tags: Human
Desc.: *Attitude to Death; Burnout, Professional--Prevention and Control (PC); Counseling--Methods (MT); Grief; *Infant Mortality; Infant, Newborn, London; *Neonatology--Methods (MT); *Parents--Psychology (PX)

Y011154 61
1412890 84252890
Follow-up of children of insulin-dependent and gestational diabetic mothers. Neuropsychological outcome.
Persson B; Gentz J
Acta Paediatr Scand, May 1984, 73 (3) p349-58,
ISSN 0001-656X
Jrnl Code: 1LV
Lang.: ENG.
Jrnl Ann.: 8410
Subfile: INDEX MEDICUS
Ninety-four infants of 28 weeks gestation or more were born to 85 women. 64 type I and 21 gestational diabetics, between 1969-1972 at Sabbatsberg's Hospital, Stockholm. Perinatal mortality rate was 6.3%. The follow-up study was conducted when the children were approximately 5 years of age and included a physical and a neurological evaluation, IQ determination of mother and child, and an interview of mother by a psychologist. Fifty-three infants of insulin-dependent (IDM) and 20 infants of gestational diabetic mothers (IGDM) (83%) participated, 3 families could not be traced and 12 were unwilling. The group lost to follow-up (13 IDM, 2 IGDM) had more perinatal complications including congenital malformations than the follow-up group. All children had normal physical and neurological development. IQ was normal, the majority were above 100, the average in IDM was 115 (range 98-144) and 112 in IGDM (range 95-133). No obvious relationship was found between maternal acetonuria during pregnancy, infant birthweight, blood glucose during first hours after birth or neonatal complications and IQ of the children. A correlation (r = 0.364, p less than 0.01) was found between maternal and child IQ. Mothers exhibiting emotional disorders (anxiety, depression) had significantly higher life stress scores based on 29 stress variables and reported more frequently about conduct and behavioural disorders in their children than mothers without emotional disturbances.
Tags: Female; Human; Male; Support, Non-U.S. Gov't
Desc.: Abnormalities--Etiology (ET); Adult; *Child Development; Child; *Diabetes Mellitus, Insulin-Dependent--Complications (CO); Fetal Death; Follow-Up Studies; *Growth; Hypoglycemia--Etiology (ET); Infant Mortality; Infant; Infant, Newborn; Intelligence Tests; Ketone Bodies--Urine (UR); Maternal-Fetal Exchange; *Pregnancy in Diabetes; *PREGN IN DIABETES; Pregnancy; PREGN; Prognosis; Socioeconomic Factors; Stress, Psychological

Y011154 62
1407185 84247185
Job satisfaction and stress among neonatologists.
Clarke TA; Maniscalco WM; Taylor-Brown S; Roghmann KJ; Shapiro DL; Hannn-Johnson C
Dept. of Pediatrics, Univ. of Rochester School of Medicine, New York.
Pediatrics (US), Jul 1984, 74 (1) p52-7,
ISSN 0031-4005
Jrnl Code: OXV
Lang.: ENG.
Jrnl Ann.: 8410
Subfile: AIM; INDEX MEDICUS
Neonatology is reputed to be a stressful pediatric subspecialty. To quantify objectively this stress and to assess the factors involved, a questionnaire was mailed to neonatologists in the northeastern United States. Ninety-six (70%) replied. A five-point scale was used to determine the level of satisfaction with neonatology as a career and the level and type of stress experienced at work. Almost all neonatologists experienced stress at work: 34% moderately severe and 16% very severe stress. Open-ended questions indicated that the major causes of stress were excessive work load, eg, on call too often or calls at night; problems in patient care, especially dealing with infant death; and staff disagreements, especially nurse or housestaff conflicts. Twenty percent of those surveyed suffered a stress-related illness in the previous 5 years. One sixth of the neonatologists were either moderately or very dissatisfied with their career. Major dissatisfactions were: too much work, especially managing many sick patients; lack of resources, including inadequate salary; too much stress at work; and administrative demands. Job satisfaction was derived from patient case, teaching, intellectual stimulation, and research. Altering subspecialty had been considered at some time by 58% (15% very seriously). This study confirms that neonatology, in the eyes of those who practice it, is a highly stressful career. It also suggests that job stress is a greater problem than job dissatisfaction.
Tags: Female; Human; Male
Desc.: Adult; Intensive Care Units, Neonatal; *Job Satisfaction; Middle Age; *Neonatology; Physician's Role; Questionnaires; *Stress, Psychological--Occurrence (OC); United States

Y011154 63
1404779 84244779
Pregnancy after stillbirth or neonatal death. Psychological risks and management.
Bourne S; Lewis E
Lancet, Jul 7 1984, 2 (8393) p31-3,
ISSN 0140-6736
Jrnl Code: L0Sde:
Lang.: ENG.
Journal Announcement: 8410
Subfile: AIM; INDEX MEDICUS
Tags: Female; Human
Desc.: *Affective Symptoms--Psychology (PX); Affective Symptoms--Therapy (TH); Cesarean Section--Psychology (PX); Counseling; *Fetal Death; *Grief; Guilt; Infant Mortality; Infant, Newborn; Life Change Events; *Parents--Psychology (PX); *Pregnancy; *PREGN; Psychotherapy; Puerperium

Y011154 64
1386213 84226213
Psychiatric aspects of a pediatric intensive care unit.
Woolston JL
Yale Univ. School of Medicine, New Haven, Connecticut.
Yale J Biol Med (US), Jan-Feb 1984, 57 (1) p97-110,
ISSN 0044-0086
Jrnl Code: XR7
Lang.: ENG.
Doc Type: Review
Jrnl Ann.: 8409
Subfile: INDEX MEDICUS
Although there is a growing body of literature about the medical problems which arise in a pediatric intensive care unit (PICU), rather little has been written about psychiatric issues characteristic of the critical care setting for children. This article will describe the PICU as a community made up of several sub-groups, the various psychosocial stresses, the reactions to stresses, and the interventions appropriate for the PICU and each of its sub-groups. (23 Refs.)
Tags: Female; Human; Male
Desc.: Adolescence; Child Psychiatry; Child; Child, Preschool; Communication; Death; Family; Infant; Infant, Newborn; *Intensive Care Units; *Pediatrics; Psychotherapy; *Stress, Psychological--Etiology (ET); Stress, Psychological--Therapy (TH)

Y011154 65
1384063 84224063
[Grief over those who are not there]
Sorg over den som icke var.
Nordstrom M
Sjukskoterskan (SWEDEN), Apr 1984, p21-3,
ISSN 0280-3526
Jrnl Code: UTC
Lang.: SWEDISH
Jrnl Ann.: 8409
Subfile: Nursing
Tags: Female; Human
Desc.: Crisis Intervention; *Death; *Fetal Death; *Grief; Infant, Newborn; *Mothers--Psychology (PX); Pregnancy; PREGN

Y011154 66
1381512 84221512
Children's concepts of death. Implications for pediatric practice.
Betz CL; Poster EC
UCLA School of Nursing.
Nurs Clin North Am (US), Jun 1984, 19 (2) p341-9,
ISSN 0029-6465
Jrnl Code: O92
Lang.: ENG.
Jrnl Ann.: 8409
Subfile: AIM; INDEX MEDICUS
This article has reviewed the developmental evolution of the concept of death in children. As has been illustrated, the child's perception of death is significantly different from that of adults and goes through several successive changes before the mature concept is grasped. Application has been demonstrated in reference to children who are hospitalized. Interventions that nurses can utilize to help children deal with their fears have been suggested.
Tags: Human
Desc.: Adolescence; Adolescent Psychology; Anxiety, Separation; *Attitude to Death; *Child Development; *Child Psychology; Child; Child Preschool; Fear; Infant; Nurse-Patient Relations; Object Attachment; Parent-Child Relations; *Pediatric Nursing

Y011154 67
1381468 84221468
Near-miss sudden infant death.
Catchpole A
Nurs Times (ENGLAND), May 16-22 1984, 80 (20) p35-6,
ISSN 0029-6589
Jrnl Code: O9U
Lang.: ENG.
Jrnl Ann.: 8409
Subfile: Nursing
Tags: Human
Desc.: Gastroesophageal Reflux--Complications (CO); Infant; Infant, Newborn; Parents--Education (ED); *Resuscitation; *Sudden Infant Death--Prevention and Control (PC); Sudden Infant Death--Physiopathology (PP)

Y011154 68
1375650 84215650
Marathon: a life-and-death experience.
Hoag; Gissen M
Village South, Inc., Miami, Florida.
J Psychoactive Drugs (US), Jan-Mar 1984, 16 (1) p47-50,
ISSN 0279-1072
Jrnl Code: JLP
Lang.: ENG.
Jrnl Ann.: 8409
Subfile: INDEX MEDICUS
Therapists have a great need for techniques capable of provoking change in their clients. Generally, people resist change and need incentives to accomplish it. The tools to effect change are few. Therefore, the value of the theme Marathon experience is that it can be both innovative and piercing. Many clients need to have the drama of their own lives connected to a meaningful plot. The theme Marathon experience can do this. It exerts an influence on the emotional, cognitive and behavioral aspects of the participants and connects their past to the present and future, allowing them to see clearly the futility of a life of chemical dependence.
Tags: Human
Desc.: Death; Emotions; Infant, Newborn; *Psychotherapy, Group; Substance Dependence--Psychology (PX); *Substance Dependence--Rehabilitation (RH); *Therapeutic Community

Y011154 69
1367028 84207028
When the baby doesn't come home.
Shwartz D
Child Today (US), Mar-Apr 1984, 13 (2) p21-4,
ISSN 0361-4336
Jrnl Code: D2E
Lang.: ENG.
Jrnl Ann.: 8409
Subfile: INDEX MEDICUS
Tags: Female; Human
Desc.: *Adaptation, Psychological; California; *Fetal Death; Infant, Newborn; Pregnancy; PREGN; *Self-Help Groups

Y011154 70
1366375 84206375
Infant apnea An approach to management.
Spitzer AR; Fox WW
Division of Neonatology, Children's Hospital of Philadelphia, Pennsylvania.
Clin Pediatr (Phila) (US), Jul 1984, 23 (7) p374-80,
ISSN 0009-9228 Journal Code: DHE
Lang.: ENG.
Jrnl Ann.: 8409
Subfile: AIM; INDEX MEDICUS
Apnea of infancy represents a problem that is commonly encountered by the practicing pediatrician; yet, few publications have outlined a practical approach to the care of such infants. In addition, the somewhat controversial aspects of infant apnea and sudden infant death syndrome (SIDS) have resulted in the belief on the part of many physicians that the care of children with apnea or "near-miss" SIDS is either very difficult or of little value. This article which is based upon the program at The Children's Hospital of Philadelphia, describes an effective management plan for identifying children at risk, lists appropriate evaluation studies, and presents a series of protocols for treating infants with apnea. The initiation of this program has helped to demystify the care of children with apnea and has been very well received by both parents and physicians.
Tags: Human
Desc.: Apnea--Complications (CO); Apnea--Diagnosis (DI); *Apnea--Therapy (TH); Home Nursing; Infant; Infant, Newborn; Monitoring, Physiologic; Risk; Sudden Infant Death--Etiology (ET); *Sudden Infant Death--Prevention and Control (PC); Theophylline--Therapeutic Use (TU)
CAS Registry No.: 58-55-9 (Theophylline)

Y011154 71
1366374 84206374
Management of infants with apnea and potential apnea. A survey of pediatric opinion.
Lewak N; Zebal BH; Friedman SB
Dept. of Pediatrics, School of Medicine, Univ. of California, San Francisco.
Clin Pediatr (Phila) (US), Jul 1984, 23 (7) p369-73,
ISSN 0009-9228
Jrnl Code: DHE
Lang.: ENG.
Jrnl Ann.: 8409
Subfile: AIM; INDEX MEDICUS
Conflicting opinions and inadequate data have led to confusion regarding the relationship of sudden infant death syndrome (SIDS) and infantile apnea. Consensus regarding appropriate evaluation and management strategies for infants presumed at risk has not been reached. This study surveyed pediatric opinion regarding these issues. Questionnaires were mailed to 1000 randomly selected members of the American Academy of Pediatrics, and to faculty at all approved U.S. pediatric residency programs. Results indicated that respondents as a group were uncertain about the relationship between SIDS and apnea. Most respondents would (1) initially evaluate infants presenting with apnea at either a hospital or an apnea evaluation center, (2) refer subsequent siblings of SIDS infants to an apnea center, and (3) recommend no intervention, but provide reassurance, to anxious parents requesting a "test for SIDS" for a normal newborn. Respondents' comments showed diverse opinions regarding appropriate evaluation and management strategies for these three types of infants, and reflected concern regarding dilemmas posed to clinicians responsible for their care. Further research and continuing medical education efforts are neeed to reduce current confusion.
Tags: Human; Support, Non-U.S. Gov't
Desc.: *Apnea--Complications (CO); Apnea--Therapy (TH); Attitude of Health Personnel; Infant; Infant, Newborn; *Pediatrics; Questionnaires; Specialties, Medical; *Sudden Infant Death--Etiology (ET); United States

Y011154 72
1360322 84200322
Psychological effects and management of perinatal loss.
Kirk EP
Dept. of Obstetrics and Gynecology, Oregon Health Sciences Univ., Portland.
Am J Obstet Gynecol (US), May 1 1984, 149 (1) p46-51,
ISSN 0002-9378
Jrnl Code: 3NI
Lang.: ENG.
Jrnl Ann.: 8408
Subfile: AIM; INDEX MEDICUS
Serious short-term and long-term psychological sequelae may result from unresolved loss. It is now recognized that perinatal loss presents a situation where the early activation of the grief process may be prevented by the circumstances of the loss. Some theoretical aspects of the management of perinatal loss are considered together with a description of a program that has been set up to try to help to create some reality out of an unreal situation. The possible sequelae of unresolved loss are briefly reviewed.
Tags: Female; Human
Desc.: *Fetal Death--Psychology (PX); Grief; *Infant Mortality; Interpersonal Relations; *Mother-Child Relations; Object Attachment; Parent-Child Relations; Physician-Patient Relations; Pregnancy; PREGN

Y011154 73
1358561 84198561
The social management of children with spina bifida who are unlikely to survive.
Emery JL; Taylor EM
Wolfson Unit, Univ. of Sheffield, Dept. of Paediatrics, England.
Z Kinderchir (GERMANY, WEST), Dec 1983, 38 Suppl 2 p119-20,
ISSN 0174-3082
Jrnl Code: YF2
Lang.: ENG.
Jrnl Ann.: 8408
Subfile: INDEX MEDICUS
This study indicates: A need for education in the labour ward and in the initial handling of the family. A need to defend the family from initial inadequate advice. The child's deformity and death should be handled in the context of the parents' own family culture.
Tags: Female; Human; Male
Desc.: *Attitude to Death; Counseling--Methods (MT); *Family; Infant, Newborn; Informed Consent; Medical Staff, Hospital--Education (ED) Nursing Staff, Hospital--Education (ED); Pregnancy; PREGN; *Spina Bifida--Psychology (PX)

Y011154 74
1355747 84195747
[Maternal brain death at the end of the 2nd trimester]
Der mutterliche Hirntod am Ende des zweiten Trimenns.
Piechowiak H
Schweiz Rundsch Med Prax, Mar 20 1984, 73 (12) p361-2,
ISSN 0369-8394
Jrnl Code: SRM
Lang.: GERMAN
Jrnl Ann.: 8408
Subfile: INDEX MEDICUS
Tags: Case Report; Female; Human
Desc.: Adult; *Brain Death--Psychology (PX); Ethics, Medical; Infant, Newborn; *Pregnancy Complications-Psychology (PX); *PREGN COMPL--Psychology (PX); *Pregnancy Trimester, Second; *PREGN TRIMESTER SECOND; Pregnancy; PREGN

Y011154 75
1352951 84192951
Death and the pediatric house officer revisited.
Sack WH; Fritz G; Krener PG; Sprunger L
Oregon Health Sciences Univ., Portland, Oregon.
Pediatrics (US), May 1984, 73 (5) p676-81,
ISSN 0031-4005
Jrnl Code: OXV
Lang.: ENG.
Jrnl Ann.: 8408
Subfile: AIM; INDEX MEDICUS
Thirty-six third-year pediatric residents at four Western university training programs were interviewed individually and retrospectively about the magnitude of their clinical experience in managing the treatment of chronically ill and dying children, as well as the psychosocial educational curriculum of their training program as it pertained to these experiences. The residents managed an average of 35 dying children during their first 2 1/2 years of pediatric residency. They imparted the news of a potentially fatal disease to an average of 33 families during this same time span. There was a disparity between the magnitude of the clinical experience and the time and emphasis in these issues in the residency curriculum. The implications of these findings for an improved educational curriculum in the psychosocial care of dying children are discussed.
Tags: Human
Desc.: Adult; Attitude of Health Personnel; Child; Counseling; Curriculum; *Death; Infant, Newborn; *Internship and Residency; *INTERNSHIP; Oregon; Parents--Psychology (PX); *Pediatrics--Education (ED); *Terminal Care

Y011154 76
1352947 84192947
Response to acute hypercapnia in the parents of victims of sudden infant death syndrome.
Couriel JM; Olinsky A
Dept. of Thoracic Medicine, Royal Children's Hospital, Melbourne, Australia.
Pediatrics (US), May 1984, 73 (5) p652-5,
ISSN 0031-4005
Jrnl Code: OXV
Lang.: ENG.
Jrnl Ann.: 8408
Subfile: AIM; INDEX MEDICUS
The ventilatory response to acute hypercapnia was studied in 68 parents of victims of sudden infant death syndrome and 56 control subjects. Tidal volume, inspiratory time, and total respiratory cycle time were measured before and immediately after a vital capacity breath of 13% CO2 in oxygen. Instantaneous minute ventilation, mean inspiratory flow (tidal volume/inspiratory time), and respiratory timing (inspiratory time/total respiratory cycle time) were calculated. Both groups of subjects showed a marked increase in tidal volume (48.4% +/- 26.5%), instantaneous minute ventilation (56% +/- 35%), and tidal volume/inspiratory time (56.8% +/- 33.5%) after inhalation of the test gas, with little change in inspiratory time/total respiratory cycle time. There were no significant differences between the two groups for ventilation before or after inhalation of the test gas. The ventilatory response to acute hypercapnia is mediated by the peripheral chemoreceptors. These results suggest that an inherited abnormality of peripheral chemoreceptor function is unlikely to be a factor leading to sudden infant death syndrome.
Tags: Female; Human; Male; Support, Non-U.S. Gov't
Desc.: Acute Disease; Adult; Chemoreceptors--Physiopathology (PP); *Hypercapnia--Physiopathology (PP); Infant; Respiratory Airflow; Spirometry; *Sudden Infant Death--Familial and Genetic (FG)

Y011154 77
1350932 84190932
The St. Paul Infant Apnea Program. An approach to the evaluation and treatment of infantile apnea.
Coleman JM; Reardon C; Mammel MC; Boros SJ
Minn Med (US), Apr 1984, 67 (4) p205-7,
ISSN 0026-556X
Jrnl Code: NBY
Lang.: ENG.
Jrnl Ann.: 8408
Subfile: INDEX MEDICUS
Tags: Human; Support, Non-U.S. Gov't
Desc.: Apnea--Diagnosis (DI); *Apnea--Therapy (TH); Child, Preschool; Education; Infant; Infant, Newborn; Parents; Sudden Infant Death--Diagnosis (DI); Sudden Infant Death--Familial and Genetic (FG); *Sudden Infant Death--Therapy (TH)

Y011154 78
1350519 84190519
A discharge tool for teaching parents to monitor infant apnea at home.
Graber HP; Balas-Stevens S
MCN (US), May-Jun 1984, 9 (3) p178-80,
ISSN 0361-929X
Jrnl Code: MA3
Lang.: ENG.
Jrnl Ann.: 8408
Subfile: Nursing
Tags: Female; Human
Desc.: *Apnea--Diagnosis (DI); Home Nursing; Infant; Monitoring, Physiologic; *Parents--Education (ED); *Patient Discharge; *Sudden Infant Death--Prevention and Control (PC)

Y011154 79
1329237 84169237
SIDS and the family: the pediatrician's role.
Zebal BH; Woolsey SF
Maryland SIDS Information & Counseling Project, Baltimore.
Pediatr Ann (US), Mar 1984, 13 (3) p237-40, 243, 246 passi,
ISSN 0090-4481
Jrnl Code: OUB
Lang.: ENG.
Jrnl Ann.: 8407
Subfile: INDEX MEDICUS
Tags: Human
Desc.: *Adaptation, Psychological; Anxiety--Etiology (ET); Child Psychology; Cognition Disorders--Etiology (ET); Depression--Etiology (ET); *Family; Infant; *Pediatrics; *Physician's Role; *Role; *Sudden Infant Death; Sudden Infant Death--Etiology (ET)

Y011154 80
1329236 84169236
SIDS and apnea monitoring: a parent's view.
Silvio KT
Maryland SIDS Information & Counseling Project, Baltimore.
Pediatr Ann (US), Mar 1984, 13 (3) p229-30, 234,
ISSN 0090-0481
Jrnl Code: OUB
Lang.: ENG.
Jrnl Ann.: 8407
Subfile: INDEX MEDICUS
Tags: Female; Human; Male
Desc.: Family; Infant; *Monitoring, Physiologic; *Parents--Psychology (PX); *Sleep Apnea Syndromes--Diagnosis (DI); *SLEEP APNEA--Diagnosis (DI); *Sudden Infant Death--Prevention and Control (PC)

Y011154 81
1329235 84169235
Psychosocial aspects of infantile apnea and home monitoring.
Smith JC
Dept. of Pediatrics, Sinai Hospital, Baltimore, MD.
Pediatr Ann (US), Mar 1984, 13 (3) p219-24,
ISSN 0090-4481
Jrnl Code: OUB
Lang.: ENG.
Jrnl Ann.: 8407
Subfile: INDEX MEDICUS
Tags: Human
Desc.: *Adaptation, Psychological; Family; Infant; *Monitoring, Physiologic; Risk; *Sleep Apnea Syndromes; *SLEEP APNEA; Sleep Apnea Syndromes--Diagnosis (DI); SLEEP APNEA--Diagnosis (DI); *Sudden Infant Death--Prevention and Control (PC)

Y011154 82
1329234 84169234
Evaluation and management of infantile apnea.
Ariagno RL
Dept. of Pediatrics, Stanford Univ., School of Medicine, CA.
Pediatr Ann (US), Mar 1984, 13 (3) p210-3, 216-7,
ISSN 0090-4481
Jrnl Code: OUB
Lang.: ENG.
Jrnl Ann.: 8407
Subfile: INDEX MEDICUS
Knowledge regarding the etiology and optimal management of prolonged apnea and its relationship to SIDS is still limited. The majority of infants with prolonged apnea do not die of SIDS, although the risk of SIDS in this group is greater than in the general population. Many infants with prolonged apnea who are perceived by parents and physicians as having had a "life-threatening" event may be at risk for another. Appropriate assessment following this event includes a careful history and physical examination to determine causes and severity. Etiologies to be considered include infections, metabolic aberrations, seizure problems, cardiac arrhythmias or congenital heart disease, anatomic airway abnormalities, gastroesophageal reflux and impaired regulation of breathing. If a specific cause has been identified for the infant's apnea, appropriate treatment often will lean to resolution of the apnea problem. If a specific etiology has not been identified or if the risk of "life-threatening" prolonged apnea seems to persist, electronic cardiorespiratory monitoring may be considered. Appropriate treatment for asymptomatic infants who are at increased statistical risk of SIDS is controversial. Asymptomatic infants may be candidates for home monitoring, but as yet, there are no reliable tests to predict which infants are at risk for prolonged apnea. Monitoring at home must be prescribed by the physician and should be continued until judged no longer appropriate by the attending physician. Skilled caregivers are crucial to the continuous observation and management of these patients in the hospital and at home. Therefore parents should be taught monitor use and also CPR. (ABSTRACT TRUNCATED AT 250 WORDS)
Tags: Human
Desc.: Infant; Monitoring, Physiologic; Sleep Apnea Syndromes--Complications (CO); SLEEP APNEA--Complications (CO); Sleep Apnea Syndromes--Familial and Genetic (FG); SLEEP APNEA--Familial and Genetic (FG); *Sleep Apnea Syndromes--Therapy (TH); *SLEEP APNEA--Therapy (TH); Sudden Infant Death--Etiology (ET); Theophylline--Therapeutic Use (TU)
CAS Registry No.: 58-55-9 (Theophylline)

Y011154 83
1324719 84164719
Stillbirth. A humanistic response.
Bruhn DF; Bruhn P
Dept. of Obstetrics an Gynecology, St. Charles Hospital, Port Jefferson, New York.
J Reprod Med (US), Feb 1984, 29 (2) p107-12,
ISSN 0024-7758
Jrnl Code: JWT
Lang.: ENG.
Jrnl Ann.: 8407
Subfile: INDEX MEDICUS
A predictable pattern of grief follows every perinatal death. Because of their lack of training in the area of death and bereavement, physicians have traditionally avoided acknowledging the grief process in patients who have experienced such a loss. Obstetricians must begin to recognize the appropriate intervention that needs to be isstituted in the delivery room and postpartum period to help facilitate the normal grieving process. Physicians must also acknowledge and accept their own feelings of grief and helplessness following a perinatal death.
Tags: Female; Human; Male
Desc.: Anger; *Fetal Death; *Grief; Guilt; Infant, Newborn; Interpersonal Relations; Mother-Child Relations; Object Attachment; *Parents--Psychology (PX); *Physician-Patient Relations; Pregnancy; PREGN

Y011154 84
1324210 84164210
Prospective assessment of recurrence risk in sudden infant death syndrome siblings.
Irgens LM; Skjaerven R; Peterson DR
Institute of Hygiene and Social Medicine, Univ. of Bergen, Norway.
J Pediatr (US), Mar 1984, 104 (3) p349-51,
ISSN 0022-3476
Jrnl Code: JLZ
Lang.: ENG.
Jrnl Ann.: 8407
Subfile: AIM; INDEX MEDICUS
Knowledge of the likelihood of a repetition of sudden infant death syndrome within a sibship, particularly in the next sibling, is important to parents. Methodologic considerations with respect to the studies of recurrence risk already published indicate that the rates reported are overestimates. This suspicion is confirmed by our study based on 826, 162 infants surviving the first week of life on file in the Medical Birth Registry of Norway. A total of 1062 (1.3 per 1, 000) infants died of SIDS; five deaths occurred as the second case in a family. The recurrence risk for the nextborn sibling was 5. per 1000, and for all subsequent siblings 4.8 per 1000, which would seem encouragingly low from a counseling point of view.
Tags: Human
Desc.: *Family; Infant, Newborn; Norway; Prospective Studies; Recurrence; Risk; *Sudden Infant Death--Occurrence (OC)

Y011154 85
1320660 84160660
[One day and Sylvie-Anne was no longer...
Une journee et Sylvie-Anne n'etait plus...
Parent R; St-Onge M
Infirm Can (CANADA), Apr 1984, 26 (4) p31-4,
ISSN 0019-9605 Journal Code GO9
Lang.: FRENCH
Jrnl Ann.: 8407
Subfile: Nursing
Tags: Female; Human; Male
Desc.: Adult; *Death; *Infant, Newborn; Nurse-Patient Relations; *Parents--Psychology (PX)

Y011154 86
1316814 84156814
[The dying child]
Die sterwende kindjie.
de Jongh van Arkel JT
Curationis (SOUTH AFRICA), Dec 1983, 6 (4) p16-20,
ISSN 0379-8577
Jrnl Code: C1A
Lang.: AFRIKAANS
Summ. Lang.: ENG.
Doc Type: Eng. Abstract
Jrnl Ann.: 8407
Subfile: Nursing
Tags: Human
Desc.: Attitude to Death; *Child Psychology; Child; Child, Preschool; Communication; Hospitalization; Infant; *Nurse-Patient Relations; Parent-Child Relations; *Terminal Care

Y011154 87
1316054 84156054
Grief reactions to perinatal death--a follow-up study.
LaRoche C; Lalinec-Michaud M; Engelsmann F; Fuller N; Copp H; McQuade-Soldatos L; Azima R
McGill Univ., Montreal, Quebec.
Can J Psychiatry (CANADA), Feb 1984, 2 (1) p14-9,
ISSN 0706-7437
Jrnl Code: CLR
Lang.: ENG.
Jrnl Ann.: 8407
Subfile: INDEX MEDICUS
Thirty mothers who experienced a perinatal death were offered crisis intervention aimed at facilitating their grief process at few days, 3 weeks and 3 months after the loss. Evaluation of maternal grief reactions and their general psychological adjustment took place at these 3 early contacts and 1 to 2 years later. This last assessment included a semi-structured clinical interview and a number of self-rating scales (Life Events Schedule, Beck Depression Inventory (BDI) and a Mourning Scale). Six of the 30 mothers showed inappropriate grief reactions at the 3 week and 3 month assessment. By the long term follow up only 1 of these 6 displayed depression or other psychiatric disorder. Three other women not identified as high risk candidates by the 3 month evaluation developed high BDI scores and clinical depressions at the 1 to 2 year assessment. Variables associated with abnormal grief and depression such as social support systems, communication between the parents, maternal dreams, and hospital practices were examined and discussed indicating possibilities for future research.
Tags: Female; Human
Desc.: *Death; Diseases in Twins; *Fetal Death--Psychology (PX); Follow-Up Studies; *Grief; *Infant, Newborn; Life Change Events; Marriage; Pregnancy; PREGN

Y011154 88
1312917 84152917
Home monitoring for central apnoea.
MacKay M; Abreu e Sylva FA; MacFadyen UM; Williams A; Simpson H
Royal Hospital for Sick Children Edinburgh.
Arch Dis Child (ENGLAND), Feb 1984, 59 (2) p136-42,
ISSN 0003-9888
Jrnl Code: 6XG
Lang.: ENG.
Jrnl Ann.: 8406
Subfile: AIM; INDEX MEDICUS
Between July 1978 and December 1981, 64 infants thought to be at increased risk from sudden infant death syndrome (SIDS) were monitored at home for central apnoea. Twenty four of the infants had had a 'near miss' episode at age, median (range), 6 (1 to 33) weeks, and of these infants 22 had had 335 alarms for apnoea by age 6 months. Stimulation by shaking was carried out on 38 occasions and bag and mask resuscitation on one. The remaining 40 infants were siblings of SIDS victims and of these, 35 were monitored from age 1 week (usually after discharge home). Thirty four of the SIDS siblings had had 573 alarms for apnoea by age 6 months: stimulation by shaking was carried out on 32 occasions and bag and mask resuscitation on one. The duration of home monitoring was, median (range), 34 (8 to 87) weeks for 'near miss' infants and 45 (12 to 70) weeks for SIDS siblings. All infants survived. As part of an over all support system monitors were accepted and greatly appreciated by most parents, especially those with previous experience of SIDS. Home monitoring was practicable but the commitment in time and expertise was great and objective benefits to the infant remain unproved.
Tags: Female; Human; Male; Support, Non-U.S. Gov't
Desc.: Apnea--Prevention and Control (PC); Emergencies; *Home Nursing; Infant; Infant, Newborn; *Monitoring, Physiologic; Resuscitation; Social Class; *Sudden Infant Death--Prevention and Control (PC)

Y011154 89
1312593 84152593
Some thoughts about infant feeding.
Hendrickse RG
Dept. of Tropical Paediatrics, Liverpool School of Tropical Medicine, U.K.
Ann Trop Paediatr (ENGLAND), Dec 1983, 3 (4) p163-8,
ISSN 0272-4939
Jrnl Code: 6AH
Lang.: ENG.
Jrnl Ann.: 8406
Subfile: INDEX MEDICUS
Tags: Human
Desc.: *Bottle Feeding--Adverse Effects (AE); *Breast Feeding; Developing Countries; Economics; Gastroenteritis--Etiology (ET); IgA, Secretory--Analysis (AN); Immunity; Infant; Milk Human--Immunology (IM); Psychology; Sudden Infant Death--Etiology (ET)

Y011154 90
1311347 84151347
Suicidal behavior by preschool children.
Rosenthal PA; Rosenthal S
Am J Psychiatry, Apr 1984, 141 (4) p520-5,
ISSN 0002-953X
Jrnl Code: 3VG
Lang.: ENG.
Jrnl Ann.: 8406
Subfile: AIM; INDEX MEDICUS
Sixteen suicidal preschoolers age 2?/2 to 5 years who were referred to a university child psychiatry outpatient clinic were compared with 16 behaviorally disordered preschoolers matched by age, sex, race, and parental marital and socioeconomic status. The suicidal group showed significantly more nonsuicidal self-directed aggression, loss of interest, morbid ideas, depression (according to the Weinberg criteria, but not DSM-III), impulsivity and hyperactivity, and running away behavior. They also showed significantly less pain and crying after injury; more of the children were unwanted and abused or neglected by parents. Four subgroups of suicidal motivation are identified and discussed.
Tags: Case Report; Female; Human; Male
Desc.: Accidents; Aggression--Psychology (PX); Attention Deficit Disorder with Hyperactivity--Psychology (PX); Attitude to Death; Child Abuse; Child Behavior Disorders--Psychology (PX); Child, Preschool; Depressive Disorder--Psychology (PX); Family; Impulsive Behavior--Psychology (PX); Infant; Motivation; Object Attachment; *Suicide, Attempted--Psychology (PX); Wounds and Injuries--Psychology (PX)

Y011154 91
1309927 84149927
Parental losses.
Laajus S
Child Psychiatric Clinic, Tampere Univ. Central Hospital, Finland.
Acta Psychiatr Scand (DENMARK), Jan 1984, 69 (1) p1-12,
ISSN 0001-690X
Jrnl Code: 1VY
Lang.: ENG.
Doc Type: Review
Jrnl Ann.: 8406
Subfile: INDEX MEDICUS
In a review article parental losses (PL) of children in different age and sex groups are psycho-analytically examined from the view point of the triangular family relationship, cognitive development of the children and their ability to mourn, delinquency, schizophrenia and affective illnesses, and lastly the controversies about and objections to bereavement study findings. It is concluded that many methodological problems make it difficult to compare study findings. Some unchallengeable laws have been found, but any single explanation of their aetiological meaning could not be shown. It is obvious that many psycho-social variables are involved in the interpretation of PL. (68 Refs.)
Tags: Female; Human; Male
Desc.: Adolescence; Affective Disorders--Psychology (PX); Age Factors; Child; Child, Preschool; Cognition; *Death; Family; Grief; Infant Infant, Newborn; Juvenile Delinquency--Psychology (PX); Object Attachment; Oedipus Complex; Parent-Child Relations; *Parents; Psychoanalytic Theory; Schizophrenic Psychology; Sex Factors

Y011154 92
1309646 84149646
Selected perinatal procedures. Scientific basis for use and psycho-social effects. A literature review.
Fraser CM
Acta Obstet Gynecol Scand [Suppl] (SWEDEN), 1983, 117 p1-39,
ISSN 0300-8835
Jrnl Code: 1EC
Lang.: ENG.
Doc Type: Review
Jrnl Ann.: 8406
Subfile: INDEX MEDICUS (227 Refs.)
Tags: Female; Human
Desc.: Abnormalities--Psychology (PX); Anesthesia, Obstetrical; Cesarean Section; Delivery; Episiotomy; Fetal Death--Psychology (PX); Fetal Monitoring; *Infant Care; Infant Mortality; Infant, Newborn; Labor; Mother-Child Relations; Pregnancy; PREGN; *Prenatal Care; Prenatal Care--Psychology (PX); Socioeconomic Factors

Y011154 93
1306032 84146032
Apnea in newborn infants: approach to management.
Banagale RC; Roloff DW; Howatt WF
Section of Newborn Services, Univ. of Michigan, Ann Arbor.
Resuscitation (IRELAND), Feb 1984, 11 (1-2) p9-20,
ISSN 0300-9572
Jrnl Code: R8Q
Lang.: ENG.
Jrnl Ann.: 8406
Subfile: INDEX MEDICUS
Approximately 25% of infants with birth weights less than 1800 g or infants of about 34 weeks gestational age have an apneic episode. This, and the known high incidence of apneas in infants who subsequently are victims of sudden infant death syndrome, has led to aggressive attempts at early identification of newborns with abnormal cardio-respiratory patterns. We have found the pneumocardiogram to be effective in detecting cardio-respiratory abnormality in the newborn, and a very useful tool in the assessment of the effectiveness of pharmacologic therapy of neonatal apnea. Infants who are discharged on a home apnea monitor should be managed, utilizing a coordinated multidisciplinary team approach, that includes 24 h availability of a physician, technician, community health nurse, social worker and, when possible, a member of a parent support group. This paper presents a review of neonatal apnea and our institutional approach to its evaluation and management.
Tags: Human
Desc.: *Apnea--Prevention and Control (PC); Electrocardiography; ECG; Home Nursing; Infant, Newborn; *Infant, Newborn, Diseases--Prevention and Control (PC); Monitoring, Physiologic; Respiratory Function Tests; Risk; Sleep--Physiology (PH); Sudden Infant Death--Prevention and Control (PC) Theophylline--Therapeutic Use (TU)
CAS Registry No.: 58-55-9 (Theophylline)

Y011154 94
1304220 84144220
Caring for special babies. Four. Coping with grief.
Newman A
Nurs Times, Feb 8-14 1984, 80 (6) p32-4,
ISSN 0029-6589
Jrnl Code: O9U
Lang.: ENG.
Jrnl Ann.: 8406
Subfile: Nursing
Tags: Female; Human; Male
Desc.: Fetal Death; *Grief; *Infant Mortality; Infant, Newborn; Parent-Child Relations; *Parents--Psychology (PX); Pregnancy; PREGN; Professional-Family Relations

Y011154 95
1303000 84143000
Loss of a child.
Clench P
Nursing (Oxford) (ENGLAND), Dec 1983, 2 (20) p590-1,
ISSN 0142-0372
Jrnl Code: OA5
Lang.: ENG.
Jrnl Ann.: 8406
Subfile: Nursing
Tags: Case Report; Female; Human; Male
Desc.: Adolescence; Grief; Guilt; Infant; *Parents--Psychology (PX); *Sudden Infant Death; Terminal Care

Y011154 96
1287652 84127652
The sudden infant death syndrome.
Rahilly P
Consultant Paediatrician, Royal Alexandria Hospital for Children, Campendown.
Aust Fam Physician (AUSTRALIA), Oct 1983, 12 (10) p756-7,
ISSN 0300-8495
Jrnl Code: 9EC
Lang.: ENG.
Jrnl Ann.: 8405
Subfile: INDEX MEDICUS
Tags: Human
Desc.: Family Practice; Infant; Professional-Family Relations; *Sudden Infant Death--Diagnosis (DI); Sudden Infant Death--Etiology (ET)

Y011154 97
1278965 84118965
Nursing Mirror community forum. Coping with a cot death.
Heycock A
Nurs Mirror (ENGLAND), Jan 25 1984, 158 (4) piii-viii,
ISSN 0029-6511
Jrnl Code: O98
Lang.: ENG.
Jrnl Ann.: 8405
Subfile: Nursing
Tags: Female; Human; Male
Desc.: *Community Health Nursing; Grief; Guilt; Infant; *Parent-Child Relations; Professional-Family Relations; *Sudden Infant Death

Y011154 98
1276268 84116268
[The psychosocial readiness of the women's clinic]
Kvinnoklinikernas psykosociala beredskap.
Sjogren B; Sjostrom H; Ursing I
Lakartidningen (SWEDEN), Nov 23 1983, 80 (47) p4567-70,
ISSN 0023-7205
Jrnl Code: L0N
Lang.: SWEDISH
Jrnl Ann.: 8405
Subfile: INDEX MEDICUS
Tags: Female; Human; Male
Desc.: Anxiety; Fetal Death; Infant, Newborn; Infertility, Female--Rehabilitation (RH); Labor; Pregnancy Complications--Rehabilitation (RH); PREGN COMPL--Rehabilitation (RH); Pregnancy; PREGN; *Psychophysiologic Disorders--Rehabilitation (RH); Sex Disorders--Rehabilitation (RH)

Y011154 99
1272407 84112407
Neonatal loss in the intensive care nursery: effects of maternal grieving and a program for intervention.
Haron RJ; Glicken AD; Siegel RE
J Am Acad Child Psychiatry, Jan 1984, 23 (1) p68-71,
ISSN 0002-7138
Jrnl Code: ?54
Contract/Grant No.: 5KO1 MH00281; 5 RO1 MH34005
Lang.: ENG.
Jrnl Ann.: 8405
Subfile: INDEX MEDICUS
Tags: Female; Human; Support, Non-U.S. Gov't; Support, U.S. Gov't, P.H.S.
Desc.: Death; *Grief; *Hospices; Infant, Newborn; *Intensive Care Units, Neonatal; *Mothers--Psychology (PX); Social Support

Y011154 100
1267773 84107773
Childhood suicide.
McGuire DJ; Ely M
New York Univ., NY.
Child Welfare (US), Jan-Feb 1984, 63 (1) p17-26,
ISSN 0009-4021
Jrnl Code: D2U
Lang.: ENG.
Jrnl Ann.: 8405
Subfile: INDEX MEDICUS
The taboos surrounding suicide are especially hard to penetrate when the suicide is that of a child. Concerned with presenting a clear picture, the authors discuss the difficulties in recognizing childhood suicide, presuicidal conditions and behaviors, and methods for prevention.
Tags: Case Report; Human; Male
Desc.: Accidents; Adolescence; Child; Child, Preschool; Death; Depressive Disorder--Psychology (PX); Environment; Failure to Thrive--Psychology (PX); Infant; Parent-Child Relations; Social Environment; Suicide--Prevention and Control (PC); *Suicide--Psychology (PX)

Y011154 101
1251622 84091622
The Tennessee sudden infant death syndrome program.
Stuntz M; Michal ML
J Tenn Med Assoc (US), Nov 1983, 76 (11) p28-9,
ISSN 0040-3318
Jrnl Code: K7J
Lang.: ENG.
Jrnl Ann.: 8404
Subfile: INDEX MEDICUS
Tags: Human
Desc.: Counseling; Family; Grief; Infant; Legislation; *Sudden Infant Death; Sudden Infant Death--Diagnosis (DI); Tennessee

Y011154 102
1239421 84079421
Type I hyperlipoproteinemia presenting is sudden death in infancy.
Potter JM; Hilton JM
Dept. of Pharmacology, Univ. of Western Australia.
Aus NZ J Med (AUSTRALIA), Aug 1983, 13 (4) p381-3,
ISSN 0004-8291
Jrnl Code: 9H9
Lang.: ENG.
Jrnl Ann.: 8403
Subfile: INDEX MEDICUS
A routine post-mortem investigating sudden death in an eight week old male infant revealed gross Type I hyperlipoproteinemia (triglyceride concentration 825 mmol/L). Death was attributed to generalized cerebral anoxia. Study of the family revealed the parents were first cousins both of whom had depressed postheparin lipolytic activity, as did five out of seven of the remainder of the family members tested. This family is a notable example of deficiency of extrahepatic lipoprotein lipase.
Tags: Case Report; Human; Male
Desc.: Cerebral Ischemia--Etiology (ET); *Hyperlipoproteinemia--Complications (CO); Infant; *Lipoprotein Lipase Deficiency, Familial--Complications (CO); Lipoprotein Lipase Deficiency, Familial--Pathology (PA); Pedigree; *Sudden Infant Death--Etiology (ET)

Y011154 103
1238591 84078591
Pattern of illnesses before cot deaths.
Stanton AN; Oakley JR
Arch Dis Child, Nov 1983, 58 (11) p878-81,
ISSN 0003-9888
Jrnl Code: 6XG
Lang.: ENG.
Jrnl Ann.: 8403
Subfile: AIM; INDEX MEDICUS
The reasons for referral to hospital of 147 babies subsequently included in the DHSS study of postneonatal infant mortality were analysed and compared with those of 104 control infants. Although similar numbers were seen as outpatients, 71 (16%) of the babies who died unexpectedly, but only 28 controls had previously been admitted to hospital. The excess was explained by acute infections, loss of consciousness, possible child abuse, and failure to thrive for ion-organic reasons. The average length of admission was almost twice that required by controls, and 31% were admitted more than once. The admissions were often clues to important family problems that might have been investigated further. There were no admissions for unexplained apnoea and 'near miss' cot deaths may not therefore represent a suitable model for the investigation of most unexpected deaths during infancy.
Tags: Human; Support, Non-U.S. Gov't
Desc.: Age Factors; Child Abuse; Failure to Thrive--Complications (CO); Hospitalization; Infant; Infant, Newborn; Infection--Complications (CO); Outpatient Clinics, Hospital; *Sudden Infant Death--Etiology (ET); Time Factors; Unconsciousness--Complications (CO)

Y011154 104
1238590 84078590
Avoidable factors in child death.
Sherman Y; Matthew DJ; Boyd RD
Camden Area Health Authority Hospital for Sick Children, London.
Arch Dis Child (ENGLAND), Nov 1983, 58 (11) p872-7,
ISSN 0003-9888
Jrnl Code: 6XG
Lang.: ENG.
Jrnl Ann.: 8403
Subfile: AIM; INDEX MEDICUS
There were 131 deaths among children aged between birth and 14 years during a period of 18 months in one inner London area health authority. One hundred children died in hospital, 23 at home, and 8 elsewhere. Thirty three died of congenital, 46 of perinatal, and 34 of other medical causes. There were 18 violent deaths--16 among children over 1 year of age. Medical and social information, collected from analysis of records and interview with those involved, was considered by a review panel and the following conclusions were drawn: there was scope for prevention of congenital disease or malformation in only one of 33 cases; with routine pathological investigation the cause of death in postperinatal infancy was usually unclear--more detailed pathological investigation should be routinely available for the investigation of deaths in the first year of life, there were possible management failures in four of 8 non-malignant medical deaths in older children; malignant disease was promptly diagnosed; fatal accidents were almost entirely restricted to the children of families under marked psychosocial stress; and there was some evidence of faulty communication between health agencies and of the inappropriate routing of emergency admissions.
Tags: Human
Desc.: Abnormalities--Mortality (MO); Accidents; Adolescence; Child; Child, Preschool; *Death; Infant Mortality; Infant; London; Retrospective Studies; Violence

Y011154 105
1238589 84078589
Invalid certification of young deaths.
Sunderland R; Sunderland EP
Sheffield Children's Hospital.
Arch Dis Child (ENGLAND), Nov 1983, 58 (11) p867-71,
ISSN 0003-9888
Jrnl Code: 6XG
Lang.: ENG.
Jrnl Ann.: 8403
Subfile: AIM; INDEX MEDICUS
Necropsy reports were traced for 3928 of the 7049 Sheffield children who died between 1947 and 1979. Comparison of these reports with the related death certificates showed important differences in the underlying cause of death in 15%, even after all wing for variation in diagnostic terms and incorrect completion of certificates. Approximately one third of certificates had the underlying cause of death entered first instead of last in Part I, and in 251 (6%), the underlying cause of death was found in Part II of the certificate. There was an overrepresentation of infectious diseases and underrepresentation of malformations, deaths associated with perinatal factors, and cot deaths in the death certificates. Discrepancies were more frequent among very young children and among hospital deaths than home deaths. There was little variation in discrepancy frequency when analysed by parental occupation. A gradual decrease in the proportion of discrepancies occurred during the period studied, but this may be a consequence of a changing pattern of referral for necropsy rather than increasingly valid certification. The historical diagnoses 'convulsions due to an unknown but natural cause' and 'teething convulsions' may be analogous to the current diagnosis sudden infant death syndrome'.
Tags: Human
Desc.: Adolescence; Autopsy; Child; Child, Preschool; Death Certificates; England; Infant; Infant, Newborn; Mortality; Social Class

Y011154 106
1230045 84070045
[Sudden infant death syndrome in Italy. A multidisciplinary approach]
La sindrome della morte improvvisa del lattante in Italia. Un approccio multidisciplinare.
Segantini A; Carnelli V; Portaleone D; Zerbi Schwartz L; Falzi G; Salice P; Schwartz PJ; Carddu P
Centro SIDS, Instituto di Clinica Pediatrica I dell'Universita, Milano, Italia.
Pediatr Med Chir (ITALY), May-Jun 1983, 5 (3) p57-60,
ISSN 0391-5387
Jrnl Code: PAQ
Lang.: ITALIAN
Summ. Lang.: ENG
Doc Type: Eng. Abstract
Jrnl Ann.: 8403
Subfile: INDEX MEDICUS
A Center for the Sudden Infant Death Syndrome has been established in 1981. Active research involves clinical prospective studies and basic research, mostly aimed at testing our cardiac theory for SIDS. The bereaved families enter in a follow-up program with specific psychological support. At risk babies are evaluated for cardio-respiratory abnormalities and repeatedly controlled. Parents of victims are in the process of forming a group with the objective to support and inform the families of new victims.
This is the first attempt to approach systematically the SIDS problem in Italy.
Tags: Female; Human; Male
Desc.: Apnea--Complications (CO); Infant; Italy; Respiratory Distress Syndrome--Complications (CO); *Sudden Infant Death; Sudden Infant Death--Etiology (ET); Sudden Infant Death--Occurrence (OC); Ventricular Fibrillation--Complications (CO); *Voluntary Health Agencies--Organization and Administration (AG)

Y011154 107
1228281 84068281
[Diagnosis and assistance in crib death]
Onderzoek en hulpverlening bij wiegedood.
Geudeke M
Ned Tijdschr Geneeskd (NETHERLANDS), Nov 5 1983, 127 (45) p2052-4,
ISSN 0028-2162
Jrnl Code: NUK
Lang.: DUTCH
Jrnl Ann.: 8403
Subfile: INDEX MEDICUS
Tags: Female; Human; Male
Desc.: Adult; *Counseling; Emotions; Infant; Interviews; *Medical History Taking; *Parents--Psychology (PX); Self-Help Groups; *Sudden Infant Death

Y011154 108
1227543 84067543
Helping the parents of a stillborn child.
Danville J
Midwives Chron (ENGLAND), Sep 1983, 96 (1148) p308-10,
ISSN 0026-3524
Jrnl Code: MYE
Lang.: ENG.
Jrnl Ann.: 8403
Subfile: Nursing
Tags: Female; Human; Male
Desc.: *Fetal Death; Infant, Newborn; *Midwifery; *Parent-Child Relations; *Parents--Psychology (PX); Pregnancy; PREGN; Professional-Patient Relations

Y011154 109
1224048 84064048
Theophylline improves pneumogram abnormalities in infants at risk for sudden infant death syndrome.
Hunt CE; Brouillette RT; Hanson D
Dept. of Pediatrics, Children's Memorial Hospital, Chicago, IL.
J Pediatr (US), Dec 1983, 103 (6) p969-74,
ISSN 0022-3476
Jrnl Code: JLZ
Lang.: ENG.
Jrnl Ann.: 8403
Subfile: AIM; INDEX MEDICUS
To determine the efficacy of theophylline treatment in infants at increased risk for SIDS, we obtained 24-hour cardiorespiratory recordings (pneumograms) in 80 infants given theophylline in whom the initial pneumogram was abnornal. Fifty-three infants had a clinical diagnosis of near-SIDS, and 27 were asymptomatic siblings with a positive family history for SIDS. The initial pneumogram was obtained at a mean age of 6.9 weeks, and the repeat pneumogram 2.3 weeks later, when the mean theophylline blood concentration was 11.2 +/- 0.5 micrograms/ml. Theophylline treatment resulted in comparable and highly significant improvements in both groups. Among all 80 infants, apnea density decreased from 1.6 +/- 0.2% (SEM) to 0.3 +/- 0.1% (P less than 0.001), periodic breathing episodes/100 minutes decreased from 2.7 +/- 0.4 to 0.3 +/- 0.1 (P less than 0.001), and the longest apneic period decreased from 13.5 +/- 0.7 to 10.1 +/- 0.5 seconds (P less than 0.001). Findings on the pneumogram became completely normal with theophylline therapy in 87% of infants with near-SIDS and 81.5% of asymptomatic siblings. Pneumogram normalization was associated with absence of further symptomatic sleep apnea in the near-SIDS group and with continued absence of any clinical symptoms in the asymptomatic family history group. There were no deaths from SIDS.
Tags: Human; Support, Non-U.S. Gov't
Desc.: Cheyne-Stokes Respiration--Diagnosis (DI); *Cheyne-Stokes Respiration--Drug Therapy (DT); Electrocardiography; ECG; Infant; Monitoring, Physiologic--Methods (MT); *Respiration Disorders--Drug Therapy (DT); Respiratory Function Tests; Risk; Sleep Apnea Syndromes--Diagnosis (DI); SLEEP APNEA--Diagnosis (DI); *Sleep Apnea Syndromes--Drug Therapy (DT); *SLEEP APNEA--Drug Therapy (DT); Sudden Infant Death--Familial and Genetic (FG); *Sudden Infant Death--Prevention and Control (PC); Tape Recording; *Theophylline--Therapeutic Use (TU)
CAS Registry No.: 58-55-9 (Theophylline)

Y011154 110
1217356 84057356
Respiratory frequency during sleep in siblings of sudden infant death syndrome victims. A comparison with control, normal infants.
Curzi-Dascalova L; Flores-Guevara R; Guidasci S; Korn G; Monod N
Early Hum Dev, Oct 1983, 8 (3-4) p235-41,
Jrnl Code: EDH
Lang.: ENG.
Jrnl Ann.: 8403
Subfile: INDEX MEDICUS
The present study was carried out on 76 polygraphic recordings performed on 38 siblings of sudden infant death syndrome victims and on 38 control (2 days to 18 weeks old) infants. Each sibling corresponded to a control infant according to gender, gestational age at birth and postnatal age criteria. We found that in siblings as in controls, respiratory frequency (RF) was higher in active sleep (AS) compared to quiet sleep (QS) state (P less than 0.05 for 11-18 week siblings, p less than 0.01 for the other groups). During the transitional sleep (TS), RF was on an intermediate level (AS greater than TS greater than QS). There were no significant differences between RF of siblings compared to controls, except that ?F during QS in 6-10 week control infants was higher than in siblings of the same age (P less than 0.05). We found a wide variability between RF of different individuals within all the age groups of siblings and of controls (P less than 0.001). However, a high correlation was usually noted between RF found in different sleep states: some infants (siblings or controls) breathed more rapidly and others more slowly in all states studied. In siblings, as previously described in other groups of normal infants, RF seems to be an individual characteristic. In addition, the present work shows that according to RF criterion, healthy siblings are similar to normal infants.
Tags: Human; Support, Non-U.S. Gov't
Desc.: Circadian Rhythm; Infant; Infant, Newborn; *Respiration; Risk; Sleep--Physiology (PH); Sudden Infant Death--Familial and Genetic (FG); *Sudden Infant Death--Physiopathology (PP)

Y011154 111
1214144 84054144
Family and community factors associated with infant deaths that might be preventable [letter]
Southall D
Br Med J [Clin Res] (ENGLAND), Nov 12 1983, 287 (6403) p1469,
ISSN 0007-1447
Jrnl Code: B4X
Lang.: ENG.
Jrnl Ann.: 8403
Subfile: AIM; INDEX MEDICUS
Tags: Human
Desc.: Family; Infant; *Sudden Infant Death--Prevention and Control (PC)

Y011154 112
1208410 84048410
A case of near-miss SIDS developing an abnormal respiratory reaction to hypoxia.
Wennergren G; Bjure J; Kjellmer I
Dept. of Paediatrics, Univ. of Goteborg, East Hospital, Sweden.
Acta Paediatr Scand (SWEDEN), Sep 1983, 72 (5) p793-5,
ISSN 0001-656X
Jrnl Code: 1LV
Lang.: ENG.
Jrnl Ann.: 8402
Subfile: INDEX MEDICUS
A SIDS sibling is described who showed a normal respiratory regulation at 1.5 months but who was equipped with an apnea monitor at home on psychological indications. At 3 months he had a near-miss SIDS episode. He was then found to have developed a reaction to hypoxia with appearance of periodic breathing. With theophylline this response pattern was normalized but despite theophylline medication episodes of prolonged apnea occurred.
Tags: Case Report; Human; Male
Desc.: *Anoxia--Physiopathology (PP); Apnea--Etiology (ET); *Apnea--Physiopathology (PP); Infant, Newborn; Infant, Newborn, Diseases--Etiology (ET); *Infant, Newborn, Diseases--Physiopathology (PP); Monitoring, Physiologic; Partial Pressure; *Respiration; Risk; Sudden Infant Death--Etiology (ET); *Sudden Infant Death--Prevention and Control (PC); Theophylline--Therapeutic Use (TU)
CAS Registry No.: 58-55-9 (Theophylline)

Y011154 113
1204313 84044313
[Adverse perinatal results]
Resultados perinatales adversos.
Horno Gonzalez M
Rev Enferm, Sep 1983, 6 (61) p71-3, 75-6,
ISSN 0210-5020
Jrnl Code: TM6
Lang.: SPANISH
Jrnl Ann.: 8402
Subfile: Nursing
Tags: Female; Human; Male
Desc.: *Abnormalities; *Fetal Death; Grief; Infant, Newborn; *Infant, Premature; *Parents--Psychology (PX); Pregnancy; PREGN; *Professional-Family Relations; Truth Disclosure

Y011154 114
1201256 84041256
Unexpected death of an infant sibling.
Mandell F; McAnulty EH; Carlson A
Children's Hospital Medical Center, Boston, MA.
Pediatrics (US), Nov 1983, 72 (5) p52-7,
ISSN 0031-4005
Jrnl Code: OXV
Lang.: ENG.
Jrnl Ann.: 8402
Subfile: AIM; INDEX MEDICUS
When infants die suddenly and unexpectedly, family structures are abruptly altered. This less and its subsequent changes affect remaining older siblings. New "big brother" and "big sister" roles are suddenly terminated, often in a catastrophic manner. Young surviving children are sometimes unable to understand the meaning of this event, its impact on the family, and their own role in what has occurred. In this study, 26 families that had sustained the sudden and unexpected death of an infant and that had surviving children were interviewed to obtain data about surviving siblings at least 10 months following the loss. Among the 26 families, there were ?5 surviving siblings (ages 16 months to 6 years). The interview schedule sought information relevant to changes in patterns of sleep, toilet training, feeding habits, peer relationships, and parent-child interaction. Among these 35 surviving siblings, parents of 28 siblings (80%) perceived changes in their child's interaction with them, 2 siblings (69%) demonstrated changes in sleep patterns following the baby's death, and 13 siblings (37%) showed changes in social interaction. Regression in toilet training and changes in feeding patterns were infrequent and not areas of major concern for parents. These behavioral changes reflected both a continuum of adjustment by the child and a persistence of parental worries.
Tags: Female; Human; Male
Desc.: Birth Order; Child; Child, Preschool; Family; Follow-Up Studies; Infant; Infant, Newborn; Interview, Psychological; Massachusetts; Parent-Child Relations; *Sibling Relations; Sleep Disorders--Etiology (ET) *Sudden Infant Death; Toilet Training

Y011154 115
1187916 84027916
Infants at risk for psychopathology: offspring of schizophrenic parents.
Walker E; Emory 
Dept. of Human Development, Cornell Univ., Ithaca, New York.
Child Dev (US), Oct 1983, 54 (5) p1269-85,
ISSN 0009-3920
Jrnl Code: D28
Lang.: ENG.
Doc Type: Review
Jrnl Ann.: 8402
Subfile: INDEX MEDICUS
The results of research on infants at high risk for schizophrenia (offspring of schizophrenic parents) are reviewed. The findings indicate that high-risk infants are not exposed to greater exogenous stress during the prenatal and perinatal periods, although subsequent caregiving provided by disturbed mothers may be nonoptimal. Several findings point to the existence of a constitutionally vulnerable subgroup of high-risk infants. Fetal and neonatal deaths, unrelated to obstetrical complications, may be more common among high-risk offspring, and neuromotor abnormalities are apparent in a subgroup of high-risk subjects across the life span. Moreover, there is evidence to suggest that offspring of schizophrenics are uniquely susceptible to obstetrical complications when they occur: Neuromotor deficits and other developmental deviations show a greater relationship with obstetrical complications among high-risk infants than controls. Taken together, the results lend support to the validity of interactional models of the etiology of schizophrenia and suggest that preventive intervention may be a realistic goal. (84 Refs.)
Tags: Female; Human; Male
Desc.: Birth Weight; Electroencephalography EEG; Fetal Death--Etiology (ET); Infant Mortality; Infant, Newborn; Labor Complications; LABOR COMPL; Mother-Child Relations; *Parents--Psychology (PX); Pregnancy Complications; PREGN COMPL; Pregnancy; PREGN; Psychomotor Performance; Risk; Schizophrenia--Etiology (ET); *Schizophrenia--Familial and Genetic (FG); Schizophrenic Psychology; Social Class; Stress--Complications (CO)

Y011154 116
1185121 84025121
[Sudden infant death syndrome: respiratory causes]
Le syndrome de mort subite du nourrisson: causes respiratoires.
Marchal F
Laboratoire de Medecine et Biologie du Developpement Humain, Universite de Nancy I, France.
Bull Eur Physiopathol Respir (ENGLAND), Jul-Aug 1983, 19 (4) p411-21,
ISSN 0395-3890
Jrnl Code: BGX
Lang.: FRENCH
Summ. Lang.: ENG.
Doc Type: Eng. Abstract; Review
Jrnl Ann.: 8402
Subfile: INDEX MEDICUS
Sudden infant death syndrome (SIDS) claims one in five hundred babies between 1 and 12 months of life. Since no cause of death is found at autopsy, SIDS has been and often remains a complete enigma for pediatricians, physiologists and forensic pathologists. However, there is growing evidence from careful epidemiologic, pathologic and physiologic studies that subtle changes occur in those babies for a variable period of time before death. Some of these data are reviewed and interpreted in the light of the sleep apnea-hypoventilation inducing chronic hypoxemia hypothesis. It appears that no single factor is characteristic of, or responsible for, SIDS rather, a combination of different adverse circumstances occurring during a period of increased vulnerability may cause the fatal outcome in some infants. Some preventive aspects of SIDS in low birth weight babies, siblings of SIDS victims and near-miss SIDS are discussed. (140 Refs.)
Tags: Female; Human; Male
Desc.: Age Factors; Air Pollution--Adverse Effects (AE); Family; Infant; Infant, Newborn; Sex Factors; *Sleep Apnea Syndromes--Complications (CO); *SLEEP APNEA--Complications (CO); Socioeconomic Factors; *Sudden Infant Death--Etiology (ET); Sudden Infant Death--Occurrence (OC); Sudden Infant Death--Pathology (PA); Sudden Infant Death--Prevention and Control (PC)

Y011154 117
1181159 84021159
Association of birth outcome with subsequent fertility.
Bjerkedal T; Erickson JD
Am J Obstet Gynecol, Oct 15 1983, 147 (4) p399-404,
ISSN 0002-9378
Jrnl Code: 3NI
Lang.: ENG.
Jrnl Ann.: 8401
Subfile: AIM; INDEX MEDICUS
The association between birth outcomes and subsequent fertility was analyzed by using linked Norwegian birth certificates. All births of order 1, 2, and 3 which occurred during 1967 through 1974 were considered index births; there were approximately 207, 000 index births of order 1, 165, 000 of order 2, and 87, 000 of order 3. The mothers' fertility after these index births was summarized with a life-tale technique. Fertility was most pronounced if there were no survivors of an index birth, intermediate if there was one survivor, and lowest if both members of a set of twins survived. Advanced maternal age was associated with markedly reduced fertility. The sex of a surviving singleton had little effect on a mother's subsequent fertility. However, there was a sex-related difference if index twins survived; fertility was lower after the birth of unlike-sex twins and higher after the birth of like-sex twins. This probably reflects reproductive limitation rather than a differential fecundity for mothers of dizygotic and monozygotic twins. A comparison of fertility after births of like-sex and unlike-sex twins with one survivor may indicate that mothers of dizygotic twins were more fertile, but the number available for study was small. Reproduction among women who had two index births during 1967 through 1974 was examined separately. Fertility was most marked if neither of the first two infants survived and lowest where three survived (i.e., where one of the index births involved twins). If there were two survivors, the sex composition of the pair influenced fertility; fertility was greater if the two survivors were of the same sex and lower if they were of unlike sex. Since a woman who has an unfavorable outcome in one pregnancy will be at a higher risk of having an unfavorable outcome in a subsequent pregnancy, the higher fertility of such women will, to some degree, inflate the frequency of unfavorable outcomes in a population of births.
Tags: Female; Human; Male
Desc.: Adolescence; Adult; Birth Order; *Family Characteristics; Fertility; Fetal Death; Infant Mortality; Maternal Age; Norway; *Parents--Psychology (PX); Pregnancy; PREGN; Sex Factors; Twins

Y011154 118
1175074 84015074
The dying infant: aiding parents in the detachment process.
Thomas N; Cordell AS
Pediatr Nurs (US), Sep-Oct 1983, 9 (5) p355-7,
ISSN 0097-9805
Jrnl Code: OUN
Lang.: ENG.
Jrnl Ann.: 8401
Subfile: Nursing
Tags: Female; Human; Male
Desc.: Adult; Counseling; *Death; *Grief; Infant; *Object Attachment; *Parents--Psychology (PX)

Y011154 119
1169519 84009519
Parents seeking help after cot death. How atypical is their experience?
Crichton NJ; Limerick SR; Carpenter RG
London School of Hygiene and Tropical Medicine, UK.
J Epidemiol Community Health (ENGLAND), Sep 1983, 37 (3) p208-12,
ISSN 0143-005X
Jrnl Code: I1P
Lang.: ENG.
Jrnl Ann.: 8401
Subfile: INDEX MEDICUS
A survey of 241 cases of cot death reported to the Foundation for the Study of Infant Deaths is compared with more formal epidemiological studies. As expected the cases tend to be drawn from the higher social classes, and this selection affects some of the data--for instance, mothers' age and feeding practice. Nevertheless, data relating to the infants and their histories are remarkably similar to data from other studies. The survey provides a continuous epidemiological monitor as well as being of therapeutic value to the parents and should be continued.
Tags: Comparative Study; Female; Human; Male
Desc.: Adult; Bottle Feeding; Breast Feeding; Epidemiologic Methods; Infant; Parents--Psychology (PX); Seasons; *Sudden Infant Death--Etiology (ET)

Y011154 120
1167558 84007558
Women's reactions to late miscarriage, stillbirth and perinatal death.
Lovell A
Health Visit (ENGLAND), Sep 1983, 56 (9) p32-7,
ISSN 0017-9140
Jrnl Code: G2P
Lang.: ENG.
Jrnl Ann.: 8401
Subfile: Nursing
Tags: Female; Human
Desc.: *Abortion--Psychology (PX); *Attitude to Death; *Death; *Fetal Death; Grief; Infant, Newborn Pregnancy; PREGN; Professional-Patient Relations

Y011154 121
1167557 84007557
Grief reactions after cot death.
Mendelson C
Health Visit (ENGLAND), Sep 1983, 56 (9) p322-4,
ISSN 0017-9140
Jrnl Code: G2P
Lang.: ENG.
Jrnl Ann.: 8401
Subfile: Nursing
Tags: Female; Human; Male
Desc.: Community Health Nursing; *Grief; Infant; Marriage; *Parent-Child Relations; *Sudden Infant Death

Y011154 122
116560 84005360
Parental bereavement in the perinatal period.
Jolly H
Dept. of Paediatrics, Charing Cross Hospital, London, U.K.
Eur J Obstet Gynecol Reprod Biol (NETHERLANDS), Aug 1983, 15 (4-6) p233-,
ISSN 0028-243
Jrnl Code: E4L
Lang.: ENG.
Jrnl Ann.: 8401
Subfile: INDEX MEDICUS
Tags: Female; Human; Male
Desc.: Abnormalities--Psychology (PX); Attitude to Death; *Fetal Death; *Grief; Infant, Newborn; Parent-Child Relations; *Parents--Psychology (PX); Pregnancy; PREGN

Y011154 123
1163086 8400086
Decisions to withdraw life support in the neonatal intensive care unit.
Ragatz SC; Ellison PH
Dept. of Pediatrics, Medical College of Wisconsin, Milwaukee.
Clin Pediatr (Phila) (US), Nov 1983, 22 (11) p729-35,
ISSN 0009-9228
Jrnl Code: DHE
Lang.: ENG.
Jrnl Ann.: 8401
Subfile: AIM; INDEX MEDICUS
Neonatal intensive care units may choose to selectively withdraw support in some neonates with severe brain damage. We offer suggestions for criteria for such withdrawal, and a review of 20 cases in which such a decision-making process occurred in our neonatal intensive care unit.
Tags: Human; Support, U.S. Gov't, P.H.S.
Desc.: Asphyxia Neonatorum--Physiopathology (PP); Brain Death; Electroencephalography; EEG; *Euthanasia--Psychology (PX); *Euthanasia, Passive--Psychology (PX); Infant, Newborn; *Intensive Care Units, Neonatal *Life Support Care--Psychology (PX); Parents; Quality of Life; Seizures--Physiopathology (PP); Wisconsin

Y011154 124
1147575 83302575
The family and neonatal intensive care.
Mahan CK; Krueger JC; Schreiner RL
Dept. of Pediatrics, Indiana Univ. School of Medicine, Indianapolis.
Soc Work Health Care (US), Summer 1982, 7 (4) p67-78,
ISSN 0098-1389
Jrnl Code: U95
Lang.: ENG.
Jrnl Ann.: 8312
Subfile: INDEX MEDICUS
The birth of a sick newborn provides great stress for the family. During the illness, the family must face charged issues, including the loss of the perfect child they had anticipated and a fear that their baby may die. Issues related to helping these vulnerable families are examined, including response to the birth of a sick baby, communication with the family, preparation for discharge and long term hospitalization, as well as issues pertaining to the staff of the neonatal intensive care unit.
Tags: Human
Desc.: Attitude to Death; Crisis Intervention; Handicapped--Psychology (PX); Infant, Newborn; Infant Newborn, Diseases--Therapy (TH); *Intensive Care Units, Neonatal; Life Support Care--Psychology (PX); Long Term Care; Parent-Child Relations; Patient Care Team; *Professional-Family Relations

Y011154 125
1143908 83298908
[Medical conversations with the parents of severely ill or dying newborn infants]
Das arzliche Gesprach mit Elvern von schwerkranken oder sterbenden Neugeborenen.
Hohenauer L
Neugeborenen- und Sauglingsabteilung, Landis-Kinderkrankenhauses Linz.
Padiatr Padol (AUSTRIA), 1983, 18 (3) p201-4,
ISSN 0030-9338
Jrnl Code: OOY
Lang.: GERMAN
Jrnl Ann.: 8312
Subfile: INDEX MEDICUS
Tags: Female; Human; Male
Desc.: *Attitude to Death; Iatrogenic Disease; Infant, Newborn; Infant, Newborn, Diseases--Psychology (PX); *Infant, Newborn, Diseases--Therapy (TH); *Parent-Child Relations; *Professional-Family Relations

Y011154 126
1133709 83288709
Bibliotherapy: a tool to help parents mourn their infant's death.
Mahan CK; Schreiner RL; Green M
Dept. of Pediatrics, Indiana Univ. School of Medicine, Indianapolis.
Health Soc Work (US), Spring 1983, 8 (2) p126-32,
ISSN 0360-7283
Jrnl Code: FZ6
Lang.: ENG.
Jrnl Ann.: 8312
Subfile: INDEX MEDICUS
A hospital in Indianapolis has used the gift of a book, The Bereaved Parent, as part of the follow-up program of support for families whose newborn has died. Through questionnaires sent to bereaved families, the authors gained information to help them assess the value of this "bibliotherapy" and determined that this portion of the follow-up program was worth continuing.
Tags: Human
Desc.: *Bibliotherapy; *Death; Follow-Up Studies; *Grief; *Infant, Newborn; Infant, Newborn, Diseases--Mortality (MO); *Parents--Psychology (PX)

Y011154 127
1131647 83286647
The family of the critically ill neonate.
Mahan CK
Crit Care Update (US), Jun 1983, 10 (6) p24-7, 30-5, 54,
ISSN 0162-7252
Jrnl Code: DTA
Lang.: ENG.
Doc Type: Review
Jrnl Ann.: 8312
Subfile: Nursing (32 Refs.)
Tags: Female; Human; Male
Desc.: Adolescence; Adult; Child; Child, Preschool; Communication; Death; *Family; Infant, Newborn; *Infant, Newborn, Diseases--Psychology (PX); Intensive Care Units, Neonatal; Nursing Staff, Hospital--Psychology (PX); Object Attachment; Parent-Child Relations; Patient Discharge; *Professional-Family Relations; Sibling Relations; Single Person; Stress, Psychological

Y011154 128
1126584 83281584
When birth becomes death.
Kowalski K
AORN J (US), Jul 1983, 38 (1) p57-61, 64,
ISSN 0001-2092
Jrnl Code: 6JR
Lang.: ENG.
Jrnl Ann.: 8311
Subfile: INDEX MEDICUS
Tags: Female; Human; Male
Desc.: Adult; *Attitude to Death; *Fetal Death; Infant, Newborn; Mortuary Practice; Nurse-Patient Relations; Operating Room Nursing; *Parents--Psychology (PX); Pregnancy; PREGN

Y011154 129
1125144 83280144
The role of a grief support team following stillbirth.
Lake M; Knuppel RA; Murphy J; Johnson TM
Division of Maternal-Fetal Medicine, Univ. of South Florida College of Medicine, Tampa.
Am J Obstet Gynecol (US), Aug 15 1983, 146 (8) p877-81,
ISSN 0002-9378
Jrnl Code: 3NI
Lang.: ENG.
Jrnl Ann.: 8311
Subfile: AIM; INDEX MEDICUS
The loss of a baby through stillbirth is a tragic, devastating experience for a woman and her family. Although well intentioned, physicians and nurses are often ill-prepared to provide essential emotional support. We would like to describe our experience with a multidisciplinary perinatal grief support team. In our hospital, such a team has, in part, corrected deficits in the care of these families and has functioned as an invaluable source of education and support for health care providers.
Tags: Female; Human; Male
Desc.: Fathers--Psychology (PX); *Fetal Death; Follow-Up Studies; *Grief; Infant, Newborn; Mothers--Psychology (PX); *Patient Care Team; Pregnancy; PREGN

Y011154 130
1121894 83276894
Psychiatric aspects of hepatic transplantation.
House R; Dubovsky SL; Penn I
Dept. of Psychiatry, Univ. of Colorado School of Medicine, Denver.
Transplantation (US), Aug 1983, 36 (2) p146-50,
ISSN 0041-1337
Jrnl Code: WEJ
Lang.: ENG.
Jrnl Ann.: 8311
Subfile: INDEX MEDICUS
We conducted formal psychiatric evaluations and extensive chart reviews in a series of 34 patients surviving an average of 5 1/4 years after hepatic transplantation. Seven of 14 children and 19 of 20 adults exhibited obvious psychiatric disturbances before the operation. (There was not time to evaluate another 5 children and a sixth was an infant; one adult arrived in hepatic coma.) All patients experienced psychiatric problems postoperatively. Organic brain syndromes and apprehensiveness were the most common preoperative problems in pediatric patients, and problems in relationships with family members, anxiety, regression, and helplessness were most common after surgery. In adults, organic brain syndromes, anxiety, and depression were the most common preoperative and postoperative problems. While psychosocial disturbances in liver transplant recipients were similar in many respects to those of the more well-studied kidney homograft patients, a number of important differences emerged: organic brain syndromes, fear of death, severe regression (psychological functioning appropriate to a younger age), worries that a suitable donor would not be found in time, and insomnia were more common, and concerns about the origin of the homograft and about changes in body image were relatively rare postoperatively. These differences seem to be related to the severity of liver disease requiring transplantation, the effects of the illness in the brain, the lack of an alternative means of life support resulting in greater prominence of concerns about survival, the exclusive use of cadaver rather than living donors, and the greater effect of the illness than of its treatment on physical appearance.
Tags: Case Report; Comparative Study; Female; Human; Male
Desc.: Adolescence; Adult; Anxiety; Child; Child, Preschool; Depression--Etiology (ET); Infant; Kidney--Transplantation (TR); *Liver--Transplantation (TR); Organic Mental Disorders--Etiology (ET); Postoperative Period; POSTOP PERIOD; Regression (Psychology); REGRESSION; *Transplantation--Psychology (PX)

Y011154 131
1109120 83264120
Low rates of loss in other pregnancies and liveborn siblings of sudden infant death syndrome victims.
Spiers PS
Deprt. of Epidemiology, School of Public Health, Univ. of Washington, Seattle.
Hum Hered (SWITZERLAND), 1983, 33 (3) p184-7,
ISSN 0001-5652
Jrnl Code: GE9
Lang.: ENG.
Jrnl Ann.: 8311
Subfile: INDEX MEDICUS
Tags: Female; Human
Desc.: *Fetal Death--Occurrence (OC); Pregnancy; PREGN; Risk; *Sudden Infant Death--Familial and Genetic (FG)

Y011154 132
1103861 83258861
Support for parents experiencing perinatal loss.
Can Med Assoc J (CANADA), Aug 15 1983, 129 (4) p335-9,
ISSN 0008-4409
Jrnl Code: CKW
Lang.: ENG.
Jrnl Ann.: 8311
Subfile: AIM; INDEX MEDICUS
Grief following perinatal loss is just as debilitating as that following the death of an older person and may not be completely resolved for years. The physician's role in assisting parents following perinatal loss is one of a sympathetic listener and compassionate informant, but each category of perinatal loss--miscarriage, stillbirth, neonatal death and sudden infant death syndrome--requires a somewhat different approach. To be of assistance, physicians must understand the normal process of grief and the differences between the reactions of mothers, fathers and siblings. The advent of liberal attitudes to family visiting in perinatal units has helped parents better understand perinatal illness and appropriate management in the event of perinatal death can greatly benefit the family.
Tags: Female; Human
Desc.: Abortion; *Attitude to Death; *Counseling; *Fetal Death; *Grief; *Infant, Newborn; Object Attachment; *Parents--Psychology (PX); Physician's Role; Pregnancy; PREGN; Sudden Infant Death

Y011154 133
1094357 83249357
[Management of the birth of a malformed child]
Conduite a tenir devant la naissanc d'un malforme.
Cordier MP
Soins, Apr 1983, (403) p21-2,
ISSN 0038-0814
Jrnl Code: UUJ
Lang.: FRENCH
Jrnl Ann.: 8310
Subfile: Nursing
Tags: Female; Human; Male
Desc.: *Abnormalities--Diagnosis (DI); Adult; *Fetal Death--Diagnosis (DI); Genetic Counseling; Infant, Newborn; *Parents--Psychology (PX); Pregnancy; PREN

Y011154 134
1091229 83246229
Home monitoring and its role in the sudden infant death syndrome.
Southall DP
Cardiothoracic Institute, Brompton Hospital, London, England.
Pediatrics (US), Jul 1983, 72 (1) p13-8,
ISSN 0031-4005
Jrnl Code: OXV
Lang.: ENG.
Doc Type: Review
Jrnl Ann.: 8310
Subfile: AIM; INDEX MEDICUS (46 Refs.)
Tags: Human
Desc.: Arrhythmia--Diagnosis (DI); Electrocardiography; ECG; Family; *Home Nursing; Infant; *Monitoring, Physiologic--Instrumentation (IS); Risk; Sleep Apnea Syndromes--Diagnosis (DI); SLEEP APNEA--Diagnosis (DI); *Sudden Infant Death--Prevention and Control (PC)

Y011154 135
108067 83235687
Sibling birthweights and maternal age in SIDS cases.
Spiers PS
Growth, Spring 1983, 47 (1) p104-8,
ISSN 0017-4793
Jrnl Code: FTVde:
Lang.: ENG.
Jrnl Ann.: 8310
Subfile: INDEX MEDICUS
Because of the association between SIDS and low birthweight, the means of the observed and expected birthweights of 129 siblings (66 were untraceable) were calculated. A statistically significant deficit of approximately 100 grams was found in the average observed birthweight. After allowing for length of gestation, a deficit of similar magnitude remained. As mother's age at parturition increased, the size of deficit increased. Differences between observed and expected mean birthweights of SIDS cases were in all instances larger than those observed in their siblings and tended to increase as mother's age increased.
Tags: Female; Human
Desc.: *Birth Weight; Family; Fetal Growth Retardation; Infant, Newborn; *Maternal Age; Pregnancy; PREGN; *Sudden Infant Death--Etiology (ET)

Y011154 136
1074791 83229791
Sudden unexpected infant death. I Paediatric counselling.
Limerick S
Foundation for the Study of Infant Deaths, London.
Arch Dis Child (ENGLAND), Jun 1983, 58 (6) p467-9,
ISSN 0003-9888
Jrnl Code: 6XG
Lang.: ENG.
Jrnl Ann.: 8309
Subfile: AIM; INDEX MEDICUS
Tags: Human
Desc.: *Counseling; Family; Great Britain; Infant; *Pediatrics; Physician's Role; Primary Health Care; Social Support; Stress, Psychological; *Sudden Infant Death

Y011154 137
1069020 83224020
Three cot deaths in one family. A case report.
Van Ieperen L
State Pathology Laboratory, Cape Town.
S Afr Med J (SOUTH AFRICA), Jun 25 1983, 63 (26) p1019-20,
ISSN 0038-2469
Jrnl Code: U4R
Lang.: ENG.
Jrnl Ann.: 8309
Subfile: INDEX MEDICUS
A case of 3 cot deaths in one family is described. Owing to the unexplained nature of this type of death the police sometimes call for investigation. The legal aspects of this investigation are discussed.
Tags: Case Report; Female; Human; Male
Desc.: Adult; *Forensic Medicine; Infant; Infant, Newborn; *Sudden Infant Death; Sudden Infant Death--Occurrence (OC)

Y011154 138
1065069 83220069
Nurses cry, too.
Stowers SJ
Nurs Manage (US), Apr 1983, 14 (4) p63-4,
ISSN 0744-6314
Jrnl Code: OBV
Lang.: ENG.
Jrnl Ann.: 8309
Subfile: Nursing
Tags: Female; Human
Desc.: *Attitude of Health Personnel; *Attitude to Death; *Grief; Infant; *Nurses--Psychology (PX)

Y011154 139
1060601 83215601
Sleep EEG abnormalities in children with near-miss sudden infant death syndrome, in siblings, and in infants with recurrent apnea.
Lacey DJ
Dept. of Neurology, State Univ. of New York at Buffalo.
J Pediatr (US), Jun 1983, 102 (6) p855-9,
ISSN 0022-3476
Jrnl Code: JLZ
Lang.: ENG.
Jrnl Ann.: 8309
Subfile: AIM; INDEX MEDICUS
Electroencephalograms during light sleep were performed in controls and in infants with near-miss sudden infant death syndrome, in siblings of such infants, and in infants with recurrent apnea, all from 2 to 8 months of age. EEG background and multiple sleep spindle characteristics were compared for individual children in each of these groups. From 2 to 6 months of age, but not later, all at-risk groups differed from controls by the presence of excessive variability of sleep spindle frequency during sleep recordings. However, the three groups at risk for SIDS did not significantly differ from each other. It is concluded that careful analysis of routine sleep EEGs may in some cases help differentiate young infants at risk for apnea or SIDS from normal children.
Tags: Human
Desc.: *Electroencephalography; *EEG; Infant; Recurrence; Retrospective Studies; Sleep Apnea Syndromes--Familial and Genetic (FG); SLEEP APNEA--Familial and Genetic (FG); *Sleep Apnea Syndromes--Physiopathology (PP); *SLEEP APNEA--Physiopathology (PP); Sleep--Physiology (PH); Sudden Infant Death--Diagnosis (DI); Sudden Infant Death--Familial and Genetic (FG); *Sudden Infant Death--Physiopathology (PP)

Y011154 140
1057774 83212774
[Parents' reactions to perinatal death]
Foraldrareaktioner vid perinatal dod.
Lindberg B
Jordemodern (SWEDEN), Jan-Feb 1983, 96 (1-2) p5-14,
Jrnl Code: HAKe:
Lang.: SWEDISH
Jrnl Ann.: 8309
Subfile: Nursing
Tags: Case Report; Female; Human; Male
Desc.: *Adaptation, Psychological; Adult; *Counseling; Death; *Fetal Death; Funeral Rites; Infant, Newborn; *Parents--Psychology (PX); Pregnancy; PREGN

Y011154 141
1038424 83193424
Helping families survive S.I.D.S.
Kotsubo CZ
Nursing, May 1983, 13 (5) p94-6,
ISSN 0360-4039
Jrnl Code: OA3
Lang.: ENG.
Jrnl Ann.: 8308
Subfile: Nursing
Tags: Female; Human; Male
Desc.: *Adaptation, Psychological; Adult; Child; Infant; *Parents--Psychology (PX); *Sudden Infant Death

Y011154 142
1030020 8385020
Respiratory and cardiac events observed and recorded during and following a "near miss" for Sudden Infant Death Syndrome episode.
Cornwell AC; Weitzman ED; Kravath RE
Dept. of Neurology, Albert Einstein College of Medicine, N.Y.
Int J Neurosci (ENGLAND), May 1982, 16 (3-4) p231-9,
ISSN 0020-7454
Jrnl Code: GS4
Contract/Grant No.: N01-HD-5-2855
Lang.: ENG.
Jrnl Ann.: 8308
Subfile: INDEX MEDICUS
Documented observations of a 5-week-old infant during a "near miss" for a Sudden Infant Death Syndrome (SIDS) episode by a physician were carried out during an in-hospital physiological recording of respiratory and cardiac activity. This "near miss" event occurred during quiet sleep and was characterized by a prolonged apneic attack with marked bradycardia, cyanosis and limpness which required immediate vigorous resuscitative efforts by a physician and trained nurse. Parental descriptions of similar events parallel these documented sudden unexpected changes in cardiorespiratory parameters. Objective polygraphic data were obtained immediately following the episode and at later ages during 24 and 48 hour continuous recordings of respiration, heart rate, sleep/wake and behavioral activity. The data show that numerous apneic episodes occurred following the "near miss" event, many accompanied by marked bradycardia. The moderately severe hypoxemia noted during these sleep-related apneas indicate that immediate intervention is required to prevent significant hypoxia and central depression in such infants.
Tags: Case Report; Female; Human; Support, U.S. Gov't, P.H.S.
Desc.: *Bradycardia--Diagnosis (DI); Electrocardiography; ECG; Infant; *Sleep Apnea Syndromes--Diagnosis (DI); *SLEEP APNEA--Diagnosis (DI); Sleep Deprivation; Sleep Stages; *Sudden Infant Death--Diagnosis (DI)

Y011154 143
1023564 83178564
Perinatal death: grief support for families.
Estok P; Lehman A
Birth (US), Spring 1983, 10 (1) p17-25,
ISSN 0730-7659
Jrnl Code: ABD
Lang.: ENG.
Jrnl Ann.: 8308
Subfile: Nursing
Tags: Female; Human; Male
Desc.: *Death; *Fetal Death; *Grief; Guilt; *Infant, Newborn; *Parents--Psychology (PX); Patient Discharge; Pregnancy; PREGN; Professional-Patient Relations; Self-Help Groups; United States

Y011154 144
1021254 83176254
Failure to trive during infancy in siblings of pediatric cancer patients.
Lansky SB; Stephenson L; Weller E; Cairns GF Jr; Cairns NU
Univ. of Kansas Medical Center.
Am J Pediatr Hematol Oncol (US), Winter 1982, 4 (4) p361-6, 1
ISSN 0192-8562
Jrnl Code: 35P
Contract/Grant No.: 2R18Ca17806
Lang.: ENG.
Jrnl Ann.: 8307
Subfile: INDEX MEDICUS
Tags: Female; Human; Male; Support, U.S. Gov't, P.H.S.
Desc.: Adult; Anniversaries and Special Events; ANNIVERSARIES; Child; Child, Preschool; Death; *Growth; Infant; *Life Change Events; *Maternal Deprivation; *Neoplasms--Psychology (PX); *Protein-Calorie Malnutrition--Etiology (ET); Protein-Calorie Malnutrition--Psychology (PX) *Sibling Relations

Y011154 145
1014234 83169234
Possible temporal association between diphtheria-tetanus toxoid-pertussis vaccination and sudden infant death syndrome.
Baraff LJ; Ablon WJ; Weiss RC
Dept. of Pediatrics, UCLA School of Medicine, Center for the Health Sciences, Los Angeles, CA.
Pediatr Infect Dis (US), Jan-Feb 1983, 2 (1) p7-11,
ISSN 0277-9730
Jrnl Code: PA
Lang.: ENG.
Jrnl Ann.: 8307
Subfile: INDEX MEDICUS
Because diphtheria and tetanus toxoids pertussis (DTP) vaccine is routinely given during the period of highest incidence of sudden infant death syndrome (SIDS), this study was undertaken to determine if there is a temporal association between DTP immunization and SIDS. Parents of 145 SIDS victims who died in Los Angeles County between January 1, 1979, and August 23, 1980, were contacted and interviewed regarding their child's recent immunization history. Fifty-three had received a DTP immunization. Of these 53, 27 had received a DTP immunization within 28 days of death. Six SIDS deaths occurred within 24 hours and 17 occurred within 1 week of DTP immunization. These SIDS deaths were significantly more than expected were there no association between DTP immunization and SIDS. An additional 46 infants had a physician/clinic visit without DTP immunization prior to death. Forty of these infants died within 28 days of this visit seven on the third day and 22 within the first week following the visit. These deaths were also significantly more than expected. These data suggest a temporal association between DTP immunization, physician visits without DTP immunization and SIDS.
Tags: Comparative Study; Human
Desc.: *Diphtheria Toxoid--Adverse Effects (AE); Drug Therapy, Combination; Infant; Infant, Newborn; *Pertussis Vaccine--Adverse Effects (AE); *Sudden Infant Death--Etiology (ET); *Tetanus Toxoid--Adverse Effects (AE); Time Factors

Y011154 146
1013454 83168454
[Liver coma with fatal course in 2 children under long-term antiepileptic therapy]
Leberkoma mit letalem Ausgang bei zwei Kinden unter antiepileptischer Dauertherapie.
Plochl E
Kinderspital der Landeskrankenanstalten Salzburg.
Padiatr Padol (AUSTRIA), 1983, 18 (1) p57-63,
ISSN 0030-9338
Jrnl Code: OOY
Lang.: GERMAN
Summ. Lang.: ENG.
Doc Type: Eng. Abstract
Jrnl Ann.: 8307
Subfile: INDEX MEDICUS
This is a report of two non related children who died after antiepileptic therapy for years in hepatic coma. In both children no other cause for hepatic failure could be found than treatment with anticonvulsive drugs. In both cases family history was interesting. Unexplained deaths in early infancy in the family of the girl, a carbamyl phosphate synthetase deficiency in the family of the boy, whose grandfather could have been heterozygote for this disturbance. It is supposed that heterozygotes or inborn errors of ammonia metabolism tolerate antiepileptic therapy worse showing increased hepatodiagnostic parameters, even necrosis of hepar and hepatic coma. In future examinations of the concerned families are suggested if disturbances of liver function are observed.
Tags: Case Report; Female; Human; Male
Desc.: Adult; Amino Acid Metabolism, Inborn Errors--Familial and Genetic (FG); AA METAB INBORN ERR--Familial and Genetic (FG); Anticonvulsants--Administration and Dosage (AD); *Anticonvulsants--Adverse Effects (AE); Carbamyl Phosphate Synthase (Ammonia)--Deficiency (DF); AMMONIA CP SYNTHASE--Deficiency (DF); Child; Child, Preschool; *Hepatic Encephalopathy--Chemically Induced (CI); Hepatic Encephalopathy--Diagnosis (DI); Hepatic Encephalopathy--Familial and Genetic (FG); Infant, Newborn; Liver Function Tests; Liver--Pathology (PA); Pedigree; Sudden Infant Death Enzyme No.: EC 6.3.4.16 (Carbamyl Phosphate Synthase (Ammonia))

Y011154 147
1010926 83165926
Prevention of unexpected infant death. Evaluation of the first seven years of the Sheffield Intervention Programme.
Carpenter RG; Gardner A; Jepson M; Taylor EM; Salvin A; Sunderland R; Emery JL; Pursall E; Roe J
London School of Hygiene and Tropical Medicine.
Lancet (ENGLAND), Apr 2 1983, 1 (8327) p723-7,
ISSN 0023-7507
Jrnl Code: L0S
Lang.: ENG.
Jrnl Ann.: 8307
Subfile: AIM; INDEX MEDICUS
In the years 1973-79, 39452 infants born to parents resident in Sheffield were scored at birth for risk of unexpected infant death. Before 1973 post-perinatal mortality in Sheffield was on average 11.5% above the rate for England and Wales. Since 1973 it has only once exceeded the rate for England and Wales. "Possibly preventable" deaths have fallen from 5.2 to 1.9 per 1000. 12? of this decline is associated with a rise in the average age of the mother and a fall in the number of pregnancies, 9% with a reduction in precipitate deliveries, 24% with an increase in breastfeeding, 18% with extra care given by health visitors to high-risk infants, and 36% with other factors. The reduction in mortality attributed directly to the effect of increased visiting of high-risk infants is numerically similar to the number of lives saved by treating cancers of children. This suggests that home visiting by health visitors is highly cost-effective.
Tags: Human; Support, Non-U.S. Gov't
Desc.: Clinical Trials; *Community Health Nursing; England; Evaluation Studies; Infant Care--Standards (ST); Infant; Infant, Newborn; Prospective Studies; Risk; Sudden Infant Death--Etiology (ET); Sudden Infant Death--Occurrence (OC); *Sudden Infant Death--Prevention and Control (PC); Wales

Y011154 148
104901 83159901
[Watch out! for sudden infant death syndrome]
Alerte! devant le syndrome de mort subite du n?urrisson.
Aubry-Guindon C
Infirm Can (CANADA), Jul-Aug 1982, 24 (7) p16-8,
ISSN 0019-9605
Jrnl Code: GO9
Lang.: FRENCH
Jrnl Ann.: 8307
Subfile: Nursing
Tags: Female; Human; Male
Desc.: Adult; Child Psychology; Child; Child, Preschool; *Crisis Intervention; Infant; *Parents--Psychology (PX); Sibling Relations; *Sudden Infant Death; Voluntary Health Agencies

Y011154 149
0999805 83154805
The postmortem is not dead. Presidential address to Bristol Medico-Chirurgical Society 8th October 1980.
Brown NJ
Bristol Med Chir J (ENGLAND), Jul-Oct 1981, 96 (359-360) p3-13,
ISSN 0007-019X
Jrnl Code: B5Q
Lang.: ENG.
Jrnl Ann.: 8307
Subfile: INDEX MEDICUS
Tags: Human
Desc.: Accidents; Adolescence; Adult; Age Factors; *Autopsy; Child Child, Preschool; Death, Sudden--Occurrence (OC); England; Infant; Infant, Newborn; Sudden Infant Death--Occurrence (OC); Suicide--Occurrence (OC); Suicide--Psychology (PX)

Y011154 150
0996664 83151664
Multiple causes of asphyxia in infants at high risk for sudden infant death.
Jeffery HE; Rahilly P; Read DJ
Dept. of Physiology, Univ. of Sydney, Australia.
Arch Dis Child (ENGLAND), Feb 1983, 58 (2) p92-100,
ISSN 0003-9888
Jrnl Code: 6XG
Lang.: ENG.
Jrnl Ann.: 8306
Subfile: AIM; INDEX MEDICUS
A wide range of clinical findings was present in 58 near-miss sudden infant death syndrome (SIDS) infants and 6 surviving twins of SIDS siblings. Specific investigations included: studies of gastro-oesophageal reflux and aspiration (24-hour oesophageal pH recordings, barium swallow, radionuclide 'milk-scan'); polygraphic studies of breathing, reflux, and sleep state; studies of upper airways disease (lateral airways radiography and endoscopy); detection of seizure activity by electroencephalography; evaluation of thiamine status by erythrocyte transketolase activity of venous blood. Thiamine deficiency was found in 12 of 43 tested infants; 5 of the deficient infants had a familial history of SIDS. Many potential mechanisms for asphyxia were found: idiopathic central apnoea (7 infants), tracheal obstruction from minimal tracheomalacia or aberrant innominate artery (4 infants), temporal lobe or generalised seizures (6 infants), gastro-oesophageal reflux (55 infants) with intrapulmonary aspiration (11 infants). The high incidence, severity, and timing of reflux were new findings. Reflux occurred in active and indeterminate sleep, but not in quiet sleep. The depression of respiratory reflexes by active sleep stresses the vulnerability to asphyxia. Two factors suggest that near-miss episodes are related to SIDS: the similar age distribution but earlier occurrence of near-miss episodes compared with age at death of SIDS infants, and the subsequent sudden death of 2 infants whose necropsies were consistent with SIDS.
Tags: Female; Human; Support, Non-U.S. Gov't
Desc.: Age Factors; *Asphyxia--Etiology (ET); Aspiration; Electroencephalography; EEG; Gastroesophageal Reflux--Diagnosis (DI); Infant; Infant, Newborn; Pregnancy Complications; PREGN COMPL; Pregnancy; PREGN; Risk; Sleep Apnea Syndromes--Complications (CO); SLEEP APNEA--Complications (CO); *Sudden Infant Death--Etiology (ET)