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This Month in Archives of Pediatrics and Adolescent Medicine
June 2004

This Month in Archives of Pediatrics & Adolescent Medicine

Arch Pediatr Adolesc Med. 2004;158(6):511. doi:10.1001/archpedi.158.6.511
Association Between Television Viewing and Sleep Problems During Adolescence and Early Adulthood

Previous research has suggested that extensive television viewing may be associated with a variety of sleep problems during childhood and adolescence. This study of 759 families from 2 upstate New York counties followed subjects at ages 6, 14, 16, and 22 years. Adolescents who watched 3 or more hours of television per day were at significantly increased risk for frequent sleep problems at age 22 years, even after adjusting for a variety of personal and family characteristics. Adolescents who reduced their television watching to less than 1 hour per day had a reduction in subsequent sleep problems. This study indicates another important negative effect of excessive television watching among children and adolescents.

Article
Impact of Pulse Oximetry and Oxygen Therapy on Length of Stay in Bronchiolitis Hospitalizations

Use of pulse oximetry has become frequent in the assessment and treatment of infants with bronchiolitis. This study of 62 infants hospitalized with bronchiolitis found that as many as one quarter of infants had their hospital stay prolonged an average of 1.6 days because of concerns about oxygen saturation. Although the use of oximetry has become well accepted in the care of infants with bronchiolitis, randomized controlled trials are necessary to assess whether it leads to improved outcomes as well as its potential adverse effects such as prolonged hospitalization and increased parental anxiety.

Article
Efficacy and Safety of Acetaminophen vs Ibuprofen for Treating Children's Pain or Fever: A Meta-analysis

Acetaminophen and ibuprofen are 2 of the mostly widely used over-the-counter drugs for the relief of pain and fever in children. It is unclear which of these drugs is more effective for the purposes used. Perrott and colleagues conducted a systematic review and meta-analyses of randomized controlled trials in which the 2 drugs were compared for the relief of fever or pain in children younger than 18 years. Ibuprofen and acetaminophen were similar in their relief of pain at 2 and 4 hours postdose, whereas ibuprofen was more effective in reducing temperature at 2, 4, and 6 hours after the dose of medication.

Article
Parents' Assessment of Quality of Care and Grief Following a Child's Death

Nearly 53 000 children die each year in the United States, leaving parents to cope with the intense grief that results. There has been little research on parental grief, recovery, and the quality of care parents receive following the death of a child. This study examined parents and guardians in 59 families at a mean of 22 months after the death of a child. Fathers and mothers had similar levels of grief. Mothers who experienced the sudden and unexpected death of a child had more intense grief reactions than those who lost a child because of a chronic condition. Most parents were satisfied with the care, and this satisfaction did not correlate with the amount of grief experienced.

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