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This Month in Archives of Pediatrics and Adolescent Medicine
September 2001

This Month in Archives of Pediatrics & Adolescent Medicine

Arch Pediatr Adolesc Med. 2001;155(9):987. doi:10-1001/pubs.Pediatr Adolesc Med.-ISSN-1072-4710-155-9-ptm0901

Effectiveness of a Home Intervention for Perceived Child Behavioral Problems and Parenting Stress in Children With In Utero Drug Exposure

Nurse home visits have been shown to be an effective intervention for improving outcomes in high-risk families. In this randomized controlled trial, Butz et al examined the effect of home visiting in the first 18 months of life for infants exposed to drugs in utero. Home-visited infants had fewer behavioral problems, and their caregivers reported less parenting stress than families who received more traditional care without nurse home visits.

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Cost-effectiveness of a School-Based Tobacco-Use Prevention Program

In the past decade, numerous school-based primary prevention programs to reduce tobacco use among youth have been developed and implemented across the United States. Wang et al show that a 10-lesson school-based curriculum would result in $13 316 per life-year saved, and $8482 per quality-adjusted life-year saved. This is highly effective compared with other widely accepted prevention programs.

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Computer Simulation of Stair Falls to Investigate Scenarios in Child Abuse

Injuries from stair falls are a common problem faced by the pediatrician. The vast majority of these are unintentional; however, some abusive injuries are reported to have occurred as a result of falling down stairs. Bertocci et al use computer simulation technology to model stair falls and investigate the factors and forces associated with injury. Readers can link to the ARCHIVES Web site to see the actual simulations and better understand how injuries occur in these falls.

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Threats of School Violence in Pennsylvania After Media Coverage of the Columbine High School Massacre: Examining the Role of Imitation

Prior research has shown that the number of suicides increase following suicides that receive a great deal of media attention. The attack by 2 teenagers on Columbine High School was widely covered by the media, raising the possibility of "copycat" crimes. Kostinsky et al documented that reports of school violence in Pennsylvania increased from a usual 1 to 2 threats per year to 354 threats in the 50 days following the Columbine murders, with more than half occurring in the first 10 days. This study has important implications for the response of the media to terrorist attacks and school violence.

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The Rotavirus Vaccine's Withdrawal and Physicians' Trust in Vaccine Safety Mechanisms

The much anticipated rotavirus vaccine was withdrawn after only 11 months because of the risk of intussusception in vaccine recipients. This national study indicated a large disparity in physician trust between prelicensure studies to determine vaccine safety and the postlicensure surveillance system. These prelicensure safety evaluations may be an important determinant of early adherence to new vaccine recommendations.

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