Academic Careers in Advocacy: Aligning Institutional Values Through Use of an Advocacy Portfolio.

Academic children's hospitals must embrace advocacy as a central component of their missions to discover new knowledge and improve the health of the communities and patients they serve. To do so, they must ensure faculty have both the tools and the opportunities to develop and articulate the work of advocacy as an academic endeavor. This can be accomplished by integrating the work of advocacy at the community and policy-change levels into the traditional value systems of academic medicine, especially the promotions process, to establish its legitimacy.

Care of the child with Ebola virus disease.

Objectives: To provide clinicians with practical considerations for care of children with Ebola virus disease in resource-rich settings.

Data Sources: Review of the published medical literature, World Health Organization and government documents, and expert opinion.

Data Synthesis: There are limited data regarding Ebola virus disease in children; however, reported case-fatality proportions in children are high.

Definitive care for the critically ill during a disaster: a framework for allocation of scarce resources in mass critical care: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007, Chicago, IL.

Background: Anticipated circumstances during the next severe influenza pandemic highlight the insufficiency of staff and equipment to meet the needs of all critically ill victims. It is plausible that an entire country could face simultaneous limitations, resulting in severe shortages of critical care resources to the point where patients could no longer receive all of the care that would usually be required and expected. There may even be such resource shortfalls that some patients would not be able to access even the most basic of life-sustaining interventions.

Intracranial navigation using a novel device for endoscope fixation and targeting: technical innovation.

Intracranial endoscopy involves point-to-point navigation: first, in the introduction of the endoscope into a cerebrospinal fluid-containing space and, second, in the identification of a target structure. We report testing and preliminary clinical use of a device for the direct cranial fixation and point-to-point neuronavigation of a rigid ventricular endoscope. An 18-month-old female child presented with rapidly progressive macrocephaly, developmental delay and left hemiparesis.

Interactive Web sites for families and physicians of pediatric intensive care unit patients: a preliminary report.

Objective: To describe our experience with a Web-based communications program for the patients, families, and referring physicians of patients admitted to our pediatric intensive care unit.

Design: Prospective descriptive case series for a 32-month period from April 2000 through January 2003.

Setting: Sixteen-bed multidisciplinary medical-surgical pediatric intensive care unit (PICU).

Bedside placement of pH-guided transpyloric small bowel feeding tubes in critically ill infants and small children.

Background And Methods: The small bowel of critically ill infants and small children was cannulated using a soft feeding tube with a pH sensor at the distal tip. By monitoring pH, the tubes were guided through the stomach into the small bowel.

Results: Successful placements were performed in 36 of 37 (97%) attempts in 29 critically ill patients whose age was 7.

M&B 22948, a cGMP phosphodiesterase inhibitor, is a pulmonary vasodilator in lambs.

To investigate the hypothesis that pulmonary vascular tone and endothelium-dependent pulmonary vasodilation are mediated by changes in the vascular smooth muscle cell concentration of cGMP, we studied the hemodynamic effects of M&B 22948, a selective guanosine 3',5'-cyclic monophosphate (cGMP) phosphodiesterase inhibitor, in eight intact newborn lambs. At rest, M&B 22948 (1.0-2.