Long-term neurodevelopmental outcome and brain volume after treatment for hydrops fetalis by in utero intravascular transfusion.

Objective: We tested the hypothesis that long-term neurodevelopmental outcomes of successfully treated fetuses with immune hydrops are similar to their unaffected siblings according to a protocol that addresses the underlying pathophysiologic condition.

Study Design: Sixteen of 18 consecutive hydropic fetuses (89%) who were treated in a dedicated fetal medicine unit between July 1985 and October 1995 survived. The transfusion protocol used a 2-step correction over a 2 to 4 day interval, combined with umbilical venous pressure measurements to avoid over transfusion and bicarbonate administration to assure a posttransfusion UV pH of >7.

The child's voice: understanding the contexts of children and families today.

Children and families live and grow in a different social context than 15 years ago. The purpose of this report was to explore contemporary themes for improved contextual understanding of children and families today and their relationship to providing optimal pediatric dental care. Twelve themes were discussed using research studies and clinical expertise from the viewpoints of a pediatric psychologist and pediatrician.

Relations between visual and auditory continuous performance tests in a clinical population: a descriptive study.

Increased interest in auditory continuous performance tests (CPTs) exists despite the absence of a clear understanding about this procedure. The relation between auditory and visual CPTs and associations with IQ, achievement, and memory are evaluated in a referred sample of 634 children, ages 5.5 to 17.