Medical Professional Publications

Innovation and Discovery

(From the July 2017 Issue of MedStat)                                  

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In Extremely Preterm Babies, SNAP-II Score Predicts Brain Impairments at Age 10

Previous research has demonstrated that children born extremely preterm, at less than 28 weeks, are known to be at increased risk of neurodevelopmental impairments. John W. Logan, MD, a neonatologist at Nationwide Children’s Hospital, is the lead author of a recent study published in the Journal of Perinatology that finds that a neonatal illness severity score, The Score for Neonatal Acute Physiology-II (SNAP-II), predicts cognitive, neurological, behavioral, social and education-related deficits at 10 years of age. The new study shows that measures taken in the first 12 hours of life that score 30 or more on SNAP-II are associated with brain damage that may be caused by physiologic instability, “intermediate” postnatal events such as sepsis or necrotizing enterocolitis, inflammation, or an infant’s ability to synthesize neuroprotective proteins.

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How to Solve Feeding Disorders Without a G-Tube

After 20 years of studying nutrition receipt in NICU babies, a new option of treatment has surfaced that allows babies referred to the NCIU for a G-tube placement to be discharged from the NICU feeding by mouth. By using diagnostic tools in order to see what feeding abilities a baby has and gathering data on how normal peristalsis operates, patience can now undergo personalized therapy that targets their exact feeding issues without requiring intubation or returns to inpatient care. Sudarshan Jadcherla, MD, director of the Neonatal and Infant Feeding Disorders Program at Nationwide Children’s, is lead author of a series of studies published in The Journal of Pediatrics, Journal of Pediatric Gastroenterology and Nutrition, and The American Journal of Physiology – Gastrointestinal and Liver Physiology.

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Assessing Romantic Lives of Adult Survivors of Childhood Cancer

Survivors of adult-onset cancer often have problems with body image and sexuality that impair intimate relationships, but a recent study shows that adult survivors of childhood cancer appear to have comparable romantic lives to others their age. Vicky Lehmann, PhD, a psychologist and formal postdoctoral fellow at The Research Institute at Nationwide Children’s Hospital, is lead author of the series of studies, which were published in Cancer, Psycho-Oncology, and the Journal of Young Adolescent and Adult Oncology. Cynthia Gerhardt, PhD, a psychologist and director of the Center for Biobehavioral Health at The Research Institute at Nationwide Children’s Hospital was a senior author and co-author of the series.

Read the Pediatrics Nationwide article.

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