Re: News Release -- UAMS Scientists Confirm Link between Premature Bi r
From: Terry J. DuBose (tjdubose@uams.edu)
Wed Aug 14 08:32:26 2002
Dr. Fougner, Yes, I was aware it is old news... I am not sure why JAMA is publishing it now... again.
As to what am I going to do about it... make sure my students understand the importance of accurate sonographic measurements and gestational age estimates...
Peace, Terry J. DuBose, M.S., RDMS
Assistant Professor & Director, Diagnostic Medical Sonography Program
University of Arkansas for Medical Sciences, CHRP
4301 West Markham St. Mail Slot #563
Little Rock, Arkansas, 72205 USA
501-686-6510
DuBoseTerryJ@UAMS.edu
http://www.io.com/~dubose/
http://www.uams.edu/CHRP/dmshome.htm
http://www.obgyn.net/us/panel/panel.htm
ultrasound@obgyn.net writes:
>Terry -
>
>kudos to your colleagues, but this is old news. Boss Tweed's question
>still remains, "So what are you gonna do about it?"
>
>art
>
>At Tue, 13 Aug 2002, Terry J. DuBose wrote:
>>
>>Barbara, yes this is my university... UAMS, see:
>>
>>http://www.uams.edu/ (first article at top of page)
>>and
>>http://www.uams.edu/today/2002/081302/anand.htm
>>
>>This is not really new information, at lease folks have been suggesting it for some time. I have not seen this article yet, so perhaps it is with a larger population or better statistics now.
>>
>>Please do post ASAP. THanks.
>>
>>Peace, Terry J. DuBose, M.S., RDMS
>>Assistant Professor & Director, Diagnostic Medical Sonography Program
>>University of Arkansas for Medical Sciences, CHRP
>>4301 West Markham St. Mail Slot #563
>>Little Rock, Arkansas, 72205 USA
>>501-686-6510
>>DuBoseTerryJ@UAMS.edu
>>http://www.io.com/~dubose/
>>http://www.uams.edu/CHRP/dmshome.htm
>>http://www.obgyn.net/us/panel/panel.htm
>>
>>Do you think we should use this?
>>
>>Do you have anything to add to it?
>>
>>Barb
>>this IS your University isn't it??????
>>
>>>>From: "Mottler, Mike H" <MottlerMikeH@uams.edu>
>>>>To:
>>>>Subject: News Release -- UAMS Scientists Confirm Link between Premature Bi
>>>> rth and Later Learning, Behavioral Problems
>>>>Date: Tue, 13 Aug 2002 15:23:37 -0500
>>>>X-Mailer: Internet Mail Service (5.5.2653.19)
>>>>
>>>> > For Immediate Release
>>>> >
>>>> > Contact:
>>>> > Jerri Jackson, 501-686-8149
>>>> > Office of Communications
>>>> > University of Arkansas for Medical Sciences
>>>> > JacksonTerryJerri@uams.edu
>>>> >
>>>> > Note: High-resolution photo attached below
>>>> >
>>>> > UAMS Scientists Confirm Link between Premature Birth and Later
>>>> Learning, Behavioral Problems
>>>> >
>>>> > Scientists at the University of Arkansas for Medical Sciences (UAMS)
>>>> report in the Journal of the American Medical Association (JAMA) today
>>>> that premature babies are more likely to have significant learning and
>>>> behavioral problems after the age of five years than babies born full-term.
>>>> >
>>>> > Using sophisticated statistical methodology to analyze 20 years of
>>>> research around the world, the scientists at UAMS confirmed that children
>>>> born prematurely have much lower cognitive scores, with
>>>> lower-than-average learning ability, and more behavioral problems after
>>>> the age of five years than children who were born full-term.
>>>> >
>>>> > The scientists call for > "> concerted efforts of clinicians and
>>>> neuroscientists to [study] the biological, environmental, and
>>>> psychosocial mechanisms responsible for these cognitive and behavioral
>>>> differences.> ">
>>>> >
>>>> > Children born prematurely have been found in numerous studies to have >
>>>> "> huge differences> "> in cognitive scores, and to be aggressive or
>>>> withdrawn or suffer from attention deficit hyperactivity disorder.
>>>> However, researchers who conducted the other studies over the years used
>>>> a variety of population groups and research methods, making the body of
>>>> knowledge about the effects of prematurity questionable.
>>>> >
>>>> > K. S. > "> Sunny> "> Anand, MBBS, D.Phil., FAAP, FCCM, FRCPCH, led
>>>> the study, called a meta-analysis. Dr. Anand is the Morris and Hettie
>>>> Oakley Chair in Critical Care Medicine in the Department of Pediatrics in
>>>> the UAMS College of Medicine and chief of critical care at Arkansas
>>>> Children> '> s Hospital. The National Institute for Child Health and
>>>> Human Development and the Blowitz-Ridgeway Foundation provided research
>>>> funding to the Arkansas Children> '> s Hospital Research Institute for
>>>> the study.
>>>> >
>>>> > The scientists analyzed 227 studies, eliminating studies that had
>>>> methodological problems, before drawing conclusions from the remaining
>>>> studies. Their analysis should > "> eliminate controversies> "> about
>>>> the importance of prematurity for long-range outcomes.
>>>> >
>>>> > While the relationship between prematurity and later learning and
>>>> behavioral problems is now clearer, the actual causes of those problems
>>>> in children born prematurely are not yet clear.
>>>> >
>>>> > The UAMS investigators speculate in JAMA that the medical complications
>>>> of prematurity; the painful medical procedures that many premature babies
>>>> experience in hospitals; and prolonged separation from their mothers all
>>>> may contribute to lower-than-average brain development and thus to later
>>>> learning and behavioral problems. They also point to the stress and
>>>> depression that having a premature baby can cause for parents,
>>>> particularly mothers, as a potential factor in the children> '> s later
>>>> developmental problems.
>>>> >
>>>> > Dr. Anand commented recently that the increasing survival rate for
>>>> extremely low-birthweight and premature babies means that > "> a larger
>>>> and larger pool of children> "> will have developmental problems > "> as
>>>> times goes on > ...> and the incremental costs of educating these
>>>> children are likely to be astronomical.> ">
>>>> >
>>>> > "> With an improved understanding of the underlying biological
>>>> mechanisms, we can begin to develop more focused therapeutic
>>>> interventions to decrease or prevent these long-term impairments
>>>> following survival after preterm birth,> "> the scientists conclude in JAMA.
>>>> >
>>>> > The following > investigators, all with UAMS, collaborated with Dr.
>>>> Anand: Adnan T. Bhutta, MBBS, FAAP, assistant professor of pediatrics;
>>>> Mario A. Cleves, Ph.D., associate professor of pediatrics and senior
>>>> biostatistician, Arkansas Center for Birth Defects Research and
>>>> Prevention; Patrick H. Casey, M.D., FAAP, the Harvey and Bernice Jones
>>>> Professor of Developmental Pediatric> s; and Mary M. Cradock, Ph.D.,
>>>> assistant professor of pediatrics. The researchers formulated a novel
>>>> method for assessing the quality of observational studies which other
>>>> scientists will now be able to use.
>>>> >
>>>> > Dr. Anand also is conducting multiple studies of the relationship of
>>>> pain to brain development in premature infants. By observing the progress
>>>> of premature infants who receive pain medication in conjunction with
>>>> painful medical procedures, and through laboratory experiments, he has
>>>> formed the hypothesis that repetitive pain in the first weeks of life
>>>> causes the death or damage of certain brain cells and may consequently
>>>> reduce learning ability and alter behavioral development. As part of this
>>>> research, Dr. Anand is participating in a nationwide study of the use of
>>>> pain medication to reduce or eliminate pain during essential medical
>>>> procedures for premature infants. The National Institutes of Health are
>>>> sponsoring the study at 11 centers around the nation and four hospitals
>>>> in Europe.
>>>> >
>>>> > -30-
>>>> >
>>>> > > <<Sunny Anand in nursery.jpg>>
>>>> >
>>>
>>Barbara A. Nesbitt
>>Publisher, MediSpecialty.com
>>http://www.obgyn.net http://www.otohns.net
>>4010 Long Champ Dr. #24
>>Austin, Texas USA
>>Phone: 512-347-9986
>>Email: barbara.nesbitt@obgyn.net
>
>--
>art fougner, md
>ich bin ein New Yorker
>
Peace, Terry J. DuBose, M.S., RDMS
Assistant Professor & Director, Diagnostic Medical Sonography Program
University of Arkansas for Medical Sciences, CHRP
4301 West Markham St. Mail Slot #563
Little Rock, Arkansas, 72205 USA
501-686-6510
DuBoseTerryJ@UAMS.edu
http://www.io.com/~dubose/
http://www.uams.edu/CHRP/dmshome.htm
http://www.obgyn.net/us/panel/panel.htm
