July 2011 Volume 159 Number 1
Acknowledging our reviewers —Monica L. Helton, BA
Cerebral palsy in preterm survivors —Alan H. Jobe, MD, PhD
Copyright ª 2011 by Mosby Inc.
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s established in recent years, the July issue contains a list of all individuals who reviewed for The Journal in the past year. On behalf of the Editors, Editorial Board members, and Publisher of The Journal, we would like to take this opportunity to thank every one who serves as a reviewer for The Journal. We especially thank the 75 reviewers who completed 5 or more reviews, who are indicated by a special notation in the list, representing the top 5% of reviewers. The Journal continues to publish highquality articles with the assistance of high-quality reviews. Also in this issue, details of The Journal’s peer-review process can be found in the Commentary. To prepare reviewers, as well as let authors know how their articles will be reviewed, the Guidelines for Reviewers are available in The Journal’s Guide for Authors (http://www.jpeds.com/authorinfo#guiderev); these Guidelines also are sent to reviewers who agree to review manuscripts. If you are interested in being added to our database of reviewers, please e-mail your full contact information, including email address and your area(s) of expertise, to
[email protected]. Article page A10< Article page 150<
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lthough most cases of cerebral palsy (CP) occur in infants born at term, the incidence of CP increases as gestational age at birth decreases. CP is one of the major adverse outcomes for survivors of very preterm birth. A number of large studies demonstrate either no decrease or a modest decrease in survival for very preterm infants over the last 15-20 years. However, in this issue of The Journal, van Haastert et al report the CP outcomes for almost 3000 survivors with birth gestations <34 weeks. Mortality decreases from 12.5% in 1990-1993 to 6.9% in 2002-2005 in this neonatal center in The Netherlands. Concurrently, CP decreased from 6.5% to 2.2% of the population over this same period. The decrease in CP correlated with a large decrease in periventricular leucomalacia, the use of antenatal antibiotics, and Cesarean section. This very favorable outcome needs to be interpreted within the clinical practice in The Netherlands of not caring for infants with gestations <25 weeks. These infants are at highest risk of periventricular leucomalacia and CP, and a recent report demonstrated no improvements in neurodevelopmental outcomes for infants with gestational ages <25 weeks (Pediatrics 2011;127:62-70). Adverse neurodevelopmental outcomes remain the major challenge for neonatal care. Article page 86<
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