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Clinical Pediatrics

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https://www.readbyqxmd.com/read/28521520/corrigendum
#1
(no author information available yet)
Falszewska A, Dziechciarz P, Szajewska H. The diagnostic accuracy of Clinical Dehydration Scale in identifying dehydration in children with acute gastroenteritis: a systematic review. Clin Pediatr (Phila). 2014;53:1181-8. (Original DOI: 10.1177/0009922814538493 ).
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28521519/improving-primary-care-provider-practices-in-youth-concussion-management
#2
Kristy B Arbogast, Allison E Curry, Kristina B Metzger, Ronni S Kessler, Jeneita M Bell, Juliet Haarbauer-Krupa, Mark R Zonfrillo, Matthew J Breiding, Christina L Master
Primary care providers are increasingly providing youth concussion care but report insufficient time and training, limiting adoption of best practices. We implemented a primary care-based intervention including an electronic health record-based clinical decision support tool ("SmartSet") and in-person training. We evaluated consequent improvement in 2 key concussion management practices: (1) performance of a vestibular oculomotor examination and (2) discussion of return-to-learn/return-to-play (RTL/RTP) guidelines...
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28516800/undertriage-of-pediatric-major-trauma-patients-in-the-united-states
#3
Jin Peng, Krista Wheeler, Jonathan I Groner, Kathryn J Haley, Henry Xiang
Although trauma undertriage has been widely discussed in the literature, undertriage in the pediatric trauma population remains understudied. Using the 2009-2013 Nationwide Emergency Department Sample, we assessed the national undertriage rate in pediatric major trauma patients (age ≤16 years and injury severity score [ISS] >15), and identified factors associated with pediatric trauma undertriage. Nationally, 21.7% of pediatric major trauma patients were undertriaged. Children living in rural areas were more likely to be undertriaged ( P = ...
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28516799/oral-health-promotion-during-well-visits
#4
Sandra M Sanguino, Niramol Dhepyasuwan, Annamaria Church, Sharon Dabrow, Janet R Serwint, Henry H Bernstein
Training pediatric residents in Bright Futures and oral health concepts is critical to improving oral health. This study's objective was to determine the skill level of pediatric residents in integrating oral health promotion during health supervision visits of 12- to 35-month-old children. One hundred forty-three pediatric residents participated in an evaluation of the effectiveness of a Bright Futures oral health curriculum. Competencies assessed preintervention included partnership building, communication, and integration of oral health concepts...
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28516798/complementary-and-alternative-medicine-use-in-uninsured-children-in-texas
#5
Sanghamitra M Misra, Danielle Guffey, Isabel Roth, Angelo P Giardino
Use of complementary and alternative medicine (CAM) among US children is 12% according to the 2012 National Health Interview Study. Certain pediatric populations have higher CAM use. We studied an uninsured population because limited access to care likely results in higher CAM use. We surveyed 250 uninsured patients in a free pediatric mobile clinic program. In the largely Hispanic population, rate of CAM use in the preceding 12 months was 45% among children and 59% among parents. Ninety-one percent of children who used CAM had parents who used CAM while only 32% of parents used CAM for themselves but did not use CAM for their children ( P < ...
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28508662/keeping-your-eyes-peeled-for-corneal-ulcers
#6
Perry C Morocco, Matthew A Broom
No abstract text is available yet for this article.
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28478723/unilateral-foot-swelling-in-an-adolescent-with-turner-syndrome
#7
Andrés Mallipudi, Megan Gornet, Elie Portnoy, Michael A Barone
No abstract text is available yet for this article.
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28478722/diagnostic-error-in-pediatric-cancer
#8
Andrea R Carberry, Keith Hanson, Ashley Flannery, Megan Fischer, Jonathan Gehlbach, Carol Diamond, Ellen R Wald
The purpose of this study was to ( a) determine the frequency of diagnostic errors in pediatric cancer, ( b) categorize errors, and ( c) underscore themes associated with misdiagnosis. This is a retrospective cohort study at a tertiary children's hospital of 265 patients with new oncologic diagnoses. The diagnostic error rate was 28%. Compared with those with no diagnostic error, those in whom there was an error were more likely to have ( a) more visits before diagnosis ( P < .001), ( b) not been seen in an acute care setting ( P = ...
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28478721/early-diagnosis-of-primary-ciliary-dyskinesia-the-role-of-the-pediatrician
#9
Michael Glenn O'Connor, James C Godfrey, Sivakumar Chinnadurai, Lisa Young
No abstract text is available yet for this article.
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28466656/discussing-future-goals-and-legal-aspects-of-health-care-essential-steps-in-transitioning-youth-to-adult-oriented-care
#10
Lynn F Davidson, Maya Doyle, Ellen J Silver
Discussing realistic future goals with the adolescent alone and with family, and reviewing legal aspects of health care transition (HCT), are essential steps in the transition from pediatric to adult-oriented care. Secondary analysis of datasets from 2 studies related to HCT assessed differences in provider practice for youth with and without special health care needs (SHCNs). Across both datasets, between 57% and 68.6% of providers reported some discussion of future goals with adolescent or with family. However, only 28...
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28466649/practice-experiences-with-latino-immigrant-children
#11
Mark Dal Corso, Lauren Biagioli
No abstract text is available yet for this article.
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28459152/risks-of-stimulant-use-for-attention-deficit-hyperactivity-disorder-on-the-developing-brain-primum-non-nocere
#12
H Patrick Stern, Jonathan Lipman, Susan L Andersen, John B Bossaer, Jim Thigpen
No abstract text is available yet for this article.
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28457143/typical-skin-injuries-in-children-with-autism-spectrum-disorder
#13
Brett Slingsby, Yvette Yatchmink, Amy Goldberg
Pediatric skin injuries have primarily been described in typically developing children. Our objectives were to describe the prevalence and pattern of skin injuries of children with autism spectrum disorder (ASD), to describe how this compared with previously demonstrated skin injury locations in typically developing children, and to identify differences in skin injury frequency and locations between autistic children with and without self-injurious behaviors (SIBs). Children with ASD were recruited between September of 2011 and September of 2014...
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28449589/colocated-mental-health-developmental-care
#14
Sheryl L Levy, Elena Hill, Kathryn Mattern, Kevin McKay, R Christopher Sheldrick, Ellen C Perrin
The inadequacy of mental health and developmental services for children is a widely recognized and growing problem. Although a variety of solutions have been proposed, none has been generally successful or feasible. This research describes models of colocation that have evolved in primary care settings in Massachusetts and reports on pediatricians' and their colocated colleagues' impressions of their benefits and challenges. Pediatricians in 18 practices that included a colocated mental health/developmental specialist (MH/DS) were identified through a survey administered through the state American Academy of Pediatrics Chapter, and interviewed...
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28443340/e-cigs-are-they-cool-talking-to-teens-about-e-cigarettes
#15
Vania Modesto-Lowe, Camille Alvarado
Electronic cigarettes, or e-cigarettes as they are commonly called, have gained wide acceptance among adolescents, especially those with sweet flavors such as bubble gum and cheesecake. Although health effects of e-cigarettes have not been well characterized, their use increases a teen's exposure to nicotine and may serve as a gateway to traditional cigarettes. This article outlines the basics of e-cigarettes and potential health hazards, followed by selected literature on teens' perceptions of e-cigarettes, as well as motivational interviewing strategies that can be used in talking to teens about using electronic cigarettes...
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28443339/gun-marksmanship-and-youth-lead-exposure-a-practice-oriented-approach-to-prevention
#16
Rose Hannah Goldman, Alan D Woolf, Mateusz P Karwowski
No abstract text is available yet for this article.
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28443338/child-passenger-safety-technician-consultation-in-the-pediatric-primary-care-setting
#17
Dina Burstein, Mark R Zonfrillo, Janette Baird, Michael J Mello
Correct use of a child safety seat (CSS) can reduce the risk of fatal motor vehicle crash-related injury by up to 71%; however, misuse rates for CSS are as high as 70%. We recruited 189 caregivers at 2 large suburban pediatric office practices; 94 in the intervention group and 95 in the control group. All participants completed a baseline survey and received a CSS safety brochure. Intervention participants had their CSS installation checked at enrollment by a certified child passenger safety (CPS) technician...
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28438048/the-impact-of-infant-well-child-care-compliance-and-social-risks-on-emergency-department-utilization
#18
Nikki R Lawson, Melissa D Klein, Nicholas J Ollberding, Victoria Wurster Ovalle, Andrew F Beck
Deployment of medical and social services at well-child visits promotes child health. A retrospective review of the electronic health record was conducted for infants presenting for their "newborn" visit over a 2-year period at an urban, academic primary care center. Primary outcomes were time to first emergency department (ED) visit, number of ED visits (emergent or nonemergent), and number of nonemergent ED visits by 2 years of life. Records from 212 consecutive newborns were evaluated-59.9% were black/African American and 84...
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28436286/coordinated-asthma-program-improves-asthma-outcomes-in-high-risk-children
#19
Faye Holder-Niles, Linda Haynes, Helen D'Couto, Rebecca S Hehn, Dionne A Graham, Ann Chen Wu, Joanne E Cox
Innovative approaches within primary care are needed to reduce fragmented care, increase continuity of care, and improve asthma outcomes in children with asthma. Our objective was to assess the impact of coordinated team-based asthma care on unplanned asthma-related health care utilization. A multidisciplinary asthma team was developed to provide coordinated care to high-risk asthma patients. Patients received an in-depth diagnostic and family needs assessment, asthma education, and coordinated referral to social and community services...
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28436285/musculoskeletal-injuries-associated-with-hoverboard-use-in-children
#20
Cecilia Monteilh, Prina Patel, John Gaffney
Hoverboards burst onto the scene with wide popularity only to be quickly deemed unsafe and banned in many arenas. We conducted a retrospective cohort study of 35 patients seen in our outpatient pediatric orthopedic office over a 1-year period. The mean age of injured patients was 11.14 years; 18 patients were male (51.4%), and 17 were female (48.5%). The highest number of injuries occurred in children 10 to 14 years old who had 57.1% of the injuries. There were a total of 31 fractures in 27 patients. Most of the fractures were in the upper extremities (93...
April 1, 2017: Clinical Pediatrics
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