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Clinical Pediatrics

Yolanda A Yu, Michael Bolton
No abstract text is available yet for this article.
October 15, 2018: Clinical Pediatrics
Uche F Onyewuchi, Kathy Tomaszewski, Krishna K Upadhya, Priya S Gupta, Natalie Whaley, Anne E Burke, Maria E Trent
The objective of this quality improvement study was to assess the feasibility, acceptability, and impact of integrating long-acting reversible contraceptive (LARC) delivery services into an academic pediatric primary care practice. Adolescent medicine providers in Baltimore, Maryland, were trained in LARC placement with gynecology providers integrated to offer onsite LARC placement and procedural support. Referrals, appointments, and contraceptive method choice/receipt were tabulated. Of 212 individuals referred for LARC consultations, 104 attended appointments...
October 13, 2018: Clinical Pediatrics
David R Howell, Julie C Wilson, Michael W Kirkwood, Joseph A Grubenhoff
We conducted a prospective study of children and adolescents (n = 176; mean age = 13.0 ±2.7 years; 38% female) assessed acutely post-concussion and again 30 days later. We investigated the association between symptom burden and quality of life (QOL) outcomes, as well as the effect of age on QOL. We assessed QOL using patient-reported Pediatric Quality of Life Inventory 4.0, and symptoms using the Health and Behavior Inventory (HBI). Acute (<2 days post-injury) HBI ratings demonstrated a low correlation ( R2 = 0...
October 12, 2018: Clinical Pediatrics
David L Brinker, Erina L MacGeorge, Nicole Hackman
Current guidelines recommend "watchful waiting" (WW) as an alternative to immediate antibiotic treatment. Continued high rates of antibiotic use suggest that WW may be underutilized. We conducted a retrospective chart review of 474 pediatric acute otitis media (AOM) cases at a clinic in central Pennsylvania. We assessed physical examination findings, diagnostic behavior, WW utilization, prescription writing, and filling in cases of pediatric AOM to evaluate the underutilization of WW. We evaluate diagnostic consistency with published guidelines and rates of antibiotic prescription resulting from misdiagnosis...
October 12, 2018: Clinical Pediatrics
Jacob A Mark, Kristen Campbell, Dexiang Gao, Robert E Kramer
Chronic abdominal pain (CAP) is a common and challenging problem in pediatric primary and specialty care. We developed a diagnostic algorithm to organize workup for gastrointestinal causes of CAP and improve identification of patients who are low suspicion (LS) or high suspicion (HS) to have significant intestinal pathology identified with endoscopy. We retrospectively used this algorithm to categorize 150 outpatients with CAP as LS (n = 99) or HS (n = 51) and examined subsequent endoscopic findings for all patients...
October 11, 2018: Clinical Pediatrics
Rachel Silliman Cohen, Christine E Barron, Amy Goldberg
No abstract text is available yet for this article.
October 8, 2018: Clinical Pediatrics
Nicholas J Fustino, Paige Moore, Sandy Viers, Ken Cheyne
Patient experience is positively associated with superior medical outcomes, clinical quality, patient safety measures, physician job satisfaction, doctor-patient communication, and patient compliance with treatment recommendations. A concrete pediatrics-focused methodology for improving patient experience in a multispecialty ambulatory setting has not been described, nor has the impact on practice outcomes been assessed. The primary aim of this study was to improve patient experience care provider scores at a single multiclinic children's hospital in the Midwest to the 70th percentile in a 5-year period...
October 8, 2018: Clinical Pediatrics
Johanna Lumme, Merja Möttönen, Tytti Pokka, Outi Mäkitie, Arja Harila-Saari, Riitta Niinimäki
No abstract text is available yet for this article.
October 8, 2018: Clinical Pediatrics
David Y Ming, George L Jackson, Jessica Sperling, Megan Gray, Noelle Wyman Roth, Tracy Spears, Victoria Parente, Hayden Bosworth
Care plans can reduce care fragmentation for children with medical complexity (CMC); however, implementation is challenging. Mobile health innovations could improve implementation. This mixed methods study's objectives were to (1) evaluate feasibility of mobile complex care plans (MCCPs) for CMC enrolled in a complex care program and (2) study MCCPs' impact on parent engagement, parent experience, and care coordination. MCCPs were individualized, updated quarterly, integrated within the electronic health record, and visible on parents' mobile devices via an online portal...
October 7, 2018: Clinical Pediatrics
Alexander Redman, Claire Natsios, Monika Dietrich, Russel Steele
No abstract text is available yet for this article.
October 5, 2018: Clinical Pediatrics
George Sam Wang, Christopher Hoyte, Genie Roosevelt, Kennon Heard
No abstract text is available yet for this article.
October 5, 2018: Clinical Pediatrics
Nyomi R Washington, Kyleigh Petersen, Maureen Petersen
No abstract text is available yet for this article.
October 5, 2018: Clinical Pediatrics
Tyler Vajdic, Kelly R Bergmann, Alicia Zagel, Henry Ortega
An estimated 14.8 million youth under the age of 25 years participate in recreational fishing. Despite its popularity, fishing can be associated with injuries ranging from mild to severe trauma. There is a paucity of research available that describes characteristics of fishing-related injuries among youth. We examined the National Electronic Injury Surveillance System 1997-2016 to describe injury patterns by age and sex. Linear regressions estimated changes in injuries over time. There were an estimated 412 171 pediatric patients treated in US emergency departments for fishing-related injuries...
October 4, 2018: Clinical Pediatrics
Benjamin R Ittleman, Kendell R German, Emily Scott, Valencia Walker, Valerie J Flaherman, Joanne Szabo, Jessica B Beavers
No abstract text is available yet for this article.
October 3, 2018: Clinical Pediatrics
Jonathan C Schroeder, David Jones, Ashley Maranich
Enterobius vermicularis, the common pinworm, is well known in North America as a parasitic infection, mainly affecting children. It is a very contagious organism, and it is responsible for a high number of infections in the United States each year. A rise in eosinophilia is linked to most parasitic infections. However, the correlation between eosinophilia and enterobiasis infections is not well documented in the literature. In this article, we present 3 cases involving patients seen for pediatric gastroenterology consultation with concern for inflammatory bowel disease...
October 3, 2018: Clinical Pediatrics
Elena Gibson, Zachary Glaser, David Joseph, Pankaj Dangle
No abstract text is available yet for this article.
October 3, 2018: Clinical Pediatrics
Maya M Kumar, Eyla G Boies, Mark H Sawyer, Meredith Kennedy, Christine Williams, Kyung E Rhee
The American Academy of Pediatrics California Chapter 3 created a 20-minute training video targeting barriers to strong provider recommendation of the human papillomavirus (HPV) vaccine. The video included clinical vignettes featuring pediatricians modeling counseling techniques with vaccine-hesitant families. Ninety-six multidisciplinary providers (including pediatric residents) at 6 sites viewed the video and completed baseline and posttest questionnaires assessing their vaccine knowledge, attitudes toward vaccination, and comfort with skills needed to facilitate vaccination...
October 3, 2018: Clinical Pediatrics
Dillon C Burks, Raymond Parlar-Chun
No abstract text is available yet for this article.
September 28, 2018: Clinical Pediatrics
Stephanie Jessica Wan, Irene Lara-Corrales
No abstract text is available yet for this article.
September 28, 2018: Clinical Pediatrics
John W Harrington, Leonard Emuren, Kathryn Restaino, Samantha Schrier Vergano
The purpose of this study was to determine the factors associated with genetic testing in children with autism spectrum disorders (ASDs) and understand parental involvement in the decision to test using survey data of parents of children with ASD. Evaluation by a geneticist was associated with genetic testing by more than 39 times compared to evaluation by a nongeneticist (95% CI = 9.15-168.81). Those offered testing by the physicians were more than 6 times more likely to be tested than those not offered testing (95% CI = 1...
September 28, 2018: Clinical Pediatrics
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