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Clinical Pediatrics

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https://www.readbyqxmd.com/read/29911433/hunger-a-missed-opportunity-for-screening-in-the-pediatric-emergency-department
#1
Tamar Robinson, Leah Bryan, Veda Johnson, Terri McFadden, Sarah Lazarus, Harold K Simon
BACKGROUND: The American Academy of Pediatrics and pediatric community recognize the importance of addressing social determinants of health. There are limited data on the prevalence of food insecurity or literature establishing protocols assessing food insecurity in the emergency department (ED). METHODS: Two anonymous surveys were administered, one to families during their ED visit and another to ED staff to assess perceptions on the ED's role in providing social support...
June 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29911424/a-toddler-with-diarrhea-and-bloody-emesis-presenting-to-the-emergency-department
#2
Gina Nichols, Shabana Yusuf
No abstract text is available yet for this article.
June 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29907074/blue-baby-with-a-red-perineum
#3
Margaret W Moreland, Claudiu Faraon-Pogaceanu, Linda S Nield
No abstract text is available yet for this article.
June 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29890862/improving-diaper-performance-for-extremely-low-birth-weight-infants
#4
Veronica Sanchez, Michelle Maladen-Percy, Jennifer Gustin, Amy Tally, Roger Gibb, Julie Ogle, Dianna C Kenneally, Andrew N Carr
BACKGROUND: Extremely low-birth-weight (ELBW) infants face significant diapering challenges compared with their full-term peers, due to immature musculature, nervous system, and skin development. Advances in medical care has increased an ELBW infant's rate of survival, which creates a growing need for diapers to better serve these infants. Aim of research. The objective of this study was to identify and confirm the requirements for optimal diaper performance from the neonatal intensive care unit nurses' perspective, as well as to assess in-hospital performance to determine if new features improved key developmental care parameters...
June 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29882415/acute-kidney-injury-in-children-with-acute-respiratory-failure
#5
Sindy M Villacrés, Shivanand S Medar, Scott I Aydin
BACKGROUND: Acute kidney injury (AKI) is common in critically ill children and develops in association with organ system dysfunction, with acute respiratory failure (ARF) one of the most common. We aim to study AKI in the pediatric ARF population. METHODS: Data were retrospectively collected on children aged 1 day to 18 years admitted to the pediatric intensive care unit (PICU) with ARF between 2010 and 2013. Descriptive statistics and multivariate analyses utilizing Mann-Whitney U, Wilcoxon signed rank, χ2 , or Fisher's exact tests were performed to identify risk factors associated with AKI...
June 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29871501/frequency-of-parent-adolescent-alcohol-specific-communication-and-adolescent-perceptions-of-alcohol
#6
Mindy R Brittner, Brandie Pugh, Karen Soren, Linda Richter, Melissa S Stockwell
To better understand the optimal frequency of parent-adolescent alcohol-specific communication, we conducted a secondary analysis of the National Center on Addiction and Substance Abuse Culture of High School Survey, a 2010 nationally representative online survey of 1000 high school students. Logistic regression models assessed the relationship between alcohol-specific communication and adolescent perceptions ( binge drinking is very dangerous, drinking is cool, and getting drunk is very dangerous), adjusting for grade, sex, race, personal and peer alcohol use, and parental monitoring...
June 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29865905/literacy-promotion-strategies-within-reach-out-and-read-an-exploratory-study
#7
Robert Needlman, Zaeem Lone, Ryan Chae, Neelab Abdullah
Literacy promotion (LP) is an essential component of primary care. This study explored different LP strategies in 2 cohorts of children aged 6 months to 6 years coming for routine care. In cohort 1 (N = 24), LP consisted mainly of advice. In cohort 2 (C2, N = 21), LP prioritized observing parent-child dyads reading aloud and giving feedback. Parents were interviewed 1 to 2 weeks later. LP took longer in C2 (138 ± 66 seconds vs 73 ± 50, P < .001), and parents were more likely to recall having learned about reading aloud (48% vs 8%, P < ...
June 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29862829/families-traveling-or-moving-to-developing-countries-with-young-children
#8
Russell W Steele
No abstract text is available yet for this article.
June 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29808741/adequate-or-inadequate-the-volume-of-blood-submitted-for-blood-culture-at-a-tertiary-children-s-hospital
#9
Freya C Harewood, Nigel Curtis, Andrew J Daley, Penelope A Bryant, Amanda Gwee, Thomas G Connell
The volume of blood sampled for culture critically influences the results. This study aimed to determine (1) the volume of blood submitted for culture, (2) the proportion of blood cultures with adequate volume, (3) whether measured improvement from a previous educational intervention had been sustained, and (4) the impact of blood volume on culture result. The volume of blood submitted for cultures was determined over a 13-month period by weighing bottles before and after collection and before and after an educational intervention...
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29808740/establishing-the-need-for-an-evidence-based-treatment-algorithm-for-peritonsillar-abscess-in-children
#10
Maria Carratola Grant, Blake Raggio, Blair Barton, J Lindhe Guarisco
In this retrospective case series, we report clinical factors associated with pediatric peritonsillar abscess (PTA), with hopes of contributing to the design of an evidenced-based, economic treatment approach. Charts were examined for presenting symptoms and signs. Each of these were analyzed for association with the presence of PTA and for association with treatment. We found that, with the exception of leukocytosis, the signs/symptoms that prompted treatment correlate with those that indicate the presence of PTA...
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29783862/sign-language-for-deaf-infants-a-key-intervention-for-a-developmental-emergency
#11
Arielle Spellun, Poorna Kushalnagar
No abstract text is available yet for this article.
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29772917/media-facilitated-sexual-assault-in-children-and-teens
#12
Stephanie MacPherson, Emily C Brown, Beth Herold, Aditee Narayan
No abstract text is available yet for this article.
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29772916/home-oxygen-therapy-for-bronchiolitis-an-evaluation-of-the-primary-care-providers-experience-at-sea-level
#13
Erin E Dunbar, Michelle L Macy, James A Cranford, Nicole Sroufe, Marie Lozon, Marisa C Louie
Despite 90% of primary care providers at altitude reporting experience with home oxygen therapy for hypoxemic, otherwise well infants, its use at sea level is not well described. Our objective was to understand experience with home oxygen at sea level and determine potential barriers and benefits of its use. We surveyed all pediatricians and family medicine providers within a 30-mile radius of our pediatric hospital from May 2016 to December 2016. Forty-three percent of providers responded. Few (8%) had any experience with home oxygen therapy for bronchiolitis...
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29756475/national-survey-of-pediatric-care-providers-assessing-time-and-impact-of-coding-and-documentation-in-physician-practice
#14
Anshul Arora, Ashish Garg, Vrinda Arora, Munaza Rizvi, Ninad Desai
BACKGROUND: Documentation and billing/coding are essential to medical practice. Physicians spend significant time documenting to meet coding and medicolegal requirements, potentially reducing time for patient care and learning. We sought to assess time spent charting in pediatric practice and provider understanding and comfort level regarding billing/coding. METHODS: An anonymous web-based survey was emailed to members of American Academy of Pediatrics Section of Pediatric Trainees practicing in the United States...
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29754513/value-based-treatment-of-common-pediatric-fractures-by-primary-care
#15
Rhett MacNeille, William L Hennrikus
No abstract text is available yet for this article.
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29742911/unmet-needs-in-pediatric-functional-constipation
#16
Manu Sood, Peter Lichtlen, Maria Claudia Perez
No abstract text is available yet for this article.
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29732921/understanding-the-unique-needs-of-hospitalized-adolescents-and-young-adults-referred-for-psychology-consults
#17
Kristin A Kullgren, Sarah K Sullivan, Terrill Bravender
Hospitalized children and adolescents/young adults (AYA) frequently have mental health concerns that may be addressed by consulting psychology. We examined demographic, medical, referral, intervention, and disposition differences between children (≤11 years) and AYA referred for a psychology consult at a pediatric hospital (N = 1091). Referred AYA were more likely to be female, have shorter lengths of stay, and repeat psychology consults. Children were more likely to be referred for anxiety or feeding; AYA were more often referred for depression, pain, somatic complaints, or maladjustment...
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29732920/replacing-liquid-antibiotics-with-cheaper-pill-equivalents-an-opportunity-for-substantial-savings
#18
Kristen S Hori, Andrea M Siu, Loren G Yamamoto
Liquid antibiotics are often substantially more expensive than their pill counterparts, representing an opportunity for substantial cost reductions. Children can be taught to swallow pills at about age 6 years. The objective of this study was to calculate the potential cost saved by replacing liquid antibiotics with cheaper pill equivalents for pediatric patients for the antibiotic prescriptions written by a health care system. A retrospective smart cost analysis was performed of pediatric patients within a health care system, age 6 to less than 18 years of age receiving a liquid antibiotic prescription...
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29719986/linking-the-medical-and-educational-home-to-support-children-with-autism-spectrum-disorder-practice-recommendations
#19
Jeffrey D Shahidullah, Gazi Azad, Katherine R Mezher, Maryellen Brunson McClain, Laura Lee McIntyre
Children with autism spectrum disorder (ASD) present with complex medical problems that are often exacerbated by a range of other intellectual and psychiatric comorbidities. These children receive care for their physical and mental health from a range of providers within numerous child-serving systems, including their primary care clinic, school, and the home and community. Given the longitudinal nature in which care is provided for this chronic disorder, it is particularly necessary for services and providers to coordinate their care to ensure optimal efficiency and effectiveness...
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29719985/headache-and-lethargy-in-a-6-year-old
#20
Jeffrey D Coote, Angelina M Dixon, Brigid E O'Brien, Russell W Steele
No abstract text is available yet for this article.
May 1, 2018: Clinical Pediatrics
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