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Current Problems in Pediatric and Adolescent Health Care

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https://www.readbyqxmd.com/read/28366491/pediatric-headache-an-overview
#1
Raquel Langdon, Marc T DiSabella
Headache represents the most common neurologic disorder in the general population including children and is increasingly being recognized as a major source of morbidity in youth related to missed school days and activities. In this article, we take a holistic approach to the child presenting with headache with a focus on the detailed headache history, physical and neurologic examinations, and diagnostic evaluation of these patients. Clinical presentations and classification schema of multiple primary and secondary headache types in children are discussed using the International Headache Criteria (IHCD-3) as a guide, and a summary provided of the various treatment modalities employed for pediatric headache including lifestyle modifications, behavioral techniques, and abortive and preventive medications...
March 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28366490/foreword
#2
EDITORIAL
Mary C Ottolini
No abstract text is available yet for this article.
March 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28267431/foreword-sleep-regulation-physiology-and-development-sleep-duration-and-patterns-and-sleep-hygiene-in-infants-toddlers-and-preschool-age-children
#3
EDITORIAL
Arthur H Fierman
No abstract text is available yet for this article.
February 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28117135/sleep-regulation-physiology-and-development-sleep-duration-and-patterns-and-sleep-hygiene-in-infants-toddlers-and-preschool-age-children
#4
REVIEW
Eleanor Bathory, Suzy Tomopoulos
Sleep problems are common, reported by a quarter of parents with children under the age of 5 years, and have been associated with poor behavior, worse school performance, and obesity, in addition to negative secondary effects on maternal and family well-being. Yet, it has been shown that pediatricians do not adequately address sleep in routine well-child visits, and underdiagnose sleep issues. Pediatricians receive little formal training in medical school or in residency regarding sleep medicine. An understanding of the physiology of sleep is critical to a pediatrician׳s ability to effectively and confidently counsel patients about sleep...
February 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28089616/foreword-pediatric-psychopharmacology-for-primary-care-clinicians
#5
EDITORIAL
John M Pascoe
No abstract text is available yet for this article.
January 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28089615/commentary-pediatric-psychopharmacology-for-the-primary-care-clinician
#6
Andrew Smith
No abstract text is available yet for this article.
January 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28057447/antidepressant-prescribing-by-pediatricians-a-mixed-methods-analysis
#7
Anne K Tulisiak, Jillian A Klein, Emily Harris, Marissa J Luft, Heidi K Schroeder, Sarah A Mossman, Sara T Varney, Brooks R Keeshin, Sian Cotton, Jeffrey R Strawn
Among pediatricians, perceived knowledge of efficacy, tolerability, dosing, and side effects of antidepressants represent significant sources of variability in the use of these medications in youth with depressive and anxiety disorders. Importantly, the qualitative factors that relate to varying levels of comfort with antidepressants and willingness to prescribe are poorly understood. Using a mixed-methods approach, in-depth interviews were conducted with community-based and academic medical center-based pediatricians (N = 14)...
January 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28043839/primary-pediatric-care-psychopharmacology-focus-on-medications-for-adhd-depression-and-anxiety
#8
REVIEW
Jeffrey R Strawn, Eric T Dobson, Lisa L Giles
The evidence base for psychopharmacologic interventions in youth with depressive and anxiety disorders as well as attention/deficit hyperactivity disorder (ADHD) has dramatically increased over the past two decades. Psychopharmacologic interventions commonly utilized in the pediatric primary care setting-selective serotonin (norepinephrine) reuptake inhibitors (SSRIs/SSNRIs), stimulants and α2 agonists-are reviewed. General pharmacologic principles are summarized along with class-related side effects and tolerability concerns (e...
January 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27964833/commentary-integrating-social-determinants-family-involvement-and-mental-health-in-pediatric-primary-care
#9
W Douglas Tynan
No abstract text is available yet for this article.
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27956109/practical-steps-to-integrate-family-voice-in-organization-policy-planning-and-decision-making-for-socio-emotional-trauma-informed-integrated-pediatric-care
#10
MULTICENTER STUDY
Lauren Dayton, Amelia Buttress, Jen Agosti, Javier Aceves, Meredith Kieschnick, Agatha Popejoy, Robyn Robbins, Kate Farinholt
This article explores barriers and strategies to achieving family-driven integrated child health care. Family involvement in health system design and reform has become a guiding principle in national and local efforts to improve children's mental health services. In practice, primary care clinicians, staff, and families continue to describe common barriers to integrating family voice. Drawing from the collective knowledge of the Pediatric Integrated Care Collaborative (PICC) and the National Alliance on Mental Illness (NAMI), we present strategies to overcome these barriers to successfully recruit, sustain, and expand family influence on health systems...
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27940121/introducing-psychosocial-trauma-informed-integrated-care
#11
Lawrence S Wissow
No abstract text is available yet for this article.
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27940120/integrating-mental-and-physical-health-services-using-a-socio-emotional-trauma-lens
#12
Lauren Dayton, Jen Agosti, Deirdre Bernard-Pearl, Marian Earls, Kate Farinholt, Betsy McAlister Groves, Mark Rains, Barry Sarvet, Holly C Wilcox, Lawrence S Wissow
This article provides a synthesis of the lessons learned from the Pediatric Integrated Care Collaborative (PICC), a SAMHSA-funded project that is part of the National Child Traumatic Stress Network. The high prevalence of trauma exposure in childhood and shortage of mental health services has informed efforts to integrate mental and behavioral health services in pediatric primary care. This article outlines strategies to integrate care following the six goals of the PICC change framework: create a trauma/mental health informed office; involve families in program development; collaborate and coordinate with mental health services; promote resilience and prevent mental health problems through a particular focus on trauma-related risks; assess trauma-related somatic and mental health issues; and address trauma-related somatic and mental heath issues...
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27919566/the-five-s-s-a-communication-tool-for-child-psychiatric-access-projects
#13
Joyce Harrison, Kate Wasserman, Janna Steinberg, Rheanna Platt, Kelly Coble, Kelly Bower
Given the gap in child psychiatric services available to meet existing pediatric behavioral health needs, children and families are increasingly seeking behavioral health services from their primary care clinicians (PCCs). However, many pediatricians report not feeling adequately trained to meet these needs. As a result, child psychiatric access projects (CPAPs) are being developed around the country to support the integration of care for children. Despite the promise and success of these programs, there are barriers, including the challenge of effective communication between PCCs and child psychiatrists...
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27913080/foreword-primary-care-and-the-promotion-of-children-s-mental-health
#14
EDITORIAL
John M Pascoe
No abstract text is available yet for this article.
December 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27940122/pediatric-community-mental-health
#15
REVIEW
Lisa M Cullins, Mary Gabriel, Martine Solages, David Call, Shalice McKnight, Milangel Concepcion, Jang Cho
The emotional health and wellbeing of children and adolescents and their families is of utmost importance. Pediatricians are at the front line in identifying mental illness in children and adolescents and either linking them to resources in the community or providing treatment options themselves. Collaboration and integrative health care models is the cornerstone of effective strategies to provide access and quality mental health care to children and families in communities across the country.
November 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27913081/foreword
#16
EDITORIAL
Mary C Ottolini
No abstract text is available yet for this article.
November 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27968954/childhood-leukemia-and-primary-prevention
#17
Todd P Whitehead, Catherine Metayer, Joseph L Wiemels, Amanda W Singer, Mark D Miller
Leukemia is the most common pediatric cancer, affecting 3800 children per year in the United States. Its annual incidence has increased over the last decades, especially among Latinos. Although most children diagnosed with leukemia are now cured, many suffer long-term complications, and primary prevention efforts are urgently needed. The early onset of leukemia-usually before 5 years of age-and the presence at birth of "pre-leukemic" genetic signatures indicate that pre- and postnatal events are critical to the development of the disease...
October 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27968953/foreword-childhood-leukemia-and-primary-prevention
#18
EDITORIAL
Ruth A Etzel
No abstract text is available yet for this article.
October 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27712647/commentary-health-disparities-social-justice-and-the-practice-of-pediatrics
#19
COMMENT
William T Gerson
No abstract text is available yet for this article.
September 2016: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/27712646/child-health-disparities-in-the-21st-century
#20
REVIEW
Charles Oberg, Sonja Colianni, Leslie King-Schultz
The topic of persistent child health disparities remains a priority for policymakers and a concern for pediatric clinicians. Health disparities are defined as differences in adverse health outcomes for specific health indicators that exist across sub-groups of the population, frequently between minority and majority populations. This review will highlight the gains that have been made since the 1990s as well as describe disparities that have persisted or have worsened into the 21st century. It will also examine the most potent social determinants and their impact on the major disparities in mortality, preventive care, chronic disease, mental health, educational outcomes, and exposure to selected environmental toxins...
September 2016: Current Problems in Pediatric and Adolescent Health Care
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