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Current Problems in Pediatric and Adolescent Health Care

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https://www.readbyqxmd.com/read/30224198/child-welfare-system-interventions-on-behalf-of-children-and-families-highlighting-the-role-of-court-appointed-special-advocates
#1
Martha Gershun, Claire Terrebonne
Nearly three-quarters of a million children are victims of abuse and neglect in the United States every year. This article describes the scope of the problem and explains how the child welfare system intervenes, including how cases are reported, how Child Protective Services (CPS) assesses the risk, how CPS determines when in-home services are appropriate or if a child should be removed from the home, how ongoing cases are managed, and the options for permanency for children in the system. The article also explains how the Family Court system operates as the decision-maker in child abuse and neglect cases and discusses the various models of legal representation provided to child victims, depending on the jurisdiction in which they live...
September 14, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30213528/foreword-quality-improvement-part-i
#2
John M Pascoe
No abstract text is available yet for this article.
September 11, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30213527/modeling-causal-relationships-in-quality-improvement
#3
Merrilee Cox, Kelly Sandburg
Taking the time to plan a quality improvement project before starting the project improves the likelihood of success. Understanding the tools that can be utilized for identification of a problem, the causes behind it, and the development of the theoretical framework of the planned improvement are crucial. Fishbone diagrams or cause and effect diagrams are often utilized to identify the root causes leading to an identified problem. Keydriver diagrams can provide the structure for a quality improvement project, establishing the aim and identifying the drivers and interventions that lead to change...
September 11, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30213526/foreword-quality-improvement-part-ii
#4
EDITORIAL
John M Pascoe
No abstract text is available yet for this article.
September 10, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30205945/understanding-variation-part-1-the-run-chart
#5
Elizabeth Williams
This paper briefly describes different types of data, how to collect data, the rationale for organizing data in a time-ordered fashion, and how to use a simple tool called a run chart to present and analyze data. The run chart is simple to construct and equally as simple to analyze. Run charts make variation visible and determine whether a change has made an improvement and if the improvement is being sustained. Two probability rules accompany run charts to help answer the question "How will we know that a change is an improvement?"...
September 8, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30205944/process-mapping-the-foundation-for-effective-quality-improvement
#6
Robert D Marriott
Process maps are a key quality improvement tool used to visualize how healthcare, and its complex processes, are delivered. It is used for determining the step by step flow of the process, its timing, handoffs, and identifying outputs that can be visualized, measured, and studied. Due to the complexity of healthcare, process mapping must be a foundational element of both healthcare process design and quality improvement.
September 8, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30205943/building-the-case-for-quality-improvement
#7
Thomas Taghon
Great improvements have been made by quality improvement teams. National trends towards using quality and value metrics in reimbursement suggest that physicians and advanced practitioners caring for children and adolescents will benefit from knowing and using quality improvement methods. These methods will also help as transparency of quality data becomes more commonplace.
September 8, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30174181/pediatricians-and-court-appointed-special-advocates-casa
#8
John D Lantos
No abstract text is available yet for this article.
August 30, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30143431/in-search-of-better-practice
#9
William T Gerson
No abstract text is available yet for this article.
August 21, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30049477/cardiovascular-clearance-for-sports-participation
#10
Sona Dave, Ronald Feinstein
Sudden cardiac death (SCD) in a young athlete is a rare but tragic occurrence. The goal of this article is to provide information about the risks of sudden cardiac death in athletes by reviewing the epidemiology and describing the current screening recommendations of the American Heart Association/American College of Cardiology. 1 The specifics of and reasons for differences between screening guidelines in the United States and the screening guidelines in Europe are highlighted. Electrocardiogram (ECG) changes that can be expected in the setting of conditioning vs pathology are described...
July 24, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30017603/evaluation-and-management-of-concussion-in-young-athletes
#11
Jennifer Kosoy, Ronald Feinstein
Learning about concussion diagnosis and management is important for all individuals who will be taking care of young athletes. There are about 1.7million reported concussions per year, and, of these, about 20% are sports related. There are risks in all sports, but the highest rates of concussions are from football, rugby, and hockey, with soccer being the highest cause for girls. An on-field assessment includes evaluating airway, breathing, and circulation, followed by cervical spine assessment. Then, concussion evaluation tools can be used to aid in making the diagnosis...
July 14, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30017602/foreword-clearance-for-sports-participation-concussions-cardiovascular-and-other-medical-concerns
#12
Ronald Feinstein, Martin Fisher
No abstract text is available yet for this article.
July 14, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/30017601/sports-participation-for-young-athletes-with-medical-conditions-seizure-disorder-infections-and-single-organs
#13
Camille Manuel Md, Ronald Feinstein Md
Organized and recreational sports have been shown to be an important part of growth and development in children, adolescents and young adults. In addition to the health benefits of increased physical activity, sports also provide social benefits. Pediatricians play an important role in determining if young athletes can participate in various sports and the proper equipment or precautions that are necessary. This review provides information on sports participation for athletes with specific health considerations, such as: febrile illnesses, solitary organs, seizures, and skin infections...
July 14, 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/29801771/subglottic-stenosis
#14
Katherine Hanlon, R Paul Boesch, Ian Jacobs
Subglottic stenosis refers to narrowing of the airway diameter below the vocal folds and may be congenital or acquired. Typical signs and symptoms range from recurrent croup and exertional stridor to complete airflow obstruction requiring tracheotomy. Management of moderate and severe subglottic stenosis often requires intricate surgical techniques. To optimize the success of these surgeries, a thorough assessment of the child's airway, lungs, reflux, and swallow needs to be evaluated. In order to provide concerted and coordinated care between typically otolaryngology (ENT), pulmonary, gastroenterology (GI), speech, swallow and language pathologists (SLP), "aerodigestive" teams have been developed and increasing in prevalence at children's medical hospitals...
April 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/29657087/the-pediatric-aerodigestive-center-as-a-tertiary-care-based-medical-home-a-proposed-model
#15
Meghan M Galligan, Tara W Bamat, Annique K Hogan, Joseph Piccione
Children with special healthcare needs have been identified nationally as a population whose health care is associated with unmet needs; increased morbidity; fragmentation of care and medical errors; caregiver dissatisfaction; and disproportionately high costs. A subset of these children are medically fragile, with medical complexity that requires a reliance on tertiary care-based services-including subspecialty appointments, surgical procedures, and care coordination resources. For medically complex patients affected by upper and lower respiratory tract and gastrointestinal disorders, multidisciplinary aerodigestive centers have emerged at tertiary care centers across the United States to facilitate coordinated, high-quality, and high value care...
April 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/29653906/vocal-fold-motion-impairment
#16
Karen B Zur
Vocal fold motion abnormalities in children are the second most common form of laryngeal pathology seen in children, and often present in the first 24 months of life. A thorough evaluation of the aerodigestive tract will include an examination of the vocal folds, and a proper diagnosis is essential in order to decipher the etiology of swallowing, voicing and breathing abnormalities. This article reviews the workup, management options and clinical outcomes of unilateral and bilateral vocal fold motion impairment in the pediatric population...
April 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/29650455/foreword-aerodigestive-disorders-part-ii
#17
EDITORIAL
Louis M Bell
No abstract text is available yet for this article.
April 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/29622320/laryngomalacia-tracheomalacia-and-bronchomalacia
#18
Erik B Hysinger
Airway malacia can occur in the larynx (larygomalacia), trachea (tracheomalacia), or bronchi (bronchomalacia). As a group these are the most common congenital abnormalities of the pediatric airway and are characterized by increased airway compliance, resulting in excessive dynamic collapse during the respiratory cycle. While a diagnosis can be suspected based on clinical history and physical examination, definitive evaluation is based of nasopharyngolaryngoscopy and/or bronchoscopy. Observation and conservative management are typically all that are required...
April 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/29602647/bronchiectasis-chronic-suppurative-lung-disease-and-protracted-bacterial-bronchitis
#19
Dan T Benscoter
Bronchiectasis is a structural airway disease characterized by dilated bronchi and bronchioles due to severe or recurrent lower airways inflammation. Bronchiectasis can occur as a result of chronic pulmonary aspiration. Bronchiectasis may also be associated with a wide variety of systemic diseases, which should be considered in the differential diagnosis. Children with bronchiectasis typically have a chronic or recurrent productive cough and carry a significant burden of disease with a considerable impact on quality of life...
April 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/29566989/the-role-of-the-medical-social-worker-in-a-pediatric-aero-digestive-program
#20
Amanda Fonash
Families experience many psycho-social challenges when caring for a child with a tracheostomy in the home. The support of a Medical Social Worker in a Pediatric Aero-digestive Program is vitally important to help families navigate the multiple systems required to help manage the needs of medically complex child. The Medical Social Worker should strive to partner with families to provide resources and coordinate care to enhance coping and improve overall patient care and well-being.
April 2018: Current Problems in Pediatric and Adolescent Health Care
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