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Academic Pediatrics

Hamsika Chandrasekar, Seamus Harte, Jules Sherman, K T Park, Henry C Lee
No abstract text is available yet for this article.
February 12, 2018: Academic Pediatrics
Erika L Abramson, Monique M Naifeh, Michelle D Stevenson, Elizabeth Mauer, Hoda T Hammad, Linda M Gerber, Su-Ting T Li
OBJECTIVE: Participation in scholarly activity (SA) is an ACGME requirement. Yet, the authors' previous research with program directors (PDs) suggests pediatric SA training is variable and suboptimal. To help programs better meet requirements, our objective was to understand the resident perspective regarding SA training, including factors associated with satisfaction and productivity. METHODS: The authors conducted cross-sectional surveys of second and third year pediatric residents and PDs at 22 diverse programs in 2016...
February 12, 2018: Academic Pediatrics
Susan E Levy, Alexander G Fiks
No abstract text is available yet for this article.
February 9, 2018: Academic Pediatrics
Amy Ladley, Amanda Waltos Hieger, Joshua Arthur, Matthew Broom
OBJECTIVE: This study sought to determine the feasibility and effectiveness of text messages as an educational tool to reduce the prevalence of nonurgent emergency department (ED) visits among a population with high levels of low health literacy. METHODS: Prospective, randomized experiment conducted in a large, urban, academic pediatric primary care practice enrolled 231 caregivers of infants into 2 groups: 1) enhanced standard of care (ESoC) materials at well-child visits through 6 months (n=99 completing); 2) ESoC and 4 text messages/week through 6 months (n=108 completing)...
February 9, 2018: Academic Pediatrics
Anne Gadomski, Moira Riley, Katherine Ramiza, Lauren Onofrey, Ruth Zinkievich, Nicole Krupa, Melissa Scribani
OBJECTIVE: Our level I nursery and pediatric unit in a rural hospital adopted a family-centered, symptom-based oral morphine weaning protocol for Neonatal Abstinence Syndrome (NAS) in 2009. Length of stay (LOS), treatment duration (TD) and hospital charges for infants treated for NAS were then compared to published data in neonatal intensive care units (NICUs) nationwide. METHODS: The electronic medical records (EMRs) of infants born 1/1/11 to 4/1/17 whose discharge diagnosis included an ICD9 or ICD10 code for NAS or prenatal drug exposure were paired with maternal EMR and reviewed...
February 8, 2018: Academic Pediatrics
Roger E Thomas, Philip Baker, Bennett C Thomas
No abstract text is available yet for this article.
February 8, 2018: Academic Pediatrics
Sarah Webber, Sabrina M Butteris, Laura Houser, Karen Coller, Ryan J Coller
BACKGROUND: A significant and growing proportion of US children have immigrant parents, an issue of increasing importance to pediatricians. Training globally minded pediatric residents to address health inequities related to globalization is an important reason to expand educational strategies around local global health (LGH). METHODS: We developed a curriculum in the pediatric global health residency track at the University of Wisconsin in an effort to address gaps in LGH education and to increase resident knowledge about local health disparities for global community members...
February 7, 2018: Academic Pediatrics
Ariel S Winn, S Jean Emans, Lori R Newman, Thomas J Sandora
No abstract text is available yet for this article.
February 6, 2018: Academic Pediatrics
H Barrett Fromme, Michael S Ryan, Alix Darden, Donna D'Alessandro, Leora Mogilner, Steven Paik, Teri L Turner
Education, like clinical medicine, should be based on the most current evidence in the field. Unfortunately, medical educators can be overwhelmed by the sheer volume and range of resources for this literature. This article provides an overview of 15 articles from 2016 that the authors consider the top articles in the field of pediatric medical education. The seven authors, all medical educators with combined leadership and expertise across the continuum of pediatric medical education, used an interative, three-stage process to review more than 6339 abstracts published in 2016...
February 6, 2018: Academic Pediatrics
Rachel S Gross, Alan L Mendelsohn, Mary Jo Messito
No abstract text is available yet for this article.
February 5, 2018: Academic Pediatrics
Ellen K Hamburger, Sarah Muradian, Alicia Widge, J Lindsey Lane, Dewesh Agrawal, Claire Boogaard, Janice L Hanson, Mary Ottolini
No abstract text is available yet for this article.
February 1, 2018: Academic Pediatrics
Valerie S Harder, Sara E Barry, Bridget Ahrens, Wendy S Davis, Judith S Shaw
OBJECTIVES: Despite the proven benefits of immunizations, coverage remains low in many states, including Vermont. This study measures the impact of a quality improvement (QI) project on immunization coverage in childhood, school-age, and adolescent groups. METHODS: In 2013, 20 primary care practices completed a seven month QI project aimed to increase immunization coverage among early childhood (29-33 months), school-age (6 years), and adolescent (13 years) age groups...
January 29, 2018: Academic Pediatrics
Sarah Honaker, Tamara Dugan, Ameet Daftary, Stephanie Davis, Chandan Saha, Fitsum Baye, Emily Freeman, Stephen Downs
OBJECTIVE: To examine primary care provider (PCP) screening practice for obstructive sleep apnea (OSA) and predictive factors for screening habits. A secondary objective was to describe the polysomnography (PSG) completion proportion and outcome. We hypothesized that both provider and child health factors would predict PCP suspicion of OSA. METHODS: A computer decision support system that automated screening for snoring was implemented in five urban primary care clinics in Indianapolis, Indiana...
January 29, 2018: Academic Pediatrics
Jessica W Tsai
No abstract text is available yet for this article.
January 29, 2018: Academic Pediatrics
Sean M Frey, Marybeth R Jones, Nicolas Goldstein, Kristin Riekert, Maria Fagnano, Jill S Halterman
OBJECTIVES: To compare the abilities of teens with uncontrolled persistent asthma and their caregivers to identify inhaled medications and state correct indications for use; examine medication responsibility within dyads; and determine whether responsibility is associated with knowledge about inhaled therapies. DESIGN/METHODS: In the baseline survey for the School-Based Asthma Care for Teens (SB-ACT) trial, we separately asked caregivers and teens to: 1) identify the teen's inhaled asthma therapies by name and from a picture chart (complete matches considered "concordant"); 2) describe indications of use for each medication; 3) describe the allocation of responsibility for medication use within dyads...
January 21, 2018: Academic Pediatrics
Olivier Drouin, Jonathan P Winickoff
BACKGROUND/OBJECTIVE: Unhealthy behaviors are a major cause of chronic disease. Pre-appointment screening has been suggested as one way to improve preventive care delivery related to these behaviors by specifying risks to be addressed. We aimed to determine whether screening for health-related behaviors before the clinical encounter will lead to higher counseling rate and service delivery by clinicians. METHODS: We used a pre-/post-design in one practice with a control practice to evaluate the effects of pre-appointment screening for three behavioral risk factors (tobacco smoke exposure, no recent dental care visit, and consumption of sugar-sweetened beverages)...
January 20, 2018: Academic Pediatrics
Alison L Miller, Ashley N Gearhardt, Lauren Retzloff, Julie Sturza, Niko Kaciroti, Julie C Lumeng
OBJECTIVE: To identify whether psychosocial stress exposure during early childhood predicts subsequent increased eating in the absence of hunger (EAH), emotional overeating, food responsiveness, and enjoyment of food. METHODS: This was an observational longitudinal study. Among 207 low-income children (54.6% non-Hispanic white, 46.9% females) early childhood stress exposure was measured by parent report and a stress exposure index was calculated (higher scores indicating more stress exposure)...
January 18, 2018: Academic Pediatrics
Cynthia DeLago, Brittany Dickens, Etienne Phipps, Andrew Paoletti, Magdelena Kazmierczak, Matilde Irigoyen
OBJECTIVE: Individual primary care (IWC) is the standard delivery model for well-child care in the U.S. Alternative models, such as group care (GWC), may create opportunities to enhance care for babies. The purpose of this study is to evaluate parents' perceptions of social/wellness benefits and system challenges of IWC and GWC. METHODS: Since 2014, we have provided both IWC and GWC at an urban, academic practice serving a low-income, minority community. We conducted a mixed method study involving surveys and 18 focus groups (11 IWC groups, n=32 parents; 7 GWC groups, n=33 parents)...
January 18, 2018: Academic Pediatrics
Margaret Samuels-Kalow, Alon Peltz, Jonathan Rodean, Matthew Hall, Elizabeth R Alpern, Paul L Aronson, Jay G Berry, Kathy N Shaw, Rustin B Morse, Stephen B Freedman, Eyal Cohen, Harold K Simon, Samir S Shah, Yiannis Katsogridakis, Mark I Neuman
BACKGROUND AND OBJECTIVES: Interventions to reduce frequent emergency department (ED) use in children are often limited by the inability to predict future risk. We sought to develop a population-based model for predicting Medicaid-insured children at risk for high frequency of low-resource intensity (LRI) ED visits. METHODS: Retrospective cohort analysis of Medicaid-insured children (age 1-18 years) included in the MarketScan® Medicaid database with ≥1 ED visit(s) in 2013...
January 10, 2018: Academic Pediatrics
Federico Solla, Joseph Carboni, Jean Bréaud, Philippe Babe, Gilles Brézac, Nathalie Chivoret, Audrey Dupont, Arnaud Fernandez
On July 14th, 2016, a terrorist attack by truck occurred in Nice (France), during the traditional fireworks for Bastille Day. The authors present the point of view of the doctors from Lenval University Children's Hospital, which is located near the attack place and had to manage 47 casualties including 12 adults.
January 10, 2018: Academic Pediatrics
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