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Academic Pediatrics

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https://www.readbyqxmd.com/read/28108374/strategies-to-reduce-hospitalizations-of-children-with-medical-complexity-through-complex-care-expert-perspectives
#1
Ryan J Coller, Bergen B Nelson, Thomas S Klitzner, Adrianna A Saenz, Paul G Shekelle, Carlos F Lerner, Paul J Chung
OBJECTIVES: Interventions to reduce disproportionate hospital use among children with medical complexity (CMC) are needed. Our objective was to conduct a rigorous, structured process to develop intervention strategies aiming to reduce hospitalizations within a complex care program population. METHODS: A complex care medical home program used 1) semi-structured interviews of caregivers of CMC experiencing acute, unscheduled hospitalizations, and 2) literature review on preventing hospitalizations among CMC, to develop key drivers for lowering hospital utilization and link them with intervention strategies...
January 17, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28108126/expert-perspectives-on-time-sensitivity-and-a-related-metric-for-children-involved-in-motor-vehicle-crashes
#2
Andrea N Doud, Samantha L Schoell, Ashley A Weaver, Jennifer W Talton, Ryan T Barnard, John K Petty, J Wayne Meredith, Joel D Stitzel
OBJECTIVE: Advanced Automatic Crash Notification (AACN) uses vehicle telemetry data to predict risk of serious injury among motor vehicle crash occupants and can thus improve the accuracy with which injured children are triaged by first responders. To better define serious injury for AACN systems (which typically use Abbreviated Injury Scale [AIS] metrics), an age-specific approach evaluating severity, time sensitivity (TS), and predictability of injury has been developed. This study outlines the development of the TS score...
January 17, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28104491/treating-the-pain
#3
Ann S Botash
No abstract text is available yet for this article.
January 16, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28104490/increasing-trainee-reporting-of-adverse-events-with-monthly-trainee-directed-review-of-adverse-events
#4
Alla Smith, Jonathan Hatoun, James Moses
OBJECTIVE: Underreporting of adverse events by physicians is a barrier to improving patient safety. In an effort to increase resident and medical student (hereafter "trainee") reporting of adverse events, trainees developed and led a monthly conference during which they reviewed adverse-event reports, identified system vulnerabilities and designed solutions to those vulnerabilities. METHODS: Monthly conferences over the 22-month study period were led by pediatric trainees, and attended by fellow trainees, departmental leadership, and members of the hospital's quality improvement team...
January 16, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28104489/changes-and-factors-associated-with-tobacco-counseling-results-from-the-aap-periodic-survey
#5
Robert McMillen, Karen G O'Connor, Judith Groner, Susanne Tanski, Elyse R Park, Jonathan D Klein
INTRODUCTION: The AAP advises pediatricians to counsel parents and patients who use tobacco to quit. This study assesses changes in counseling between 2004 and 2010, and factors associated with counseling in 2010. METHODS: In 2004 and 2010, the Periodic Survey, a national survey of AAP members, inquired about tobacco counseling. Chi-square tests were performed to compare responses by survey year. Bivariate and multivariable analyses examined factors associated with counseling...
January 16, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28104488/satisfaction-with-communication-in-primary-care-for-spanish-speaking-and-english-speaking-parents
#6
Kori B Flower, Asheley C Skinner, H Shonna Yin, Russell L Rothman, Lee M Sanders, Alan Delamater, Eliana M Perrin
BACKGROUND AND OBJECTIVE: Effective communication with primary care physicians is important yet incompletely understood for Spanish-speaking parents. We predicted lower satisfaction among Spanish-speaking compared with English-speaking Latino and non-Latino parents. METHODS: Cross-sectional analysis at 2-month well visits within the Greenlight study at 4 pediatric resident clinics. Parents reported satisfaction with 14 physician communication items using the validated Communication Assessment Tool (CAT)...
January 16, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28088525/miles-away-milestones-a-framework-for-assessment-of-pediatric-residents-during-global-health-rotations
#7
Gitanjli Arora, Tania Condurache, Maneesh Batra, Sabrina M Butteris, Traci Downs, Lynn Garfunkel, Charles Andrew Newcomer, Kathy L Perkins, Charles Schubert, Nicole E St Clair
No abstract text is available yet for this article.
January 11, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28087366/a-program-to-prevent-burnout-depression-and-anxiety-in-first-year-pediatric-residents
#8
Stuart Slavin, Mindy Shoss, Matthew A Broom
No abstract text is available yet for this article.
January 10, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28089593/physician-knowledge-and-attitudes-about-hepatitis-a-and-current-practices-regarding-hepatitis-a-vaccination-delivery
#9
Noele P Nelson, Mandy Allison, Megan C Lindley, Michaela Brtnikova, Lori A Crane, Brenda L Beaty, Laura P Hurley, Allison Kempe
OBJECTIVES: To assess physicians' 1) knowledge and attitudes about hepatitis A disease and HepA vaccine, and 2) child care and school HepA vaccine mandates; 3) practices related to HepA vaccine delivery; 4) factors associated with strongly recommending HepA vaccine to all 1-2 year olds; and 5) feasibility of implementing HepA catch-up vaccination at health maintenance visits. METHODS: A national survey was conducted among representative networks of pediatricians and family medicine physicians (FMs) from March to June, 2014 by e-mail or mail based on provider preference...
January 9, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28069410/tobacco-control-and-treatment-for-the-pediatric-clinician-practice-policy-and-research-updates
#10
REVIEW
Brian P Jenssen, Karen M Wilson
Tobacco use is the leading cause of preventable death in the United States, and exposure to tobacco smoke harms children from conception forward. There is no safe level of tobacco exposure. While overall smoking rates have declined, the advent of new products, such as electronic cigarettes, threatens to perpetuate nicotine addiction without clear health benefits. In addition to reviewing traditional and new tobacco products, we discuss the unique role that pediatricians should play in tobacco treatment and control efforts...
January 6, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28065799/experiences-in-care-by-parental-citizenship-and-language-use-among-latino-children-in-california
#11
Alexander N Ortega, Ryan M McKenna, Brent A Langellier, Héctor E Alcalá, Dylan H Roby
OBJECTIVE: To assess differences in healthcare access, utilization, and experiences among Latino children in California by parental citizenship status and language use. METHODS: Data are from the 2011 and 2012 California Health Interview Survey (CHIS) public use child files. A total of 2,841 interviews of parents of Latino children under the age of twelve years were conducted. Analyses were conducted to determine the associations between access (usual of source of care, delay in receiving needed care, health insurance), utilization (physician visits in past year, emergency department visits) and experiences (doctor listens, doctor explains instructions clearly, communication by telephone or email) by parental citizenship status and household language use after adjusting for confounders...
January 5, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28043935/the-association-between-electronic-media-and-emotional-and-behavioural-problems-in-late-childhood
#12
Lisa K Mundy, Louise Canterford, Timothy Olds, Nicholas B Allen, George C Patton
OBJECTIVE: There is growing concern that rising rates of electronic media use may be harmful. Yet the extent to which different types of electronic media use may be associated with emotional and behavioural problems is unclear. This study examined associations between emotional and behavioural problems and electronic media use during late childhood, in a large community sample. METHODS: Participants were 876 8-9 year olds taking part in the Childhood to Adolescence Transition Study in Australia...
December 30, 2016: Academic Pediatrics
https://www.readbyqxmd.com/read/28040574/evaluation-of-a-speed-mentoring-program-achievement-of-short-term-mentee-goals-and-potential-for-longer-term-relationships
#13
Melissa M Cellini, Janet R Serwint, Donna M D'Alessandro, Elaine E Schulte, Cynthia Osman
OBJECTIVES: Speed mentoring provides brief mentoring and networking opportunities. We evaluated 1) a national speed mentoring program's ability to encourage in-person networking and advice-sharing and 2) two potential outcomes: helping mentees achieve 3-month goals and fostering mentoring relationships after the program. MATERIALS AND METHODS: An outcome approach logic model guided our program evaluation. Sixty mentees and 60 mentors participated. Each mentee met with 6 mentors for 10 minutes per pairing...
December 28, 2016: Academic Pediatrics
https://www.readbyqxmd.com/read/28017711/evaluation-of-the-hypothesis-that-choking-alte-may-mimic-abusive-head-trauma
#14
Jennifer B Hansen, Terra Frazier, Mary Moffatt, Timothy Zinkus, James D Anderst
OBJECTIVE: Apparent life-threatening events (ALTEs), often accompanied by choking, have been hypothesized to cause subdural hemorrhages (SDH), retinal hemorrhages, and brain injury. If the choking/ALTE hypothesis were true, children who present with ALTE and SDH would have fewer extracranial injuries suspicious for abuse than those with SDH and no ALTE. We aimed to compare the prevalence of suspicious extracranial injuries in children who have ALTE-associated SDH to those with non-ALTE SDH...
December 22, 2016: Academic Pediatrics
https://www.readbyqxmd.com/read/27989927/major-depressive-disorder-among-preadolescent-canadian-children-rare-disorder-or-rarely-detected
#15
Daphne J Korczak, Marianna Ofner, John LeBlanc, Sam Wong, Mark Feldman, Patricia C Parkin
OBJECTIVE: Despite agreement that preadult onset of depression is associated with greater illness severity, and that children can meet the diagnostic criteria for major depressive disorder (MDD), few studies have examined the presentation of MDD among young children. This is the first nationwide study of MDD among preadolescent children in Canada. METHODS: Pediatrician members (2500) of a Canadian pediatric surveillance network were surveyed monthly over 3 years to report new cases of MDD among 5- to 12-year-olds...
December 21, 2016: Academic Pediatrics
https://www.readbyqxmd.com/read/28003143/adverse-childhood-experiences-and-adhd-diagnosis-at-age-9-in-a-national-urban-sample
#16
Manuel E Jimenez, Roy Wade, Ofira Schwartz-Soicher, Yong Lin, Nancy E Reichman
OBJECTIVE: To examine associations between adverse childhood experiences (ACE) and ADHD at age 9 using longitudinal data and assess the extent to which ACEs during middle childhood are independently associated with ADHD at age 9. METHODS: We conducted a secondary analysis of data from the Fragile Families urban birth cohort 5 and 9 year interviews. The sample was limited to children for whom mothers were the primary caregiver and mother-reported information on 8 ACEs and ADHD were available at age 5 and 9...
December 18, 2016: Academic Pediatrics
https://www.readbyqxmd.com/read/27993644/how-educators-conceptualize-and-teach-reflective-practice-a-survey-of-north-american-pediatric-medical-educators
#17
Lavjay Butani, Susan L Bannister, Allison Rubin, Karen L Forbes
OBJECTIVE: The objectives of this study were to explore pediatric undergraduate medical educators' understanding of reflective practice, the barriers they face in teaching this, the curricular activities they use and the value they assign to reflective practice. METHODS: Nine survey questions were sent to members of the Council on Medical Student Education in Pediatrics, an international pediatric undergraduate medical educator group. Quantitative data were analyzed using descriptive statistics...
December 16, 2016: Academic Pediatrics
https://www.readbyqxmd.com/read/27988207/location-location-location-teaching-about-neighborhoods-in-pediatrics
#18
Francis J Real, Catherine D Michelson, Andrew F Beck, Melissa D Klein
No abstract text is available yet for this article.
December 14, 2016: Academic Pediatrics
https://www.readbyqxmd.com/read/27988206/what-do-pediatric-residents-gain-from-an-experience-in-juvenile-justice-a-qualitative-analysis-of-community-based-learning
#19
Elizabeth R Hanson, Erin P Finley, Jean A Petershack
BACKGROUND: Training in advocacy and community pediatrics often involves the use of community site visits. However, data on the specific knowledge, skills, and attitudes gained from these experiences are limited. In this study we use qualitative analysis of written narratives to explore the response of residents to a juvenile justice experience. METHODS: Pediatric residents participated in a week-long experience in the juvenile probation department and completed a written narrative...
December 14, 2016: Academic Pediatrics
https://www.readbyqxmd.com/read/27979750/identification-and-validation-of-a-sickle-cell-disease-cohort-within-electronic-health-records
#20
Daniel E Michalik, Bradley W Taylor, Julie A Panepinto
OBJECTIVES: To develop and validate a computable phenotype algorithm for identifying patient populations with sickle cell disease. METHODS: This retrospective study used electronic health record data from the Children's Hospital of Wisconsin to develop a computable phenotype algorithm for sickle cell disease. The algorithm was based upon ICD-9 codes, number of visits, and hospital admissions for sickle cell disease. Through i2b2 queries, the algorithm was refined in an iterative process...
December 12, 2016: Academic Pediatrics
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