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Academic Pediatrics

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https://www.readbyqxmd.com/read/28213132/surveillance-or-engagement-children-s-conflicts-during-health-maintenance-visits
#1
Sarah Polk, Russell Horwitz, Shaina Longway, Alfonso Bonilla, Kate Fothergill, Marc Karver, Peter Salmon, Lawrence Wissow
OBJECTIVE: School-aged health maintenance visits seek to prevent or intervene early with health issues of life-long importance. Little is known about what children expect to happen in these visits or how they experience them, factors related to their engagement as active collaborators in care. METHODS: Thirty children (53% Latino, 27% African-American and 20% White) age 7-11 years were video recorded during a health maintenance visit and then interviewed while reviewing the videos...
February 14, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28215656/chronic-physical-health-conditions-and-emotional-problems-from-early-adolescence-through-mid-adolescence
#2
LaRita C Jones, Sylvie Mrug, Marc N Elliott, Sara L Toomey, Susan Tortolero, Mark A Schuster
BACKGROUND/OBJECTIVES: Chronic physical health conditions are highly prevalent in youth, frequently persisting into adulthood and contributing to the current and future healthcare burden in the United States. Our study evaluates associations of chronic physical health conditions with depressive and physiological anxiety symptoms in a community sample of youth, and examines how those associations change from early to mid-adolescence. METHODS: In this longitudinal study of 5,147 youth, students and their caregivers were interviewed when youth were in grades 5 (M age = 11), 7 (M age = 13), and 10 (M age = 16)...
February 12, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28215655/the-caregiver-perspective-on-unscheduled-72-hour-return-visits-to-pediatric-acute-care-sites-a-focus-on-discharge-processes
#3
Nidhya Navanandan, Sarah K Schmidt, Natasha Cabrera, Michael C DiStefano, Rakesh D Mistry
OBJECTIVE: To characterize pediatric caregivers' reasons for 72-hour emergency department (ED) and urgent care (UC) returns. METHODS: A sample of caregivers returning within 72 hours of initial visit to a pediatric ED or affiliated UC site were surveyed from 11/14-6/15; patients evaluated at outside ED/UCs, scheduled for return, or non-English/Spanish speaking were excluded. Caregiver surveys underwent item generation, validation, and pilot testing. Survey items included caregiver reasons for unscheduled returns, with a specific assessment of delivery of key components of discharge instructions (diagnosis, duration of illness, home care, return precautions)...
February 12, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28189693/using-digital-stories-to-reflect-on-the-culture-of-overuse-misuse-and-underuse-in-medicine-and-enhance-the-patient-provider-relationship
#4
Daniel Nicklas, J Lindsey Lane, Janice Hanson, Jason Owens, Meghan Treitz
No abstract text is available yet for this article.
February 8, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28189692/prospective-study-of-insufficient-sleep-and-neurobehavioral-functioning-among-school-age-children
#5
Elsie M Taveras, Sheryl L Rifas-Shiman, Kristen L Bub, Matthew W Gillman, Emily Oken
OBJECTIVE: To examine associations between insufficient sleep and neurobehavioral functioning in childhood as reported by mothers and teachers. METHODS: Participants were 1046 children in a pre-birth cohort study. Main exposures were insufficient sleep durations at three time points: 6 months to 2 years, defined as sleep < 11 hours/day, 11-<12 hours/day (v. ≥ 12); 3 to 4 years, defined as sleep < 10 hours/day, 10-<11 hours/day (v. ≥11); and 5 to 7 years, sleep < 9 hours/day, 9-<10 hours/day (v...
February 8, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28185977/the-central-role-of-relationships-to-trauma-informed-integrated-care-for-children-and-youth
#6
Jonathan D Brown, Melissa A King, Lawrence S Wissow
OBJECTIVE: Primary care plays an essential role in the primary and secondary prevention of children's mental health problems. A growing series of trials have demonstrated the capacity of primary care providers to deliver care that specifically addresses risks to healthy social and emotional development by incorporating mental health services into their routines and integrating their work with the mental health care system. This paper describes elements common to various integration schemes that seem essential to their success...
February 6, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28143794/home-sweet-home-parent-and-home-environmental-factors-in-adolescent-consumption-of-sugar-sweetened-beverages
#7
Laura M Bogart, Marc N Elliott, Allison J Ober, David J Klein, Jennifer Hawes-Dawson, Burton O Cowgill, Kimberly Uyeda, Mark A Schuster
OBJECTIVE: Sugar-sweetened beverages (SSBs) are key contributors to obesity among youth. We investigated associations among parental and home-related factors (parental attitudes and consumption; home availability) regarding three types of SSBs-soda, sports drinks, and fruit-flavored drinks-with consumption of each type of SSB in a general school-based sample of adolescents. METHODS: Data were collected across three school semesters, from 2009-2011. A total of 1,313 seventh-grade student-parent dyads participated...
January 28, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28143793/parent-and-provider-experience-and-shared-understanding-after-a-family-centered-nighttime-communication-intervention
#8
Alisa Khan, Jennifer Baird, Jayne E Rogers, Stephannie L Furtak, Kathryn A Williams, Brenda Allair, Katherine P Litterer, Meesha Sharma, Alla Smith, Mark A Schuster, Christopher P Landrigan
OBJECTIVE: To assess parent and provider experience and shared understanding after a family-centered, multidisciplinary nighttime communication intervention (nurse-physician brief, family huddle, family update sheet). METHODS: Prospective intervention study at a children's hospital from 5/2013-10/2013 (pre-intervention) and 5/2014-10/2014 (post-intervention). Participants included 464 parents, 176 nurses, and 52 resident-physicians of 582 hospitalized 0-17-year-old patients...
January 28, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28137673/availability-of-emotional-support-and-mental-healthcare-for-pediatric-residents
#9
Melissa M Cellini, Janet R Serwint, Linda H Chaudron, Constance D Baldwin, Aaron K Blumkin, Peter G Szilagyi
BACKGROUND: Resident mental health (MH) problems can be associated with reduced empathy and increased medical errors. The ACGME mandates resident MH support services, but it is unknown if these services are accessible and meet resident needs. OBJECTIVES: Describe prevalence of anxiety and depression in current pediatric residents in New York State (NY), and their self-reported use of and barriers to support services. METHODS: We developed an online survey and distributed it to all categorical pediatric residents in 9 NY programs...
January 27, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28130128/the-positive-impact-of-the-transition-from-noon-conference-to-academic-half-day-in-a-pediatric-residency-program
#10
Laura Zastoupil, Amanda McIntosh, Jenna Sopfe, Jason Burrows, Jessica Kraynik, Lindsey Lane, Janice Hanson, L Barry Seltz
OBJECTIVE: To evaluate the impact of transitioning from Noon Conference (NC) to Academic Half Day (AHD) on conference attendance, interruptions, and perceived protected educational time and to describe pediatric resident experiences with AHD. METHODS: In this mixed-methods study, data pre and post AHD-implementation were collected. Quantitative data were analyzed with a two-variable t-test or chi-square test. Five focus groups and five individual interviews of pediatric residents were conducted...
January 24, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28126612/a-virtual-reality-curriculum-for-pediatric-residents-decreases-rates-of-influenza-vaccine-refusal
#11
Francis J Real, Dominick DeBlasio, Andrew F Beck, Nicholas J Ollberding, David Davis, Bradley Cruse, Zeina Samaan, Daniel McLinden, Melissa D Klein
OBJECTIVE: Influenza vaccine hesitancy is common in the primary care setting. Though physicians can affect caregivers' attitudes toward vaccination, physicians report uneasiness discussing vaccine hesitancy. Few studies have targeted physician-patient communication training as a means to decrease vaccination refusal. METHODS: An immersive virtual reality (VR) curriculum was created to teach pediatric residents communication skills when discussing influenza vaccine hesitancy...
January 23, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28126611/getting-the-word-out-disseminating-scholarly-work-in-the-technology-age
#12
Margaret J Trost, Emily C Webber, Karen M Wilson
No abstract text is available yet for this article.
January 23, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28108374/strategies-to-reduce-hospitalizations-of-children-with-medical-complexity-through-complex-care-expert-perspectives
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
Stuart Slavin, Mindy Shoss, Matthew A Broom
No abstract text is available yet for this article.
January 10, 2017: Academic Pediatrics
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