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Academic Pediatrics

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https://www.readbyqxmd.com/read/29197641/primary-care-providers-use-of-a-child-psychiatry-telephone-support-program
#1
Jeanne Van Cleave, Chloe Holifield, James M Perrin
BACKGROUND: The Massachusetts Child Psychiatry Access Project (MCPAP) provides telephone support from mental health specialists to primary care providers (PCPs). Understanding PCPs' use may inform implementation of similar programs. OBJECTIVE: To examine PCPs' decision-making process to use or not use MCPAP when encountering mental health problems. METHODS: We analyzed data regarding calls from PCPs to MCPAP from 10/1/2010-7/31/2011 and interviewed fourteen PCPs with frequent use (≥7 calls) and infrequent use (≤4 calls)...
November 29, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29191700/health-care-utilization-in-the-first-month-after-birth-and-its-relationship-to-newborn-weight-loss-and-method-of-feeding
#2
Valerie Flaherman, Eric W Schaefer, Michael W Kuzniewicz, Sherian Li, Eileen Walsh, Ian M Paul
OBJECTIVE: Guidelines recommend closer outpatient follow-up for exclusively breastfed newborns, especially those with pronounced weight loss, because of increased risk of hyperbilirubinemia and dehydration that might require readmission. Our objective was to determine how feeding method and weight loss are associated with neonatal healthcare utilization. DESIGN: Retrospective cohort study. SETTING: Northern California Kaiser Permanente hospitals in 2009-2013 PATIENTS: 143,889 neonates PREDICTORS: Inpatient method of feeding and inpatient and outpatient weights MAIN OUTCOME MEASURES: Inpatient and outpatient utilization in the 30 days after birth RESULTS: Newborn weight loss and feeding method were each associated with utilization...
November 27, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29180297/development-implementation-and-assessment-of-the-intensive-clinical-orientation-for-residents-icor-curriculum-a-pilot-intervention-to-improve-intern-clinical-preparedness
#3
Ariel S Winn, Carolyn H Marcus, Kathryn Williams, Grant C Smith, Irina Gorbounova, Theodore C Sectish, Christopher P Landrigan
No abstract text is available yet for this article.
November 24, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29180296/universal-lipid-screening-in-9-11-year-olds-before-and-after-2011-guidelines
#4
Nicole L Mihalopoulos, Carole Stipelman, Joni Hemond, Laura L Brown, Paul C Young
OBJECTIVE: To determine whether the 2011 guidelines for universal routine screening for dyslipidemia in children aged 9 to 11 years, published by the Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents and National Heart, Lung, and Blood Institute, are being followed by pediatric primary care providers. STUDY DESIGN: Retrospective data were obtained for 63,951 well-child visits (WCV) in children aged 9 to 11 years from two health care systems and one insurance program from 2009 to 2015...
November 24, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29157598/chinese-vietnamese-and-asian-indian-parents-perspectives-about-well-child-visits-a-qualitative-analysis
#5
Maya Ragavan, Wendy Li, A Rani Elwy, John Cowden, Megan Bair-Merritt
OBJECTIVES: Well-child visits are a critical component of pediatric healthcare; however, disparities in attendance and quality of care exist for Asian children. Limited research has explored Asian immigrant parents' perspectives about their well-child visit experience. METHODS: Qualitative interviews were conducted with Chinese, Vietnamese, and Asian Indian immigrant parents. Participants were recruited from community-based organizations in the Boston area. Interviews focused on parents' perceptions about well-child visits, including individual attitudes, social and cultural factors impacting their opinions, perceived behavioral control, and improving visits for Asian immigrant families...
November 17, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29117573/from-design-to-dissemination-conducting-quantitative-medical-education-research
#6
REVIEW
Erika L Abramson, Caroline R Paul, Jean Petershack, Janet Serwint, Janet E Fischel, Mary Rocha, Meghan Treitz, Heather McPhillips, Tai Lockspeiser, Patricia Hicks, Linda Tewksbury, Margarita Vasquez, Daniel J Tancredi, Su-Ting T Li
Rigorous medical education research is critical to effectively develop and evaluate the training we provide our learners. Yet, many clinical medical educators lack the training and skills needed to conduct high quality medical education research. This paper offers guidance on conducting sound quantitative medical education research. Our aim is to equip readers with the key skills and strategies necessary to conduct successful research projects, highlighting new concepts and controversies in the field. We utilize Glassick's criteria for scholarship as a framework to discuss strategies to ensure that the research question of interest is worthy of further study and how to use existing literature and conceptual frameworks to strengthen a research study...
November 5, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29100860/development-of-new-quality-measures-for-hospital-based-care-of-suicidal-youth
#7
Layla Parast, Naomi S Bardach, Q Burkhart, Laura P Richardson, J Michael Murphy, Courtney A Gidengil, Maria T Britto, Marc N Elliott, Rita Mangione-Smith
OBJECTIVES: To develop, validate, and test the feasibility of implementation of four new quality measures assessing ED and inpatient care for suicidal youth. METHODS: Four quality measures were developed to assess hospital-based care for suicidal youth. These measures, focused on counseling caregivers about a) restricting access to lethal means of self-harm and b) benefits and risks of anti-depressant medications, were operationalized into 2 caregiver surveys, assessing ED and inpatient quality, respectively...
October 31, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29111274/hospital-and-community-characteristics-associated-with-pediatric-direct-admission-to-hospital
#8
JoAnna K Leyenaar, Meng-Shiou Shieh, Tara Lagu, Penelope S Pekow, Peter K Lindenauer
OBJECTIVES: One-quarter of pediatric hospitalizations begin as direct admissions, defined as hospitalization without receiving care in the hospital's emergency department (ED). Direct admission rates are highly variable across hospitals, yet previous studies have not examined reasons for this variation. We aimed to determine the relationships between hospital and community factors and pediatric direct admission rates, and evaluate the degree to which these characteristics explain variation in risk-adjusted direct admission rates...
October 27, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29081362/visits-to-primary-care-and-emergency-department-reliance-for-foster-youth-impact-of-medicaid-managed-care
#9
Melissa A Bright, Lawrence Kleinman, Bruce Vogel, Elizabeth Shenkman
OBJECTIVE: To examine the rate of access to primary and preventive care and ED reliance for foster youth as well as the impact of a transition from Fee-for-service (FFS) Medicaid to managed care on this access. METHOD: Secondary administrative data were obtained from Medicaid programs in one state which transitioned foster youth from a FFS to a managed care (TX) and another state, comparable in population size and racial/ethnic diversity, which continuously enrolled foster youth in a FFS system (FL)...
October 25, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29081361/characteristics-associated-with-parent-teacher-concordance-on-child-behavior-problem-ratings-in-low-income-preschoolers
#10
Tiffany G Munzer, Alison L Miller, Holly E Brophy-Herb, Karen E Peterson, Mildred A Horodynski, Dawn Contreras, Julie Sturza, Niko Kaciroti, Julie C Lumeng
BACKGROUND: Assessment of pediatric behavior problems often requires rating scales from multiple reporters in different settings (e.g., home and school); however, concordance between reporters may be low. Pediatricians must reconcile differences to inform treatment. OBJECTIVE: To examine characteristics predicting parent-teacher concordance on ratings of preschoolers' behavior problems. METHODS: Data from 562 preschoolers were used from the Growing Healthy study, an obesity prevention trial in Head Start programs (2011-2015)...
October 25, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29061327/receipt-of-medication-and-behavioral-therapy-among-a-national-sample-of-school-aged-children-diagnosed-with-adhd
#11
Morgan Walls, Caitlin Allen, Howard Cabral, Lewis E Kazis, Megan Bair-Merritt
Objective In 2011, the American Academy of Pediatrics published practice guidelines for ADHD, recommending both medication and behavioral therapy for school-aged children. The current study examines associations between child/family characteristics and ADHD medication, behavioral, and combined therapy. Methods This study used data from the 2014 National Survey of the Diagnosis and Treatment of ADHD and Tourette Syndrome, a nationally-representative follow-up survey to the 2011-2012 National Survey of Children's Health...
October 20, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29061326/walk-in-model-for-ill-care-in-an-urban-academic-pediatric-clinic
#12
Stephen Warrick, John Morehous, Zeina M Samaan, Mona Mansour, Tracy Huentelman, Pamela J Schoettker, Srikant Iyer
OBJECTIVES: Since the Institute of Medicine's 2001 charge to reform healthcare, there has been a focus on the role of the medical home. Access to care in the proper setting and at the proper time is central to healthcare reform. We aimed to increase the volume of patients receiving care for acute illnesses within the medical home rather than the emergency department or urgent care center from 41% to 60%. METHODS: We used quality improvement methods to create a separate non-emergency care stream in a large academic primary care clinic serving 19,000 patients (> 90% Medicaid)...
October 20, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29056402/do-fathers-home-reading-practices-at-age-2-predict-child-language-and-literacy-at-age-4
#13
Jon Quach, Anna Sarkadi, Natasha Napiza, Melissa Wake, Amy Loughman, Sharon Goldfeld
BACKGROUND: Maternal shared reading practices predict emergent literacy, but fathers' contributions are less certain. We examined whether fathers' shared home reading activities at 2 years (1) predict language and emergent literacy at age 4 years, when controlling for maternal contributions; and (2) differentially benefit these outcomes in disadvantaged children. METHODS: Design: Two-parent families recruited from 5 relatively disadvantaged communities for the universal Let's Read literacy promotion population-based trial (ISRCTN 04602902) in Melbourne, Australia...
October 19, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28964877/outpatient-visits-before-ambulatory-care-sensitive-hospitalization-of-children-using-medicaid
#14
Neal A deJong, Troy Richardson, Nicole Chandler, Michael J Steiner, Matt Hall, Jay Berry
OBJECTIVES: Hospitalizations for ambulatory care sensitive conditions (ACSC) are measured to indicate healthcare system quality, with the premise that fewer hospitalizations would occur with better preceding outpatient care. Our objective was to identify outpatient care received in the 7 days preceding acute pediatric hospitalizations, and to compare receipt of outpatient care by hospitalization type (ACSC vs. non-ACSC). METHODS: This was a retrospective, observational study using a 10-state database of Medicaid claims to identify outpatient visits within 7 days before acute, unplanned hospitalization for children ages 0-17 years...
September 27, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28939503/responsible-milestone-based-educational-handover-with-individualized-learning-plan-from-undergraduate-to-graduate-pediatric-medical-education
#15
Jocelyn Huang Schiller, Heather L Burrows, Amy E Fleming, Meg G Keeley, Lauren Wozniak, Sally A Santen
No abstract text is available yet for this article.
September 19, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28927941/gaming-the-system-creation-of-a-random-case-generating-game-for-use-in-morning-report
#16
Pallavi Kamra, Emily C Borman-Shoap, Lei Zhang, Michael B Pitt
BACKGROUND: Case-based morning reports are a staple of residency education. Little is known about the role of game-based learning in facilitating case-based discussions. OBJECTIVES: Compare an educational game that can be used for creating impromptu case-based sessions to traditional morning report. METHODS: We created a game called Differential Diagnosis Slot Machine, which allows participants to quickly generate theoretical cases for discussion...
September 16, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28927940/chronic-school-absenteeism-and-the-role-of-adverse-childhood-experiences
#17
Hilary Stempel, Matthew Cox-Martin, Michael Bronsert, L Miriam Dickinson, Mandy A Allison
OBJECTIVE: To examine the association between chronic school absenteeism and adverse childhood experiences (ACEs) among school-aged children. METHODS: We conducted a secondary analysis of data from the 2011-2012 National Survey of Children's Health including children 6-17 years old. The primary outcome variable was chronic school absenteeism (> 15 days absent in past year). We examined the association between chronic school absenteeism and ACEs using logistic regression with weighting for individual ACEs, summed ACE score, and latent class analysis of ACEs...
September 16, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28919482/blood-and-hair-aluminum-levels-vaccine-history-and-early-infant-development-a-cross-sectional-study
#18
Mateusz P Karwowski, Catherine Stamoulis, Larissa M Wenren, G Mayowa Faboyede, Nicolle Quinn, Kathleen M Gura, David C Bellinger, Alan D Woolf
OBJECTIVE: To evaluate relationships between whole blood (B-Al) and hair aluminum (H-Al) levels in healthy infants and their immunization history and development. METHODS: We conducted a cross-sectional study of 9- to 13-month-old children recruited from an urban primary care center, excluding those with a history of renal disease or receipt of either aluminum-containing pharmaceuticals or parenteral nutrition. Aluminum levels were measured using inductively coupled plasma-mass spectrometry...
September 14, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28919481/feasibility-of-implementing-group-well-baby-well-woman-dyad-care-at-federally-qualified-health-centers
#19
Gabriela Duran, Mariam Faiz-Nassar, Kristin Mmari, Cynthia S Minkovitz, Katherine A Connor
OBJECTIVE: Group care has been shown to be effective for delivery of infant well child care. Centering Parenting™ (CP) is a model of group dyad care for mothers and infants. CP may improve quality and efficiency of preventive care, particularly for low income families. Federally Qualified Health Centers (FQHC) may be optimal sites for implementation, however facilitators and barriers may be unique. The aim of this qualitative study was to assess stakeholder perspectives on the feasibility of implementing Centering Parenting(TM) in FQHCs in Baltimore...
September 14, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28918298/in-search-of-an-answer
#20
Richard Mario Lurshay
No abstract text is available yet for this article.
September 14, 2017: Academic Pediatrics
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