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Academic Pediatrics

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https://www.readbyqxmd.com/read/30006124/dual-food-and-energy-hardship-and-associated-child-behavior-problems
#1
Cristina R Fernández, Maiko Yomogida, Yumiko Aratani, Diana Hernández
OBJECTIVE: To examine dual food and energy hardship and internalizing and externalizing behavior problems in 9 year-old children. METHODS: We conducted a cross-sectional analysis of the Fragile Families and Child Wellbeing Study, a prospective national urban birth cohort, when the children were 9 years-old. Maternal reported "food hardship" (ever hungry and/or ever received free food) and "energy hardship" (ever unable to pay utility bill and/or utility shut-off) within the past year, and child behavior using the Child Behavior Checklist/6-18 years were assessed...
July 11, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29981856/opioids-in-adolescents-homes-prevalence-caregiver-attitudes-and-risk-reduction-opportunities
#2
Jane M Garbutt, Katharine Kulka, Sherry Dodd, Randall Sterkel, Kathryn Plax
OBJECTIVE: The most common source for misused opioids is pain relievers prescribed for family and friends. Our objective was to assess knowledge, attitudes and behaviors of adolescents' caregivers regarding prescribed opioids in the home. METHODS: The self-administered survey was completed by caregivers in the waiting rooms of 12 pediatric practices in the mid-west. Eligibility required living in a home where youth ≥10 years old were frequently present. 700 of 793 (88...
July 5, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29981855/provision-of-parent-feedback-via-the-communication-assessment-tool-does-it-improve-resident-communication-skills
#3
Dominick DeBlasio, Francis J Real, Nicholas J Ollberding, Melissa D Klein
OBJECTIVE: To determine the impact of a curriculum which included parent feedback on resident communication skills. METHODS: In a prospective, controlled study, categorical pediatric residents in continuity clinic were divided into control and intervention groups based on clinic day. Parent feedback was obtained for all residents at the beginning and end of the year using the Communication Assessment Tool (CAT), a validated survey to assess physician communication...
July 5, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29981380/disparities-in-familiarity-with-developmental-disabilities-among-low-income-parents
#4
Katharine E Zuckerman, Alison E Chavez, Carolina Regalado Murillo, Olivia J Lindly, Julie A Reeder
OBJECTIVE: Parent knowledge about developmental disabilities (DDs) may facilitate access to DD care; however, parents may vary in their knowledge and familiarity with common DDs. This study aimed to assess racial/ethnic and language differences in low-income families' familiarity, knowledge, and personal experience with DDs. METHODS: We conducted a child development survey among 539 low-income parents of young children attending visits at the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), in six Oregon counties in 2015...
July 4, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29969733/lessons-learned-from-my-mentors-the-2018-miller-sarkin-award-recipient-speech
#5
Janet R Serwint
No abstract text is available yet for this article.
June 30, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29966712/immigration-policy-valuing-children
#6
Fernando S Mendoza, Victor Cueto, Duncan Lawrence, Lee Sanders, Dana Weintraub
No abstract text is available yet for this article.
June 29, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29959085/-in-the-clinic-they-know-us-preferences-for-clinic-based-financial-and-employment-services-in-urban-pediatric-primary-care
#7
Caitlin Quinn, Karl Johnson, Catherine Raney, R N Jacqueline Baker, Kristin Topel, Megan M Tschudy, Devan Jaganath, Barry S Solomon
OBJECTIVE: To understand views of adolescent and adult caregivers on integrating employment and financial services into a pediatric primary care clinic serving low-income families. METHODS: Eighteen in-depth qualitative interviews were conducted among caregivers of pediatric patients. Participants were recruited from those who completed a survey assessing financial and employment needs. Audio-recorded transcripts were analyzed using line-by-line coding of emerging themes...
June 26, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29935252/what-is-the-relationship-between-incarceration-of-children-and-adult-health-outcomes
#8
Elizabeth S Barnert, Laura S Abrams, Rebecca Dudovitz, Tumaini R Coker, Eraka Bath, Lello Tesema, Bergen B Nelson, Christopher Biely, Paul J Chung
OBJECTIVE: We sought to quantify the association between child incarceration in the U.S. and subsequent adult health outcomes. METHODS: We analyzed National Longitudinal Study of Adolescent to Adult Health data from 1,727 adult (Wave IV) participants first incarcerated at age <25. Using Chi-squared tests and multivariate logistic regression models, we compare adult health outcomes (mobility limitations, depressive symptoms, suicidal thoughts) among those first incarcerated at age ≤14, 15-17, and 18-20, with 21-24 as the reference group...
June 20, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29932986/care-quality-and-spending-among-commercially-insured-children-with-disabilities
#9
Alyna T Chien, Sara L Toomey, Dennis Z Kuo, Jeanne Van Cleave, Amy J Houtrow, Megumi J Okumura, Matthew Y Westfall, Carter R Petty, Jessica A Quinn, Karen A Kuhlthau, Mark A Schuster
OBJECTIVE: To identify opportunities to improve care value for children with disabilities (CWD), we examined CWD prevalence within a commercially insured population and compared outpatient care quality and annual health plan spending levels for CWD relative to children with complex medical conditions without disabilities, children with chronic conditions that are not complex, and children without disabling, complex, or chronic conditions. METHODS: Cross-sectional study of 1,118,081 person-years of Blue Cross Blue Shield Massachusetts data for beneficiaries aged 1-19 years old during 2008-2012...
June 19, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29925038/milestone-ratings-and-supervisory-role-categorizations-swim-together-but-is-the-water-muddy
#10
Daniel J Schumacher, Kathleen W Bartlett, Sean P Elliott, Catherine Michelson, Tanvi Sharma, Lynn C Garfunkel, Beth King, Alan Schwartz
PURPOSE: This single specialty, multi-institutional study aimed to determine: 1) the association between milestone ratings for individual competencies and average milestone ratings (AMRs) and 2) the association between AMRs and recommended supervisory role categorizations made by individual clinical competency committee (CCC) members. METHODS: During the 2015-16 academic year, CCC members at 14 pediatric residencies reported milestone ratings for 21 competencies and recommended supervisory role categories (may not supervise, may supervise in some settings, may supervise in all settings) for residents they reviewed...
June 17, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29920332/lower-body-mass-index-z-score-trajectory-during-early-childhood-following-the-birth-of-a-younger-sibling
#11
Dina H Griauzde, Julie C Lumeng, Prachi E Shah, Niko Kaciroti
OBJECTIVES: To examine differences in body mass index z-score (BMIz) trajectory during early childhood among children with a younger sibling compared to those without and to test potential mediators. METHODS: Longitudinal cohort study of 6050 participants of the Early Childhood Longitudinal Study, Birth Cohort (ECLS-B). Focal children's weight, height, sibship status, screen time, active play time, family dinner frequency, and diet quality were assessed at 9 months, 24 months, preschool and kindergarten when available...
June 16, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29890229/feasibility-and-acceptability-in-a-community-partnered-implementation-of-centeringparenting-for-group-well-child-care
#12
Kai A Jones, Stephanie Do, Lorena Porras-Javier, Sandra Contreras, Paul J Chung, Tumaini R Coker
BACKGROUND: In a community-academic partnership, we implemented a group-based model for well-child care (CenteringParenting) and conducted a pilot test for feasibility and acceptability among families at a federally-qualified health center (FQHC). METHODS: The FQHC implemented CenteringParenting for all well-child care (WCC) visits in the first year of life, starting at the 2-week visit. Over a 14-month time period, parents from each new CenteringParenting group were enrolled into the study...
June 8, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29864523/management-of-urinary-tract-infections-in-young-children-balancing-admission-with-the-risk-of-emergency-department-revisits
#13
Pradip P Chaudhari, Michael C Monuteaux, Richard G Bachur
OBJECTIVE: Oral antibiotics effectively treat most pediatric urinary tract infections (UTI), however children with UTI are frequently admitted. We examined variation and trends in admission for children with UTI plus investigated the relationship between admission and emergency department (ED) revisits for those initially managed outpatient. We hypothesized that hospitals would have similar three-day revisit rates regardless of admission rate at index visit. METHODS: Retrospective analysis of 36 hospitals in the Pediatric Health Information System...
June 1, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29860135/a-forbidden-island-%C3%A2-%C3%A2-%C3%A2
#14
Adam D Wolfe
No abstract text is available yet for this article.
May 31, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29860134/post-training-shared-decision-making-barriers-and-facilitators-for-pediatric-healthcare-providers-a-mixed-methods-study
#15
Laura Boland, Margaret L Lawson, Ian D Graham, France Légaré, Kristin Dorrance, Allyson Shephard, Dawn Stacey
OBJECTIVE: To assess barriers and facilitators of shared decision-making (SDM) for pediatric healthcare providers (HCP) after they have been trained in SDM. METHODS: A mixed methods study using triangulation of data sources. Pediatric HCPs with SDM training who worked at a Canadian tertiary care pediatric hospital were eligible. Participants completed a validated SDM barriers survey (n=60) and a semi-structured interview (n=11). We calculated descriptive statistics...
May 31, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29859270/the-benefits-and-challenges-of-involving-adolescents-in-medical-education-a-qualitative-study
#16
Katherine A Moreau, Kaylee Eady
OBJECTIVE: To explore the potential benefits and challenges of involving adolescents in the education of medical students and residents from the perspectives of adolescents who are hospitalized with chronic health conditions. METHODS: We conducted qualitative interviews with adolescents at a Canadian pediatric hospital. Eligible participants were those between 13-18 years of age, with chronic health conditions lasting more than three months who were feeling well enough to participate in an interview...
May 30, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29859269/variation-in-advanced-cervical-spine-imaging-in-abusive-head-trauma-an-update-on-recent-literature-and-future-directions
#17
REVIEW
M Katherine Henry, Joanne N Wood
No abstract text is available yet for this article.
May 30, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29857062/six-questions-for-well-child-care-redesign
#18
REVIEW
Brandi K Freeman, Tumaini R Coker
In the United States, well-child care has the goal of providing comprehensive care to children by addressing developmental, behavioral, psychosocial, and health issues through visits at recommended intervals. The preventive care needs of families can outpace the capacity of clinics and practices to provide it, thus necessitating a redesign of our well-child care system that aligns the structure of preventive care delivery with the needs of families. In this Perspectives article, we focus on six questions (the what, when, who, why, how, and where) for well-child care redesign for infants and young children; by addressing these key questions and providing recommendations for advancing well-child care redesign in the clinical and research arenas, we hope to accelerate the process of well-child care redesign...
May 29, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29852269/child-care-instability-and-maternal-depressive-symptoms-exploring-new-avenues-for-supporting-maternal-mental-health
#19
Anna D Johnson, Christina M Padilla
OBJECTIVES: We investigate links between child-care experiences - specifically care instability and mother's perceptions of care access - and maternal depressive symptoms, in an effort to illuminate policy-amenable mechanisms through which child-care experiences can support maternal mental health. METHODS: Data come from the nationally representative Early Childhood Longitudinal Study - Birth Cohort (ECLS-B). We use regression models with lagged dependent variables to estimate associations between aspects of child-care instability and perceptions of care availability, and maternal depressive symptoms...
May 28, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29852268/obesity-prevention-and-treatment-in-primary-care
#20
REVIEW
Callie L Brown, Eliana M Perrin
Despite many public health and clinical interventions, obesity rates remain high and evidence-based preventive strategies are elusive. Many consensus guidelines suggest providers should screen all children after age 2 for obesity by measuring height and weight, calculating body mass index (BMI), and sensitively communicating weight status in the context of health to the family at each visit. However, preventive counseling should begin in infancy and focus on healthy feeding, activity, and family lifestyle behaviors...
May 28, 2018: Academic Pediatrics
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