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Academic Pediatrics

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https://www.readbyqxmd.com/read/28342834/aces-and-child-health-policy-the-enduring-case-for-epsdt
#1
Sara Rosenbaum
No abstract text is available yet for this article.
March 22, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28323245/making-a-safe-space-possible
#2
Amy E Caruso Brown
No abstract text is available yet for this article.
March 17, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28315416/predictors-of-maternal-trust-in-doctors-about-advice-on-infant-care-practices-the-safe-study
#3
Sunah S Hwang, Denis V Rybin, Stephen M Kerr, Timothy C Heeren, Eve R Colson, Michael J Corwin
OBJECTIVE: To determine predictors of maternal trust in doctors about advice on infant care practices. METHODS: Using probability sampling methods, we recruited mothers from 32 U.S. maternity hospitals. Mothers completed a survey 2-6 months post-partum that included questions about maternal trust in doctors regarding six infant care practices and physician characteristics (doctor asked mother's opinion, doctor is qualified, infant sees one main doctor who is/is not of the same ethnicity/race)...
March 14, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28315415/best-practices-in-relational-skills-training-for-medical-trainees-and-providers-an-essential-element-of-addressing-aces-and-promoting-resilience
#4
Eran Magen, Horace M DeLisser
Medical providers' ability to form strong therapeutic alliances with patients is an essential clinical skill that is associated with a higher quality of care and improved provider well being. However, comparatively few medical providers exhibit adequate relational skills, which serve to convey respect, communicate caring, and build trust between the medical provider and the patient. A growing number of medical training programs and continuing medical education programs have begun to incorporate relational skills training, but the results have been highly variable in terms of training methods and impact...
March 14, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28302365/food-insecurity-screening-in-pediatric-primary-care-can-offering-referrals-help-identify-families-in-need
#5
Clement J Bottino, Erinn T Rhodes, Catherine Kreatsoulas, Joanne E Cox, Eric W Fleegler
OBJECTIVE: To describe a clinical approach for food insecurity screening incorporating a menu offering food-assistance referrals, and to examine relationships between food insecurity and referral selection. METHODS: Caregivers of 3- to 10-year-old children presenting for well-child care completed a self-administered questionnaire on a laptop computer. Items included the US Household Food Security Survey Module: 6-Item Short Form (food insecurity screen) and a referral menu offering assistance with: 1) finding a food pantry, 2) getting hot meals, 3) applying for Supplemental Nutrition Assistance Program (SNAP), and 4) applying for Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)...
March 13, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28300656/five-steps-for-success-in-building-your-own-educational-website
#6
Aarti Patel, Ndidi Unaka, Brad Sobolewski, Angela Statile
No abstract text is available yet for this article.
March 12, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28300655/health-conditions-and-racial-differences-among-justice-involved-adolescents-2009-2014
#7
Tyler N A Winkelman, Joseph W Frank, Ingrid A Binswanger, Debra A Pinals
OBJECTIVE: Providers can optimize care for high-risk adolescents by understanding the health risks among the one million US adolescents who interact with the justice system each year. We compared the prevalence of physical health, substance use, and mood disorders among adolescents with and without justice involvement and analyzed differences by race/ethnicity. METHODS: Cross-sectional analysis using the 2009-2014 National Survey on Drug Use and Health (NSDUH). Prevalence data were adjusted for sociodemographic differences between adolescents with and without justice involvement...
March 11, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28300654/the-cumulative-impact-of-health-adversities-on-children-s-later-academic-achievement
#8
Jon Quach, Cattram Nguyen, Meredith O'Connor, Melissa Wake
OBJECTIVE: We aimed to determine whether the accumulation of physical, psychosocial and combined health adversities measured at age 8-9 years predicts worsening of academic scores cross-sectionally at 8-9 and longitudinally at 10-11 years. METHODS: Design: Longitudinal data from Waves 3 and 4 in the Longitudinal Study of Australian Children (83% of 4983 retained). Exposures (8-9 years): Physical health adversities (yes/no; summed range 0-5): overweight, special health care needs, chronic illness, PedsQL Physical, global health...
March 11, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28286295/impact-of-non-medical-vaccine-exemption-policies-on-the-health-and-economic-burden-of-measles
#9
Melanie D Whittington, Allison Kempe, Amanda Dempsey, Rachel Herlihy, Jonathan D Campbell
OBJECTIVE: Despite relatively high national vaccination coverage for measles, geographic vaccination variation exists resulting in clusters of susceptibility. A portion of this geographic variation can be explained by differences in state policies related to non-medical vaccine exemptions. The objective of this analysis was to determine the magnitude, likelihood, and cost of a measles outbreak under different non-medical vaccine exemption policies. METHODS: An agent-based transmission model simulated the likelihood and magnitude of a measles outbreak under different non-medical vaccine exemption policies, previously categorized as easy, medium, or difficult...
March 9, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28286057/quality-of-primary-care-for-children-with-disabilities-enrolled-in-medicaid
#10
Alyna T Chien, Karen A Kuhlthau, Sara L Toomey, Jessica A Quinn, Megumi J Okumura, Dennis Z Kuo, Amy J Houtrow, Jeanne Van Cleave, Mary Beth Landrum, Jisun Jang, Isabel Janmey, Michael J Furdyna, Mark A Schuster
OBJECTIVE: The quality of primary care delivered to Medicaid-insured children with disabilities (CWD) is unknown. We used the newly validated CWD algorithm (CWDA) to examine CWD prevalence among Medicaid enrollees 1 to 18 years old, primary care quality for CWD, and differences in primary care quality for CWD and non-CWD. METHODS: Cross-sectional study using 2008 Medicaid Analytic eXtract claims data from 9 states, including children with at least 11 months of enrollment (N = 2,671,922 enrollees)...
March 9, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28277269/refusal-of-vitamin-k-by-parents-of-newborns-a-survey-of-the-better-outcomes-through-research-for-newborns-network
#11
Jaspreet Loyal, James A Taylor, Carrie A Phillipi, Neera K Goyal, Niramol Dhepyasuwan, Eugene D Shapiro, Eve Colson
OBJECTIVE: To survey newborn clinicians in the United States regarding the frequency of intramuscular (IM) vitamin K refusal by a parent, reasons for refusal, and approaches of clinicians to refusals. METHODS: An electronic survey was administered to the clinician site representative (nursery director or designee knowledgeable about site-specific nursery policies) at all newborn nurseries in the Better Outcomes through Research for Newborns (BORN) network of newborn nurseries...
March 9, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28286136/is-a-positive-developmental-behavioral-screening-score-sufficient-to-justify-referral-a-review-of-evidence-and-theory
#12
R Christopher Sheldrick, Daryl Garfinkel
In their recommendations on screening for autism and developmental disabilities, the American Academy of Pediatrics recommends referral subsequent to a positive screening result. In this paper, we argue that positive screening results are not always sufficient to justify a referral. We demonstrate that while positive predictive values are often low, they actually overstate the probability of having a disorder for many children who screen positive. Moreover, recommended screening thresholds are seldom set to ensure that the benefits of referral will equal or exceed the costs and risk of harm, which is a necessary condition for an optimal threshold in the field of decision analysis...
March 7, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28286135/special-health-care-needs-across-the-school-and-family-contexts-implications-for-service-utilization
#13
Meredith O'Connor, Stefanie Rosema, Jon Quach, Amanda Kvalsvig, Sharon Goldfeld
OBJECTIVES: A fifth of children enter school with special health care needs (SHCN), many of whom have difficulties that are milder or not yet formally diagnosed (emerging SHCN). This study aimed to investigate how differing perceptions of children's emerging SHCN across the family and school contexts relates to service utilization. METHOD: Sample: The nationally-representative birth cohort of the Longitudinal Study of Australian Children (LSAC), which includes parent reports on the abbreviated Children with Special Health Care Needs Screener (CSHCNS)...
March 7, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28279638/which-pediatricians-comanage-mental-health-conditions
#14
Cori Green, Amy Storfer-Isser, Ruth E K Stein, Andrew S Garner, Bonnie D Kerker, Moira Szilagyi, Karen G O'Connor, Kimberly E Hoagwood, Sarah M Horwitz
OBJECTIVE: Given the prevalence of mental health (MH) conditions (MHC) in children, pediatricians should initiate treatment alone or in collaboration with a specialist for children with MHC. However, the majority of pediatricians do not manage or comanage common MHC even with an on-site MH provider. We examined which physician, practice, and training characteristics are associated with pediatricians' comanaging at least half of their patients with MHC. METHODS: We analyzed responses of general pediatricians (n = 305) from the American Academy of Pediatrics 2013 Periodic Survey...
March 6, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28274586/parent-reported-penicillin-allergy-symptoms-in-the-pediatric-emergency-department
#15
David Vyles, Asriani Chiu, Pippa Simpson, Mark Nimmer, Juan Adams, David C Brousseau
OBJECTIVE: Children often present to the pediatric emergency department (ED) with a reported penicillin allergy. The true incidence of pediatric penicillin allergy is low, and patients may be inappropriately denied first-line antibiotics. We hypothesized that more than 70% of reported penicillin allergies in the pediatric ED are low risk for true allergy. METHODS: Parents of children presenting to the pediatric ED with parent-reported penicillin allergy completed an allergy questionnaire...
March 5, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28254496/how-do-us-pediatric-residency-programs-teach-and-evaluate-community-pediatrics-and-advocacy-training
#16
Cara Lichtenstein, Benjamin D Hoffman, Rachel Y Moon
OBJECTIVE: In 2013, the Accreditation Council of Graduate Medical Education (ACGME) updated requirements for training in community pediatrics and advocacy in pediatric residency programs. In light of this update, the aim of this study was to better understand how community pediatrics is being taught and evaluated in pediatric residency programs in the US. METHODS: Cross-sectional exploratory study using a web-based survey of pediatric residency program directors in September 2014...
February 27, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28246025/pediatricians-comfort-level-in-caring-for-children-with-special-health-care-needs
#17
Megumi J Okumura, Heather Knauer, Kris Calvin, John I Takayama
BACKGROUND: Few studies have investigated pediatrician attitudes about providing primary medical care for children with special health care needs (CSHCN). OBJECTIVE: To determine pediatrician perspectives on their comfort level in providing care, and on where the medical home should be for children with chronic medical and developmental conditions. METHODS: Survey of pediatricians in California in 2014. Pediatricians were randomized to receive surveys featuring either a case of a child with a chronic medical (neurofibromatosis) or a developmental condition (autism)...
February 25, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28246024/experts-perspectives-toward-a-population-health-approach-for-children-with-medical-complexity
#18
Elizabeth S Barnert, Ryan J Coller, Bergen B Nelson, Lindsey R Thompson, Vincent Chan, Cesar Padilla, Thomas S Klitzner, Moira Szilagyi, Paul J Chung
OBJECTIVES: Because children with medical complexity (CMC) display very different health trajectories, needs, and resource utilization than other children, it is unclear how well traditional conceptions of population health apply to CMC. We sought to identify key health outcome domains for CMC as a step toward determining core health metrics for this distinct population of children. METHODS: We conducted and analyzed interviews with 23 diverse national experts on CMC to better understand population health for CMC...
February 25, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28238591/attitudes-and-experiences-of-early-and-midcareer-pediatricians-with-the-maintenance-of-certification-process
#19
Bobbi J Byrne, Mary Pat Frintner, Heather N Abraham, Amy J Starmer
OBJECTIVE: Maintenance of certification (MOC) value and relevance have been recent topics of controversy and discussion in medicine. Systematically assessing pediatrician's attitudes and experiences to encourage and inform future modifications is important. METHODS: We surveyed 866 pediatricians in 2014 who graduated from residency 10 to 12 years ago and are part of a larger longitudinal study. Cross-sectional quantitative and qualitative data on understanding, attitudes, barriers, and needs specific to MOC part 2 (self-assessment/continued learning activities) and part 4 (quality improvement projects) were analyzed...
February 23, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28232259/statin-use-and-the-risk-of-type-2-diabetes-mellitus-in-children-and-adolescents
#20
Nina Joyce, Justin P Zachariah, Charles B Eaton, Amal N Trivedi, Gregory A Wellenius
OBJECTIVE: There is increasing evidence of an association between statin use and type 2 diabetes (T2DM) in adults, yet this relationship has never been studied in children or adolescents and may have important implications for assessing risks and benefits of treatment in this population." We estimated the association between statin use and the risk of T2DMin children with and without a dyslipidemia diagnosis. METHODS: Propensity scores were used to match new users of statins with a minimum 50 percent of days covered (PDC) in the first year of use to up to 10 non-users...
February 20, 2017: Academic Pediatrics
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