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https://www.readbyqxmd.com/read/29771224/discipline-specific-competency-based-curricula-for-leadership-learning-in-medical-specialty-training
#1
Sandra Turner, Ming-Ka Chan, Judy McKimm, Graham Dickson, Timothy Shaw
Purpose Doctors play a central role in leading improvements to healthcare systems. Leadership knowledge and skills are not inherent, however, and need to be learned. General frameworks for medical leadership guide curriculum development in this area. Explicit discipline-linked competency sets and programmes provide context for learning and likely enhance specialty trainees' capability for leadership at all levels. The aim of this review was to summarise the scholarly literature available around medical specialty-specific competency-based curricula for leadership in the post-graduate training space...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29764821/atopic-dermatitis-complicated-by-severe-impetigo-in-a-syrian-refugee-infant
#2
Peter Green, Elizabeth Munn
We present the case of a 3-month-old infant with atopic dermatitis who developed severe impetigo. The child was born to Syrian refugees shortly after they arrived in Canada. The case demonstrates the rapid and nearly complete resolution of dramatic skin findings after a course of hydrocortisone ointment and oral antibiotics with adjuvant measures. For resettled refugees, access to family physicians and local language proficiency are common barriers that negatively impact their health and healthcare. We discuss some aspects of how the healthcare model in one Canadian city addresses these issues in the context of this case...
May 14, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29760769/family-assessment-conversations-as-a-tool-to-support-families-affected-by-parental-mental-illness-a-retrospective-review-of-electronic-patient-journals
#3
Camilla Lauritzen, Anne Berit Kolmannskog, Anette Christine Iversen
Background: Previous research has shown a link between parental mental illness and adverse development in their offspring. In Norway, it is mandatory for health professionals to identify if patients in adult mental health services have children, and subsequently to provide support for the children. An important tool to detect if families are affected by parental mental illness and to assess if there is a need for further intervention is the Family Assessment Conversation. Family Assessment Conversations is potentially a powerful tool for communication with families affected by parental mental illness because it facilitates early identification of children at risk of various adversities due to the family situation...
2018: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29743157/parents-experiences-of-caring-for-their-child-at-the-time-of-discharge-after-cardiac-surgery-and-during-the-postdischarge-period-qualitative-study-using-an-online-forum
#4
Jo Wray, Katherine Brown, Jenifer Tregay, Sonya Crowe, Rachel Knowles, Kate Bull, Faith Gibson
BACKGROUND: Congenital heart disease (CHD) is the most common class of birth defects, which encompasses a broad spectrum of severity ranging from relatively minor to extremely complex. Improvements in surgery and intensive care have resulted in an increasing number of infants with the most complex lesions surviving after surgery until the time of discharge from the hospital, but there remain concerns about out-of-hospital mortality, variability in how services are provided at the time of discharge and beyond, and difficulties experienced by some families in accessing care...
May 9, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29734507/screening-in-toddlers-and-preschoolers-at-risk-for-autism-spectrum-disorder-evaluating-a-novel-mobile-health-screening-tool
#5
Stephen M Kanne, Laura Arnstein Carpenter, Zachary Warren
There are many available tools with varying levels of accuracy designed to screen for Autism Spectrum Disorder (ASD) in young children, both in the general population and specifically among those referred for developmental concerns. With burgeoning waitlists for comprehensive diagnostic ASD assessments, finding accurate methods and tools for advancing diagnostic triage becomes increasingly important. The current study compares the efficacy of four oft used paper and pencil measures, the Modified Checklist for Autism in Toddlers Revised with Follow-up, the Social Responsiveness Scale, Second Edition, and the Social Communication Questionnaire, and the Child Behavior Checklist to a novel mobile-health screening tool developed by Cognoa, Inc...
May 7, 2018: Autism Research: Official Journal of the International Society for Autism Research
https://www.readbyqxmd.com/read/29731807/family-functioning-and-children-s-sleep
#6
Mona El-Sheikh, Ryan J Kelly
Sleep is a pivotal correlate and predictor of many domains of child development, including socioemotional adjustment, physical health, and cognitive functioning. The family plays a major role in shaping children's sleep-wake behaviors, and developmental research on children's sleep in a family context is on the rise. As in any relatively young field, many gaps and questions remain. In this article, we aim to advance this literature by illustrating ways to examine the interconnections between family functioning and children's sleep...
December 2017: Child Development Perspectives
https://www.readbyqxmd.com/read/29724701/experiences-of-a-motivational-interview-delivered-by-a-robot-qualitative-study
#7
Joana Galvão Gomes da Silva, David J Kavanagh, Tony Belpaeme, Lloyd Taylor, Konna Beeson, Jackie Andrade
BACKGROUND: Motivational interviewing is an effective intervention for supporting behavior change but traditionally depends on face-to-face dialogue with a human counselor. This study addressed a key challenge for the goal of developing social robotic motivational interviewers: creating an interview protocol, within the constraints of current artificial intelligence, which participants will find engaging and helpful. OBJECTIVE: The aim of this study was to explore participants' qualitative experiences of a motivational interview delivered by a social robot, including their evaluation of usability of the robot during the interaction and its impact on their motivation...
May 3, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29724235/how-can-the-use-of-data-within-the-immunisation-programme-be-increased-in-order-to-improve-data-quality-and-ensure-greater-accountability-in-the-health-system-a-protocol-for-implementation-science-study
#8
Binyam Tilahun, Alemayehu Teklu, Arielle Mancuso, Zeleke Abebaw, Kassahun Dessie, Desalegn Zegeye
BACKGROUND: Immunisation remains one of the most important and cost-effective interventions to reduce vaccine-preventable child morbidity, disability and mortality. Health programmes like the Expanded Program of Immunization rely on complex decision-making and strong local level evidence is important to effectively and efficiently utilise limited resources. Lack of data use for decision-making at each level of the health system remains the main challenge in most developing countries. While there is much evidence on data quality and how to improve it, there is a lack of sufficient evidence on why the use of data for decision-making at each level of the health system is low...
May 3, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29724233/baby-led-weaning-what-a-systematic-review-of-the-literature-adds-on
#9
REVIEW
Enza D'Auria, Marcello Bergamini, Annamaria Staiano, Giuseppe Banderali, Erica Pendezza, Francesca Penagini, Gian Vincenzo Zuccotti, Diego Giampietro Peroni
The term weaning describes the time period in which a progressive reduction of breastfeeding or the feeding of infant-formula takes place while the infant is gradually introduced to solid foods. It is a crucial time in an infant's life as not only does it involve with a great deal of rapid change for the child, but it is also associated with the development of food preferences, eating behaviours and body weight in childhood and also in adolescence and adulthood.Therefore, how a child is weaned may have an influence later, on the individual's entire life...
May 3, 2018: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/29714610/industry-and-patient-perspectives-on-child-participation-in-clinical-trials-the-pediatric-assent-initiative-survey-report
#10
Donald Lombardi, Liza Squires, Philip Sjostedt, Irmgard Eichler, Mark A Turner, Charles Thompson
BACKGROUND: Obtaining assent from children participating in clinical trials acknowledges autonomy and developmental ability to contribute to the consent process. This critical step in pediatric drug development remains poorly understood, with significant room for improving the clarity, efficiency, and implementation of the assent process. Beyond ethical necessity of informing children about their treatment, the assent process provides the advantages of including children in discussions about their diagnosis and treatment-allowing greater understanding of interventions included in the study...
January 2018: Therapeutic Innovation & Regulatory Science
https://www.readbyqxmd.com/read/29714556/juvenile-animal-testing-assessing-need-and-use-in-the-drug-product-label
#11
Paul Baldrick
BACKGROUND: Juvenile animal testing has become an established part of drug development to support safe clinical use in the human pediatric population and for eventual drug product label use. METHODS AND RESULTS: A review of European Paediatric Investigation Plan decisions showed that from 2007 to mid-2017, 229 drugs had juvenile animal work requested, almost exclusively incorporating general toxicology study designs, in rat (57.5%), dog (8%), mouse (4.5%), monkey (4%), pig (2%), sheep (1%), rabbit (1%), hamster (0...
January 1, 2018: Therapeutic Innovation & Regulatory Science
https://www.readbyqxmd.com/read/29713606/usefulness-of-assessment-of-stool-form-by-the-modified-bristol-stool-form-scale-in-primary-care-pediatrics
#12
Reema Gulati, Arpitha Komuravelly, Stephen Leb, Maroun J Mhanna, Abdullah Ghori, Janeen Leon, Robert Needlman
Purpose: Rome criteria are considered the gold standard for diagnosing functional constipation. The modified Bristol stool form scale (m-BSFS) was validated to measure stool form in children. However, neither the potential use of the m-BSFS as a tool to facilitate the diagnosis of potential constipation, nor the agreement between m-BSFS and stool consistency by Rome has been studied. Our objective is to determine if m-BSFS is a reliable tool to facilitat detection of constipation; and the agreement between stool form by m-BSFS and hard stool criteria in Rome...
April 2018: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/29705117/parental-perspectives-regarding-outcomes-of-very-preterm-infants-toward-a-balanced-approach
#13
Magdalena Jaworski, Annie Janvier, Francine Lefebvre, Thuy Mai Luu
OBJECTIVES: To explore parental perspectives regarding their preterm child at 18 months corrected age and to investigate whether reported answers correlate with level of neurodevelopmental impairment (NDI) as defined by clinicians. We hypothesized that parents would report more negative concerns with increasing level of NDI. STUDY DESIGN: This study included 190 infants born <29 weeks of gestational age in 2009-2012 at 1 tertiary university health center. Infants underwent detailed developmental assessment at 18 months corrected age, and were classified into either absence or presence of mild to moderate or severe NDI...
April 25, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29701655/the-comprehensive-snack-parenting-questionnaire-cspq-development-and-test-retest-reliability
#14
Dorus W M Gevers, Stef P J Kremers, Nanne K de Vries, Patricia van Assema
The narrow focus of existing food parenting instruments led us to develop a food parenting practices instrument measuring the full range of food practices constructs with a focus on snacking behavior. We present the development of the questionnaire and our research on the test-retest reliability. The developed Comprehensive Snack Parenting Questionnaire (CSPQ) covers 21 constructs. Test-retest reliability was assessed by calculating intra class correlation coefficients and percentage agreement after two administrations of the CSPQ among a sample of 66 Dutch parents...
April 26, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29696447/preserving-cardiovascular-health-in-young-children-beginning-healthier-by-starting-earlier
#15
REVIEW
Linda Van Horn, Eileen Vincent, Amanda M Perak
PURPOSE OF REVIEW: The goals of this paper are to review current literature regarding maternal-fetal-pediatric diet and nutritional factors related to preserving cardiovascular health in the very young child and the emerging data implicating nutritional influences on neurodevelopmental factors. Questions related to maternal diet and influences of human milk on child's growth, neurodevelopment, and risk of developing obesity were addressed. RECENT FINDINGS: The majority of US women in their reproductive years have overweight or obese status thereby increasing the risk of developing obesity in their children...
April 25, 2018: Current Atherosclerosis Reports
https://www.readbyqxmd.com/read/29691210/risk-assessment-for-parents-who-suspect-their-child-has-autism-spectrum-disorder-machine-learning-approach
#16
Ayelet Ben-Sasson, Diana L Robins, Elad Yom-Tov
BACKGROUND: Parents are likely to seek Web-based communities to verify their suspicions of autism spectrum disorder markers in their child. Automated tools support human decisions in many domains and could therefore potentially support concerned parents. OBJECTIVE: The objective of this study was to test the feasibility of assessing autism spectrum disorder risk in parental concerns from Web-based sources, using automated text analysis tools and minimal standard questioning...
April 24, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29688747/association-between-two-common-missense-substitutions-thr6lys-and-val81ile-in-mc3r-gene-and-childhood-obesity-a-meta-analysis
#17
Charita Koya, Tsung Yu, Carol Strong, Meng-Che Tsai
BACKGROUND: Two common missense variants in the melanocortin-3 receptor (MC3R) gene, Thr6Lys (T6K) and Val81Ile (V81I), are presumably correlated with pediatric obesity. This meta-analysis aimed to examine and synthesize evidence on the association between these two common MC3R polymorphisms and the development of childhood obesity. METHODS: A combination of words relevant to the research question was searched on PubMed, EMBASE, Scopus, and the Cochrane database...
April 24, 2018: Childhood Obesity
https://www.readbyqxmd.com/read/29673720/-study-of-parental-bonding-in-childhood-in-children-and-adolescents-with-anorexia-nervosa
#18
A M H Albinhac, F A M Jean, M P Bouvard
INTRODUCTION: Anorexia nervosa constitutes a severe and complex eating disorder occurring principally in adolescence. It is one of the most deadly psychiatric disorders. Considering the multifactorial nature of anorexia nervosa, the important place of the family and the growing interest in the theory of attachment in eating disorders, parental bonding is questioned in anorexia nervosa. The main study goal is to analyze parental bonding in a population of children and adolescents with anorexia nervosa...
April 16, 2018: L'Encéphale
https://www.readbyqxmd.com/read/29664850/idiopathic-toe-walking-prevalence-and-natural-history-from-birth-to-ten-years-of-age
#19
Pähr Engström, Kristina Tedroff
BACKGROUND: Children with idiopathic toe-walking, a common pediatric condition, walk some or all of the time on their toes. This condition often causes parental concern, with repeated medical contacts and a range of interventions including stretching, casts, injection of botulinum toxin A, and surgical procedures. The purpose of this cohort study was to document the natural history of this condition. METHODS: In a population-based cohort of 1,401 healthy 5.5-year-old Swedish children, we found the prevalence of idiopathic toe-walking to be approximately 5% (63 of 1,401)...
April 18, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29652214/staff-perceptions-of-symptoms-approaches-to-assessment-and-challenges-to-assessment-among-children-with-cancer
#20
Lauri A Linder, Sarah E Wawrzynski
Nurses are often the first to recognize and respond to children's symptoms. This descriptive, exploratory study characterized how pediatric oncology health care providers characterize and assess children's cancer-related symptoms. The study also explored challenges associated with symptom assessment and information perceived as helpful in planning interventions. The setting was a Children's Oncology Group-affiliated hospital in the Intermountain West of the United States. Twenty-two pediatric oncology health care providers (95% female; 68% nurses) participated in one of four focus group sessions...
April 1, 2018: Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses
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