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https://www.readbyqxmd.com/read/29784233/using-baseline-data-to-predict-chronic-ptsd-48-months-after-mothers-report-intimate-partner-violence-outcomes-for-mothers-and-the-intergenerational-impact-on-child-behavioral-functioning
#1
John Maddoux, Judith McFarlane, Lene Symes, Nina Fredland, Gene Feder
Worldwide one in three women report intimate partner violence. Many of these women report long term mental health problems, especially PTSD, which is associated with negative problem solving, isolation, somatization, depression, and anxiety. Children are impacted by their exposure to domestic violence and experience internal (i.e., depression, anxiety) and external (i.e., hostility, delinquency) behavioral clinical problems. To predict which women will experience chronic PTSD symptoms, a PTSD predictor tool was developed and applied to PTSD symptom scores four years after 300 mothers with children (age 18 months to 16 years) received assistance for the violence...
June 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29768291/quality-of-the-triage-of-children-with-anaphylaxis-at-the-emergency-department
#2
Esozia Arroabarren, Jorge Alvarez-Garcia, Marta Anda, Montserrat de Prada, Maria Carmen Ponce, Miriam Palacios
OBJECTIVE: Early recognition of symptoms is essential in anaphylaxis management. The Canadian Paediatric Emergency Triage and Acuity Scale prioritizes anaphylaxis to level I or II (resuscitation or emergency). We analyzed the accuracy of pediatric anaphylaxis triage. METHODS: This was a retrospective review of the triage charts (adaptation of the Canadian Paediatric Emergency Triage and Acuity Scale) of 137 children attended for anaphylaxis at our pediatric emergency department...
May 15, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29735228/direct-air-versus-ground-transport-predictors-for-rural-pediatric-trauma
#3
Andrew B Starnes, Babawale Oluborode, Curtis Knoles, Boyd Burns, Henderson McGinnis, Kenneth Stewart
OBJECTIVE: Traumatic injury is the leading cause of mortality in children and the most common cause of emergency medical services transport in pediatric populations. We aimed to identify what factors are currently associated with selection for helicopter transport (HEMS) over ground ambulance (GEMS) in a primarily rural state. METHODS: We performed a retrospective case-control study of trauma patients younger than 18 years old reported to the Oklahoma State Trauma Registry between 2005 and 2014 who received direct transport from the scene of injury to a tertiary trauma center within the state...
May 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29734507/screening-in-toddlers-and-preschoolers-at-risk-for-autism-spectrum-disorder-evaluating-a-novel-mobile-health-screening-tool
#4
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/29717706/impact-of-specific-training-in-anaphylaxis-of-the-triage-nursing-staff-in-a-tertiary-hospital-s-paediatric-emergency-department
#5
E Arroabarren, J Alvarez-García, M Anda, M de Prada, C Ponce, M J Alvarez-Puebla
BACKGROUND: After a diagnosis of anaphylaxis, patients receive action management plans to prevent and treat new episodes, including attending the Emergency Departments (ED) for control or further treatment. In a previous study, we observed that more than half of the children with anaphylaxis were incorrectly prioritized in our Paediatrics Emergency Unit (PEU), delaying their treatment. In conjunction with our PEU staff we designed a basic educational intervention (BEI) to try to solve this problem...
May 2, 2018: Journal of Investigational Allergology & Clinical Immunology
https://www.readbyqxmd.com/read/29713687/implementing-a-single-session-nurse-led-assessment-clinic-into-a-gender-service
#6
Donna M Eade, Michelle M Telfer, Michelle A Tollit
The Royal Children's Hospital Gender Service offers support, assessment, and medical care to transgender and gender diverse children and adolescents in Victoria, Australia. Referrals have rapidly increased leading to extended wait times. In response, a single-session nurse-led assessment clinic (SSNac) was introduced as the clinical entry point to the service, during which a biopsychosocial assessment is undertaken, and information, education, and support are provided. Outcomes of the SSNac include a significant reduction in wait times and a timely clinical triage system...
2018: Transgender Health
https://www.readbyqxmd.com/read/29698341/early-hospital-discharge-after-helicopter-transport-of-pediatric-trauma-patients-analysis-of-rates-of-over-and-undertriage
#7
Aodhnait S Fahy, Stephanie F Polites, Cornelius A Thiels, Maile Parker, Michael B Ishitani, Christopher R Moir, Kathleen Berns, Scott P Zietlow, Donald H Jenkins, Martin D Zielinski
OBJECTIVES: Helicopter air ambulance (HAA) of pediatric trauma patients is a life-saving intervention. Triage remains a challenge for both scene transport and interhospital transfer of injured children. We aimed to understand whether overtriage or undertriage was a feature of scene or interhospital transfer and how in or out of state transfers affected these rates. METHODS: Children (<18 years) who underwent trauma activation at a level I trauma center between 2011 and 2013 were identified and reviewed...
April 24, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29692306/risk-factors-for-mortality-in-children-hospitalized-with-severe-malaria-in-northern-zambia-a-retrospective-case-control-study
#8
Matthew M Ippolito, Luc K Kamavu, Jean-Bertin Kabuya, Catherine Tente, Edward Chileshe, McBerth Wapachole, Philip E Thuma, Mbanga Muleba, Mike Chaponda, Modest Mulenga, William J Moss, For The Southern And Central Africa International Centers Of Excellence For Malaria Research
Malaria remains a public health crisis in areas where it has resisted control efforts. In Nchelenge District, a high- transmission area in northern Zambia, malaria accounts for more than one-third of pediatric hospitalizations and nearly one-half of hospital deaths in children. To identify risk factors for death due to malaria, we conducted a retrospective, time-matched case-control study of 126 children hospitalized with malaria who died (cases) and 126 children who survived (controls). There were no differences in age, gender, hemoglobin concentration, or prevalence of severe anemia between cases and controls...
April 23, 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29677983/the-importance-of-data-quality-and-context-information-in-indicator-production-proof-of-concept-in-a-metropolitan-paediatric-emergency-department
#9
João Viana, Almeida Santos, Alberto Freitas
In the Paediatric emergency department scenario there were considerable efforts developing indicators over the past decade, specially referring to process, e.g. timeliness. Nevertheless, to fully characterize quality in Paediatric emergency department, indicators are developed but require further assessment and a more complete validation. This paper's aim is to emphasise the importance of data quality, data cleaning and the indicator choice in indicator production. The dataset provided for this analysis is from the São João Hospital Centre's information system and is composed by records of all the visits to the paediatrics emergency department from the 1st of January of 2014 to the 31st of December 2016...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29675402/poor-compliance-with-sepsis-guidelines-in-a-tertiary-care-children-s-hospital-emergency-room
#10
Benjamin Louis Moresco, Clinton Woosley, Morris Sauter, Utpal Bhalala
Objectives: This study aimed to assess factors related to adherence to the Pediatric Advanced Life Support guidelines for severe sepsis and septic shock in an emergency room (ER) of a tertiary care children's hospital. Methods: This was a retrospective, observational study of children (0-18 years old) in The Children's Hospital of San Antonio ER over 1 year with the International Consensus Definition Codes, version-9 (ICD-9) diagnostic codes for "severe sepsis" and "shocks...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29669495/paediatric-mental-and-physical-health-presentations-to-emergency-departments-victoria-2008-15
#11
Harriet Hiscock, Rachel J Neely, Shaoke Lei, Gary Freed
OBJECTIVES: To identify trends in presentations to Victorian emergency departments (EDs) by children and adolescents for mental and physical health problems; to determine patient characteristics associated with these presentations; to assess the relative clinical burdens of mental and physical health presentations. DESIGN: Secondary analysis of Victorian Emergency Minimum Dataset (VEMD) data. Participants, setting: Children and young people, 0-19 years, who presented to public EDs in Victoria, 2008-09 to 2014-15...
May 7, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29659203/a-qualitative-study-to-assess-how-primary-care-versus-psychiatric-providers-evaluate-and-treat-pediatric-patients-with-irritability
#12
Anna L Scandinaro, Usman Hameed, Cheryl A Dellasega
Objective: To determine how primary care versus specialist practitioners assess and treat school-aged children with irritability. Methods: Seventeen providers from family medicine, pediatrics, and psychiatry participated in in-depth interviews from June to August 2016 about the process they use to evaluate irritability. Data on demographic traits and measures of confidence were also collected. Results: Primary care (family medicine and pediatrics) participants expressed frustration over the lack of time and specialized knowledge they had to accurately assess children with irritability, even though they were often the first clinician consulted when problems arose...
April 5, 2018: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/29626393/cyto-morphologic-spectrum-of-thyroid-lesions-in-children
#13
Priya Pathak, Pooja Sharma, Aditi Daga, Sonal Sharma
INTRODUCTION: Fine needle aspiration (FNA) is routinely used in triaging thyroid lesions in adults. However, role of FNA in pediatric thyroid lesions is less studied. AIM AND OBJECTIVE: To study the cyto-morphologic spectrum of thyroid lesions in pediatric population. MATERIALS AND METHODS: A retrospective analysis (duration-6 years) of thyroid FNA for patients who were 18 years or younger was conducted. The aspirates were classified according to the Bethesda System for Reporting Cytopathology...
April 6, 2018: Diagnostic Cytopathology
https://www.readbyqxmd.com/read/29616669/the-piper-weekend-study-children-s-and-adults-satisfaction-regarding-paediatric-pain-in-italian-emergency-department
#14
Franca Benini, Sabrina Congedi, Sara Rossin, Angelo Pennella
BACKGROUND: Despite pain being a crucial aspect of urgent-emergency care, the attention of healthcare workers towards this symptom in the Emergency Department (ED) is still inadequate. The aims of this study were to assess children's and their adults accompanier's satisfaction regarding pain management in Italian ED, considering healthcare workers' attention to the symptom as well as the appropriateness and efficacy of treatments received. METHODS: Questionnaires were administered face-to-face by trained interviewers over the period of one weekend in 29 Italian ED...
January 2018: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29610624/dyspnea-in-children-as-a-symptom-of-acute-respiratory-tract-infections-and-antibiotic-prescribing
#15
Valentina Risteska-Nejashmikj, Snezhana Stojkovska, Katarina Stavrikj
BACKGROUND: Dyspnea is an unpleasant feeling of breathing difficulty, shortness of breath and inability to satisfy the hunger for air. The role of family physicians is to be prepared to recognise dyspnea as a symptom of acute respiratory infections (ARI), to perform triage and managing of children with acute dyspnea and make continuous education of parents. In the treatment of acute dyspnea more important is to treat dyspnea as a symptom than the prescribing of antibiotics (AB). Nowadays, even more often large amount of children, because of the noncompliance in the treatment and the pressure from the parents, unnecessary is hospitalised and frequently used antibiotics: According to the guidelines, a small percentage of children with ARI should be treated with AB...
March 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29609202/wait-times-are-not-the-problem-detailed-analysis-of-unsolicited-patient-complaints-from-a-metropolitan-australian-emergency-department
#16
Petra Lawrence, Rajeev Jarugula, Sarah Hazelwood, Gavin Fincher, Karen Hay
OBJECTIVE: To describe characteristics of ED admissions that resulted in unsolicited complaints and compare with overall ED admissions. The site utilised is an inner city tertiary hospital, with 630 beds, with approximately 82 600 annual presentations, where 32.5% were children. METHODS: Complaints between the dates of 27 November 2012 and 10 March 2016 were reviewed. Performance indicators and the distribution of presentations by diagnostic code were reviewed. RESULTS: A total of 572 different complaint reasons were found and grouped into 12 categories...
April 2, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29589272/embedding-autism-spectrum-disorder-diagnosis-within-the-medical-home-decreasing-wait-times-through-streamlined-assessment
#17
Jeffrey F Hine, Catherine G Herrington, Alice M Rothman, Rachel L Mace, Barron L Patterson, Kathryn L Carlson, Zachary E Warren
Long waits for diagnostic assessment prevent early identification of children suspected of having autism spectrum disorder. We evaluated the benefit of embedded diagnostic consultation within primary care clinics. Using a streamlined diagnostic model, 119 children with concerns for autism spectrum disorder were seen over 14 months. Diagnostic clarity was determined through streamlined assessment for 59% of the children, while others required follow-up. Latency from first concern to diagnosis was 55 days and median age at diagnosis was 32 months: considerably lower than national averages or comparable tertiary clinics...
March 27, 2018: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/29580818/tuberculosis-advances-and-challenges-in-development-of-new-diagnostics-and-biomarkers
#18
REVIEW
Gerhard Walzl, Ruth McNerney, Nelita du Plessis, Matthew Bates, Timothy D McHugh, Novel N Chegou, Alimuddin Zumla
Tuberculosis remains the leading cause of death from an infectious disease worldwide. Early and accurate diagnosis and detection of drug-sensitive and drug-resistant tuberculosis is essential for achieving global tuberculosis control. Despite the introduction of the Xpert MTB/RIF assay as the first-line rapid tuberculosis diagnostic test, the gap between global estimates of incidence and new case notifications is 4·1 million people. More accurate, rapid, and cost-effective screening tests are needed to improve case detection...
March 23, 2018: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/29579572/impact-of-physician-less-pediatric-critical-care-transport-making-a-decision-on-team-composition
#19
Atsushi Kawaguchi, Charlene C Nielsen, L Duncan Saunders, Yutaka Yasui, Allan de Caen
PURPOSE: To explore the impact of a physician non-accompanying pediatric critical care transport program, and to identify factors associated with the selection of specific transport team compositions. MATERIALS AND METHODS: Children transported to a Canadian academic children's hospital were included. Two eras (Physician-accompanying Transport (PT)-era: 2000-07 when physicians commonly accompanied the transport team; and Physician-Less Transport (PLT)-era: 2010-15 when a physician non-accompanying team was increasingly used) were compared with respect to transport and PICU outcomes...
March 20, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29535108/point-of-care-c-reactive-protein-at-triage-for-children-in-the-emergency-department
#20
EDITORIAL
Santiago Mintegi
No abstract text is available yet for this article.
May 2018: Archives of Disease in Childhood
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