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Evidence based practics pediatrics

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https://www.readbyqxmd.com/read/29904575/recent-advances-in-transfusions-in-neonates-infants
#1
REVIEW
Ruchika Goel, Cassandra D Josephson
Transfusions of red blood cells (RBCs), platelets, and plasma are critical therapies for infants and neonates (particularly preterm neonates) in the neonatal intensive care unit, who are the most frequently transfused subpopulation across all ages. Although traditionally a significant gap has existed between the blood utilization and the evidence base essential to adequately guide transfusion practices in infants and neonates, pediatric transfusion medicine is evolving from infancy and gradually coming of age...
2018: F1000Research
https://www.readbyqxmd.com/read/29904370/vitamin-d-supplementation-guidelines-for-general-population-and-groups-at-risk-of-vitamin-d-deficiency-in-poland-recommendations-of-the-polish-society-of-pediatric-endocrinology-and-diabetes-and-the-expert-panel-with-participation-of-national-specialist-consultants
#2
REVIEW
Agnieszka Rusińska, Paweł Płudowski, Mieczysław Walczak, Maria K Borszewska-Kornacka, Artur Bossowski, Danuta Chlebna-Sokół, Justyna Czech-Kowalska, Anna Dobrzańska, Edward Franek, Ewa Helwich, Teresa Jackowska, Maria A Kalina, Jerzy Konstantynowicz, Janusz Książyk, Andrzej Lewiński, Jacek Łukaszkiewicz, Ewa Marcinowska-Suchowierska, Artur Mazur, Izabela Michałus, Jarosław Peregud-Pogorzelski, Hanna Romanowska, Marek Ruchała, Piotr Socha, Mieczysław Szalecki, Mirosław Wielgoś, Danuta Zwolińska, Arkadiusz Zygmunt
Introduction: Vitamin D deficiency is an important public health problem worldwide. Vitamin D deficiency confers a significant risk for both skeletal and non-skeletal disorders and a number of lifelong negative health outcomes. The objectives of this evidence-based guidelines document are to provide health care professionals in Poland, an updated recommendation for the prevention, diagnosis and treatment of vitamin D deficiency. Methods: A systematic literature search examining the prevention and treatment strategies for vitamin D deficiency was conducted...
2018: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/29898974/practice-guideline-update-summary-efficacy-and-tolerability-of-the-new-antiepileptic-drugs-ii-treatment-resistant-epilepsy-report-of-the-guideline-development-dissemination-and-implementation-subcommittee-of-the-american-academy-of-neurology-and-the-american
#3
Andres M Kanner, Eric Ashman, David Gloss, Cynthia Harden, Blaise Bourgeois, Jocelyn F Bautista, Bassel Abou-Khalil, Evren Burakgazi-Dalkilic, Esmeralda Llanas Park, John Stern, Deborah Hirtz, Mark Nespeca, Barry Gidal, Edward Faught, Jacqueline French
OBJECTIVE: To update the 2004 American Academy of Neurology guideline for managing treatment-resistant (TR) epilepsy with second- and third-generation antiepileptic drugs (AEDs). METHODS: 2004 criteria were used to systemically review literature (January 2003 to November 2015), classify pertinent studies according to the therapeutic rating scheme, and link recommendations to evidence strength. RESULTS: Forty-two articles were included. RECOMMENDATIONS: The following are established as effective to reduce seizure frequency (Level A): immediate-release pregabalin and perampanel for TR adult focal epilepsy (TRAFE); vigabatrin for TRAFE (not first-line treatment); rufinamide for Lennox-Gastaut syndrome (LGS) (add-on therapy)...
June 13, 2018: Neurology
https://www.readbyqxmd.com/read/29895740/kids-safe-and-smokefree-kiss-multilevel-intervention-to-reduce-child-tobacco-smoke-exposure-long-term-results-of-a-randomized-controlled-trial
#4
Stephen J Lepore, Bradley N Collins, Donna L Coffman, Jonathan P Winickoff, Uma S Nair, Beth Moughan, Tyra Bryant-Stephens, Daniel Taylor, David Fleece, Melissa Godfrey
BACKGROUND: Pediatricians following clinical practice guidelines for tobacco intervention (“Ask, Advise, and Refer” [AAR]) can motivate parents to reduce child tobacco smoke exposure (TSE). However, brief clinic interventions are unable to provide the more intensive, evidence-based behavioral treatments that facilitate the knowledge, skills, and confidence that parents need to both reduce child TSE and quit smoking. We hypothesized that a multilevel treatment model integrating pediatric clinic-level AAR with individual-level, telephone counseling would promote greater long-term (12-month) child TSE reduction and parent smoking cessation than clinic-level AAR alone...
June 12, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29894519/pediatric-to-adult-healthcare-transitioning-for-adolescents-living-with-hiv-in-nigeria-a-national-survey
#5
Okikiolu A Badejo, William N A Menson, Nadia A Sam-Agudu, Jennifer Pharr, Salome Erekaha, Tamara Bruno, Gift Nwanne, Olabanjo Ogunsola, Jude Ilozumba, Olusegun Busari, Echezona E Ezeanolue
INTRODUCTION: The period of transition from pediatric to adult care has been associated with poor health outcomes among 10-19 year old adolescents living with HIV (ALHIV). This has prompted a focus on the quality of transition services, especially in high ALHIV-burden countries. Due to lack of guidelines, there are no healthcare transition standards for Nigeria's estimated 240,000 ALHIV. We conducted a nationwide survey to characterize routine transition procedures for Nigerian ALHIV...
2018: PloS One
https://www.readbyqxmd.com/read/29893932/challenges-in-transitional-care-in-inflammatory-bowel-disease-a-review-of-the-current-literature-in-transition-readiness-and-outcomes
#6
Jessica R Philpott, Jacob A Kurowski
Transitional care for patients with IBD focuses on efforts to successfully transfer care from pediatric to adult providers while encouraging the assumption of health care responsibility. As 25% of patients will be diagnosed with IBD before the age of 18 years, many will undergo this process. Efforts to enhance this process have included transition clinics and other means to improve patient comfort with transition and develop the skill of health care self-management. Currently, most pediatric practitioners provide transition care with informal education and emphasize independence without formal programs...
June 11, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29889255/development-and-implementation-of-a-mobile-device-based-pediatric-electronic-decision-support-tool-as-part-of-a-national-practice-standardization-project
#7
Russell J McCulloh, Sarah D Fouquet, Joshua Herigon, Eric A Biondi, Brandan Kennedy, Ellen Kerns, Adrienne DePorre, Jessica L Markham, Y Raymond Chan, Krista Nelson, Jason G Newland
Objective: Implementing evidence-based practices requires a multi-faceted approach. Electronic clinical decision support (ECDS) tools may encourage evidence-based practice adoption. However, data regarding the role of mobile ECDS tools in pediatrics is scant. Our objective is to describe the development, distribution, and usage patterns of a smartphone-based ECDS tool within a national practice standardization project. Materials and Methods: We developed a smartphone-based ECDS tool for use in the American Academy of Pediatrics, Value in Inpatient Pediatrics Network project entitled "Reducing Excessive Variation in the Infant Sepsis Evaluation (REVISE)...
June 7, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29881194/evaluation-of-angle-trunk-rotation-measurements-to-improve-quality-and-safety-in-the-management-of-adolescent-idiopathic-scoliosis
#8
Jill E Larson, Maximilian A Meyer, Barrett Boody, John F Sarwark
Purpose: The evaluation, management and follow-up of adolescent idiopathic scoliosis (AIS) occur frequently within a pediatric orthopedic surgery practice. Curve status can be assessed with Scoliometer measurements of angle trunk rotation (ATR), which are reliable and reproducible to within 3°. This study assessed the longitudinal efficacy, safety and cost savings of integrating ATR measurements to monitor curve status and progression in AIS, and suggests a quality-based management strategy...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29873867/pediatric-emergency-research-canada-perc-patient-family-informed-research-priorities-for-pediatric-emergency-medicine
#9
Liza Bialy, Amy C Plint, Stephen B Freedman, David W Johnson, Janet A Curran, Antonia S Stang
BACKGROUND: A growing body of literature supports patient and public involvement in the design, prioritization and dissemination of research and evidence based medicine. The objectives of this project were to engage patients and families in developing a prioritized list of research topics for Pediatric Emergency Medicine (PEM) and to compare results with prior research prioritization initiatives in the ED (emergency department) setting. METHODS: We utilized a systematic process to combine administrative data on frequency of patient presentations to the ED with multiple stakeholder input including an initial stakeholder survey followed by a modified Delphi consensus methodology consisting of two web-based surveys and a face-to-face meeting...
June 6, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29869119/using-virtual-human-technology-to-examine-weight-bias-and-the-role-of-patient-weight-on-student-assessment-of-pediatric-pain
#10
Shana L Boyle, David M Janicke, Michael E Robinson, Laura D Wandner
The purpose of the study was to investigate the influence of weight bias and demographic characteristics on the assessment of pediatric chronic pain. Weight status, race, and sex were manipulated in a series of virtual human (VH) digital images of children. Using a web-based platform, 96 undergraduate students with health care-related majors (e.g., Health Science, Nursing, Biology, and Pre-Medicine) read a clinical vignette and provided five ratings targeting the assessment of each VH child's pain. Students also answered a weight bias questionnaire...
June 4, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29859569/tympanostomy-tube-placement-and-ear-drops-evidence-based-cost-saving-models
#11
Gabriel Gomez, Philip G Chen
OBJECTIVES/INTRODUCTION: Tympanostomy tube placement is the most common surgical procedure in the pediatric population with important financial implications to our healthcare institutions. The purpose of this study is to apply various cost models in different clinical environments to determine the most cost effective way to prescribe ear drops after tympanostomy tube insertion. METHODS: Two distinct practice models were designed: a Uniform Treatment Model and a Disease Specific Model...
July 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29852268/obesity-prevention-and-treatment-in-primary-care
#12
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
https://www.readbyqxmd.com/read/29843954/practice-variation-on-use-of-antibiotics-an-international-survey-among-pediatric-urologists
#13
Jin K Kim, Michael E Chua, Jessica M Ming, Luis H Braga, Grahame H H Smith, Christopher Driver, Martin A Koyle
INTRODUCTION AND BACKGROUND: Although there is abundance in literature focusing on the use of prophylactic antibiotics for adult urological procedures, the evidence for using antibiotics following common pediatric urological procedures is limited with no specific guidelines for use. Consequently, current practices on antibiotic usage for common interventions may be variable among practicing pediatric urologists, lacking evidence-based support. OBJECTIVE: The aim was to evaluate the current practice pattern on antibiotic usage for common interventions amongst pediatric urologists (PU) practicing in four English-speaking sectors of the world...
May 19, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29806474/-perioperative-use-of-levosimendan-in-cardiac-surgery-hungarian-recommendation
#14
László Szudi, László Székely, Erzsébet Sápi, Zsolt Prodán, Jenő Szolnoky, Ákos Csomós, Noémi Nyolczas, Erzsébet Paulovich, Endre Németh, István Hartyánszky, Endre Zima, Balázs Sax, Andrea Bertalan, László Hejjel, Gábor Bogáts, Barna Babik, Károly Gombocz, Tamás Szerafin, György Koszta, Andrea Molnár
Low output syndrome significantly increases morbidity and mortality of cardiac surgery and lengthens the durations of intensive care unit and hospital stays. Its treatment by catecholamines can lead to undesirable systemic and cardiac complications. Levosimendan is a calcium sensitiser and adenosine triphosphate (ATP)-sensitive potassium channel (IK,ATP ) opener agent. Due to these effects, it improves myocardium performance, does not influence adversely the balance between O2 supply and demand, and possesses cardioprotective and organ protective properties as well...
June 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29804317/shwachman-diamond-syndrome-a-nationwide-survey-and-a-systematic-review-in-japan
#15
Tamaki Ikuse, Takahiro Kudo, Katsuhiro Arai, Yoshimitsu Fujii, Shinobu Ida, Tomohiro Ishii, Sotaro Mushiake, Kouji Nagata, Hiroshi Tamai, Akira Toki, Takeshi Tomomasa, Kosuke Ushijima, Tadahiro Yanagi, Takeo Yonekura, Tomoaki Taguchi, Toshiaki Shimizu
BACKGROUND: Shwachman-Diamond syndrome (SDS) is a rare multisystem disorder associated with exocrine pancreatic insufficiency. The present study shows the results of a nationwide survey and a systematic review about SDS to develop consensus guidelines for intractable diarrhea including SDS. METHODS: Questionnaires were sent to 616 departments of pediatrics or pediatric surgery in Japan as a nationwide survey. A second questionnaire was sent to doctors that had treated SDS patients and included questions on clinical information...
May 27, 2018: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/29802046/pediatric-nurses-knowledge-values-and-implementation-of-evidence-based-practice-and-use-of-two-patient-safety-goals
#16
Linda Connor
PURPOSE: To describe knowledge, values, and implementation of evidence-based practice (EBP) and use of two National Patient Safety Goals-Central Line Associated Blood Stream Infections (CLABSI) and Surgical Site Infections (SSI)-between nurses working in Magnet® versus non-Magnet® designated hospitals. BACKGROUND: There is a gap in the literature concerning nurses' understanding of EBP and how EBP guidelines are used in practice and if guidelines are being used as intended...
May 22, 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29799350/introduction-of-severe-traumatic-brain-injury-care-protocol-is-associated-with-reduction-in-mortality-for-pediatric-patients-a-case-study-of-children-s-healthcare-of-atlanta-s-neurotrauma-program
#17
Andrew Reisner, Joshua J Chern, Karen Walson, Natalie Tillman, Toni Petrillo-Albarano, Eric A Sribnick, Laura S Blackwell, Zaev D Suskin, Chia-Yi Kuan, Atul Vats
OBJECTIVE Evidence shows mixed efficacy of applying guidelines for the treatment of traumatic brain injury (TBI) in children. A multidisciplinary team at a children's health system standardized intensive care unit-based TBI care using guidelines and best practices. The authors sought to investigate the impact of guideline implementation on outcomes. METHODS A multidisciplinary group developed a TBI care protocol based on published TBI treatment guidelines and consensus, which was implemented in March 2011. The authors retrospectively compared preimplementation outcomes (May 2009 to March 2011) and postimplementation outcomes (April 2011 to March 2014) among patients < 18 years of age admitted with severe TBI (Glasgow Coma Scale score ≤ 8) and potential survivability who underwent intracranial pressure (ICP) monitoring...
May 25, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29793562/social-media-and-its-implications-in-pediatric-dentistry
#18
Vineet Dhar
Social media is increasingly being relied upon by health care professionals, including pediatric dentists, to make decisions in their practices. While social media serves as an excellent resource, there is lack of sound guidelines on its use by health professionals in dentistry. Pediatric dentists using social media for professional purposes need to be aware of the uses as well as the challenges it presents. More importantly, members and moderators of social media groups should ensure that all patient care-related information is de-identified and discussions are compliant with federal and state privacy laws and based on evidence-based recommendations...
May 15, 2018: Pediatric Dentistry
https://www.readbyqxmd.com/read/29782414/osteomyelitis-a-context-for-wound-management
#19
Mary E Groll, Timothy Woods, Richard Salcido
GENERAL PURPOSE: To provide an overview of osteomyelitis. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:1. Distinguish the pathogenesis of osteomyelitis in children and adults.2. Identify practical considerations for diagnosis and evidence-based treatment of osteomyelitis...
June 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29781569/pediatric-superior-vena-cava-syndrome-an-evidence-based-systematic-review-of-the-literature
#20
REVIEW
Fadi Nossair, Peter Schoettler, Joanne Starr, Anthony K C Chan, Ivan Kirov, Bosco Paes, Arash Mahajerin
Superior vena cava syndrome (SVCS) results in vascular, respiratory, and neurologic compromise. A systematic search was conducted to determine the prevalence of pediatric SVCS subtypes and identify clinical characteristics/treatment strategies that may influence overall outcomes. Data from 101 case reports/case series (142 patients) were analyzed. Morbidity (30%), mortality (18%), and acute complications (55%) were assessed as outcomes. Thrombosis was present in 36%, with multi-modal anticoagulation showing improved outcome by >50% (P = 0...
May 21, 2018: Pediatric Blood & Cancer
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