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American Academy pediatrics

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https://www.readbyqxmd.com/read/29144275/the-effect-of-level-of-care-on-gastroschisis-outcomes
#1
Jordan C Apfeld, Zachary J Kastenberg, Karl G Sylvester, Henry C Lee
OBJECTIVE: To examine the relationship between level of care in neonatal intensive care units (NICUs) and outcomes for newborns with gastroschisis. STUDY DESIGN: A retrospective cohort study was conducted at 130 California Perinatal Quality Care Collaborative NICUs from 2008 to 2014. All gastroschisis births were examined according to American Academy of Pediatrics NICU level of care at the birth hospital. Multivariate analyses examined odds of mortality, duration of mechanical ventilation, and duration of stay...
November 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/29129740/survey-on-neonatal-end-of-life-comfort-care-guidelines-across-america
#2
Shelly Haug, Sara Farooqi, Christopher G Wilson, Andrew Hopper, Grace Oei, Brian Carter
CONTEXT: Infants of age < 1 year have the highest mortality rate in pediatrics. The American Academy of Pediatrics (AAP) published guidelines for palliative care in 2013, however, significant variation persists among local protocols addressing neonatal comfort care at the end-of-life (EOL). OBJECTIVES: The purpose of this study was to evaluate current neonatal EOL comfort care practices and clinician satisfaction across America METHODS: After Institutional Review Board approval (516005), an anonymous, electronic survey was sent to members of the AAP Section on Neonatal-Perinatal Medicine...
November 9, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29129035/trends-and-factors-associated-with-breastfeeding-and-infant-sleep-practices-in-georgia
#3
Trina C Salm Ward, Florence A Kanu, Alex K Anderson
Breastfeeding benefits both infant and mother, including reducing the risk of Sudden Infant Death Syndrome (SIDS). To further reduce risk of SIDS, the American Academy of Pediatrics recommends infants sleep on their backs on a separate sleep surface. Our objective was to describe trends and factors associated with breastfeeding and infant sleep practices in Georgia. Pregnancy Risk Assessment Monitoring System 2004-2013 data were obtained from the Georgia Department of Public Health. Chi square tests for trends were utilized to determine whether there were significant linear trends in breastfeeding and infant sleep overtime and by survey phase...
November 11, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/29127209/counseling-on-sun-protection-and-indoor-tanning
#4
Sophie J Balk, Elizabeth A Gottschlich, Dawn M Holman, Meg Watson
BACKGROUND: The US Preventive Services Task Force recommends clinical counseling for individuals ages 10 to 24 years to decrease skin cancer risk. METHODS: A national, random sample of US American Academy of Pediatrics members practicing primary care in 2002 (response rate 55%) and 2015 (response rate 43%). Surveys explored attitudes and experiences regarding sun protection counseling; indoor tanning questions were added in 2015. χ(2) tests compared demographics and counseling responses across years, and multivariable logistic regression models examined counseling predictors...
November 10, 2017: Pediatrics
https://www.readbyqxmd.com/read/29120450/apnea-bradycardia-and-desaturation-spells-in-premature-infants-impact-of-a-protocol-for-the-duration-of-spell-free-observation-on-interprovider-variability-and-readmission-rates
#5
P Chandrasekharan, M Rawat, A M Reynolds, K Phillips, S Lakshminrusimha
OBJECTIVE: To study the impact of implementing a protocol to standardize the duration of observation in preterm infants with apnea/bradycardia/desaturation spells before hospital discharge on length of stay (LOS) and readmission rates. STUDY DESIGN: A protocol to standardize the duration of in-hospital observation for preterm infants with apnea, bradycardia and desaturation spells who were otherwise ready for discharge was implemented in December 2013. We evaluated the impact of this protocol on the LOS and readmission rates of very low birth weight infants (VLBW)...
November 9, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29117883/admission-criteria-for-children-with-obstructive-sleep-apnea-after-adenotonsillectomy-considerations-for-cost
#6
David F Smith, Charlene P Spiceland, Stacey L Ishman, Branden M Engorn, Christopher Donohue, Paul S Park, James R Benke, Tiffany Frazee, Robert H Brown, Nicholas M Dalesio
STUDY OBJECTIVES: Postoperative respiratory complications (PRCs) are common among children with obstructive sleep apnea (OSA) after adenotonsillectomy. We analyzed postoperative admission guidelines to determine which optimally balanced patient safety and cost. METHODS: Retrospective study of children aged 12 years or younger undergoing adenotonsillectomy for OSA after polysomnography at a tertiary academic care center over 2 years. Demographics, medical history, and hospital course were collected...
November 1, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/29112088/serum-25-hydroxy-vitamin-d-levels-in-very-low-birth-weight-infants-receiving-oral-vitamin-d-supplementation
#7
Upender K Munshi, Pauline D Graziano, Kara Meunier, Jennifer Ludke, Angel Rios
BACKGROUND: Vitamin D supplementation in preterm infants has been recommended by American Academy of Pediatrics (AAP) however its efficacy and safety has not been well studied. OBJECTIVE: To study 25 hydroxy vitamin D (25OHD) levels as a marker of vitamin D status of very low birth weight infants while on vitamin D supplementation during NICU hospitalization. METHODS: Retrospective study of preterm infants with birth weight <1500 g admitted to our unit from Jan 2013 to Dec 2015 who were on oral Vitamin D3 400 IU supplementation...
November 3, 2017: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29111941/reasons-to-amplify-the-role-of-parental-permission-in-pediatric-treatment
#8
Mark Christopher Navin, Jason Adam Wasserman
Two new documents from the Committee on Bioethics of the American Academy of Pediatrics (AAP) expand the terrain for parental decision making, suggesting that pediatricians may override only those parental requests that cross a harm threshold. These new documents introduce a broader set of considerations in favor of parental authority in pediatric care than previous AAP documents have embraced. While we find this to be a positive move, we argue that the 2016 AAP positions actually understate the importance of informed and voluntary parental involvement in pediatric decision making...
November 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/29108746/esotropia-and-exotropia-preferred-practice-pattern%C3%A2
#9
David K Wallace, Stephen P Christiansen, Derek T Sprunger, Michele Melia, Katherine A Lee, Christie L Morse, Michael X Repka
No abstract text is available yet for this article.
November 3, 2017: Ophthalmology
https://www.readbyqxmd.com/read/29108745/pediatric-eye-evaluations-preferred-practice-pattern%C3%A2-i-vision-screening-in-the-primary-care-and-community-setting-ii-comprehensive-ophthalmic-examination
#10
David K Wallace, Christie L Morse, Michele Melia, Derek T Sprunger, Michael X Repka, Katherine A Lee, Stephen P Christiansen
No abstract text is available yet for this article.
November 3, 2017: Ophthalmology
https://www.readbyqxmd.com/read/29108744/amblyopia-preferred-practice-pattern%C3%A2
#11
David K Wallace, Michael X Repka, Katherine A Lee, Michele Melia, Stephen P Christiansen, Christie L Morse, Derek T Sprunger
No abstract text is available yet for this article.
November 3, 2017: Ophthalmology
https://www.readbyqxmd.com/read/29099872/a-pilot-randomized-controlled-trial-of-ekg-for-neonatal-resuscitation
#12
Anup Katheria, Kathy Arnell, Melissa Brown, Kasim Hassen, Mauricio Maldonado, Wade Rich, Neil Finer
BACKGROUND: The seventh edition of the American Academy of Pediatrics Neonatal Resuscitation Program recommends the use of a cardiac monitor in infants that need resuscitation. Previous trials have shown that EKG heart rate is available before pulse rate from a pulse oximeter. To date no trial has looked at how the availability of electrocardiogram (EKG) affects clinical interventions in the delivery room. OBJECTIVE: To determine whether the availability of an EKG heart rate value and tracing to the clinical team has an effect on physiologic measures and related interventions during the stabilization of preterm infants...
2017: PloS One
https://www.readbyqxmd.com/read/29099514/clinical-inquiries-what-is-the-optimal-frequency-for-dental-checkups-for-children-and-adults
#13
Thomas W Hahn, Connie Kraus, Christopher Hooper-Lane
IT IS UNCLEAR, but studies suggest that it should be based largely on individual risk. The American Academy of Pediatric Dentistry recommends a 6-month interval for preventive dental visits (strength of recommendation [SOR]: C, expert opinion), but a 24-month interval does not result in an increased incidence of dental caries in healthy children and young adults or increased incidence of gingivitis in healthy adults (SOR: B, a single randomized controlled trial [RCT]). In adults with risk factors (eg, smoking or diabetes), visits at 6-month intervals are associated with a lower incidence of tooth loss (SOR: C, a retrospective cohort study)...
November 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29093048/digital-inequality-and-developmental-trajectories-of-low-income-immigrant-and-minority-children
#14
REVIEW
Vikki S Katz, Carmen Gonzalez, Kevin Clark
Children growing up in the United States today are more ethnically and racially diverse than at any time in the nation's history. Because of rising income inequality, almost half of the 72 million children in the United States are also growing up in low-income families, with immigrant and children of color disproportionately likely to be within their ranks. Children in low-income households are more likely to face a number of social challenges, including constrained access to the Internet and devices that connect to it (ie, digital inequality), which can exacerbate other, more entrenched disparities between them and their more privileged counterparts...
November 2017: Pediatrics
https://www.readbyqxmd.com/read/29091978/sustainability-in-the-aap-bronchiolitis-quality-improvement-project
#15
Kristin A Shadman, Shawn L Ralston, Matthew D Garber, Jens Eickhoff, Grant M Mussman, Susan C Walley, Elizabeth Rice-Conboy, Ryan J Coller
BACKGROUND AND OBJECTIVES: Adherence to American Academy of Pediatrics (AAP) bronchiolitis clinical practice guideline recommendations improved significantly through the AAP's multiinstitutional collaborative, the Bronchiolitis Quality Improvement Project (BQIP). We assessed sustainability of improvements at participating institutions for 1 year following completion of the collaborative. METHODS: Twenty-one multidisciplinary hospital-based teams provided monthly data for key inpatient bronchiolitis measures during baseline and intervention bronchiolitis seasons...
November 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29089778/treatment-of-pediatric-clostridium-difficile-infection-a-review-on-treatment-efficacy-and-economic-value
#16
REVIEW
Amanda R D'Ostroph, Tsz-Yin So
The incidence of Clostridium difficile infection (CDI) in pediatric patients continues to rise. Most of the pediatric recommendations for CDI treatment are extrapolated from the literature and guidelines for adults. The American Academy of Pediatrics recommends oral metronidazole as the first-line treatment option for an initial CDI and the first recurrence if they are mild to moderate in severity. Oral vancomycin is recommended to be used for severe CDI and the second recurrent infection. Additional pulsed regimen of oral vancomycin, which is tapered, may increase efficacy in refractory patients...
2017: Infection and Drug Resistance
https://www.readbyqxmd.com/read/29084362/the-impact-of-conventional-and-nonconventional-inhalants-on-children-and-adolescents
#17
Samya Z Nasr, Ali Ibrahim Nasrallah, Mariam Abdulghani, Stuart C Sweet
AIM: Inhalant abuse in the adolescent population is a growing concern for care givers, communities, physicians, and medical providers. The aim of this article is to provide a review of the literature about this new challenge. In addition, it raises awareness about recent health policy rulings. METHODS: Review of the literature was done. RESULTS: In this review article, the prevalence of different modes of inhalant use and abuse in children and young adults and their potential health implications will be examined: Cigarettes, ENDS (E Cigarettes), Hookah, Marijuana, and Huffing...
October 30, 2017: Pediatric Pulmonology
https://www.readbyqxmd.com/read/29082333/understanding-online-resource-use-by-transgender-youth-and-caregivers-a-qualitative-study
#18
Yolanda N Evans, Samantha J Gridley, Julia Crouch, Alicia Wang, Megan A Moreno, Kym Ahrens, David J Breland
Purpose: This study assessed what online resources transgender youth and their caregivers use to acquire information about transgender health. Methods: Through a variety of settings, including subspecialty clinics, support groups, and online solicitation, we recruited caregivers of transgender youth aged 22 years or younger and self-identified transgender youth aged 14-22 years. We used a mixed methods approach of conducting in-person focus groups, interviews in person or through phone, and an online survey that allowed for increased flexibility for participants and to triangulate key themes from multiple data sources...
2017: Transgender Health
https://www.readbyqxmd.com/read/29079318/transitions-in-care-from-pediatric-to-adult-general-surgery-evaluating-an-unmet-need-for-patients-with-anorectal-malformation-and-hirschsprung-disease
#19
Sarah B Cairo, Priscilla P L Chiu, Roshni Dasgupta, Karen A Diefenbach, Allan M Goldstein, Nicholas A Hamilton, Andrea Lo, Michael D Rollins, David H Rothstein
BACKGROUND: The provision of timely and comprehensive transition of care from pediatric to adult surgical providers for patients who have undergone childhood operations remains a challenge. Understanding the barriers to transition from a patient and family perspective may improve this process. METHODS: A cross-sectional survey was conducted of patients with a history of anorectal malformation (ARM) or Hirschsprung Disease (HD) and their families. The web-based survey was administered through two support groups dedicated to the needs of individuals born with these congenital abnormalities...
October 7, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29074422/suboccipital-craniotomy-versus-craniectomy-a-survey-of-practice-patterns
#20
Elizabeth N Kuhn, Gustavo Chagoya, Bonita S Agee, Mark R Harrigan
OBJECT: Open surgical access to the posterior fossa has traditionally been achieved by permanent bone removal and remains the mainstay of posterior fossa surgery, although craniotomy is an alternative. Considerable variation exists at both the national and international levels within a variety of neurological and neurosurgical disciplines. In this study we surveyed current practice patterns regarding preference of suboccipital craniotomy or craniectomy. METHODS: The membership directory of the American Academy of Neurological Surgeons (AANS) was reviewed...
October 23, 2017: World Neurosurgery
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