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https://www.readbyqxmd.com/read/29453235/a-workforce-survey-on-developmental-behavioral-pediatrics
#1
Carolyn Bridgemohan, Nerissa S Bauer, Britt A Nielsen, Anne DeBattista, Holly S Ruch-Ross, Linda B Paul, Nancy Roizen
BACKGROUND AND OBJECTIVES: Developmental-behavioral conditions are common, affecting ∼15% of US children. The prevalence and complexity of these conditions are increasing despite long wait times and a limited pipeline of new providers. We surveyed a convenience sample of the developmental-behavioral pediatric (DBP) workforce to determine current practices, workforce trends, and future needs. METHODS: An electronic survey was e-mailed to 1568 members of the American Academy of Pediatrics Section on Developmental and Behavioral Pediatrics and Council on Children with Disabilities, the Society for Developmental and Behavioral Pediatrics, and the National Association of Pediatric Nurse Practitioners Developmental and Behavioral Mental Health Special Interest Group...
February 16, 2018: Pediatrics
https://www.readbyqxmd.com/read/29452740/trends-in-the-incidence-of-sudden-unexpected-infant-death-in-the-newborn-1995-2014
#2
Joel L Bass, Tina Gartley, David A Lyczkowski, Ronald Kleinman
OBJECTIVE: To evaluate the epidemiology of sudden unexpected infant death (SUID) over a 20-year period in the US, to assess the potential frequency of sudden unexpected postnatal collapse in the early days of life, and to determine if SUID rates in the neonatal period (0-27 days) have changed in parallel with rates in the postneonatal periods, including the percentages attributed to codes that include accidental suffocation. STUDY DESIGN: Data from the US Centers for Disease Control and Prevention Linked Birth/Infant Death Records for 1995-2014 were analyzed for the first hour, day, week, and month of life...
February 5, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29442277/exploring-lactation-consultant-views-on-infant-safe-sleep
#3
Nichole L Hodges, Lara B McKenzie, Sarah E Anderson, Mira L Katz
Objectives The purpose of this qualitative study was to explore the infant safe sleep beliefs and occupational practices of lactation consultants and to determine if lactation consultants give advice to clients that is consistent with the American Academy of Pediatrics' recommendations on this topic. Methods Focus groups were conducted with certified lactation consultants in two cities in Ohio. Participants discussed the role of lactation consultants, the infant sleep advice they provide to women, their views on the American Academy of Pediatrics' infant safe sleep recommendations and related policies, and perceived benefits and barriers associated with providing infant safe sleep education as part of their work...
February 13, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29439733/measuring-empathy-in-pediatrics-validation-of-the-visual-care-measure
#4
Michele Arigliani, Luigi Castriotta, Anna Pusiol, Annachiara Titolo, Enrico Petoello, Alberto Brun Peressut, Elisabetta Miorin, Iana Elkina, Federico Marzona, Davide Cucchiaro, Elisa Spanghero, Matteo Pavan, Raffaele Arigliani, Stewart W Mercer, Paola Cogo
BACKGROUND: Empathy is a key element of "Patient and Family Centered Care", a clinical approach recommended by the American Academy of Pediatrics. However, there is a lack of validated tools to evaluate paediatrician empathy. This study aimed to validate the Visual CARE Measure, a patient rated questionnaire measuring physician empathy, in the setting of a Pediatric Emergency Department (ED). METHODS: The empathy of physicians working in the Pediatric ED of the University Hospital of Udine, Italy, was assessed using an Italian translation of the Visual Care Measure...
February 13, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29433698/barriers-to-and-interventions-that-increase-nurses-and-parents-compliance-with-safe-sleep-recommendations-for-preterm-infants
#5
REVIEW
Mary Rose Naugler, Kristine DiCarlo
The purpose of this integrative review was to identify interventions that increase compliance of nurses and of parents with safe sleep recommendations for premature infants. Ten studies were included in the final sample, including three studies with a prospective descriptive design, five quality improvement initiatives with an interventional research design, one secondary analysis, and one retrospective medical chart review. Study samples included neonatal nurses and parents of premature infants in NICUs and transitional care nurseries in Massachusetts, Missouri, New York, North Carolina, Ohio, Pennsylvania, and Texas...
February 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29427374/economic-analysis-of-diagnostic-imaging-in-pediatric-patients-with-suspected-appendicitis
#6
Anupam B Kharbanda, Eric W Christensen, Nanette C Dudley, Lalit Bajaj, Michelle D Stevenson, Charles G Macias, Manoj K Mittal, Richard G Bachur, Jonathan E Bennett, Kelly Sinclair, Brianna McMichael, Peter S Dayan
OBJECTIVE: The use of computed tomography (CT) and ultrasound (US) in patients with acute abdominal pain has substantial variation across pediatric emergency departments (ED). This study compares the cost of diagnosing and treating suspected appendicitis across a multi-center network of children's hospitals. METHODS: This study is a secondary analysis using de-identified data of a prospective, observational study of patients with suspected appendicitis at nine pediatric EDs...
February 10, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29427120/challenges-in-transition-of-care-for-pediatric-patients-after-weight-reduction-surgery-a-systematic-review-and-recommendations-for-comprehensive-care
#7
REVIEW
Sarah B Cairo, Indrajit Majumdar, Aurora Pryor, Alan Posner, Carroll M Harmon, David H Rothstein
Obesity in pediatric patients is rising with nearly one third of children in the USA classified as overweight and up to 16-18% of the adolescent population obese with at least one comorbid condition. Consequently, bariatric procedures in this population have increased without consistent recommendations for follow-up and transition to adult providers. This review describes the known and potential long-term consequences of bariatric surgery in pediatric patients, reviews the current literature on transitions of care for adolescent patients with chronic illnesses...
February 9, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29420573/prevalence-of-diagnosed-temporomandibular-disorders-a-cross-sectional-study-in-brazilian-adolescents
#8
Fernanda Mara de Paiva Bertoli, Carolina Dea Bruzamolin, Eduardo Pizzatto, Estela Maris Losso, João Armando Brancher, Juliana Feltrin de Souza
BACKGROUND: The prevalence of signs and symptoms of temporomandibular disorders (TMD) increases during adolescence and adulthood. Few studies have examined TMD prevalence in Brazilian adolescents. AIM: To investigate the prevalence of TMD in Brazilian adolescents. METHODS: A representative population-based sample of 934 adolescents (10-14-years-old) was examined. TMD screening was performed using a questionnaire by the American Academy of Orofacial Pain...
2018: PloS One
https://www.readbyqxmd.com/read/29420458/advisory-committee-on-immunization-practices-recommended-immunization-schedule-for-children-and-adolescents-aged-18-years-or-younger-united-states-2018
#9
Candice L Robinson, José R Romero, Allison Kempe, Cynthia Pellegrini, Peter Szilagyi
In October 2017, the Advisory Committee on Immunization Practices (ACIP) approved the Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger - United States, 2018. The 2018 child and adolescent immunization schedule summarizes ACIP recommendations, including several changes from the 2017 immunization schedules, in three figures and footnotes to the figures. These documents can be found on the CDC immunization schedule website (https://www.cdc.gov/vaccines/schedules/index.html)...
February 9, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29420431/challenges-in-transition-of-care-for-patients-with-anorectal-malformations-a-systematic-review-and-recommendations-for-comprehensive-care
#10
Sarah B Cairo, Alessandra Gasior, Michael D Rollins, David H Rothstein
BACKGROUND: Anorectal malformations are one of the most common congenital intestinal anomalies affecting newborns. Despite advances in neonatal care and surgical techniques, many patients with a history of anorectal malformations are affected by long-term challenges involving bowel and bladder dysfunction, sexual dysfunction, and psychosocial issues. These outcomes or challenges are additionally exacerbated by the lack of a structured transition of care from the pediatric to the adult setting...
March 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29417077/ciprofloxacin-use-in-hospitalized-children-approved-or-off-label
#11
Toktam Faghihi, Leila Yavari Tekmehdash, Mania Radfar, Kheirollah Gholami
Objective: Fluoroquinolones are not routinely used as the first-line antimicrobial therapy in pediatrics. The American Academy of Pediatrics (AAP) and the United States Food and Drug Administration (FDA) approved fluoroquinolones on certain indications in children. The aim of this study was to evaluate to what extent and how ciprofloxacin is used on approved indication or as off-label. Besides, dose adequacy and treatment duration were assessed. Methods: In a 10-month observational study, all children receiving systemic ciprofloxacin were assessed...
October 2017: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/29409943/pediatricians-knowledge-and-practices-related-to-long-acting-reversible-contraceptives-for-adolescent-girls
#12
Risa L Fridy, Sofya Maslyanskaya, Sylvia Lim, Susan M Coupey
OBJECTIVE: A 2014 American Academy of Pediatrics (AAP) Policy Statement identified long-acting reversible contraceptives (LARC) as first-line choices for adolescents, but pediatricians' current knowledge and practices about intrauterine devices (IUDs) and subdermal contraceptive implants (Implants) is unknown. We aimed to characterize pediatricians' knowledge and practices about LARCs for adolescents. DESIGN, SETTING, PARTICIPANTS: Cross-sectional online survey emailed to a convenience sample of AAP member pediatricians in New York, Utah, Illinois, and Kansas in 2015 & 2016...
January 31, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29409325/dermatology-echo-an-innovative-solution-to-address-limited-access-to-dermatology-expertise
#13
Hal Lewis, Mirna Becevic, Danny Myers, Dyann Helming, Rachel Mutrux, David Fleming, Karen Edison
INTRODUCTION: The present maldistribution of dermatologists in the USA may make it difficult for patients to access timely and quality care. Access to specialty care may be even more challenging for rural and underserved patients due to geographical limitations and other socioeconomic hardships. With over one-third of primary care patients seeking care for at least one skin problem, it is important to follow the American Academy of Dermatology Special Positioning Workgroup\'s core areas of impact regarding treatment of conditions that affect millions of patients by using a team-based approach and telemedicine technologies...
February 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29394482/factors-associated-with-parental-compliance-with-supine-infant-sleep-an-integrative-review
#14
Kristyn Zundo, Elizabeth A Richards, Azza H Ahmed, Jennifer A Codington
Despite educational programs, sudden infant death syndrome (SIDS) rates remain unacceptably high, especially among low-income and African-American populations. The purpose of this review is to examine reasons for parental noncompliance with supine sleep recommendations. A database search in Cochrane Database of Systematic Reviews, PubMed, EBSCOhost, and CINAHL was conducted using keywords SIDS, prevention and control, parental compliance, nursing, supine position, Back to Sleep campaign, and Safe to Sleep campaign...
March 2017: Pediatric Nursing
https://www.readbyqxmd.com/read/29373475/lessons-from-an-outbreak-of-varicella-infection-in-pediatric-hemato-oncology-patients
#15
Michal Manistarski, Dror Levin, Rina Dvir, Sivan Berger-Achituv, Hila Rosenfeld Keidar, Galia Grisaru-Soen, Yehuda Carmeli, Ronit Elhasid
BACKGROUND: Immunocompromized patients exposed to varicella may experience significant morbidity and a 7% mortality rate. Management and outcome of an outbreak of varicella infection among hospitalized pediatric hemato-oncology patients using the guidelines of the American Academy of Pediatrics Committee on Infectious Diseases is presented. PATIENTS AND METHODS: This retrospective study describes an outbreak of varicella infection between February 2011 and June 2011...
January 25, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29369894/is-the-appropriate-use-criteria-for-type-ii-supracondylar-humerus-fractures-really-appropriate
#16
Mauricio Silva, Erin M Delfosse, Howard Park, Hemali Panchal, Edward Ebramzadeh
INTRODUCTION: The Appropriate Use Criteria for the treatment of supracondylar humerus fractures (SCHFs), developed by American Academy of Orthopaedic Surgeons, recommends pinning for all type II SCHFs. However, previous studies have suggested that, with close follow-up some of the less severe type II SCHF's can be successfully treated without surgery. Our purpose was to analyze data collected prospectively on a large cohort of type II SCHF's. METHODS: We reviewed clinical and radiographic information on all type II pediatric SCHF (n=1120) that were enrolled in a prospective registry and were followed for a minimum of 8 weeks...
January 24, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29366533/children-and-screens-groupe-de-p%C3%A3-diatrie-g%C3%A3-n%C3%A3-rale-soci%C3%A3-t%C3%A3-fran%C3%A3-aise-de-p%C3%A3-diatrie-guidelines-for-pediatricians-and-families
#17
G Picherot, J Cheymol, R Assathiany, M-S Barthet-Derrien, M Bidet-Emeriau, S Blocquaux, R Carbajal, F-M Caron, O Gerard, M Hinterman, O Houde, C Jollivet, M-F Le Heuzey, A Mielle, M Ogrizek, B Rocher, B Samson, V Ronziere, P Foucaud
The Groupe de Pédiatrie Générale (General Pediatrics Group), a member of the Société française de pédiatrie (French Pediatrics Society), has proposed guidelines for families and doctors regarding children's use of digital screens. A number of guidelines have already been published, in particular by the French Academy of Sciences in 2013 and the American Academy of Pediatrics in 2016. These new guidelines were preceded by an investigation into the location of digital screen use by young children in France, a survey of medical concerns on the misuse of digital devices, and a review of their documented benefits...
January 20, 2018: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29358482/unstable-housing-and-caregiver-and-child-health-in-renter-families
#18
Megan Sandel, Richard Sheward, Stephanie Ettinger de Cuba, Sharon M Coleman, Deborah A Frank, Mariana Chilton, Maureen Black, Timothy Heeren, Justin Pasquariello, Patrick Casey, Eduardo Ochoa, Diana Cutts
OBJECTIVES: To evaluate how 3 forms of housing instability relate to caregiver and child health among low-income renter households. METHODS: Caregivers of children 0 to 48 months of age were interviewed in 5 urban medical centers from May 2009 to December 2015. Caregivers reported on the following: caregiver health, maternal depressive symptoms, child's health, lifetime hospitalizations, developmental risk, and 3 housing circumstances, which were categorized as being behind on rent in the past 12 months, multiple moves (≥ 2 in past 12 months), and child's lifetime history of homelessness...
January 22, 2018: Pediatrics
https://www.readbyqxmd.com/read/29358481/pediatricians-and-public-health-optimizing-the-health-and-well-being-of-the-nation-s-children
#19
Alice A Kuo, Pauline A Thomas, Lance A Chilton, Laurene Mascola
Ensuring optimal health for children requires a population-based approach and collaboration between pediatrics and public health. The prevention of major threats to children's health (such as behavioral health issues) and the control and management of chronic diseases, obesity, injury, communicable diseases, and other problems cannot be managed solely in the pediatric office. The integration of clinical practice with public health actions is necessary for multiple levels of disease prevention that involve the child, family, and community...
January 22, 2018: Pediatrics
https://www.readbyqxmd.com/read/29357894/embedding-weight-management-into-safety-net-pediatric-primary-care-randomized-controlled-trial
#20
Judith Wylie-Rosett, Adriana E Groisman-Perelstein, Pamela M Diamantis, Camille C Jimenez, Viswanathan Shankar, Beth A Conlon, Yasmin Mossavar-Rahmani, Carmen R Isasi, Sarah N Martin, Mindy Ginsberg, Nirupa R Matthan, Alice H Lichtenstein
BACKGROUND: Implementing evidence-based recommendations for treating pediatric overweight and obesity is challenging in low-resource settings. We conducted a randomized controlled trial to evaluate the effects of implementing the American Academy of Pediatrics overweight/obesity recommendations using a Standard Care approach alone or with the addition of an enhanced program in a safety-net pediatric primary care setting (located in Bronx, New York, United States). METHODS: In a 12-month trial, families of children (age 7-12 years; body mass index ≥85th American percentile for age and sex; 74% self-identified as Hispanic/Latino; n = 360) were randomly assigned to receive Standard Care Alone or Standard Care + Enhanced Program...
January 22, 2018: International Journal of Behavioral Nutrition and Physical Activity
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