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https://www.readbyqxmd.com/read/29673883/constipation-related-emergency-department-use-and-associated-office-visits-and-payments-among-commercially-insured-children
#1
Claire A MacGeorge, Kit N Simpson, William T Basco, David G Bundy
OBJECTIVE: Pediatric constipation is common, costly and often managed in the Emergency Department (ED). The objectives of this study were to determine the frequency of constipation-related ED visits in a large commercially insured population, the frequency of an office visit in the month before and after these visits, demographics associated with these office visits and the ED-associated payments. METHODS: Data were extracted from the Truven MarketScan® database for commercially insured children from 2012-2013...
April 16, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29663913/trends-in-general-anesthesia-utilization-by-board-certified-pediatric-dentists
#2
Lan Pham, Thomas Tanbonliong, Marie Beverly Dizon, Annie Huang, Matthew Cooke
PURPOSE: The purpose of this study was to explore the trends and utilization of general anesthesia services among board-certified pediatric dentists practicing in the United States. METHODS: A 26 item survey was sent to 4,216 board-certified pediatric dentists by REDCap or mail. Results were tabulated, and trends were analyzed. RESULTS: A response rate of 31.8 percent was obtained. All American Academy of Pediatric Dentistry districts were represented proportionally...
March 15, 2018: Pediatric Dentistry
https://www.readbyqxmd.com/read/29644874/impact-of-a-no-mobile-device-policy-on-developmental-surveillance-in-a-pediatric-clinic
#3
Paul A Regan, Benjamin S Fogel, Steven D Hicks
Children commonly use mobile devices at pediatric office visits. This practice may affect patient-provider interaction and undermine accuracy of developmental surveillance. A randomized, provider-blinded, controlled trial examined whether a policy prohibiting mobile device use in a pediatric clinic improved accuracy of pediatricians' developmental surveillance. Children, aged 18 to 36 months, were randomized to device-prohibited (intervention; n = 58) or device-allowed (control; n = 54) groups. After a 30-minute well-visit, development was evaluated as "normal," "borderline," or "delayed" in 5 categories using the Ages and Stages Questionnaire (ASQ-3)...
April 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29625732/healthcare-use-patterns-and-economic-burden-of-chronic-musculoskeletal-pain-in-children-before-diagnosis
#4
Frances Tian, Patsy Guittar, Melissa Moore-Clingenpeel, Gloria Higgins, Stacy P Ardoin, Charles H Spencer, Karla Jones, Bethanne Thomas, Shoghik Akoghlanian, Sharon Bout-Tabaku
OBJECTIVES: To evaluate the healthcare use and costs of amplified musculoskeletal pain syndrome (AMPS) in children before diagnosis. STUDY DESIGN: We performed a retrospective study in children with AMPS at a pediatric rheumatology clinic between 2010 and 2014. Data were abstracted on 80 patients after primary rheumatic diseases were excluded. Healthcare visits, medications and diagnostic testing that occurred in the years before diagnosis were collected. The Medical Expenditure Panel Survey was used to estimate visit costs...
April 3, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29608436/dental-anxiety-among-israeli-postgraduate-pediatric-dental-students-and-their-instructors
#5
Sigalit Blumer, Diana Ram, Liora Costa, Benjamin Peretz
OBJECTIVE: To measure the dental anxiety levels of post-graduate pediatric dental students (PGS) and their instructors, and their ranking of the most anxiety provoking situations in the dental situation; to investigate gender differences with regard to dental anxiety. STUDY DESIGN: Twenty-four PGS and 31 of their instructors completed a three-section questionnaire on socio demographic information, dental anxiety scale (DAS) and dental fear survey (DFS). RESULTS: The overall mean DAS and DFS scores were similar for both groups...
2018: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/29601638/undiagnosed-congenital-heart-defects-as-a-cause-of-sudden-unexpected-death-in-children
#6
Serenella Serinelli, Ponni Arunkumar, Steven White
Despite advances in the diagnosis and treatment of congenital heart defects (CHDs), these defects are still an important cause of sudden, unexpected death in young children. This retrospective study identified 64 cases of CHDs presenting as a cause of sudden, unexpected death in a busy, urban Medical Examiner's Office pediatric population between 2006 and 2016. The majority of cases (52 of 64, 81%) were infants. Interestingly, 52% of cases were undiagnosed prior to autopsy. Ventricular septal defects and atrioventricular septal defects were the most common simple (14%) and complex (17%) malformations observed, respectively...
March 30, 2018: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/29600123/association-between-baseline-blood-pressures-heart-rates-and-vasovagal-syncope-in-children-and-adolescents
#7
Himanshu Adlakha, Ruchi Gupta, Romana Hassan, Jeffrey H Kern
BACKGROUND: Vasovagal syncope is the most common cause of syncope in children and adults, accounting for 50-66% of unexplained syncope. There are no studies establishing the relationship between syncope, baseline heart rate, and blood pressure. OBJECTIVE: To identify a possible association between baseline blood pressure and heart rate with syncope. DESIGN/METHODS: We conducted a questionnaire-based chart review study. A questionnaire was distributed to the guardian of children between eight and 18 years of age who attended the Pediatric Ambulatory Care Clinic at Flushing Hospital Medical Center...
January 28, 2018: Curēus
https://www.readbyqxmd.com/read/29587561/infant-follow-up-postdelivery-from-a-hepatitis-c-viral-load-positive-mother
#8
Craig V Towers, Kimberly B Fortner
OBJECTIVE: The primary current recommendation for infant follow-up postdelivery from a hepatitis C virus (HCV) viral load positive mother is to evaluate for the presence of antibody at or after 18 months of age. Our study objective was to analyze compliance with this recommendation for postdelivery infant HCV screening at our institution among a cohort of infants delivered from HCV viral load positive mothers. METHODS: Starting 1 January, 2015, a prospective database was developed for all pregnancies that involved mothers with a positive HCV viral load during pregnancy...
March 27, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29584481/the-effectiveness-of-child-restraint-and-seat-belt-legislation-in-reducing-child-injuries-the-case-of-serbia
#9
José Ignacio Nazif-Munoz, Nenad Nikolic
OBJECTIVE: The objective of this study is to determine the short- and long-term impacts of Serbia's 2009 update of child restraint and seat belt legislation on the incidence of pediatric motor vehicle-related injury. With this new law, the use of child restraints in children age 0-3 became mandatory, and children 4-12 had to wear seat belts in the rear seats. METHODS: A unique data set with assembled information from public institutions of the Republic of Serbia from January 2004 to December 2014 and analyses based on interrupted time series were carried out...
February 28, 2018: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29581617/national-survey-of-international-electives-for-global-health-in-undergraduate-medical-education-in-japan-2011-2014
#10
Tomio Suzuki, Hiroshi Nishigori
Interest in global health in medical education is increasing in Western countries, whereas data from non-Western countries is scarce. Here, we conducted a nationwide study of international clinical electives at Japanese medical schools from 2011 to 2013. We constructed a 28-item cross-sectional survey in Japanese to investigate the rate and characteristics of both Japanese students going abroad and international students coming on exchange to Japan. The surveys were sent to the administrative offices of all 80 Japanese medical schools in each of the three years, through the Japan Medical Education Foundation...
February 2018: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/29552275/examining-dermatologist-use-and-opinions-of-ultraviolet-radiation-for-cosmetic-and-medical-purposes
#11
Blake P Sampson, Aaron M Secrest, Christopher B Hansen, Alan C Geller
BACKGROUND: The commercial tanning industry has opposed efforts to educate the public on the risks of tanning as well as attempts to restrict minors' access to tanning services. Despite a paucity of supporting literature, statements from the tanning industry claiming that dermatologists routinely use in-office phototherapy for cosmetic treatments and refer patients to tanning salons have successfully derailed and defeated legislation in many states. OBJECTIVE: This study aims to evaluate dermatologist referrals for ultraviolet radiation for cosmetic and medical purposes via tanning beds or phototherapy, as well as their opinions on tanning, legislation, and ultraviolet radiation counseling practices...
February 2018: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/29538786/acute-pediatric-pain-management-in-the-primary-care-office
#12
Sindy Villacres, Corrie E Chumpitazi
Pain is a chief complaint in children seeking medical care, yet it may also be experienced in evaluation and treatment during office visits. Inadequate relief of children's procedural pain and distress not only affects the experience of the children and their parents, but also adversely affects procedural outcomes. Despite increasing awareness and research, management of procedural pain and anxiety in children is often inadequate. In addition, parent and patient satisfaction is often tied to pain management...
March 1, 2018: Pediatric Annals
https://www.readbyqxmd.com/read/29538780/primary-care-office-preparedness-for-pediatric-emergencies
#13
Shiva Kalidindi, Thomas A Lacy
Emergencies do occur in pediatric primary care offices. The American Academy of Pediatrics Committee on Pediatric Emergency Medicine recommends that primary care offices perform a self-assessment of office readiness for emergencies. Primary care offices should develop an emergency response plan to recognize, stabilize, and transfer sick children. They should also ensure their offices have the essential equipment, supplies, and medications readily available in case of emergencies. Primary care offices can prepare and practice for office emergencies through "mock codes" and by maintaining certification in basic and advanced life support courses...
March 1, 2018: Pediatric Annals
https://www.readbyqxmd.com/read/29538187/early-childhood-learning-and-the-pediatrician-a-qualitative-study-among-diverse-low-income-caregivers
#14
Jecca Rhea Steinberg, Janine S Bruce, Paloma Marin-Nevarez, Kimmy Phan, Sylvia Bereknyei Merrell, Lisa J Chamberlain
OBJECTIVE: School readiness by kindergarten entry is associated with increased high school graduation, decreased juvenile arrest, and better long-term health. Inadequate early childhood learning (ECL) disproportionately affects low-income children. Pediatricians have near-universal access to children younger than 5 years but remain an underused ECL resource. This study examined caregivers' perceptions of ECL, the role of the pediatrician and pediatric office, and the use of community-based ECL resources among diverse, low-income caregivers whose children were not enrolled in preschool...
March 13, 2018: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/29527382/bronchogenic-cyst-as-an-unusual-cause-of-a-persistent-cough-and-wheeze-in-children-a-case-report-and-literature-review
#15
Ahmed Abushahin, Abdulla Zarroug, Magda Wagdi, Ibrahim Janahi
Wheezing and cough are common case scenarios that pediatricians encountered in their office practices. Although a bronchogenic cyst is an uncommon condition, it is essential to be considered in the differential diagnosis of a chronic cough and wheezing among young children who fail to respond to appropriate medical treatment. A 28-month-old girl was referred to our pediatric pulmonology clinic with persistent symptoms of a cough and wheeze unresponsive to standard asthma therapy. This presentation prompted us to undertake a detailed diagnostic evaluation...
2018: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/29505481/adult-caregiver-influenza-vaccination-through-administration-in-pediatric-outpatient-clinics-a-cocooning-healthcare-improvement-project
#16
Kimberley Jacobs, Molly Posa, Whitney Spellicy, Jaclyn Otero, Maria Kelly
BACKGROUND: Pediatric exposure to influenza-infected adult caregivers (AC) is a significant risk factor for developing influenza. Poor access to vaccines contributes to low adult vaccination rates. We offered adult vaccination at regularly scheduled pediatric office visits and examined barriers to improve future vaccination rates. METHODS: Via a retrospective chart review, we identified ACs who received an influenza vaccination at one of three pediatric clinics within an academic center from August 2015 to May 2016...
March 2, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29502638/a-learning-collaborative-model-to-improve-human-papillomavirus-vaccination-rates-in-primary-care
#17
Cynthia M Rand, Hollyce Tyrrell, Rachel Wallace-Brodeur, Nicolas P N Goldstein, Paul M Darden, Sharon G Humiston, Christina S Albertin, William Stratbucker, Stanley J Schaffer, Wendy Davis, Peter G Szilagyi
OBJECTIVE: Human papillomavirus (HPV) vaccination rates remain low, in part because of missed opportunities (MOs) for vaccination. We used a learning collaborative quality improvement (QI) model to assess the effect of a multicomponent intervention on reducing MOs. METHODS: Study design: pre-post using a QI intervention in 33 community practices and 14 pediatric continuity clinics over 9 months to reduce MOs for HPV vaccination at all visit types. MEASURES: outcome measures comprised baseline and postproject measures of 1) MOs (primary outcome), and 2) HPV vaccine initiation and completion...
March 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29497983/caring-for-children-with-special-health-care-needs-profiling-pediatricians-and-their-health-care-resources
#18
Megumi J Okumura, Heather A Knauer, Kris E Calvin, John I Takayama
Background and Objectives Pediatricians face numerous challenges in providing care for children with special health care needs (CSHCN). Few studies have described health care resources available to support pediatricians to care for CSHCN. This study investigated available resources to care for CSHCN and factors associated with having a greater proportion of CSHCN in practice. Methods We conducted a statewide survey of active members of the American Academy of Pediatrics in California to study pediatric subspecialty care access, community and office resources and practice barriers...
March 1, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29484087/vapocoolant-anesthesia-for-cosmetic-facial-rejuvenation-injections-a-randomized-prospective-split-face-trial
#19
Matthew R Zeiderman, Shahrooz Sean Kelishadi, John Paul Tutela, Arun Rao, Saeed Chowdhry, Ronald M Brooks, Bradon J Wilhelmi
Background: Minimally invasive cosmetic procedures are the most commonly performed aesthetic techniques by plastic surgeons. Patients are interested in a pain-free experience. Surgeons desire patient satisfaction and time-efficient utilization of office staff and resources. Clinical evidence exists for use of vapocoolant technology to reduce pain associated with intravenous cannulation in the pediatric population and in hemodialysis patients. Applying vapocoolant technology to facial rejuvenation is a novel approach to decrease pain associated with neurotoxin or filler injection...
2018: Eplasty
https://www.readbyqxmd.com/read/29479727/efficacy-and-safety-of-topical-application-of-15-and-10-potassium-hydroxide-for-the-treatment-of-molluscum-contagiosum
#20
Concepció Teixidó, Olga Díez, Josep R Marsal, Maria Giner-Soriano, Helena Pera, Mireia Martinez, Gisela Galindo-Ortego, Joan A Schoenenberger, Jordi Real, Ines Cruz, Rosa Morros
BACKGROUND/OBJECTIVES: Molluscum contagiosum is the most common skin infection in children. One topical treatment used for Molluscum contagiosum is potassium hydroxide. The objective of this study was to compare the efficacy of potassium hydroxide topical treatment at different concentrations with that of placebo in terms of complete clearing of Molluscum contagiosum lesions and to assess the safety and tolerance of potassium hydroxide topical treatment. METHODS: This was a double-blind randomized clinical trial of three treatments (potassium hydroxide 10%, potassium hydroxide 15%, placebo) applied once daily up to complete clearing of lesions (maximum duration 60 days) in 53 children aged 2-6 years in primary health care pediatric offices in Catalonia, Spain...
February 26, 2018: Pediatric Dermatology
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