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https://www.readbyqxmd.com/read/29055023/using-physician-level-emergency-department-utilization-reports-to-address-avoidable-visits-by-patients-managed-by-pediatric-specialists
#1
Jarone Lee, Esther Israel, Howard Weinstein, T Bernard Kinane, Mark Pasternack, Pamela Linov, Haytham M A Kaafarani, Peter Greenspan, Sandhya K Rao
OBJECTIVES: Emergency department (ED) utilization is a major driver of cost. Specialist physicians have an important role in addressing ED utilization, especially at tertiary medical centers that treat highly specialized patients. We analyzed if reporting of ED utilization to pediatric specialist physicians can decrease ED visits. METHODS: Physicians within pediatric neurology, hematology and oncology, infectious diseases, and pulmonary divisions received their ED use reports...
October 20, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/29031700/cost-benefit-of-comprehensive-primary-and-preventive-school-based-health-care
#2
William V Padula, Katherine A Connor, Josiah M Mueller, Jonathan C Hong, Gabriela Calderon Velazquez, Sara B Johnson
INTRODUCTION: The Rales Health Center is a comprehensive school-based health center at an urban elementary/middle school. Rales Health Center provides a full range of pediatric services using an enriched staffing model consisting of pediatrician, nurse practitioner, registered nurses, and medical office assistant. This staffing model provides greater care but costs more than traditional school-based health centers staffed by part-time nurses. The objective was to analyze the cost benefit of Rales Health Center enhanced staffing model compared with a traditional school-based health center (standard care), focusing on asthma care, which is among the most prevalent chronic conditions of childhood...
October 11, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29029580/uncovering-longitudinal-health-care-behaviors-for-millions-of-medicaid-enrollees-a-multistate-comparison-of-pediatric-asthma-utilization
#3
Ross Hilton, Yuchen Zheng, Anne Fitzpatrick, Nicoleta Serban
BACKGROUND: This study introduces a framework for analyzing and visualizing health care utilization for millions of children, with a focus on pediatric asthma, one of the major chronic respiratory conditions. METHODS: The data source is the 2005 to 2012 Medicaid Analytic Extract claims for 10 Southeast states. The study population consists of Medicaid-enrolled children with persistent asthma. We translate multiyear, individual-level medical claims into sequences of discrete utilization events, which are modeled using Markov renewal processes and model-based clustering...
October 1, 2017: Medical Decision Making: An International Journal of the Society for Medical Decision Making
https://www.readbyqxmd.com/read/29028420/the-effect-of-telemedicine-on-resource-utilization-and-hospital-disposition-in-critically-ill-pediatric-transport-patients
#4
Kimberly Fugok, Nicholas B Slamon
PURPOSE: Pediatric transport teams rely on communication to report patient data to medical command officers, who create care plans and determine disposition. Common destinations are the emergency department (ED), pediatric intensive care unit (PICU), or regular inpatient care area (RIPCA). Telephone report does not result in complete understanding of the patient's condition. Further workup in the ED is often required. Telemedicine allows the patient to be directly seen; parents to be interviewed; and laboratory studies, radiographs, and vital signs to be reviewed...
October 13, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29028414/immunization-attitudes-and-practices-among-family-medicine-providers
#5
Cynthia A Bonville, Joseph B Domachowske, Donald A Cibula, Manika Suryadevara
OBJECTIVE: To describe immunization attitudes and practices among family medicine providers across New York State. METHODS: In this cross-sectional survey study, family medicine providers across New York State completed a questionnaire to assess vaccine beliefs and barriers and immunization practices. STATISTICAL ANALYSIS: Descriptive statistical methods were used to define provider characteristics, knowledge and vaccine practices. RESULTS: Completed questionnaires from 226 family medicine providers were included for analysis...
October 13, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29024755/performance-of-pediatric-rehabilitation-medicine-candidates-on-the-subspecialty-board-certification-examination-from-2003-2015
#6
Sherilyn W Driscoll, Teresa L Massagli, Mary A McMahon, Mikaela M Raddatz, David W Pruitt, Kevin P Murphy
BACKGROUND: Pediatric Rehabilitation Medicine (PRM) physicians enter the field via several pathways. It is unknown if different training pathways impact performance on the American Board of Physical Medicine and Rehabilitation (ABPMR) PRM Examination and Maintenance of Certification (MOC) Examination. OBJECTIVES: To describe the exam performance of candidates on the ABPMR PRM Examination according to their type of training (physiatrists with a clinical PRM focus, accredited or unaccredited fellowship training, separate pediatric and PM&R residencies or combined Peds/PM&R residencies) and to compare candidates' performance on the PRM Examination with their initial ABPMR certification and MOC Examinations...
October 9, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28984148/integrated-behavioral-health-care-in-pediatric-primary-care-a-quality-improvement-project
#7
Michael W Yogman, Susan Betjemann, Anna Sagaser, Liza Brecher
The top 5 reasons for pediatric office visits in the United States today are behavioral health concerns. This article describes a colocated behavioral health and care coordination integration model in a pediatric primary care office to reduce barriers to behavioral health care.
October 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28980203/correction-to-common-pediatric-medical-emergencies-in-office-practice
#8
Bharat Mehra, Suresh Gupta
The published online version contains an inadvertent error. On page 8, under the heading "Approach to a Child with Trauma" there is a box with "Primary Survey & Resuscitation".
October 2, 2017: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/28959070/review-of-errors-in-the-issue-of-medical-certificates-of-cause-of-death-in-a-tertiary-hospital-in-ghana
#9
Patrick K Akakpo, Yaw A Awuku, Leonard Derkyi-Kwarteng, Kelvin A Gyamera, Sebastian Eliason
OBJECTIVE: Reliable mortality statistics are useful in determining national policies on preventive and interventional medicine. This study reviews, completed medical certificates of cause of death at the Cape Coast Teaching Hospital, in order to determine their accuracy and reliability. METHODS: A one-year review of Medical Certificates of Cause of Death (MCCD) signed between 01-01-2013 and 31-12-2013 in the medical, pediatric, surgical and obstetrics/gynecology departments of Cape Coast Teaching Hospital were done, analyzing for errors using the WHO/ICD-10 guidelines as the standard...
March 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28952327/factors-associated-with-pediatrician-responses-to-alternative-immunization-schedule-requests
#10
Salini Mohanty, Kristen A Feemster, Alison Buttenheim, Charlotte A Moser, Robert I Field, Whitney Mayer, Amy Carroll-Scott
We conducted a cross-sectional online survey among 4 chapters of the American Academy of Pediatrics from July through October 2014 to describe characteristics of pediatricians and practices associated with practice-level responses to alternative immunization schedule requests. Among 374 pediatricians, 58% reported frequent alternative immunization schedule requests and 24% reported feeling comfortable using them. Pediatricians who work in practices that accommodate alternative immunization schedule requests have increased odds of having a high frequency of alternative immunization schedule requests, and beliefs that relationships with families would be negatively affected if they refused requests...
February 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28948314/masked-isolated-nocturnal-hypertension-in-children-and-young-adults
#11
Hisayo Fujita, Seiji Matsuoka, Midori Awazu
Isolated nocturnal hypertension (INH) is characterized by normal daytime blood pressure (BP) and elevated nighttime BP diagnosed by ambulatory BP monitoring. Masked isolated nocturnal hypertension (MINH) is a subtype of INH in which office BP is normal. We studied the frequency and characteristics of INH and MINH in children and young adults. One hundred and ninety-eight subjects seen by the pediatric nephrology service were studied retrospectively. Isolated nocturnal hypertension (INH) and MINH were diagnosed according to daytime and nighttime ABP and office BP in the case of the latter...
September 25, 2017: Pediatric Cardiology
https://www.readbyqxmd.com/read/28947346/using-the-4-pillars%C3%A2-practice-transformation-program-to-increase-adolescent-human-papillomavirus-meningococcal-tetanus-diphtheria-pertussis-and-influenza-vaccination
#12
Richard K Zimmerman, Jonathan M Raviotta, Mary Patricia Nowalk, Krissy K Moehling, Evelyn Cohen Reis, Sharon G Humiston, Chyongchiou Jeng Lin
OBJECTIVES: To report the results of an intervention using the 4 Pillars™ Practice Transformation Program (4 Pillars™ Program) to increase adolescent vaccinations including human papillomavirus vaccine (HPV) and influenza vaccines, which remain underutilized in this population. STUDY DESIGN: Eleven pediatric and family medicine practices, previously control sites from a randomized controlled cluster trial, with ≥50 adolescent patients participated. The 4 Pillars™ Program was the foundation of the intervention...
October 27, 2017: Vaccine
https://www.readbyqxmd.com/read/28935390/ask-the-question-screening-for-postpartum-mood-and-anxiety-disorders-in-pediatric-primary-care
#13
Stacy Kurtz, Jack Levine, Marcy Safyer
Postpartum mood and anxiety disorders (PMADs) are a significant source of toxic stress for young children and can disrupt developing brain architecture resulting in long-lasting deleterious effects. Thus, screening for PMADs must be considered as an essential task of a pediatric primary care provider (PCP) and the pediatric medical home. Problems in parenting capacity in mothers with PMADs can lead to disorders in attachment and a range of other emotional and developmental challenges for a young child. Therefore, all PCP office visits with mothers should include surveillance as well as formal screening at regular, pre-determined intervals...
September 18, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28921014/-legal-medicine-specialists-within-the-framework-of-acute-care-analysis-of-legal-medicine-consultations-in-relation-to-the-victims-statistics-of-the-state-office-of-criminal-investigation-in-saxony-anhalt
#14
G Pliske, S Heide, B Lucas, K Brandstädter, F Walcher, S Kropf, R Lessig, S Piatek
BACKGROUND: In acute medical care, there are patients who have been injured by the influence of others. The aim of this study was to analyze all cases which were presented to the Institute for Legal Medicine of the University Halle (Saale). The cases where analyzed in relation to the victims' statistics of the state office of criminal investigation in Saxony-Anhalt. MATERIALS AND METHODS: The consultations of the Institute for Legal Medicine Halle-Wittenberg for 2012-2015 were evaluated with regard to the age and gender distribution, the reasons for the consultation and time until the request for consultations...
September 18, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28917392/description-of-a-multi-university-education-and-collaborative-care-child-psychiatry-access-program-new-york-state-s-cap-pc
#15
D L Kaye, V Fornari, M Scharf, W Fremont, R Zuckerbrot, C Foley, T Hargrave, B A Smith, J Wallace, G Blakeslee, J Petras, S Sengupta, J Singarayer, A Cogswell, I Bhatia, P Jensen
OBJECTIVE: Although, child mental health problems are widespread, few get adequate treatment, and there is a severe shortage of child psychiatrists. To address this public health need many states have adopted collaborative care programs to assist primary care to better assess and manage pediatric mental health concerns. This report adds to the small literature on collaborative care programs and describes one large program that covers most of New York state. PROGRAM DESCRIPTION: CAP PC, a component program of New York State's Office of Mental Health (OMH) Project TEACH, has provided education and consultation support to primary care providers covering most of New York state since 2010...
September 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28898311/-breastfeeding-gross-motor-development-and-obesity-is-there-any-causal-association
#16
Gerardo Weisstaub N, Luisa Schonhaut B, Gabriela Salazar R
Childhood obesity is the main nutritional and public health problem in Chile, being the principal causes, the increase in energy dense foods and the decline of physical activity. Interventions to prevent obesity at infancy are focused mainly in improving quality and quantity of dietary intake, without taking into account physical activity, which is expressed under two years of age, mainly by motor development. Some studies have proven that motor development at early age, may influence the ability to perform physical activity...
2017: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/28892551/transforming-the-pediatric-experience-the-story-of-child-life
#17
Kia Beickert, Kelsey Mora
During the past century, child life programming has evolved into a standard of care for children experiencing life's most challenging events. From pediatric outpatient clinics and dentists' offices to funeral homes and courtrooms, children are now being provided access to professionals that relieve the anxiety and fear associated with emotional and physical pain. Recognized by the American Academy of Pediatrics, child life specialists focus on the "strengths and sense of well-being of children while promoting their optimal development and minimizing the adverse effects of children's experiences in health care or other potentially stressful settings...
September 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28892544/you-can-reduce-secondhand-smoke-exposure-prescribing-nicotine-replacement-in-the-pediatrician-s-office
#18
Sabrina Fernandez
It is universally known that secondhand smoke is detrimental to children's health. There is emerging research about the negative effects of thirdhand smoke as well. Most pediatricians focus on the child's medical evaluation and treatment, without considering other family members as it impacts the child's health. Screening rates for secondhand smoke exposure are low to begin with, and when we find a family member who is smoking, most pediatricians feel comfortable counseling and referring, but many do not know how to prescribe nicotine replacement therapy (NRT)...
September 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28889899/pulmonary-nodules-in-an-adolescent-female-presented-with-abdominal-pain-fatigue-and-weight-loss
#19
Britta K Sundquist, Paul G Comber, Scott H Beegle
A 14-year-old girl initially presented to a pediatric gastroenterology office with a 1-month history of right upper quadrant abdominal pain, which radiated to the right shoulder and back. Her pain was worse after heavy meals and with deep breaths. She reported anorexia, fatigue, dyspnea while playing soccer, and a 5-pound weight loss. She denied any fevers, cough, or changes in her bowel habits.
September 2017: Chest
https://www.readbyqxmd.com/read/28858554/office-based-anesthesia-safety-and-outcomes-in-pediatric-dental-patients
#20
Allison L Spera, Mark A Saxen, Juan F Yepes, James E Jones, Brian J Sanders
The number of children with caries requiring general anesthesia to achieve comprehensive dental care and the demand for dentist anesthesiologists to provide ambulatory anesthesia for these patients is increasing. No current published studies examine the safety and outcomes of ambulatory anesthesia performed by dentist anesthesiologists for dental procedures in pediatric patients, and there is no national requirement for reporting outcomes of these procedures. In 2010, the Society for Ambulatory Anesthesia Clinical Outcomes Registry was developed...
2017: Anesthesia Progress
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