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https://www.readbyqxmd.com/read/28099432/an-analysis-of-the-last-clinical-encounter-before-outpatient-mortality-among-children-with-hiv-infection-and-exposure-in-lilongwe-malawi
#1
Chris A Rees, Robert J Flick, David Sullivan, Menard Bvumbwe, Joseph Mhango, Mina C Hosseinipour, Peter N Kazembe
BACKGROUND: Human immunodeficiency virus (HIV) contributes to nearly 20% of all deaths in children under five years of age in Malawi. Expanded coverage of antiretroviral therapy has allowed children to access treatment on an outpatient basis. Little is known about characteristics of the final outpatient encounter prior to mortality in the outpatient setting. METHODS: This retrospective cohort study assessed clinical factors associated with mortality among HIV-exposed infants and HIV-infected children less than 18 years of age at the Baylor College of Medicine Abbott Fund Children's Center of Excellence in Lilongwe, Malawi...
2017: PloS One
https://www.readbyqxmd.com/read/28099295/comparison-of-resource-utilization-and-length-of-hospitalization-between-overweight-and-healthy-weight-pediatric-trauma-patients-presenting-to-a-pediatric-emergency-department-with-moderate-to-severe-injury-a-prospective-study
#2
Theresa Romano, Ioannis Koutroulis, Evan Weiner, Anthony Little, Sabina Singh
OBJECTIVES: Our study aimed to compare overweight and healthy-weight pediatric trauma patient outcomes, specifically with respect to hospital length of stay and resource utilization. We hypothesized that overweight pediatric trauma patients would have increased hospital length of stay and radiographic study use compared with their healthy-weight counterparts. METHODS: This was a prospective, observational, cohort study of pediatric trauma patients aged 2 to 19 years presenting to an urban pediatric emergency department over a period of 1 year...
January 17, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28099127/prevalence-risk-factors-and-consequences-of-overweight-and-obesity-among-schoolchildren-a-cross-sectional-study-in-kashmir-india
#3
Mohd Ashraf Ganie, Gulzar Ahmad Bhat, Ishfaq Ahmad Wani, Aafia Rashid, Showkat Ali Zargar, Bashir Ahmad Charoo, Zaffar Amin Shah, Syed Mudassar
BACKGROUND: Obesity among children and adolescents is a growing public health problem. The objective of this study was to evaluate the prevalence, risk factors and metabolic consequences of obesity among schoolchildren from Kashmir, India. METHODS: The study subjects (n=2024) included 870 boys and 1154 girls, aged between 6 and 18 years. Data were collected by interviewer-administered questionnaires. Information was obtained about different lifestyles, anthropometric parameters and dietary habits...
January 18, 2017: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/28095894/what-drives-attitude-towards-telemedicine-among-families-of-pediatric-patients-a-survey
#4
Luisa Russo, Ilaria Campagna, Beatrice Ferretti, Eleonora Agricola, Elisabetta Pandolfi, Emanuela Carloni, Angelo D'Ambrosio, Francesco Gesualdo, Alberto E Tozzi
BACKGROUND: Telemedicine has been recognized as a way to improve accessibility, quality, and efficiency of care. In view of the introduction of new telemedicine services, we conducted a survey through a self-administered questionnaire among families of children attending the Bambino Gesù Children's Hospital IRCCS, a tertiary care children's hospital located in Rome, Italy. METHODS: We investigated sociodemographic data, clinical information, technological profile, attitude towards telemedicine, perceived advantages of telemedicine, fears regarding telemedicine, willingness to use a smartphone app providing telemedicine services and willingness to use a televisit service...
January 17, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28093689/characterizing-a-big-data-cohort-of-over-200-000-low-income-u-s-infants-and-children-for-obesity-research-the-advance-early-life-cohort
#5
J Boone-Heinonen, C J Tillotson, J P O'Malley, E K Cottrell, J A Gaudino, A Amofah, M L Rivo, A Brickman, K Mayer, M A McBurnie, R Gold, J E DeVoe
Introduction Low-income populations have elevated exposure to early life risk factors for obesity, but are understudied in longitudinal research. Our objective was to assess the utility of a cohort derived from electronic health record data from safety net clinics for investigation of obesity emerging in early life. Methods We examined data from the PCORNet ADVANCE Clinical Data Research Network, a national network of Federally-Qualified Health Centers serving >1.7 million safety net patients across the US...
January 16, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28089583/association-of-prenatal-and-childhood-pbde-exposure-with-timing-of-puberty-in-boys-and-girls
#6
Kim G Harley, Stephen A Rauch, Jonathan Chevrier, Katherine Kogut, Kimberly L Parra, Celina Trujillo, Robert H Lustig, Louise C Greenspan, Andreas Sjödin, Asa Bradman, Brenda Eskenazi
BACKGROUND: Polybrominated diphenyl ether (PBDE) flame retardants are endocrine-disrupting chemicals that exhibit estrogenic and androgenic properties and may affect pubertal timing. METHODS: Study subjects were participants between 1999 and 2013 in the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS), a longitudinal cohort study of predominantly Mexican origin families in Northern California. We measured serum concentrations of four PBDEs (BDE-47, -99, -100, -153) in blood collected from mothers during pregnancy (N=263) and their children at age 9years (N=522)...
January 12, 2017: Environment International
https://www.readbyqxmd.com/read/28089231/-mother-to-child-transmission-of-hepatitis-b-virus-despite-postexposure-prophylaxis-a-review-of-the-literature-and-description-of-11%C3%A2-observations
#7
B Biot, N Laverdure, F Lacaille, A Lachaux
Chronic hepatitis B virus (HBV) infection leads to a risk of developing cirrhosis and hepatocellular carcinoma. In France, where the prevalence of HBV is low, mother-to-child transmission is the cause of chronic infection in more than one-third of cases. After exposure, the risk of chronic infection is the highest for newborns (90 %). The World Health Organization implemented a global immunization program in 1991, applied in France in 1994. A significant number of children are infected each year, however, and failure of postexposure prophylaxis is reported in 4-10 % of newborns...
January 11, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28087798/social-network-types-and-mental-health-among-lgbt-older-adults
#8
Hyun-Jun Kim, Karen I Fredriksen-Goldsen, Amanda E B Bryan, Anna Muraco
PURPOSE OF THE STUDY: This study was designed to identify social network types among lesbian, gay, bisexual, and transgender (LGBT) older adults and examine the relationship between social network type and mental health. DESIGN AND METHODS: We analyzed the 2014 survey data of LGBT adults aged 50 and older (N = 2,450) from Aging with Pride: National Health, Aging, and Sexuality/Gender Study. Latent profile analyses were conducted to identify clusters of social network ties based on 11 indicators...
February 2017: Gerontologist
https://www.readbyqxmd.com/read/28075494/geographic-access-to-dental-care-varies-in-missouri-and-wisconsin
#9
Kamyar Nasseh, Yochai Eisenberg, Marko Vujicic
OBJECTIVE: To examine geographic access to dental providers for the general population and children with public insurance in Missouri and Wisconsin. METHODS: Using a newly constructed dentist office database from the American Dental Association master file and other sources, we use the two-step floating area catchment area method to calculate population to provider ratios at the census block group level. These ratios are used to determine potential geographic dentist shortage areas...
January 11, 2017: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/28073717/quality-of-care-in-women-s-children-s-and-adolescent-health-methods-for-assessing-evaluation-and-implementation-in-west-africa-experience-in-the-c%C3%A3-te-d-ivoire
#10
Y P Guie, L Cisse, G Saki-Nekouressi, M Bucagu, G Landrivon, O Agbodjan-Prince
A tool developed by WHO was used to assess the quality of care for mothers, newborns, and children in some healthcare facilities in French-speaking Africa; this study led to the development of recommendations for the implementation of actions intended to resolve the problems observed and to optimize patient management. We report here the experience of the maternity units of the university hospital center of Treichville, in Abidjan, discuss the presentation of the results of the assessment, and make some recommendations as part of an action program...
November 1, 2016: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/28073490/mapping-pediatric-injuries-to-target-prevention-education-and-outreach
#11
Camille L Stewart, Shannon N Acker, Laura Pyle, Dwayne S Smith, Denis D Bensard, Steven L Moulton
BACKGROUND: Initiatives exist to prevent pediatric injuries, but targeting these interventions to specific populations is challenging. We hypothesized that mapping pediatric injuries by zip code could be used to identify regions requiring more interventions and resources. METHODS: We queried the trauma registries of two level I trauma centers for children 0-17years of age injured between 2009 and 2013 with home zip codes in our state. Maps were created to identify outlier zip codes...
December 30, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28070529/low-prevalence-of-aeromonas-hydrophilain-infectious-diarrhea-samples-of-pediatric-patients-in-arak-iran
#12
Abbasi Elnaz, Khansari-Nejad Behzad, Abtahi Hamid, Akbari Majid, Ghaznavi-Rad Ehsanollah
BACKGROUND: Aeromonashydrophila (A. hydrophila) is an aquatic bacterium that can cause a spectrum of infectious diseases, including both gastrointestinal and extraintestinal infections. Due to the high rate of diarrheal infections in pediatric patients in central Iran, this study was designed to determine the frequency of A. hydrophila in diarrhea samples from children in this region. METHODS: In this descriptive cross-sectional study, diarrheal stool specimens were collected from 200 children admitted between February and October of 2015 to educational and medical centers affiliated with the Arak University of Medical Sciences...
October 2016: Reports of Biochemistry & Molecular Biology
https://www.readbyqxmd.com/read/28070252/study-of-functional-vulnerability-status-of-tehran-hospitals-in-dealing-with-natural-disasters
#13
Batol Ahmadi, Abbas Rahimi Foroushani, Narjes Tanha, Amjad Mohamadi Bolban Abad, Heshmatollah Asadi
INTRODUCTION: At the time of disasters, hospitals are considered as one of the most important facilities which should provide emergency services continuously. The purpose of this study was to determine the functional vulnerability of Tehran hospitals in dealing with natural disasters. METHODS: This cross-sectional study was conducted in educational hospitals of Tehran University of Medical Science (TUMS), in 2013. Of all 26 hospitals, 12 hospitals were selected through single-stage cluster sampling, including six general (Shariati, Amiralam, Sina, Imam, Hazrat Rasoul, Baharlou) and six specialized (Bahrami, Hazrat-e Aliasghar, Shahid rajaie, Roozbeh, Moheb yas, Children Medical Center) hospitals...
November 2016: Electronic Physician
https://www.readbyqxmd.com/read/28069006/methods-and-design-of-a-10-week-multi-component-family-meals-intervention-a-two-group-quasi-experimental-effectiveness-trial
#14
Catherine Rogers, Sarah E Anderson, Jamie S Dollahite, Tisa F Hill, Chris Holloman, Carla K Miller, Keeley J Pratt, Carolyn Gunther
BACKGROUND: Given the ongoing childhood obesity public health crisis and potential protective effect of family meals, there is need for additional family meals research, specifically experimental studies with expanded health outcomes that focus on the at-risk populations in highest need of intervention. Future research, specifically intervention work, would also benefit from an expansion of the target age range to include younger children, who are laying the foundation of their eating patterns and capable of participating in family meal preparations...
January 9, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28068437/association-between-early-lactate-levels-and-30-day-mortality-in-clinically-suspected-sepsis-in-children
#15
Halden F Scott, Lina Brou, Sara J Deakyne, Allison Kempe, Diane L Fairclough, Lalit Bajaj
Importance: Improving emergency care of pediatric sepsis is a public health priority, but optimal early diagnostic approaches are unclear. Measurement of lactate levels is associated with improved outcomes in adult septic shock, but pediatric guidelines do not endorse its use, in part because the association between early lactate levels and mortality is unknown in pediatric sepsis. Objective: To determine whether the initial serum lactate level is associated with 30-day mortality in children with suspected sepsis...
January 9, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/28068135/the-pediatric-patient-centered-medical-home-innovative-models-for-improving-behavioral-health
#16
Joan Rosenbaum Asarnow, David J Kolko, Jeanne Miranda, Anne E Kazak
This article examines the concept of the Patient-Centered Medical Home (PCMH) as it applies to children and adolescents, emphasizing care for behavioral health conditions, the role of psychology and psychological science, and next steps for developing evidence-informed models for the Pediatric-PCMH. The PCMH concept for pediatric populations offers unique opportunities for psychological science to inform and enhance the transformation of the United States health care system and improve health in our nation...
January 2017: American Psychologist
https://www.readbyqxmd.com/read/28067937/incidence-of-surgical-site-infections-in-children-active-surveillance-in-an-italian-academic-children-s-hospital
#17
M L Ciofi Degli Atti, L Serino, S Piga, A E Tozzi, M Raponi
BACKGROUND: Surgical Site Infections (SSIs) account for 16-34% of all health-care associated infections. This study aimed to assess the incidence rate of SSIs in children who underwent surgical procedures in an academic children's hospital in Italy. STUDY DESIGN: Prospective cohort study. METHODS: We actively followed-up 0-17 year old children at 30 days of surgical procedures without implants conducted during one index week per quarter, from the second quarter of 2014, to the first quarter of 2016 (8 index weeks in total)...
January 2017: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/28067816/indoor-temperatures-in-patient-waiting-rooms-in-eight-rural-primary-health-care-centers-in-northern-south-africa-and-the-related-potential-risks-to-human-health-and-wellbeing
#18
Caradee Y Wright, Renée A Street, Nokulunga Cele, Zamantimande Kunene, Yusentha Balakrishna, Patricia N Albers, Angela Mathee
Increased temperatures affect human health and vulnerable groups including infants, children, the elderly and people with pre-existing diseases. In the southern African region climate models predict increases in ambient temperature twice that of the global average temperature increase. Poor ventilation and lack of air conditioning in primary health care clinics, where duration of waiting time may be as long as several hours, pose a possible threat to patients seeking primary health care. Drawing on information measured by temperature loggers installed in eight clinics in Giyani, Limpopo Province of South Africa, we were able to determine indoor temperatures of waiting rooms in eight rural primary health care facilities...
January 6, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28061039/long-term-breastfeeding-in-african-american-mothers
#19
Tyra Toston Gross, Marsha Davis, Alex K Anderson, Jori Hall, Karen Hilyard
BACKGROUND: According to the Centers for Disease Control and Prevention, 39.1% of African American infants are breastfed at 6 months. However, few studies have explored the breastfeeding experiences of African American women who successfully breastfeed to 6 months or longer durations. Research aim: The goal of this qualitative study was to explore the long-term breastfeeding experiences of low-income African American women using the positive deviance approach. METHODS: African American women with breastfeeding experience were recruited through Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) breastfeeding peer counselors...
December 1, 2016: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28059954/perceived-racial-bias-and-health-related-stigma-among-youth-with-sickle-cell-disease
#20
Emily O Wakefield, Jill M Popp, Lourdes P Dale, James P Santanelli, Ashley Pantaleao, William T Zempsky
OBJECTIVE: Little is known about the role of perceived racial bias and health-related stigma on the health of youth with sickle cell disease (SCD). The purpose of this study was to investigate the occurrence of perceived racial bias and health-related stigma among youth with SCD and its relationship with psychological and physical well-being. METHODS: Twenty-eight youth with SCD, ages 13 to 21, were recruited from outpatient and inpatient settings at an urban children's medical center...
January 4, 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
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