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https://www.readbyqxmd.com/read/29663970/pediatric-dentists-treatment-planning-decisions-for-class-ii-carious-lesions-in-primary-molars
#1
Martha Holland, Caroline Carrico, Tiffany Williams
PURPOSE: To assess pediatric dentists' choice for restoring Class II carious lesions in primary molars. METHODS: A survey with eight cases of class II carious lesions was emailed to American Academy of Pediatric Dentistry members, who were asked to choose either a stainless steel crown (SSC) or composite resin as a final restoration, or no treatment. Treatment decisions were compared to evidence-based treatment recommendations. Repeated measures logistic regression was used to determine factors associated with treatment decisions...
January 15, 2018: Journal of Dentistry for Children
https://www.readbyqxmd.com/read/29663969/adherence-to-infective-endocarditis-prevention-guidelines-by-israeli-dentists-who-treat-children
#2
Nili Tickotsky, Sarit Faibis, Geula Gellman, Michael Shoshani, Yael Kutiner, Moti Moskovitz
PURPOSE: To examine the rate of adherence of Israeli dentists who treat children and their rate of adherence, in 2010-2011 and in 2016, to changes made to the 2008 American Heart Association (AHA) guidelines for endocarditis prevention. METHODS: A questionnaire on adherence to AHA guidelines was handed out in two consecutive continuing education courses in 2010-2011 and again in 2016. Data were analyzed using student's t test, chi-square, and analysis of variance...
January 15, 2018: Journal of Dentistry for Children
https://www.readbyqxmd.com/read/29663911/what-makes-a-great-resident-a-perspective-of-pediatric-dentistry-program-directors-and-residents
#3
Mojdeh Faraz, Farhad Yeroshalmi, Keith S Margulis, Victor Badner
PURPOSE: To obtain information regarding attitudes and perspectives of pediatric dentistry residency program directors (PD) and pediatric dentistry residents (PDR) about what makes a great resident. METHODS: Surveys for PDs (36 questions), and PDRs (31 questions) were created and emailed via SurveyMonkey® to the 88 PDs and 906 residents of United States programs in 2015. Desirable characteristics identified during selection and attendance in the residency program were compared...
March 15, 2018: Pediatric Dentistry
https://www.readbyqxmd.com/read/29659994/resident-and-staff-satisfaction-of-pediatric-graduate-medical-education-training-on-transition-to-adult-care-of-medically-complex-patients
#4
Matthew Weeks, Brandon Cole, Eric Flake, Daniel Roy
Introduction: This study aims to describe the quantity and satisfaction current residents and experienced pediatricians have with graduate medical education on transitioning medically complex patients to adult care. There is an increasing need for transitioning medically complex adolescents to adult care. Over 90% now live into adulthood and require transition to adult healthcare providers. The 2010 National Survey of Children with Special Health Care Needs found that only 40% of youth 12-17 yr receive the necessary services to appropriately transition to adult care...
April 11, 2018: Military Medicine
https://www.readbyqxmd.com/read/29658367/the-evolution-of-graduate-medical-education-over-the-past-decade-building-a-new-pediatric-residency-program-in-an-era-of-innovation
#5
Raquel G Hernandez, Akshata Hopkins, Robert A Dudas
AIM: In 2011, Johns Hopkins Medicine integrated with All Children's Hospital in St. Petersburg Florida to create an academic campus nearly 1000 miles from Baltimore. In 2014, the newly named Johns Hopkins All Children's Hospital established a new pediatric residency program. At that time, the Association for Graduate Medical Education had not accredited a new pediatric program in the USA in over 10 years. METHODS: A unique set of circumstances provided an opportunity for program developers to build the residency under newly identified core tenets to create a number of innovative features targeted to address the many calls for change in graduate medical education...
April 14, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29655618/concurrent-surgery-and-the-role-of-the-pediatric-attending-surgeon-comparing-parents-and-surgeons-expectations
#6
Jennie K Choe, Christopher Ibarra, Richard S Feinn, Manuel I Rodriguez-Davalos, Cordelia W Carter
BACKGROUND: The common practice of performing concurrent or overlapping surgeries has been intensely scrutinized by lay media and academic press to investigate its safety and cost-effectiveness. However, there is little information about its use within the pediatric population. Even less is known about parents' expectations regarding the surgeon's role on the day of surgery and how they align with those of pediatric surgeons and surgical trainees, despite the potential for significant discrepancies in expectations to erode trust and damage the physician-family relationship...
April 12, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29652242/chiari-decompression-outcomes-using-ligamentum-nuchae-harvest-and-duraplasty-in-pediatric-patients-with-chiari-malformation-type-i
#7
Michael J Cools, Carolyn S Quinsey, Scott W Elton
OBJECTIVE The choice of graft material for duraplasty in decompressions of Chiari malformations remains a matter of debate. The authors present a detailed technique for harvesting ligamenta nuchae, as well as the clinical and radiographic outcomes of this technique, in a case series. METHODS The authors conducted a retrospective study evaluating the outcomes of Chiari malformation type I decompression and duraplasty in children aged 0-18 years at a single institution from 2013 to 2016. They collected both intraoperative and postoperative variables and compared them qualitatively to published data...
April 13, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29651547/-prevalence-of-wearing-glasses-for-children-and-adolescents-in-germany-and-their-ophthalmological-care-results-of-the-nationwide-kiggs-baseline-survey-2003-2006
#8
Alexander K Schuster, Heike M Elflein, Alexander Rommel, Laura Krause, Norbert Pfeiffer, Michael S Urschitz
BACKGROUND: Vision-relevant refractive errors in children require regular ophthalmological control examinations. In this study we estimated the prevalence of wearing glasses for children and adolescents in Germany and the frequency of ophthalmological care. METHODS: We analyzed data of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS, baseline survey 2003-2006, N = 17,640). Wearing glasses was documented from the age of 3 years in the examination part...
April 12, 2018: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/29649039/barriers-to-rehabilitation-care-in-pediatric-cochlear-implant-recipients
#9
Bryce Noblitt, Kristan P Alfonso, Margaret Adkins, Matthew L Bush
OBJECTIVE: The purpose of this study was to assess barriers to rehabilitation care for pediatric cochlear implant (CI) recipients. STUDY DESIGN: Cross-sectional questionnaire study. SETTING: Tertiary medical center. PATIENTS: Parents of children who received a CI from October 1996 to June 2013. MAIN OUTCOME MEASURE(S): Factors related to access to and barriers in audiology and speech therapy services, factors related to CI use, and performance with CI using the Parents' Evaluation of Aural/Oral Performance of Children (PEACH)...
April 11, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29643628/pediatric-critical-incidents-reported-over-15-years-at-a-tertiary-care-teaching-hospital-of-a-developing-country
#10
Shemila Abbasi, Fauzia Anis Khan, Sobia Khan
Background and Aims: The role of critical incident (CI) reporting is well established in improving patient safety but only a limited number of available reports relate to pediatric incidents. Our aim was to analyze the reported CIs specific to pediatric patients in our database and to reevaluate the value of this program in addressing issues in pediatric anesthesia practice. Material and Methods: Incidents related to pediatric population from neonatal period till the age of 12 years were selected...
January 2018: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29626164/neighborhood-child-opportunity-and-individual-level-pediatric-acute-care-use-and-diagnoses
#11
Ellen E Kersten, Nancy E Adler, Laura Gottlieb, Douglas P Jutte, Sarah Robinson, Katrina Roundfield, Kaja Z LeWinn
: media-1vid110.1542/5751513300001PEDS-VA_2017-2309 Video Abstract OBJECTIVES: Although health care providers and systems are increasingly interested in patients' nonmedical needs as a means to improve health, little is known about neighborhood conditions that contribute to child health problems. We sought to determine if a novel, publicly available measure of neighborhood context, the Child Opportunity Index, was associated with pediatric acute care visit frequency and diagnoses. METHODS: This cross-sectional study included San Francisco residents <18 years of age with an emergency department and/or urgent care visit to any of 3 medical systems ( N = 47 175) between 2007 and 2011...
April 6, 2018: Pediatrics
https://www.readbyqxmd.com/read/29621018/management-of-anaphylaxis-in-spain-pediatric-emergency-care-providers-knowledge
#12
Mikel Olabarri, Sebastiá Gonzalez-Peris, Paula Vázquez, Aranzazu González-Posada, Nuria Sanz, Ana Vinuesa, Nuria Diez, Javier Benito, Santiago Mintegi
BACKGROUND: Acute care providers must diagnose and treat patients with anaphylaxis. The objective was to analyze Spanish pediatric emergency departments' (ED) providers' knowledge of the international recommendations for the management of anaphylaxis. METHODS: A web-based survey including providers (both attending and residents) from seven Spanish pediatric EDs was conducted. To analyze the knowledge of the identification of anaphylaxis, we used the diagnostic criteria given by the National Institute of Allergy and Infectious Disease and Food Allergy and the Food Allergy and Anaphylaxis Network (2005)...
April 4, 2018: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/29615154/structured-educational-intervention-leads-to-better-infant-positioning-in-the-nicu
#13
Saadieh Masri, Perla Ibrahim, Daniel Badin, Samar Khalil, Lama Charafeddine
PURPOSE: The purpose is to test the effectiveness of an educational intervention in improving infant positioning because positioning may interfere with neuromotor development. METHODS: A quality improvement (QI) project was initiated to increase knowledge and improve the compliance of nurses and physicians in infant positioning using the Infant Positioning Assessment Tool (IPAT). The project was part of Neonatal Individualized Developmental Care Assessment Program (NIDCAP) training...
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29613930/operative-experience-during-orthopaedic-residency-compared-with-early-practice-in-the-u-s
#14
Jessica M Kohring, Michael O Bishop, Angela P Presson, John J Harrast, J Lawrence Marsh, Theodore W Parsons, Charles L Saltzman
BACKGROUND: The goal of surgical education is to prepare the trainee for independent practice; however, the relevance of the current residency experience to practice remains uncertain. The purpose of this study was to identify the surgical procedures most frequently performed in orthopaedic residency and in early surgical practice and to identify surgical procedures performed more often or less often in orthopaedic residency compared with early surgical practice. METHODS: This retrospective cohort study included American Medical Association (AMA) Current Procedural Terminology (CPT) codes (n = 4,329,561 procedures) reported by all U...
April 4, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29610416/a-health-care-transition-curriculum-for-primary-care-residents-identifying-goals-and-objectives
#15
Alice A Kuo, Mary R Ciccarelli, Niraj Sharma, Debra S Lotstein
BACKGROUND AND OBJECTIVES: The transition from pediatric to adult health care is a vulnerable period for youth with special health care needs. Although successful transitions are recognized as critical for improving adult outcomes and reducing health care utilization and cost, an educational gap in health care transitions for physicians persists. Our aim with this project was to develop a national health care transition residency curriculum for primary care physicians, using an expert-based, consensus-building process...
April 2018: Pediatrics
https://www.readbyqxmd.com/read/29609925/complementary-and-integrative-medicine-attitudes-and-perceived-knowledge-in-a-large-pediatric-residency-program
#16
Kamilah A Ziodeen, Sanghamitra M Misra
OBJECTIVE: There is limited formal complementary and alternative medicine (CAM)/integrative medicine (IM) training in most US pediatric residency programs. Not surprisingly, the AAP Fellows survey #49 demonstrated that pediatricians in residency training and those younger than 42 years old reported less knowledge of CAM than their counterparts. The purpose of this study was to assess pediatric residents' attitudes toward CAM and IM, personal use of CAM, perceived knowledge gaps, and preferred methods of delivery for IM education in a large pediatric residency program...
April 2018: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/29605354/trends-in-the-management-of-secondary-post-tonsillectomy-hemorrhage-in-children
#17
Christine M Clark, Jane R Schubart, Michele M Carr
OBJECTIVE: To define current practices in management of secondary post-tonsillectomy hemorrhage (PTH) in children by pediatric and general otolaryngologists. INTRODUCTION: Bleeding after tonsillectomy is common. Our goal was to describe management methods across the U.S. METHODS: Questions regarding perioperative management and treatment in response to three hypothetical cases featuring secondary post-tonsillectomy bleeding were posed via REDCap survey...
May 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29604460/landscape-analysis-of-global-health-tracks-in-us-pediatric-residencies-moving-towards-standards
#18
Jennifer Watts, Christiana Russ, Nicole E St Clair, Omolara Thomas Uwemedimo
OBJECTIVE: The number of pediatric Global Health (GH) Tracks has more than doubled in less than ten years. The goal of this study was to describe the characteristics of the pediatric GH Tracks to identify commonalities and differences in track structure, funding and education. In addition, we also identified demographic, institutional or residency-related factors that were significantly associated with educational offerings and logistical challenges. METHODS: A cross-sectional survey was electronically administered to pediatric residency programs with GH Tracks...
March 28, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29603342/indeterminate-pediatric-acute-liver-failure-is-uniquely-characterized-by-a-cd103-cd8-t-cell-infiltrate
#19
Catherine A Chapin, Thomas Burn, Tomas Meijome, Kathleen M Loomes, Hector Melin-Aldana, Portia A Kreiger, Peter F Whitington, Edward M Behrens, Estella M Alonso
The cause of pediatric acute liver failure (PALF) is unknown in up to 40% of cases. Evidence suggests aberrant immune system activation may play a role. We hypothesized indeterminate PALF cases would exhibit a unique pattern of hepatic inflammation. This was a retrospective and prospective study of PALF cases due to indeterminate (iPALF), autoimmune hepatitis (AIH), or known diagnosis (dPALF) etiology. Liver tissue sections were stained with immunohistochemical (IHC) markers for cytotoxic T-cells (CD8), perforin, and tissue resident memory T-cells (CD103), and scored as minimal, moderate, or dense...
March 30, 2018: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
https://www.readbyqxmd.com/read/29597273/nutrition-related-knowledge-attitudes-and-practices-kap-among-kindergarten-teachers-in-chongqing-china-a-cross-sectional-survey
#20
Hongyan Liu, Xianglong Xu, Dengyuan Liu, Yunshuang Rao, Cesar Reis, Manoj Sharma, Jun Yuan, Yao Chen, Yong Zhao
Kindergarten teachers play an important role in providing kindergarten children with education on nutrition. However, few studies have been published on nutrition-related knowledge, attitudes, and practices (KAP) of Chinese kindergarten teachers. This study aimed to assess the nutrition-related knowledge, attitudes, and practices (KAP) of kindergarten teachers in Chongqing, China. Thus, a cross-sectional survey was conducted using a structured KAP model questionnaire administered to 222 kindergarten teachers, who were senior teachers from 80 kindergartens in 19 districts and 20 counties in Chongqing...
March 28, 2018: International Journal of Environmental Research and Public Health
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