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https://www.readbyqxmd.com/read/29659203/a-qualitative-study-to-assess-how-primary-care-versus-psychiatric-providers-evaluate-and-treat-pediatric-patients-with-irritability
#1
Anna L Scandinaro, Usman Hameed, Cheryl A Dellasega
Objective: To determine how primary care versus specialist practitioners assess and treat school-aged children with irritability. Methods: Seventeen providers from family medicine, pediatrics, and psychiatry participated in in-depth interviews from June to August 2016 about the process they use to evaluate irritability. Data on demographic traits and measures of confidence were also collected. Results: Primary care (family medicine and pediatrics) participants expressed frustration over the lack of time and specialized knowledge they had to accurately assess children with irritability, even though they were often the first clinician consulted when problems arose...
April 5, 2018: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/29598957/pharmacovigilance-in-pediatrics
#2
Émilie Bouquet, Kristina Star, Annie Pierre Jonville-Béra, Geneviève Durrieu
The characteristics of pharmacology and drug evaluation in the pediatric age group highlight the necessity for the pharmacovigilance community to adjust to the specific features of children. At the time of marketing a medicinal product intended for children, the product's safety profile is sometimes less well known than for adults due to fewer or small sample clinical trials. Furthermore, the frequent off-labeled drug use, the use of unsuitable dosage forms and the need for continuous dose adjustments increase the risk of medication errors and thus lead to avoidable adverse drug reactions (ADRs)...
February 16, 2018: Thérapie
https://www.readbyqxmd.com/read/29595813/fmr1-allele-size-distribution-in-35-000-males-and-females-a-comparison-of-developmental-delay-and-general-population-cohorts
#3
Claudine M Kraan, Quang M Bui, Mike Field, Alison D Archibald, Sylvia A Metcalfe, Louise M Christie, Bruce H Bennetts, Ralph Oertel, Melanie J Smith, Desiree du Sart, Damien Bruno, Tiffany L Wotton, David J Amor, David Francis, David E Godler
PurposeDevelopmental delay phenotypes have been associated with FMR1 premutation (PM: 55-200 CGG repeats) and "gray zone" (GZ: 45-54 CGG repeats) alleles. However, these associations have not been confirmed by larger studies to be useful in pediatric diagnostic or screening settings.MethodsThis study determined the prevalence of PM and GZ alleles in two independent cohorts of 19,076 pediatric referrals to developmental delay diagnostic testing through Victorian Clinical Genetics Service (cohort 1: N = 10,235; cohort 2: N = 8841), compared with two independent general population cohorts (newborn screening N = 1997; carrier screening by the Victorian Clinical Genetics Service prepair program N = 14,249)...
March 29, 2018: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/29587722/personality-traits-and-career-choices-among-physicians-in-finland-employment-sector-clinical-patient-contact-specialty-and-change-of-specialty
#4
Sari Mullola, Christian Hakulinen, Justin Presseau, David Gimeno Ruiz de Porras, Markus Jokela, Taina Hintsa, Marko Elovainio
BACKGROUND: Personality influences an individual's adaptation to a specific job or organization. Little is known about personality trait differences between medical career and specialty choices after graduating from medical school when actually practicing different medical specialties. Moreover, whether personality traits contribute to important career choices such as choosing to work in the private or public sector or with clinical patient contact, as well as change of specialty, have remained largely unexplored...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29582194/clinical-practice-guidelines-for-fertility-preservation-in-pediatric-adolescent-and-young-adults-with-cancer
#5
REVIEW
Nao Suzuki
In recent years, more cancer patients are achieving long-term survival owing to advances in treatment. However, cancer treatment can cause gonadal dysfunction that leads to loss of fertility. Thus, it is important for clinical oncologists to consider fertility preservation in children, adolescents, and young adults with cancer who are expected to have a favorable outcome and may wish to have children in the future. Sometimes, fertility preservation has to be abandoned depending on the stage of the cancer and the general condition of the patient, because fertility preservation procedures may unacceptably delay cancer treatment or be too risky for the patient...
March 26, 2018: International Journal of Clinical Oncology
https://www.readbyqxmd.com/read/29580916/influences-on-intentions-to-place-long-acting-reversible-contraceptives-a-pilot-study-comparing-by-provider-specialty-in-ohio
#6
Charee Thompson, Jane Broecker, Maggie Dade, Kelly Nottingham
STUDY OBJECTIVE: According to the American Academy of Pediatrics (AAP), pediatricians are to counsel and provide LARCs as first-line-of-defense contraceptives because they are the most effective. We wanted to explore positive influences on LARC placement for pediatricians, particularly when compared to providers in other specialties who care for women. DESIGN: Survey methods with data analyzed using analyses of variance and general linear models in statistical software SPSS 24...
March 23, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29560637/-regularity-of-clinical-application-of-lianquan-cv-23-in-chinese-ancient-times-according-to-literature-of-traditional-chinese-medicine
#7
Mei-Jun Deng, Chun-Yan Liu, Yu Xie, Jie-Bin Zhu, Zhen-Hua Xu
OBJECTIVE: To summarize the regularity of application of Lianquan (CV 23) in clinical practice in Chinese ancient times through analysis of ancient traditional Chinese medical (TCM) literature. METHODS: A total of 60 books involving CV 23 from the 1 156 ancient TCM books listed in the fifth edition of Encyclopedia of Traditional Chinese Medicine were collected by using CV 23 as the main keyword and "Sheben" "Benchi", and "Jieben" (the other names of CV 23 in TCM)as the supplementary keywords and analyzed systematically...
March 25, 2018: Zhen Ci Yan Jiu, Acupuncture Research
https://www.readbyqxmd.com/read/29559786/epidemiology-microbiology-and-treatment-patterns-of-pediatric-patients-hospitalized-with-pneumonia-at-two-hospitals-in-china-a-patient-chart-review-study
#8
Zehuai Wen, Jia Wei, Huiling Xue, Yunqin Chen, David Melnick, Jesus Gonzalez, Judith Hackett, Xiaoyan Li, Zhaolong Cao
Background: The etiology, epidemiology, treatment patterns, and clinical outcomes of neonatal and pediatric pneumonia patients in China are not well reported. This retrospective chart review study aimed to describe such information among neonatal (0 to 27 days) and pediatric (28 days to <18 years) pneumonia patients in two regions of China. Methods: Electronic medical records of pneumonia hospitalizations (aged <18 years) admitted between 2008 and 2013 from four hospitals under Guangdong Provincial Hospital of Chinese Medicine (Southern China) and between 2010 and 2014 at Peking University People's Hospital (Beijing, Northern China) were reviewed...
2018: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/29557631/-primary-care-in-the-adolescent-gynecological-pathology
#9
José M Méndez Ribas
The Medicine for adolescents is a true specialty mostly exercised by doctors trained in pediatrics, family clinicians and gynecologists properly trained in their care and with the vocation for that. Based on my experience as a Founding Member and Director for more than 20 years of the Adolescence Program of the Hospital de Clínicas (University of Buenos Aires), I presented a methodology of attention with the objective of showing a comprehensive approach of the adolescents with an emphasis on general health promotion and prevention of diseases, and on reproductive health in particular...
April 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29552422/diabetes-empowerment-council-integrative-pilot-intervention-for-transitioning-young-adults-with-type-1-diabetes
#10
Marc J Weigensberg, Cheryl Vigen, Paola Sequeira, Donna Spruijt-Metz, Magaly Juarez, Daniella Florindez, Joseph Provisor, Anne Peters, Elizabeth A Pyatak
Background: The transition of young adults with type 1 diabetes (T1D) from pediatric to adult care is challenging and frequently accompanied by worsening of diabetes-related health. To date, there are no reports which prospectively assess the effects of theory-based psycho-behavioral interventions during the transition period neither on glycemic control nor on psychosocial factors that contribute to poor glycemic control. Therefore, the overall aim of this study was to develop and pilot test an integrative group intervention based on the underlying principles of self-determination theory (SDT), in young adults with T1D...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://www.readbyqxmd.com/read/29538263/emergency-medicine-providers-knowledge-and-management-of-pediatric-tropical-diseases-a-needs-assessment
#11
Vanessa A Thomas, Heather L Crouse, Kristy O Murray, Deborah C Hsu, Elizabeth A Camp, Andrea T Cruz
OBJECTIVE: The aim of this study was to perform a needs assessment of pediatric (PEM) and general emergency medicine (EM) provider knowledge, comfort, and current practice patterns in the evaluation of pediatric tropical infectious diseases. METHODS: An online survey was developed based on educational priorities identified by an expert panel via modified Delphi methodology. The survey included assessment of providers' typical evaluation, diagnosis, and treatment of tropical diseases and was distributed to PEM and EM providers in 2 large professional organizations...
March 12, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29535550/caregivers-knowledge-and-acceptance-of-complementary-and-alternative-medicine-in-a-tertiary-care-pediatric-hospital
#12
Mehdi Trifa, Dmitry Tumin, Hina Walia, Kathleen L Lemanek, Joseph D Tobias, Tarun Bhalla
Background: The use of complementary and alternative medicine (CAM) therapies has increased in children, especially in those with chronic health conditions. However, this increase may not translate into acceptance of CAM in the perioperative setting. We surveyed caregivers of patients undergoing surgery to determine their knowledge and acceptance of hypnotherapy, acupuncture, and music therapy as alternatives to standard medication in the perioperative period. Materials and methods: An anonymous, 12-question survey was administered to caregivers of children undergoing procedures under general anesthesia...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29534409/-the-expert-consensus-on-clinical-application-of-multi-trace-elements
#13
(no author information available yet)
Trace elements are dietary elements which are needed in very minute quantities for the proper growth, development, and physiology of the organism, which play a crucial part in energy metabolism and material transformation. It's generally agreed that trace elements are essential components of parenteral nutrition. These societies for parenteral and enteral nutrition in Europe, the United States and Australia proposed that various trace elements should be provided daily from commencement for all patients receiving parenteral nutrition and published some guidelines on adult trace elements recommendations for parenteral nutrition...
March 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29524594/pediatric-and-gynecologic-rates-of-documentation-of-last-menstrual-period-in-adolescent-females
#14
Kristl Tomlin, Lucia Mirea, Amy Williamson
STUDY OBJECTIVE: The American Academy of Pediatrics and American College of Obstetricians and Gynecologists have identified the menstrual cycle as essential in assessing overall health of adolescent girls. Menses should be considered a "vital sign" and documentation of last menstrual period (LMP) is recommended at every patient encounter. The aim of this study is to estimate and compare LMP documentation among adolescent and pediatric healthcare providers. STUDY DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study identified a random sample of 50 female patients seen in the general pediatrics (PEDS), adolescent medicine (AM), and pediatric and adolescent gynecology (PAG) ambulatory clinics at Phoenix Children's Hospital between January 1, 2016 and March 31, 2016...
March 7, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29513362/a-multi-site-intervention-for-pediatric-community-acquired-pneumonia-in-community-settings
#15
Corrie E McDaniel, Wren Haaland, Joshua Parlaman, Chuan Zhou, Arti D Desai
OBJECTIVES: The majority of children with community acquired pneumonia (CAP) are primarily evaluated in community hospital emergency departments (EDs); however, studies on the management of pediatric CAP have largely targeted care provided in free-standing children's hospital EDs or inpatient settings. The objectives of this study were to examine whether implementation of a CAP pathway within three community hospital EDs and inpatient units improved process measures related to appropriate laboratory testing and antibiotic prescribing, and to compare performance on these measures between the community hospitals and a free-standing children's hospital...
March 7, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29493481/empiric-antibiotic-prescribing-decisions-among-medical-residents-the-role-of-the-antibiogram
#16
Gregory B Tallman, Rowena A Vilches-Tran, Miriam R Elman, David T Bearden, Jerusha E Taylor, Paul N Gorman, Jessina C McGregor
OBJECTIVE To assess general medical residents' familiarity with antibiograms using a self-administered survey DESIGN Cross-sectional, single-center survey PARTICIPANTS Residents in internal medicine, family medicine, and pediatrics at an academic medical center METHODS Participants were administered an anonymous survey at our institution during regularly scheduled educational conferences between January and May 2012. Questions collected data regarding demographics, professional training; further open-ended questions assessed knowledge and use of antibiograms regarding possible pathogens, antibiotic regimens, and prescribing resources for 2 clinical vignettes; a series of directed, closed-ended questions followed...
March 1, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29485888/personalized-medicine-in-nasal-delivery-the-use-of-patient-specific-administration-parameters-to-improve-nasal-drug-targeting-using-3d-printed-nasal-replica-casts
#17
Zachary N Warnken, Hugh D C Smyth, Daniel A Davis, Steve Weitman, John G Kuhn, Robert O Williams
Effective targeting of nasal spray deposition could improve local, systemic, and CNS drug delivery, however, this has proven to be difficult due anatomical features of the nasal cavity including the nasal valve and turbinate structures. Furthermore, nasal cavity geometries and dimensions vary between individuals based on differences in their age, gender and ethnicity. The effect of patient-specific administration parameters was evaluated for their ability to overcome the barriers to targeted nasal drug delivery...
February 27, 2018: Molecular Pharmaceutics
https://www.readbyqxmd.com/read/29479244/physician-perspectives-on-vaccination-and-diagnostic-testing-in-children-with-gastroenteritis-a-primary-care-physician-survey
#18
Arissa J Sperou, James A Dickinson, Bonita Lee, Marie Louie, Xiao-Li Pang, Linda Chui, Otto G Vanderkooi, Stephen B Freedman
Objectives: Gastroenteritis remains a common paediatric illness. Little is known about physician knowledge of enteric pathogen diagnostic tests. At the time of study conduct, Alberta lacked a publicly funded rotavirus vaccination program and knowledge of primary care physician perspectives was lacking. We sought to ascertain diagnostic testing methods and to understand knowledge and perceptions regarding enteric pathogen vaccination. Methods: A 30-item electronic survey was distributed across Alberta's five health care zones...
September 2017: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29477987/declarations-of-conflict-of-interest-are-still-inadequate
#19
Lars H Breimer, Torbjörn K Nilsson, Michael E Breimer
Declaration of conflicts of interest (COI, understood mainly as financial) in medical publications is long established. Most journals refer only to the guidelines of the International Committee of Medical Journal Editors (ICMJE) but not to those of the WAME (World Association of Medical Editors). We surveyed 17 journals and found only one (BJOG), which explicitly mentioned "religious interest" as an example of a possible COI and one other journal included "personal belief" (Journal of Obstetrics and Gynaecology of India) as a COI...
February 7, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29474117/improving-provider-communication-about-hpv-vaccines-for-vaccine-hesitant-parents-through-the-use-of-motivational-interviewing
#20
Jenna E Reno, Sean O'Leary, Kathleen Garrett, Jennifer Pyrzanowski, Steven Lockhart, Elizabeth Campagna, Juliana Barnard, Amanda F Dempsey
Human papillomavirus (HPV) vaccine uptake is below that of other routine adolescent vaccines. This is due in part to the fact that the HPV vaccine is often not routinely recommended by providers to all eligible adolescents. While providers' recommendations are crucial, even a strongly stated recommendation can be insufficient among HPV vaccine-hesitant parents. Providers must be prepared to respond to parental concerns following giving the recommendation for the HPV vaccine. This paper presents the analysis of implementation of an intervention aimed at improving provider communication with HPV vaccine-hesitant parents...
February 23, 2018: Journal of Health Communication
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