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AAP Policy

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https://www.readbyqxmd.com/read/28924062/national-trends-in-pediatricians-practices-and-attitudes-about-breastfeeding-1995-to-2014
#1
Lori Feldman-Winter, Kinga Szucs, Aubri Milano, Elizabeth Gottschlich, Blake Sisk, Richard J Schanler
BACKGROUND AND OBJECTIVES: The American Academy of Pediatrics (AAP) has affirmed breastfeeding as the preferred method of infant feeding; however, there has been little systematic examination of how pediatricians' recommendations, affiliated hospitals' policies, counseling practices, and attitudes toward breastfeeding have shifted over the past 2 decades. These trends were examined from 1995 to 2014. METHODS: Data are from the Periodic Survey (PS) of Fellows, a nationally representative survey of AAP members...
September 18, 2017: Pediatrics
https://www.readbyqxmd.com/read/28691236/response-to-vogelstein-how-the-2012-aap-task-force-on-circumcision-went-wrong
#2
Robert S Van Howe
Vogelstein cautions medical organizations against jumping into the fray of controversial issues, yet proffers the 2012 American Academy of Pediatrics' Task Force policy position on infant male circumcision as 'an appropriate use of position-statements.' Only a scratch below the surface of this policy statement uncovers the Task Force's failure to consider Vogelstein's many caveats. The Task Force supported the cultural practice by putting undeserved emphasis on questionable scientific data, while ignoring or underplaying the importance of valid contrary scientific data...
July 9, 2017: Bioethics
https://www.readbyqxmd.com/read/28671367/use-of-media-by-school-aged-children-and-adolescents-a-policy-statement-from-the-aap
#3
Lisa Hauk
No abstract text is available yet for this article.
July 1, 2017: American Family Physician
https://www.readbyqxmd.com/read/28669447/2017-acc-aap-aha-health-policy-statement-on-opportunities-and-challenges-in-pediatric-drug-development-learning-from-sildenafil
#4
Craig A Sable, D Dunbar Ivy, Robert H Beekman, Helene D Clayton-Jeter, Kathy J Jenkins, William T Mahle, William R Morrow, Mary Dianne Murphy, Robert M Nelson, Geoffrey L Rosenthal, Norman Stockbridge, David L Wessel
No abstract text is available yet for this article.
July 25, 2017: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/28663437/2017-acc-aap-aha-health-policy-statement-on-opportunities-and-challenges-in-pediatric-drug-development-learning-from-sildenafil
#5
REVIEW
Craig A Sable, D Dunbar Ivy, Robert H Beekman, Helene D Clayton-Jeter, Kathy J Jenkins, William T Mahle, William R Morrow, Mary Dianne Murphy, Robert M Nelson, Geoffrey L Rosenthal, Norman Stockbridge, David L Wessel
No abstract text is available yet for this article.
July 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28428097/care-coordination-and-comprehensive-electronic-health-records-are-associated-with-increased-transition-planning-activities
#6
Niraj Sharma, Kitty O'Hare, Karen G O'Connor, Umbereen Nehal, Megumi J Okumura
OBJECTIVE: Youth with Special Health Care Needs (YSHCN) require assistance from their pediatricians to transition to adult care. There is little data on what transition resources pediatricians have. This paper studies if care coordination and/or comprehensive electronic health record (CEHR) implementation are associated with improved transition processes. METHODS: Using AAP Periodic Survey #79, we report whether practices generated written transition plans, assisted in finding adult providers, and discussed confidentiality issues...
April 18, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28400304/parent-preferences-and-perceptions-of-mls-and-teaspoons-role-of-health-literacy-and-experience
#7
Alejandro Torres, Ruth M Parker, Lee M Sanders, Michael S Wolf, Stacy Bailey, Deesha A Patel, Jessica J Jimenez, Kwang-Youn A Kim, Benard P Dreyer, Alan Mendelsohn, H Shonna Yin
BACKGROUND AND OBJECTIVES: A recent AAP policy statement recommends mL-exclusive dosing for pediatric liquid medications. Little is known about parent preferences regarding units, perceptions about moving to mL-only, and the role of health literacy and prior mL-dosing experience. METHODS: Cross-sectional analysis of data collected as part of a randomized controlled study in 3 urban pediatric clinics (SAFE-Rx for Kids study). English/Spanish-speaking parents (n=493) of children <8 years were randomized to 1 of 4 study arms and given labels/dosing tools which varied in label instruction format (text+pictogram, text-only) and units (mL-only, mL/tsp)...
April 8, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28224100/early-infant-male-circumcision-systematic-review-risk-benefit-analysis-and-progress-in-policy
#8
Brian J Morris, Sean E Kennedy, Alex D Wodak, Adrian Mindel, David Golovsky, Leslie Schrieber, Eugenie R Lumbers, David J Handelsman, John B Ziegler
AIM: To determine whether recent evidence-based United States policies on male circumcision (MC) apply to comparable Anglophone countries, Australia and New Zealand. METHODS: Articles in 2005 through 2015 were retrieved from PubMed using the keyword "circumcision" together with 36 relevant subtopics. A further PubMed search was performed for articles published in 2016. Searches of the EMBASE and Cochrane databases did not yield additional citable articles. Articles were assessed for quality and those rated 2+ and above according to the Scottish Intercollegiate Grading System were studied further...
February 8, 2017: World Journal of Clinical Pediatrics
https://www.readbyqxmd.com/read/28219966/the-child-witness-in-the-courtroom
#9
Robert H Pantell
Beginning in the 1980s, children have increasingly served as witnesses in the criminal, civil, and family courts; currently, >100‚ÄČ000 children appear in court each year. This statement updates the 1992 American Academy of Pediatrics (AAP) policy statement "The Child as a Witness" and the subsequent 1999 "The Child in Court: A Subject Review." It also builds on existing AAP policy on adverse life events affecting children and resources developed to understand and address childhood trauma. The purpose of this policy statement is to provide background information on some of the legal issues involving children testifying in court, including the accuracy and psychological impact of child testimony; to provide suggestions for how pediatricians can support patients who will testify in court; and to make recommendations for policy improvements to minimize the adverse psychological consequences for child witnesses...
February 20, 2017: Pediatrics
https://www.readbyqxmd.com/read/28142152/improving-safe-and-effective-use-of-drugs-in-pregnancy-and-lactation-workshop-summary
#10
Laura E Riley, Alison G Cahill, Richard Beigi, Renate Savich, George Saade
In February 2015, given high rates of use of medications by pregnant women and the relative lack of data on safety and efficacy of many drugs utilized in pregnancy, the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the Society for Maternal-Fetal Medicine (SMFM), the American College of Obstetricians and Gynecologists (ACOG), and the American Academy of Pediatrics (AAP) convened a group of experts to review the "current" state of the clinical care and science regarding medication use during the perinatal period...
July 2017: American Journal of Perinatology
https://www.readbyqxmd.com/read/28089294/the-american-academy-of-pediatrics-workforce-survey-for-the-section-on-urology-2015
#11
E Shapiro, Christopher S Cooper, S Greenfield
INTRODUCTION: In 2013, the American Academy of Pediatrics (AAP) Division of Workforce and Medical Education Policy assumed the task of organizing the updated AAP Workforce Survey, which was modeled after the Future of Pediatric Education II study. OBJECTIVE: The objective of the present study was to evaluate changes in practice patterns of all pediatric medical and surgical specialists over time, to facilitate advocacy work by the Academy at federal and state levels...
February 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27898422/national-evidence-in-israel-supporting-reevaluation-of-respiratory-syncytial-virus-prophylactic-guidelines
#12
Itai Gross, Yael Siedner-Weintraub, Wiessam Abu Ahmad, Benjamin Bar-Oz, Smadar Eventov-Friedman
BACKGROUND: The American Academy of Pediatrics (AAP) recently narrowed the indications for respiratory syncytial virus (RSV) prophylaxis, while in Israel the guidelines have not changed. OBJECTIVE: To compare the prevalence and severity of RSV infection among preterm infants born earlier than 340/7 weeks of gestation (PI), late preterm infants born at 340/7-366/7 weeks (LPTI), and term infants born after 370/7 weeks of gestation (TI) and to determine whether the results support a change in local policy...
2017: Neonatology
https://www.readbyqxmd.com/read/27805923/immunization-status-of-nicu-graduates-at-a-tertiary-care-children-s-hospital
#13
Janelle L B Macintosh, Leslie J Huggins, Lacey M Eden, Katreena Collette Merrill, Karlen E Beth Luthy
BACKGROUND: Approximately 500,000 infants are born prematurely each year in the United States. Immunization of infants in a neonatal intensive care unit (NICU) set a precedence for future immunizations. PURPOSES: The objectives of this study were to determine the current rates of immunization and identify variables associated with immunizations of NICU graduates who were aged 60 days or older at time of discharge. METHODS: This descriptive pilot study utilized retrospective paper medical record review in one tertiary children's hospital...
April 2017: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27355908/review-of-outcomes-associated-with-restricted-access-to-atypical-antipsychotics
#14
Krithika Rajagopalan, Marjam Hassan, Kimberly Boswell, Evelyn Sarnes, Kellie Meyer, Fred Grossman
OBJECTIVES: Cost containment policies, such as prior authorization (PA), have increasingly been used by formulary decision makers to manage drug spending of the atypical antipsychotic (AAP) drug class. However, these drug cost containment policies may result in cost shifting rather than cost savings. Given the interest in coordination of care, the objective of this study was to evaluate the impact of restricted access to AAPs on healthcare costs and health outcomes in individuals with schizophrenia or bipolar disorder...
2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/27338601/newborn-male-circumcision-with-parental-consent-as-stated-in-the-aap-circumcision-policy-statement-is-both-legal-and-ethical
#15
Michael T Brady
Newborn male circumcision is a minor surgical procedure that has generated significant controversy. Accumulating evidence supports significant health benefits, most notably reductions in urinary tract infections, acquisition of HIV and a number of other sexually transmitted infections, penile cancer, phimosis, paraphimosis, balanitis and lichen sclerosis. While circumcision, like any surgical procedure, has risks for complications, they occur in less than 1 in 500 infants circumcised and most are minor and require minimal intervention...
June 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/27246680/setting-adolescents-up-for-success-promoting-a-policy-to-delay-high-school-start-times
#16
Margaux Barnes, Krista Davis, Mackenzie Mancini, Jasmine Ruffin, Tina Simpson, Krista Casazza
BACKGROUND: A unique biological shift in sleep cycles occurs during adolescence causing later sleep and wake times. This shift is not matched by a concurrent modification in school start times, resulting in sleep curtailment for a large majority of adolescents. Chronic inadequate sleep is associated with poor academic performance including executive function impairments, mood, and behavioral issues, as well as adverse health outcomes such as an increased risk of obesity, hypertension, and cardiovascular disease...
July 2016: Journal of School Health
https://www.readbyqxmd.com/read/26923218/ambient-air-pollution-epidemiology-systematic-review-and-meta-analysis-a-review-of-reporting-and-methods-practice
#17
Mary C Sheehan, Juleen Lam, Ana Navas-Acien, Howard H Chang
BACKGROUND: Systematic review and meta-analysis (SRMA) are increasingly employed in environmental health (EH) epidemiology and, provided methods and reporting are sound, contribute to translating science evidence to policy. Ambient air pollution (AAP) is both among the leading environmental causes of mortality and morbidity worldwide, and of growing policy relevance due to health co-benefits associated with greenhouse gas emissions reductions. OBJECTIVES: We reviewed the published AAP SRMA literature (2009 to mid-2015), and evaluated the consistency of methods, reporting and evidence evaluation using a 22-point questionnaire developed from available best-practice consensus guidelines and emerging recommendations for EH...
July 2016: Environment International
https://www.readbyqxmd.com/read/26867164/addressing-substance-misuse-in-adolescents-a-review-of-the-literature-on-the-screening-brief-intervention-and-referral-to-treatment-model
#18
REVIEW
Aimee Beaton, Catherine D Shubkin, Steven Chapman
PURPOSE OF REVIEW: Adolescent substance use is a major public health concern in the United States. Pediatricians are in a unique position via the medical home to address this issue. Screening, brief intervention, and referral to treatment (SBIRT) is a comprehensive approach that aims to prevent, identify, and reduce substance use. SBIRT has been heavily studied in adults, but research with adolescents is still ongoing. This review examines the SBIRT model and highlights recent applicable research...
April 2016: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/26832067/the-current-state-of-pediatric-sports-medicine-a-workforce-analysis
#19
Glenn Engelman, Chris Koutures, Aaron Provance
OBJECTIVE: Pediatric sports medicine is an evolving pediatric subspecialty. No workforce data currently exists describing the current state of pediatric sports medicine. The goal of this survey is to contribute information to the practicing pediatric sports medicine specialist, employers and other stakeholders regarding the current state of pediatric sports medicine. METHODS: The Workforce Survey was conducted by the American Academy of Pediatrics (AAP) Division of Workforce and Medical Education Policy (WMEP) and included a 44-item standard questionnaire online addressing training, clinical practice and demographic characteristics as well as the 24-item AAP Council on Sports Medicine and Fitness (COSMF) questionnaire...
2016: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/26830509/applying-the-social-ecological-model-to-creating-asthma-friendly-schools-in-louisiana
#20
Henry J Nuss, Laura L Hester, Mark A Perry, Collette Stewart-Briley, Valamar M Reagon, Pamela Collins
BACKGROUND: In 2010, the Louisiana Asthma Management and Prevention Program (LAMP) implemented the Asthma-Friendly Schools Initiative in high-risk Louisiana populations. The social ecological model (SEM) was used as a framework for an asthma program implemented in 70 state K-12 public schools over 2 years. METHODS: Activities included a needs assessment, identification of students with asthma, individualized asthma action plans (AAP), staff trainings, environmental quality improvement, and school system policy changes to address the asthma burden...
March 2016: Journal of School Health
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