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Med ped

Fallon Cluxton-Keller, Craig L Donnelly, Melony Williams, Jennifer Buteau, Patricia Stolte, Maggie Monroe-Cassel, Martha L Bruce
Background: The Federal Maternal, Infant, and Early Childhood Home Visiting (HV) Program serves over 100,000 vulnerable families at risk for child abuse in the USA and aims to improve many outcomes, including maternal mental health (HRSA's Federal Home Visiting Program: partnering with parents to help children succeed, 2017). Most clients are insured by Medicaid, and about 40% are adolescent mothers (pregnant and post-delivery) (The mother and infant home visiting program evaluation: early findings on the Maternal, Infant, and Early Childhood Home Visiting Program, 2015)...
2017: Pilot and Feasibility Studies
Matthew Siuba, Michael Wagner, Thomas Melgar
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
Kazuta Yamashita, Kosaku Higashino, Toshinori Sakai, Yoichiro Takata, Mitsunobu Abe, Masatoshi Morimoto, Akihiro Nagamachi, Koichi Sairyo
Percutaneous endoscopic discectomy (PED) is a minimally invasive spinal technique and has several advantages compared with open surgery. We describe repeat PED surgery for recurrent herniated nucleus pulposus (HNP). The patient was a 33-year-old handball high level player. Previously, he underwent transforaminal PED under local anesthesia for intracanalicular HNP at L4-5 level about 2 years ago. He could return to his original competitive level. Two years later, he felt low back and right leg pain again when he was playing handball...
2016: Journal of Medical Investigation: JMI
Subash C Jha, Kosaku Higashino, Toshinori Sakai, Yoichiro Takata, Mitsunobu Abe, Kazuta Yamashita, Masatoshi Morimoto, Shoji Fukuta, Akihiro Nagamachi, Koichi Sairyo
High-intensity zone (HIZ) was originally described as a high-intensity signal on T2-weighted magnetic resonance (MR) images, located in the posterior annulus fibrosus, clearly separated from the nucleus pulposus. Among symptomatic patients with low back pain, HIZ is present in 28-59% of cases. In morphologically abnormal discs, high sensitivity and specificity of 81% and 79%, respectively, were reported for HIZs and concordant pain during discography. In contrast, another report indicated low rates. Although most papers reported high sensitivity and specificity for this relationship, it remains controversial...
2016: Journal of Medical Investigation: JMI
Michael J Donnelly, Lauren Lubrano, Carrie L Radabaugh, Michael P Lukela, Allen R Friedland, Holly S Ruch-Ross
OBJECTIVE: There is no published literature about the med-peds hospitalist workforce, physicians dually trained in internal medicine and pediatrics. Our objective was to analyze this subset of physicians by using data from the American Academy of Pediatrics (AAP) workforce survey to assess practice patterns and workforce demographics. We hypothesized that demographic differences exist between hospitalists and nonhospitalists. METHODS: The AAP surveyed med-peds physicians from the Society of Hospital Medicine and the AAP to define workforce demographics and patterns of practice...
November 2015: Hospital Pediatrics
Mitsunobu Abe, Yoichiro Takata, Kosaku Higashino, Toshinori Sakai, Tetsuya Matsuura, Naoto Suzue, Daisuke Hamada, Tomohiro Goto, Toshihiko Nishisho, Yuichiro Goda, Takahiko Tsutsui, Ichiro Tonogai, Ryo Miyagi, Masatoshi Morimoto, Kazuaki Mineta, Tetsuya Kimura, Akihiro Nitta, Shingo Hama, Tadahiro Higuchi, Subash C Jha, Rui Takahashi, Shoji Fukuta, Koichi Sairyo
Percutaneous endoscopic discectomy (PED) is the least invasive disc surgery available at present. The procedure can be performed under local anesthesia and requires only an 8 mm skin incision. Furthermore, damage to the back muscle is considered minimal, which is particularly important for disc surgery in athletes. However, employing the transforaminal (TF) PED approach at the lumbosacral junction can be challenging due to anatomical constraints imposed by the iliac crest. In such cases, foraminoplasty is required in addition to the standard TF procedure...
2015: Journal of Medical Investigation: JMI
Jennifer K O'Toole, Allen R Friedland, Alda Maria R Gonzaga, Jason R Hartig, Scott Holliday, Michael Lukela, Sandra A Moutsios, Russ Kolarik
OBJECTIVES: To identify the current practice patterns and professional activities of internal medicine-pediatrics (med-peds) hospitalists who have graduated in the past 5 years (June 2009-June 2013). METHODS: The national Medicine-Pediatrics Program Directors Association (MPPDA) conducted a cross-sectional survey study of the 79 residency program directors who are members of the MPPDA regarding the practice patterns of recent graduates (from 2009-2013) currently practicing as hospitalists...
June 2015: Hospital Pediatrics
Sara E Gardner, Alda Maria Gonzaga, Russ C Kolarik
No abstract text is available yet for this article.
November 2014: Academic Pediatrics
Michele St Martin
No abstract text is available yet for this article.
June 2014: Minnesota Medicine
John L Falcone
OBJECTIVE: The purpose was to evaluate American Board of Pediatrics Certifying Examination performance based on if a residency offers a dual internal medicine-pediatrics program, hypothesizing that having a dual-accreditation program is associated with higher exam performance. METHODS: Pediatric residency programs in the United States were retrospectively evaluated from 2010 to 2012. The accreditation status was determined. Mann-Whitney U tests were performed for continuous variables, and χ(2) tests were performed for categorical variables, using an α = ...
August 2014: Clinical Pediatrics
Michael J Donnelly, Janelle M Clauser, Rochelle E Tractenberg
BACKGROUND: It is unclear why systematic training in end-of-residency clinic handoffs is not universal. PURPOSES: We assessed Internal Medicine-Pediatrics (Med-Peds) residency program directors' attitudes regarding end-of-residency clinic handoff systems and perceived barriers to their implementation. METHODS: We surveyed all Med-Peds program directors in the United States about end-of-residency outpatient handoff systems. RESULTS: Program directors rated systems as important (81...
2014: Teaching and Learning in Medicine
Michael J Donnelly, Janelle M Clauser, Rochelle E Tractenberg
BACKGROUND: End-of-residency outpatient handoffs affect at least 1 million patients per year, yet there is no consensus on best practices. OBJECTIVE: To explore the use of formal systems for end-of-residency clinic handoffs in internal medicine-pediatrics residency (Med-Peds) programs, and their associated categorical internal medicine and pediatrics programs. METHODS: We surveyed Med-Peds program directors about their programs' system for handing off ambulatory continuity patients...
March 2013: Journal of Graduate Medical Education
Allen Friedland, Hoda Abdel Salam, David Kaelber
OBJECTIVE: To list professional activities of dual boarded combined internal medicine-pediatrics (med-peds) program directors. METHODS: A national survey of all med-peds program directors conducted electronically in 2009. RESULTS: Of the 74 dual boarded combined med-peds program directors, 72 (97 percent) completed the survey. The most common academic titles held in both departments were assistant professor (61 percent, n = 44) and associate professor (25 percent, n=18)...
May 2013: Delaware Medical Journal
Damon A Bell, Amanda J Hooper, Robert Bender, Jenny McMahon, Glenn Edwards, Frank M van Bockxmeer, Gerald F Watts, John R Burnett
BACKGROUND: Familial hypercholesterolaemia (FH) is an inherited disorder characterized by increased serum low-density lipoprotein (LDL)-cholesterol concentrations and premature atherosclerotic cardiovascular disease. The majority of people with FH are currently undiagnosed. We sought to determine the ability of a community laboratory to screen for individuals with potential FH. METHODS: Serum LDL-cholesterol concentrations issued by a private community laboratory in Western Australia were reviewed over a one-year period (1 May 2010 to 31 April 2011)...
November 2012: Annals of Clinical Biochemistry
John K Chamberlain, Mary Pat Frintner, Thomas A Melgar, David C Kaelber, Brian D Kan
OBJECTIVE: To examine trends in training satisfaction in graduates of combined internal medicine-pediatrics (Med-Peds) training programs and whether curricular elements designed to enhance the integration of the two disciplines have been successful. STUDY DESIGN: We conducted a cross-sectional survey of all graduating Med-Peds residents (years 2003-2007). Responses across survey years were analyzed to identify trends. Data for all survey years was analyzed for correlations among curricular elements, perceived adequacy of training, and preparation for future activities...
April 2012: Journal of Pediatrics
Harriett Burns, Lauriane Auvergne, Lindsey E Haynes-Maslow, E Allen Liles, Eliana M Perrin, Michael J Steiner
BACKGROUND: Physicians who complete combined residency training in internal medicine and pediatrics (med-peds) have a variety of career options after training. Little is known about career transitions among this group or among other broadly trained physicians. METHODS: To better understand these career transitions, we conducted semistructured, in-depth, telephone interviews of graduates of the University of North Carolina-Chapel Hill School of Medicine med-peds program who self-identified as having had a career transition since completing training...
May 2011: North Carolina Medical Journal
Amy L Fix, David C Kaelber, Thomas A Melgar, John Chamberlain, William Cull, Brett W Robbins
OBJECTIVE: As part-time work is becoming more popular among the primary care specialties, we examined the demographic descriptors of med-peds residents seeking and finding part-time employment upon completion of residency training. METHODS: As part of the 2006 annual American Academy of Pediatrics (AAP) Graduating Med-Peds Residents Survey, we surveyed the graduating residents of all med-peds programs about their interest in and plans for part-time employment. A total of 199 (60%) of the residents responded...
September 2011: Academic Pediatrics
Robert H Lerman, Deanna M Minich, Gary Darland, Joseph J Lamb, Jyh-Lurn Chang, Alex Hsi, Jeffrey S Bland, Matthew L Tripp
BACKGROUND: Metabolic syndrome is associated with increased cardiovascular disease (CVD) risk, a risk that is significantly increased when accompanied by elevated low-density lipoprotein cholesterol (LDL-C). Whereas lifestyle therapies are the initial intervention of choice for both of these risk factors, it has not been clearly determined that this approach is efficacious when they occur concomitantly. OBJECTIVE: To evaluate effects of supplementing a lifestyle program with a medical food and nutraceutical in individuals with metabolic syndrome and elevated LDL-C...
January 2010: Journal of Clinical Lipidology
Nancy M Tofil, Marjorie Lee White, Bryn Manzella, Denise McGill, Lynn Zinkan
BACKGROUND: Pediatric cardiopulmonary arrests are rare. Mock codes were instituted to bridge the gap between opportunity and reality. AIM: The goal was to improve medical caregivers' skills in pediatric resuscitation. METHODS: All pediatric and internal medicine/pediatric (med/peds) residents were anonymously surveyed pre- and post-intervention about confidence level about codes and code skills. Twenty mock codes were conducted during the 1 year intervention period...
June 2009: Medical Teacher
Carlos Lahoz, José M Mostaza, Miguel A San Martín, María F García Iglesias, Manuel Frías, Angel García, Roberto Peraira, Fernando Laguna et al.
BACKGROUND AND OBJECTIVE: To evaluate the factors associated with intima-media thickness (IMT) and carotid plaques in patients with familial hypercholesterolemia (FH) and to assess the evolution following 1 year of treatment. PATIENTS AND METHOD: Subjects (n=201) diagnosed as having probable or definite FH according to the MED-PED criteria had a clinical history, physical examination, blood chemistry and lipid profile determined. Ultrasound was used to measure the IMT in both common carotid arteries and to assess the presence of plaques...
June 27, 2009: Medicina Clínica
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