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Evidence based medicine for pediatricians

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https://www.readbyqxmd.com/read/27916335/-gastroesophageal-reflux-and-sleep-position-of-infants-a-survey-conducted-in-france-by-493%C3%A2-pediatricians
#1
M Bellaïche, K Bargaoui, C Jung, P Maigret, P Clerson
BACKGROUND AND AIMS: The supine sleeping position with the head higher than the legs has no impact on regurgitations in infants. Inclined ventral decubitus decreases regurgitations but is associated with an increased risk of sudden infant death syndrome (SIDS). The LUNE study aimed to evaluate the impact of regurgitations on the choice of sleeping position by pediatricians and parents. METHODS: Cross-sectional case-control study (ratio 1:1) conducted in France in 2013...
December 1, 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/27390206/-major-obstacles-in-the-development-of-child-and-adolescent-psychiatry-in-hungary
#2
Sandor Kalmar
The author ascertains that healthy personality development faces increasingly serious obstacles and consequently the number of children in need of mental healthcare is on the rise. Child and adolescent psychiatry has drawn increasing appreciation, however, it is only formal and deficient in Hungary today and cannot assure optimal mental care according to the principles of evidence-based medicine. The author emphasizes that 75% of the first manifestation of the psychiatric disorders occurs during adolescence and young adulthood...
June 2016: Neuropsychopharmacologia Hungarica
https://www.readbyqxmd.com/read/27274332/physician-and-medical-student-perceptions-and-expectations-of-the-pediatric-clerkship-a-qatar-experience
#3
Mohamed A Hendaus, Shabina Khan, Samar Osman, Yasser Alsamman, Tushar Khanna, Ahmed H Alhammadi
BACKGROUND: The average number of clerkship weeks required for the pediatric core rotation by the US medical schools is significantly lower than those required for internal medicine or general surgery. OBJECTIVE: The objective behind conducting this survey study was to explore the perceptions and expectations of medical students and pediatric physicians about the third-year pediatric clerkship. METHODS: An anonymous survey questionnaire was distributed to all general pediatric physicians at Hamad Medical Corporation and to students from Weill Cornell Medical College-Qatar...
2016: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/27117993/-exercise-therapy-in-the-treatment-of-idiopathic-adolescent-scoliosis-is-it-useful
#4
M Porte, K Patte, A Dupeyron, J Cottalorda
Many practitioners, pediatricians, and general practitioners prescribe physical therapy when tracking scoliosis. However, has physical therapy alone proved its efficacy in the care of the scoliosis to slow down progression? Our purpose is to report the results of a literature review on the effectiveness of rehabilitation in idiopathic scoliosis. No current study presents sufficient scientific proof to validate the efficacy of isolated exercise therapy in scoliosis. Learned societies recognize, however, the efficacy of combining conservative therapy (brace+physiotherapy) in idiopathic scoliosis...
June 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/26835389/cannabinoids-for-pediatric-epilepsy-up-in-smoke-or-real-science
#5
REVIEW
Francis M Filloux
Public interest in the use of "medical marijuana" for the treatment of childhood epilepsy has burgeoned in the last few years. This has occurred in parallel with a growing interest in "medical marijuana" in general. Physicians and pediatricians must balance their patients' desire for immediate access to these products with the tenets of evidence-based medicine. This review discusses the biochemistry of cannabis products (the phytocannabinoids) setting this in the context of the endogenous endocannabinoid system...
October 2015: Translational pediatrics
https://www.readbyqxmd.com/read/26240216/translating-atopic-dermatitis-management-guidelines-into-practice-for-primary-care-providers
#6
REVIEW
Lawrence F Eichenfield, Mark Boguniewicz, Eric L Simpson, John J Russell, Julie K Block, Steven R Feldman, Adele R Clark, Susan Tofte, Jeffrey D Dunn, Amy S Paller
Atopic dermatitis affects a substantial number of children, many of whom seek initial treatment from their pediatrician or other primary care provider. Approximately two-thirds of these patients have mild disease and can be adequately managed at the primary care level. However, recent treatment guidelines are written primarily for use by specialists and lack certain elements that would make them more useful to primary care providers. This article evaluates these recent treatment guidelines in terms of evaluation criteria, treatment recommendations, usability, accessibility, and applicability to nonspecialists and integrates them with clinical evidence to present a streamlined severity-based treatment model for the management of a majority of atopic dermatitis cases...
September 2015: Pediatrics
https://www.readbyqxmd.com/read/26122812/the-role-of-the-pediatrician-in-primary-prevention-of-obesity
#7
REVIEW
Stephen R Daniels, Sandra G Hassink
The adoption of healthful lifestyles by individuals and families can result in a reduction in many chronic diseases and conditions of which obesity is the most prevalent. Obesity prevention, in addition to treatment, is an important public health priority. This clinical report describes the rationale for pediatricians to be an integral part of the obesity-prevention effort. In addition, the 2012 Institute of Medicine report "Accelerating Progress in Obesity Prevention" includes health care providers as a crucial component of successful weight control...
July 2015: Pediatrics
https://www.readbyqxmd.com/read/25635664/infant-male-circumcision-healthcare-provider-knowledge-and-associated-factors
#8
Erin J Starzyk, Michele A Kelley, Rachel N Caskey, Alan Schwartz, Joan F Kennelly, Robert C Bailey
BACKGROUND AND OBJECTIVES: The emerging science demonstrates various health benefits associated with infant male circumcision and adult male circumcision; yet rates are declining in the United States. The American Academy of Pediatrics and the Centers for Disease Control and Prevention recommend that healthcare providers present evidence-based risk and benefit information for infant male circumcision to parent(s) and guardian(s). The purpose of this study was to assess providers' level of infant male circumcision knowledge and to identify the associated characteristics...
2015: PloS One
https://www.readbyqxmd.com/read/25554760/family-centered-care-and-evidence-based-medicine-in-conflict-lessons-for-pediatricians
#9
Amy E Caruso Brown
No abstract text is available yet for this article.
January 2015: Hospital Pediatrics
https://www.readbyqxmd.com/read/25428423/-descriptive-study-of-healthcare-professionals-management-of-tick-bites
#10
Eva Buller, Juana Cabello, María José Ibáñez
INTRODUCTION: Rural primary health centers frequently treat patients with tick bites. This study compares everyday clinical practice at our primary healthcare center to practices recommended by current scientific evidence. PURPOSE: To describe the everyday management of tick bites by different healthcare professionals and to compare this management to evidence-based therapy guidelines. DESIGN: Cross-sectional, descriptive observational study...
2014: Medwave
https://www.readbyqxmd.com/read/25367532/variability-in-adhd-care-in-community-based-pediatrics
#11
COMPARATIVE STUDY
Jeffery N Epstein, Kelly J Kelleher, Rebecca Baum, William B Brinkman, James Peugh, William Gardner, Phil Lichtenstein, Joshua Langberg
BACKGROUND: Although many efforts have been made to improve the quality of care delivered to children with attention-deficit/hyperactivity disorder (ADHD) in community-based pediatric settings, little is known about typical ADHD care in these settings other than rates garnered through pediatrician self-report. METHODS: Rates of evidence-based ADHD care and sources of variability (practice-level, pediatrician-level, patient-level) were determined by chart reviews of a random sample of 1594 patient charts across 188 pediatricians at 50 different practices...
December 2014: Pediatrics
https://www.readbyqxmd.com/read/25304696/why-and-when-to-use-ct-in-children-perspective-of-a-pediatric-emergency-medicine-physician
#12
Karen Frush
The Emergency Department is a risk-laden environment for clinicians caring for children. A number of factors can increase the risk of medical errors and adverse events, including lack of standardized medication dosing because of size variation in the pediatric age range, unique physical and developmental characteristics of children that affect treatment strategies, and the inability of young or non-verbal children to provide a medical history or to clearly communicate pain and other symptoms. The Emergency Department (ED) setting is often hectic and chaotic, with lots of interruptions...
October 2014: Pediatric Radiology
https://www.readbyqxmd.com/read/25266429/optimizing-bone-health-in-children-and-adolescents
#13
REVIEW
Neville H Golden, Steven A Abrams
The pediatrician plays a major role in helping optimize bone health in children and adolescents. This clinical report reviews normal bone acquisition in infants, children, and adolescents and discusses factors affecting bone health in this age group. Previous recommended daily allowances for calcium and vitamin D are updated, and clinical guidance is provided regarding weight-bearing activities and recommendations for calcium and vitamin D intake and supplementation. Routine calcium supplementation is not recommended for healthy children and adolescents, but increased dietary intake to meet daily requirements is encouraged...
October 2014: Pediatrics
https://www.readbyqxmd.com/read/25119336/one-size-will-never-fit-all-the-future-of-research-in-pediatric-transfusion-medicine
#14
REVIEW
Cassandra D Josephson, Traci Heath Mondoro, Daniel R Ambruso, Rosa Sanchez, Steven R Sloan, Naomi L C Luban, John A Widness
There is concern at the National Heart, Lung, and Blood Institute (NHLBI) and among transfusion medicine specialists regarding the small number of investigators and studies in the field of pediatric transfusion medicine (PTM). Accordingly, the objective of this article is to provide a snapshot of the clinical and translational PTM research considered to be of high priority by pediatricians, neonatologists, and transfusion medicine specialists. Included is a targeted review of three research areas of importance: (i) transfusion strategies, (ii) short- and long-term clinical consequences, and (iii) transfusion-transmitted infectious diseases...
November 2014: Pediatric Research
https://www.readbyqxmd.com/read/25060235/contextualized-analysis-of-a-needs-assessment-using-the-theoretical-domains-framework-a-case-example-in-endocrinology
#15
Patrice Lazure, Robert C Bartel, Beverly M K Biller, Mark E Molitch, Stephen M Rosenthal, Judith L Ross, Brock D Bernsten, Sean M Hayes
BACKGROUND: The Theoretical Domains Framework (TDF) is a set of 14 domains of behavior change that provide a framework for the critical issues and factors influencing optimal knowledge translation. Considering that a previous study has identified optimal knowledge translation techniques for each TDF domain, it was hypothesized that the TDF could be used to contextualize and interpret findings from a behavioral and educational needs assessment. To illustrate this hypothesis, findings and recommendations drawn from a 2012 national behavioral and educational needs assessment conducted with healthcare providers who treat and manage Growth and Growth Hormone Disorders, will be discussed using the TDF...
2014: BMC Health Services Research
https://www.readbyqxmd.com/read/25052895/-medicinal-treatment-of-breathing-disorders-in-adenotonsillar-hyperplasia
#16
M S Urschitz, C F Poets, B A Stuck, A Wiater, F Kirchhoff
BACKGROUND: Adenotonsillar hyperplasia (ATH) can lead to severe breathing disorders, such as impaired nasal breathing, mouth breathing, snoring and obstructive sleep apnea. In such cases ATH should be treated mostly by performing adenoidectomy and/or adenotonsillectomy. There is increasing evidence that anti-inflammatory medication (AIM) is effective in treating ATH-related breathing disorders. OBJECTIVES: The aim of this study was to provide evidence and recommendations for the use of AIM in the treatment of ATH-related breathing disorders...
August 2014: HNO
https://www.readbyqxmd.com/read/25022323/professional-networks-and-ebm-use-a-study-of-inter-physician-interaction-across-levels-of-care
#17
Daniele Mascia, Roberto Dandi, Fausto Di Vincenzo
Physicians around the globe are increasingly encouraged to adopt guidelines, protocols and other scientific material when making clinical decisions. Extant research suggests that the clinicians' propensity to use evidence-based medicine (EBM) is strongly associated with the professional collaborative networks they establish and maintain with peers. In this paper we explore whether and how the connectedness of primary care physicians with colleagues working in hospital settings is related to their frequency of EBM use in clinical practice...
October 2014: Health Policy
https://www.readbyqxmd.com/read/24898541/looking-for-new-treatments-of-infantile-colic
#18
REVIEW
Francesco Savino, Simone Ceratto, Angela De Marco, Luca Cordero di Montezemolo
Infantile colic is a common disturbance occurring in the first three months of life. It is a benign condition and one of the main causes of pediatric consultation in the early part of life because of its great impact on family life. Some pediatricians are prone to undervalue this issue mainly because of the lack of evidence based medicine guidelines. Up to now, there is no consensus concerning management and treatment. Literature reports growing evidence about the effectiveness of dietary, pharmacological, complementary and behavioral therapies as options for the management of infantile colic...
June 5, 2014: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/24829481/principles-and-pitfalls-in-the-differential-diagnosis-and-management-of-childhood-obesities
#19
REVIEW
Gabriel Á Martos-Moreno, Vicente Barrios, María T Muñoz-Calvo, Jesús Pozo, Julie A Chowen, Jesús Argente
Obesity is currently the most prevalent chronic childhood disease in Western countries. It is one of the most frequent consultations in general pediatrics and is even more common in pediatric endocrinology. As might be predicted, the prevalence of obesity-associated comorbidities is also increasing in children and adolescents. It is widely accepted that this increase in obesity results from an imbalance between energy intake and expenditure, with an increase in positive energy balance being closely associated with the current lifestyle in Western countries...
May 2014: Advances in Nutrition
https://www.readbyqxmd.com/read/24800591/-new-advances-in-the-management-and-treatment-of-cystic-fibrosis
#20
Florin Mihălţan
Cystic fibrosis represented and continue to represent either for the system and for the practitioner a serious challenge through the severe manifestations of disease, progressive mainly in the lung, through the progres in the management registrated in the last time for fighting lung infections such as Pseudomonas aeruginosa, in understanding of genetic condition, new ways of administration of antibiotics and the problems posed by today transition of these patients from pediatrician to the pulmonologist, infectious disease specialist, rehabilitation specialist etc...
January 2014: Pneumologia: Revista Societății Române de Pneumologie
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