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Evidence based medicine in pediatricians

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https://www.readbyqxmd.com/read/28557746/ethical-conduct-of-research-in-children-pediatricians-and-their-irb-part-1-of-2
#1
REVIEW
Carlos D Rose
As human experimentation continues to grow into an ever more complex and sophisticated endeavor, the relevant ethical and regulatory structures become more intricate. When pediatricians and general practitioners are invited by pharmaceutical companies to enroll their offices in a clinical trial or a multicenter observational study or when they develop their own research questions, they frequently find themselves at a loss in the human research environment. The legal and regulatory complexity may have an unintended deterring effect at a time when office-based high quality pediatric research is urgently needed to support evidence-based medicine...
May 2017: Pediatrics
https://www.readbyqxmd.com/read/28557563/comparison-of-support-for-breastfeeding-beyond-12-months-of-age-from-conventional-and-alternative-pediatric-primary-care-providers
#2
Sarah A Keim, Alexis Tchaconas, Andrew Adesman
OBJECTIVE: Conventional medicine pediatric care providers (e.g., pediatricians) have been shown to be influential in women's decisions to initiate and sustain breastfeeding. Alternative pediatric care providers (e.g., naturopaths and chiropractors) may also provide breastfeeding support, but this has not been the subject of prior research. Our objective was to compare breastfeeding mothers' perceptions of support from these two provider types in a large sample of women who breastfed for more than 12 months...
May 30, 2017: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/28406489/consensus-recommendation-for-a-diagnostic-guideline-for-acid-sphingomyelinase-deficiency
#3
Margaret M McGovern, Carlo Dionisi-Vici, Roberto Giugliani, Paul Hwu, Olivier Lidove, Zoltan Lukacs, Karl Eugen Mengel, Pramod K Mistry, Edward H Schuchman, Melissa P Wasserstein
Disclaimer:This diagnostic guideline is intended as an educational resource and represents the opinions of the authors, and is not representative of recommendations or policy of the American College of Medical Genetics and Genomics (ACMG). The information should be considered a consensus based on expert opinion, as more comprehensive levels of evidence were not available in the literature in all cases. BACKGROUND: Acid sphingomyelinase deficiency (ASMD) is a rare, progressive, and often fatal lysosomal storage disease...
April 13, 2017: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/28378737/-all-russian-consensus-on-diagnosis-and-treatment-of-celiac-disease-in-children-and-adults
#4
A I Parfenov, S V Bykova, E A Sabel'nikova, I V Maev, A A Baranov, I G Bakulin, L M Krums, S V Bel'mer, T E Borovik, I N Zakharova, Yu A Dmitrieva, E A Roslavtseva, E A Kornienko, A I Khavkin, A S Potapov, M O Revnova, Yu G Mukhina, P L Shcherbakov, E D Fedorov, E A Belousova, I L Khalif, S G Khomeriki, D L Rotin, N G Vorob'eva, A V Pivnik, R B Gudkova, V V Chernin, N V Vokhmyanina, T V Pukhlikova, D A Degtyarev, I V Damulin, A M Mkrtumyan, G S Dzhulai, N K Tetruashvili, A Yu Baranovsky, L I Nazarenko, A G Kharitonov, I D Loranskaya, R G Saifutdinov, M A Livzan, D A Abramov, M F Osipenko, L V Oreshko, E I Tkachenko, S I Sitkin, L I Efremov
The paper presents the All-Russian consensus on the diagnosis and treatment of celiac disease in children and adults, which has been elaborated by leading experts, such as gastroenterologists and pediatricians of Russia on the basis of the existing Russian and international guidelines. The consensus approved at the 42nd Annual Scientific Session of the Central Research Institute of Gastroenterology on Principles of Evidence-Based Medicine into Clinical Practice (March 2-3, 2016). The consensus is intended for practitioners engaged in the management and treatment of patients with celiac disease...
2017: Terapevticheskiĭ Arkhiv
https://www.readbyqxmd.com/read/28376548/effect-of-an-educational-presentation-about-extremely-preterm-infants-on-knowledge-and-attitudes-of-health-care-providers
#5
Stefani Doucette, Brigitte Lemyre, Thierry Daboval, Sandra Dunn, Salwa Akiki, Nick Barrowman, Gregory P Moore
Objective To determine healthcare providers' knowledge (HCP) about survival rates of extremely preterm infants (EPI) and attitudes toward resuscitation before and after an educational presentation and, to examine the relationship between knowledge and attitudes toward resuscitation. Study Design Participants completed a survey before and after attending a presentation detailing evidence-based estimates of survival rates and surrounding ethical issues. Respondents included neonatologists, obstetricians, pediatricians, maternal-fetal medicine specialists, trainees in pediatrics, obstetrics, neonatal-perinatal medicine and neonatal and obstetrical nurses...
April 4, 2017: American Journal of Perinatology
https://www.readbyqxmd.com/read/28105067/current-state-and-future-prospects-for-psychosomatic-medicine-in-japan
#6
REVIEW
Masato Murakami, Yoshihide Nakai
In this article, we describe the history and current state of psychosomatic medicine (PSM) in Japan and propose measures that could be considered based on our view of the future prospects of PSM in Japan. The Japanese Society of PSM (JSPM) was established in 1959, and the first Department of Psychosomatic Internal Medicine in Japan was established at Kyushu University In 1963. PSM in Japan has shown a prominent, unique development, with 3,300 members (as of March 2016), comprised of 71.6% of medical doctors including psychosomatic internal medicine (PIM) specialists, general internists, psychiatrists, pediatricians, obstetricians and gynecologists, dentists, dermatologists, and others...
2017: BioPsychoSocial Medicine
https://www.readbyqxmd.com/read/27916335/-gastroesophageal-reflux-and-sleep-position-of-infants-a-survey-conducted-in-france-by-493%C3%A2-pediatricians
#7
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...
January 2017: 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
#8
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
#9
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
#10
REVIEW
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
#11
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/26388630/daily-versus-single-dose-vitamin-d-therapy-in-children-and-adolescents-how-good-is-the-evidence-evidence-based-medicine-viewpoint-nutritionist-s-viewpoint-pediatrician-s-viewpoint
#12
COMMENT
Joseph L Mathew, John M Pettifor, Piyush Gupta
No abstract text is available yet for this article.
August 2015: Indian Pediatrics
https://www.readbyqxmd.com/read/26240216/translating-atopic-dermatitis-management-guidelines-into-practice-for-primary-care-providers
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
REVIEW
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
#20
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
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