MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Academic Pediatrics' source. Thu, 09 Feb 2012 01:09:26 +0100 http://www.medworm.com/index.php?rid=5600024&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002981%2Fabstract%3Frss%3Dyes Owned by the Academic Pediatric Association, 6728 Old McLean Village Drive, McLean, VA 22101, Telephone: (703) 556-9222, Fax: (703) 556-8729 Editor (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600024 Sun, 01 Jan 2012 05:00:00 +0100 5600024 http://www.medworm.com/index.php?rid=5600023&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591100297X%2Fabstract%3Frss%3Dyes 1Humanism through the Lens of the Academic Pediatric AssociationJanet R. Serwint 9Ethics and Academic PediatricsPeter G. Szilagyi, Robert M. Jacobson, and Katherine A. Poehling (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600023 Sun, 01 Jan 2012 05:00:00 +0100 5600023 http://www.medworm.com/index.php?rid=5600022&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002968%2Fabstract%3Frss%3Dyes Editor-in-Chief Peter G. Szilagyi, MD, MPH (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600022 Sun, 01 Jan 2012 05:00:00 +0100 5600022 http://www.medworm.com/index.php?rid=5600015&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002890%2Fabstract%3Frss%3Dyes Conclusions: Through this pilot initiative, we vaccinated 69% of mothers and non-mother caregivers presenting to the 2-week well-child visit. A large proportion of caregivers did not receive routine medical care or have insurance, which suggests that they otherwise may have poor access to the vaccine. Tdap vaccination in the pediatric office represents a substantial opportunity to increase vaccination rates. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600015 Sun, 01 Jan 2012 05:00:00 +0100 5600015 http://www.medworm.com/index.php?rid=5600014&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002877%2Fabstract%3Frss%3Dyes Pediatric residency training is rapidly evolving, with more options becoming available for individualized and varied pathways. New duty hours and proposed pediatric residency review committee requirements of the Accreditation Council on Graduate Medical Education (ACGME) were developed with components that may allow for more individual program flexibility. The Residency Review and Redesign in Pediatrics Project and Initiative for Innovation in Pediatric Education (IIPE) have called for program innovations that “change pediatric residency education through a carefully monitored, outcome-directed experimentation.” Training for individuals no longer must follow a traditional 36 consecutive months. Part-time positions, combined residency training, research, and other individualized pathway... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600014 Sun, 01 Jan 2012 05:00:00 +0100 5600014 http://www.medworm.com/index.php?rid=5600013&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002932%2Fabstract%3Frss%3Dyes I knew him before he was a physician. When we were politely dating and medicine belonged entirely to him and not to me. Even then, he had already spent years doing the preparatory work to become a physician and had not even started medical school. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600013 Sun, 01 Jan 2012 05:00:00 +0100 5600013 http://www.medworm.com/index.php?rid=5600012&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002920%2Fabstract%3Frss%3Dyes Compared to battling the obesity epidemic or reducing rates of adolescent pregnancy, providing vaccines to children and adolescents seems like it would be simple. After all, it’s just a shot in the arm (or a spray up the nose). We have safe, effective vaccines to protect against numerous deadly illnesses. Pediatricians are particularly good at vaccinating patients due to a core value of focusing on prevention, as well as having vast opportunities to practice this behavior. The United States has a stable Federal entitlement program for children who lack insurance to cover vaccination costs (ie, the Vaccine for Children [VFC] program), and the majority of parents still choose to accept the recommended vaccination schedule. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600012 Sun, 01 Jan 2012 05:00:00 +0100 5600012 http://www.medworm.com/index.php?rid=5600011&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002919%2Fabstract%3Frss%3Dyes True and timely knowledge generation requires the highest of ethical standards throughout the process, including submission to and review in peer-reviewed journals. This requires that all parties—authors, reviewers, editors, and publishers—adhere to these standards and disclose potential conflicts of interest. Although this process has worked well for our journal thus far, we regularly reassess our policies and procedures. After much discussion with our editors and editorial board as well as with other editors of general pediatric journals, we have revised our journal’s policies to enhance transparency of potential conflicts of interests, improve the review process, and promote higher quality manuscripts. This commentary outlines these revisions, discusses an issue rarely mentioned i... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600011 Sun, 01 Jan 2012 05:00:00 +0100 5600011 http://www.medworm.com/index.php?rid=5600010&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002853%2Fabstract%3Frss%3Dyes A year ago today, I remember with vivid clarity standing before you as the Academic Pediatric Association (APA) President Elect while I moderated the Presidential Plenary session. I was quite nervous, hadn’t slept well the previous evening, but a quote by Eleanor Roosevelt kept coming into my mind. “Do something that terrifies you each day.” That sentiment certainly fit the bill for me that day. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600010 Sun, 01 Jan 2012 05:00:00 +0100 5600010 http://www.medworm.com/index.php?rid=5600009&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002993%2Fabstract%3Frss%3Dyes Effective January 2012, the journal now requires all authors to complete the ICMJE conflict of interest form (available at http://www.icmje.org/coi_disclosure.pdf) and to upload these forms on the editorial website at the end of all new manuscript submissions. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600009 Sun, 01 Jan 2012 05:00:00 +0100 5600009 http://www.medworm.com/index.php?rid=5600020&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002476%2Fabstract%3Frss%3Dyes Conclusions: Most children’s hospitals’ food venues received a mid-range score, demonstrating there is considerable room for improvement. Many inexpensive options are underused, such as providing nutritional information, incorporating signage that promotes healthy choices, and not presenting unhealthy impulse items at the register. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600020 Mon, 05 Dec 2011 05:00:00 +0100 5600020 http://www.medworm.com/index.php?rid=5600019&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002713%2Fabstract%3Frss%3Dyes Conclusions: Adolescents assume an increasing role in managing medication for ADHD. Well-structured and coordinated trials stopping medication and measuring outcomes relevant to adolescents, parents, teachers, doctors, and/or other stakeholders may help ensure a developmentally appropriate transition from family to self-management of ADHD. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600019 Fri, 02 Dec 2011 05:00:00 +0100 5600019 http://www.medworm.com/index.php?rid=5600018&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002038%2Fabstract%3Frss%3Dyes Conclusions: All stakeholders will ultimately be needed to support WCC redesign; however, California payers may need to provide logistic, design, and financial support to practices, whereas state agencies may need to reshape the incentives to reward innovation around child preventive health and developmental services. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600018 Fri, 11 Nov 2011 05:00:00 +0100 5600018 http://www.medworm.com/index.php?rid=5600021&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002312%2Fabstract%3Frss%3Dyes Abstract: Objective: To assess the health literacy and numeracy skills of Spanish-speaking parents of young children and to validate a new Spanish language health literacy assessment for parents, the Spanish Parental Health Literacy Activities Test (PHLAT Spanish).Methods: Cross-sectional study of Spanish-speaking caregivers of young children ( (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600021 Mon, 07 Nov 2011 05:00:00 +0100 5600021 http://www.medworm.com/index.php?rid=5402147&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002646%2Fabstract%3Frss%3Dyes 439Child Abuse Pediatrics: Research, Policy and PracticeHoward Dubowitz 442Promoting Equity Through Primary Care and Health Services Research: Honoring the Legacy of Dr. Barbara StarfieldChristopher B. Forrest and Anne W. Riley (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402147 Tue, 01 Nov 2011 04:00:00 +0100 5402147 http://www.medworm.com/index.php?rid=5402146&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002634%2Fabstract%3Frss%3Dyes Editor-in-Chief Peter G. Szilagyi, MD, MPH (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402146 Tue, 01 Nov 2011 04:00:00 +0100 5402146 http://www.medworm.com/index.php?rid=5402145&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002841%2Fabstract%3Frss%3Dyes Abstracts Association of Pediatric Program Directors (APPD) research abstracts 2011. 2011;11:e6-12 (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402145 Tue, 01 Nov 2011 04:00:00 +0100 5402145 http://www.medworm.com/index.php?rid=5402144&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591100283X%2Fabstract%3Frss%3Dyes Adams SH, 115 Abney D, 460 (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402144 Tue, 01 Nov 2011 04:00:00 +0100 5402144 http://www.medworm.com/index.php?rid=5402133&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002440%2Fabstract%3Frss%3Dyes Several months ago, I was invited to participate in a panel discussion sponsored jointly by the Race in Medicine and Women in Medicine Academic Pediatric Association Special Interests Groups (SIGs) at the 2011 Pediatric Academic Societies meeting. The session was originally proposed as a debate about the idea that “men of color faced more challenges to advancement in academic medicine than women of color.” The suggestion for the topic arose from a comment made by a senior black, male, academic pediatrician to his colleague, a senior white, female, academic pediatrician, as they prepared to present at a leadership conference. Looking around the room, he had commented that there was no one in the room who “looked like” him—that is, who shared his race/gender combination. (Source: A... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402133 Tue, 01 Nov 2011 04:00:00 +0100 5402133 http://www.medworm.com/index.php?rid=5402132&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591100249X%2Fabstract%3Frss%3Dyes Science advances in the same way that grand buildings are constructed. Most scientists deem themselves fortunate if they can add a brick or two during the course of their careers. Occasionally, a trailblazer builds an entire wall. Dr. Barbara Starfield, MD, MPH, built several sturdy structures in the grand edifice of science. Earlier this year, Dr. Starfield died while swimming in her pool in California, one of her favorite activities. Her legacy includes not only her lifelong companion, Dr. Tony Holtzman, but four children and eight grandchildren. She also leaves the scientific community a prodigious and inspiring body of work that has shaped and will continue to influence research, practice, and policy on children’s health, primary care, health equity, and health services. (Source: Ac... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402132 Tue, 01 Nov 2011 04:00:00 +0100 5402132 http://www.medworm.com/index.php?rid=5402131&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002488%2Fabstract%3Frss%3Dyes The 5 articles in this issue of Academic Pediatrics are illustrative of excellent research being conducted in the recently recognized subspecialty of child abuse pediatrics. There are clear implications for future research, practice, and policy in this field. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402131 Tue, 01 Nov 2011 04:00:00 +0100 5402131 http://www.medworm.com/index.php?rid=5402130&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591100266X%2Fabstract%3Frss%3Dyes Academic Pediatrics strives to improve the health and well-being of children, their families, and their communities through: Providing a forum for the publication of general pediatric studies, commentaries and reviews that are of interest to learners and professionals who care for children and adolescents; (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402130 Tue, 01 Nov 2011 04:00:00 +0100 5402130 http://www.medworm.com/index.php?rid=5600017&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002294%2Fabstract%3Frss%3Dyes Abstract: Objective: To assess the validity of parental report for seasonal and monovalent H1N1 influenza vaccinations among children 6 months to (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600017 Fri, 28 Oct 2011 04:00:00 +0100 5600017 http://www.medworm.com/index.php?rid=5402136&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002270%2Fabstract%3Frss%3Dyes Conclusions: Child abuse experts and PHCPs are in general agreement concerning the assessment of suspected child physical abuse, although experts would have reported suspected abuse to CPS more frequently than the PHCPs. Future training should focus on clear guidance for better recognition of injuries that are suspicious for child abuse and state laws that mandate reporting. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402136 Thu, 13 Oct 2011 04:00:00 +0100 5402136 http://www.medworm.com/index.php?rid=5402142&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002336%2Fabstract%3Frss%3Dyes Conclusions: For children with ADHD, receiving care in a PCMH is associated with practice pattern change and better outcomes. The PCMH may represent a promising opportunity to improve quality of care and outcomes for children with ADHD. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402142 Tue, 04 Oct 2011 04:00:00 +0100 5402142 http://www.medworm.com/index.php?rid=5402134&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002300%2Fabstract%3Frss%3Dyes There is inherent value in both engaging resident physicians in system-level improvement efforts and teaching quality improvement to these learners during their training. The Institute of Medicine’s report, To Err is Human, placed patient safety and quality improvement in the national spotlight by identifying how tens of thousands of patients die each year from medical error in U.S. hospitals. To address the extensive quality problems raised in To Err is Human, the follow-up report from the Institute of Medicine, Crossing the Quality Chasm, redirected the focus of health care delivery by outlining 6 major dimensions of quality care (patient-centered, safe, effective, efficient, equitable, and timely) and challenged health care organizations to improve performance in these areas. (Source:... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402134 Tue, 04 Oct 2011 04:00:00 +0100 5402134 http://www.medworm.com/index.php?rid=5402143&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002269%2Fabstract%3Frss%3Dyes Conclusion: CSHCN with disabilities had more severe health conditions and more health services need, but they less commonly received care within a medical home and had more unmet need. These health care inequities should be amenable to policy and health service delivery interventions to improve outcomes for CSHCN with disabilities. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402143 Mon, 03 Oct 2011 04:00:00 +0100 5402143 http://www.medworm.com/index.php?rid=5402140&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002324%2Fabstract%3Frss%3Dyes Conclusions: Drivers frequently report improper lap and shoulder belt positions for their 4- to 9-year-old child passengers yet persist in restraining children by the use of seat belts alone. Clinicians can promote the use of size-appropriate child passenger restraint systems, including car seats and booster seats, to overcome the improper belt positions identified in this study. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402140 Mon, 03 Oct 2011 04:00:00 +0100 5402140 http://www.medworm.com/index.php?rid=5402138&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002002%2Fabstract%3Frss%3Dyes Conclusions: The SEEK model helped residents become more comfortable and competent in screening for and addressing psychosocial risk factors. The benefits were sustained. Parents viewed the intervention doctors favorably. The model shows promise as a way of helping address major psychosocial problems in pediatric primary care. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402138 Wed, 28 Sep 2011 04:00:00 +0100 5402138 http://www.medworm.com/index.php?rid=5402135&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002026%2Fabstract%3Frss%3Dyes Conclusions: This novel survey demonstrates satisfactory test characteristics and can be used to assess CPT performance and identify areas for improvement. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402135 Wed, 28 Sep 2011 04:00:00 +0100 5402135 http://www.medworm.com/index.php?rid=5402139&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002014%2Fabstract%3Frss%3Dyes Conclusion: This targeted postpartum intervention incorporated into newborn anticipatory guidance can influence caregivers’ beliefs about infant crying and knowledge of SBS. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402139 Fri, 23 Sep 2011 04:00:00 +0100 5402139 http://www.medworm.com/index.php?rid=5600016&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001999%2Fabstract%3Frss%3Dyes Conclusions: Most physicians are in favor of school-located or collaborative influenza vaccine delivery with community vaccinators, especially for healthy school-aged children. Collaborative approaches will require planning to ensure transfer of records, effective targeting of subgroups, and provisions to protect providers from being left with extra influenza supply. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5600016 Wed, 07 Sep 2011 04:00:00 +0100 5600016 http://www.medworm.com/index.php?rid=5212699&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002075%2Fabstract%3Frss%3Dyes 351Do You Know It When You See It? Tips for Recognizing Good Studies in Medical EducationJohn Patrick T. Co and Maryellen E. Gusic 353Pediatric Mental Health Services: Complex Problems Demand Comprehensive SolutionsJerry Rushton (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212699 Thu, 01 Sep 2011 04:00:00 +0100 5212699 http://www.medworm.com/index.php?rid=5212698&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002063%2Fabstract%3Frss%3Dyes Editor-in-Chief Peter G. Szilagyi, MD, MPH (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212698 Thu, 01 Sep 2011 04:00:00 +0100 5212698 http://www.medworm.com/index.php?rid=5212685&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001963%2Fabstract%3Frss%3Dyes In recent months, the relationships between commercial enterprises and health professional associations have drawn a great deal of attention, and numerous associations have published positions regarding these relationships. As the Academic Pediatric Association (APA) pursues development of excellence in health care delivery models, educational and research endeavors, and public policy/advocacy on behalf of children, it sometimes considers establishing relationships with a variety of groups (eg, other associations, foundations, state and federal governmental agencies, private not-for-profit and for-profit commercial enterprises). This statement aims to provide the APA’s Board of Directors (BOD) with a set of principles to guide its deliberations when considering any potential relationship... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212685 Thu, 01 Sep 2011 04:00:00 +0100 5212685 http://www.medworm.com/index.php?rid=5212684&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001975%2Fabstract%3Frss%3Dyes It is well recognized that mental health is no longer the so-called new morbidity. Issues of the new millennium have only broadened the complexity of issues threatening child health. Despite progress in the last 4 decades since the landmark book by Bob Haggerty, many children with mental health needs are still unrecognized and undertreated, or falling through the cracks in health systems. Mental health issues are difficult to diagnose, treat, and manage in childhood, adolescence, and the transition to adulthood. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212684 Thu, 01 Sep 2011 04:00:00 +0100 5212684 http://www.medworm.com/index.php?rid=5212683&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001987%2Fabstract%3Frss%3Dyes The importance of high-quality medical education research has never been greater. Factors such as the rapid increase in the amount of medical knowledge and complexity of medical care, and the development of new standards governing medical education including the integration of standardized curricula, the use of competence as the foundation for curriculum development and assessment, and emerging requirements regarding resident and fellow duty-hour standards have converged to create an exciting yet challenging time in pediatric medical education. Although investigation in these areas is necessary, medical education research has unique challenges, and manuscripts submitted for peer review are often rejected. Readers and reviewers of studies in medical education may ask: What factors determine... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212683 Thu, 01 Sep 2011 04:00:00 +0100 5212683 http://www.medworm.com/index.php?rid=5212682&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911002117%2Fabstract%3Frss%3Dyes Academic Pediatrics strives to improve the health and well-being of children, their families, and their communities through: Providing a forum for the publication of general pediatric studies, commentaries and reviews that are of interest to learners and professionals who care for children and adolescents; (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212682 Thu, 01 Sep 2011 04:00:00 +0100 5212682 http://www.medworm.com/index.php?rid=5402141&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001367%2Fabstract%3Frss%3Dyes Conclusions: Nocturnal asthma symptoms are prevalent in this population and are associated with poor sleep quality and worse parent quality of life. These findings have potential implications for understanding the disease burden of pediatric asthma. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402141 Fri, 05 Aug 2011 04:00:00 +0100 5402141 http://www.medworm.com/index.php?rid=5402137&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001884%2Fabstract%3Frss%3Dyes Conclusions: Levels of agreement were fair to poor between the child abuse expert and either the physician or CPS. Child abuse experts’ opinions have important value in selected cases to confirm previous assessments by the physician and/or CPS, or to change the opinion of the case. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5402137 Fri, 05 Aug 2011 04:00:00 +0100 5402137 http://www.medworm.com/index.php?rid=5212694&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001355%2Fabstract%3Frss%3Dyes Conclusion: The findings suggest that, in addition to well-established demographic risk factors, adolescents are at heightened risk of alcohol use onset because of their position in the social network in relationship to their friends and the friends of their friends. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212694 Wed, 27 Jul 2011 04:00:00 +0100 5212694 http://www.medworm.com/index.php?rid=5212697&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001586%2Fabstract%3Frss%3Dyes Conclusions: Spanish-speaking Latino families are not consistently receiving optimal family-centered rounds. Different strategies are needed to fully engage and empower Latino families. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212697 Mon, 25 Jul 2011 04:00:00 +0100 5212697 http://www.medworm.com/index.php?rid=5212689&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001318%2Fabstract%3Frss%3Dyes Abstract: This paper provides a primer for qualitative research in medical education. Our aim is to equip readers with a basic understanding of qualitative research and prepare them to judge the goodness of fit between qualitative research and their own research questions. We provide an overview of the reasons for choosing a qualitative research approach and potential benefits of using these methods for systematic investigation. We discuss developing qualitative research questions, grounding research in a philosophical framework, and applying rigorous methods of data collection, sampling, and analysis. We also address methods to establish the trustworthiness of a qualitative study and introduce the reader to ethical concerns that warrant special attention when planning qualitative research... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212689 Mon, 25 Jul 2011 04:00:00 +0100 5212689 http://www.medworm.com/index.php?rid=5212687&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001604%2Fabstract%3Frss%3Dyes Abstract: There is a large and persistent failure to achieve widespread dissemination of evidence-based practices in child health care. Too often studies demonstrating evidence for effective child health care practices are not brought to scale and across different settings and populations. This failure is not due to a lack of knowledge, but rather a failure to bring to bear proven methods in dissemination, diffusion, and implementation (DD&I) science that target the translation of evidence-based medicine to everyday practice. DD&I science offers a framework and a set of tools to identify innovations that are likely to be implemented, and provides methods to better understand the capabilities and preferences of individuals and organizations and the social networks within these organizations... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212687 Mon, 25 Jul 2011 04:00:00 +0100 5212687 http://www.medworm.com/index.php?rid=5212686&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001598%2Fabstract%3Frss%3Dyes Thank you so much to the Selection Committee of the APA and to the colleagues who were kind enough to nominate me. It matters a great deal to me that this award comes from the APA—the organization that has been my academic home and whose members are my closest colleagues. I am truly honored to receive this award and particularly honored to be in the company of the past winners of this award, many of whom were my role models. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212686 Mon, 25 Jul 2011 04:00:00 +0100 5212686 http://www.medworm.com/index.php?rid=5043248&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001811%2Fabstract%3Frss%3Dyes 255Hospital Care for Children in the United States: Recent Trends and Challenges AheadRon Keren 257Challenge to Child Health Services Research: Report From the Committee on Pediatric Health and Health Care Quality MeasuresMarie C. McCormick, Glenn Flores, Gary L. Freed, Charles J. Homer, Kevin B. Johnson, and Gordon H. DeFriese (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043248 Thu, 30 Jun 2011 23:00:00 +0100 5043248 http://www.medworm.com/index.php?rid=5043247&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591100180X%2Fabstract%3Frss%3Dyes Editor-in-Chief Peter G. Szilagyi, MD, MPH (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043247 Thu, 30 Jun 2011 23:00:00 +0100 5043247 http://www.medworm.com/index.php?rid=5043246&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001562%2Fabstract%3Frss%3Dyes Reach Out and Read (ROAR), a national non-profit organization, is designed to incorporate early literacy awareness into well child visits (WCV) from age 6 months to 5 years. Research demonstrates importance of early literacy and parental reading to children as factors in long-term adult literacy. Utilization of ROAR resources has not been optimal in the Duke Med-Peds continuity clinic. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043246 Thu, 30 Jun 2011 23:00:00 +0100 5043246 http://www.medworm.com/index.php?rid=5043245&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001550%2Fabstract%3Frss%3Dyes In conclusion, we were able to implement a successful QI project in our clinic to improve the rate of developmental screening of 17-19 month old children using the ASQ. In the future, we plan to utilize a similar process towards developmental screening at different ages. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043245 Thu, 30 Jun 2011 23:00:00 +0100 5043245 http://www.medworm.com/index.php?rid=5043244&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001549%2Fabstract%3Frss%3Dyes Admission from the emergency department is perceived as inefficient, lengthy, and suboptimal for ideal patient care. 2009 Press Ganey data indicated that satisfaction scores for overall admission ranged from 21-44%. Satisfaction with speed of admission was even lower: 12-37. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043244 Thu, 30 Jun 2011 23:00:00 +0100 5043244 http://www.medworm.com/index.php?rid=5043243&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001537%2Fabstract%3Frss%3Dyes Transfer of care between teams (sign outs) are a leading cause of sentinel errors and the problem is likely to get worse with changes to the resident work hours. To create a standardized format for sign outs that ensures complete and accurate transfer of information and patient responsibility with better resident satisfaction. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043243 Thu, 30 Jun 2011 23:00:00 +0100 5043243 http://www.medworm.com/index.php?rid=5043242&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001525%2Fabstract%3Frss%3Dyes Postpartum psychiatric disorders are very common with postpartum depression (PPD) affecting 12-13% of women. In our pediatric resident clinic, prior to the implementation of our QI project, only 0.5% of mothers were being screened for PPD using an objective screening measure. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043242 Thu, 30 Jun 2011 23:00:00 +0100 5043242 http://www.medworm.com/index.php?rid=5043241&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001513%2Fabstract%3Frss%3Dyes In conclusion, increasing residents' awareness of developmental screening recommendations was not sufficient. Permanent modification of the EMR did achieve results that satisfied one of our aim measures. In the future, continued work needs to be done to ensure that patients with abnormal results are managed appropriately. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043241 Thu, 30 Jun 2011 23:00:00 +0100 5043241 http://www.medworm.com/index.php?rid=5043240&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001501%2Fabstract%3Frss%3Dyes The scope of primary care has broadened with pediatricians addressing an increasing range of social and environmental issues. In vulnerable populations, home visits have improved many child health indicators. No previous studies have examined pediatric resident change in knowledge, attitudes or behaviors after a home visit with a patient whom they have a longitudinal relationship. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043240 Thu, 30 Jun 2011 23:00:00 +0100 5043240 http://www.medworm.com/index.php?rid=5043239&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001495%2Fabstract%3Frss%3Dyes To evaluate the impact of a faculty development workshop on increasing faculty members' use of active learning strategies during resident conferences. Two trained observers assessed each lecture in the resident conference series (3 months pre-intervention and 3 months post-intervention) using two dichotomous (observed/non observed) scales: an 8-item scale for faculty use of active learning strategies and a 7-item scale for residents' engagement in active learning. One hour faculty development workshops (intervention) were conducted with small groups of faculty members approximately one-month prior to their lectures. Pre/post differences were examined using Chi Square statistic. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043239 Thu, 30 Jun 2011 23:00:00 +0100 5043239 http://www.medworm.com/index.php?rid=5043238&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001483%2Fabstract%3Frss%3Dyes The Accreditation Council for Graduate Medical Education (ACGME) requires residents to demonstrate professionalism and “an adherence to ethical principles.” Improving outcomes of resident education in this area is hindered by the absence of a standardized tool to measure ethics knowledge. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043238 Thu, 30 Jun 2011 23:00:00 +0100 5043238 http://www.medworm.com/index.php?rid=5043237&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001471%2Fabstract%3Frss%3Dyes Currently available direct observation tools lack content validity for encounters with children and psychometric properties for high stakes decision-making, and do not allow for rating performance on a continuous scale that can discriminate between residents. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043237 Thu, 30 Jun 2011 23:00:00 +0100 5043237 http://www.medworm.com/index.php?rid=5043236&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591100146X%2Fabstract%3Frss%3Dyes In medical education completing a scholarly project is encouraged. In fact, this is required by the American Board of Pediatrics (ABP) for subspecialty fellowship training. Despite its growing importance, valid and reliable measures of the quality of scholarly projects are lacking. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043236 Thu, 30 Jun 2011 23:00:00 +0100 5043236 http://www.medworm.com/index.php?rid=5043235&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001458%2Fabstract%3Frss%3Dyes In 2008, the AAP updated the guidelines which recommend developmental screening with a validated screening tool. Most of these tools, such as Ages and Stages Questionnaires (ASQ), are parent based questionnaires. Medical educators have voiced concerns about the potential negative impact on knowledge of residents due to their reliance on these screening tools instead of direct assessment. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043235 Thu, 30 Jun 2011 23:00:00 +0100 5043235 http://www.medworm.com/index.php?rid=5043234&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001446%2Fabstract%3Frss%3Dyes Effective documentation is essential for high-quality, safe patient care. Despite this, limited formal training is provided in medical school or residency. Communication can be improved by increasing the presence and thoroughness of cross-cover notes. Our hypothesis is that a structured simulation exercise could improve documentation proficiency. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043234 Thu, 30 Jun 2011 23:00:00 +0100 5043234 http://www.medworm.com/index.php?rid=5043233&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001434%2Fabstract%3Frss%3Dyes Humanism and professionalism are integral to the practice of medicine and deterioration of these attributes during graduate medical training remains a concern. We aimed to conduct a needs assessment about humanism and professionalism education for a national sample of pediatric gastroenterology fellows. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043233 Thu, 30 Jun 2011 23:00:00 +0100 5043233 http://www.medworm.com/index.php?rid=5043232&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001422%2Fabstract%3Frss%3Dyes Hospitals incur education expenses associated with their educational mission. The associated direct and indirect costs and the institution's financial and non-financial return on its investment (ROI) is rarely quantified, analyzed or published. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043232 Thu, 30 Jun 2011 23:00:00 +0100 5043232 http://www.medworm.com/index.php?rid=5043231&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001410%2Fabstract%3Frss%3Dyes Studies in many specialties have shown that problem residents are relatively common in graduate medical education (GME). Problem residents often undergo remediation, with the ultimate goal of producing a competent attending physician. The expense of medical training and concern about a looming shortage of doctors highlight the importance of successful remediation. To date, no studies have investigated the characteristics of remediation in pediatric residency programs. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043231 Thu, 30 Jun 2011 23:00:00 +0100 5043231 http://www.medworm.com/index.php?rid=5043230&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001409%2Fabstract%3Frss%3Dyes The demand for assessment of competency in Graduate Medical Education has led to a call for the development and utilization of reliable instruments with sufficient validity evidence to be useful. Although it is not known if such instruments exist, the responsibility for assessment falls to Program Directors (PDs). To establish a network of programs (APPD Longitudinal Education Assessment and Research Network) to develop and test such instruments, we sought to understand the baseline skills of PDs who may participate in such a project. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043230 Thu, 30 Jun 2011 23:00:00 +0100 5043230 http://www.medworm.com/index.php?rid=5043229&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001392%2Fabstract%3Frss%3Dyes Residency programs attempt to identify applicants that best “fit” their program. Selection of applicants for interview is usually based upon the written application, including medical school grades and performance, United States Medical Licensing Examination scores, Dean's letters, and letters of recommendation (LORs). The application review process is time consuming. If a portion of the review process could be done reliably by a non-physician, it would free physician time for other selection related tasks. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043229 Thu, 30 Jun 2011 23:00:00 +0100 5043229 http://www.medworm.com/index.php?rid=5043228&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001380%2Fabstract%3Frss%3Dyes 9.4 million U.S. children have special health care needs. Project DOCC (Delivery of Chronic Care) is a national training program involving families of children with chronic illness/disabilities as faculty to transfer their knowledge and life experiences to pediatric residents. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043228 Thu, 30 Jun 2011 23:00:00 +0100 5043228 http://www.medworm.com/index.php?rid=5043227&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001136%2Fabstract%3Frss%3Dyes Conclusions: This study has several important policy implications; early interventions make economic sense. Targeted interventions could yield higher cost savings than population-based interventions for young children (aged 0–6 years), whereas a population-based approach could yield greater economic net benefits for adolescents (aged 13–18 years). Our simulation shows that childhood obesity interventions, even with moderate effectiveness, would make economic sense, which should motivate policy makers to take action. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043227 Thu, 30 Jun 2011 23:00:00 +0100 5043227 http://www.medworm.com/index.php?rid=5043226&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001252%2Fabstract%3Frss%3Dyes Conclusions: Similar to visits by children with diabetes, ED visits by children with SCD are substantially more likely than those by children with asthma to be of high urgency. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043226 Thu, 30 Jun 2011 23:00:00 +0100 5043226 http://www.medworm.com/index.php?rid=5043224&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001343%2Fabstract%3Frss%3Dyes This study proposes strategies for both measuring stability and targeting policies to improve retention of Medicaid coverage, using Ohio as an example.Methods: A cohort of newly enrolled children was constructed for the 1-year time period between July 2007 and June 2008 and followed for 18 months. Hazard ratios were estimated after 18 months to predict the likelihood of maintaining continuous enrollment in Medicaid, adjusting for income eligibility group, age, race, gender, county type, and change in unemployment. Children dropping from the program at the renewal period (12–16 months) were followed for 12 months to determine their rate of return.Results: Approximately 26% of children aged (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043224 Thu, 30 Jun 2011 23:00:00 +0100 5043224 http://www.medworm.com/index.php?rid=5043223&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001331%2Fabstract%3Frss%3Dyes Conclusion: Because mother-reported CHS is used widely in epidemiological studies as a measure of a child’s actual state of health, it is important to consider how maternal characteristics may influence a mother’s report of a child’s status. In particular, CHS reported by mothers with worse health status merits further investigation. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043223 Thu, 30 Jun 2011 23:00:00 +0100 5043223 http://www.medworm.com/index.php?rid=5043217&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001574%2Fabstract%3Frss%3Dyes In September, 2010, the Association of Pediatric Program Directors (APPD) included in their strategic plan a commitment to improve global child health (GCH) by collaborating to advance curriculum, improve training, and advocate for better support (institutional, programmatic, financial) of GCH education, with an agreement that outcomes for best training practices be studied. Significantly, both the Federation of Pediatric Organizations and The Institute of Medicine have recently committed to improving global health care and education as well. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043217 Thu, 30 Jun 2011 23:00:00 +0100 5043217 http://www.medworm.com/index.php?rid=5043216&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591100132X%2Fabstract%3Frss%3Dyes As argued in a previous Institute of Medicine/National Research Council (IOM/NRC) report, maximizing child health is critical to assuring national well-being, now and in the future. However, monitoring the status of the health of children and adolescents and understanding the role of various factors in fostering optimal health have proven difficult. Of particular importance is the influence of the availability, use, and quality of health care services, especially for those with life-threatening conditions or special health care needs. Despite the presence of multiple data sets and measures, the United States currently has no national information system that can provide timely, comprehensive, and valid and reliable indicators of health and health care quality for children and adolescents. A... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043216 Thu, 30 Jun 2011 23:00:00 +0100 5043216 http://www.medworm.com/index.php?rid=5043214&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001859%2Fabstract%3Frss%3Dyes Academic Pediatrics strives to improve the health and well-being of children, their families, and their communities through: Providing a forum for the publication of general pediatric studies, commentaries and reviews that are of interest to learners and professionals who care for children and adolescents; (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043214 Thu, 30 Jun 2011 23:00:00 +0100 5043214 http://www.medworm.com/index.php?rid=5212693&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000647%2Fabstract%3Frss%3Dyes Conclusions: Systematic screening for potential social-emotional problems among youth in foster care was feasible within a primary care setting and doubled the detection rate of potential psychosocial problems. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212693 Mon, 20 Jun 2011 04:00:00 +0100 5212693 http://www.medworm.com/index.php?rid=5212691&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000556%2Fabstract%3Frss%3Dyes Conclusions: Direct observation using SCOs results in timely and specific feedback to residents about behaviors rarely observed in traditional precepting models. Resident competency in these clinical skill domains is critical for assessing, diagnosing, and managing patients. The SCO methodology is a feasible way to provide formative feedback to residents about their clinical skills. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212691 Mon, 20 Jun 2011 04:00:00 +0100 5212691 http://www.medworm.com/index.php?rid=5212696&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000660%2Fabstract%3Frss%3Dyes Conclusions: ADHD symptoms are associated with increased odds of injury in fifth graders. Findings have implications for potential injury prevention strategies for mental health practitioners (for example, cognitive training with at-risk youth), pediatricians (ADHD screening), and parents (improved supervision). (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212696 Fri, 03 Jun 2011 04:00:00 +0100 5212696 http://www.medworm.com/index.php?rid=5212690&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001124%2Fabstract%3Frss%3Dyes Conclusion: The educational intervention increased interns’ comfort and knowledge of social determinants of health and community resources. Documentation of social questions also increased. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212690 Fri, 03 Jun 2011 04:00:00 +0100 5212690 http://www.medworm.com/index.php?rid=5212688&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000635%2Fabstract%3Frss%3Dyes Conclusions: Part-time employment among med-peds residents applying for nonfellowship positions after graduation is similar to the current incidence of part-time employment in other fields of primary care. A much higher percentage of med-peds residents are interested in arranging part-time work within 5 years after graduation. This strong interest in part-time work has many implications for the primary care workforce. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212688 Fri, 03 Jun 2011 04:00:00 +0100 5212688 http://www.medworm.com/index.php?rid=5043222&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000696%2Fabstract%3Frss%3Dyes Conclusions: Significant medical home disparities exist between publicly and privately insured children, driven primarily by disparities in family-centered care. Efforts to promote the medical home must recognize and address determinants of family-centered care. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043222 Thu, 02 Jun 2011 23:00:00 +0100 5043222 http://www.medworm.com/index.php?rid=5043218&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000738%2Fabstract%3Frss%3Dyes Conclusions/Implications: Although teenage pregnancy rates were declining, there was a worsening trend in skin infections. The latter may eventually be impacted by recent publication of new guidelines for treatment by office-based physicians. A gradually increasing role of Medicaid as a payer for hospital care for children will likely put an increasing strain on public resources in advance of the full implementation of the health insurance reforms recently enacted. The decline in potentially avoidable admissions reduces the use of the most expensive resources. For asthma and diabetes, children in the lowest income zip codes had persistently higher rates of admission, but the rate fell by one third during the period. Children in the South and West regions had substantial and significant dec... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043218 Thu, 02 Jun 2011 23:00:00 +0100 5043218 http://www.medworm.com/index.php?rid=5043215&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591100074X%2Fabstract%3Frss%3Dyes The 2010 report by Friedman and colleagues in this issue describes some promising trends in health outcomes and the quality of care delivered to children, but also raises serious concerns about the viability of existing payment and delivery models for pediatric inpatient care. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043215 Thu, 02 Jun 2011 23:00:00 +0100 5043215 http://www.medworm.com/index.php?rid=5043221&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000258%2Fabstract%3Frss%3Dyes Conclusion: Targeted efforts are needed to improve family-centered care for parents with a child with ASD, and particularly for black families. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043221 Sun, 29 May 2011 23:00:00 +0100 5043221 http://www.medworm.com/index.php?rid=5043220&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000659%2Fabstract%3Frss%3Dyes Conclusions: Parents and providers hold divergent perspectives on referral necessity and seriousness of children’s health problems; these perspectives may impact rates of incomplete referral. Improving communication around specialty referral might reduce incomplete referral. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043220 Sun, 29 May 2011 23:00:00 +0100 5043220 http://www.medworm.com/index.php?rid=5043219&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000544%2Fabstract%3Frss%3Dyes Abstract: Electronic medical records (EMRs) are increasingly common in pediatric patient care. EMR data represent a relatively novel and rich resource for clinical research. The fact, however, that pediatric EMR data are collected for the purposes of clinical documentation and billing rather than research creates obstacles to their use in scientific investigation. Particular issues include accuracy, completeness, comparability between settings, ease of extraction, and context of recording. Although these problems can be addressed through standard strategies for dealing with partially accurate and incomplete data, a longer-term solution will involve work with pediatric clinicians to improve data quality. As research becomes one of the explicit purposes for which pediatricians collect EMR da... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043219 Sun, 29 May 2011 23:00:00 +0100 5043219 http://www.medworm.com/index.php?rid=4816174&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001070%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816174 Sat, 30 Apr 2011 23:00:00 +0100 4816174 http://www.medworm.com/index.php?rid=4816173&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001069%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816173 Sat, 30 Apr 2011 23:00:00 +0100 4816173 http://www.medworm.com/index.php?rid=4816172&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000623%2Fabstract%3Frss%3Dyes A long time member of the Urban Word NYC youth poetry workshops, Marc Arena has been reading his work in public since 2000. He is a 2007 graduate of Wesleyan University, where he founded the writing collective Writers' Bloc and is currently pursuing a Masters in the Humanities at the University of Chicago. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816172 Sat, 30 Apr 2011 23:00:00 +0100 4816172 http://www.medworm.com/index.php?rid=4816166&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591100026X%2Fabstract%3Frss%3Dyes It is an honor and pleasure to address this audience of academic colleagues. We are celebrating the Academic Pediatric Association’s (APA) 50th anniversary and have begun with the presentation of 4 superb talks exemplifying the areas of focus for the APA: education, research, health care delivery, and public policy/advocacy. The theme of this Presidential Plenary is The Past, the Present and Gazing into the Future, and in doing so we must reflect and understand where we have been, where we are, and where we want to go. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816166 Sat, 30 Apr 2011 23:00:00 +0100 4816166 http://www.medworm.com/index.php?rid=4816165&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000684%2Fabstract%3Frss%3Dyes It was early evening on December 23, 2009, when I raced across an underground tunnel in the US Capitol complex. It was dimly lit and quiet. Most staffers on Capitol Hill had already left for the holidays; only a few of the senator’s advisors remained. They, like I, had stayed to watch history unfold. I returned to the office and joined the others as they watched the TV announcer report what I had just witnessed on the Senate floor. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816165 Sat, 30 Apr 2011 23:00:00 +0100 4816165 http://www.medworm.com/index.php?rid=4816164&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000283%2Fabstract%3Frss%3Dyes Conclusions: Graduates of AGP fellowship programs have achieved considerable academic success. Recently trained fellows appear even more successful. The academic outcomes of these AGP fellows bode well for the future of AGP. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816164 Sat, 30 Apr 2011 23:00:00 +0100 4816164 http://www.medworm.com/index.php?rid=4816163&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000672%2Fabstract%3Frss%3Dyes During the last 50 years, there have been dramatic changes in the delivery of health care to children in the United States. Without doubt there have been many great scientific advances that have improved the health of children. Aided both by research and technology, there is not a single branch of medical practice that has not been improved. The health care delivery system has evolved seemingly not by any plan, but rather has morphed by preferred patterns or style of practice, market forces, physician preferences, and the influence of regulatory bodies. Public opinion about the health care delivery system is difficult to interpret. When surveyed, many parents decry the system as being broken. Yet often these same consumers support “their” pediatrician as being an ideal doctor—caring,... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816163 Sat, 30 Apr 2011 23:00:00 +0100 4816163 http://www.medworm.com/index.php?rid=4816162&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000702%2Fabstract%3Frss%3Dyes Throughout its 50-year history, the Academic Pediatric Association (APA) has recognized the importance of social, environmental, and public policy issues for children’s health. Since the organization’s inception, the APA and its members have taken an active interest in many major child health public policy initiatives (). APA members have worked to promote policies that benefit children’s health on a broad scale, conducting key research on health issues and health care interventions in order to inform policy debates, providing Congressional testimony, and leading initiatives for policy change. The APA has also worked to strengthen the network of child health advocates nationally and has encouraged public policy involvement among its members by sponsoring skills-building policy worksh... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816162 Sat, 30 Apr 2011 23:00:00 +0100 4816162 http://www.medworm.com/index.php?rid=4816159&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000714%2Fabstract%3Frss%3Dyes The dynamic change in the United States occurring in the diversity of pediatric populations and in health care will dramatically influence many dimensions of care, teaching, research, and advocacy in academic general pediatrics. By 2025, the nonwhite and Hispanic pediatric population will increase to 50% (), leading the demographic change that is projected to occur in the whole United States population by 2050. This shift in population demographics is occurring concurrently with significant changes in both health care funding and the sophistication and complexity of systems caring for children, accentuated by an explosion of information technology. These latter trends have resulted in an increasing number of children and youth with health coverage, complex chronic illness, and social media... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816159 Sat, 30 Apr 2011 23:00:00 +0100 4816159 http://www.medworm.com/index.php?rid=4816158&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000246%2Fabstract%3Frss%3Dyes At the 1953 meeting of the American Pediatric Society and Society for Pediatric Research (APS-SPR), Barbara Korsch convened an informal gathering of individuals who shared the notion that outpatient care deserved more attention. Chairs, including those who were “not stereotyped with ambulatory pediatrics,” such as Saul Krugman and Emmett Holt, attended, validating ambulatory pediatrics as “worthy of attention.” Informal meetings ensued annually for several years. By the end of the decade, the sentiment of individuals such as Loren MacKinney was that it was time “to actually do some work.” Barbara Korsch surveyed the meeting participants to determine what that work might be. The issues included space requirements; cost of providing outpatient care; time and workload; appointment... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816158 Sat, 30 Apr 2011 23:00:00 +0100 4816158 http://www.medworm.com/index.php?rid=4816157&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000726%2Fabstract%3Frss%3Dyes Last year the Academic Pediatric Association (APA) celebrated its 50th anniversary! In honor of this milestone, the current issue of Academic Pediatrics is devoted entirely to a celebration of APA accomplishments and a reflection of the past, present, and future of the APA. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816157 Sat, 30 Apr 2011 23:00:00 +0100 4816157 http://www.medworm.com/index.php?rid=4816156&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911001094%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816156 Sat, 30 Apr 2011 23:00:00 +0100 4816156 http://www.medworm.com/index.php?rid=5212695&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000180%2Fabstract%3Frss%3Dyes Conclusions: The presence of SI is associated with more severe functional impairment, comorbidity, and depression severity. Yet, only a minority of adolescents with SI receive mental health services, and clinical detection is low. This study suggests that better screening, recognition, and treatment of SI is needed to address the clinical impairment of youth with SI. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212695 Mon, 14 Mar 2011 04:00:00 +0100 5212695 http://www.medworm.com/index.php?rid=5212692&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000027%2Fabstract%3Frss%3Dyes Conclusions: Although students demonstrate positive attitudes toward FCBRs and report frequent occurrence of inpatient teaching elements, findings suggest opportunities for easing student concerns and for using this venue to teach exam skills. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5212692 Fri, 11 Mar 2011 05:00:00 +0100 5212692 http://www.medworm.com/index.php?rid=5043225&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591000358X%2Fabstract%3Frss%3Dyes Conclusions: Adolescents, especially those receiving care at an academic health center, often received other health services at the time of HPV2 or HPV3 vaccination. Because visits occurred within 6 to 8 months of the prior vaccine dose, our findings suggest vaccine visits may lead to improved delivery of adolescent health services. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=5043225 Fri, 11 Mar 2011 00:00:00 +0100 5043225 http://www.medworm.com/index.php?rid=4816169&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003475%2Fabstract%3Frss%3Dyes I feel honored to have been asked by Danielle Laraque, President of the Academic Pediatric Association (APA), to talk at this 50th Anniversary APA Presidential Plenary Session. Although I have not been associated with the APA in recent years, the organization was my “intellectual home” for most of my early career, and its annual meeting was where my trainees and I presented much of our work from the late 1970s to the early 1990s. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816169 Fri, 11 Mar 2011 00:00:00 +0100 4816169 http://www.medworm.com/index.php?rid=4816160&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591000361X%2Fabstract%3Frss%3Dyes In interviews for the Academic Pediatric Association (APA) Oral History Project, a number of early APA presidents identify attention to education as a distinguishing feature of the association from its inception. Robert Haggerty notes, “A big issue for the APA was that it is one of the few places where we talked about education. I don’t remember hardly any SPR or APS meetings talking about education, but educational interventions and educational challenges were always a part of the APA.” Evan Charney adds, “The fact that medical education was something that deserved careful attention and had a place in the academic environment was, I believe, something that the APA introduced.” During the past 50 years, the “careful attention” and “educational interventions” have resulted... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816160 Fri, 11 Mar 2011 00:00:00 +0100 4816160 http://www.medworm.com/index.php?rid=4585262&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000313%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585262 Tue, 01 Mar 2011 00:00:00 +0100 4585262 http://www.medworm.com/index.php?rid=4585261&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000301%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585261 Tue, 01 Mar 2011 00:00:00 +0100 4585261 http://www.medworm.com/index.php?rid=4585259&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000040%2Fabstract%3Frss%3Dyes Conclusions: Having a medical home is significantly associated with fewer unmet needs for therapy and hearing/communication devices among CSHCN with speech and hearing difficulties. Care coordination may constitute an important factor that allows the primary care provider to link with services that CSHCN with communication problems require. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585259 Tue, 01 Mar 2011 00:00:00 +0100 4585259 http://www.medworm.com/index.php?rid=4585257&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003591%2Fabstract%3Frss%3Dyes Conclusions: The available evidence suggests that FCC is associated with improved outcomes for CSHCN. With positive findings for most of the studies reviewed here and the compelling arguments for FCC, we recommend the use of this approach by individuals and organizations. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585257 Tue, 01 Mar 2011 00:00:00 +0100 4585257 http://www.medworm.com/index.php?rid=4585251&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000209%2Fabstract%3Frss%3Dyes Sometimes a moment can alter your life. For me, one such moment came in the middle of residency. I was moonlighting at the local health department—as residency obligations permitted—just 2 hours a week, seeing children and teens in foster care for their “annual exam.” The clinic provided basic care for about 200 of the 1200 children and teens in foster care in our county. Back then, the clinic operated very differently. Every patient got a 9 am appointment time and was given a number by which they were called back for what amounted to a brief physical. The nurses took the histories. I spent my first few weeks there working on some changes—providing individual appointment times, using names instead of numbers, and obtaining health histories myself. Each time I went, I was greeted ... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585251 Tue, 01 Mar 2011 00:00:00 +0100 4585251 http://www.medworm.com/index.php?rid=4585249&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000210%2Fabstract%3Frss%3Dyes Partnerships between families and their children’s medical providers are essential to ensuring quality health care. Around the country, families partner with providers to make decisions about their individual children and to improve health care practices, programs, and policies that affect all children. Such partnerships have not always been the norm. Families of children and youth with special health care needs (CYSHCN) and visionary professional leaders have identified the effective elements of collaborative family provider relationships. Their efforts over the past 40 years have transformed the relationship between families and health care providers, laying down an important foundation for the future. More still needs to be done, but much has been accomplished. (Source: Academic Pedia... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585249 Tue, 01 Mar 2011 00:00:00 +0100 4585249 http://www.medworm.com/index.php?rid=4585246&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000039%2Fabstract%3Frss%3Dyes This special issue of Academic Pediatrics represents a celebration. We honor the careers of several people, the leadership of the Maternal Child Health Bureau (MCHB), and the achievements of a large number of experts who have helped to improve health care for children with special health care needs (CSHCN). We acknowledge the lessons learned regarding the care of this population, and we recognize the challenges that remain. We celebrate these children and their families. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585246 Tue, 01 Mar 2011 00:00:00 +0100 4585246 http://www.medworm.com/index.php?rid=4585245&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000222%2Fabstract%3Frss%3Dyes This special maternal and child health issue honors two leaders in the field of children with special health care needs. We honor Jim Perrin, founding editor of our journal and a leader in policy and care of children with special health care needs and their families. We also honor Polly Arango, a noted advocate for families of children with special care needs, one of the founders of Family Voices, and a leader in the field of family-centered care. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585245 Tue, 01 Mar 2011 00:00:00 +0100 4585245 http://www.medworm.com/index.php?rid=4585244&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285911000386%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585244 Tue, 01 Mar 2011 00:00:00 +0100 4585244 http://www.medworm.com/index.php?rid=4816168&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003451%2Fabstract%3Frss%3Dyes Abstract: Children’s health and its measurement have gained increasing attention in the face of advances in treating disease, and the growing recognition of long-term implications of child health for adult health and the nation’s economy. Advances in measurement are aided by new conceptualizations, including a dynamic definition of child health and model of how it evolves. This paper discusses challenges in measurement of child health, the role of large-scale data sets, how to select a measure, 2 promising measurement frontiers, and the role of the Academic Pediatric Association in promoting a measured approach to child health. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816168 Mon, 28 Feb 2011 00:00:00 +0100 4816168 http://www.medworm.com/index.php?rid=4816167&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003463%2Fabstract%3Frss%3Dyes It is indeed an honor and a privilege for UNICEF to be asked to present the Armstrong Lecture to the Academic Pediatric Association (APA), especially as you celebrate the 50th Anniversary of the APA, and I accept this honor on behalf of the new UNICEF executive director, Mr Anthony Lake. I will start by briefly highlighting key milestones in UNICEF’s 64-year history, then go on to talk about the current status of child and maternal health, the major UNICEF program areas, and the way forward. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816167 Mon, 28 Feb 2011 00:00:00 +0100 4816167 http://www.medworm.com/index.php?rid=4585260&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003608%2Fabstract%3Frss%3Dyes Conclusions: Medical home access, and care coordination in particular, may partially mediate the relation between emotional and behavioral symptoms and financial hardship. Future efforts to implement the medical home model may benefit from an increased focus on care coordination as a means of reducing these burdens. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585260 Thu, 10 Feb 2011 00:00:00 +0100 4585260 http://www.medworm.com/index.php?rid=4585258&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910001956%2Fabstract%3Frss%3Dyes Conclusions: Although parent perceptions of family-provider partnership were relatively high, satisfaction with care contributed to an overall lower attainment rate for the partnership/satisfaction core outcome. Providers, families, government, and advocates need to work together to increase attainment of family-provider partnerships and satisfactory care experiences. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585258 Tue, 08 Feb 2011 00:00:00 +0100 4585258 http://www.medworm.com/index.php?rid=4585254&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003426%2Fabstract%3Frss%3Dyes Conclusions: Health care services can potentially play a role in facilitating a healthy transition to young adulthood; however, many gaps exist. Although the health care reform act addresses some gaps, efforts that integrate adolescents’ developmental needs and address mental health issues are needed. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585254 Tue, 08 Feb 2011 00:00:00 +0100 4585254 http://www.medworm.com/index.php?rid=4585250&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910002366%2Fabstract%3Frss%3Dyes The growth of chronic health conditions and special needs among children has been dramatic over the past few decades. Where parents reported fewer than 2% of children in the 1960s as having a chronic health condition that interfered on a regular basis with daily activities, this number had risen to almost 8% by the late 1990s. Some growth reflects real improvement in medical and surgical care, with better survival of many children (eg, with leukemia, cystic fibrosis, and congenital heart disease) who would have died in childhood in earlier years. Much change over the decades, however, reflects major growth in rates of common conditions that have little mortality but cause great morbidity: obesity, asthma, and mental health conditions. Over 11 million children and youth are obese today (at ... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585250 Tue, 08 Feb 2011 00:00:00 +0100 4585250 http://www.medworm.com/index.php?rid=4816161&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003359%2Fabstract%3Frss%3Dyes Abstract: The Academic Pediatric Association (APA, formerly the Ambulatory Pediatric Association) first encouraged multi-institutional collaborative research among its members over 30 years ago. Individual APA members subsequently went on to figure prominently in establishing formal research networks. These enduring collaborations have been established to conduct investigations in a variety of generalist contexts. At present, 4 generalist networks—Pediatric Research in Office Settings (PROS), the Pediatric Emergency Care Applied Research Network (PECARN), the COntinuity Research NETwork (CORNET), and Pediatric Research in Inpatient Settings (PRIS)—have a track record of extensive achievement in generating new knowledge aimed at improving the health and health care of children. This re... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4816161 Mon, 31 Jan 2011 00:00:00 +0100 4816161 http://www.medworm.com/index.php?rid=4585255&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003384%2Fabstract%3Frss%3Dyes A child with diabetes may have the finest medical care available in the region, yet her family lacks the money for gas to visit her in the hospital. The cystic fibrosis specialist may develop a comprehensive management strategy for his patient, but it fails to have full effect because the family’s local pediatrician remains uninformed. These and many other examples convince us that the first step toward improving the organization of services for these children and their families must involve sustained national attention to their broad and special needs. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585255 Mon, 31 Jan 2011 00:00:00 +0100 4585255 http://www.medworm.com/index.php?rid=4585253&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003414%2Fabstract%3Frss%3Dyes It is an enormous honor to speak on the subject of improving quality of care for children with chronic conditions at a symposium honoring Jim Perrin. Jim was my division chief and immediate supervisor in my first job after fellowship. The work that we started together—looking at variation in care and outcomes for children in Rochester, New Haven, and Boston—shaped my entire career, and Jim has continued to be a mentor, a colleague, and a friend since that time over 20 years ago. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585253 Mon, 31 Jan 2011 00:00:00 +0100 4585253 http://www.medworm.com/index.php?rid=4585252&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003402%2Fabstract%3Frss%3Dyes My mentor, Charles A. Janeway, chief of pediatrics at Children’s Hospital, Boston, and a renowned immunologist, frequently said that his greatest achievement was not in his immunological research, but in mentoring his students. I feel that way, especially with Jim Perrin, who was one of the earliest interns, residents, chief residents, and fellows at Rochester. His achievements in many fields are well known, especially his advocacy for children with special health care needs. I am pleased to be part of this symposium dedicated to Jim. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585252 Mon, 31 Jan 2011 00:00:00 +0100 4585252 http://www.medworm.com/index.php?rid=4585248&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003499%2Fabstract%3Frss%3Dyes Several recent reports describe the important role medical homes play in ensuring favorable outcomes for children. Central to the success of a medical home is the practice of family-centered care (FCC). The purpose of this commentary is to describe the evolution of FCC, provide an updated definition of FCC, and discuss implications for practice, programs, and policy. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585248 Mon, 31 Jan 2011 00:00:00 +0100 4585248 http://www.medworm.com/index.php?rid=4585247&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003438%2Fabstract%3Frss%3Dyes In 2009, at the request of Polly Arango, a group was brought together by the Division of Services for Children with Special Health Care Needs at the Maternal and Child Health Bureau (MCHB) for the purpose of reviewing the progress made in building family-centered care principles into all MCHB programs. Polly believed strongly in partnership as a core principle of family-centered care, and the group who joined her that day wish to honor and applaud her for the tremendous contributions she made to the field. One of the outcomes of that meeting was a paper in this issue, authored by Polly, which was in the process of publication at the time of her unexpected death. Polly was a remarkable woman and leader as evidenced in many tributes from local, state, national, and international sources, and... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4585247 Mon, 31 Jan 2011 00:00:00 +0100 4585247 http://www.medworm.com/index.php?rid=4408187&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003815%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408187 Sat, 01 Jan 2011 00:00:00 +0100 4408187 http://www.medworm.com/index.php?rid=4408186&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003803%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408186 Sat, 01 Jan 2011 00:00:00 +0100 4408186 http://www.medworm.com/index.php?rid=4408185&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003360%2Fabstract%3Frss%3Dyes Conclusions: Child care–related employment problems are common among families with a child with chronic illness or behavior problems. These findings support the need for pediatricians and policy makers to strive for the implementation of more parent-friendly labor conditions. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408185 Sat, 01 Jan 2011 00:00:00 +0100 4408185 http://www.medworm.com/index.php?rid=4408184&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003335%2Fabstract%3Frss%3Dyes Conclusions: Pediatric residents receive approximately 3 hours of breastfeeding training per year. In addition, there is less than universal implementation by residency programs of AAP recommendations for supporting breastfeeding in the workplace. Pediatric residency programs should find ways to improve and assess the quality of breastfeeding education and workplace support to better role model this advocacy standard. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408184 Sat, 01 Jan 2011 00:00:00 +0100 4408184 http://www.medworm.com/index.php?rid=4408183&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003554%2Fabstract%3Frss%3Dyes Conclusions: In most children without underlying risk factors for severe influenza, pH1N1 virus causes an uncomplicated respiratory tract illness, no more severe than seasonal influenza. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408183 Sat, 01 Jan 2011 00:00:00 +0100 4408183 http://www.medworm.com/index.php?rid=4408182&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910002767%2Fabstract%3Frss%3Dyes Conclusions: A quality improvement intervention in a hospital-based teaching clinic was associated with increased use of asthma action plans, classification of asthma severity, and controller medications, and possibly a trend toward fewer emergency visits and hospitalizations. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408182 Sat, 01 Jan 2011 00:00:00 +0100 4408182 http://www.medworm.com/index.php?rid=4408181&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003529%2Fabstract%3Frss%3Dyes Conclusions: Inclusion of pictographic dosing diagrams as part of written medication instructions for infant acetaminophen may help parents provide doses of medication more accurately, especially those with low health literacy. High error rates, even among parents with adequate health literacy, suggest that additional study of strategies to optimize dosing is needed. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408181 Sat, 01 Jan 2011 00:00:00 +0100 4408181 http://www.medworm.com/index.php?rid=4408180&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003542%2Fabstract%3Frss%3Dyes Conclusions: Even with a promising tool to assist pediatric offices, implementing provider-based recall is challenging for pediatric practices. Given existing barriers, providers expressed support for alternative recall methods. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408180 Sat, 01 Jan 2011 00:00:00 +0100 4408180 http://www.medworm.com/index.php?rid=4408179&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003517%2Fabstract%3Frss%3Dyes Conclusions: Educational baby books appear to be an easy and low-cost way to increase the safety practices of new mothers, especially if the practices involve little to no time, money, or hassle. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408179 Sat, 01 Jan 2011 00:00:00 +0100 4408179 http://www.medworm.com/index.php?rid=4408178&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003505%2Fabstract%3Frss%3Dyes Conclusions: A DVD of newborn anticipatory guidance was feasible, well accepted, and had a positive impact in a pediatric practice. Video and other technologies represent an efficient, innovative way to reach parents as part of the office encounter. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408178 Sat, 01 Jan 2011 00:00:00 +0100 4408178 http://www.medworm.com/index.php?rid=4408177&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003530%2Fabstract%3Frss%3Dyes Conclusions: Utilizing direct observation of visits with pediatric clinicians, we found that solicitation of parent/child concerns occurred less frequently than recommended. Fewer than half of recommended visit-specific health supervision/anticipatory guidance topics were addressed, and there was little congruence with some Bright Futures age group–specific recommendations. Notably, both solicitation of patient/parent concerns and greater adherence to health supervision/anticipatory guidance recommendations were associated with shorter visits. Well-child care visits with children with special health care needs were longer than those with children without special needs; more time was spent addressing similar numbers of health supervision/anticipatory guidance topics as well as their chron... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408177 Sat, 01 Jan 2011 00:00:00 +0100 4408177 http://www.medworm.com/index.php?rid=4408176&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910002779%2Fabstract%3Frss%3Dyes Abstract: Reach Out and Read (ROR) is the only systematically evaluated clinical activity to promote child development in primary care used throughout the United States. The ROR intervention is straightforward: clinicians provide advice about the benefits of reading aloud, as well as directly giving books to high-risk children and parents to take home at each pediatric visit of children aged 6 months to 5 years. ROR builds upon a significant evidence base of the value of reading aloud to young children. The studies evaluating ROR from different sites from subjects from different racial backgrounds and numerous outcome measures are consistently positive. From its initial single site at Boston City Hospital in 1989, to over 4600 clinical sites in 2010, over 30 000 clinicians distributed over... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408176 Sat, 01 Jan 2011 00:00:00 +0100 4408176 http://www.medworm.com/index.php?rid=4408175&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003323%2Fabstract%3Frss%3Dyes Both the public and the medical profession seek a community of physicians that can be entrusted to provide the highest quality care in the safest manner. Pediatric educators are committed to the professional formation of pediatricians, while providing exemplary care for some of the most fragile and vulnerable children in our communities. All would agree that the development of physicians who are able to practice without direct supervision requires a critical balance of high vigilance and allowance of progressive responsibility. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408175 Sat, 01 Jan 2011 00:00:00 +0100 4408175 http://www.medworm.com/index.php?rid=4408174&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003372%2Fabstract%3Frss%3Dyes Physicians and their families are often conflicted about the task of meeting their responsibilities at work and at home. This is the stress of work-life balance. This topic is rarely addressed directly in formal medical education seminars or lectures, but it frequently arises during informal discussions within groups of house staff and more senior physicians—but rarely between these groups. My objectives in dedicating the Joseph W. St Geme Jr Lecture to this topic are 1) to shine a bright light upon the issues of work-life balance and thus open communication and discussion about it within the medical community, 2) to suggest a new framework for thinking about work-life balance, and 3) to make some practical suggestions that might help to lessen its stress. The issues of work-life balance... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408174 Sat, 01 Jan 2011 00:00:00 +0100 4408174 http://www.medworm.com/index.php?rid=4408173&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003566%2Fabstract%3Frss%3Dyes There is very good news in primary care pediatrics. The Affordable Care Act of 2010 helps ensure that every American child will continue to receive routine health care maintenance. Furthermore, the compendium of routine health care maintenance that is enshrined in Bright Futures forms the core of covered routine health care maintenance for children. This represents a social consensus that routine health care is valuable for children and their families. The next step for us as a profession is to use this endorsement to make a real difference for children’s health. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408173 Sat, 01 Jan 2011 00:00:00 +0100 4408173 http://www.medworm.com/index.php?rid=4408172&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003578%2Fabstract%3Frss%3Dyes The release of Bright Futures: Health Supervision Guidelines for Infants, Children and Youth, Third Edition, brought to pediatrics a single set of health supervision guidelines agreed upon by a national multidisciplinary group of clinicians and parents. No longer do primary care professionals have to choose from among competing lists of what should be done. Bright Futures guidelines and the accompanying periodicity schedule are endorsed by the American Academy of Pediatrics and other organizations and are the guidelines referred to in Section 2713 of the 2010 Affordable Care Act “with respect to infants, children, and adolescents, evidence-informed preventive care and screenings provided for in the comprehensive guidelines supported by the Health Resources and Services Administration,”... Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408172 Sat, 01 Jan 2011 00:00:00 +0100 4408172 http://www.medworm.com/index.php?rid=4408171&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003840%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4408171 Sat, 01 Jan 2011 00:00:00 +0100 4408171 http://www.medworm.com/index.php?rid=4165650&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910002627%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4165650 Mon, 01 Nov 2010 00:00:00 +0100 4165650 http://www.medworm.com/index.php?rid=4165649&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910002615%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4165649 Mon, 01 Nov 2010 00:00:00 +0100 4165649 http://www.medworm.com/index.php?rid=4165648&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003244%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4165648 Mon, 01 Nov 2010 00:00:00 +0100 4165648 http://www.medworm.com/index.php?rid=4165647&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910003220%2Fabstract%3Frss%3Dyes (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4165647 Mon, 01 Nov 2010 00:00:00 +0100 4165647 http://www.medworm.com/index.php?rid=4165646&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910002263%2Fabstract%3Frss%3Dyes Conclusion: This study demonstrates a unique way to identify children with LLCC for care coordination by using hospital administrative data. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4165646 Mon, 01 Nov 2010 00:00:00 +0100 4165646 http://www.medworm.com/index.php?rid=4165645&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591000255X%2Fabstract%3Frss%3Dyes Conclusions: Engaging in the choking game was highly associated with abuse of substances, suggesting that youth engage in the choking game for the thrill-seeking experience of brief euphoria, a drug-related feeling. To reduce the potentially fatal consequences associated with this behavior, pediatricians should screen youths and provide anticipatory guidance for higher-risk youths and their parents. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4165645 Mon, 01 Nov 2010 00:00:00 +0100 4165645 http://www.medworm.com/index.php?rid=4165644&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910002536%2Fabstract%3Frss%3Dyes Conclusion: Rates of documented obesity diagnosis, obesity-related counseling, and laboratory testing for comorbid conditions among obese pediatric patients seen in US outpatient preventive visits are suboptimal. Efforts should target enhanced obesity diagnosis as a first step toward improving pediatric obesity management. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4165644 Mon, 01 Nov 2010 00:00:00 +0100 4165644 http://www.medworm.com/index.php?rid=4165643&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS187628591000224X%2Fabstract%3Frss%3Dyes Conclusions: Parental receipt of developmental questionnaires is low and varies by type of insurance, type of place for usual source of care, and adequacy of family-centered care. There is room for improvement in the provision of developmental questionnaires and, our results suggest, areas for continuing research to understand variations in DA practices. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4165643 Mon, 01 Nov 2010 00:00:00 +0100 4165643 http://www.medworm.com/index.php?rid=4165642&cid=s_38383_33_f&fid=38383&url=http%3A%2F%2Fwww.academicpedsjnl.net%2Farticle%2FPIIS1876285910002524%2Fabstract%3Frss%3Dyes Conclusion: Women who delivered infants in Haiti commonly report use of fetal-harm drugs. The public health implications of these findings are broad and relate to complex issues such as pregnancy planning and regulation of medications to prevent potentially harmful exposures. (Source: Academic Pediatrics) Academic Pediatrics journals http://www.medworm.com/rss/comments.php?id=4165642 Mon, 01 Nov 2010 00:00:00 +0100 4165642