Academic PediatricsThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the latest items in this publication.

Pages: 1 2

89 records returned

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Academic Pediatrics)
Source: Academic Pediatrics - August 31, 2009 Category: Pediatrics Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Academic Pediatrics)
Source: Academic Pediatrics - August 31, 2009 Category: Pediatrics Tags: Frontmatter Source Type: journals

Charting GrowthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
My lanky 17-year-old son lurches through the door of the pediatrician's office, just missing the toddler careening toward him. The waiting room is packed with parents and children—babies, toddlers, 8-year-olds—and my high school sophomore, Devin. In massive Timberland boots, he steps carefully over the children and their kaleidoscope of toys and finds a seat against the wall. Pulling the hood of his sweatshirt up over his head, he plugs into his iPod, smiles at me briefly, then leans back and closes his eyes. Finding his place among the little ones—now a comfortable routine—wasn't always so easy. As an infant, Devi...
Source: Academic Pediatrics - August 31, 2009 Category: Pediatrics Authors: Lauren Norton Carson Tags: In the Moment Source Type: journals

Not Just for Kids: New Paradigms for Vaccine Delivery in PediatricsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Protecting children and adolescents from vaccine-preventable illnesses is a central goal of pediatric medicine. Educating family members, a willingness to vaccinate at all visits, and implementing recall-reminder systems are some of the classic strategies used to enhance pediatric vaccination rates. However, 2 recent expansions to the currently recommended vaccine schedule create new challenges for primary care—vaccinating adolescents and vaccinating adults who have close contact with infants. The adolescent population has been challenging to vaccinate because they have more sporadic primary care visits than younger chil...
Source: Academic Pediatrics - August 31, 2009 Category: Pediatrics Authors: Katherine A. Poehling, Peter G. Szilagyi Tags: Commentaries Source Type: journals

Obesity Prevention and Control: From Clinical Tools to Public Health StrategiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Four papers in this issue of Academic Pediatrics address several key aspects of the clinical and community approach to the obesity epidemic. Despite the centrality of body mass index to the assessment of obesity, the study by Oettinger and colleagues demonstrates that few parents in that sample had a clear understanding of the meaning of the measure. Nonetheless, the color-coding intervention of the growth charts to demonstrate healthy weight, overweight, and obesity increased parental understanding of risk. The high prevalence of severe obesity reported by Skelton and colleagues emphasizes again the importance of the need...
Source: Academic Pediatrics - August 31, 2009 Category: Pediatrics Authors: Brook Belay, William H. Dietz Tags: Commentaries Source Type: journals

Getting a Handle on the Media: Where Should We Focus Our Efforts?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Concern about adverse effects of entertainment media have been around since movies were first exhibited in this country in 1896. Just 11 years later, Chicago became one of the first cities to censor movies, when the city council empowered the chief of police to deny permits for exhibitors to show movies with objectionable content. If denied a permit, the movie producer was required to cut scenes to meet the censor's standards. Despite ongoing concern about the “powerful” effects of entertainment media, until recently there were few studies actually linking entertainment media to what we now call risky behaviors. In the...
Source: Academic Pediatrics - August 31, 2009 Category: Pediatrics Authors: James D. Sargent Tags: Commentaries Source Type: journals

OverviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Academic Pediatrics)
Source: Academic Pediatrics - August 31, 2009 Category: Pediatrics Source Type: journals

Color-Coding Improves Parental Understanding of Body Mass Index ChartingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Parents consistently performed better with color-coded than standard BMI charts. Color-coding was particularly helpful for lower numeracy parents. Future studies should investigate whether these results translate into the office setting and whether understanding motivates parents to implement important lifestyle changes. (Source: Academic Pediatrics)
Source: Academic Pediatrics - August 16, 2009 Category: Pediatrics Authors: Matthew D. Oettinger, Joanne P. Finkle, Denise Esserman, Lisa Whitehead, Thomas K. Spain, Steven R. Pattishall, Russell L. Rothman, Eliana M. Perrin Tags: Obesity/Built Environment Source Type: journals

Promoting Professionalism in PediatricsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Professionalism is a core competency for residency education and 1 of the 4 key components for maintenance of certification in pediatrics. Yet teaching and assessing professionalism across the spectrum from medical students to residents and fellows to pediatricians in practice can be challenging. Here, we aim to highlight several key concepts that can help educators promote professionalism in pediatrics. (Source: Academic Pediatrics)
Source: Academic Pediatrics - August 16, 2009 Category: Pediatrics Authors: John G. Frohna, Robert McGregor, Nancy Spector Tags: View from the Association of Pediatric Program Directors Source Type: journals

Child Care Health Consultation Improves Health and Safety Policies and PracticesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Child care health consultation programs can improve the written health and safety policies and may improve practices in child care centers. (Source: Academic Pediatrics)
Source: Academic Pediatrics - July 28, 2009 Category: Pediatrics Authors: Abbey Alkon, Jane Bernzweig, Kim To, Mimi Wolff, Joanna F. Mackie Tags: Tobacco Control, Inpatient Medication Discrepancies, Child Care Health and Safety Source Type: journals

Prevalence and Clinical Significance of Medication Discrepancies at Pediatric Hospital AdmissionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Admission medication errors are common in this tertiary-care, general pediatric population, and nearly a third represent potential adverse events. The use of a medication reconciliation form by physicians without pharmacist involvement does not appear to reduce errors. A cutoff of ≥4 prescription medications is highly sensitive for identifying patients at risk of clinically important discrepancies. (Source: Academic Pediatrics)
Source: Academic Pediatrics - July 28, 2009 Category: Pediatrics Authors: Maitreya Coffey, Lynn Mack, Kim Streitenberger, Teresa Bishara, Laura De Faveri, Anne Matlow Tags: Tobacco Control, Inpatient Medication Discrepancies, Child Care Health and Safety Source Type: journals

Tobacco-Related Documentation in Pediatric PracticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Correct identification of household smoking status was absent for most children living with smokers. Improved documentation systems may facilitate tobacco-related surveillance and counseling. (Source: Academic Pediatrics)
Source: Academic Pediatrics - July 26, 2009 Category: Pediatrics Authors: Lisa A. Martin, Kimberley J. Dilley, Adolfo J. Ariza, Christine Sullivan, Roopa Seshadri, Helen J. Binns, Pediatric Practice Research Group Tags: Tobacco Control, Inpatient Medication Discrepancies, Child Care Health and Safety Source Type: journals

Cocooning Infants: Tdap Immunization for New Parents in the Pediatric OfficeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Objective: Vaccination with tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) is recommended for adults who have close contact with infants aged (Source: Academic Pediatrics)
Source: Academic Pediatrics - July 13, 2009 Category: Pediatrics Authors: Emmanuel B. Walter, Norma Allred, Beth Rowe-West, Kathlene Chmielewski, Katrina Kretsinger, Rowena J. Dolor Tags: Immunizations Source Type: journals

Electronic Media Use and Adolescent Health and Well-Being: Cross-Sectional Community StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Despite television's associations with obesity, time spent in other forms of media use appear more strongly related to adolescent health and well-being. This study supports efforts to reduce high video game use and further exploration of the role of computers in health enhancement. (Source: Academic Pediatrics)
Source: Academic Pediatrics - July 9, 2009 Category: Pediatrics Authors: Megan Mathers, Louise Canterford, Tim Olds, Kylie Hesketh, Kate Ridley, Melissa Wake Tags: Media Source Type: journals

Associations Between Media Use and Health in US ChildrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: TV/video use is associated with a broader range of negative physical and social-emotional health attributes than computer use. Associations between media use and health are modest, but persistent at the population level. TV/video use reduction strategies may lead to improved physical and social-emotional population health. However, reductions in TV viewing may have little effect on overweight/obesity in black or Hispanic children. Mechanisms underlying observed health associations need further study. (Source: Academic Pediatrics)
Source: Academic Pediatrics - July 9, 2009 Category: Pediatrics Authors: Shirley A. Russ, Kandyce Larson, Todd Michael Franke, Neal Halfon Tags: Media Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Tags: Frontmatter Source Type: journals

20. The Impact of Combined Pediatric Residency Programs on the Educational Experience of the Categorical Pediatric ResidentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Current program requirements for pediatric residency programs and for med-peds programs have raised concerns about the possibility of a negative impact of combined residency training programs on pediatric programs. There are no published data on this subject. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Allen R. Friedland, Tom A. Melgar, David A. Kaelber, William L. Cull, John K. Chamberlain, Brian D. Kan Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

19. Effect of Duty Hours Standards on Pediatric Resident EducationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ACGME Duty Hours Standards have been in place since July, 2003. The effects on knowledge acquisition during pediatric residency training are unknown, as no pediatric studies to date have looked at concrete differences in education and performance before and after duty hour implementation. In the present study, we sought to compare resident education pre- and post-duty hours using change in examination scores over the course of residency as an indicator. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Camden L. Hebson, Kourtney K. Santucci, Andrea L. Klopman, Parminder Suchdev, Lynn Gardner, Susie Buchter Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

18. Gender Differences in Research Grant Applications for Pediatric ResidentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Recent studies demonstrate gender differences in research grant applications and funding outcomes for medical school faculty. Our goal was to determine whether similar patterns exist for residents. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Mary Beth Gordon Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

17. We Need to Talk: Discrepancies Between Resident Perceptions of Their Communication Skills and Those of FacultyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Adults learn a subject best when they see its relevance and perceive a need for improvement. For communication skills (CS), little is known about resident self-perceptions on areas of weakness. Even less is known about how much these perceptions correlate with those of faculty. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Thanakorn Jirasevijinda, Richard Neugebauer Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

16. Faculty Learning Community: An Innovative and Effective Approach to Faculty DevelopmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
At the 2008 APPD Meeting, we conducted a workshop introducing a Faculty Learning Community (FLC) as an innovative approach to faculty development. This abstract is a follow-up to that workshop that evaluates the effectiveness and outcomes of the FLC after one year, including statistically significant survey data. FLCs, created by Dr. Cox at Miami University, are defined as a multi-disciplinary group engaging in an active, collaborative curriculum about teaching and learning. Reported FLC outcomes include: increased interest in teaching and learning, greater faculty retention, faster learner intellectual development, increa...
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Ryan S. Bode, Michelle B. Huddleston, Angelika Gruessner, Grace L. Caputo Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

15. A Comparison of Themes from Medicine, Pediatrics, and Medicine-Pediatrics Resident QI ProjectsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Previous literature describes resident input for improving hospital systems. A need to develop formal quality improvement curricula (QIC) for residents exists. Our pediatrics (peds) and medicine (med) residency programs have offered a required QIC since 2003-04, in which each resident must individually propose a project idea and write a draft. After appropriate feedback, each completes a formal written project with the intention of implementation. All residents are brought together for didactic sessions and a final discussion regarding project proposals. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Alexander M. Djuricich Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

14. Direct Observation in an Outpatient Clinic: A New, Easier ToolEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ACGME promotes direct observation of residents as a key assessment for competency in patient care, professionalism, and communication. Although tools exist, validity and reliability have not been demonstrated for most. In addition, the feasibility of many of these tools is limited by time constraints and the discomfort of observers and those being observed. We conducted a pilot study to measure feasibility of a simplified observation tool to evaluate these competencies and provide timely feedback. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Rebecca R. Swan, Joseph Gigante Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

13. An Innovative 360-Degree Assessment Instrument: Using a Relative Ranking Model to Enhance the Appraisal PerformanceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In order to minimize appraisal errors (i.e. central tendency, halo and ceiling effects), we developed an innovative 360-degree assessment instrument using a relative ranking model. The instrument integrates input from faculty, nurses and resident peers, and then produces an intra-individual assessment profile that characterizes areas of strengths and weaknesses within individual residents. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Satid Thammasitboon, Karen Breetz, John Phillips, Renee Moore Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

12. Resident Perceptions of Individualized Learning PlansEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Individualized Learning Plans (ILPs) are required by the Pediatric Review Committee. This form of self-directed learning is relatively new to residents, as well as program directors and faculty. There is a paucity of information on resident attitudes regarding ILPs and the perceived effectiveness of this exercise in residency training. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Amy Jost Starmer, Ann E. Burke Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

11. 360 Degree Evaluations in the Outpatient Setting: Is Family Input Really Necessary?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Faculty have traditionally evaluated resident professionalism and interpersonal skills without input from other perspectives. Programs are now required to institute 360 degree evaluations which include multiple evaluators. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Nicole L. Chandler, Gavin J. Henderson, Brittany Park, Julie Byerley, Wallace D. Brown, Michael Steiner Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

10. Do Parents Understand the Roles of Physician Trainees?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of the study is to survey parent understanding of the roles of medical students, interns, residents and attending physicians in the inpatient setting of a children's hospital. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Priti Bhansali, Carol K. Barrett, Melissa Held Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

9. Self Perceived Leadership Behaviors Among Pediatric ResidentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study is to provide descriptive data regarding self-perceived leadership behaviors among pediatric residents at two residency programs. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Maureen G. Leffler, Lynne M. Lamontagne Drouin, Steven Selbst, Glenn Stryjewski, Robert Doughty, Anda K. Kuo Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

8. Community Health and Advocacy Curricula: Poised to Capture ACGME CompetenciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Accreditation Council for Graduate Medical Education (ACGME) has identified 6 core competencies for all GME specialties. Of those, systems-based practice (SBP), practice-based learning and improvement (PBLI), interpersonal and communication skills (ICS), and professionalism (PR) may not be traditionally captured by standard clinical rotations. Community health and child advocacy (CHCA) experiences that are required of pediatric programs by the Residency Review Committee may provide an opportunity to address these competencies as they broaden resident education beyond the bedside. The University of California San Franci...
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Christine L. Bottrell, Lynne Lamontagne Drouin, Anda K. Kuo Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

7. Workplace Violence: A Survey of Pediatric ResidentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study is to determine the prevalence of workplace violence in Pediatric Residency Training Programs. We hypothesize that residents are poorly trained to handle such workplace violence and that they would benefit from further training in how to prevent and respond to workplace violence. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Karen Judy Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

6. The Effect of the Implementation of an On-Line Order Entry System on Resident Compliance with Duty Hour Regulations: Trading Legislative Compliance for Patient Safety?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Computerized Physician Order Entry (CPOE) has been shown to have several beneficial outcomes, including reduction in medication errors, reduced test ordering, improved medication turn-around time, and reduction in length of stay. It has also been shown, however, to increase physician front-end work time. Residents are the physicians primarily responsible for order entry and the subsequent increased physician work time falls to them. Residents are also expected to conform to Duty Hour Regulations that limit the amount of time any resident may spend on patient care activities. It is possible that adding the task of computeri...
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Hilary M. Haftel, David Hanauer, John Schmidt Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

5. Paving the Way to Practice-Based Learning and Improvement: Students' Experiences with a Competency-Based Sub-Internship CurriculumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pediatric residency training requirements mandate that all residents maintain an Individualized Learning Plan (ILP). Previous work suggests that residents have difficulty identifying learning goals to include in ILPs (Stuart, 2005). Using the emerging COMSEP 4th-year curriculum as a guide, we developed an ACGME competency-based sub-internship curriculum that emphasizes reflective practice, practice-based learning and improvement (PBLI), and working with an ILP. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Michele Long, Elizabeth Stuart Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

4. Self-Directed Learning and Individualized Learning Plans: Implications for Program DirectorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To determine which resident- or program-related factors are associated with effective self-directed learning of residents. National cross-sectional web-based surveys of pediatric and med/peds residents and program directors. Self-directed learning efficacy was measured by resident self-reported progress on a 5-point Likert scale toward achieving learning goals from most recent Individualized Learning Plan (ILP). Learner- and program-level characteristics were assessed using multilevel linear regression. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: T. Li Su-Ting, Daniel J. Tancredi, T. Co John Patrick, Daniel C. West Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

3. Assessing the Learning Environment of a Clinical ClerkshipEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The LCME requires medical educators to evaluate the learning environment and ensure it promotes professionalism. Other researchers have defined learning environment primarily from educators' perspectives and have included positive role models; teacher-learner relationships; student self-efficacy; atmosphere. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Janice L. Hanson, Virginia F. Randall Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

2. Students' Reflections on a Self-Directed Module Method of Learning in a Third-Year Pediatric ClerkshipEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To understand students' experience with a self-directed learning method used during a third year pediatric clerkship. Newer active learning methods like problem-based learning, team-based learning, and case-based learning are increasingly used to augment traditional teaching methods. Despite widespread adoption of these new methods we found no qualitative studies that examined “what actually happens” during these educational processes. Eight years ago we replaced traditional lectures with a module method of learning in our pediatric clerkship. Each topic module consists of 10 case vignettes that students research and ...
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Angela M. Allevi, Lindsey Lane Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

1. Training in Delivering an Unexpected DiagnosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study is directed towards improving medical information and support to families as they receive the unexpected diagnosis of Down syndrome (DS).Using a Web tutorial integrating prenatal and postnatal information into virtual patient scenarios, the study assessed pediatric residents' knowledge and comfort in delivering a diagnosis of DS. It also measured residents' perception of need for this training. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Lynn R. Campbell, Harold L. Kleinert, Carol A. Lunney, James E. Ferguson Tags: Association of Pediatric Program Directors (APPD) Abtracts Source Type: journals

Association of Medical Home Care and Disparities in Emergency Care Utilization Among Children With Special Health Care NeedsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Emergency care utilization for CSHCN differed significantly according to race/ethnicity. Having a medical home may be associated with a reduction in disparities in this fragile population. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Jean L. Raphael, Yiqun Zhang, Hao Liu, Carl D. Tapia, Angelo P. Giardino Tags: Medical Home Source Type: journals

Clinical Applications of Yoga for the Pediatric Population: A Systematic ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: There are limited data on the clinical applications of yoga among the pediatric population. Most published controlled trials were suggestive of benefit, but results are preliminary based on low quantity and quality of trials. Further research of yoga for children by using a higher standard of methodology and reporting is warranted. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Gurjeet S. Birdee, Gloria Y. Yeh, Peter M. Wayne, Russell S. Phillips, Roger B. Davis, Paula Gardiner Tags: Review Source Type: journals

DoubtEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
My daughter Julia died unexpectedly after gallbladder surgery. She was 15 years old, and she received care in a great hospital. The immediate cause of death was disseminated intravascular coagulation. In the weeks after her death, I learned how disseminated intravascular coagulation kills people. I've described it to family and friends as a train wreck—the terminal event in a cascade that causes the circulatory system to seize up. An internal alarm tells the blood to clot throughout the body, preventing flow to vital organs and causing the blood to seep through perforating vessels. In my mind, this description leaves no ...
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: John Andrews Tags: In the Moment Source Type: journals

Mental Health and Child Developmental Problems: The “Not-So-New Morbidity”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A series of articles in this issue of Academic Pediatrics deal with child and family mental health concerns and childhood developmental problems, raising questions about their burden for children and families, the role of the primary care pediatrician in screening, diagnosing, and managing these issues, and the inadequacies of the health care system to properly address these morbidities. These “not-so-new morbidities” are as problematic today as they were when first described as “the new morbidity” by Robert Haggerty and his colleagues in 1975. By the end of the millennium, the increasing complexity of the physical...
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Benard P. Dreyer Tags: Commentaries Source Type: journals

Health Disparities and the Primary Care Medical Home: Could It Be That Simple?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
For decades, advocates of comprehensive primary care have asserted the value of this apparently simple, common sense approach to health care. The presence of a longitudinal relationship with a single source of care that address the comprehensive health care needs of a child, these advocates argue, improves outcomes and enhances the family experience of care as well. Ecological analyses consistently show a strong association between the availability of systems of comprehensive primary care and improved population health. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Authors: Charles J. Homer Tags: Commentaries Source Type: journals

OverviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Source Type: journals

Information for ReadersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Academic Pediatrics)
Source: Academic Pediatrics - June 30, 2009 Category: Pediatrics Source Type: journals

Childhood Obesity and Neighborhood Food-Store Availability in an Inner-City CommunityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The presence of convenience stores near a child's residence was associated with a higher BMI percentile. This has potential implications for both child- and neighborhood-level childhood obesity interventions. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 28, 2009 Category: Pediatrics Authors: Maida P. Galvez, Lu Hong, Elizabeth Choi, Laura Liao, James Godbold, Barbara Brenner Tags: Obesity/Built Environment Source Type: journals

Prevalence and Trends of Severe Obesity Among US Children and AdolescentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Rates of severe childhood obesity have tripled in the last 25 years, with significant differences by race, gender, and poverty. This places demands on health care and community services, especially because the highest rates are among children who are frequently underserved by the health care system. (Source: Academic Pediatrics)
Source: Academic Pediatrics - June 28, 2009 Category: Pediatrics Authors: Joseph A. Skelton, Stephen R. Cook, Peggy Auinger, Jonathan D. Klein, Sarah E. Barlow Tags: Obesity/Built Environment Source Type: journals

Parents' Views on 3 Shot-Related Visits: Implications for Use of Adolescent Vaccines Like Human Papillomavirus VaccineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Compliance with multidose adolescent vaccines like HPV could require a shift in the expected frequency of health care visits. Our results suggest that most parents are amenable to more frequent adolescent vaccine-related visits, though the feasibility of implementing these visits within the current medical system remains to be determined. (Source: Academic Pediatrics)
Source: Academic Pediatrics - May 31, 2009 Category: Pediatrics Authors: Amanda F. Dempsey, Dianne Singer, Sarah J. Clark, Matthew M. Davis Tags: Immunizations Source Type: journals

Factors Influencing the Enrollment of Eligible Extremely-Low-Birth-Weight Children in the Part C Early Intervention ProgramEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Objective: To determine whether eligible extremely-low-birth-weight children ( (Source: Academic Pediatrics)
Source: Academic Pediatrics - May 31, 2009 Category: Pediatrics Authors: C. Jason Wang, Marc N. Elliott, Jeannette Rogowski, Nelson Lim, Jessica A. Ratner, Mark A. Schuster Tags: Brief Reports Source Type: journals

Persistence and Change in Pediatric Symptom Checklist Scores Over 10 to 18 MonthsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This is the first study to document the stability and change in PSC scores in a sample of ambulatory pediatric patients. The statistically significant association between pediatrician referral and improved PSC scores provides evidence for the value of referral in primary care, although the study did not examine the relationship between PSC screening and referral. The high rate of positive scores in children who did not return for follow-up suggests the need for alternative strategies for this population. (Source: Academic Pediatrics)
Source: Academic Pediatrics - May 31, 2009 Category: Pediatrics Authors: Karen A. Hacker, Sandra Williams, Enkhbolor Myagmarjav, Howard Cabral, Michael Murphy Tags: Mental Health and Child Development Source Type: journals

The Impact of Childhood Activity Limitations on Parental Health, Mental Health, and Workdays Lost in the United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Caring for a child with activity limitations affects the health, mental health, and work attendance of parents. These findings indicate that child health can importantly influence the health and work behavior of the family and that health care providers should consider a family-centered approach to care. (Source: Academic Pediatrics)
Source: Academic Pediatrics - May 31, 2009 Category: Pediatrics Authors: Whitney P. Witt, Carissa A. Gottlieb, John Hampton, Kristin Litzelman Tags: Mental Health and Child Development Source Type: journals