Journal articles: 'Children's health and pediatric'

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Nakamura, Mari M., Marvin B. Harper, Allan V. Castro, Feliciano B. Yu, and Ashish K. Jha. "Impact of the meaningful use incentive program on electronic health record adoption by US children's hospitals." Journal of the American Medical Informatics Association 22, no. 2 (March 1, 2015): 390–98. http://dx.doi.org/10.1093/jamia/ocu045.

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Abstract Objective We determined adoption rates of pediatric-oriented electronic health record (EHR) features by US children's hospitals and assessed perceptions regarding the suitability of commercial EHRs for pediatric care and the influence of the meaningful use incentive program on implementation of pediatric-oriented features. Materials and Methods We surveyed members of the Children's Hospital Association. We measured adoption of 19 pediatric-oriented features and asked whether commercial EHRs include key pediatric-focused capabilities. We inquired about the meaningful use program's relevance to pediatrics and its influence on EHR implementation priorities. Results Of 164 general acute care children's hospitals, 100 (61%) responded to the survey. Rates of comprehensive (across all pediatric units) adoption ranged from 37% (age-, gender-, and weight-adjusted blood pressure percentiles and immunization contraindication warnings) to 87% (age in appropriate units). Implementation rates for several features varied significantly by children's hospital type. Nearly 60% of hospitals reported having EHRs that do not contain all features essential for high-quality care. A majority of hospitals indicated that the meaningful use program has had no effect on their adoption of pediatric features, while 26% said they have delayed or forgone incorporation of such features because of the program. Conclusions Children's hospitals are implementing pediatric-focused features, but a sizable proportion still finds their systems suboptimal for pediatric care. The meaningful use incentive program is failing to promote and in some cases delaying uptake of pediatric-oriented features.

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Jones, M. Douglas, Thomas Boat, Robert Adler, Harlan R. Gephart, Lucy M. Osborn, Russell W. Chesney, Holly J. Mulvey, Jimmy L. Simon, and Errol R. Alden. "Final Report of the FOPE II Financing of Pediatric Education Workgroup." Pediatrics 106, Supplement_E1 (November 1, 2000): 1256–70. http://dx.doi.org/10.1542/peds.106.se1.1256.

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Some of the challenges of financing pediatric medical education are shared with all medical education; others are specific to pediatrics. The general disadvantage that funding of graduate medical education (GME) is linked to reimbursement for clinical care has uniquely negative consequences for freestanding children's hospitals because they therefore receive little Medicare GME support. This represents both a competitive disadvantage for such hospitals and an aggregate federal underinvestment in children's health care that now amounts to billions of dollars. The need to subsidize medical student and subspecialty education with clinical practice revenue jeopardizes both activities in pediatric departments already burdened by inadequate reimbursement for children's health care and the extra costs of ambulatory care. The challenges of funding are complicated by rising costs as curriculum expands and clinical education moves to ambulatory settings. Controversies over prioritization of resources are inevitable. Solutions require specification of costs of education and a durable mechanism for building consensus within the pediatric community. Pediatrics2000;106(suppl):1256–1269; medical student education, continuing medical education, medical subspecialties, children, pediatrics, health maintenance organizations, managed care, hospital finances, children's hospitals.

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Smith-Campbell, Betty, and Debra Pile. "Children's Health Insurance Program and Pediatric Nurses." Journal of Pediatric Nursing 25, no. 2 (April 2010): 138–41. http://dx.doi.org/10.1016/j.pedn.2009.12.068.

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Barst, Robyn, David Wessel, Nancy Bridges, and Dunbar Ivy. "Pulmonary Arterial Hypertension in Congenital Heart Disease: Controversies and Consensus." Advances in Pulmonary Hypertension 2, no. 2 (April 1, 2003): 20–25. http://dx.doi.org/10.21693/1933-088x-2.2.20.

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Four physicians discussed current and future strategies for the assessment and treatment of pulmonary arterial hypertension (PAH) related to congenital heart disease. The roundtable discussion was moderated by Robyn Barst, MD, Professor of Pediatrics, Columbia University College of Physicians and Surgeons, New York, New York, and included David Wessel, MD, Professor of Pediatrics and Anesthesia, Harvard Medical School, and Senior Associate in Cardiology and Anesthesia at Children's Hospital, Boston; Nancy Bridges, MD, Chief of the Clinical Transplantation Section, National Institute for Allergy and Infectious Disease, National Institutes of Health, Bethesda, Maryland; and Dunbar Ivy, MD, Associate Professor of Pediatrics, Chief and Selby Rickenbaugh Chair of Pediatric Cardiology, Director of the Pediatric Pulmonary Hypertension Program, University of Colorado, and Denver Children's Hospital.

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Kolesnikova, S. M., and V. V. Filippova. "Vitamins and their role in children's health." Public health of the Far East Peer-reviewed scientific and practical journal 2, no. 88 (June 1, 2021): 97–100. http://dx.doi.org/10.33454/1728-1261-2021-2-97-100.

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The role of vitamins in human health has been proven and undeniable. Childhood, with its intense and accelerated metabolic processes, is most sensitive to a lack of vitamins. Timely prevention of vitamin deficiency is the most optimal strategy in pediatric practice

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Beaudet, Nancy J., Garry C. Alcedo, Quan C. Nguyen, Dan Jacoby, Quynh Kieu, and Catherine J. Karr. "Children's Environmental Health Experience and Interest Among Pediatric Care Providers in Vietnam." Journal of Health and Pollution 1, no. 2 (November 1, 2011): 24–36. http://dx.doi.org/10.5696/2156-9614.1.2.24.

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Background. In rapidly developing regions of the world such as Southeast Asia, marked industrialization with insufficient regulation places children at increased risk for significant environmental exposures. Health care providers have a key role in identifying, treating and preventing environmentally-related illnesses. Objectives. The authors undertook a survey of pediatric health care providers in Vietnam in order to gain preliminary insight into environmental hazard knowledge, and attitudes and beliefs regarding the relative importance of environmental factors in child health that could guide future initiatives towards building up capacity for children's environmental health in the region. Methods. A formal written and self-administered survey instrument was adapted from the World Health Organization's Children's Environmental Health Survey and translated into Vietnamese. The survey was administered via convenience sampling after formal introduction to children's environmental health (CEH) was made through lectures or meetings with pediatric care providers affiliated with the major children's hospitals and pediatric departments in Vietnam. Results. One hundred forty-one pediatric care providers completed the survey. Most indicated environmental factors are considered to be very important in child health (84%); 98% felt the magnitude of the problem is increasing; and air pollution is seen as the top environmental health issue facing the country. The most commonly identified problems in their clinical experience included: food poisoning due to microbiological agents (85%); pesticide poisoning (77%); tobacco smoke exposure (75%); and inadequate sanitation (60%). Although most (80%) endorsed asking about children's environmental conditions in clinical practice, a little more than a third (39%) were confident taking an environmental exposure history. For most key topics, less than half had received specific training. A majority (63%) of survey respondents were very interested in more environmental health training. Conclusions. Pediatric health care providers in Vietnam believe that environmental hazards in child health is an important topic that is routinely encountered in their care of patients, but training, experience and self-efficacy in these topics are limited.

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Shannon, Michael, Alan Woolf, and Rose Goldman. "Children's Environmental Health: One Year in a Pediatric Environmental Health Specialty Unit." Ambulatory Pediatrics 3, no. 1 (January 2003): 53–56. http://dx.doi.org/10.1367/1539-4409(2003)003<0053:csehoy>2.0.co;2.

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NARKEWICZ, RICHARD M. "Role of Pediatrician in Pediatric Emergency Medical Services." Pediatrics 81, no. 5 (May 1, 1988): 730–31. http://dx.doi.org/10.1542/peds.81.5.730.

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The statement by the American Academy of Pediatrics' (AAP) Provisional Committee on Pediatric Emergency Medicine in this issue highlights the importance of pediatricians' involvement in emergency medical care for children. Pediatricians have responsibilities in advocating for children's unique needs in the emergency medical system at the state and regional levels and in individual practices as well. The AAP brings together many pediatric specialists in carrying out its role in this effort. In the primary care setting, the pediatrician's role is to promote safety and injury prevention when counseling parents. This is a crucial part of health supervision, and the AAP has developed The Injury Prevention Program (TIPP) to assist pediatricians.

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Roberts, Michael C., and Jared S. Warren. "Commentary: Television, Children's Health and Safety Behavior, and Pediatric Psychology." Journal of Pediatric Psychology 23, no. 3 (1998): 165–68. http://dx.doi.org/10.1093/jpepsy/23.3.165.

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Petryaykina, E. E., I. O. Shchederkina, I. P. Vitkovskaya, P. V. Svirin, A. V. Gorbunov, A. E. Kessel, Yu A. Khachaturov, G. E. Chmutin, and N. N. Kuleshov. "Primary pediatric stroke center in the multidisciplinary pediatric hospital. New reality in pediatrics." City Healthcare 1, no. 1 (October 16, 2020): 15–30. http://dx.doi.org/10.47619/2713-2617.zm.2020.v1i1;15-30.

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Background. The increase in the number of diagnosed strokes in children, significant distinctive features and complexity of diagnosis, treatment and prevention of cerebrovascular diseases in children compared with adults, the impossibility of direct extrapolation of therapeutic recommendations from adult practice to pediatrics required the creation of specialized primary centers of pediatric stroke in Russia. Purpose. The purpose of this article is to describe the experience of organizing a Center for the treatment of children and adolescents with cerebrovascular diseases (hereinafter referred to as the Center) on the basis of the multidisciplinary pediatric hospital of the Morozovskaya Children's City Clinical Hospital of Moscow Healthcare Department, the introduction of modern methods of diagnosis and treatment of strokes in pediatrics, the organization of preventive measures, maintaining the city register of children's stroke, coordinating the provision of medical care to children with cerebrovascular diseases at various levels in the city of Moscow. Materials and methods. The presented experience of organizing and operating the Center covers the period from 2014 to 2019. Researchers used descriptive, statistical, and comparative analysis to demonstrate the Center's performance and justify proposed improvements in diagnostics, management of pediatric patients with cerebrovascular disease, and relapse prevention. Results. In the course of the organization and operation of the Center, there was assessed the frequency of children's strokes in the city: in 2015 - 6.59 cases per 100 thousand of the child population of Moscow; in 2016 - 6.51 per 100 thousand; in 2017 - 6.43 per 100 thousand and in 2018 - 5.86 per 100 thousand. There were improved: the diagnostics of cerebrovascular pathology and its algorithm, modern reperfusion methods of treatment (thrombolysis, thromboextraction) were introduced into practice, outpatient observation. The equipment and trained specialists concentration on the basis of the Center allowed the creation of the Center "full cycle". Maintaining the city register of pediatric stroke made it possible to compare Russian data with those available in the literature and to establish international cooperation with the International Pediatric Stroke Organization. Conclusion. The establishment of the Center is an important example of interdisciplinary interaction in pediatrics. The City Register of Pediatric Stroke will make it possible to assess the problem of childhood stroke in Moscow. The accumulated organizational, medical and diagnostic, scientific, international and educational experience of the Center can be introduced in other regions of the Russian Federation to improve the provision of medical care to children and to solve the most important problem - preserving the health of the country's child population.

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Monsen, Rita Black, and Debra Thomas. "Children's Mental Health." Journal of Pediatric Nursing 21, no. 6 (December 2006): 443–44. http://dx.doi.org/10.1016/j.pedn.2006.10.001.

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Fowler, Mary Glenn, Gloria A. Simpson, and Kenneth C. Schoendorf. "Families on the Move and Children's Health Care." Pediatrics 91, no. 5 (May 1, 1993): 934–40. http://dx.doi.org/10.1542/peds.91.5.934.

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Objective. To evaluate the relationship of family moves to children's health care use. Design. Analyses of data from the 1988 National Health Interview Survey of Child Health (NHIS-CH). This survey uses a multisite probability cluster technique to achieve nationally representative estimates of health and demographic characteristics of the US civilian population. Participants. 17 110 US children and their families who took part in the 1988 NHIS-CH. Measurements. The 1988 NHIS-CH collected health and demographic data including family mobility information on 17 110 US children and their families. This study analyzed the relationship of number of family moves to reporting a regular site for preventive pediatric health care services, a regular site for pediatric sick care, and routine use of emergency departments when a child was sick. Results. Overall, 8% of US children were reported to lack a regular site for preventive care services, 7% a site for sick care, and 3% routinely used an emergency department for sick care. However, 14% of children who had moved three or more times lacked a regular site for preventive care and 10% lacked a regular site for sick care, compared to only 3% of children who had never moved. Children who had moved more than twice were three times as likely to lack a regular site for preventive or sick care and 1.6 times as likely to use an emergency department for sick care, as were children who had never moved. Conclusions. Families with increased mobility are more likely to lack a regular site for both preventive and sick care and to use emergency departments when their children become ill.

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Edelstein, Burton, and Meg Booth. "The Children's Dental Health Project and the making of pediatric oral health policy." Dental Abstracts 55, no. 4 (July 2010): 172–73. http://dx.doi.org/10.1016/j.denabs.2010.04.001.

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Poole, Steven R., Deb Efird, Tom Wera, Deb Fox-Gliessman, and Kathryn Hill. "Pediatric Locum Tenens Provided by an Academic Center." Pediatrics 98, no. 3 (September 1, 1996): 403–9. http://dx.doi.org/10.1542/peds.98.3.403.

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Background. Locum tenens, the use of a substitute physician to replace a physician who must be temporarily absent from his practice, is widely accepted in the United States. Locum tenens has not previously been described or studied in pediatric practice. Objective. This article describes a locum tenens service for Colorado and Wyoming pediatricians provided by the Division of General Pediatrics and Pediatric Emergency Medicine at the University of Colorado School of Medicine and the Children's Hospital of Denver. An analysis and an evaluation of the program are presented, and implications are discussed. Methods. All program data were prospectively collected and tabulated and later analyzed for the period from July 1, 1994, through June 30, 1995. A survey of all physicians using the Pediatric Locum Tenens Service was conducted within 2 months of service to evaluate the program and to refine the orientation, credentialing, and evaluation processes. Results During the year, 35 pediatricians (14% of pediatricians in Colorado and Wyoming) made 97 requests for 398 days of locum tenens coverage. Coverage was used for vacation (85%), medical education (10%), medical leave (3%), and family matters (2%). Solo and rural pediatricians used the service at a higher rate than pediatricians in group or urban practices. Eighty-six percent had never used locum tenens coverage before because of either the expense (67%) or their unwillingness to trust their practices to physicians or services with whom or with which they were unfamiliar (50%). The majority (83%) were willing to pay an amount for locum tenens equal to the net income derived from the locum tenens coverage in the practice. None indicated a willingness to pay more than that. Referrals and admissions to the Children's Hospital from the pediatricians who used the service increased by 22% during the study period compared with the preceding year, whereas referrals and admissions increased by 9% among all other colorado and Wyoming pediatricians. All pediatricians completed surveys, and satisfaction with the locum tenens pediatricians, charges, and program administration was high. Their suggestions are described. Discussion. The following topics are discussed: (1) the economics of pediatric locum tenens; (2) the use of a locum tenens service as a physician relations program by children's hospitals or academic departments of pediatrics; (3) guidelines for orientation of locum tenens pediatricians; and (4) a proposed evaluation and credentialing process for locum tenens physicians.

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Perrin, Ellen C., Corinne Lewkowicz, and Martin H. Young. "Shared Vision: Concordance Among Fathers, Mothers, and Pediatricians About Unmet Needs of Children With Chronic Health Conditions." Pediatrics 105, Supplement_2 (January 1, 2000): 277–85. http://dx.doi.org/10.1542/peds.105.s2.277.

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Objective. These analyses were undertaken to investigate the number and types of services and assistance believed to be useful to children with a chronic health condition and their families. The perspective of mothers, fathers, and primary care physicians were sought separately and compared. Methods. Families that include at least 1 child with a chronic health condition were selected from pediatric practices in Central Massachusetts. All 3 respondents completed a questionnaire describing their own perspective of current needs and of the severity of the child's condition. The 3 perspectives are compared statistically and areas of agreement/disagreement are described. Results. Mothers, fathers, and physicians described children's and families' needs with a surprising degree of concordance. On the other hand, pediatricians identified fewer needs, despite rating the severity of children's illnesses as greater than did parents. Mothers and fathers agreed substantially about the level of severity of their child's condition and about their unmet needs. Conclusions. It is important that pediatric practice systems include effective mechanisms to assess parents' opinions regarding the unmet needs of their child/family in the face of a child with a chronic health condition. Without input from families, pediatricians are aware of only some of the needs that parents identify. Pediatrics 2000;105:277–285;children, chronic health condition.

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Baindurashvili, Alexey Georgievich, Karina Surenovna Solovyova, Anna Vladimirovna Zaletina, Natalia Valentinovna Dolzhenko, and Yurii Alexeevich Lapkin. "Children's injuries and special care service for children of St. Petersburg." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 1, no. 1 (March 15, 2013): 4–9. http://dx.doi.org/10.17816/ptors114-9.

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The most important indicators of children's health are the rates of children’s traumas and children’s disability due to injuries. According to these indicators one can estimate the availability and the quality of medical care as well as the effectiveness of preventive measures. The objective of the study was to analyze the statistics on children’s injuries in St. Petersburg in 2011 and a comparison of injury rates and condition of trauma care to children with similar average indicators across Russia and the North-Western Federal District. For the analysis we used statistical data of public health institution "Medical information analysis center" of the Health Care Committee of St. Petersburg and the data of the state statistical reporting of the Health Ministry of Russia. For better clearness, not absolute but relative data is used in the article as a percentage of the total number or in terms of the corresponding for 1000 by sex and age of the children’s population. We also used our own data of analysis of special care to children with injuries in health care facilities and work of pediatric medical social expert commission of the city.

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Landier, Wendy, Smita Bhatia, Debra A. Eshelman, Katherine J. Forte, Teresa Sweeney, Allison L. Hester, Joan Darling, et al. "Development of Risk-Based Guidelines for Pediatric Cancer Survivors: The Children's Oncology Group Long-Term Follow-Up Guidelines From the Children's Oncology Group Late Effects Committee and Nursing Discipline." Journal of Clinical Oncology 22, no. 24 (December 15, 2004): 4979–90. http://dx.doi.org/10.1200/jco.2004.11.032.

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The Children’s Oncology Group Long-Term Follow-Up Guidelines for Survivors of Childhood, Adolescent, and Young Adult Cancers are risk-based, exposure-related clinical practice guidelines intended to promote earlier detection of and intervention for complications that may potentially arise as a result of treatment for pediatric malignancies. Developed through the collaborative efforts of the Children’s Oncology Group Late Effects Committee, Nursing Discipline, and Patient Advocacy Committee, these guidelines represent a statement of consensus from a multidisciplinary panel of experts in the late effects of pediatric cancer treatment. The guidelines are both evidence-based (utilizing established associations between therapeutic exposures and late effects to identify high-risk categories) and grounded in the collective clinical experience of experts (matching the magnitude of risk with the intensity of screening recommendations). They are intended for use beginning 2 or more years following the completion of cancer therapy; however, they are not intended to provide guidance for follow-up of the survivor’s primary disease. A complementary set of patient education materials (“Health Links”) was developed to enhance follow-up care and broaden the application of the guidelines. The information provided in these guidelines is important for health care providers in the fields of pediatrics, oncology, internal medicine, family practice, and gynecology, as well as subspecialists in many fields. Implementation of these guidelines is intended to increase awareness of potential late effects and to standardize and enhance follow-up care provided to survivors of pediatric cancer throughout the lifespan. The Guidelines, and related Health Links, can be downloaded in their entirety at www.survivorshipguidelines.org .

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Frick, Sandra B. "Pediatric Psychosocial Research: A Concern of All Children's Health Care Professionals." Children's Health Care 14, no. 4 (March 1986): 196–97. http://dx.doi.org/10.1207/s15326888chc1404_1.

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VITIELLO, BENEDETTO, and KIMBERLY HOAGWOOD. "Pediatric Pharmacoepidemiology: Clinical Applications and Research Priorities in Children's Mental Health." Journal of Child and Adolescent Psychopharmacology 7, no. 4 (January 1997): 287–90. http://dx.doi.org/10.1089/cap.1997.7.287.

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Blair, Mitch. "Promoting children's health." Paediatrics and Child Health 20, no. 4 (April 2010): 174–78. http://dx.doi.org/10.1016/j.paed.2010.01.006.

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Landrigan, Philip J. "CHILDREN'S ENVIRONMENTAL HEALTH." Pediatric Clinics of North America 48, no. 5 (October 2001): 1319–30. http://dx.doi.org/10.1016/s0031-3955(05)70377-1.

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Crain, Ellen F. "Environmental Threats to Children's Health: A Challenge for Pediatrics: 2000 Ambulatory Pediatric Association (APA) Presidential Address." Pediatrics 106, Supplement_3 (October 1, 2000): 871–75. http://dx.doi.org/10.1542/peds.106.s3.871.

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Duderstadt, Karen, Margaret Brady, and Dolores Jones. "Pediatric Nurse Practitioners and the National Association of Pediatric Nurse Practitioners: A voice for children's health." Nurse Leader 3, no. 6 (December 2005): 47–50. http://dx.doi.org/10.1016/j.mnl.2005.10.001.

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Garcia-Schinzari, Nathalia Rodrigues, and Franklin Santana Santos. "Assistance to children in palliative care in the Brazilian scientific literature." Revista Paulista de Pediatria 32, no. 1 (March 2014): 99–106. http://dx.doi.org/10.1590/s0103-05822014000100016.

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Objective: To describe what has been published in Brazilian scientific literature regarding pediatric palliative care. Data sources: Bibliographic review with a descriptive approach. In LILACS and SciELO databases, the descriptors "palliative care", "child", "pediatrics", "terminal illness" and "death" were sought, from January 2002 to December 2011. The eight selected articles were analyzed according to year of publication, type of study, data collected, target population, pathology, professionals involved, types of care and main findings. Data synthesis: Regarding the year of publication, there was an increase in the number of publications related to pediatric palliative care. Regarding the type of study, four articles were literature reviews and four were qualitative researches. Data was collected mainly by semi-structured interviews. The participants of the majority of the studies were children's relatives and health professionals. The main pathology addressed was cancer and the nurses were the most frequently cited professionals. The types of care provided were related to physical aspects, general care and psychological, social and spiritual aspects (less emphasis). The main findings were: little emphasis on the children's needs, the importance of including the family in the care provided and the lack of preparation of the health team. Conclusions: Despite the difficulties and the challenges in establishing pediatric palliative care, many articles brought important considerations for the development of this practice in the country.

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Dobrin, Robert S., Janet Cunningham, Mary Dexter, Chelle Gifford, Liz Ivancie, Kathy Mayer, Mary Kay McCabe, and Thomas A. Massaro. "The Pediatric Emergency Transport System: Momentum toward Regionalization." Prehospital and Disaster Medicine 1, S1 (1985): 156–57. http://dx.doi.org/10.1017/s1049023x00044265.

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Tertiary care for critically ill children requires a safe, efficient transport modality designed for the pediatric patient. This system should be capable of delivering mobile intensive care en route after resuscitation and stabilization at the sending hospital.In July 1979, a Pediatric Emergency Transport Service (PETS) was organized at The Children's Hospital, Denver, to provide physicians of the Rocky Mountain-Plains Region with the capability of triaging pediatric nonneonatal patients to three Denver Pediatric Intensive Care Units (PICU's). The components of the system included: (1) a transport team comprising of a medical attending-director, twelve transport physicians including nine pediatricians, two anesthesiologists and one surgeon, six pediatric transport nurses, six pediatric transport respiratory therapists, and four emergency medical technicians; (2) a communication dispatch system; (3) an answering service with Wide Area Telecommunications Service capability; (4) an equipment depot within the PICU at The Children's Hospital; (5) a complete dispatch log; (6) a continuing education and information system for the team, providers, consumers and health planners; (7) a cost and administrative center with established billing procedures and support services; (8| management, drug and equipment protocols, and (9) specifically designed air and ground ambulances which are owned and/or leased by The Children's Hospital.

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Barbosa, Silvia Maria de Macedo, Sylvia Costa Lima Farhat, Lourdes Conceição Martins, Luiz Alberto Amador Pereira, Paulo Hilário Nascimento Saldiva, Antonella Zanobetti, and Alfésio Luís Ferreira Braga. "Air pollution and children's health: sickle cell disease." Cadernos de Saúde Pública 31, no. 2 (February 2015): 265–75. http://dx.doi.org/10.1590/0102-311x00013214.

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The hallmarks of sickle cell disease are anemia and vasculopathy. The aim of this study was to assess the association between air pollution and children's emergency room visits of sickle cell patients. We adopted a case-crossover design. Daily counts of children's and adolescents' sickle cell disease emergency room visits from the pediatric emergency unit in São Paulo, Brazil, were evaluated from September 1999 to December 2004, matching by temperature, humidity and controlling for day of the week. Interquartile range increases of the four-day moving averages of PM10, NO2, SO2, CO, and O3 were associated with increases of 18.9% (95%CI: 11.2-26.5), 19% (95%CI: 8.3-29.6), 14.4% (95%CI: 6.5-22.4), 16,5% (95%CI: 8.9-24.0), and 9.8% (95%CI: 1.1-18.6) in total sickle cell emergency room visits, respectively. When the analyses were stratified by pain, PM10 was found to be 40.3% higher than in sickle cell patients without pain symptoms. Exposure to air pollution can affect the cardiovascular health of children and may promote a significant health burden in a sensitive group.

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Miller, M. "Roles for Children's Hospitals in Pediatric Collaborative Improvement Networks." PEDIATRICS 131, Supplement (May 31, 2013): S215—S218. http://dx.doi.org/10.1542/peds.2012-3786i.

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Mistry, Kamila B., Francis Chesley, Karen LLanos, and Denise Dougherty. "Advancing Children's Health Care and Outcomes Through the Pediatric Quality Measures Program." Academic Pediatrics 14, no. 5 (September 2014): S19—S26. http://dx.doi.org/10.1016/j.acap.2014.06.025.

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Garrison, William T., Edward N. Bailey, Jane Garb, Bruce Ecker, Peter Spencer, and David Sigelman. "Interactions Between Parents and Pediatric Primary Care Physicians About Children's Mental Health." Psychiatric Services 43, no. 5 (May 1992): 489–93. http://dx.doi.org/10.1176/ps.43.5.489.

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Cartland, Jenifer D. C., and Beth K. Yudkowsky. "Barriers to Pediatric Referral in Managed Care Systems." Pediatrics 89, no. 2 (February 1, 1992): 183–92. http://dx.doi.org/10.1542/peds.89.2.183.

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Anecdotal evidence suggests that children's access to pediatric subspecialty and inpatient care is hampered by referral barriers imposed by managed care systems. To identify such barriers and determine how they affect the referral process, a sample of American Academy of Pediatrics Fellows (n = 1598) was surveyed. The response rate was 79.1% (n = 1264). Of those pediatricians in direct patient care (n = 956), 71.4% participated in a managed care plan. Pediatricians referred patients in managed care systems somewhat less frequently than in traditional pay systems: 8.7% and 6.9% referred managed care patients to subspecialists and inpatient care, respectively, less often. More than 20% and 10% of pediatricians with patients in managed care systems had at least one referral to subspecialist care and inpatient care, respectively, denied in the previous year. Pediatricians experienced more barriers in preferred provider organizations than in health maintenance organizations. These data suggest that utilization management programs, such as those used in managed care systems, may limit necessary access to pediatric subspecialty and inpatient care.

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Zaritsky, Arno, Vinay Nadkarni, Mary Fran Hazinski, George Foltin, Linda Quan, Jean Wright, Debra Fiser, et al. "Recommended Guidelines for Uniform Reporting of Pediatric Advanced Life Support: The Pediatric Utstein Style." Pediatrics 96, no. 4 (October 1, 1995): 765–79. http://dx.doi.org/10.1542/peds.96.4.765.

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This consensus document is an attempt to provide an organized method of reporting pediatric ALS data in out-of-hospital, emergency department, and in-hospital settings. For this methodology to gain wide acceptance, the task force encourages development of a common data set for both adult and pediatric ALS interventions. In addition, every effort should be made to ensure that consistent definitions are used in all age groups. As health care changes, we will all be challenged to document the effectiveness of what we currently do and show how new interventions or methods of treatment improve outcome and/or reduce cost. Only through collaborative research will we obtain the necessary data. For these reasons, and to improve the quality of care and patient outcomes, it is the hope of the task force that clinical researchers will follow the recommendations in this document. It is recognized that further refinements of this statement will be needed; these recommendations will improve only when researchers, clinicians, and EMS personnel use them, work with them, and modify them. Suggestions, emendations, and other comments aimed at improving the reporting of pediatric resuscitation should be sent to Arno Zaritsky, MD, Eastern virginia Medical School, Children's Hospital of The King's Daughter, Division of Critical Care Medicine, 601 Children's Lane, Norfolk, VA 23507.

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Feeney, William. "Exercise and children's health." Journal of Pediatrics 118, no. 4 (April 1991): 560. http://dx.doi.org/10.1016/s0022-3476(05)83378-5.

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Zhou, JianFu, ZhenZhen Li, Hongyan Meng, Yue-Cune Chang, Niang-Huei Peng, and BiRong Wei. "Chinese Parental Awareness of Children's COVID-19 Protective Measures." American Journal of Health Behavior 45, no. 4 (July 26, 2021): 657–64. http://dx.doi.org/10.5993/ajhb.45.4.5.

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Objectives: In this research our aim was to investigate Chinese parents' awareness of pediatric COVID-19 in relation to protecting their children. Methods: A cross-sectional study was conducted in Fujian provinces in China using a Web-based questionnaire to survey parents of children aged 6 to 16 years old. Results: The sample included 1222 participants. Overall, 99.2% of participants were aware of respiratory transmission of COVID-19, and 75.6% also believed fecal-oral transmission to be possible. Although 98.3% of participants claimed to know how to wear and remove masks properly, some parents were unaware of good handwashing techniques and answered incorrectly regarding cough etiquette. Parents also seemed uncertain about pediatric COVID-19 symptoms. Awareness scores significantly differed across parental role, educational attainment levels, and social-economic levels (p value < .005), with fathers, more educated parents, and those of higher income showing greater levels of awareness.Conclusion: Research results suggest an urgent need for parental education regarding COVID-19 in children, especially regarding handwashing techniques and cough etiquette; educational outreach for both parents and schoolchildren is critical.

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Chen, Jyu-Lin, and Christine M. Kennedy. "Television Viewing and Children's Health." Journal for Specialists in Pediatric Nursing 6, no. 1 (January 2001): 35–38. http://dx.doi.org/10.1111/j.1744-6155.2001.tb00117.x.

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Meadows, Anna T., and Giùlio J. D'Angio. "The Children's Hospital of Philadelphia Program in Pediatric Oncology." Pediatric Hematology and Oncology 14, no. 2 (January 1997): 97–100. http://dx.doi.org/10.3109/08880019709030894.

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Zeltzer, Lonnie K., Ronald G. Barr, Patricia A. McGrath, and Neil L. Schechter. "Pediatric Pain: Interacting Behavioral and Physical Factors." Pediatrics 90, no. 5 (November 1, 1992): 816–21. http://dx.doi.org/10.1542/peds.90.5.816.

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Pain in infants, children, and adolescents warrants study from a developmental, behavioral, and physiological perspective because maturation of physical, emotional, and cognitive systems influences the way in which pain is experienced and expressed. Pediatric pain is an underdeveloped area ripe for study within the realm of developmental and behavioral pediatrics, as noted by documentation of its undertreatment in children. The focus of this paper is to present issues relevant to the study of pain in children, using the example of the recurrent abdominal pain syndrome to illustrate points regarding epidemiology, assessment, and intervention. It is the opinion of these authors that pediatric pain must be understood from a developmental perspective in both clinical and nonclinical populations of children. Multidisciplinary approaches to research in pain aids in understanding the development of nociceptive transmission and inhibitory systems, the development of pain expression, and the influence of context on pain experience and behavior. The goal of research in pediatric pain is to understand these systems within a developmental context so that preventive and therapeutic intervention strategies can be developed to reduce children's distress and pain-related disability.

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Albitskiy, V. Yu, and N. V. Ustinova. "Social pediatrics: scientometric analysis." Kazan medical journal 95, no. 1 (February 15, 2014): 103–7. http://dx.doi.org/10.17816/kmj1467.

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Aim. To identify trends of further development, priorities, challenges and vectors of further research in social pediatrics. Methods. Interpretive content analysis of dissertations in the field of public health and healthcare for the period from 1991 to 2012 was performed. 4194 items were analyzed. Results. At the first stage of the research, it was found that 14.8% of public health dissertations presented during the research period addressed pediatric problems. The next stage included qualitative and quantitative analysis of top-priority topics of social pediatrics in public health dissertations. The analysis of social pediatrics areas included the following categories: (1) studies of social (psychosocial) determinants of children’s health; (2) studies of health condition of children and adolescents in a stressful situation; (3) organization of medical and social aid to children. Studies of social (psychosocial) determinants of children’s health were the most common (35.9 %). Studies of health status of vulnerable children and adolescents had a share of 15% of all studies. 7.6% of studies were devoted to pediatric medical and social aid organization. Conclusion. It is important to facilitate the research in social pediatrics to optimize the scientific data and improve pediatric medical and social aid.

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Harvey, Birt. "Introduction." Pediatrics 98, no. 6 (December 1, 1996): v. http://dx.doi.org/10.1542/peds.98.6.v.

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One of the ongoing objectives of the Johnson & Johnson Pediatric Institute is to provide pediatricians with practical information on issues that will improve the health of children. Each year the Board of Trustees selects a topic whose importance is just becoming clear, a topic that is not being addressed adequately in other forums or in the usual pediatric reference sources. Recent topics have included what the pediatrician can contribute toward violence prevention and how the pediatrician can thrive in the changing health care system. The Board of Trustees chose community-based education for the pediatric resident as the 1996 topic. A variety of factors, including the dramatic increase in managed care during the past few years, has led to an increasing proportion of children's care being shifted from inpatient to outpatient settings and has augmented the need for pediatrician involvement in public health and community issues. Some necessary major changes in resident education are reflected in the new Pediatric Residency Review Committee requirements and in the Pediatric Education in Community Settings. A Manual, whose sponsors or supporters included the Ambulatory Pediatric Association, the American Academy of Pediatrics, and the Health Resources and Services Administration. After the Board selected this topic for the 1996 conference, a planning committee—Errol Alden, Carol Berkowitz, Tom DeWitt, Lewis First, Alan Kohrt, and Ken Roberts—determined the structure, content, target audience, and possible faculty. Tom DeWitt and Ken Roberts, chosen as co-chairs, assumed the crucial and laborious tasks of developing the specifics of the program and of identifying the conference faculty and the invitees.

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Frazier, Seth, Daniel Hyman, and Steven Altschuler. "The Changing Health Care Environment: Implications for Residency Training." Pediatrics 101, Supplement_3 (April 1, 1998): 795–804. http://dx.doi.org/10.1542/peds.101.s3.795.

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Throughout the United States, the growth of managed care is forcing pediatric providers (physicians and hospitals) to reconstruct and integrate the health care delivery system with a focus away from the academic center and toward the community. Managed care also is forcing new financing approaches geared toward the assumption of economic risk for patient management and utilization of services. Radical changes in pediatric training programs will be necessary to accommodate the strategic and operational changes being pursued in response to these evolving market forces. These changes, while disruptive, will strengthen the breadth and diversity of graduate medical education and will better prepare trainees for the new delivery system in which they will practice. In this article, we examine how the evolution of managed care is redefining the basic financial and organizational framework for pediatric care and the implications of this redefinition for children's hospitals and academic medical center-based pediatric programs. We draw on our experience in the greater Philadelphia market to illustrate the impact of these changes and discuss one pediatric system's response. Finally, we review the educational opportunities provided by these changes.

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Stein, Ruth E. K. "Measurement of Children's Health." Ambulatory Pediatrics 4, no. 4 (July 2004): 365–70. http://dx.doi.org/10.1367/a03-193r.1.

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Folli, Hugo L., Robert L. Poole, William E. Benitz, and Janita C. Russo. "Medication Error Prevention by Clinical Pharmacists in Two Children's Hospitals." Pediatrics 79, no. 5 (May 1, 1987): 718–22. http://dx.doi.org/10.1542/peds.79.5.718.

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The purpose of this study was to record prospectively the frequency of and potential harm caused by errant medication orders at two large pediatric hospitals. The objective of the study was to assess the impact of pharmacist intervention in preventing potential harm. The study was conducted during a 6-month period. A total of 281 and 198 errors were detected at the institutions. The overall error rates for the two hospitals were 1.35 and 1.77 per 100-patient days, and 4.9 and 4.5 per 1,000 medication orders, respectively. Pediatric patients aged 2 years and less and pediatric intensive care unit patients received the greatest proportion of errant orders. Neonatal patients received the lowest rate of errant orders. The most common type of error was incorrect dosage, and the most prevalent type of error was overdosage. Antibiotics was the class of drugs for which errant orders were most common. Orders for theophylline, analgesics, and fluid and electrolytes, including hyperalimentation, were also frequently in error. In general, the error rate was greatest among physicians with the least training, but no physician group was error free. Involving pharmacists in reviewing drug orders significantly reduced the potential harm resulting from errant medication orders.

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Cuttler, Leona, and Genevieve M. Kenney. "State Children's Health Insurance Program and Pediatrics." Archives of Pediatrics & Adolescent Medicine 161, no. 7 (July 1, 2007): 630. http://dx.doi.org/10.1001/archpedi.161.7.630.

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Lewis, Catherine C., Robert H. Pantell, and Lee Sharp. "Increasing Patient Knowledge, Satisfaction, and Involvement: Randomized Trial of a Communication Intervention." Pediatrics 88, no. 2 (August 1, 1991): 351–58. http://dx.doi.org/10.1542/peds.88.2.351.

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A brief educational intervention to promote effective communication between physicians, children, and parents during pediatric office visits was designed and tested. A randomized clinical trial involving 141 children (5- to 15-year-olds) tested the effectiveness of the intervention to improve the process and outcome of medical care. The intervention was contained in three brief videotapes (one each for parents, physicians, and patients) and in accompanying written materials. Materials were designed to build skills and motivation for increased child competence and participation during pediatric medical visits. Control subjects saw health education videotapes and received materials comparable in length with those of experimental subjects. Postintervention medical visit process was analyzed using videotapes of visits. Visit outcomes, assessed with standardized instruments and interviews, included children's rapport with physicians, children's anxiety, children's preference for an active health role, children's recall of information, parents' satisfaction with the medical visit, and physician satisfaction. Results indicated that physicians in the intervention group, compared with their counterparts in the control group, more often included children in discussions of medical recommendations (50% vs 29%, t = 2.39, P < .05); that children in the intervention group, compared with control children, recalled more medication recommendations (77% vs 47%, P < .01) and reported greater satisfaction and preference for an active health role; and that the intervention and control groups did not differ in parent satisfaction, physician satisfaction, or child anxiety. The results suggest that a brief educational intervention administered during waiting room time can positively impact physician-child rapport and children's preference for an active role in health and their acquisition of medical information.

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Rosenzweig, Erika Berman, Steven H. Abman, Dunbar Ivy, and Sheila G. Haworth. "• Identifying the Complex Spectrum of Childhood PAH• Selecting Candidates for Aggressive Treatment." Advances in Pulmonary Hypertension 5, no. 2 (April 1, 2006): 36–42. http://dx.doi.org/10.21693/1933-088x-5.2.36.

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This discussion was moderated by Erika Berman Rosenzweig, MD, Assistant Professor of Pediatrics (in Medicine), Columbia University College of Physicians and Surgeons, New York, New York. Panel members included Steven H. Abman, MD, Professor of Pediatrics and Director of the Pediatric Heart-Lung Center at The Children’s Hospital, University of Colorado School of Medicine, Denver, Colorado; Dunbar Ivy, MD, Associate Professor of Pediatrics, University of Colorado Health Sciences Center, The Children’s Hospital, Chief of Pediatric Cardiology, and Director of the Pulmonary Hypertension Program, University of Colorado Health Sciences Center, Denver, Colorado; and Sheila G. Haworth, MD, FRCP, Professor of Developmental Cardiology, Institute of Child Health, University College, London, UK, and Lead Clinician at the United Kingdom Pulmonary Hypertension Service for Children.

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Melzer, Sanford M., and Steven R. Poole. "Computerized Pediatric Telephone Triage and Advice Programs at Children's Hospitals." Archives of Pediatrics & Adolescent Medicine 153, no. 8 (August 1, 1999): 858. http://dx.doi.org/10.1001/archpedi.153.8.858.

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Senturia, Yvonne D., Katherine Kaufer Christoffel, and Mark Donovan. "Children's Household Exposure to Guns: A Pediatric Practice-Based Survey." Pediatrics 93, no. 3 (March 1, 1994): 469–75. http://dx.doi.org/10.1542/peds.93.3.469.

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Guns in the home are a factor in pediatric unintentional and intentional firearm injuries, yet the patterns of ownership and use are unclear. Objectives. To describe the prevalence of firearms in households containing children who go to pediatricians, the types of firearms owned, the purposes of such ownership, the conditions of firearm storage, and the social correlates of ownership. Methods. Survey of parents attending 29 (urban, suburban, and rural) pediatric practices in Chicago, New Jersey, Houston, Utah, Georgia, Iowa, and South Carolina for well or sick child care during a 1-week study period. The main outcome measure was ownership of rifle/shotgun and/or handgun. Results. Gun ownership was reported by 37% of 5233 respondent families: rifles (26%), handguns (17%), and powder firearm (32%). Ownership varied significantly across practices and geographical locations. Thirteen percent of 823 handguns and 1% of 1327 rifles were reported both unlocked and loaded. Recreation was the most common reason for both rifle (75%) and handgun (59%) ownership; 48% of handguns were kept for self-protection versus 21% of rifles. In logistic regression models, predictor variables for firearm ownership included rural area, single family dwelling, at least one adult male, and fewer preschool children (for handgun and rifle); mother with at least 12 years education (for handgun), and white mother (for rifle). Conclusions. The data presented suggest that US pediatricians routinely see children in families that own firearms, including a worrisome number that keep loaded and unlocked handguns. Until more detailed information becomes available, it is reasonable for pediatricians to be guided by these data, and so to counsel routinely about gun exposure.

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MORROW, GRANT. "Residency Training in Management of Child Abuse." Pediatrics 82, no. 3 (September 1, 1988): 513–14. http://dx.doi.org/10.1542/peds.82.3.513.

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To state that the specialty of pediatrics has undergone changes in the past 25 years would be a monumental understatement. New therapies and new diseases, as well as new societal ways of looking at children's needs, have stressed both training programs and practice. In the early 1960s, C. Henry Kempe shocked the pediatric world by defining the problem of child abuse. In the intervening time, leaders in the field of pediatrics have stressed the need to add more experience in recognizing and managing psychosocial problems of children to our training programs. In 1975, Dr Robert V. Haggerty and his colleagues formulated the concept of "the new morbidity" referring to the multiple psychosocial problems confronting children in our society.

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Igweze, Zelinjo Nkeiruka, Osazuwa Clinton Ekhator, and Orish E. Orisakwe. "A pediatric health risk assessment of children's toys imported from China into Nigeria." Heliyon 6, no. 4 (April 2020): e03732. http://dx.doi.org/10.1016/j.heliyon.2020.e03732.

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Susan Penfold, P. "Parent's Perceived Responsibility for Children's Problems." Canadian Journal of Psychiatry 30, no. 4 (June 1985): 255–58. http://dx.doi.org/10.1177/070674378503000408.

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Beliefs about parents’ influence on their children's behaviour have developed over the last 300 years. During this century multiple socio-economic, ideological and technological changes have combined to leave expert and lay person alike in a sea of confusion and ambiguity about optimal parent-child relationships. While fashions in child rearing change, the mother is usually accorded responsibility for the child's behaviour and social skills. In this study parents attending a multidisciplinary pediatric clinic were asked their opinion of the source of their child's emotional or behavioural problem. Describing confusion and conflicting advice, most parents had concluded that the problem had multiple roots. Between male and female parents, however, a marked difference was evident in the attribution of responsibility to themselves or their spouses and in their formulation of the nature of parental deficiencies.

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Pasha, Samira. "Barriers to Garden Visitation in Children's Hospitals." HERD: Health Environments Research & Design Journal 6, no. 4 (July 2013): 76–96. http://dx.doi.org/10.1177/193758671300600405.

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OBJECTIVE: This study aimed to identify barriers to use of outdoor spaces in Texas pediatric healthcare facilities. BACKGROUND: Available research on hospital healing gardens and outdoor spaces has indicated that despite several health benefits of garden visitation for staff, patients, and family members, these amenities are not being used to their fullest capacity. Previous researchers have recommended design features such as comfortable seats and adequate shade to increase garden visitation in healthcare setting. However no quantitative data have demonstrated significance of correlation between presence of these design features and garden use. The present study served to statistically support design guidelines suggested by previous researchers and introduce new guidelines. METHODS: Site visits and surveys were conducted in five green outdoor spaces in three pediatric hospitals in east Texas. Hospital visitors, family members, and staff responded to questions concerning barriers to garden visitation, their visitation habits, and satisfaction with the garden features. The study was reviewed and approved by Institutional Review Boards of the relevant hospitals and academic institutions. RESULTS: A negative significant correlation was found between staff garden use and dissatisfaction with quality of seats and poor shade. While quality of seats didn't impact visitor and family member garden visitation, a significant negative correlation was found between poor shade and their garden use. CONCLUSIONS: The study served to statistically support previous design suggestions for hospital gardens, and introduced new design guidelines. Design recommendations include functionality, visibility, accessibility, exclusivity, and availability of shade and seats.

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Journal articles on the topic 'Children's health and pediatric'

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