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Journal articles on the topic 'Pediatric and Child Health'

Author: Grafiati

Published: 11 September 2021

Last updated: 1 February 2022

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1

Erfurt, C., G. Hahn, D. Roesner, and U. Schmidt. "Pediatric radiological diagnostic procedures in cases of suspected child abuse." Health 02, no. 03 (2010): 237–45. http://dx.doi.org/10.4236/health.2010.23034.

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Block, Robert W., and Vincent J. Palusci. "Child Abuse Pediatrics: A new pediatric subspecialty." Journal of Pediatrics 148, no. 6 (June 2006): 711–12. http://dx.doi.org/10.1016/j.jpeds.2006.01.033.

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3

Bernier, A., JS Landry, AS Kristof, L. Carmant, and P. Major. "Child Neurology (General Pediatric Neurology)." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 42, S1 (May 2015): S23. http://dx.doi.org/10.1017/cjn.2015.117.

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Background: Tuberous sclerosis complex (TSC) is a neurocutaneous syndrome that can present with many disabling neurological symptoms, the most common being seizures. Although it is a chronic systemic syndrome, healthcare utilization and long-term outcome of subjects with TSC are not well defined. The goal of this study was to evaluate the direct cost and long-term outcome of TSC compared to other forms of epilepsy and healthy controls. Methods: Our provincial health care database was interrogated to determine use of medical services by patients with TSC, epilepsy and healthy controls from 1996-2011. Data on demographics, outcomes and health care utilization were analyzed. Results: 1004 TSC, 41,934 with epilepsy and 41,934 controls were identified. The prevalence of TSC was 1/7,872 compared to 1/189 for epilepsy. TSC experienced more hospitalizations, medical visits and prescription drug use, resulting in higher total health care costs. Their most common admission diagnosis was seizures and age at death was significantly lower: 61,3 years old for TSC vs 69,6 and 76,6 years old for epilepsy and controls, (p<0,001). Conclusions: TSC subjects have a significantly higher burden of disease than other subjects with epilepsy. These results stress the need for specialized services in this population through the lifespan.

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Dodson, Nancy A., Hina J. Talib, Qi Gao, Jaeun Choi, and Susan M. Coupey. "Pediatricians as Child Health Advocates: The Role of Advocacy Education." Health Promotion Practice 22, no. 1 (June 9, 2020): 13–17. http://dx.doi.org/10.1177/1524839920931494.

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In this article, we discuss the role of formal advocacy education with high-effort advocacy activities among pediatricians. We discuss the historical role of advocacy in the field of pediatrics and the changing role of advocacy education in pediatric training programs. We describe our survey of pediatricians in New York, in which we asked about a history of formal child health advocacy education, current high- and low-effort advocacy activities, perceived barriers to advocacy work, and child health advocacy issues of interest. Our findings demonstrate an association between a history of formal child health advocacy education and recent participation in high-effort advocacy activities on behalf of children’s health. We also found that practicing pediatricians were more likely to participate in high-effort advocacy work than individuals still in pediatric residency training. Our findings imply that education in child health advocacy should be considered an important part of pediatric training. Advocacy education should not only be included in residency and fellowship training programs but also made available as part of continuing medical education for pediatricians. Time for professional advocacy work should be allotted and encouraged.

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Pesic, Vladimir, Budimir Pavlovic, and Jelena Jovanovic-Simic. "The first pediatricians in Serbia." Srpski arhiv za celokupno lekarstvo 133, no. 1-2 (2005): 101–5. http://dx.doi.org/10.2298/sarh0502101p.

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Dr. Platon Papakostopulos (1864-1915), Dr. Milenko Materni (1875-1929), Dr. Milan Petrovic (1886-1963), Dr. Nadezda Stanojevic (1887-1979) and Dr. Djura Jovanovic (1892-1977) were founders of modern pediatrics in Serbia. They established and managed the first pediatric institutions: Hospital pediatric departments, Mother and Child Health Care Consultations and Child welfare clinics in Belgrade and Novi Sad. They also established Pediatric Section of the Serbian Medical Association and published numerous scientific and popular articles in pediatrics.

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Allport, Brandon S., Barry S. Solomon, and Sara B. Johnson. "The Other Parent: An Exploratory Survey of Providers’ Engagement of Fathers in Pediatric Primary Care." Clinical Pediatrics 58, no. 5 (February 14, 2019): 555–63. http://dx.doi.org/10.1177/0009922819829032.

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Although father engagement in pediatric care is associated with positive child health outcomes, pediatric primary care providers (PCPs) often focus on the mother-child dyad. This study sought to characterize pediatric PCPs’ engagement of fathers in care. Pediatric PCPs affiliated with an academic health system were invited to complete an online survey. The primary outcome was the proportion of providers who routinely implement American Academy of Pediatrics recommendations for father engagement. There were 100 respondents. Of the 23 recommended practices for engaging fathers, 18 were routinely implemented by <50% of respondents. The least routinely implemented practices were parenting skills support (4%) and perinatal depression screening (5%). The most commonly endorsed barriers included lack of father attendance at visits (91%) and time constraints (75%). Despite the American Academy of Pediatrics recommendations, pediatric PCPs do not routinely engage fathers in care. Effective strategies are needed to reduce barriers and improve father engagement among pediatric providers.

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7

Shah, RasikS. "Child health initiatives by pediatric surgeons foundation." Journal of Indian Association of Pediatric Surgeons 21, no. 1 (2016): 8. http://dx.doi.org/10.4103/0971-9261.171932.

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8

Cortez, Matthew. "Pediatric Informatics: Computer Applications in Child Health." American Journal of Health-System Pharmacy 68, no. 24 (December 15, 2011): 2370. http://dx.doi.org/10.1093/ajhp/68.24.2370.

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9

Costello, Elizabeth J., and Margaret A. Shugart. "Child mental health and primary pediatric care." Current Opinion in Pediatrics 3, no. 4 (August 1991): 636–41. http://dx.doi.org/10.1097/00008480-199108000-00012.

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10

Torjesen, Kristine, Anna Mandalakas, Robert Kahn, and Burris Duncan. "International Child Health Electives for Pediatric Residents." Archives of Pediatrics & Adolescent Medicine 153, no. 12 (December 1, 1999): 1297. http://dx.doi.org/10.1001/archpedi.153.12.1297.

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11

Skuse, D. "Child Health Behavior: a Behavioral Pediatric Perspective." Archives of Disease in Childhood 61, no. 12 (December 1, 1986): 1248. http://dx.doi.org/10.1136/adc.61.12.1248-a.

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12

Ribeiro, Juliane Portella, Giovana Calcagno Gomes, Maira Buss Thofehrn, Adrize Rutz Porto, and Luisa Pereira Vargas Rodrigues. "Ambiente de pediatria: aspectos que auxiliam no processo de trabalho e na produção de saúde." Revista de Enfermagem UFPE on line 11, no. 12 (December 17, 2017): 5275. http://dx.doi.org/10.5205/1981-8963-v11i12a22786p5275-5281-2017.

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RESUMOObjetivo: identificar aspectos do ambiente de pediatria que auxiliam no processo de trabalho e na produção de saúde. Método: estudo qualitativo, exploratório e descritivo, realizado nas unidades de pediatria de dois Hospitais Universitários. Participaram usuários, profissionais e gestores de enfermagem, totalizando 44 participantes. A coleta de dados ocorreu por meio de entrevistas semiestruturadas, organizadas e tratadas pelo software Nvivo 10. Resultados: a análise dos dados revelou as seguintes categorias: << Organização da unidade >>; << Equipe de enfermagem >>; << Perfil do profissional de enfermagem que atua na pediatria >>; << Relação entre enfermagem e o familiar da criança hospitalizada e Brinquedoteca >>. Conclusão: para que o ambiente de pediatria auxilie no processo de trabalho e na produção de saúde, faz-se imperativo atentar para além dos aspectos estruturais, valorizando as relações estabelecidas na unidade, seja da equipe de enfermagem entre si ou da equipe de enfermagem com a criança e sua família. Descritores: Ambiente de Instituições de Saúde; Humanização da Assistência; Pediatria; Criança Hospitalizada; Enfermagem.ABSTRACTObjective: to identify aspects of the pediatric environment helping the work process and health production. Method: this is a qualitative, exploratory and descriptive study, carried out in the pediatric units of two University Hospitals. The participants were professionals and managers of nursing, totaling 44 participants. Data collection was performed through semi-structured interviews, organized and handled by Nvivo 10 software. Results: data analysis revealed the following categories: << Organization of the unit >>, << Nursing team >>, << Profile of the nursing professional who works in pediatrics >>, << Relation between nursing and the family of the hospitalized child and Toy Library >>. Conclusion: it is imperative to look beyond the structural aspects, valuing the relationships established in the unit, be it between the nursing team or the nursing team with the child and his family for the pediatric environment to assist the work process and health production. Descriptors: Health Facility Environment; Humanization of Assistance; Pediatrics; Hospitalized Child; Nursing.RESUMENObjetivo: identificar aspectos del ambiente de pediatría que auxilian en el proceso de trabajo y en la producción de salud. Método: estudio cualitativo, exploratorio y descriptivo, realizado en las unidades de pediatría de dos Hospitales Universitarios. Participaron usuarios, profesionales y gestores de enfermería, totalizando 44 participantes. La recolección de datos fue por medio de entrevistas semi-estructuradas, organizadas y tratadas por el software Nvivo 10. Resultados: el análisis de los datos reveló las siguientes categorías: << Organización de la unidad >>, << Equipo de enfermería >>, << Perfil del profesional de enfermería que actúa en la pediatría >>, << Relación entre enfermería y el familiar del niño hospitalizado y Sala de Juegos >>. Conclusión: para que el ambiente de pediatría auxilie en el proceso de trabajo y en la producción de salud, se hace imperativo atentar para además de los aspectos estructurales, valorizando las relaciones establecidas en la unidad, sea del equipo de enfermería entre sí o del equipo de enfermería con el niño y su familia. Descriptores: Ambiente de Instituciones de Salud; Humanización de la Atención; Pediatría; Niño Hospitalizado; Enfermería.

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Zhu, Y., K. Close, L. P. Zeldin, B. A. White, and R. G. Rozier. "Implementation of Oral Health Screening and Referral Guidelines in Primary Health Care." JDR Clinical & Translational Research 4, no. 2 (November 20, 2018): 167–77. http://dx.doi.org/10.1177/2380084418810332.

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Objectives: To determine the oral health screening and referral practices of pediatric providers, their adherence to American Academy of Pediatrics oral health guidelines, and barriers to adherence. Methods: Providers in 10 pediatric practices participating in the North Carolina Quality Improvement Initiative, funded by the Child Health Insurance Program Reauthorization Act of 2009, were asked to complete a 91-item questionnaire. Questions on risk assessment and referral practices were based on those recommended by the American Academy of Pediatrics. Adherence to oral health guidelines was assessed by practitioners’ evaluation of 4 vignettes presenting screening results for an 18-mo-old child with different levels of risk and caries status. Respondents chose referral recommendations assuming adequate and inadequate dentist workforces. Logit models determined the association between barriers specified in Cabana’s framework and adherence (count of 6 to 8 adherent vignettes vs. 0 to 5). Results: Of 72 eligible providers, 53 (74%) responded. Almost everyone (98.1%) screened for dental problems; 45.2% referred in at least half of well-child visits. Respondents were aware of oral health guidelines, expressed strong agreement with them, and reported confidence in providing preventive oral health services. Yet they underreferred by an average of 42% per vignette for the 7 clinical vignette-workforce scenarios requiring an immediate referral. Frequently cited barriers were providers’ beliefs that 1) parents are poorly motivated to seek dental care, 2) oral health counseling has a small effect on parent behaviors, 3) there is a shortage of dentists in their community who will see infants and toddlers, and 4) information systems to support referrals are insufficient. Conclusion: Pediatric clinicians’ beliefs lead to a conscious decision not to refer many patients, even when children should be referred. Knowledge Transfer Statement: Evidence suggests that the primary care–dental referral process needs improvement. This study identifies barriers to delivering recommended preventive oral health services in pediatrics. The information can be used to improve the screening and referral process and, thus, the quality of preventive oral health services provided in primary care. Results also can guide researchers on the selection of interventions that need testing and might close gaps in the referral process and improve access to dental care.

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von Baeyer, Carl L., Bonnie J. Stevens, Christine T. Chambers, Kenneth D. Craig, G. Allen Finley, Ruth E. Grunau, C. Celeste Johnston, et al. "Training Highly Qualified Health Research Personnel: The Pain in Child Health Consortium." Pain Research and Management 19, no. 5 (2014): 267–74. http://dx.doi.org/10.1155/2014/692857.

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BACKGROUND AND OBJECTIVES: Pain in Child Health (PICH) is a transdisciplinary, international research training consortium. PICH has been funded since 2002 as a Strategic Training Initiative in Health Research of the Canadian Institutes of Health Research, with contributions from other funding partners and the founding participation of five Canadian universities. The goal of PICH has been to create a community of scholars in pediatric pain to improve child health outcomes.METHODS: Quantitative analyses enumerated PICH faculty, trainees, training activities and scientific outputs. Interviews with PICH stakeholders were analyzed using qualitative methods capturing perceptions of the program’s strengths, limitations, and opportunities for development and sustainability.RESULTS: PICH has supported 218 trainee members from 2002 through 2013, from 14 countries and more than 16 disciplines. The faculty at the end of 2013 comprised nine co-principal investigators, 14 Canadian coinvestigators, and 28 Canadian and international collaborators. Trainee members published 697 peer-reviewed journal articles on pediatric pain through 2013, among other research dissemination activities including conference presentations and webinars. Networks have been established between new and established researchers across Canada and in 13 other countries. Perceptions from stakeholders commended PICH for its positive impact on the development of pediatric pain researchers. Stakeholders emphasized skills and abilities gained through PICH, the perceived impact of PICH training on this research field, and considerations for future training in developing researchers in pediatric pain.CONCLUSIONS: PICH has been successfully developing highly qualified health research personnel within a Canadian and international community of pediatric pain scholarship.

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15

Work, Henry H. "“Pediatric” or “Child” Psychiatry." Journal of the American Academy of Child & Adolescent Psychiatry 26, no. 3 (May 1987): 453. http://dx.doi.org/10.1097/00004583-198705000-00036.

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16

Mazur, Lynnette J. "Pediatric environmental health." Current Problems in Pediatric and Adolescent Health Care 33, no. 1 (January 2003): 6–25. http://dx.doi.org/10.1067/mps.2003.1.

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17

Yin, H. Shonna, Shalini G. Forbis, and Benard P. Dreyer. "Health Literacy and Pediatric Health." Current Problems in Pediatric and Adolescent Health Care 37, no. 7 (August 2007): 258–86. http://dx.doi.org/10.1016/j.cppeds.2007.04.002.

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18

Ferguson, Elizabeth, and Nancy Costa. "Pediatric Sedation." Journal of the Association for Vascular Access 9, no. 2 (June 1, 2004): 73–77. http://dx.doi.org/10.2309/1552-8855-9.2.73.

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Abstract Health care professionals have a duty to advocate for the children in their care. Children are in delicate stages of their development and cannot be expected to act like little adults. A child may find it difficult to endure a painful procedure. Sedation should be contemplated for any procedure that would impose pain or anxiety on a child. The non-anesthesiologist can safely and effectively administer sedation to a child for diagnostic and therapeutic procedures when institutional policy and procedures are followed.

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19

Simeon, J. G. "Pediatric Psychopharmacology." Canadian Journal of Psychiatry 34, no. 2 (March 1989): 115–22. http://dx.doi.org/10.1177/070674378903400209.

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This article is a brief and selected overview of pediatric psychopharmacology, a field which links medicine, behavioural sciences, and neurosciences to child psychiatry. It will summarize current knowledge and recent advances related to the indications, effects, limitations and research issues of psychostimulants, antidepressants, antipsychotics, anxiolytics, anticonvulsants and diets used in the treatment of child and adolescent psychiatric disorders.

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20

Rogers, Mark C., and Frank A. Oski. "Pediatric anesthesiology, as in pediatrics." Journal of Pediatrics 109, no. 4 (October 1986): 650–51. http://dx.doi.org/10.1016/s0022-3476(86)80230-x.

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21

Robertson, W. J. "Pediatric anesthesiology, as in pediatrics." Journal of Pediatrics 110, no. 6 (June 1987): 999. http://dx.doi.org/10.1016/s0022-3476(87)80439-0.

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Gentles, Thomas L. "Pediatric Cardiology: Requisites in Pediatrics." Journal of Paediatrics and Child Health 43, no. 3 (March 2007): 198–99. http://dx.doi.org/10.1111/j.1440-1754.2007.01048.x.

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Muther, Emily Fazio, Ryan Asherin, Kathryn Margolis, Melissa Buchholz, Maya Bunik, and Ayelet Talmi. "Child Health Matters: Integrating Behavioral Health Services into Pediatric Primary Care." International Journal of Integrated Care 16, no. 6 (December 16, 2016): 159. http://dx.doi.org/10.5334/ijic.2707.

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McEnany, Fiona B., Olutosin Ojugbele, Julie R. Doherty, Jennifer L. McLaren, and JoAnna K. Leyenaar. "Pediatric Mental Health Boarding." Pediatrics 146, no. 4 (September 22, 2020): e20201174. http://dx.doi.org/10.1542/peds.2020-1174.

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Guidotti, Tee L., and Benjamin A. Gitterman. "Global Pediatric Environmental Health." Pediatric Clinics of North America 54, no. 2 (April 2007): 335–50. http://dx.doi.org/10.1016/j.pcl.2007.03.002.

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Edelstein, Burton L. "Pediatric Oral Health Policy." Pediatric Clinics of North America 65, no. 5 (October 2018): 1085–96. http://dx.doi.org/10.1016/j.pcl.2018.05.012.

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Lavigne, John V., and Kathryn Mendelsohn Meyers. "Meta-Analysis: Association of Parent and Child Mental Health with Pediatric Health Care Utilization." Journal of Pediatric Psychology 44, no. 9 (June 24, 2019): 1097–110. http://dx.doi.org/10.1093/jpepsy/jsz049.

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Abstract Objective To examine the association of psychological factors and pediatric health care utilization. Method Ovid Medline and PsychInfo were searched and archival and forward searchers were conducted of relevant articles. Studies of the association between psychological risk factors and pediatric health care utilization of outpatient services, emergency department, inpatient length of stay, and costs were identified. Effect sizes were expressed in the form of the standardized mean difference. From 4,546 studies identified in the search, 69 studies met inclusion criteria. Results There were significant low-moderate associations between higher outpatient visits and general child mental health (MH) problems (mean ES [mES] = 0.35), overall psychopathology (mES = 0.44), and internalizing symptoms (mES = 0.16). Results were significant for any parent MH problem (mES = 0.18). For emergency department (ED) visits, there were significant association between more ED visits and any child MH problems (mES = 0.25), internalizing symptoms (mES = 0.24), externalizing symptoms (mES = 0.16), and Attention Deficit/Hyperactivity Disorder (mES= 0.14), as well as parent MH (mES = 0.24) and maternal depression (mES = 0.21). Increased hospitalizations were associated with any child MH problem (mES = 0.3), overall child psychopathology (mES = 0.49), child depression (ES = 0.41), and any parent MH problem (mES = 0.54). For costs, results were significant for any child MH problem (mES = 0.38). Conclusions Child and parent MH problems are significantly associated with increased HCU.

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Koller, Donna, and Sherry Espin. "Views of children, parents, and health-care providers on pediatric disclosure of medical errors." Journal of Child Health Care 22, no. 4 (March 20, 2018): 577–90. http://dx.doi.org/10.1177/1367493518765220.

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Despite the prevalence of medical errors in pediatrics, little research examines stakeholder perspectives on the disclosure of adverse events, particularly in the case of children’s own perspectives. Stakeholder perspectives, however, are integral to informing processes for pediatric disclosure. Building on a systematic review of the literature, this article presents findings from a series of focus groups with key pediatric stakeholders where perspectives were sought on the disclosure of medical errors. Focus groups were conducted with three stakeholder groups. Participants included child members of the Children’s Council from a large pediatric hospital ( n = 14), parents of children with chronic medical conditions ( n = 5), and health-care providers including physicians, nurses, and patient safety professionals ( n = 27). Children acknowledged various disclosure approaches while citing the importance of children’s right to know about errors. Parents generally identified the need for full disclosure and the uncovering of hidden errors. Health-care providers were concerned about the process of disclosure and whether it always served the best interest of the child or family. While some health-care providers addressed the need for more clarity in pediatric policies, most stakeholders agreed that a case-by-case approach was necessary for supporting variations in how medical errors are disclosed.

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Koltsova, N. S., D. V. Pechkurov, G. A. Makovetskaya, L. I. Zakharova, and G. Yu Poretskova. "A CHILD UPCOUNTRY DOCTOR - BY THE LABOR AND MERCY OF GOD." Russian Pediatric Journal 21, no. 2 (April 30, 2019): 121–26. http://dx.doi.org/10.18821/1560-9561-2018-21-2-121-126.

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Data on the history of children’s health in the Samara region and the establishment of the Pediatric Faculty of the Samara State Medical University are presented. The initiator of the creation of the Pediatric Faculty in 1970 was prof. A.I. Miloserdova, who was in charge of the Department of Children’s diseases from 1957 to 1981. She both actively used the clinics of the regional children’s hospital as a base for the training pediatricians and made a great contribution to the development of the pediatric service of the Samara region. For many years her leadership of the Department of Children’s Diseases contributed to the formation of unforgettable principles of the activity not only of the Department but also of the regional children’s hospital: love for pediatrics, academicism, benevolence, decency, aspiration for new knowledge. A.I. Miloserdova prepared a whole galaxy of brilliant students, who both head the Departments of the Pediatric Faculty and implement new technologies for teaching, diagnosis, and treatment in all branches of the pediatric service of the city and the region.

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Albert, Dara V. F., Anup D. Patel, Maria Behnam-Terneus, Beatriz Cunill-De Sautu, Nicole Verbeck, Alisa McQueen, H. Barrett Fromme, and John D. Mahan. "Child Neurology Education for Pediatric Residents:." Journal of Child Neurology 32, no. 3 (December 20, 2016): 293–300. http://dx.doi.org/10.1177/0883073816680758.

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The aim of this study was to evaluate whether the current state of child neurology education during pediatric residency provides adequate preparation for pediatric practice. A survey was sent to recent graduates from 3 pediatric residency programs to assess graduate experience, perceived level of competence, and desire for further education in child neurology. Responses from generalists versus subspecialists were compared. The response rate was 32%, half in general pediatric practice. Only 22% feel very confident in approaching patients with neurologic problems. This may represent the best-case scenario as graduates from these programs had required neurology experiences, whereas review of Accreditation Council of Graduate Medical Education–accredited residency curricula revealed that the majority of residencies do not. Pediatric neurologic problems are common, and pediatric residency graduates do encounter such problems in practice. The majority of pediatricians report some degree of confidence; however, some clear areas for improvement are apparent.

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Fernandes, Vitor de Almeida, Ana Cláudia B. Scucuglia, Ricardo Alessandro T.Gonsaga, and Terezinha Soares Biscegli. "Contribution of the Activities Diary to the pediatric teaching." Revista Paulista de Pediatria 31, no. 3 (September 2013): 366–70. http://dx.doi.org/10.1590/s0103-05822013000300014.

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OBJECTIVE To describe the fifth-year medical students' self-evaluation based on the reflexive discourse of the Activities Diaries (portfolio) from the Pediatric Internship I and Child Care Rotations. METHODS Cross sectional, qualitative and descriptive study using the collective subject discourse of the diaries used during the internship of the Medical School, in Catanduva, São Paulo, from January to November, 2011. The registered students' testimonials in the portfolio sections called self-assessment and students' impression were assessed according to their central ideas (discipline organization, breastfeeding outpatient clinic, number of admissions in the pediatric hospital ward and satisfaction with the Child Health training ), related to the teaching of Pediatrics and Child Care. The portfolios with incomplete registers were excluded. RESULTS The testimonials of 47 interns (75% of the students) were analyzed, and 21.3% of them expressed satisfaction with the discipline organization and 27.7% praised the inclusion of the breastfeeding outpatient clinics in the course. For 25.5% of the academics, the number of admissions in the pediatric wards was insufficient for an ideal learning; however, 70.2% were satisfied with the Child Health training. CONCLUSIONS This critical analysis allowed a summary of the reflections, suggestions and critics registered by the interns and can be used as a tool for improvement of the professional cycle.

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Kuo, Alice A., Rashmi Shetgiri, Alma D. Guerrero, Patricia M. Barreto, Victor H. Perez, Karen Fond, and Wendelin Slusser. "A Public Health Approach to Pediatric Residency Education: Responding to Social Determinants of Health." Journal of Graduate Medical Education 3, no. 2 (June 1, 2011): 217–23. http://dx.doi.org/10.4300/jgme-d-10-00150.1.

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Abstract Objective To evaluate the impact of a public health approach to pediatric residency education on learner knowledge, skills, attitudes, beliefs, and career choice. Background Incorporating public health principles into traditional residency education can give pediatricians the population-oriented perspective to address social determinants of health. Methods The Community Health and Advocacy Training (CHAT) program is an educational intervention with a public health framework. From 2001–2007, 215 categorical pediatric residents and 37 residents in the CHAT program were evaluated by using an annual survey of community pediatrics exposure, knowledge, attitudes, and beliefs. American Board of Pediatrics (ABP) examination passage rates for both groups were also examined, as was career choice after graduation. Results While interns in both the categorical and CHAT programs scored similarly on attitudes, beliefs, skills, and knowledge of community pediatrics, the postgraduate level-3 (PL-3) year CHAT residents scored higher in attitudes (P < .001) and skills (P < .05). Exposure to both didactic (P < .05) and practical (P < .001) community pediatrics curricular experiences were higher for CHAT residents than for categorical residents. No significant differences between ABP examination scores were found for the 2 groups, although 100% of CHAT graduates passed on the first try compared to 91% of categorical graduates during this time period. A greater percentage of CHAT graduates (82%) than categorical graduates (53%) reported pursuing careers in primary care. Conclusion With a public health approach to residency education, residents gain the knowledge, attitudes, and skills to address child health problems from a population perspective. Participation in such a curriculum still resulted in high passage rates on the ABP examination.

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Ragunanthan, Braveen, Emily J. Frosch, and Barry S. Solomon. "On-site Mental Health Professionals and Pediatric Residents in Continuity Clinic." Clinical Pediatrics 56, no. 13 (January 12, 2017): 1219–26. http://dx.doi.org/10.1177/0009922816681136.

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The objective of the study was to examine differences in pediatric resident perceptions and practices related to child mental health conditions in continuity clinic settings with versus without on-site mental health professionals (MHPs). A 20-item questionnaire, based on the American Academy of Pediatrics Periodic Survey Number 59, was administered to pediatric residents in a medium-sized program from 2008 to 2011. Of 130 residents surveyed, compared with their peers, those practicing with the on-site MHPs were more likely to report mental health services as very available in their clinic (odds ratio [OR] = 39.7; P = .000). Residents with on-site MHPs inquired more frequently about attention-deficit/hyperactivity disorder (ADHD; OR = 2.96; P = .029) and referred more frequently for ADHD (OR = 3.68; P = .006), depression (OR = 2.82; P = .030), and behavioral problems (OR = 3.04; P = .012). On-site MHPs in continuity clinics offer great potential to improve resident education and patient care. Additional research is necessary to further understand their impact.

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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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Tighe, M. P. "Pediatric endocrinology: the requisites in pediatrics." Archives of Disease in Childhood 90, no. 7 (July 1, 2005): 768. http://dx.doi.org/10.1136/adc.2004.070516.

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Cameron, Fergus. "PEDIATRIC ENDOCRINOLOGY: THE REQUISITES IN PEDIATRICS." Journal of Paediatrics and Child Health 41, no. 4 (April 2005): 233–34. http://dx.doi.org/10.1111/j.1440-1754.2005.596_2.x.

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Sozinov, Alexander S. "Pediatricians 64." Pediatric pharmacology 18, no. 1 (March 5, 2021): 80–83. http://dx.doi.org/10.15690/pf.v18i1.2233.

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Article is based on performance of the Rector of the Kazan State Medical University at the VIII Conference «Pediatrics and Pediatric Surgery in the Volga Federal District» September 20, 2011, devoted to the 70th anniversary of the famous Russian pediatricians — academician A.A. Baranov, professors V.Yu. Albitsky, A.V. Kuznetsova, S.V. Maltsev, O.I. Pikuza, who graduated Department of Pediatrics KSMA in 1964. Presents data on scientific creativity and contribution of anniversaries in pediatric science, to the protection of the health of the child population of Tatarstan and Russia.

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Dash, Subhashree, and Sonu Acharya. "Child Abuse and Neglect in Pediatric Dentistry." Indian Journal of Public Health Research & Development 10, no. 11 (2019): 1295. http://dx.doi.org/10.5958/0976-5506.2019.03703.3.

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Roberts, James R., Sophie J. Balk, Joel Forman, and Michael Shannon. "Teaching About Pediatric Environmental Health." Academic Pediatrics 9, no. 2 (March 2009): 129–30. http://dx.doi.org/10.1016/j.acap.2008.12.009.

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Oken, Emily. "Pediatric nutrition and dental health." Current Opinion in Pediatrics 13, no. 3 (June 2001): 279. http://dx.doi.org/10.1097/00008480-200106000-00011.

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41

Genuis, Stephen J. "Evolution in pediatric health care." Pediatrics International 52, no. 4 (February 28, 2010): 640–43. http://dx.doi.org/10.1111/j.1442-200x.2010.03106.x.

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THOMPSON, ROBERT J. "Casebook of Child and Pediatric Psychology." Journal of Developmental & Behavioral Pediatrics 11, no. 1 (February 1990): 38–39. http://dx.doi.org/10.1097/00004703-199002000-00013.

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DUBOWITZ, HOWARD, and MAUREEN BLACK. "Teaching Pediatric Residents about Child Maltreatment." Journal of Developmental & Behavioral Pediatrics 12, no. 5 (October 1991): 305???307. http://dx.doi.org/10.1097/00004703-199110000-00004.

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44

Thompson, Richard H. "Child life programs in pediatric settings." Infants & Young Children 2, no. 1 (July 1989): 75–82. http://dx.doi.org/10.1097/00001163-198907000-00010.

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Vosburgh, Kayla, Sharon R. Smith, Samantha Oldman, Tania Huedo-Medina, and Valerie B. Duffy. "Pediatric-Adapted Liking Survey (PALS): A Diet and Activity Screener in Pediatric Care." Nutrients 11, no. 7 (July 18, 2019): 1641. http://dx.doi.org/10.3390/nu11071641.

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Clinical settings need rapid yet useful methods to screen for diet and activity behaviors for brief interventions and to guide obesity prevention efforts. In an urban pediatric emergency department, these behaviors were screened in children and parents with the 33-item Pediatric-Adapted Liking Survey (PALS) to assess the reliability and validity of a Healthy Behavior Index (HBI) generated from the PALS responses. The PALS was completed by 925 children (average age = 11 ± 4 years, 55% publicly insured, 37% overweight/obese by Body Mass Index Percentile, BMI-P) and 925 parents. Child–parent dyads differed most in liking of vegetables, sweets, sweet drinks, and screen time. Across the sample, child and parent HBIs were variable, normally distributed with adequate internal reliability and construct validity, revealing two dimensions (less healthy—sweet drinks, sweets, sedentary behaviors; healthy—vegetables, fruits, proteins). The HBI showed criterion validity, detecting healthier indexes in parents vs. children, females vs. males, privately- vs. publicly-health insured, and residence in higher- vs. lower-income communities. Parent’s HBI explained some variability in child BMI percentile. Greater liking of sweets/carbohydrates partially mediated the association between low family income and higher BMI percentile. These findings support the utility of PALS as a dietary behavior and activity screener for children and their parents in a clinical setting.

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Szilagyi, Peter G. "Oral Health in Children: A Pediatric Health Priority." Academic Pediatrics 9, no. 6 (November 2009): 372–73. http://dx.doi.org/10.1016/j.acap.2009.09.021.

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Carnevale, Franco A., and Irma Manjavidze. "Examining the complementarity of ‘children’s rights’ and ‘bioethics’ moral frameworks in pediatric health care." Journal of Child Health Care 20, no. 4 (July 26, 2016): 437–45. http://dx.doi.org/10.1177/1367493515605173.

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The United Nations Convention on the Rights of the Child has inspired numerous initiatives to recognize children’s health-related rights. Whereas children’s rights have served as the dominant moral framework for child health concerns in Europe, pediatric bioethics has emerged as the principal framework used in North America. Despite their similarities, these two frameworks differ significantly. Children’s rights initiatives tend to be universalist, highlighting substantive standards for all children, while pediatric bioethics has developed norms, models, and procedures for the ethical analysis and management of individual cases. The aim of this article is to critically examine the respective contributions and intersections of children’s rights and pediatric bioethics moral frameworks in child health. We describe our collaboration bridging our work with these two frameworks to address pediatric health-care concerns in the Republic of Georgia. We conclude with recommendations for how the complementarity of these two frameworks can be further bridged and promoted internationally.

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Schweiberger, Kelsey, Alejandro Hoberman, Jennifer Iagnemma, Pamela Schoemer, Joseph Squire, Jill Taormina, David Wolfson, and Kristin N. Ray. "Practice-Level Variation in Telemedicine Use in a Pediatric Primary Care Network During the COVID-19 Pandemic: Retrospective Analysis and Survey Study." Journal of Medical Internet Research 22, no. 12 (December 18, 2020): e24345. http://dx.doi.org/10.2196/24345.

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Background Telehealth, the delivery of health care through telecommunication technology, has potential to address multiple health system concerns. Despite this potential, only 15% of pediatric primary care clinicians reported using telemedicine as of 2016, with the majority identifying inadequate payment for these services as the largest barrier to their adoption. The COVID-19 pandemic led to rapid changes in payment and regulations surrounding telehealth, enabling its integration into primary care pediatrics. Objective Due to limited use of telemedicine in primary care pediatrics prior to the COVID-19 pandemic, much is unknown about the role of telemedicine in pediatric primary care. To address this gap in knowledge, we examined the association between practice-level telemedicine use within a large pediatric primary care network and practice characteristics, telemedicine visit diagnoses, in-person visit volumes, child-level variations in telemedicine use, and clinician attitudes toward telemedicine. Methods We analyzed electronic health record data from 45 primary care practices and administered a clinician survey to practice clinicians. Practices were stratified into tertiles based on rates of telemedicine use (low, intermediate, high) per 1000 patients per week during a two-week period (April 19 to May 2, 2020). By practice tertile, we compared (1) practice characteristics, (2) telemedicine visit diagnoses, (3) rates of in-person visits to the office, urgent care, and the emergency department, (4) child-level variation in telemedicine use, and (5) clinician attitudes toward telemedicine across these practices. Results Across pediatric primary care practices, telemedicine visit rates ranged from 5 to 23 telemedicine visits per 1000 patients per week. Across all tertiles, the most frequent telemedicine visit diagnoses were mental health (28%-36% of visits) and dermatologic (15%-28%). Compared to low telemedicine use practices, high telemedicine use practices had fewer in-person office visits (10 vs 16 visits per 1000 patients per week, P=.005) but more total encounters overall (in-office and telemedicine: 28 vs 22 visits per 1000 patients per week, P=.006). Telemedicine use varied with child age, race and ethnicity, and recent preventive care; however, no significant interactions existed between these characteristics and practice-level telemedicine use. Finally, clinician attitudes regarding the usability and impact of telemedicine did not vary significantly across tertiles. Conclusions Across a network of pediatric practices, we identified significant practice-level variation in telemedicine use, with increased use associated with more varied telemedicine diagnoses, fewer in-person office visits, and increased overall primary care encounter volume. Thus, in the context of the pandemic, when underutilization of primary care was prevalent, higher practice-level telemedicine use supported pediatric primary care encounter volume closer to usual rates. Child-level telemedicine use differed by child age, race and ethnicity, and recent preventive care, building upon prior concerns about differences in access to telemedicine. However, increased practice-level use of telemedicine services was not associated with reduced or increased differences in use, suggesting that further work is needed to promote equitable access to primary care telemedicine.

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Swamy, Padma, Ana C. Monterrey, Margaret S. Wood, Catherine L. Troisi, and Christopher S. Greeley. "Caregiver and Pediatric Health Care Provider Views on Social Needs Identification." Journal of Primary Care & Community Health 11 (January 2020): 215013272092308. http://dx.doi.org/10.1177/2150132720923085.

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Background: The American Academy of Pediatrics recommends that pediatricians address the social determinants of health (SDOH) through research, community partnership, and policy development. Objective: This study aimed to identify the unmet SDOH of the patients served by the Pasadena-Pediatric and Adolescent Health Center (PA-PAHC) and to understand provider perspectives on screening for SDOH. Methods: The PA-PAHC is a low-income pediatric clinic in southeast Houston. A cross-sectional survey eliciting potential SDOH concerns was administered to caregivers of children presenting for their well-child exam, along with pediatric residents and staff/faculty. Staff/faculty and residents were asked about their perceptions of SDOH screening. Statistical analysis calculated frequencies for categorical data and mean/median for continuous variables. Secondary data analysis consisted of chi-square test and logistic regression. Results: A total of 110 caregivers, 22 residents, and 21 staff/faculty participated in the study. Caregivers listed health care access the most frequently (15.5%), followed by childcare, school, and immigration status as SDOH concerns. Residents (31.8%) and staff/faculty (23.8%) also identified health care access as a concern. When comparing topic selection by survey role, there was no statistically significant difference among the 3 groups ( P = .257). Residents were more likely to indicate that screening was more time-consuming than were faculty/staff ( P = .004). Conclusion: Staff/faculty and residents agree that SDOH affect child health and screening is valuable in the patient encounter. There were no differences in the needs identified by the 3 groups. Further evaluation to assess caregiver perspectives on standardized SDOH screening versus obtaining routine social history needs to be undertaken.

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Verma, I. C. "Pediatric review: MCQ’s in pediatrics byMeharban Singh." Indian Journal of Pediatrics 53, no. 4 (July 1986): 535. http://dx.doi.org/10.1007/bf02749544.

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