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    1070 results match your criteria Academic Pediatrics[Journal]

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    Predicting Low Resource Intensity Emergency Department Visits in Children.
    Acad Pediatr 2018 Jan 10. Epub 2018 Jan 10.
    Division of Emergency Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, Boston, MA.
    Background And Objectives: Interventions to reduce frequent emergency department (ED) use in children are often limited by the inability to predict future risk. We sought to develop a population-based model for predicting Medicaid-insured children at risk for high frequency of low-resource intensity (LRI) ED visits.

    Methods: Retrospective cohort analysis of Medicaid-insured children (age 1-18 years) included in the MarketScan® Medicaid database with ≥1 ED visit(s) in 2013. Read More

    14th of July Terror Attack in Nice, France.
    Acad Pediatr 2018 Jan 10. Epub 2018 Jan 10.
    Medical School, University of Nice, France; Child Psychiatry, Lenval Children's hospital, Nice, France.
    On July 14th, 2016, a terrorist attack by truck occurred in Nice (France), during the traditional fireworks for Bastille Day. The authors present the point of view of the doctors from Lenval University Children's Hospital, which is located near the attack place and had to manage 47 casualties including 12 adults. Read More

    Efficacy of a Web-Based Oral Case Presentation Instruction Module: a Multi-Center Randomized Controlled Trial.
    Acad Pediatr 2018 Jan 8. Epub 2018 Jan 8.
    Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, USA. Electronic address:
    Objective: Effective self-directed educational tools are invaluable. Our objective was to determine whether a self-directed, web-based oral case presentation module would 1) improve medical students' oral case presentations compared to usual curriculum 2) with similar efficacy as structured oral presentation faculty feedback sessions.

    Methods: We conducted a pragmatic multi-center cluster randomized controlled trial among medical students rotating in pediatric clerkships at seven U. Read More

    Impact of the Childhood Vaccine Discussion Format Over Time on Immunization Status.
    Acad Pediatr 2018 Jan 8. Epub 2018 Jan 8.
    Department of Pediatrics, University of Washington School of Medicine, Child Health Institute, 6200 NE 74th St, Seattle, WA; 98115.. Electronic address:
    Objective: Presumptive formats to initiate childhood vaccine discussions (e.g. "Well we have to do some shots. Read More

    Barriers to Physical Activity in Urban School Children with Asthma: Parental Perspective.
    Acad Pediatr 2018 Jan 5. Epub 2018 Jan 5.
    Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA; Children's Hospital at Montefiore, 3415 Bainbridge Avenue, Bronx, NY, 10467, USA. Electronic address:
    Objective: Physical activity (PA) levels are low in today's youth and may even be lower in those with asthma. Barriers to PA have not been well studied in inner-city, minority children with asthma. We conducted a qualitative study to characterize parental perceptions of barriers to PA and ways to improve PA levels in children with asthma. Read More

    Impact of Implementation of Electronically-Transmitted Referrals on Pediatric Subspecialty Visit Attendance.
    Acad Pediatr 2017 Dec 22. Epub 2017 Dec 22.
    Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213.; Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA 15224.. Electronic address:
    Objective: One barrier to timely access to outpatient pediatric subspecialty care is the complexity of scheduling processes. We evaluated the impact of implementing electronically-transmitted referrals on subspecialty visit attendance.

    Methods: Through collaboration with stakeholders, an electronically-transmitted referral order system was designed, piloted, and implemented in 15 general pediatrics practices, with 24 additional practices serving as controls. Read More

    A Randomized Controlled Trial to Prevent Infant Overweight in a High-Risk Population.
    Acad Pediatr 2017 Dec 22. Epub 2017 Dec 22.
    Arizona State University, Phoenix, Arizona.
    Introduction: Infants are at risk of overweight. Infant overweight predisposes child, adolescent, and adult to obesity.

    Objectives: We hypothesized that parent education, initiated prenatally, and provided in the home, would reduce the incidence of infant overweight at age 12 months. Read More

    Primary Care Provider Perceptions and Practices Regarding Dosing Units for Oral Liquid Medications.
    Acad Pediatr 2017 Dec 18. Epub 2017 Dec 18.
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
    Introduction: To prevent errors, healthcare professional and safety organizations recommend using milliliters (mL) alone for oral liquid medication dosing instructions and devices. In 2018, for federal incentives under the Quality Payment Program, one requirement is for Electronic Health Records (EHRs) to automatically use mL alone whenever oral liquid medications are prescribed. Current perceptions and practices of primary care providers (PCPs) regarding dosing units for oral liquid medications were assessed. Read More

    Cross Talk: Evaluation of a Curriculum to Teach Medical Students How to Use Telephone Interpreter Services.
    Acad Pediatr 2017 Dec 14. Epub 2017 Dec 14.
    Department of Pediatrics, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Tex.
    Purpose: Telephone interpretation and recent technology advances assist patients with more timely access to rare languages, but no one has examined the role of this technology in the medical setting and how medical students can be prepared for their use. We sought to determine if structured curriculum on interpretation would promote learners self-reported competency in these encounters and if proficiency would be demonstrated in actual patient encounters.

    Methods: Training on the principles of interpreter use with a focus on communication technology was added to medical student education. Read More

    Agreement between Parent Proxy- and Child Self-Report of Pain Intensity and Health-Related Quality of Life after Surgery.
    Acad Pediatr 2017 Dec 8. Epub 2017 Dec 8.
    Department of Anesthesiology and Pain Medicine, University of Washington; Seattle Children's Research Institute, Seattle, WA, USA. Electronic address:
    Objectives: Monitoring patient-centered health outcomes after hospital discharge is important for identifying patients experiencing poor recovery after surgery. Utilizing parent reports may improve the feasibility of monitoring recovery when children are not available to provide self-report. We therefore aimed to examine agreement between parent and child reports of child pain and health-related quality of life (HRQOL) in children after hospital discharge from inpatient surgery. Read More

    Evaluation of a National Pediatric Subinternship Curriculum Implemented Through Individual Learning Plans.
    Acad Pediatr 2017 Dec 6. Epub 2017 Dec 6.
    University of Colorado School of Medicine, 13123 East 16th Avenue, Box 158, A036, Aurora, Colorado 80045, USA.
    Objective: The Council on Medical Student Education in Pediatrics and Association of Pediatric Program Directors developed a Pediatric Subinternship (CAPS) Curriculum for use with an individualized learning plan (ILP). The authors determined which learning objectives (LOs) pediatric subinterns selected when provided the CAPS Curriculum, summarized students' self-reported progress, and determined feasibility of ILPs in subinternship.

    Methods: Students from 10 medical schools completed a standardized ILP during pediatric subinternship. Read More

    Primary Care Providers' Use of a Child Psychiatry Telephone Support Program.
    Acad Pediatr 2017 Nov 29. Epub 2017 Nov 29.
    Division of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, MA. Address: 125 Nashua Street, #860, Boston, MA 02114; Department of Pediatrics, Harvard Medical School, Boston, MA.
    Background: The Massachusetts Child Psychiatry Access Project (MCPAP) provides telephone support from mental health specialists to primary care providers (PCPs). Understanding PCPs' use may inform implementation of similar programs.

    Objective: To examine PCPs' decision-making process to use or not use MCPAP when encountering mental health problems. Read More

    Health Care Utilization in the First Month after Birth and Its Relationship to Newborn Weight Loss and Method of Feeding.
    Acad Pediatr 2017 Nov 27. Epub 2017 Nov 27.
    Objective: Guidelines recommend closer outpatient follow-up for exclusively breastfed newborns, especially those with pronounced weight loss, because of increased risk of hyperbilirubinemia and dehydration that might require readmission. Our objective was to determine how feeding method and weight loss are associated with neonatal healthcare utilization.

    Design: Retrospective cohort study. Read More

    Universal Lipid Screening in 9-11 Year Olds before and after 2011 Guidelines.
    Acad Pediatr 2017 Nov 24. Epub 2017 Nov 24.
    Department of Pediatrics, University of Utah, Division of General Pediatrics, PO Box 581289, Salt Lake City UT 84158. Electronic address:
    Objective: To determine whether the 2011 guidelines for universal routine screening for dyslipidemia in children aged 9 to 11 years, published by the Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents and National Heart, Lung, and Blood Institute, are being followed by pediatric primary care providers.

    Study Design: Retrospective data were obtained for 63,951 well-child visits (WCV) in children aged 9 to 11 years from two health care systems and one insurance program from 2009 to 2015. The proportion of WCV that had a lipid panel or total cholesterol test performed within one year of the visit was compared for 2009-2011 vs 2013-2015. Read More

    Chinese, Vietnamese, and Asian Indian Parents' Perspectives About Well-Child Visits: A Qualitative Analysis.
    Acad Pediatr 2017 Nov 20. Epub 2017 Nov 20.
    Department of Pediatrics, Boston Medical Center, Boston, Mass.
    Objectives: Well-child visits are a critical component of pediatric health care; however, disparities in attendance and quality of care exist for Asian children. Limited research has explored Asian immigrant parents' perspectives about their well-child visit experience.

    Methods: Qualitative interviews were conducted with Chinese, Vietnamese, and Asian Indian immigrant parents. Read More

    Conducting Quantitative Medical Education Research: From Design to Dissemination.
    Acad Pediatr 2017 Nov 5. Epub 2017 Nov 5.
    Department of Pediatrics, University of California, Davis, Davis, Calif.
    Rigorous medical education research is critical to effectively develop and evaluate the training we provide our learners. Yet many clinical medical educators lack the training and skills needed to conduct high-quality medical education research. We offer guidance on conducting sound quantitative medical education research. Read More

    Hospital and Community Characteristics Associated with Pediatric Direct Admission to Hospital.
    Acad Pediatr 2017 Oct 27. Epub 2017 Oct 27.
    Instititute for Healthcare Delivery and Population Science and Department of Medicine, University of Massachusetts Medical School - Baystate 3601 Main Street, Springfield, MA, 01199; Department of Quantitative Health Sciences, University of Massachusetts Medical School Worcester, MA.
    Objectives: One-quarter of pediatric hospitalizations begin as direct admissions, defined as hospitalization without receiving care in the hospital's emergency department (ED). Direct admission rates are highly variable across hospitals, yet previous studies have not examined reasons for this variation. We aimed to determine the relationships between hospital and community factors and pediatric direct admission rates, and evaluate the degree to which these characteristics explain variation in risk-adjusted direct admission rates. Read More

    Visits to Primary Care and Emergency Department Reliance for Foster Youth: Impact of Medicaid Managed Care.
    Acad Pediatr 2018 Jan 8. Epub 2018 Jan 8.
    Institute for Child Health Policy, Department of Health Outcomes and Policy, University of Florida, Gainesville, Fla.
    Objective: To examine the rate of access to primary and preventive care and emergency department (ED) reliance for foster youth as well as the impact of a transition from fee-for-service (FFS) Medicaid to managed care (MC) on this access.

    Methods: Secondary administrative data were obtained from Medicaid programs in one state that transitioned foster youth from an FFS to an MC (Texas) and another state, comparable in population size and racial/ethnic diversity, which continuously enrolled foster youth in an FFS system (Florida). Eligible participants were foster youth (aged 0-18 years) enrolled in these states between 2006 and 2010 (n = 126,714). Read More

    Characteristics Associated with Parent-Teacher Concordance on Child Behavior Problem Ratings in Low-Income Preschoolers.
    Acad Pediatr 2017 Oct 25. Epub 2017 Oct 25.
    Department of Pediatrics, University of Michigan Medical School, 1540 E Hospital Dr, Ann Arbor, MI 48109, United States.; Center for Human Growth and Development, University of Michigan, 300 N Ingalls St, Ann Arbor, MI 48104, United States.; Department of Nutritional Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, United States. Electronic address:
    Background: Assessment of pediatric behavior problems often requires rating scales from multiple reporters in different settings (e.g., home and school); however, concordance between reporters may be low. Read More

    Receipt of Medication and Behavioral Therapy Among a National Sample of School-Age Children Diagnosed With Attention-Deficit/Hyperactivity Disorder.
    Acad Pediatr 2017 Oct 20. Epub 2017 Oct 20.
    Department of Pediatrics, Boston University School of Medicine, Boston Medical Center, Boston, MA.
    Objective: In 2011, the American Academy of Pediatrics published practice guidelines for attention-deficit/hyperactivity disorder (ADHD), recommending both medication and behavioral therapy for school-age children. The current study examines associations between child/family characteristics and ADHD medication, behavioral, and combined therapy.

    Methods: This study used data from the 2014 National Survey of the Diagnosis and Treatment of ADHD and Tourette syndrome, a nationally representative follow-up survey to the 2011-2012 National Survey of Children's Health. Read More

    Walk-in Model for Ill Care in an Urban Academic Pediatric Clinic.
    Acad Pediatr 2017 Oct 20. Epub 2017 Oct 20.
    James M. Anderson Center for Health Systems Excellence, Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
    Objectives: Since the Institute of Medicine's 2001 charge to reform health care, there has been a focus on the role of the medical home. Access to care in the proper setting and at the proper time is central to health care reform. We aimed to increase the volume of patients receiving care for acute illnesses within the medical home rather than the emergency department or urgent care center from 41% to 60%. Read More

    Do Fathers' Home Reading Practices at Age 2 Predict Child Language and Literacy at Age 4?
    Acad Pediatr 2017 Oct 19. Epub 2017 Oct 19.
    Murdoch Children's Research Institute, Parkville, Victoria, Australia; The University of Melbourne, Carlton, Victoria, Australia; The Royal Children's Hospital, Parkville, Victoria, Australia.
    Background: Maternal shared reading practices predict emergent literacy, but fathers' contributions are less certain. We examined whether fathers' shared home reading activities at 2 years (1) predict language and emergent literacy at age 4 years, when controlling for maternal contributions; and (2) differentially benefit these outcomes in disadvantaged children.

    Methods: Design: Two-parent families recruited from 5 relatively disadvantaged communities for the universal Let's Read literacy promotion population-based trial (ISRCTN 04602902) in Melbourne, Australia. Read More

    Outpatient Visits Before Ambulatory Care-Sensitive Hospitalization of Children Receiving Medicaid.
    Acad Pediatr 2017 Sep 28. Epub 2017 Sep 28.
    Boston Children's Hospital, Boston, Mass.
    Objectives: Hospitalizations for ambulatory care-sensitive conditions (ACSC) are measured to indicate health care system quality, with the premise that fewer hospitalizations would occur with better preceding outpatient care. Our objectives were to identify outpatient care received in the 7 days preceding acute pediatric hospitalizations and to compare receipt of outpatient care by hospitalization type (ACSC vs non-ACSC).

    Methods: This retrospective observational study used a 10-state database of Medicaid claims to identify outpatient visits within 7 days before acute unplanned hospitalization for children aged 0 to 17 years. Read More

    Responsible Milestone-Based Educational Handover With Individualized Learning Plan From Undergraduate to Graduate Pediatric Medical Education.
    Acad Pediatr 2017 Sep 20. Epub 2017 Sep 20.
    Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor.
    Communication of medical students' pediatric milestone assessments and individual learning plans from medical schools to pediatric residency directors allows for effective educational handovers promoting the continuum of education. Existing undergraduate medical education assessments can provide meaningful data to determine most pediatric milestone levels. Read More

    Chronic School Absenteeism and the Role of Adverse Childhood Experiences.
    Acad Pediatr 2017 Nov - Dec;17(8):837-843. Epub 2017 Sep 18.
    University of Colorado at Denver-Anschutz Medical Campus, Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, Colo; Department of Pediatrics, Children's Hospital Colorado, Aurora, Colo.
    Objective: To examine the association between chronic school absenteeism and adverse childhood experiences (ACEs) among school-age children.

    Methods: We conducted a secondary analysis of data from the 2011-2012 National Survey of Children's Health including children 6 to 17 years old. The primary outcome variable was chronic school absenteeism (≥15 days absent in the past year). Read More

    Variation in Generational Perceptions of Child Health and Well-being.
    Acad Pediatr 2017 Sep 12. Epub 2017 Sep 12.
    Children's Hospital Association, Washington, DC.
    Objective: To assess adults' perceptions regarding the health and well-being of children today relative to their own health and well-being as youth and the potential for intergenerational differences in those perceptions.

    Methods: A cross-sectional, Internet-based survey of a nationally representative household sample was conducted using GfK Custom Research's Web-enabled KnowledgePanel, a probability-based panel representative of the US population. We assessed perceptions of children's health and well-being today compared to when respondents were growing up, including physical and mental health; and children's education, exercise, diet, health care, safety of communities, and emotional support from families, groups, and organizations. Read More

    Latino Parents' Perceptions of Pediatric Weight Counseling Terms.
    Acad Pediatr 2017 Sep 12. Epub 2017 Sep 12.
    Ambulatory Care Services, Denver Health, Denver, Colo; Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colo; Institute for Health Research, Kaiser Permanente Colorado, Denver, Colo.
    Objective: Little is known about Latino parents' perceptions of weight-related language in English or Spanish, particularly for counseling obese youth. We sought to identify English and Spanish weight counseling terms perceived by Latino parents across demographic groups as desirable for providers to use, motivating, and inoffensive.

    Methods: Latino parents of children treated at urban safety-net clinics completed surveys in English or Spanish. Read More

    Reasons Why Children and Adolescents With Attention-Deficit/Hyperactivity Disorder Stop and Restart Taking Medicine.
    Acad Pediatr 2017 Sep 12. Epub 2017 Sep 12.
    Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
    Objective: To describe the prevalence of reasons why children and adolescents stop and restart attention-deficit/hyperactivity disorder (ADHD) medicine and whether functional impairment is present after stopping medicine.

    Methods: We used the prospective longitudinal cohort from the Multimodal Treatment of Study of Children With ADHD. At the 12-year follow-up, when participants were a mean of 21. Read More

    Blood and Hair Aluminum Levels, Vaccine History, and Early Infant Development: A Cross-Sectional Study.
    Acad Pediatr 2017 Sep 14. Epub 2017 Sep 14.
    Pediatric Environmental Health Center, Boston, Mass; Region 1 New England Pediatric Environmental Health Specialty Unit, Boston, Mass; Harvard Medical School, Boston, Mass. Electronic address:
    Objective: To evaluate relationships between whole blood (B-Al) and hair aluminum (H-Al) levels in healthy infants and their immunization history and development.

    Methods: We conducted a cross-sectional study of 9- to 13-month-old children recruited from an urban primary care center, excluding those with a history of renal disease or receipt of either aluminum-containing pharmaceuticals or parenteral nutrition. Aluminum levels were measured using inductively coupled plasma-mass spectrometry. Read More

    Feasibility of Implementing Group Well Baby/Well Woman Dyad Care at Federally Qualified Health Centers.
    Acad Pediatr 2017 Sep 14. Epub 2017 Sep 14.
    Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Md; Department of Populations, Family, and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Md.
    Objective: Group care has been shown to be effective for delivery of infant well child care. Centering Parenting (CP) is a model of group dyad care for mothers and infants. CP might improve quality and efficiency of preventive care, particularly for low-income families. Read More

    Identifying Which Urban Children With Asthma Benefit Most From Clinician Prompting: Subgroup Analyses From the Prompting Asthma Intervention in Rochester-Uniting Parents and Providers (PAIR-UP) Trial.
    Acad Pediatr 2017 Sep 9. Epub 2017 Sep 9.
    Division of General Pediatrics, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY.
    Objective: Clinician prompts increase the likelihood of guideline-recommended corrective actions (preventive medication prescription, dose change, and/or adherence promotion) for symptomatic children with poorly controlled or persistent asthma in the primary care setting, but it is unclear if all children equally benefit. The objectives of this study were to identify whether asthma severity, visit type, and current preventive medication use were predictive of corrective actions during visits for children with symptomatic asthma, and determine whether these factors modified the effect of a prompting intervention.

    Methods: We conducted prespecified subgroup analyses of a cluster randomized controlled trial of physician prompting that promoted guideline-based asthma management for urban children with symptomatic asthma. Read More

    Association of Picky Eating With Weight Status and Dietary Quality Among Low-Income Preschoolers.
    Acad Pediatr 2017 Sep 5. Epub 2017 Sep 5.
    Center for Human Growth and Development, University of Michigan; Department of Nutritional Sciences, University of Michigan School of Public Health; Department of Pediatrics, University of Michigan Medical School, Ann Arbor.
    Background: Picky eating is common in children. Few studies have examined predictors of picky eating, and the association of picky eating with weight status and dietary quality is inconsistent in the literature. We aimed to identify predictors of picky eating and to test the association of picky eating with child body mass index z-score (BMIz), dietary quality, and micronutrient intake. Read More

    Adolescent Health Risk Behaviors: Parental Concern and Concordance Between Parent and Adolescent Reports.
    Acad Pediatr 2018 Jan - Feb;18(1):66-72. Epub 2017 Sep 1.
    Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Wash; Department of Pediatrics, University of Washington, Seattle, Wash. Electronic address:
    Objective: We investigated which adolescent health risk behaviors are of concern to parents generally, according to adolescent age, gender, and in the context of perceived risk. We compared adolescent and parent reports of the presence of health-risk behaviors and factors predicting agreement.

    Methods: Three hundred adolescents aged 13 to 18 years (mean, 14. Read More

    Adolescent Self-Screening for Mental Health Problems; Demonstration of an Internet-Based Approach.
    Acad Pediatr 2018 Jan - Feb;18(1):59-65. Epub 2017 Sep 1.
    Department of Psychiatry, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
    Objective: To examine the prevalence of positive screening scores, construct validity, and opportunities for follow-up in a large sample of adolescents who chose to fill out the Pediatric Symptom Checklist-Youth Form (PSC-Y) through the Mental Health America (MHA) Web site.

    Methods: MHA sent researchers a deidentified data set of all PSC-Y data submitted to MHA from May 15, 2015 to May 14, 2016. The analytic data set contained 29,886 PSC-Y forms from youth aged 11 to 17 years who sought out the Web site and chose to fill out the PSC-Y anonymously and independently online. Read More

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