499 results match your criteria Current Problems in Pediatric and Adolescent Health Care [Journal]


Implicit Bias: What every pediatrician should know about the effect of bias on health and future directions.

Curr Probl Pediatr Adolesc Health Care 2019 Feb 6. Epub 2019 Feb 6.

Boston Children's Hospital, Division of Allergy and Immunology, 1 Autumn Street, 3rd Floor, Boston, MA 02115, United States; Brigham and Women's Hospital Division of Rheumatology, Immunology and Allergy, United States; Harvard Medical School, United States. Electronic address:

Implicit bias has entered modern discourse as a result of our current sociopolitical climate. and It is an area that has been largely explored in the social sciences, and was highlighted in the landmark 2003 IOM report, Unequal Treatment, as a contributor to racial/ethnic health disparities. Implicit bias is the process of unconscious societal attitudes affecting our individual understanding, actions and decisions, thus leading to assumptions about groups. Read More

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http://dx.doi.org/10.1016/j.cppeds.2019.01.003DOI Listing
February 2019

Detention of immigrant children - A growing crisis. What is the pediatrician's role?

Curr Probl Pediatr Adolesc Health Care 2019 Feb 5. Epub 2019 Feb 5.

Children's Hospital of the King's Daughters, Division of General Academic Pediatrics, Eastern Virginia Medical School, 601 Children's Lane, Norfolk, VA 23507, United States. Electronic address:

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http://dx.doi.org/10.1016/j.cppeds.2019.01.005DOI Listing
February 2019
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Foreword: Providing healthcare to immigrant children-What are the challenges? Issue 2.

Curr Probl Pediatr Adolesc Health Care 2019 Feb 1. Epub 2019 Feb 1.

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http://dx.doi.org/10.1016/j.cppeds.2019.01.001DOI Listing
February 2019

Editorial.

Curr Probl Pediatr Adolesc Health Care 2019 Jan 28. Epub 2019 Jan 28.

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http://dx.doi.org/10.1016/j.cppeds.2019.01.002DOI Listing
January 2019

Social Determinants of Health and Health Disparities Among Immigrants and their Children.

Authors:
Cindy D Chang

Curr Probl Pediatr Adolesc Health Care 2019 Jan 28;49(1):23-30. Epub 2018 Dec 28.

Department of Emergency Medicine Los Angeles County, Harbor-UCLA Medical Center 1000 West Carson St, Torrance, CA 90509, United States. Electronic address:

In 2017, the United States (U.S.) foreign-born population was estimated to be 44. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.11.009DOI Listing
January 2019
13 Reads

Providing Healthcare for Immigrant Children.

Curr Probl Pediatr Adolesc Health Care 2019 Jan 21;49(1):4-6. Epub 2018 Dec 21.

Division of General Academic Pediatrics; Children's Hospital of the King's Daughters, Eastern Virginia Medical School, Norfolk, VA 23507, United States. Electronic address:

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http://dx.doi.org/10.1016/j.cppeds.2018.11.006DOI Listing
January 2019
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Editorial: Providing Healthcare to Immigrant Children-What are the Challenges? Issue 1.

Curr Probl Pediatr Adolesc Health Care 2019 Jan 21;49(1):2-3. Epub 2018 Dec 21.

Associate Professor of Pediatrics, Division of Academic General Pediatrics, Children's Hospital of the King's Daughters Eastern Virginia Medical School, Norfolk, Virginia 23507, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cppeds.2018.11.005DOI Listing
January 2019
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Type 2 Diabetes in Latino Youth: A Clinical Update and Current Challenges.

Curr Probl Pediatr Adolesc Health Care 2019 Jan 17;49(1):16-22. Epub 2018 Dec 17.

Division of Pediatric Endocrinology, Washington University in St. Louis, United States.

Latino youth have the highest prevalence of overweight and obesity among all ethnic groups and are disproportionally affected by pre diabetes and type 2 diabetes (T2DM). Interventions that effectively reduce the risk of pre diabetes and T2DM in this population are urgently needed. Studies have shown that without any change, 50% of Latino children and adolescents will develop T2DM. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.11.008DOI Listing
January 2019
2 Reads

Improving Health Outcomes for Immigrant Families Through IPV Screening: Resources and Recommendations for Pediatric Health Care Providers.

Curr Probl Pediatr Adolesc Health Care 2019 Jan 14;49(1):7-15. Epub 2018 Dec 14.

Charles E. Schmidt College of Medicine, Florida Atlantic University, United States.

Intimate partner violence (IPV) is a significant yet preventable public health problem affecting 1 in 15 children annually. Children exposed to IPV exhibit lifelong consequences including increased risks of social, emotional, psychological and behavioral problems (mood and anxiety disorders, post-traumatic stress disorders, substance abuse, and school-related problems). Limited research exists in identifying and assessing gaps in IPV screening and surveillance techniques for vulnerable populations such as immigrants, refugees, or in families where English is not spoken in the home. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.11.007DOI Listing
January 2019
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Foreword: Providing Healthcare to Immigrant Children-What are the Challenges? Issue 1.

Curr Probl Pediatr Adolesc Health Care 2019 Jan 13;49(1). Epub 2018 Dec 13.

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http://dx.doi.org/10.1016/j.cppeds.2018.11.010DOI Listing
January 2019
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Use of Short Acting Reversible Contraception in Adolescents: The Pill, Patch, Ring and Emergency Contraception.

Authors:
Nadia Saldanha

Curr Probl Pediatr Adolesc Health Care 2018 Dec 22;48(12):333-344. Epub 2018 Nov 22.

Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health, 410 Lakeville Road, Suite 108, New Hyde Park, New York, NY 11042, United State; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Hempstead, New York, United State. Electronic address:

Long acting reversible contraception (LARC) is the recommend form of birth control for adolescents by both the American Academy of Pediatrics and the American Congress of Obstetrics and Gynecology, but the majority of adolescents continue to use short acting reversible contraception (SARC) such as the oral contraceptive pill, vaginal ring, and transdermal patch. For this reason, it is important for medical providers to be familiar with how to prescribe and manage SARC in adolescents, paying particular attention to which patients are eligible to use them, which benefits the methods have outside of contraception, what side effects to be aware of, and special considerations for adolescents. Many adolescents will choose not to use any form of hormonal contraception-thus having a knowledge about and comfort with use of emergency contraception is of equal importance. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.11.003DOI Listing
December 2018
9 Reads

Foreword.

Authors:
John M Pascoe

Curr Probl Pediatr Adolesc Health Care 2018 Oct 19;48(10):233. Epub 2018 Nov 19.

Wright State University, Dayton, OH. Electronic address:

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http://dx.doi.org/10.1016/j.cppeds.2018.09.005DOI Listing
October 2018
2 Reads

Use of Long-Acting Reversible Contraception (LARC) and the Depo-Provera Shot in Adolescents.

Authors:
Khalida Itriyeva

Curr Probl Pediatr Adolesc Health Care 2018 Dec 19;48(12):321-332. Epub 2018 Nov 19.

Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health, New Hyde Park, NY, United States; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States. Electronic address:

The intrauterine devices (IUDs) and the subdermal implant, collectively known as long-acting reversible contraceptives (LARC), along with the Depo-Provera shot, represent highly efficacious methods of birth control for all reproductive-age women, including adolescents. They are also safe, private, and convenient, and can be used for their noncontraceptive benefits. Additionally, LARC and Depo-Provera represent methods of contraception that do not contain estrogen and may be safely used in young women who have contraindications to estrogen-containing medications. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.11.002DOI Listing
December 2018
2 Reads

Contraception for Adolescents with Medically Complex Conditions.

Authors:
Linda Carmine

Curr Probl Pediatr Adolesc Health Care 2018 Dec 19;48(12):345-357. Epub 2018 Nov 19.

Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health, 410 Lakeville Road, Suite 108, New Hyde Park, NY 11042, United States; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States. Electronic address:

Both the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) have developed, published, and updated evidence-based guidelines to support medical providers in the provision of contraceptives to patients with specific medical conditions or characteristics. The goal of these guidelines is to provide recommendations on the safe use of contraceptives with the goal of removing unnecessary medical barriers to access and use of contraceptives, thus decreasing the number of unintended pregnancies. Many medical conditions increase a patient's risk of venous thromboembolism; a risk that may also be increased with specific contraceptives. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.11.004DOI Listing
December 2018
18 Reads

Foreword: Contraceptive Strategies for Prevention of Adolescent Pregnancy.

Authors:
Linda Carmine

Curr Probl Pediatr Adolesc Health Care 2018 Dec 19;48(12):319-320. Epub 2018 Nov 19.

Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health New Hyde Park, New York, United States. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S15385442183015
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http://dx.doi.org/10.1016/j.cppeds.2018.11.001DOI Listing
December 2018
9 Reads

Judicious antibiotic prescribing in ambulatory pediatrics: Communication is key.

Authors:
Nicole M Poole

Curr Probl Pediatr Adolesc Health Care 2018 Nov 30;48(11):306-317. Epub 2018 Oct 30.

Seattle Children's Research Institute, Seattle, WA, United States; University of Washington, Seattle, WA, United States; Seattle Children's Hospital, Seattle, WA, United States. Electronic address:

Children in outpatient clinics are prescribed over 15 million courses of unnecessary antibiotics annually. Clinicians have identified parent pressure for antibiotics, parent satisfaction, and time constraints as the primary drivers of unnecessary antibiotic prescribing. Over the past decade, parents have become more aware that antibiotics only treat bacterial infections, yet continue to report an expectation for antibiotics in 50-65% of acute care visits. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.09.004DOI Listing
November 2018
19 Reads

The Burden and Impact of Antibiotic Prescribing in Ambulatory Pediatrics.

Curr Probl Pediatr Adolesc Health Care 2018 Nov 16;48(11):272-288. Epub 2018 Oct 16.

Division of Infectious Diseases, Children's National Medical Center, Washington, D.C., United States; Department of Pediatrics, The George Washington University School of Medicine and Health Sciences, Washington, D.C., United States. Electronic address:

Antibiotics are one of the most commonly prescribed classes of medication for children and adolescents. While they are arguably the most powerful tool we possess against bacterial infections, they are frequently given to children whose illnesses are due to viruses or other non-infectious etiologies. When antibiotics are not used judiciously, the consequences can be serious and accumulate over time. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.09.002DOI Listing
November 2018
21 Reads

Evidenced-Based Interventions for Children With Autism Spectrum Disorder.

Curr Probl Pediatr Adolesc Health Care 2018 Oct 15;48(10):234-249. Epub 2018 Oct 15.

The Kelly O'Leary Center for Autism Spectrum Disorders, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue MLC 4002, Cincinnati, OH 45229, United States. Electronic address:

This paper reviews evidenced-based interventions for children with autism spectrum disorders (ASD) across the disciplines of psychology, speech-language pathology, occupational therapy, and developmental pediatrics.

Background: rates of ASD diagnoses have been steadily rising over the past 2 decades. There are a wide range of therapies and interventions, of varying levels of evidence, across disciplines that are now available to treat children with ASD. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15385442183009
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http://dx.doi.org/10.1016/j.cppeds.2018.08.014DOI Listing
October 2018
15 Reads

From paper to practice: Strategies for improving antibiotic stewardship in the pediatric ambulatory setting.

Curr Probl Pediatr Adolesc Health Care 2018 Nov 13;48(11):289-305. Epub 2018 Oct 13.

Division of Infectious Diseases, Children's National Health System, George Washington School of Medicine and Health Sciences, United States. Electronic address:

Antibiotic stewardship aims to better patient outcomes, reduce antibiotic resistance, and decrease unnecessary health care costs by improving appropriate antibiotic use. More than half of annual antibiotic expenditures for antibiotics in the United States are prescribed in the ambulatory setting. This review provides a summary of evidence based strategies shown to improve antibiotic prescribing in ambulatory care settings including: providing education to patients and their families, providing education to clinicians regarding best practices for specific conditions, providing communications training to clinicians, implementing disease-specific treatment algorithms, implementing delayed prescribing for acute otitis media, supplying prescribing feedback to providers with peer comparisons, using commitment letters, and prompting providers to justify antibiotic prescribing for diagnoses for which antibiotics are not typically recommended. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.09.003DOI Listing
November 2018
2 Reads

Foreword: Outpatient antimicrobial stewardship.

Authors:
Mary C Ottolini

Curr Probl Pediatr Adolesc Health Care 2018 Nov 10;48(11):271. Epub 2018 Oct 10.

Department of Medical Education, Children's National Medical Center.

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http://dx.doi.org/10.1016/j.cppeds.2018.09.001DOI Listing
November 2018
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Commentary: Evidence based interventions for children and adolescents with Autism Spectrum Disorders.

Authors:
Richard Solomon

Curr Probl Pediatr Adolesc Health Care 2018 Oct 4;48(10):267-269. Epub 2018 Oct 4.

Ann Arbor Center for Developmental and Behavioral Pediatrics, 3031 Miller Rd., Ann Arbor, MI 48103, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cppeds.2018.08.017DOI Listing
October 2018
3 Reads

Running PDSA cycles.

Curr Probl Pediatr Adolesc Health Care 2018 Aug 27;48(8):198-201. Epub 2018 Sep 27.

Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404, USA. Electronic address:

The need to change the delivery of healthcare in the United States has been the focus of several recent publications. Quality improvement concepts initially utilized in industry have been applied to healthcare to reduce error and variation in outcomes. The Plan-Do-Study-Act (PDSA) Methodology is one of the most commonly used tools in quality improvement. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.08.006DOI Listing
August 2018
5 Reads

Commentary: Evidence based interventions for children and adolescents with autism spectrum disorders.

Authors:
Daniel L Coury

Curr Probl Pediatr Adolesc Health Care 2018 Oct 28;48(10):265-266. Epub 2018 Sep 28.

Nationwide Children's Hospital, The Ohio State University, Columbus, OH, United States. Electronic address:

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http://dx.doi.org/10.1016/j.cppeds.2018.08.016DOI Listing
October 2018
2 Reads

Leadership in quality improvement.

Authors:
Kelly C Sandberg

Curr Probl Pediatr Adolesc Health Care 2018 Aug 27;48(8):206-210. Epub 2018 Sep 27.

Boonshoft School of Medicine, Wright State University, Dayton, OH, United States, https://twitter.com/KellyCSandberg. Electronic address:

This article presents thoughts from a quality improvement team leader in a small institution application of methodology from the Institute for Healthcare Improvement. Successful leadership in quality improvement depends on structural supports in building learning systems as well as a supportive culture. Many resources can be used in quality improvement efforts. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.08.007DOI Listing
August 2018
3 Reads

Understanding Variation-Part 2: The Control Chart.

Curr Probl Pediatr Adolesc Health Care 2018 Aug 27;48(8):202-205. Epub 2018 Sep 27.

Director of Clinical Excellence, Dayton Children's Hospital, One Children's Plaza, Dayton, Ohio, United States. Electronic address:

Both run and control charts can be used to answer the question "How will we know that a change is an improvement?". Run charts are advantageous at the start of an improvement effort, when little is known about the system and how it performs. Over time, transitioning to a control chart may provide more specific information and insight into the data being measured. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.08.009DOI Listing
August 2018
2 Reads

Building of profound knowledge.

Authors:
Stacy Roehrs

Curr Probl Pediatr Adolesc Health Care 2018 Aug 25;48(8):196-197. Epub 2018 Sep 25.

Pharmacy, Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404, United States. Electronic address:

Health systems are complex. Understanding the interrelationship among the four components of W. Edwards Deming's System of Profound Knowledge (theories of systems, theory of knowledge, understanding variation, and psychology of change) allows us to begin the work of quality improvement. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.08.013DOI Listing
August 2018
7 Reads

Pharmacological management of behavioral disturbances in children and adolescents with autism spectrum disorders.

Curr Probl Pediatr Adolesc Health Care 2018 Oct 24;48(10):250-264. Epub 2018 Sep 24.

Division of Child and Adolescent Psychiatry, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, United States.

Autism spectrum disorder (ASD) is a heterogeneous neuropsychiatric condition that, based on recent CDC estimates affects an estimated 1 in 59 American children. Behavioral treatments remain the mainstay of treatment for the core symptoms of ASD including communication deficits, social interaction deficits and repetitive behavior. However, youth with ASD may also have severe behavioral challenges including irritability, aggression, and hyperactivity. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.08.015DOI Listing
October 2018
3 Reads

Child welfare system interventions on behalf of children and families: Highlighting the role of court appointed special advocates.

Curr Probl Pediatr Adolesc Health Care 2018 Sep 14;48(9):215-231. Epub 2018 Sep 14.

Nearly three-quarters of a million children are victims of abuse and neglect in the United States every year. This article describes the scope of the problem and explains how the child welfare system intervenes, including how cases are reported, how Child Protective Services (CPS) assesses the risk, how CPS determines when in-home services are appropriate or if a child should be removed from the home, how ongoing cases are managed, and the options for permanency for children in the system. The article also explains how the Family Court system operates as the decision-maker in child abuse and neglect cases and discusses the various models of legal representation provided to child victims, depending on the jurisdiction in which they live. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.08.003DOI Listing
September 2018
13 Reads

FOREWORD: Quality Improvement Part I.

Authors:
John M Pascoe

Curr Probl Pediatr Adolesc Health Care 2018 Jul 11;48(7):173. Epub 2018 Sep 11.

Wright State University, Dayton, OH. Electronic address:

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http://dx.doi.org/10.1016/j.cppeds.2018.08.001DOI Listing
July 2018
1 Read

Modeling Causal Relationships in Quality Improvement.

Curr Probl Pediatr Adolesc Health Care 2018 Jul 11;48(7):182-185. Epub 2018 Sep 11.

Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404, United Sates; Wright State University Boonshoft School of Medicine - 3640 Col Glenn Hwy, Dayton, OH 45435, United Sates.

Taking the time to plan a quality improvement project before starting the project improves the likelihood of success. Understanding the tools that can be utilized for identification of a problem, the causes behind it, and the development of the theoretical framework of the planned improvement are crucial. Fishbone diagrams or cause and effect diagrams are often utilized to identify the root causes leading to an identified problem. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.08.011DOI Listing
July 2018
3 Reads

FOREWORD: Quality Improvement Part II.

Authors:
John M Pascoe

Curr Probl Pediatr Adolesc Health Care 2018 Aug 10;48(8):195. Epub 2018 Sep 10.

Wright State University, Dayton, OH. Electronic address:

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http://dx.doi.org/10.1016/j.cppeds.2018.08.002DOI Listing
August 2018
5 Reads

Understanding Variation: Part1- the Run Chart.

Curr Probl Pediatr Adolesc Health Care 2018 Jul 8;48(7):186-190. Epub 2018 Sep 8.

Dayton Children's Hospital, One Children's Plaza, Dayton, OH, United States. Electronic address:

This paper briefly describes different types of data, how to collect data, the rationale for organizing data in a time-ordered fashion, and how to use a simple tool called a run chart to present and analyze data. The run chart is simple to construct and equally as simple to analyze. Run charts make variation visible and determine whether a change has made an improvement and if the improvement is being sustained. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.08.012DOI Listing
July 2018
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Process Mapping - The Foundation for Effective Quality Improvement.

Curr Probl Pediatr Adolesc Health Care 2018 Jul 9;48(7):177-181. Epub 2018 Sep 9.

Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404, United States. Electronic address:

Process maps are a key quality improvement tool used to visualize how healthcare, and its complex processes, are delivered. It is used for determining the step by step flow of the process, its timing, handoffs, and identifying outputs that can be visualized, measured, and studied. Due to the complexity of healthcare, process mapping must be a foundational element of both healthcare process design and quality improvement. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.08.010DOI Listing
July 2018
2 Reads

Building the Case for Quality Improvement.

Authors:
Thomas Taghon

Curr Probl Pediatr Adolesc Health Care 2018 Jul 8;48(7):174-176. Epub 2018 Sep 8.

Associate Chief Medical Officer, Dayton Children's Hospital Clinical Associate Professor of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OH, United States. Electronic address:

Great improvements have been made by quality improvement teams. National trends towards using quality and value metrics in reimbursement suggest that physicians and advanced practitioners caring for children and adolescents will benefit from knowing and using quality improvement methods. These methods will also help as transparency of quality data becomes more commonplace. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.08.008DOI Listing
July 2018
1 Read

Pediatricians and court appointed special advocates (CASA).

Authors:
John D Lantos

Curr Probl Pediatr Adolesc Health Care 2018 Sep 31;48(9):213-214. Epub 2018 Aug 31.

Professor of Pediatrics, University of Missouri-Kansas City. Director, Children's Mercy Hospital Bioethics Center. Electronic address:

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http://dx.doi.org/10.1016/j.cppeds.2018.08.004DOI Listing
September 2018
2 Reads

In search of better practice.

Authors:
William T Gerson

Curr Probl Pediatr Adolesc Health Care 2018 Jul 22;48(7):191-192. Epub 2018 Aug 22.

The Robert Larner, M.D. College of Medicine at The University of Vermont. Electronic address:

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July 2018
1 Read

Cardiovascular Clearance for Sports Participation.

Curr Probl Pediatr Adolesc Health Care 2018 May 24;48(5-6):151-160. Epub 2018 Jul 24.

Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health, 410 Lakeville Road, Suite 108, New Hyde Park, NY 11042, United States; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States. Electronic address:

Sudden cardiac death (SCD) in a young athlete is a rare but tragic occurrence. The goal of this article is to provide information about the risks of sudden cardiac death in athletes by reviewing the epidemiology and describing the current screening recommendations of the American Heart Association/American College of Cardiology. The specifics of and reasons for differences between screening guidelines in the United States and the screening guidelines in Europe are highlighted. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.06.003DOI Listing
May 2018
1 Read

Evaluation and Management of Concussion in Young Athletes.

Curr Probl Pediatr Adolesc Health Care 2018 May 14;48(5-6):139-150. Epub 2018 Jul 14.

Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health, 410 Lakeville Road, Suite 108, New Hyde Park, New York 11042, United States; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States. Electronic address:

Learning about concussion diagnosis and management is important for all individuals who will be taking care of young athletes. There are about 1.7million reported concussions per year, and, of these, about 20% are sports related. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.06.002DOI Listing
May 2018
10 Reads

Foreword: Clearance for sports participation: Concussions, cardiovascular and other medical concerns.

Authors:
Ronald Feinstein

Curr Probl Pediatr Adolesc Health Care 2018 May 14;48(5-6):137-138. Epub 2018 Jul 14.

Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health, 410 Lakeville Road, Suite 108, New Hyde Park, NY 11042, United States; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, United States. Electronic address:

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May 2018
1 Read

Sports participation for young athletes with medical conditions: Seizure disorder, infections and single organs.

Curr Probl Pediatr Adolesc Health Care 2018 May 14;48(5-6):161-171. Epub 2018 Jul 14.

Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health, 410 Lakeville Road, Suite 108, New Hyde Park, NY 11042, United States; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States. Electronic address:

Organized and recreational sports have been shown to be an important part of growth and development in children, adolescents and young adults. In addition to the health benefits of increased physical activity, sports also provide social benefits. Pediatricians play an important role in determining if young athletescan participate in various sports and the proper equipment or precautions that are necessary. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.06.004DOI Listing
May 2018
1 Read

Subglottic Stenosis.

Curr Probl Pediatr Adolesc Health Care 2018 Apr;48(4):129-135

The Center for Pediatric Airway Disorders, Division of Otolaryngology, The Children's Hospital of Philadelphia, Philadelphia, PA.

Subglottic stenosis refers to narrowing of the airway diameter below the vocal folds and may be congenital or acquired. Typical signs and symptoms range from recurrent croup and exertional stridor to complete airflow obstruction requiring tracheotomy. Management of moderate and severe subglottic stenosis often requires intricate surgical techniques. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.03.007DOI Listing
April 2018
6 Reads

The Pediatric Aerodigestive Center as a Tertiary Care-Based Medical Home: A Proposed Model.

Curr Probl Pediatr Adolesc Health Care 2018 Apr 12;48(4):104-110. Epub 2018 Apr 12.

Division of Pulmonary Medicine & Center for Pediatric Airway Disorders, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Children with special healthcare needs have been identified nationally as a population whose health care is associated with unmet needs; increased morbidity; fragmentation of care and medical errors; caregiver dissatisfaction; and disproportionately high costs. A subset of these children are medically fragile, with medical complexity that requires a reliance on tertiary care-based services-including subspecialty appointments, surgical procedures, and care coordination resources. For medically complex patients affected by upper and lower respiratory tract and gastrointestinal disorders, multidisciplinary aerodigestive centers have emerged at tertiary care centers across the United States to facilitate coordinated, high-quality, and high value care. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.03.006DOI Listing
April 2018
4 Reads

Vocal Fold Motion Impairment.

Authors:
Karen B Zur

Curr Probl Pediatr Adolesc Health Care 2018 Apr 10;48(4):124-128. Epub 2018 Apr 10.

Center for Pediatric Airway Disorders, The Children's Hospital of Philadelphia, Philadelphia, PA; Otolaryngology: Head & Neck Surgery, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, PA. Electronic address:

Vocal fold motion abnormalities in children are the second most common form of laryngeal pathology seen in children, and often present in the first 24 months of life. A thorough evaluation of the aerodigestive tract will include an examination of the vocal folds, and a proper diagnosis is essential in order to decipher the etiology of swallowing, voicing and breathing abnormalities. This article reviews the workup, management options and clinical outcomes of unilateral and bilateral vocal fold motion impairment in the pediatric population. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.03.004DOI Listing
April 2018
2 Reads

Foreword: Aerodigestive Disorders: Part II.

Authors:
Louis M Bell

Curr Probl Pediatr Adolesc Health Care 2018 Apr 9;48(4):103. Epub 2018 Apr 9.

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http://dx.doi.org/10.1016/j.cppeds.2018.03.005DOI Listing
April 2018
2 Reads

Laryngomalacia, Tracheomalacia and Bronchomalacia.

Authors:
Erik B Hysinger

Curr Probl Pediatr Adolesc Health Care 2018 Apr 3;48(4):113-118. Epub 2018 Apr 3.

Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH. Electronic address:

Airway malacia can occur in the larynx (larygomalacia), trachea (tracheomalacia), or bronchi (bronchomalacia). As a group these are the most common congenital abnormalities of the pediatric airway and are characterized by increased airway compliance, resulting in excessive dynamic collapse during the respiratory cycle. While a diagnosis can be suspected based on clinical history and physical examination, definitive evaluation is based of nasopharyngolaryngoscopy and/or bronchoscopy. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.03.002DOI Listing
April 2018
3 Reads

Bronchiectasis, Chronic Suppurative Lung Disease and Protracted Bacterial Bronchitis.

Authors:
Dan T Benscoter

Curr Probl Pediatr Adolesc Health Care 2018 Apr 27;48(4):119-123. Epub 2018 Mar 27.

Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Electronic address:

Bronchiectasis is a structural airway disease characterized by dilated bronchi and bronchioles due to severe or recurrent lower airways inflammation. Bronchiectasis can occur as a result of chronic pulmonary aspiration. Bronchiectasis may also be associated with a wide variety of systemic diseases, which should be considered in the differential diagnosis. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.03.003DOI Listing
April 2018
7 Reads

Eosinophilic Esophagitis.

Authors:
Amanda B Muir

Curr Probl Pediatr Adolesc Health Care 2018 Mar;48(3):99-101

Division of Pediatric Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA. Electronic address:

Eosinophilic esophagitis (EoE) is a chronic allergic inflammatory disease of the esophagus that effects children and adults. Typical symptoms of EoE typically involve failure to thrive and vomiting in small children, and dysphagia and food impaction in adolescents and adults. However, throat clearing, choking, gagging, and hoarseness have also been observed and these issues often bring patients to first seek otolaryngology and pulmonary evaluation. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.01.006DOI Listing
March 2018
5 Reads

Gastroesophageal Reflux Disease and Aerodigestive Disorders.

Curr Probl Pediatr Adolesc Health Care 2018 Mar;48(3):85-98

Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA.

This relationship between gastroesophageal reflux and airway disorders is complex, possibly bidirectional, and not clearly defined. The tools used to investigate gastroesophageal reflux are mostly informative about involvement of gastroesophageal reflux within the gastrointestinal tract, although they are often utilized to study the relationship between gastroesophageal reflux and airway issues with are suspected to occur in relation to reflux. These modalities often lack specificity for reflux-related airway disorders. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.01.005DOI Listing
March 2018
4 Reads

Diagnosis and Management of Laryngotracheoesophageal Cleft.

Authors:
Steven E Sobol

Curr Probl Pediatr Adolesc Health Care 2018 Mar;48(3):82-84

Division of Otolaryngology, Center for Pediatric Airway Disorders, The Children's Hospital of Philadelphia, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA. Electronic address:

Laryngotracheoesophageal cleft (LTEC) is a rare anatomic cause of aspiration in the newborn and infant. The clinical presentation of infants with LTEC is variable and will usually vary with the degree of anatomic communication between the airway and esophagus. The diagnosis of LTEC is often challenging, particularly in cases where the presentation and pathology are more subtle. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.01.007DOI Listing
March 2018
4 Reads

Chronic Pulmonary Aspiration in Children: Diagnosis and Management.

Curr Probl Pediatr Adolesc Health Care 2018 Mar;48(3):74-81

Division of Pulmonary Medicine at Cincinnati Childrens Hospital Medical Center, Cincinnati, OH. Electronic address:

Chronic pulmonary aspiration (CPA) is a common cause of morbidity in children with complex aerodigestive disorders. CPA can be caused by swallowing dysfunction, anatomic, or dynamic abnormalities of the airways, and/or other circumstances that overcome the child's natural capacity to protect the airway. Diagnostic evaluation for suspected aspiration aims to characterize the swallowing function, identify the etiology of aspiration, including anatomic and/or dynamic abnormalities causing aspiration, and evaluate for the development of aspiration sequelae (e. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.01.004DOI Listing
March 2018
4 Reads