Abstract:
: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.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Ragunanthan B,Frosch EJ,Solomon BSdoi
10.1177/0009922816681136subject
Has Abstractpub_date
2017-11-01 00:00:00pages
1219-1226issue
13eissn
0009-9228issn
1938-2707journal_volume
56pub_type
杂志文章abstract::Four neonates with adrenal hemorrhage are presented. The clinical manifestations included most often an abdominal mass but also anemia, jaundice, hypotension, bluish discoloration of the scrotum, and abdominal calcification. The diagnosis was established in each case upon abdominal sonographic findings. The review of ...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992280104001002
更新日期:2001-10-01 00:00:00
abstract::We conducted a cross-sectional study to evaluate timeliness of patient arrival at a pediatric multispecialty clinic. Bivariate and ordered logistic regression analyses were conducted to determine the odds of late arrival by specified patient- and visit-level characteristics. A total of 64 856 visits were available for...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816672450
更新日期:2017-06-01 00:00:00
abstract::Narcolepsy is a rare neurologic sleep disorder with morbidity associated with functional impairment and frequent delay in diagnosis. Symptoms typically manifest in adolescence or early adulthood, but diagnosis of narcolepsy has been reported in early childhood. Diagnosis rates are as low as 50% of the total population...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280604500409
更新日期:2006-05-01 00:00:00
abstract::The frequency of accessory nipples in black Americans is almost eight times greater than in white European patients. Association of a wide range of abnormalities with supernumerary nipples in whites has, thus far, not been our experience in black Americans. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288202100107
更新日期:1982-01-01 00:00:00
abstract::Headache is a highly prevalent condition and is the leading cause for school absences. Despite the rich literature supporting behavioral treatments for headache, many child psychologists mistakenly perceive that they lack appropriate training to treat children with headache. Likewise, many physicians feel underprepare...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816638665
更新日期:2017-01-01 00:00:00
abstract::Antibiotic choice for pediatric community-acquired pneumonia (CAP) varies widely. We aimed to determine the impact of a 6-month personalized audit and feedback program on primary care providers' antibiotic prescribing practices for CAP. Participants in the intervention group received monthly personalized feedback. We ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820928054
更新日期:2020-10-01 00:00:00
abstract::Pediatricians are expected to discuss the hazards of passive smoking and provide smoking cessation counseling (SCC) because passive smoking is known to have a direct negative effect on children's health. We conducted a cross-sectional survey of pediatric and medicine- pediatric residents at 2 training programs to iden...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807308182
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVE:To describe the incidence of bilious vomiting in infants with infantile hypertrophic pyloric stenosis that presented to a pediatric emergency department. METHODS:A retrospective medical record review included all infants who presented to our level 1 pediatric emergency department from January 1, 2005, throug...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811431159
更新日期:2012-03-01 00:00:00
abstract::Pediatricians and family physicians can play a significant role in the initiation of dental care for preschool children because they are seen more often by a physician than a dentist. The Committee on Standards for Child Health Care of the American Academy of Pediatrics recommends inspection of the mouth, teeth, and g...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288602500705
更新日期:1986-07-01 00:00:00
abstract::Half of US school children receive influenza vaccine. In our previous trials, school-located influenza vaccination (SLIV) raised vaccination rates by 5 to 8 percentage points. We assessed whether text message reminders to parents could raise vaccination rates above those observed with SLIV. Within urban elementary sch...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922818821878
更新日期:2019-04-01 00:00:00
abstract::Research conducted in 10 cities assessed long-term pediatric asthma outcomes from a peer teaching intervention for physicians to improve their asthma-related clinical and counseling skills. Hypotheses were better outcomes for patients, symptom reduction, less health care use, and enhanced view of the physician. Peers ...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0009922808319964
更新日期:2008-11-01 00:00:00
abstract::Although still considered to be a rare and mostly fatal illness, the reported incidence of neonatal bacterial endocarditis has increased during the past decade. This parallels the establishment of intensive supportive management of severely ill newborns with multiple medical problems. An extremely difficult diagnostic...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900707
更新日期:1990-07-01 00:00:00
abstract::Transient cataracts in patients with insulin-dependent diabetes mellitus (IDDM) are rare and have been reported only in association with severe ketoacidosis or hyperosmolarity. We present an adolescent with transient bilateral posterior subcapsular cataracts, which developed after the recent onset of IDDM without keto...
journal_title:Clinical pediatrics
pub_type: 信件
doi:10.1177/000992289303201108
更新日期:1993-11-01 00:00:00
abstract::In this paper, fecal incontinence and constipation were treated in two mentally retarded individuals using a novel intervention wherein incontinent stools were first rewarded in order to increase the frequency of bowel movements. This intervention was implemented only after more traditional pediatric and behavioral tr...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289103000105
更新日期:1991-01-01 00:00:00
abstract::A 9-year-old boy with an endocardial cushion defect who had skull erosion as well as widening of the diploe is described. This was accompanied by thickening of the tables, "hair-on-end" striations in the skull, and cortical thinning and medullary cavity expansion in the femora. The skull erosion is attributed to venou...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802700109
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Often diapers are not changed after infants pass urine. AIM:To define the association between the frequency of changing diapers and urinary tract infection (UTI) in infants. METHODS:Urine samples were tested in 131 infants (aged from 2 months to 2.5 years) who had a temperature > or =38 degrees C. The auth...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808320696
更新日期:2009-01-01 00:00:00
abstract::Clinical and laboratory findings of Zellweger syndrome (ZS) patients diagnosed at King Faisal Specialist Hospital and Research Center (KFSH & RC), Riyadh, Saudi Arabia over a period of 10 years are presented in this report. Eleven patients (nine females and two males) from 2 to 4 months old were referred to KFSH & RC ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289903800203
更新日期:1999-02-01 00:00:00
abstract::The purpose of this study was to evaluate the effectiveness of sandalwood oil for cutaneous viral warts caused by human papillomavirus. Sandalwood oil was applied topically twice daily for 12 weeks to cutaneous warts on any area of the body. Data collected at each visit included measurement of wart size, photograph of...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817691536
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To determine the effectiveness of temporal artery thermometry (TAT) as an alternative for temperature assessment of children 1 to 4 years of age in the pediatric emergency department. METHODS:Prospective cross-sectional study conducted at an urban children's hospital emergency department. TAT and rectal temp...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808327056
更新日期:2009-03-01 00:00:00
abstract::The authors present three case studies of patients referred to Children's Hospital and Medical Center, Seattle, Washington, for evaluation of possible eating disorders. The atypical manifestations of the cases warranted further investigation, which revealed an organic basis for their weight loss. The authors summarize...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900606
更新日期:1990-06-01 00:00:00
abstract::To assess knowledge regarding symptoms and treatment of anaphylaxis, a vignette of a child having an allergic reaction to a peanut was presented to residents in an allergy clinic. Twelve sets of clinical outcomes ranging from severe multi-organ to mild single organ involvement were described, and residents were asked ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820946012
更新日期:2021-01-01 00:00:00
abstract::This study analyzed parental perception of the impact of diarrhea on quality of life of their children. A standardized questionnaire was completed by 2023 parents in Germany with children with diarrhea who were younger than 2 years old. Parents stated the most worrying aspects of diarrhea. A health score was measured ...
journal_title:Clinical pediatrics
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doi:10.1177/0009922807310933
更新日期:2008-05-01 00:00:00
abstract::Pediatrician reimbursement is shifting from fee-for-service to a fixed salary. In the Netherlands, as physicians working on a fee-for-service basis have a financial interest in talking less and in carrying out more diagnostic tests and investigations, it may be questioned whether this will influence the structure and ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280003901004
更新日期:2000-10-01 00:00:00
abstract::This study aims to evaluate the cost-benefit of vaccination services, mostly partial series administration, provided by a mobile clinic program (MCP) in Houston for children of transient and low-income families. The study included 469 patients who visited the mobile clinics on regular service days in 2 study periods i...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820908586
更新日期:2020-06-01 00:00:00
abstract::Eighty-five infants and children presenting with acute otitis media who had normal tympanic membrane landmarks and mobility within 1 month before entry into the study were studied. These criteria were used in order to avoid including children with prior otitis media with effusion (secretory otitis media). A diagnosis ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288102000901
更新日期:1981-09-01 00:00:00
abstract::Our objective was to determine if C-reactive protein (CRP) and ferritin values alone and in combination are associated with mortality among hospitalized children. All hospitalized patients at our institution with a CRP or ferritin assay in 2015 and 2016 were included. Area under the receiver operating curves (AUROC) w...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922819837352
更新日期:2019-06-01 00:00:00
abstract::A 6-year-old boy with fever, vomiting, abdominal pain, and leucocytosis was found to have a small nodule of heterotopic pancreatic tissue in the wall of the jejunum. Leakage of pancreatic enzymes caused inflammation and hemorrhagic necrosis of adjacent smooth muscle. Excision of the lesion was followed by prompt and p...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288602500913
更新日期:1986-09-01 00:00:00
abstract:BACKGROUND:Sexually transmitted infections (STIs) are common among adolescents, and multiple STIs over one's lifetime can increase health risks. Few studies have assessed lifetime STI prevalence. This study evaluates minority, underserved adolescents' self-reported lifetime STI history and objective STI rates. METHODS...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814533816
更新日期:2014-08-01 00:00:00
abstract::Acute splenic sequestration crisis ( ASSC ), a common complication in homozygous sickle cell anemia, has been described infrequently in sickle-hemoglobin C (SC) disease in the absence of high altitude exposure. In this report, we describe three children with hemoglobin SC disease who developed episodes of ASSC that we...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300612
更新日期:1984-06-01 00:00:00
abstract::We examined the clinical and physiological benefits of heated humidified high-flow nasal cannula (HHHFNC) in treating pediatric bronchiolitis in a general pediatric ward. Children aged 0 to 2 years, hospitalized with moderate to severe bronchiolitis, were connected to HHHFNC. Each child was evaluated at 4- to 10-hour ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922819877881
更新日期:2019-12-01 00:00:00