Abstract:
:The Bronx Ongoing Pediatric Screening (BOPS) project sought to improve screening for sexual activity and sexually transmitted infections (gonorrhea and chlamydia [GCC] and HIV) in a primary care network, employing a modified learning collaborative, real-time clinical data feedback to practices, improvement coaching, and a pay-for-quality monetary incentive. Outcomes are compared for 11 BOPS-participating sites and 10 non-participating sites. The quarterly median rate for documenting sexual activity status increased from 55% to 88% (BOPS sites) and from 13% to 74% (non-BOPS sites). GCC screening of sexually active youth increased at BOPS and non-BOPS sites. Screening at non-health care maintenance visits improved more at BOPS than non-BOPS sites. Data from nonparticipating sites suggests that introduction of an adolescent EMR template or other factors improved screening rates regardless of BOPS participation; BOPS activities appear to promote additional improvement of screening during non-health maintenance visits.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
McKee MD,Alderman E,York DV,Blank AE,Briggs RD,Hoidal KES,Kus C,Lechuga C,Mann M,Meissner P,Patel N,Racine ADdoi
10.1177/0009922817733702subject
Has Abstractpub_date
2018-07-01 00:00:00pages
895-903issue
8eissn
0009-9228issn
1938-2707journal_volume
57pub_type
杂志文章,多中心研究abstract:OBJECTIVE:To evaluate the efficacy and feasibility of a multifaceted, community-based weight intervention program for children using exergaming technology (activity-promoting video gaming). DESIGN AND METHODS:This is a prospective observational pilot study. Forty-eight children, between the ages of 8 and 16 years, who...
journal_title:Clinical pediatrics
pub_type: 临床试验,杂志文章
doi:10.1177/0009922811429480
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVES:Functional gastrointestinal disorders (FGIDs) are common. Diagnosis is based on the Rome criteria. It has been argued that performing endoscopies could help by providing reassurance and thus improve outcomes. This study was conducted to evaluate the impact of obtaining normal endoscopies in the outcome of ch...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810392773
更新日期:2011-05-01 00:00:00
abstract::Liquid antibiotics are often substantially more expensive than their pill counterparts, representing an opportunity for substantial cost reductions. Children can be taught to swallow pills at about age 6 years. The objective of this study was to calculate the potential cost saved by replacing liquid antibiotics with c...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818774340
更新日期:2018-10-01 00:00:00
abstract::Bullying is a serious issue for adolescents, with health consequences both at the time of victimization and later on in adulthood. Aggression in the media is an area that has been explored as a contributing factor to bullying behavior. This study aims to determine if the incidence of aggression in popular television s...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815614353
更新日期:2016-10-01 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::For 'Factors Associated With Specific Language Impairment and Later Language Development During Early Life: A Literature Review' by Benjamas Prathanee, MA, Bandit Thinkhamrop, PhD, Sumalee Dechongkit, PhD; Clinical Pediatrics; Volume 46 Number 1, January 2007; 22-29; © 2007; SAGE Publications; 10.1177/0009922806297153...
journal_title:Clinical pediatrics
pub_type: 杂志文章,已发布勘误
doi:10.1177/0009922817720961
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Milk supply concern is the most common reason given by mothers for discontinuing breastfeeding. OBJECTIVES. To describe maternal experiences of interactions with health care providers related to milk supply. PATIENTS AND METHODS:Ten focus groups (N = 56 participants) were conducted among mothers who had had...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812448954
更新日期:2012-08-01 00:00:00
abstract:INTRODUCTION:Well child care is taught with individual visits in pediatric residency. Teaching residents how to deliver well child care efficiently is critical. Group well child care brings multiple families together for visits. The authors piloted group visits in pediatric residency clinic. METHODS:The authors conduc...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922811417289
更新日期:2012-02-01 00:00:00
abstract::Few tools are available to pediatricians for tracking and monitoring disability status in children. We describe the conceptual basis and pilot use of the Functional Independence Measure for Children (WeeFIM). Our pilot use of this instrument in children with limb deficiency, Down's syndrome, spina bifida, cerebral pal...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992289403300708
更新日期:1994-07-01 00:00:00
abstract::Ninety low socioeconomic adolescent females (aged 16-22 years, means 18.6 years) were screened for rubella immunity using a rubella IgG enzyme immunoassay. Data concerning past immunizations (with documentation, if possible), prior rubella disease, and previous pregnancies were gathered through direct interviews. Resu...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400705
更新日期:1985-07-01 00:00:00
abstract::A 12-year-old girl presented with weakness, diplopia, and lethargy after a prodrome of gastroenteritis. Laboratory studies were compatible with a diagnosis of hemolytic uremic syndrome. She developed seizures that were controlled by diphenylhydantoin and valium. In spite of peritoneal dialysis and fresh frozen plasma ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702601208
更新日期:1987-12-01 00:00:00
abstract::Patient-centered medical home (PCMH) transformation has been challenging for pediatric practices, in part because of the National Committee for Quality Assurance (NCQA) PCMH focus on conditions and processes specific to adult patients. Realizing the potential challenges faced by pediatric practices, Vermont supported ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816669788
更新日期:2017-06-01 00:00:00
abstract::A 4-year-old boy with transient erythroblastopenia of childhood (TEC) presented with papilledema and transient hemiparesis. Upon spontaneous hematologic recovery, the papilledema resolved. It is concluded that TEC, like other forms of anemia, may present with papilledema and even focal neurologic deficit, from which s...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288602500510
更新日期:1986-05-01 00:00:00
abstract::Pain control measures in sickle cell diseases are not uniform. Most clinicians use parenteral morphine or meperidine for severe pain. Reports of seizures associated with meperidine have led to a growing reliance on intravenous morphine, usually with patient-controlled devices. Acceptance of morphine has been poor amon...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289903800803
更新日期:1999-08-01 00:00:00
abstract::Propionic acidemia (PA) is one of the most frequent organic acidurias, but information on the outcome of individuals with PA is rather limited. We present data of 49 patients with PA, which were gathered from 18 metabolic centers throughout Central Europe on the occasion of an international workshop. All patients were...
journal_title:Clinical pediatrics
pub_type:
doi:10.1177/000992280404300908
更新日期:2004-11-01 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::We conducted a retrospective study to identify electrocardiogram (ECG) and echocardiogram utilization among patients presenting for a follow-up cardiology evaluation with innocent heart murmur between 2012 and 2014. The 2014 echocardiogram Appropriate Use Criteria was applied. We observed high rates of ordering ECGs a...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818787280
更新日期:2018-10-01 00:00:00
abstract::A method for the detection of bacterial pathogens in sepsis and bacterial meningitis with 16S rRNA gene- based real-time fluorescent quantitative polymerase chain reaction (FQ-PCR) is developed. A total of 190 blood specimens and 5 cerebrospinal fluid specimens from neonates with suspected sepsis or bacterial meningit...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809333972
更新日期:2009-07-01 00:00:00
abstract::The purpose of this study was to analyze the effects of breast-feeding on cognitive and motor development. A prospective cohort study was carried out enrolling 249 babies from 2 rural and urban areas. Cognitive development was assessed at the age of 18 months. Results show that adjusted scores on the mental developmen...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280304200106
更新日期:2003-01-01 00:00:00
abstract::Over-the-counter cold remedies are widely used for symptomatic relief of upper respiratory tract infections. The safety of these drugs is not well established in infants and their efficacy is questionable. Our aim was to study the attitude of family physicians and pediatricians toward the use of cold remedies in infan...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922806295281
更新日期:2006-11-01 00:00:00
abstract::Although asthma treatment guidelines recommend daily inhaled corticosteroid (ICS) use for all persistent asthma, pediatricians may recommend alternative treatment plans for children with mild persistent disease. The authors administered a survey of pediatricians to describe prescribing patterns for mild persistent ast...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807312184
更新日期:2008-06-01 00:00:00
abstract::This cross-sectional study examined how asthma control, demographic, and clinical characteristics are associated with the use of asthma medications in pediatric office visits in the United States. Data from the 2012-2015 National Ambulatory Medical Care Survey included patients aged 6 to 17 years, with asthma as a pri...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818822980
更新日期:2019-04-01 00:00:00
abstract::Colors are frequently added to disposable diapers to enhance the diapering experience. The colors in the interior of diapers are composed of nonsensitizing pigments that are bound during the fiber-making process into the fibers of the nonwoven that covers the absorbent core materials. In the past, the use of color in ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814540379
更新日期:2014-08-01 00:00:00
abstract::Electronic cigarettes, or e-cigarettes as they are commonly called, have gained wide acceptance among adolescents, especially those with sweet flavors such as bubble gum and cheesecake. Although health effects of e-cigarettes have not been well characterized, their use increases a teen's exposure to nicotine and may s...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/0009922817705188
更新日期:2017-09-01 00:00:00
abstract::The need for exchange transfusion was analyzed retrospectively using several different methods (total bilirubin binding capacity, birth weight, plasma protein level, and two published charts). These predictive methods were applied to 175 jaundiced infants for whom all the data were available and to 19 infants who were...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288302200801
更新日期:1983-08-01 00:00:00
abstract::We present the case of a young boy who was born to a human immunodeficiency virus (HIV)-positive mother and originally found to be uninfected. Evidence-based guidelines were followed regarding the mother's prenatal and infant's postnatal care, including the avoidance of breast milk. HIV DNA polymerase chain reaction q...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815601032
更新日期:2016-06-01 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::Infections with Mycobacterium marinum are uncommon in children but should be considered by a physician confronted with chronic, poorly healing skin lesions. A case of such an infection in a 4-year-old child is presented. Presenting signs and symptoms, differential diagnosis, and treatment of these infections are discu...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400512
更新日期:1985-05-01 00:00:00
abstract::Forty-one children suspected of having tuberculosis were simultaneously given an intermediate strength Mantoux test, an old tuberculin tine test (OT), and a purified protein derivative (PPD) tine test. Each test was read at 48 hours, and the largest diameter of induration was recorded. Twenty-nine patients had a posit...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001900602
更新日期:1980-06-01 00:00:00
abstract::The effects of position (upright vs reclining) and support (held vs chair) on the development and maintenance of feeding behavior were examined in a child with bronchopulmonary dysplasia and gastroesophageal reflux. A reclining position initially facilitated acceptance and swallowing with relatively rapid generalizati...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289403300102
更新日期:1994-01-01 00:00:00