Abstract:
BACKGROUND AND OBJECTIVE:There is a documented connection between the home environment and health. Medical-legal partnerships (MLPs) can address social and environmental determinants of health. Our objective was to describe a cluster of substandard housing identified and treated by an MLP based in a pediatric primary care setting. METHODS:Potential cases of poor-quality housing were identified during outpatient primary care. A case was defined as any rented housing unit with a reported unaddressed housing risk within a defined building portfolio (owned by a single developer) in which ≥ 1 child lived. An on-site MLP offered affected families legal services including ordinance enforcement and connection to resources. They also initiated portfolio-wide advocacy. Legal advocates reported case outcomes. Medical history and household demographics were collected from the medical record and compared with clinic-wide data by using Fisher's exact test or χ(2) statistics. RESULTS:After identification of a single case, an additional 15 cases were identified. Pest infestation was the most common initial risk identified. Of 14 units with outcome data, repairs were completed in 10 (71%). Of the 19 building complexes with the same owner, 11 received significant systemic repairs. Of the 45 children living within the 16 identified case units, 36% had asthma, 33% had developmental delay or behavioral disorder, and 9% had an elevated lead level. Affected children were more likely to have one of these diagnoses than the general clinic population (all P < .01). CONCLUSIONS:An MLP identified and improved home environmental conditions for children living in a cluster of substandard housing.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Beck AF,Klein MD,Schaffzin JK,Tallent V,Gillam M,Kahn RSdoi
10.1542/peds.2012-0769subject
Has Abstractpub_date
2012-11-01 00:00:00pages
831-8issue
5eissn
0031-4005issn
1098-4275pii
peds.2012-0769journal_volume
130pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract:OBJECTIVE:We examined the association between type of child care, participation in different types of child care in the year before kindergarten and the likelihood of obesity at the start of kindergarten. METHODS:Using a nationally representative sample of 15 691 first-time kindergartners from the Early Childhood Long...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2007-2233
更新日期:2008-08-01 00:00:00
abstract::We have studied the epidemiology of inguinal hernias in preterm infants. Inguinal hernias occur with increased frequency in infants less than or equal to 32 weeks' gestational age or less than or equal to 1,250 g birth weight. Among infants less than or equal to 32 weeks' gestational age, intrauterine growth retardati...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1986-02-01 00:00:00
abstract:OBJECTIVE:We studied the association between breastfeeding and eczema, taking into account the possible influence of reverse causation, with risk period-specific analyses. METHODS:Information on breastfeeding, determinants, and outcomes at 1 year of age was collected with repeated questionnaires for 2405 mother-infant...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-0772
更新日期:2007-01-01 00:00:00
abstract::Enterovirus 71 (E-71) infection was first reported in 19745 in the United States; subsequent outbreaks were reported in worldwide distribution. In the summer of 1977, we identified 12 patients, mostly children, with E-71 infection. The striking feature of this outbreak is the occurrence of two cases with polio-like pa...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1981-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Infant mortality is an indicator of overall societal health, and a significant proportion of infant deaths occur in NICUs. The objectives were to identify causes of death and to define potentially preventable factors associated with death as areas for quality improvement efforts in the NICU. ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2014-2967
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:To determine whether youth convicted of juvenile offenses have a greater risk of injury resulting in hospitalization compared with nonoffending adolescents. DESIGN:A statewide hospital discharge database was linked to juvenile justice records to identify all hospitalizations occurring at ages 13 to 17 years...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.99.3.e5
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVE:To study whether pretreatment of newborn lungs by captopril inhibits meconium-induced lung injury and inflammatory cytokine expression. DESIGN:Four groups of 2-week-old rabbit pups were used for the study: group 1, saline instilled rabbits; group 2, captopril-pretreated rabbits; group 3, meconium-instilled r...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-0274
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:In 1982, Tolarova(4) found a reduction in the recurrence rate of isolated cleft lip (CL) with or without cleft palate (CP; CL +/- CP) after periconceptional supplementation with a multivitamin including a very high dose (10 mg) of folic acid. The Hungarian randomized, double-blind, controlled trial of pericon...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.104.6.e66
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:We recently reported that electrocardiographic abnormalities are common in adults with monosomy X (Turner syndrome), but this issue has not been investigated in girls with Turner syndrome. PATIENTS AND METHODS:We analyzed electrocardiograms in 78 girls with Turner syndrome and 50 age-matched control girls. ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-0776
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:Our goal was to determine if racial/ethnic disparities in adolescent boys' and girls' physical activity participation exist and persist once the school attended is considered. METHODS:We performed a cross-sectional analysis of 17,007 teens in the National Longitudinal Study of Adolescent Health. Using multiv...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-1920
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Trisomy 21 is known to decrease the risk of several (nonocular) angiogenic-mediated diseases. The objective of this study was to determine whether trisomy 21 can also be shown to be significantly protective against ocular angiogenic-mediated disorders such as retinopathy of prematurity (ROP). ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2015-0623
更新日期:2015-08-01 00:00:00
abstract::To test the efficacy and safety of vitamin E in preventing retinopathy of prematurity, 287 infants with birth weights of less than 1.5 kg or gestational ages of less than 33 weeks were enrolled within 24 hours of birth in a randomized, double-masked trial of IV, followed by oral, placebo v tocopherol (adjusted to plas...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1987-04-01 00:00:00
abstract:OBJECTIVE:To determine whether the risk of unintentional injury requiring emergency department (ED) or inpatient care in children is transiently increased over a 90-day period after injury to a sibling. DESIGN:Retrospective cohort. SETTING:King County, Washington. Participants. A total of 41 242 children 0 to 15 year...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.105.3.562
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVES:To describe normative sexual behavior in Dutch-speaking children; to assess the frequencies of different types of sexual behaviors reported in children by their parents; to analyze the relation of these sexual behaviors to demographic, personal, familial, and general behavioral variables; and to compare the ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.104.4.885
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:E-cigarette use is rapidly increasing among adolescents in the United States, with some suggesting that e-cigarettes are the cause of declining youth cigarette smoking. We hypothesized that the decline in youth smoking changed after e-cigarettes arrived on the US market in 2007. METHODS:Data were collected ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-2450
更新日期:2017-02-01 00:00:00
abstract::Primary angiitis of the central nervous system (PACNS) is an idiopathic vasculitis confined to the central nervous system. In children with PACNS, small-vessel (SV) involvement is characterized clinically by progressive neurologic symptoms, multifocal lesions on brain imaging, occasional pseudo-tumor presentation, and...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2009-2729
更新日期:2011-04-01 00:00:00
abstract::Several recommendations in the American Academy of Pediatrics policy statement "The Pediatrician's Role in Community Pediatrics" underscore the essential role of research as an agent of change to promote the health and well-being of children. This article provides (1) a framework for thinking about research in communi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-2825T
更新日期:2005-04-01 00:00:00
abstract::The objectives of this technical report are to describe methods of diagnosis of HIV-1 infection in children younger than 18 months in the United States and to review important issues that must be considered by clinicians who care for infants and young children born to HIV-1-infected women. Appropriate HIV-1 diagnostic...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2007-2951
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to assess the prevalence and characteristics of medication errors in pediatric and neonatal inpatients and to measure the impact of interventions to reduce medication errors. METHODS:A preintervention and postintervention cross-sectional study was conducted of a sample of pres...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2008-0014
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:2-methylbutyryl-CoA dehydrogenase deficiency, also known as short/branched-chain acyl-CoA dehydrogenase (SBCAD) deficiency, is a recently described autosomal recessive disorder of L-isoleucine metabolism. Only 4 affected individuals in 2 families have been described. One patient developed athetoid cerebral pa...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.112.1.74
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVES:Bullying and being bullied have been recognized as health problems for children because of their association with adjustment problems, including poor mental health and more extreme violent behavior. It is therefore important to understand how bullying and being bullied affect the well-being and adaptive func...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.112.6.1231
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVES:We sought to determine factors that would predict the development of subglottic stenosis (SGS) and tracheomalacia (TM) in preterm infants. The utility of a semiquantitative measurement of airway dimensions was assessed in relation to signs of airway complications. We also sought to determine from a high-risk...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract:OBJECTIVE:We followed a cohort (N = 306) of infants at well-baby visits in two suburban pediatric practices to assess the relation of exclusive breastfeeding, and other environmental exposures, to episodes of acute otitis media (AOM) and otitis media with effusion (OME). METHODS:Detailed prospective information about ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.100.4.e7
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVE:Methylxanthines are among the most commonly prescribed drugs in neonatal intensive care. This study evaluates the effect of caffeine on oxygen consumption and metabolic rate in premature infants with idiopathic apnea. METHODS:Eighteen preterm infants at gestational ages from 28 to 33 weeks and birth weights ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.107.4.660
更新日期:2001-04-01 00:00:00
abstract::Human breast milk samples were collected from lactating mothers, and aliquots were maintained at room temperature, frozen, and pasteurized. Samples were inoculated with 10 to 50 colony-forming units per milliliter (cfu/ml) of Escherichia coli or group B streptococcus, and incubated at 37 C. Quantitative growth was mea...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1979-04-01 00:00:00
abstract::Adenovirus infection is common in childhood and is generally associated with self-limited disease. Cidofovir, a viral DNA polymerase inhibitor, is used to treat adenovirus infection in select populations but is not often recommended for immunocompetent patients because of limited antiviral activity and nephrotoxicity....
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2019-1632
更新日期:2020-01-01 00:00:00
abstract::An adolescent girl, devoid of a detectable humoral immunity to measles virus despite two inoculations of live, attenuated vaccine, developed an exaggerated atypical rubeola illness following exposure to wild virus. This observation suggests that attenuated virus may be capable of immunologically sensitizing some indiv...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1976-01-01 00:00:00
abstract::The current status of nursery routines of prophylaxis against ophthalmia neonatorum were surveyed by mail questionnaire to 100 leading maternity hospitals. More than 20% of the respondents were not using silver nitrate, mainly because of chemical conjunctivitis. The clinical significance and incidence of chemical conj...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1975-09-01 00:00:00
abstract::The Child Abuse Recognition Experience Study revealed that primary care clinicians did not always follow the legal mandate to report suspected child abuse to child protective services. National child abuse experts representing different disciplines met in a 2-day conference in January 2007 to discuss and develop new s...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-0715c
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:We conducted a retrospective cohort study to compare the use of triple therapy versus monotherapy for children and adolescents with perforated appendicitis and to determine whether there has been a transition to monotherapy within the freestanding children's hospitals that contribute to the Pediatric Health I...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2006-2040
更新日期:2007-05-01 00:00:00