Abstract:
:In 2005, the Enhancing Developmentally Oriented Primary Care (EDOPC) project of the Illinois chapter of the American Academy of Pediatrics and the Illinois Department of Healthcare and Family Services began a project to improve the delivery and financing of preventive health and developmental services for children in Illinois. The leaders of this initiative sought to increase primary care providers' use of validated tools for developmental, social/emotional, maternal depression, and domestic violence screening and to increase early awareness of autism symptoms during pediatric well-child visits in children aged 0 to 3 years. These screenings facilitate identification of children at risk and those who need referral for further evaluation. Primary barriers to such screenings include lack of practitioner confidence in using validated screening tools. In this article we describe the accomplishments of the EDOPC project, which created training programs to address these barriers. This training is delivered by EDOPC staff and peer educators (physicians and nurse practitioners) in medical practices. The EDOPC project enhanced confidence and intent to screen among a large group of Illinois primary health care providers. Among a sample of primary care sites at which chart reviews were conducted, the EDOPC project increased developmental screening rates to the target of 85% of patients at most sites and increased social/emotional screening rates to the same target rate in nearly half of the participating practices.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Allen SG,Berry AD,Brewster JA,Chalasani RK,Mack PKdoi
10.1542/peds.2010-1466Ksubject
Has Abstractpub_date
2010-12-01 00:00:00pages
S160-4eissn
0031-4005issn
1098-4275pii
126/Supplement_3/S160journal_volume
126 Suppl 3pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract::The relation between the immune system and epilepsy has been studied for a long time. Immune activation may precede or follow the appearance of seizures. Depending on the situation, the innate and acquired immunity may be involved to various degrees. The intense, ongoing research has opened encouraging management and ...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2016-3534
更新日期:2017-09-01 00:00:00
abstract::Aspirin and acetaminophen have excellent and essentially similar antipyretic activity. For the child, lowering of temperature will be indicated for excessively high temperature and when there is a history of febrile seizures. Specific clinical contraindications will often dictate the selection of one drug over the oth...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:
更新日期:1978-11-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to better estimate the prevalence and severity of childhood food allergy in the United States. METHODS:A randomized, cross-sectional survey was administered electronically to a representative sample of US households with children from June 2009 to February 2010. Eligible participan...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2011-0204
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVES:To test the hypotheses that minority children with long-bone fractures are less likely to (1) receive analgesics, (2) receive opioid analgesics, and (3) achieve pain reduction. METHODS:We performed a 3-year retrospective cross-sectional study of children <18 years old with long-bone fractures using the Pedi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-3370
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Meningococcal conjugate vaccination is recommended in the United States. This study evaluates the safety of quadrivalent meningococcal conjugate vaccine in a cohort aged 11 to 21 years. METHODS:This cohort study with self-controlled case-series analysis was conducted at Kaiser Permanente Southern California...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-2084
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To examine clinician-reported diagnosis of obesity and frequency of blood pressure assessment and diet and exercise counseling during ambulatory visits made by children and adolescents. METHODS:The National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey 1997 to 2000 were ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-1517
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The American Board of Pediatrics (ABP) certifies that general and subspecialty pediatricians meet standards of excellence established by their peers, immediately after training and over the course of their careers (ie, Maintenance of Certification [MOC]). In 2015-2016, the ABP developed the Ma...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-2303
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to determine the benefit of routine postoperative chest radiography after removal of esophageal foreign bodies in children. METHODS:Medical records were reviewed of all patients evaluated with an esophageal foreign body at a single children's hospital over 10 years. Operative recor...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-3676
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Although opioid pain relievers are commonly prescribed in pregnancy, their association with neonatal outcomes is poorly described. Our objectives were to identify neonatal complications associated with antenatal opioid pain reliever exposure and to establish predictors of neonatal abstinence s...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2014-3299
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:To estimate the incidence of clinical deterioration leading to intensive care unit transfer in previously healthy infants with respiratory syncytial virus (RSV) infection hospitalized on a general pediatric unit and, to assess the hypothesis that history, physical examination, oximetry, and chest radiographic...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.104.3.463
更新日期:1999-09-01 00:00:00
abstract::Erythrocytosis, extramedullary erythropoiesis, and increased levels of plasma erythropoietin have been observed in newborn infants of diabetic mothers. Because there is evidence that there is a relationship between increased fetal hemoglobin production and acute erythropoietic expansion, it was considered important to...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1985-06-01 00:00:00
abstract:OBJECTIVE:The National Heart, Lung, and Blood Institute Growth and Health Study (NGHS) is a 10-year study to investigate the development of obesity in black and white girls during adolescence and its environmental and psychosocial correlates. The purpose of this report was to examine changes in the annual prevalence ra...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.110.5.e54
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVE:Recommendations to prevent vertical transmission of group B Streptococcus (GBS) infections have resulted in many women's receiving antibiotics during labor with an associated reduction in early-onset GBS infections in their newborn infants. However, a potential relationship of intrapartum antibiotics (IPA) to...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-2421
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:Despite concerted policy efforts, a sizeable percentage of children lack health insurance coverage. This article examines the impact of the health care safety net and health care market structure on the use of health care by uninsured children. METHODS:We used the Medical Expenditure Panel Survey linked with...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-0733
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:The purpose of this work was to examine factors related to perceived impact of early intervention on children with disabilities and their families. METHODS:A nationally representative sample of approximately 2100 parents completed a 40-minute telephone interview near their child's third birthday. Structural ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-2775
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVE:To investigate whether students who are old-for-grade have higher rates of reported behavior problems and to investigate whether this association is independent of having been retained a grade in school. METHODS:Cross-sectional analyses of parental reports from the nationally representative sample of 9079 ch...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.100.4.654
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVES:The goals were (1) to examine the influence of continuity of care on delivery of lead, anemia, and tuberculosis screening in a cohort of Medicaid-enrolled children, (2) to determine whether well-child care continuity had a greater effect than continuity for all ambulatory visits, and (3) to investigate which...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2007-1497
更新日期:2008-03-01 00:00:00
abstract::Routine use of the 7-valent pneumococcal conjugate vaccine (PCV7), available since 2000, has resulted in a dramatic reduction in the incidence of invasive pneumococcal disease (IPD) attributable to serotypes of Streptococcus pneumoniae contained in the vaccine. However, IPD caused by nonvaccine pneumococcal serotypes ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-1280
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:Dental caries is a common, chronic disease of childhood. The impact of contemporary changes in beverage patterns, specifically decreased milk intakes and increased 100% juice and soda pop intakes, on dental caries in young children is unknown. We describe associations among caries experience and intakes of da...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.112.3.e184
更新日期:2003-09-01 00:00:00
abstract::Three groups of 30 Greek neonates each (an adoptive group from the Metera orphanage, a lower-class group, and a middle-class group) were evaluated at days 1, 5, and 10 after birth using a behavioral scale of 21 items and a neurologic evaluation of 16 items. Behaviors were examined for group differences and group-by-ag...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1979-02-01 00:00:00
abstract::There is general agreement that case management should be provided to children with chronic illnesses, yet it is not clear who should provide this service. A survey of physicians and parents of children with chronic illnesses was conducted to evaluate the practice and views of pediatricians and compare their assessmen...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract:BACKGROUND:In previous studies, the oral calcium loading and deprivation test has been used to distinguish between children with renal (fasting) hypercalciuria (RH) and absorptive hypercalciuria (AH). OBJECTIVE:We evaluated the long-term clinical course of 30 children with idiopathic hypercalciuria and investigated th...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1996-02-01 00:00:00
abstract::The effectiveness of aminophylline in the treatment of apnea of prematurity was evaluated in 13 premature infants (mean birthweight, 1.13 kg; mean gestational age, 29 weeks). Apnea was recorded by direct observation in combination with impedance monitoring. Rectal suppositories of aminophylline (5 mg) were given at si...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1976-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Bronchiolitis, the most common reason for hospitalization in children younger than 1 year in the United States, has no proven therapies effective beyond supportive care. We aimed to investigate the effect of nebulized 3% hypertonic saline (HS) compared with nebulized normal saline (NS) on leng...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2015-1037
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:To our knowledge, the risk of renal scarring in children with a urinary tract infection (UTI) has not been systematically studied. OBJECTIVE:To review the prevalence of acute and chronic renal imaging abnormalities in children after an initial UTI. METHODS:We searched Medline and Embase for English-, Frenc...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2010-0685
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:There has been a gradual decrease in the proportion of children covered by private health insurance in Colorado and the United States with a commensurate increase in those with public insurance or having no insurance which may impact access to care and outcomes. OBJECTIVE:The purpose of this work was to det...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-0162
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVE:To examine the prevalence and predictors of language attainment in children with autism spectrum disorder (ASD) and severe language delay. We hypothesized greater autism symptomatology and lower intelligence among children who do not attain phrase/fluent speech, with nonverbal intelligence and social engageme...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-2221
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Tapentadol (Nucynta) is indicated for the treatment of moderate to severe pain in adults. Tapentadol's mechanism of action consists of acting as an agonist on the μ-opioid receptor and by inhibiting the reuptake of norepinephrine. There are no published reports on the toxicity of tapentadol in pediatric pati...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2014-2096
更新日期:2015-02-01 00:00:00
abstract::The cardiovascular manifestations of the Marfan syndrome in older children and adults have been well described. Clinical, radiographic, and echocardiographic data regarding three patients with severe perinatal Marfan syndrome are described. Two of these patients had the syndrome at birth and died in infancy. The syndr...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract:BACKGROUND:Controversy exists regarding the most appropriate acute management of central venous catheters (CVCs) in neonates with candidemia, with up to two thirds of neonatologists preferring to attempt antifungal therapy without removing CVCs. OBJECTIVE:To determine whether CVCs should be removed as soon as candidem...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.106.5.e63
更新日期:2000-11-01 00:00:00