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Current Problems in Pediatric and Adolescent Health Care

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https://read.qxmd.com/read/30777710/immigrant-children-with-special-health-care-needs-a-review
#1
Sandra McKay
This review was conducted to evaluate the current literature surrounding immigrant children with special health care needs. The focus of the review was to determine what evaluations have been done to educate primary care providers on general characteristics of this high-risk population and barriers that may impact care of the child. A review of the literature was conducted looking at PUBMED/MEDLINE and Cochrane databases. The search terms were defined to capture articles with key words relating to both immigrants and children with special health care needs...
February 15, 2019: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30738896/implicit-bias-what-every-pediatrician-should-know-about-the-effect-of-bias-on-health-and-future-directions
#2
Jeanette Schnierle, Nicole Christian-Brathwaite, Margee Louisias
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. Immigrant populations are particularly at risk in our present-day environment, causing limited healthcare access and psychological distress...
February 6, 2019: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30737181/detention-of-immigrant-children-a-growing-crisis-what-is-the-pediatrician-s-role
#3
Natasha K Sriraman
No abstract text is available yet for this article.
February 5, 2019: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30718054/foreword-providing-healthcare-to-immigrant-children-what-are-the-challenges-issue-2
#4
EDITORIAL
John W Harrington
No abstract text is available yet for this article.
February 1, 2019: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30704870/editorial
#5
EDITORIAL
Natasha K Sriraman
No abstract text is available yet for this article.
January 28, 2019: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30595524/social-determinants-of-health-and-health-disparities-among-immigrants-and-their-children
#6
Cindy D Chang
In 2017, the United States (U.S.) foreign-born population was estimated to be 44.5 million, the highest share since 1910. It is unclear how many undocumented immigrants live in the U.S., but estimates in 2014 determined that there were at least 12.1 million. The immigrant population, particularly undocumented immigrants, has consistently been affected negatively by social determinants of health such as poverty, food and housing insecurity, lack of educational attainment, and challenges with health care access...
December 27, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30583973/providing-healthcare-for-immigrant-children
#7
Natasha K Sriraman Md Mph Faap Fabm
No abstract text is available yet for this article.
December 21, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30583972/editorial-providing-healthcare-to-immigrant-children-what-are-the-challenges-issue-1
#8
EDITORIAL
Natasha K Sriraman
No abstract text is available yet for this article.
December 21, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30567629/type-2-diabetes-in-latino-youth-a-clinical-update-and-current-challenges
#9
Paulina Cruz, Andrea Granados
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. This has important public health implications. Few pharmacologic options are approved for use in the pediatric population. The largest clinical trial to date did include a significant sample of Latinos, however the intervention used metformin or rosiglitazone in addition to lifestyle management and did not show meaningful weight loss, with around half of the participants meeting criteria for treatment failure...
December 17, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30558967/improving-health-outcomes-for-immigrant-families-through-ipv-screening-resources-and-recommendations-for-pediatric-health-care-providers
#10
Nirmala Prakash, Jennifer Prevot, Bhargavi Kola, Sarah K Wood
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...
December 14, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30554953/foreword-providing-healthcare-to-immigrant-children-what-are-the-challenges-issue-1
#11
EDITORIAL
John W Harrington
No abstract text is available yet for this article.
December 13, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30466840/use-of-long-acting-reversible-contraception-larc-and-the-depo-provera-shot-in-adolescents
#12
Khalida Itriyeva
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...
December 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30466839/contraception-for-adolescents-with-medically-complex-conditions
#13
Linda Carmine
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...
December 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30470471/use-of-short-acting-reversible-contraception-in-adolescents-the-pill-patch-ring-and-emergency-contraception
#14
Nadia Saldanha
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...
November 20, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30466841/foreword
#15
EDITORIAL
John M Pascoe
No abstract text is available yet for this article.
November 19, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30466838/foreword-contraceptive-strategies-for-prevention-of-adolescent-pregnancy
#16
EDITORIAL
Linda Carmine
No abstract text is available yet for this article.
November 19, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30389361/judicious-antibiotic-prescribing-in-ambulatory-pediatrics-communication-is-key
#17
Nicole M Poole
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. Parental expectations for antibiotics stem from parental concerns about symptom severity and a desire to alleviate symptoms...
October 30, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30337150/the-burden-and-impact-of-antibiotic-prescribing-in-ambulatory-pediatrics
#18
Alexandra B Yonts, Matthew P Kronman, Rana F Hamdy
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. This review article quantifies the burden of antimicrobial use in the pediatric outpatient setting in the United States, reviews recommended first line antibiotic regimens for common outpatient pediatric and adolescent conditions, investigates the reasons for inappropriate prescribing of antibiotics in outpatient healthcare settings, and explores the range of consequences of overuse and inappropriate use of antibiotics, from adverse drug reactions to impact on the microbiome to rising rates of antimicrobial resistance in common ambulatory conditions...
October 15, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30337149/evidenced-based-interventions-for-children-with-autism-spectrum-disorder
#19
Meredith N Will, Kristn Currans, Jennifer Smith, Stephanie Weber, Amie Duncan, Jenny Burton, Kimberly Kroeger-Geoppinger, Valerie Miller, Megan Stone, Lindsay Mays, Ashley Luebrecht, Anna Heeman, Craig Erickson, Julia Anixt
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. The field has moved toward a greater emphasis on the identification and utilization of evidenced-based treatments...
October 15, 2018: Current Problems in Pediatric and Adolescent Health Care
https://read.qxmd.com/read/30322711/from-paper-to-practice-strategies-for-improving-antibiotic-stewardship-in-the-pediatric-ambulatory-setting
#20
Michael J Bozzella, Nada Harik, Jason G Newland, Rana F Hamdy
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...
October 13, 2018: Current Problems in Pediatric and Adolescent Health Care
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