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Technological advances in pediatric epilepsy surgery Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-03-16 Michael E. Baumgartner, Liming Qiu MD, Lucas R. Philipp MD MPH, Kathleen Galligan MS PA-C, Casey Halpern MD, Benjamin C. Kennedy MD
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College health centers: An update on medical issues Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-03-15 Ariel Tassy Nunez MD
College health centers are an important source of health care for large numbers of young adults throughout the country. With 16.9 million students enrolled in 2023 in post-secondary institutions in the United States, the potential impact that health centers at these institutions have is significant. Late adolescence and early adulthood is a particularly vulnerable stage of both cognitive and psychosocial
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Improving Health Equity and Outcomes for Children and Adolescents: The Role of School-Based Health Centers (SBHCs) Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-03-14 Khalida Itriyeva
School-based health centers (SBHCs) provide a critical point of access to youth in low-resource communities. By providing a combination of primary care, reproductive health, mental health, vision, dental, and nutrition services, SBHCs improve the health, wellbeing, and academic achievement of the students they serve. SBHCs operate in collaboration with schools and community primary care providers to
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A pediatrician's guide to epilepsy surgery Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-03-14 Ania Dabrowski MD PhD, Caren Armstrong MD PhD
Surgical intervention for epilepsy emerged in the second half of the 20th century as an important option for pediatric patients with medically refractory epilepsy. Both the number of patients undergoing epilepsy surgery and the available surgical procedures for epilepsy have expanded in the last 3 decades, and now range from surgical resection to neuromodulatory device placement Studies showing that
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Current challenges in school-based health center care: COVID, mental health care, immigrant youth, expansion of telemedicine Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-03-13 Linda Carmine MD
School based health centers (SBHCs) have been providing preventive, acute and chronic care in schools across the United States (US) for the past 40 years. A discussion of that care is provided in a companion article to this one. Several major societal issues of the 2020s, affecting the care provided in SBHCs, have taken place over the past 4 years. These issues, which will be discussed in this article
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Genetic testing for unexplained epilepsy: A review of diagnostic approach, benefits, and referral algorithm Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-03-13 Alexis Karlin MD MA, Sarah Ruggiero MS CGC, Mark Fitzgerald MD PhD
In the last several decades, advances in genetic testing have transformed the diagnostic and therapeutic approach to pediatric epilepsy. However, the interpretation of these genetic tests often requires expert analysis and counseling. For this reason, as our molecular understanding of the linkages between abnormal cerebral physiology and genetics has grown, so too has the field of clinical epilepsy
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Specialized programs employing different models of care delivery work collaboratively to address the health care needs of children in foster care Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-03-13 Jennifer Keim, Kristine Fortin
Specialized knowledge and skills applicable to caring for children in foster care include guidelines developed to address this population's special health care needs, cross-system collaboration, and helping families cope with the health impacts of trauma. This paper begins with a review of the special health care needs of children in foster care and relevant guidelines. We discuss different models
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Accelerating therapeutic development and clinical trial readiness for STXBP1 and SYNGAP1 disorders Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-03-11 Nicolas Marotta, Michael J. Boland Ph.D., Benjamin L. Prosser Ph.D.
Gene-targeted therapies for genetic neurodevelopmental disorders (NDDs) are becoming a reality. The Center for Epilepsy and Neurodevelopmental Disorders (ENDD) is currently focused on the development of therapeutics for and disorders. Here we review the known clinical features of these disorders, highlight the biological role of STXBP1 and SYNGAP1, and discuss our current understanding of pathogenic
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Navigating college campuses: The impact of stress on mental health and substance use in the post COVID-19 era Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-03-07 Sona Dave MD, Michelle Jaffe PhD, Debra O'Shea PsyD
The college years are one of excitement and often thought of as a dream like setting of growth, creativity, and independence. This exciting time can be marred by the onset or exacerbation of mental health conditions, alcohol, and/or drug dependence. This writing looks to explore the world of college mental health and the changes the provisions of this type of care has undergone during and after the
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Child Adult Relationship Enhancement in Primary Care (PriCARE) theory of change: A promising intervention to reduce child maltreatment Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-03-06 Samantha Schilling MD MSHP, Susan Dougherty PhD, Joanne N. Wood MD MSHP
Child maltreatment (CM) is a pervasive public health problem and there is a critical need for brief, effective, scalable prevention programs. Because problematic parent-child relationships lie at the core of CM, interventions targeting this relationship hold promise as CM prevention strategies. Evidence-based positive parenting interventions, as discussed here, are manualized behavioral interventions
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Improving health and well-being for infants with prenatal substance exposure Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-03-01 Barbara H. Chaiyachati, Stephanie A. Deutsch
Substance use disorders (SUD) among caregiving adults has inexorable linkage to the health and well-being of millions of children in the U.S. This piece provides an overview of such linkages, examples of relevant policies and regulations, and the role of pediatric healthcare within the health trajectories of children and families at this intersection. A commonality throughout this work is need for
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Expanding horizons in child abuse pediatrics Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-02-22 Kristine Fortin, Colleen E. Bennett
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Advanced approaches in Pediatric Epilepsy surgery Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-02-22 Michael E. Baumgartner, Kathleen Galligan, Benjamin C. Kennedy
While recent technological advancements are reshaping the landscape of surgical epilepsy management, the established techniques of resective and disconnective surgeries guided by electrographic monitoring remain the workhorse interventions for the management of refractory seizures and have the highest likelihood of achieving complete seizure resolution. Here we discuss examples of recent developments
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The slow, necessary growth of pediatric palliative care Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-02-21 John D. Lantos
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How to move forward in shared decision-making in pediatric palliative care Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-02-14 Chantal Y. Joren, Judith L. Aris-Meijer, A.A. Eduard Verhagen, John Lantos
Pediatric palliative care has grown immensely in recent years in the world. However, shared decision-making remains a complex process, especially in pediatric palliative care. In particular, a number of issues are priorities to improve the shared decision-making process and ensure high-quality pediatric palliative care for every child. Working on these priorities will improve shared decision-making
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Utilizing screening as a trauma-responsive approach in pediatric health care settings Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-02-08 Shannon D. Chaplo, Lindsay D. Shepard Abdulahad, Brooks R. Keeshin
Given the widespread impact of child trauma, it is important that child- and family-serving systems adopt trauma-informed care. Because of their integral relationships with families, pediatricians and family medicine physicians play critical roles in disrupting negative societal and developmental cascades for trauma-exposed youth through their potential for early identification and intervention. When
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Current status of pediatric palliative care and decision making in Japan Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-01-29 Nobuyuki Yotani
Specialized pediatric palliative care (PPC) in Japan evolved primarily to care for children with cancer. As a result, the system for providing PPC to pediatric cancer patients is much more advanced than systems for non-cancer patients with life-limiting diseases. About 40% of pediatric cancer patients die at home, while most non-cancer patients die in the hospital under intensive care. In Japan, the
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Shared-decision-making and communication in paediatric palliative care within Uganda Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-01-24 J Downing, E Namukwaya, J Nakawesi, M Mwesiga
The first palliative care services were started in Uganda 30 years ago with services continuing to develop since then. The Ministry of Health and the Palliative Care Association of Uganda have played key roles in the development of paediatric palliative care in the country. There are a range of paediatric palliative care service providers in Uganda, and these have developed alongside educational programmes
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Financial support policies as a mechanism to reduce child welfare involvement Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-01-05 Zoe Bouchelle, Sabrina Darwiche, George Dalembert
None.
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Shared decision-making in pediatric palliative care in the Netherlands Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-01-03 Michiels EM, Joren CY, Kars MC, Aris JL, Verhagen AAE
Shared decision-making (SDM) is a process in which health care professionals (HCPs) involve parents and children - when appropriate- to decide together on future treatment. These decisions are based on values that are important for the family, goals of care and preferences for future care and treatment. Elucidation of these values and preferences is preferably done early in the disease trajectory via
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International perspectives on pediatric palliative care: Mexico Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2024-01-03 Yuriko Nakashima-Paniagua
The safe keeping of children and families that require Pediatric Palliative Care (PPC), presents a challenge to the healthcare professionals and systems, particularly in countries like Mexico. This is due to social inequities, the cultural diversity, the geo-regional position that determine specific social dynamics and nowadays the huge immigration issues that we are facing. The combination of all
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Streamlining healthcare delivery for sex-trafficked adolescents Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-12-30 Anish Raj
Recent years have elucidated that trafficking in the pediatric population constitutes a broader pattern of child maltreatment. Given the inconsistent engagement with the medical system that trafficked youth can experience, there is growing advocacy promoting streamlined provision of specialized services. One innovative example includes the Adolescent Protection Collaborative (APC) launched at the Children's
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Pediatric palliative care across continents: Communication and shared-decision-making Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-12-27 Chantal Y. Joren, Judith L. Aris-Meijer, A.A. Eduard Verhagen, John Lantos
Despite the significant growth and development of pediatric palliative care worldwide, significant challenges remain. One of those challenges is shared decision-making, by which parents, families and professionals all work together to develop a plan of care that reflects both the medical facts and the patient’s family’s values. Shared decision-making about palliative care and about death and dying
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Shared decision-making in pediatric palliative care Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-12-26 John T. Stroh, Brian S. Carter
Shared decision-making (SDM) with parents and adolescents is normative in pediatric practice in North America. In this article we discuss how it is applicable to the practice of pediatric palliative care (PPC). As PPC itself is exemplary of patient-and-family-centered care, it often uses a SDM approach in clarifying patient and family preferences, goals, and values. This often occurs in an iterative
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International perspectives on pediatric palliative care: Argentina Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-12-12 Rut Kiman
Since the 1980s, there has been a growing recognition of the importance of palliative care for children with life-limiting and life-threatening conditions. Collaboration, regulatory frameworks, educational initiatives and a patient-centered approach have contributed to the advancement of PPC services for children with life-limiting conditions. In spite of this progress, pediatric palliative care in
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Editorial Board Page Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-12-08
Abstract not available
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Table of contents Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-12-08
Abstract not available
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Editorial Board Page Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-12-06
Abstract not available
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Table of contents Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-12-06
Abstract not available
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Foreword: The role of animals in pediatric health Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-12-02 Arthur H. Fierman
Abstract not available
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Animal use in detection of disease within pediatric populations Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-12-01 Khusbu Patel, Megan Olson
There is a need for novel techniques for disease detection in humans. Research has shown that using animals for detection of disease is a promising area of study. A literature review was conducted using the terms animals, disease detection, seizures, epilepsy, infectious disease, cancer, and pediatrics to determine the published literature to date of the use of animals in detection of disease. Research
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FOREWORD- COVID-19 and Children's behavioral health Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-30 John M. Pascoe
Abstract not available
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COVID-19 and children's behavioral health: An overview Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-30 Julie Pajek, Kathryn Mancini, Marsheena Murray
The paper reviews the impact of the COVID-19 pandemic on children's and adolescents’ well-being. A trauma-informed framework is employed to discuss the emerging evidence of notable changes in youth's psychological, developmental, academic, and social well-being since the start of the COVID-19 pandemic. Children and adolescents have been uniquely affected based on their age at the start of the pandemic
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Animals as healers: A historical journey through the impact of animals on human health across the ages Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-30 Reem I Anz, Peter Chung
Animals have had a profound impact on health throughout the course of human history. Beginning with zootherapy in the ancient world, where animals were used as sources of mystical healing, animals have been crucial in the scientific discovery of human health and disease. In the modern world, the therapeutic application of emotional support animals serves as recognition for the symbiotic relationship
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Foreword: The role of animals in pediatric health Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-12-02 Arthur H. Fierman
Abstract not available
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Editorial Board Page Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-30
Abstract not available
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Table of contents Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-30
Abstract not available
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Animal assisted therapy in pediatric mental health conditions: A review Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-30 Tam Doan, Deanna Pennewitt, Rohan Patel
Animal assisted therapy (AAT) has been explored as a treatment option for children with mental health disorders and associated symptoms. AAT can be implemented in inpatient, outpatient, and residential care settings. Some studies demonstrate significant improvement in symptom severity while others report only modest results. In this review, we summarize previous studies that have investigated the applications
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Service and emotional support animals in pediatrics Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-30 Anita Narayanan, Linda Solamen, Chioma Torres
There is a growing body of evidence of the positive psychological and social impacts animals can have on individuals with chronic conditions and disabilities. Service animals have been used primarily in the adult population. Recently they have become more prevalent in pediatric care to improve the quality of life and emotional well-being of children with physical and mental health challenges. Studies
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The ethical perspectives of using animals in pediatric health Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-30 Brittany Sullivan, Emily Carroll, Neelkamal Soares
While there are ethical standards for human biomedical research, animals have historically not benefitted from the same levels of protection. Cultural shifts in response to studies demonstrating animal capacity to suffer have resulted in laws defining minimum ethical standards for the treatment of various animal populations. However, none of these pertain to service or therapy animals nor do they define
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“Introduction: The role of animals in pediatric health” Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-26 Neelkamal Soares
Abstract not available
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Silent suffering: Status of pediatric palliative care services in Pakistan Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-23 Sarosh Saleem
This article sheds light on Pakistan's challenging healthcare landscape, focusing on the underdeveloped state of pediatric palliative care (PPC). Despite being the fifth most populous country, Pakistan allocates minimal resources to its healthcare system, resulting in severe shortages of healthcare professionals. The scarcity of PPC services, exacerbated by cultural, social, and financial factors,
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Animal-assisted therapies for autism Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-23 Anna Beavers, Antoinette Fleming, Jeffrey D. Shahidullah
Animal-assisted therapies have been increasingly used as part of treatment for a range of emotional-behavioral conditions and have more recently been incorporated into treatment for children with symptoms associated with autism spectrum disorder. Autism spectrum disorder affects one in 36 children and early interventions can be very effective. The aims of this paper are to: 1) provide background into
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Pediatric palliative care in Sweden Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-22 Charlotte Castor, Kerstin Ivéus, Ulrika Kreicbergs
In Sweden, the governance of healthcare is decentralized, so PC is provided with regional or local differences in organization, level of competence, and recourses. Ongoing regional and national initiative to increase quality of pediatric palliative care in Sweden aligns with the international standard of pediatric palliative care as a care directed towards all children with life-threatening or life-limiting
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Reducing physical restraints in pediatrics: A quality improvement mixed-methods analysis of implementing a clinical debriefing process after behavioural health emergencies in a Children's Hospital Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-23 Paul C. Mullan, Andrea D. Jennings, Erin Stricklan, Elizabeth Martinez, Monica Weeks, Karen Mitchell, Turaj Vazifedan, Rachel Andam-Mejia, Daniel B. Spencer
Introduction An increasing number of pediatric patients with mental and behavioral health (MBH) conditions present to Emergency Department (ED) and inpatient settings with behavioral events that require physical restraint (PR). PR usage is associated with adverse outcomes. Clinical debriefing (CD) programs have been associated with improved performance but have not been studied in this population.
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Journey to STEEEP healthcare: A focus on systems through a patient's experience Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-22 Christopher D. Mangum
Healthcare systems continue to struggle with providing safe, timely, effective, efficient, equitable and patient-centered (STEEEP) care. Upon audit by clinicians, treatment processes such as those completed following clinical pathways appear to manage care safely. However, when reviewing the treatment process through the patient and/or their family's lens, the experience is quite different. This article
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Navigating quality and safety in your health system: understanding the alphabet soup Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-22 John W. Harrington, Tom Cholis, Kathryn Colacchio
Entering any new healthcare system today requires thorough knowledge about its quality and safety structure and culture. Learning that language is generally the first step in gaining a better understanding of how systems function. This overview of common mnemonics in the quality and safety world will provide the reader with better comprehension of their quality systems within their institutions. Healthcare
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Pediatric preoperative bathing process: An infection prevention perspective for development of a highly reliable organization Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-21 Merissa Doyle, Darian Dean, Vetra Peyton, Barbara Stein
Surgical site infections are a burden to patients, families and healthcare systems. Preoperative preparation is a crucial part in the multifaceted approach to SSI prevention. Preoperative bathing is a customary procedure that is seemingly straightforward yet challenging to implement. On the basis of best-practices and lived experience, this essay identifies potential barriers and presents several recommendations
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Seeking alignment of end-of-life goals within the Australian pediatric context Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-17 Sid Vemuri, Trisha M Prentice
In this article, we highlight the Australian pediatric palliative care context. We describe the way in which pediatricians may adopt ‘directive’ shared decision-making to align care plans with their perceptions of harm avoidance for the child. The degree to which ‘directive alignment’ is ethically appropriate or proportionate in the context of the clinical and social context of the child must be considered
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Foreword: Breast development and disorders in children and adolescents Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-17 Arthur H. Fierman
Abstract not available
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Issue 2 Integrating and Implementing Quality Improvement into our Pediatric Healthcare System Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-18 John W. Harrington
Abstract not available
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Integrating quality improvement into healthcare operations: A system's approach Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-18 Amanda Pellerito, Susan Berman, Angela Ortiz, Christelle Cossais, Christopher D. Mangum
A palpable pulse on organizational culture is imperative for allowing senior leadership to understand the current state and use this as a starting point to measure the gap between the current state and where the organization should be to meet strategic goals related to quality and safety. Knowledge gleaned from causal analysis and coding of safety events provides the organization with that information
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A theoretical and practical approach to quality improvement education Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-18 Joanne Mendoza, Elisa Hampton, Lori Singleton
Quality Improvement (QI) knowledge and skills are required at all levels of physician training. System improvement efforts need to include understanding of health disparities and design of interventions to reduce those disparities, thus health equity needs to be integrated into QI education. Payors, accreditation bodies and health systems’ emphases on QI result in the need for QI curricula that meet
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Issue 1 introduction to pediatric healthcare quality and safety with a practical approach to quality improvement education Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-17 John W. Harrington
Abstract not available
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Innovations in social health delivery to advance equitable pediatric and adolescent life course health development: A review and roadmap forward Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-11 Patrick Y. Liu, Steve Spiker, Monique Holguin, Adam Schickedanz
Recognizing the influence of social determinants on health and development, health care has increasingly advocated for interventions that target upstream factors as part of routine pediatric care delivery. In response, clinic-based social risk screening and referral programs have proliferated wherein patients are screened for health-related social needs (HRSNs, such as food and housing insecurity)
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Pediatric palliative care in Canada Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-08 Marc-Antoine Marquis, Antoine Payot
Pediatric palliative care (PPC) emerged during the late 20th century in Canada. It has steadily expanded and there are now programs in every province. Programs adhere to recognized standards of practice at both federal and provincial levels. PPC is recognized by government regulatory bodies and professional associations, including the Canadian Paediatric Society.
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Paediatric palliative care around the world: Malaysia Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-07 Erwin Jiayuan Khoo
The evolution of paediatric palliative care in Malaysia has followed a distinct trajectory compared to adult palliative care. While adult palliative care was well-established by the mid-1990s, paediatric palliative care was still then largely ad hoc, with individual paediatricians and NGOs taking on the responsibility. Despite progress over the last decade, challenges persist. There is a shortage of
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Introduction: Using the LCHD framework to understand and improve health outcomes for marginalized populations and promote equity from the start Part II Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-11-01 Emily Hotez, Shirley Russ, Neal Halfon
Abstract not available
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Credible messenger mentoring to promote the health of youth involved in the juvenile legal system: A narrative review Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-10-31 Julia Lesnick, Laura S. Abrams, Kassandra Angel, Elizabeth S. Barnert
This narrative review examines the literature on credible messenger mentoring (CMM) as an intervention to promote the health and well-being of youth involved in the juvenile legal system. In the CMM model, individuals with shared life experiences (e.g., from the same neighborhoods or marginalized communities, with former gang or incarceration history) serve as mentors, leveraging their own history
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Breast development and disorders in children and adolescents Curr. Probl. Pediatr. Adolesc Health Care (IF 1.6) Pub Date : 2023-10-30 Fatima Mubarak, Ayesha Malick, Abida K. Sattar
Breast masses are infrequently encountered in pediatric and adolescent populations. Most breast masses in children are benign entities arising from embryological defects which can be managed once breast development is complete. Diagnostic and management dilemmas arise when fibroepithelial lesions of the breast are seen in clinical practice. Differentiation between a fibroadenoma and a phyllodes tumor