The goal of this study was to assess the association introduction a ward's high-flow nasal cannula (HFNC) guideline with clinical outcomes infants bronchiolitis.We conducted retrospective, pre-post intervention an interrupted time series analysis admitted bronchiolitis between 2010 and 2014 at urban, tertiary care children's hospital. Patients in 24 months before after initiation for HFNC use on general wards were compared. primary outcome length hospital stay. Secondary PICU transfer rate...

Background Between 15% and 70% of adolescents report experiencing cybervictimization. Cybervictimization is associated with multiple negative consequences, including depressed mood. Few validated, easily disseminated interventions exist to prevent cybervictimization its consequences. With over 97% using social media (such as YouTube, Facebook, Instagram, or Snapchat), recruiting delivering a prevention intervention through apps may improve accessibility tools for at-risk youth. Objective...

Purpose Clinical performance evaluations are major components of medical school clerkship grades. But they sufficiently objective? This study aimed to determine whether student and evaluator gender is associated with assessment overall clinical performance. Method was a retrospective analysis 4,272 core by 829 evaluators 155 third-year students, within the Alpert Medical School grading database for 2013–2014 academic year. Overall performance, assessed on three-point scale (meets...

To assess the association of introduction a high-flow nasal cannula (HFNC) protocol with clinical outcomes and hospital charges infants bronchiolitis initially admitted to PICU.We conducted retrospective, nonrandomized, preintervention-postintervention study PICU for HFNC. We compared patients in 24 months before after initiation HFNC use on general wards. The primary outcome assessed was length stay (LOS), secondary included total charges, intubation, 30-day readmission. bivariate analysis...

Bullying is a widespread problem for school-aged children and adolescents. Interventions to reduce bullying are not well disseminated. Extracurricular involvement is, however, common. This study aims examine the relationship between parent-reported participation in extracurricular activities perpetration. Using 2011 National Survey of Children's Health, 62,215 interviews with parents 6 17 were analyzed. categories sports only, + nonsport, nonsport no based on parental response questions...

OBJECTIVES: To determine the frequency of sexual history taking and associated characteristics hospitalized adolescents in pediatric hospitalist service. METHODS: A retrospective chart review 14 to 18 years old who were admitted service at an urban, academic children’s hospital Northeast from 2013 2015 was conducted. Repeat admissions, admissions specialty services, charts that noted impairment because psychosis, cognitive delay, or illness severity excluded. For met criteria, admission...

Youth seen in the emergency department (ED) with injuries from youth violence (YV) have increased risk for future violent injury and death. Pediatric medicine (PEM) physicians rarely receive training in, or perform, YV screening intervention. Our objective was to examine effects of a web-based educational module on PEM physicians' knowledge, attitudes, behaviors regarding interventions ED.We invited all fellows attendings at an urban Level I pediatric trauma center complete interactive...

Mobile health interventions are becoming increasingly popular, yet challenges in developing effective, user-friendly, evidence-based technology-augmented persist. In this paper, we describe the process of an acceptable, text messaging program for adolescents experiencing cyberbullying hopes addressing some encountered by many researchers and developers area intervention development. Participants were 23 with past-year histories cyber-victimization online conflict who enrolled hour long...

OBJECTIVES: To evaluate the acceptability and feasibility of an electronic sexual health module for inpatient adolescent girls assess preliminary effect on uptake services. METHODS: We recruited 14 to 18 years old admitted hospitalist service 1 academic children’s hospital from January 2016 October 2016. Participants completed that included a assessment, tailored feedback (randomized half participants only), questionnaire request Participation completion rates, along with effects feedback,...

OBJECTIVES: To examine the frequency of documented screening for tobacco, alcohol, and drug use in hospitalized adolescents on pediatric hospitalist service. PATIENTS AND METHODS: This was a retrospective chart review aged 14 to 17 years at large urban academic children’s hospital Northeast from 2013 2015. Only patients admitted directly service only first admission (if multiple occurred) were included. Patients presenting psychiatric illness, ingestions, or impaired neurologic functioning...

Given adolescents’ widespread use of online messaging and social media, as well the prevalence cyberbullying, analyzing message-based communication topics patterns is relevant to public health. To better describe conflict in adolescent communication, this paper analyzes a dataset messages. We qualitative methodology for these complex data, expand understanding conversations, identify how best categorize within media datasets. In study, 14,239 messages from 20 adolescents Northeast United...

Surgery, emergency medicine (EM), and pediatric resident physicians play an integral role in treating youth violence patients. We assessed these residents' behaviors, attitudes, perceived barriers to prevention (YVP) the acute care setting. A cross-sectional survey of EM, surgery, residents at one large medical institution was conducted using a theory-based self-administered paper questionnaire. Data were analyzed descriptive statistics Fisher's exact tests examine differences between...

Background Cybervictimization among adolescents is associated with multiple negative mental health consequences. Although pediatricians often screen for cyberbullying, validated and acceptable programs to reduce the frequency impact of adolescent cybervictimization are lacking. Objective This study uses agile qualitative methods refine evaluate acceptability a mixed-modality intervention, initiated within context usual pediatric care, history cyberharassment cyberbullying victimization....

<sec> <title>BACKGROUND</title> Between 15% and 70% of adolescents report experiencing cybervictimization. Cybervictimization is associated with multiple negative consequences, including depressed mood. Few validated, easily disseminated interventions exist to prevent cybervictimization its consequences. With over 97% using social media (such as YouTube, Facebook, Instagram, or Snapchat), recruiting delivering a prevention intervention through apps may improve accessibility tools for at-risk...

Booster seats reduce injury in motor vehicle crashes, yet they are used less frequently than car and seat belts. Primary care providers well positioned to educate encourage families use booster seats. We aimed assess how a distribution program affected the documentation of restraint usage anticipatory guidance at well-child visits pediatric primary practice. performed retrospective chart review patients aged 4 12 years from June December 2019 2020, representing before after program. The most...