Data are limited and conflicting regarding the effectiveness of influenza vaccine in health care professionals.To determine trivalent reducing infection, illness, absence from work young, healthy professionals.Randomized, prospective, double-blind, controlled trial over 3 consecutive years, 1992-1993 to 1994-1995.Two large teaching hospitals Baltimore, Md.Two hundred sixty-four hospital-based professionals without chronic medical problems were recruited; 49 participated for 2 seasons; 24...

Fever is one of the most common reasons that parents seek medical attention for their children. Parental concerns arise in part because belief fever a disease rather than symptom or sign illness. Twenty years ago, Barton Schmitt, MD, found had numerous misconceptions about fever. These unrealistic were termed "fever phobia." More recent occult bacteremia febrile children have led to more aggressive laboratory testing and treatment. Our objectives this study explore current parental attitudes...

Data from racially and ethnically diverse US boys are needed to determine ages of onset secondary sexual characteristics examine secular trends. Current international studies suggest earlier puberty in than previous studies, following recent trend girls.Two hundred twelve practitioners collected Tanner stage testicular volume data on 4131 seen for well-child care 144 pediatric offices across the United States. were analyzed prevalence mean maturity markers.Mean 2 genital development...

Obese adults have an increased prevalence of pulmonary disorders. Although childhood obesity is a common problem, few studies evaluated the complications in pediatric population. We, therefore, performed function tests (PFTs), polysomnography, and multiple sleep latency (MSLTs) 22 obese children adolescents [mean age, 10 +/- 5 (SD) years; 73 percent female; 184 36 ideal body weight], none whom presented because or respiratory complaints. PFTs were normal all but two subjects. Ten (46...

Our goal was to evaluate the feasibility and impact of an intervention on management family psychosocial topics at well-child care visits a medical home for low-income children.A randomized, controlled trial 10-item self-report screening instrument conducted urban hospital-based pediatric clinic. Pediatric residents parents were randomly assigned either or control group. During 12-week period, children aged 2 months 10 years presenting visit enrolled. The components included provider...

Context Despite growing interest in medical communication by certification bodies, significant methodological and logistic challenges are evident experiential methods of instruction. Objective There were three study objectives: 1) to explore the acceptability an innovative video feedback programme residents faculty; 2) evaluate a brief teaching intervention comprising innovation when linked one-hour didactic role-play session on paediatric residents' with simulated patient; 3) impact...

Objectives. To compare the physical activity levels of children with and without asthma evaluate predictors level in asthma. Methods. Parents 137 106 controls 6 to 12 years old who attended an urban primary care pediatric clinic were interviewed by telephone. A structured survey evaluated 1 day’s total number days active a typical week; characteristics treatment; physician advice; opportunities for activity; caregiver beliefs about activity. The compared. Predictors evaluated. Results....

Studies of the relationship weight status with timing puberty in boys have been mixed. This study examined whether overweight and obesity are associated differences US boys.We reanalyzed recent community-based pubertal data from American Academy Pediatrics' Pediatric Research Office Settings which trained clinicians assessed 6 to 16 years for height, weight, Tanner stages, testicular volume (TV), other variables. We classified children based on BMI as normal overweight, or obese compared...

Dr. Joshua Sharfstein, Marisa North, and Janet Serwint write that, in October, an FDA advisory committee voted favor of immediate action against the use cough cold medications children under 6. After meeting, major manufacturers these products announced that they would continue to market preparations for between 2 5 years age.

We aimed to describe the national epidemiology of burnout in pediatric residents.We conducted surveys residents at 34 programs 2016, 43 2017, and 49 2018. Survey items included Maslach Burnout Inventory, demographics, program characteristics, personal qualities, experiences, satisfaction with support, work-life balance, learning environment. Analyses cross-sectional comparisons longitudinal regression.More than 60% eligible participated; rates were >50% all years not consistently associated...

Over-the-counter (OTC) cough and cold medications are marketed widely for relief of common symptoms, yet studies have failed to demonstrate a benefit these young children. In addition, OTC can be associated with significant morbidity even mortality in both acute overdoses when administered correct doses chronic periods time. Physicians often do not inquire about medication use, parents (or other caregivers) perceive OTCs as medications. We present 3 cases adverse outcomes over 13-month...

The goals of this cross-sectional study were to ( a) describe the prevalence 5 basic social needs in a cohort parents attending an urban teaching hospital—based pediatric clinic, b) assess parental attitudes toward seeking assistance from their child's provider, and c) examine resident providers' behaviors addressing these needs. Parents (n = 100) reported median 2 at visit. most common was employment (52%), followed by education (34%), child care (19%), food (16%), housing (10%). Most (67%)...

The objective of this study was to document the frequency pediatric resident experiences with end-of-life care for children and educational context these experiences, as well determine whether residents deem their preparatory training adequate.An Internet-based survey distributed all categorical at Johns Hopkins Children's Center. Survey items asked (1) quantify specific responsibilities associated death a patient, (2) identify (3) respond Likert scale statements of, "I feel adequately...

Burnout symptoms are common among health professionals. Gaps remain in understanding both the stability of burnout and compassion over time relationships burnout, self-compassion, stress, mindfulness pediatric residents.The authors conducted a prospective cohort study residents at 31 U.S. residency programs affiliated with Pediatric Resident Burnout-Resilience Study Consortium. Residents completed online cross-sectional surveys spring 2016 2017. The assessed demographic characteristics...

To develop and evaluate an injury prevention anticipatory guidance training program for pediatric residents.Thirty-one residents were randomly assigned to intervention or control group. Both groups attended a 1-hour seminar about the American Academy of Pediatrics TIPP (The Injury Prevention Program) materials. The group also received 5 hours experiential instruction on content counseling skills (SAFE Counseling Framework). Families with infants from birth age 6 months enrolled in study (N =...

To investigate the concept of hope for families and pediatric health care professionals during a child's serious illness.Eight focus groups.Academic medical center.Bereaved parents, pediatricians, residents, nurses (N = 39). Intervention Participants were asked standardized questions related to their definition hope, its role in decisions, benefits detriments group sessions.We identified attributes participants' concepts using qualitative analysis audio-taped sessions.While all participants...

Objective: To compare parental report of child body image with perceived healthy weight in preschoolers and describe weight-counseling preferences. Methods: Parents seeking well-child care were interviewed asked to select images resembling: ( a) their own child’s current weight, b) a preschooler, c) friend family preschooler. Those indicating that overweight or obese resembled considered misclassify weight. Logistic regression was used identify predictors misclassification card-sorting...

To explore knowledge and management of childhood fever among ethnically diverse parents identify opportunities for educational intervention, we administered a cross-sectional survey to convenience sample 487 children enrolled in 2 urban hospital-based pediatric clinics. Outcomes included parental definition fever, level concern, fever. Latino were least likely temperature as nonfebrile from 97-100.3°F (adjusted odds ratios [AOR] 0.06) or 100.4-107°F (AOR 0.52). African Americans believe that...

Background: Despite excellent breastfeeding initiation rates, physician mothers as a group are at risk of premature cessation. The main obstacles and reasons for cessation among work-related. We conducted this study to further explore mothers' personal infant feeding decisions behavior well their clinical advocacy. Subjects Methods: interviewed 80 mothers, mainly affiliated with the University Florida College Medicine (Gainesville, FL), using questionnaire. Descriptive statistics were...

Human papillomavirus (HPV) vaccination rates lag behind for other adolescent vaccines; a bundled intervention may improve HPV rates. Our objective is to evaluate the impact of quality improvement (QI) training plus practice-based (provider prompts communication skills performance feedback) on improving vaccinations in pediatric resident continuity clinics.Staff and providers 8 clinics participated 12-month QI study. The included strengthen provider about vaccine. Clinics also implemented...