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Acta Paediatrica (Oslo, Norway : 1992) Oct 2021
Topics: History, 20th Century; Humans; Pediatricians; Physicians
PubMed: 34382253
DOI: 10.1111/apa.16020 -
Journal of Paediatrics and Child Health Mar 2022Paediatricians may face the notion of 'virginity' in various situations while caring for children and adolescents, but are often poorly prepared to address this...
Paediatricians may face the notion of 'virginity' in various situations while caring for children and adolescents, but are often poorly prepared to address this sensitive topic. Virginity is a social construct. Despite medical evidence that there is no scientifically reliable way to determine virginity, misconceptions about the hymen and its supposed association with sexual history persist and lead to unethical practices like virginity testing, certificate of virginity or hymenoplasty, which can be detrimental to the health and well-being of females of all ages. The paediatrician has a crucial role in providing evidence-based information and promoting positive sexual education to children, adolescents and parents. Improving knowledge can help counter misconceptions and reduce harms to girls and women.
Topics: Adolescent; Child; Female; Humans; Hymen; Parents; Pediatricians; Sexual Abstinence; Sexual Behavior
PubMed: 35000235
DOI: 10.1111/jpc.15887 -
Indian Journal of Pediatrics Jul 2016Primary care pediatricians are often faced with children and families who need more than just a consultation. Pediatricians are also the first point of contact for many... (Review)
Review
Primary care pediatricians are often faced with children and families who need more than just a consultation. Pediatricians are also the first point of contact for many children and families in distress. Hence, the decision of whether to reassure and follow them up or refer them for an evaluation and management to a mental health professional is something all pediatricians find difficult to make. In order to serve their clients well, it is necessary that pediatricians are trained to identify and manage common child psychological/psychiatric problems. They may also be called upon to break bad news, motivate families to seek treatment and motivate children to accept offered treatment. Most training courses in Pediatrics do not offer skills training in counseling, making the transition to real life practice a difficult proposition. This paper focuses on what is counseling, what situations make it necessary for pediatricians to offer counseling, the methods that can be useful and some tips to improve communication, with an emphasis on unique issues in the Indian context. Some techniques that are simple, brief and can be used by pediatricians are discussed in this paper.
Topics: Child; Counseling; Humans; Pediatricians; Primary Health Care; Referral and Consultation
PubMed: 26817463
DOI: 10.1007/s12098-015-1976-z -
Archives of Disease in Childhood.... Feb 2022In the UK, the number of junior doctors completing foundation programme, and the number of trainees applying to paediatrics has been in decline in recent years. The NHS... (Review)
Review
BACKGROUND
In the UK, the number of junior doctors completing foundation programme, and the number of trainees applying to paediatrics has been in decline in recent years. The NHS is at 'breaking point', exacerbated by workforce shortages, chronic underfunding, increasing service demand and poor job satisfaction within healthcare workers. Issues in recruitment and retention of paediatricians 'threaten the safety of our children's health', according to the Royal College of Paediatrics and Child Health.
AIM
To explore what strategies have been described in the literature to enhance recruitment and retention in paediatrics.
METHODS
A scoping review methodology was conducted, employing a qualitative approach to review the literature. The studies included were English-language studies. 16 full-text articles were reviewed and analysed.
STUDY FINDINGS
There is a paucity of data in the literature that describes evidence-based approaches to enhancing retention and recruitment in paediatrics. The most important strategies employed to help are identified and grouped into six main themes. These include professional advocacy, workforce diversity, mentorship, improving working conditions, career flexibility and enhancing educational opportunities. The authors have created a 'paediatric pipeline' paradigm of 'identify, engage, recruit, retain and champion', which allow us to present these themes in a pragmatic way for paediatricians and policymakers.
CONCLUSIONS
While some issues share similarities with other specialties in difficulty, much of the context and potential remedies within paediatrics are distinct. A strategic, multi-agency collaborative approach is required urgently to address the significant issues that face both paediatrics and the healthcare system.
Topics: Child; Humans; Pediatricians; Pediatrics; Workforce
PubMed: 33658289
DOI: 10.1136/archdischild-2020-319696 -
Current Problems in Pediatric and... Mar 2022Pediatricians are uniquely and well positioned to recognize risk factors for and experiences of labor and sex trafficking in children. While clinical and social...
Pediatricians are uniquely and well positioned to recognize risk factors for and experiences of labor and sex trafficking in children. While clinical and social interventions are well discussed in the literature, the underlying mechanisms that cause and contribute to trafficking are poorly addressed among healthcare professionals. A "colorblind" or otherwise "apolitical" approach to trafficking prevention is ineffective and may be detrimental to the patient-practitioner relationship. Pediatricians must be historico-socially aware of the contexts in which they practice to improve the health of pediatric populations. This article addresses the relevant trafficking legal terminology that may be unfamiliar to most pediatricians and focuses on a few "ism"-schisms (capitalism, racism, sexism, cis-heteronormativity, nativism, and classism) that create vulnerability to trafficking in pediatric populations. The article closes with some intervention recommendations and many more prevention-measure recommendations.
Topics: Child; Family; Human Trafficking; Humans; Pediatricians; Policy
PubMed: 35367130
DOI: 10.1016/j.cppeds.2022.101167 -
Archives of Disease in Childhood Jul 2022
Topics: Evidence-Based Medicine; Humans; Pediatricians
PubMed: 35714987
DOI: 10.1136/archdischild-2022-324454 -
Pediatric Clinics of North America Feb 2023Children suffer disproportionately from disease and disability due to environmental hazards, for reasons rooted in their biology. The contribution is substantial and... (Review)
Review
Children suffer disproportionately from disease and disability due to environmental hazards, for reasons rooted in their biology. The contribution is substantial and increasingly recognized, particularly due to ever-increasing awareness of endocrine disruption. Regulatory actions can be traced directly to reductions in toxic exposures, with tangible benefits to society. Deep flaws remain in the policy framework in industrialized countries, failing to offer sufficient protection, but are even more limited in industrializing nations where the majority of chemical production and use will occur by 2030. Evidence-based steps for reducing chemical exposures associated with adverse health outcomes exist and should be incorporated into anticipatory guidance.
Topics: Child; Humans; Developed Countries; Pediatricians
PubMed: 36402464
DOI: 10.1016/j.pcl.2022.09.003 -
Revista Chilena de Pediatria 2016Current evidence supports the notion that alterations in intrauterine growth and during the first years of life have a substantial effect on the risk for the development... (Review)
Review
Current evidence supports the notion that alterations in intrauterine growth and during the first years of life have a substantial effect on the risk for the development of chronic disease, which in some cases is even higher than those due to genetic factors. The persistence and reproducibility of the phenotypes associated with altered early development suggest the participation of mechanisms that would record environmental cues, generating a cellular reprogramming (i.e., epigenetic mechanisms). This review is an introduction to a series of five articles focused on the participation of epigenetic mechanisms in the development of highly prevalent chronic diseases (i.e., cardiovascular, metabolic, asthma/allergies and cancer) and their origins in the foetal and neonatal period. This series of articles aims to show the state of the art in this research area and present the upcoming clues and challenges, in which paediatricians have a prominent role, developing strategies for the prevention, early detection and follow-up.
Topics: Chronic Disease; Epigenesis, Genetic; Female; Fetal Development; Genetic Predisposition to Disease; Humans; Infant; Infant, Newborn; Pediatricians; Physician's Role; Pregnancy; Reproducibility of Results
PubMed: 26872716
DOI: 10.1016/j.rchipe.2015.12.002 -
Pediatrics and Neonatology Feb 2021
Topics: Humans; Infant, Newborn; Neonatologists; Neonatology; Pediatricians; Surveys and Questionnaires
PubMed: 33610265
DOI: 10.1016/j.pedneo.2021.01.011 -
Pediatrics Feb 2021
Review
Topics: Dreams; Educational Status; Humans; Income; Pediatricians; Pediatrics; United States
PubMed: 33500322
DOI: 10.1542/peds.2020-0370