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The Australian and New Zealand Journal... Sep 2018
Topics: Attitude of Health Personnel; Child; Child Abuse; Humans; Pediatricians
PubMed: 29962215
DOI: 10.1177/0004867418783559 -
Pediatric Annals Jan 2020Anemia may be defined as a reduction in red blood cell mass or blood hemoglobin concentration. Physiologically, this represents a hemoglobin level that is too low to... (Review)
Review
Anemia may be defined as a reduction in red blood cell mass or blood hemoglobin concentration. Physiologically, this represents a hemoglobin level that is too low to meet cellular oxygen demands. Practically, the lower limit of normal is set at 2 standard deviations below the mean based on age, gender, and ethnicity/race. Anemia can lead to impaired growth, development, and poor neurocognitive outcome. As such, it is essential for pediatricians to recognize and conduct appropriate testing for a child with anemia. [Pediatr Ann. 2020;49(1):e10-e16.].
Topics: Anemia; Child; Humans; Pediatricians
PubMed: 31930418
DOI: 10.3928/19382359-20191212-01 -
Archives of Disease in Childhood Feb 2024
Topics: Humans; Evidence-Based Medicine; Pediatricians; Physicians
PubMed: 38373750
DOI: 10.1136/archdischild-2024-326912 -
Archives of Disease in Childhood Apr 2024
Topics: Humans; Evidence-Based Medicine; Pediatricians; Physicians
PubMed: 38636959
DOI: 10.1136/archdischild-2024-327234 -
Archives of Disease in Childhood Mar 2024
Topics: Humans; Evidence-Based Medicine; Pediatricians
PubMed: 38503439
DOI: 10.1136/archdischild-2024-327058 -
Archives of Disease in Childhood May 2024
Topics: Humans; Evidence-Based Medicine; Pediatrics; Pediatricians; Child
PubMed: 38760063
DOI: 10.1136/archdischild-2024-327338 -
Maternal and Child Health Journal Jul 2020Unplanned pregnancies lead to adverse health outcomes and contribute to economic burdens. A lack of continuity and consistency in immediate postpartum care may be a...
INTRODUCTION
Unplanned pregnancies lead to adverse health outcomes and contribute to economic burdens. A lack of continuity and consistency in immediate postpartum care may be a contributor. The most frequent postpartum medical encounters occur with the child's pediatric health care provider, which represents an opportunity to discuss postpartum contraception. Therefore, our objective was to evaluate postpartum family planning knowledge and behavior in women, and to assess the potential acceptability of a pediatrician-delivered intervention to improve knowledge of and convenient access to contraception among postpartum women.
METHODS
This was a non-interventional pilot study that employed survey and interview methodology.
RESULTS
Women attending pediatric visits for their newborn or infant (N = 346) were surveyed; 35 were interviewed. On average, respondents were 27 years old (SD = 6), 6 months postpartum (SD = 5), and resumed sex 8 weeks after delivery (SD = 6). Of those who had resumed sex, 68% were not using contraception at the time. However, only 18% of survey respondents wanted to have another child. Few exhibited accurate knowledge of birth spacing or long acting reversible contraception. Most interviewees (86%) supported the idea of pediatricians providing contraceptive counseling. Concerns identified included whether it was "allowable" and pediatrician's lack of knowledge of complex maternal health histories.
DISCUSSION
This study highlights a gap between contraceptive need and provision in postpartum women. However, the findings suggest women's willingness to engage in conversations with their child's pediatrician about family planning. Future research should assess the feasibility and impact of integrating postpartum counseling into pediatric visits.
Topics: Adult; Contraception Behavior; Counseling; Female; Humans; Interviews as Topic; Mothers; Pediatricians; Physician's Role; Pilot Projects; Postpartum Period; Qualitative Research; Surveys and Questionnaires
PubMed: 32372242
DOI: 10.1007/s10995-020-02947-x -
Pediatrics Nov 2018In this article, I explore a tension between one of the aspirations of the standard algorithm for decision-making at the bedside and what will often actually happen at...
In this article, I explore a tension between one of the aspirations of the standard algorithm for decision-making at the bedside and what will often actually happen at the bedside. The aspiration is to avoid physician paternalism, but the algorithm has had the effect of limiting the scope for the exercise of the physician's capacity for practical wisdom, and yet clinical practice often requires the exercise of that capacity. Against this background, I examine the content of shared decision-making in pediatrics. I do the following: point to a feature of the standard algorithm for patient and surrogate (and so also parental) decision-making, make an analytical point about the use of rules versus individual judgments, and examine the elements of the patient-doctor conversation or, in the pediatric realm, the parent-doctor conversation.
Topics: Algorithms; Decision Making; Humans; Parents; Paternalism; Pediatricians; Physician's Role; Physician-Patient Relations; Professional-Family Relations
PubMed: 30385627
DOI: 10.1542/peds.2018-0516K -
Pediatric Annals Mar 2017
Topics: Adolescent; Humans; Pediatricians; Physician's Role; Sports Medicine; Youth Sports
PubMed: 28287680
DOI: 10.3928/19382359-20170220-02 -
BMC Primary Care Apr 2022The purpose of this study was to identify the factors that determine the differences in the distribution and workload of paediatricians in Poland. This research,...
BACKGROUND
The purpose of this study was to identify the factors that determine the differences in the distribution and workload of paediatricians in Poland. This research, specific to conditions found within Poland, will help further advance knowledge in this area. Data were derived from the database of Statistics Poland. The level of convergence of the phenomenon studied was analysed. The paediatricians' accessibility index was ascertained and its spatial diversity examined. The level of correlation of patients treated per paediatrician was analysed in relation to indices of urbanisation, availability of paediatricians and disposable income.
RESULTS
A moderate variation of patients treated per paediatrician was found and the conditional convergence of the investigated phenomenon observed. A close negative association between the number of patients treated and access to paediatricians (-0.686, p = 0.005) was revealed.
CONCLUSIONS
The research suggests that socioeconomic factors may affect the uneven spatial distribution of the workload of paediatricians in Poland and cause differences between the provinces in the equal access to paediatricians. This research may thus provide implications for policy and practice as well as lead to a better understanding of the problem.
Topics: Humans; Pediatricians; Poland; Socioeconomic Factors; Urbanization; Workload
PubMed: 35477390
DOI: 10.1186/s12875-022-01701-2