A Clinical Handbook on Child Development Paediatrics (original) (raw)
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Recent advances in paediatrics: II childhood and adolescence
BMJ, 1997
Infants die from prematurity, congenital malformations, and infectious diseases; over 90% of those who succumb do so in the less affluent countries of the world. Infection with HIV and malaria are afflicting an increasing number of children and teenagers in tropical countries, and everywhere children who survive infancy become exposed to trauma and neoplasms. Prevention of child trauma, 1 2 drug resistant malaria, 3 and violence to and exploitation of children 4-6 remain the topics central to the professional life of all doctors, irrespective of their nationality.
Pediatric Studies and Care Volume 3 Issue 1
Introduction The advent of DIY (do it yourself) research has empowered people to conduct their own surveys. Rather than relying upon professionals to think through the problem, often in a long and deeply critical manner, DIY culture permits the individual to act in a quick, agile way. Of course, there are those professionals who bemoan the fact that the research is not as deep, as pure, and as insightful as could be done were the professional to do the task. The trend is for more DIY, faster knowledge development, more powerful tools, automatic analyses, all acting in concert to reduce the knowledge-development process to something approach automated knowledge and insight development. One need only talk to professionals who have been in the business for decades, such as author Moskowitz (HRM) in this paper. At the start of HRM's career in consumer research, in 1969, the effort was primarily manual, the use of computers limited to large scale analyses such as cross tabulations of big datasets, regression analysis, factor analysis and finally cluster analysis. One had to have access to a mainframe computer, although by the time 1970 rolled around, there were smaller 'mainframes' such as the computers offered by DEC (Digital Equipment Corporation). As a consequence researchers were generally older, more experienced, bringing to the topic years of experience, biases, and points of view that were solidly embedded, yet often not at all recognized. Today's world is quite different. Today almost anyone can develop a study using template systems, run the study with panel providers on computers tapping into the Internet, and get answers. The process is no longer a hinderance. And with the process difficulties becoming
Scottish medical journal, 2016
Abstracts from the Scottish Paediatric Society St Andrew’s Day Paediatric Symposium: Royal College of Physicians of Edinburgh, Edinburgh, Friday 27 November 2015s from the Scottish Paediatric Society St Andrew’s Day Paediatric Symposium: Royal College of Physicians of Edinburgh, Edinburgh, Friday 27 November 2015 Abstracts for Research and Audit Presentationss for Research and Audit Presentations Trends in acute medical admissions to hospitals in Scotland 2000–2013 – transformation before our eyes Maryam Al-Mahtot, Rebecca Barwisemunro and Steve Turner Child Health, Royal Aberdeen Children’s Hospital, UK
PLOS ONE
Background In order to determine the extent to which care delivered to children is appropriate (in line with evidence-based care and/or clinical practice guidelines (CPGs)) in Australia, we developed a set of clinical indicators for 21 common paediatric medical conditions for use across a range of primary, secondary and tertiary healthcare practice facilities. Methods Clinical indicators were extracted from recommendations found through systematic searches of national and international guidelines, and formatted with explicit criteria for
Pediatric Tricky Topics, Volume 1
2015
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
Journal of Developmental & Behavioral Pediatrics, 2011
Objective: Developmental/behavioral diagnoses are common in pediatric practice but, until the impact on pediatricians of caring for these children is quantified, training and remuneration barriers are unlikely to be addressed. In a prospective audit of Australian office-based pediatricians, developmentalbehavioral and medical consultations were examined regarding (1) consultation characteristics, (2) child and parent health, and (3) referrals and investigations ordered. Methods: In 2008, all 300 eligible members of the nationwide Australian Paediatric Research Network were invited to prospectively record standardized information for every consultation over 2 weeks or 100 consecutive patients, whichever came first. After coding all diagnoses, consultations were classified as developmental/behavioral, medical, or "mixed." These groups were compared using simple 3-group comparisons (Aims 1 and 2) and logistic regression (Aim 3). Results: One hundred ninety-nine (66%) pediatricians recorded 15,360 diagnoses for 8,335 consultations (34% developmental/behavioral, 48% medical, and 18% mixed). Compared with medical patients, developmental/behavioral patients were older, more likely to be male, and required on average ϳ9 minutes more time per consultation; self-reported parent health was worse; and referrals were more common (odds ratio 2.2, 95% confidence interval 1.9 to 2.5; p < .0001), but investigations less common (odds ratio 0.4, 95% confidence interval 0.3 to 0.4; p < .0001). Child health was worst in the "mixed" group. Conclusion: Developmental/behavioral consultations are common in pediatric office settings. They are time-consuming, often lead to referrals, and the worse health reported by their parents may pose additional challenges. Pediatric training and funding models must address these barriers if adequate and comprehensive care is to be accorded to these complex patients. (J Dev Behav Pediatr 32:368 -374, 2011) Index terms: developmental/behavioral pediatrics, office visits, physician's practice patterns, clinical audit, epidemiological studies.