Clinical pediatrics
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Clinical pediatrics · Jul 2011
Epidemiology of player--player contact injuries among US high school athletes, 2005-2009.
To investigate the epidemiology of player-player contact injuries in a nationally representative sample of US high school student-athletes. ⋯ Player-player contact is the most common mechanism of injury among high school athletes. The epidemiology of such injuries varies by gender and sport. Developing effective preventive measures depends on increasing our knowledge of player-player contact injury rates, patterns, and risk factors.
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Clinical pediatrics · Jul 2011
Controlled Clinical TrialA pilot program to identify and reverse childhood obesity in a primary care clinic.
This pilot study is an innovative approach to addressing the issue of childhood obesity that starts with the primary care physician and involves group education with peers. The primary care physician assesses the child's well-being at each interaction, whether for a scheduled well-child visit or for an acute illness. At each office visit the vital signs are taken, including the height, weight, and the calculated body mass index (BMI). ⋯ The initial results after the 10 months showed that when the provider identified the issue of obesity and the child was assessed for readiness and integrated in the behavioral modification program the outcome was 63% of the group reduced their BMI. It was also noted that asthma was the most frequent comorbidity in the overweight/obese children. Whereas BMI increased in a matched control group, participants in the pilot program succeeded in reducing BMI.
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The purpose of this study was to examine pediatricians' familiarity with expert committee recommendations on the management of childhood obesity and their use of health information technology for obesity-related care. The authors interviewed 35 pediatricians from 17 primary care practices using an electronic health record; immersion crystallization facilitated analysis of the qualitative data. Nearly all pediatricians were unfamiliar with expert recommendations; however, all participants reported using growth charts and providing nutrition and physical activity counseling. ⋯ The majority of participants were in favor of an electronic alert to identify obese patients, remind clinicians of current guidelines, and facilitate ordering, believing it would help standardize care. Concerns included "alert fatigue," distraction, and disruption of workflow. Suggestions for future electronic functions included tailored educational materials and physical activity resources customized by patient address.
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Clinical pediatrics · Jun 2011
Visualizing veins with near-infrared light to facilitate blood withdrawal in children.
This study aims to evaluate for the first time the value of visualizing veins by a prototype of a near-infrared (NIR) vascular imaging system for venipuncture in children. ⋯ This study showed promising results on the value of an NIR vascular imaging system in facilitating venipunctures.