The Journal of pediatrics
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The Journal of pediatrics · Mar 2021
Multicenter StudyImproving Pediatric Readiness in General Emergency Departments: A Prospective Interventional Study.
To describe the impact of a national interventional collaborative on pediatric readiness within general emergency departments (EDs). ⋯ Implementing a collaborative intervention model including simulation and quality improvement initiatives is associated with improvement in WPRS when disseminated to a diverse group of general EDs partnering with their regional pediatric academic medical centers. This work provides evidence that innovative collaboration facilitated by academic medical centers can serve as an effective strategy to improve pediatric readiness and processes of care.
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The Journal of pediatrics · Jan 2022
Depression in Female Adolescents with Heavy Menstrual Bleeding.
To assess the degree to which heavy menstrual bleeding is associated with depression, independent of hormonal contraception. ⋯ Heavy menstrual bleeding is associated with depression diagnosis in female adolescents. The use of hormonal contraception was not associated with depression diagnosis in multivariable analysis, covarying heavy menstrual bleeding, age, body mass index, anxiety, sexual activity, and substance use. As hormonal contraception is often used to treat heavy menstrual bleeding, heavy menstrual bleeding may be partially driving previous reports of increased depression risk in those taking hormonal contraception.
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The Journal of pediatrics · Sep 2020
Multicenter Study Observational StudyMultisystem Inflammatory Syndrome in Children Associated with Severe Acute Respiratory Syndrome Coronavirus 2 Infection (MIS-C): A Multi-institutional Study from New York City.
To assess clinical characteristics and outcomes of severe acute respiratory syndrome coronavirus 2-associated multisystem inflammatory syndrome in children (MIS-C). ⋯ Critically ill children with coronavirus disease-2019-associated MIS-C have a spectrum of severity broader than described previously but still require careful supportive intensive care. Rapid, complete clinical and myocardial recovery was almost universal.
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The Journal of pediatrics · Jan 2021
Multicenter StudySymptom Burden, School Function, and Physical Activity One Year Following Pediatric Concussion.
To characterize symptom burden, school function, and physical activity in youth 1 year following acute concussion and those with subsequent repeat concussion. ⋯ Most youth are symptom-free and fully recovered 1 year following concussion. Some children with repeat concussion have worse outcomes and have delays in returning to normal school routines and sport.
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The Journal of pediatrics · Aug 2021
CommentAvailability of Pediatric Emergency Care Coordinators in United States Emergency Departments.
To determine the availability of pediatric emergency care coordinators (PECCs) in US emergency departments (EDs) in 2015, and to determine the change in availability of PECCs in US EDs from 2015 to 2017. ⋯ Availability of at least 1 PECC increased slightly (2.6%) between 2015 and 2017, but ∼80% of EDs continue without one.