Pediatrics
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Therapeutic hypothermia (TH) for neonatal encephalopathy is becoming widely available in clinical practice. The goal of this collaborative was to create and implement an evidence-based standard-of-care approach to neonatal encephalopathy, deliver consistent care, and optimize outcomes. ⋯ The implementation of a TH program to improve the consistency of care for patients in NICUs is feasible using standard-quality improvement methodology. The successful introduction of new interventions such as TH to the NICU culture requires a collaborative multidisciplinary team, use of a systematic quality improvement process, and perseverance.
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We sought to determine the relationship between relative value units (RVUs) and intended measures of work in catheterization for congenital heart disease. ⋯ Time, skill, and stress inherent to performing catheterization procedures for congenital heart disease are not captured by measurement of RVU alone.
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To improve access to new pediatric endocrinology appointments in an urban academic hospital faculty-based practice. ⋯ Access to our pediatric specialty care clinic was improved without increasing the number of providers by improved scheduling.
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Randomized Controlled Trial
Association of nutrient-dense snack combinations with calories and vegetable intake.
With other factors such as general diet and insufficient exercise, eating non-nutrient dense snack foods such as potato chips contributes to childhood obesity. We examined whether children consumed fewer calories when offered high-nutrient dense snacks consisting of cheese and vegetables than children who were offered non-nutrient dense snacks (ie, potato chips). ⋯ The combination snack of vegetables and cheese can be an effective means for children to reduce caloric intake while snacking. The effect was more pronounced among children who were overweight or obese and children from low-involvement families.