Section on Tobacco Control Program最新文献_第2页

Reducing Telemedicine Technology and Process Barriers: If You Build It, They Will Come 减少远程医疗技术和流程障碍:如果你建立它，它们会来的

Section on Tobacco Control Program Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.980

C. Olson, Gerard Frunzi

引用次数: 0

Telemedicine: We Build It, They Came, Now What? 远程医疗:我们建立了它，他们来了，现在怎么办?

Section on Tobacco Control Program Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.987

N. Herendeen

引用次数: 0

Virtual Visits During COVID-19 Pandemic; A Pediatrician’s Perspective COVID-19大流行期间的虚拟访问;儿科医生的观点

Section on Tobacco Control Program Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.991-A

M. Waseem, Marie-Micheline Lominy

{"title":"Virtual Visits During COVID-19 Pandemic; A Pediatrician’s Perspective","authors":"M. Waseem, Marie-Micheline Lominy","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.991-A","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.991-A","url":null,"abstract":"Telehealth is an expanding eld and facilitates the ability to connect with the patients, when physicalencounters are not possible However, its use in pediatric services remains limited In light of the COVID-19pandemic, telehealth is the only available option to provide continuity of care American Academy of Pediatricsalso has issued guidance in order to ensure continued care for children during this crisis We assess thefeasibility of web-based platforms and explore the challenges and barriers to telehealth implementation in asmall primary care setting Methods A video-conference using web-based applications is used for historytaking and visual examination to assess child activity in a pediatric practice serving over 400 children Weasked parents to rate their experience and degree of satisfaction Results We summarize our experienceintegrating telehealth technology into the practice of pediatrics: Limited Evaluation;Although telehealth maybe equivalent to face-to-face evaluation in many regards;it lacks the opportunity to perform a physicalexamination This is particularly concerning in examining children with medical complexities It is therefore important to pre-screen which children should be seen, in person Time Management: The visits often exceedtime allotted particularly in infants and younger children Initially it took signicant time to obtain andadequate history We started pre-brieng regarding virtual visit and what to expect Technical Challenges: Lackof familiarity with telehealth and the equipment is an important challenge, particularly in disadvantagedpopulation Physicians also facing technical issues as there was insufficient time to prepare Concern for Over-treatment: The treatment may simply be based on symptoms such as child touching the ears and attributed tootitis media;or a fever and cough may be treated as pneumonia Also, because of the ambiguity of thesituation, many parents may simply prefer to obtain a prescription for an antibiotic, or other medications Threat to Privacy: This issue is more relevant to the adolescent We believe adolescents would be betterserved, if they were permitted to use their personal cell phone Reimbursement: An inadequatereimbursement is a most important issue For sustainability, a sincere effort is needed to establish adequatepayment mechanism for telehealth services Liability Issues: Since telehealth mediated medical care is limitedregarding a physical examination, physicians are anxious whether they are missing certain importantdiagnosis This raises a concern for medicolegal liability There is a need to set clear guidelines for liabilityprotections Conclusion Although telehealth is widely accepted by the parents, it is important to understandthe limitations of telehealth The nature of such limitations should be conveyed to parents Since the health ofchildren cannot wait for a normalization of health care delivery;we need to be able to modify, adapt and try todo what is feasible","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"19 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120844575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving Standardized Screening for E-Cigarette and Vaping Use Among Adolescents 改进青少年电子烟和电子烟使用的标准化筛查

Section on Tobacco Control Program Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.1002

C. Matheus, N. Hein, Prasanth Narahari, Lisa Gwynn, M. Maurer, Liz Bayes-Santos, Carolyn M. Kienstra, L. Friedman, Marcela M. Nur

引用次数: 1

Telemedicine Education for Third- and Fourth-Year Medical Students During a Pandemic 大流行期间医三、四年级学生远程医疗教育

Section on Tobacco Control Program Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.986

Christina Vrettakos, Brian Gendelman

{"title":"Telemedicine Education for Third- and Fourth-Year Medical Students During a Pandemic","authors":"Christina Vrettakos, Brian Gendelman","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.986","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.986","url":null,"abstract":"Program Goals Telemedicine has revolutionized a new wave of education during the COVID-19 pandemic thathas displaced medical students from learning during their clinical years in hospitals and outpatient clinics Thegoal of this program evaluation is to analyze telemedicine education in an outpatient pediatric clinic setting tosee how this way of learning is improving and maintaining education during difficult and unconventional timescompared to the standard remote didactics currently being held Evaluation The Zoom Meeting application isused to host a setting of medical students with medical providers in one virtual space This application isutilized on a large iPad in a clinic where the medical provider will bring the medical students virtually into eachpatient room Medical students are observing how to solicit a history, perform physical exams, communicate with both parents and patients, and create differential diagnoses and management plans for eachindividualized patient experience For three days out of the week, medical students are experiencing livevirtual patient encounters and formulating differential diagnoses and management plans with the medical provider as they would in a real physical outpatient clinic setting Various medical providers includingpediatricians, pediatric-trained physician assistants and nurse practitioners also conducted interactivedidactics using the Socratic method on pertinent pediatric topics for two days out of the week Medicalstudents also learned from observing how the providers engaged with various subspecialists via cellphone ore-mail to arrange specialty care efficiently Overall, medical students were more engaged and focused with thetelemedicine option of learning rather than the standard virtual didactics Discussion Since the beginning ofthe COVID-19 pandemic, there was widespread uncertainty about how to manage third- and fourth-yearmedical students' education as they were forced to pause their hospital and clinic experiences Medicalschools across the United States implemented Zoom meetings hosting didactics, but telemedicine involvinglive patient encounters has not been generally executed as a remote option of learning and continuingeducation From positive feedback and constructive criticism with fellow students, it has been found thatutilizing telemedicine as a way of continuing education is more benecial given the circumstances andrestrictions ensued from the COVID-19 pandemic The main downfall we saw was physical exams could not bedirectly performed, but they were observed, and pertinent positives were discussed Even after the restrictionscause by COVID-19 pandemic experience, telemedicine education could continue to provide a uniqueopportunity to unite medical students with medical providers that they would not ordinarily have the chanceto work with","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134574749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Telehealth as An Alternative To In-Person Visits For Pediatric Weight Management: Evaluating Anthropometric And Laboratory Results. 远程医疗作为儿童体重管理面对面访问的替代方案:评估人体测量和实验室结果。

Section on Tobacco Control Program Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.984

Timothy Lukenbill, C. S. Giovanni, Marshall Chew, A. Simpson, J. Carter, James Roberts

引用次数: 0

Telehealth Care and its Role in Undergraduate Medical Education in the COVID-19 era. 新冠肺炎时代远程医疗及其在本科医学教育中的作用

Section on Tobacco Control Program Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.984-A

Peter J. Gonzalez, Dustin J. Paul

引用次数: 0

Using Telehealth to Support Expectant and Breastfeeding Moms During the COVID-19 Pandemic 在COVID-19大流行期间，利用远程医疗为孕妇和哺乳母亲提供支持

Section on Tobacco Control Program Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.989-A

H. Bernstein, Michelle Chen, P. Subramanian, J. Feinstein, P. Reichert-Anderson, A. Schepers, Wendi Andria

{"title":"Using Telehealth to Support Expectant and Breastfeeding Moms During the COVID-19 Pandemic","authors":"H. Bernstein, Michelle Chen, P. Subramanian, J. Feinstein, P. Reichert-Anderson, A. Schepers, Wendi Andria","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.989-A","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.989-A","url":null,"abstract":"Program Goals: Since the COVID-19 pandemic began in March 2020, an increased number of healthy, full-termnewborns are being discharged 24 hours after delivery No study has demonstrated the presence of SARS-CoV-2 in breast milk, so breastfeeding promotion and education are still of the utmost importance Withshelter-at-home recommendations in place, mothers face challenges with finding lactation guidance Telehealth allows this gap to be filled by providing breastfeeding support virtually when in-person contact islimited Telehealth breastfeeding support initiatives were piloted for expectant and new mothers (andfamilies) The objective is to provide breastfeeding education by establishing interactive, support groupsfacilitated by lactation professionals using telehealth services Evaluation: Two models were established basedon experiences with the prior in-person sessions, as well as those of local and national colleagues Model A:Small group teaching Several 1-hour IBCLC-led sessions (one in Spanish) were offered weekly online on aHIPAA-compliant videoconferencing platform through a consistent link A toll-free number was provided if no internet access was available English and Spanish flyers with link, instructions for joining, and email to answertechnology questions were distributed to 150+ partners electronically Each session was structured aroundopportunity for individualized questions on video chat or chatbox, with additional resources provided onslides A separate team member managed technology, slides, attendance and the chatbox, which freed theIBCLC to serve solely as subject matter expert Challenges addressed are listed in Table This model'sattendance was initially limited but increased each week with additional promotional efforts Ultimately 29expectant and breastfeeding mothers joined across 10 sessions, including several repeaters Mothers foundthe sessions helpful and informative, and offered to spread the word Model B: Traditional didactic teaching A1-hour webinar, led by IBCLCs (including Spanish), was offered weekly with unique themes on a differentHIPAA-compliant videoconferencing platform The weekly theme was sent to a listerv with a registration linkfor attendance tracking and for distribution of the attendee link to address security concerns A formal slidepresentation (45 minutes) was given, followed by Q+A (15 minutes) via chatbox Presentation slides and videorecording were sent to registrants with an access code for security This model had consistently highattendance -- 110 mothers across 4 sessions, including several repeaters Each session had a different theme,which allowed for women to select a session specific to their needs Discussion: Establishing virtual lactationsupport groups is realistic and important Our 5-week pilot initiative successfully created telelactation sessionsfacilitated by IBCLCs and CLCs Notable challenges faced in transitioning to a virtual support environment were able to be quickly met, resulting in increa","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125601463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Adolescent and Parent Knowledge, Attitude, and Habits Regarding E-Cigarette 青少年和家长关于电子烟的知识、态度和习惯

Section on Tobacco Control Program Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.992-A

Catherine Rodriguez, A. Sanders, A. Tosh

引用次数: 0

Devastating Lung Injury with Distinct Histopathology Secondary to E-Cigarette Use 电子烟使用引起的具有独特组织病理学的破坏性肺损伤

Section on Tobacco Control Program Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.999

R. Mcgowan, R. Daoud, P. Hines, Amarilis Martin

引用次数: 0