Section on Tobacco Control Program最新文献

{"title":"Telehealth in Primary Care: Meeting Patient and Family Needs","authors":"T. Johnson, Kimberley Sikora, Kristen C. Reilly, Elizabeth Hutzel-Dunham, Cynthia C. White, Nick DeBlasio, M. Burkhardt, Melissa D. Klein, Jessica Walters","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.985","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.985","url":null,"abstract":"Background: Telehealth is a novel way to provide care to patients and families and may be especially important for families with transportation challenges. The COVID-19 pandemic with social distancing requirements further accelerated the need for the utilization and expansion of telehealth services. Objective: To evaluate the feasibility of rapidly scaling primary-care telehealth and its impact on families’ location of care and associated transportation costs. Methods: A retrospective study was conducted at a large, urban, academic primary care center consisting of 6 primary care sites, with approximately 85% of patients …","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"15 1 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":"124465822","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}

{"title":"Adverse Effects Associated with the Use of Electronic Vaping Products on Adolescents and Young Adults","authors":"S. Benyo, T. Bruinsma, E. Drda, R. Olympia","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.994","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.994","url":null,"abstract":"Background/Purpose: Despite the increasing prevalence of the use of electronic vaping products (vapes) among adolescents and young adults, few studies have examined the clinical symptoms associated with vaping. The goal of this study was to examine the prevalence of vaping, to identify symptoms that may be associated with vaping, and to understand beliefs about vaping that may contribute to its growing prevalence. Methods: A questionnaire was administered to a convenience sample of subjects aged 12-23 years presenting for medical care to Penn State …","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"200 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":"122420132","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}

{"title":"Improving Screening and Treatment Of Tobacco Smoke Dependence And Exposure In The Hospitalized Pediatric Patient","authors":"J. Wall, Nina Patel, Marlene Villacis","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1000","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1000","url":null,"abstract":"","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"22 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":"125066707","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}

{"title":"Rapid Implementation of a Direct-to-Consumer Pediatric Virtual Urgent Care in Response to the COVID-19 Pandemic","authors":"Srinivasan Suresh, Stephen Janofsky, April Hollenbeck, R. Pitetti","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.979","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.979","url":null,"abstract":"Background: Many visits to pediatric emergency departments are sub-acute in severity and could be amenableto a direct-to-consumer telemedicine encounter The SARS-CoV-2 outbreak has created a unique need fortelemedicine as far fewer patients have sought ambulatory in-person care across our entire system Presumably, many of these patients have problems amenable to telemedicine but are choosing to delayseeking care Objective: We sought to rapidly develop a direct-to-consumer pediatric virtual urgent careservice to enhance access to care for patients and parents during the SARS-CoV-2 pandemic Methods: Todevelop our program we enlisted key stakeholders from the division of pediatric emergency medicine, thehospital executive leadership, the hospital telemedicine program, our affiliated health plan administration andan existing virtual urgent care administered by our affiliated division of emergency medicine We adoptedAmerican Well as our telemedicine platform, utilizing their native urgent care software Families access thisservice either through a smart device app or a secure website Providers see patients either in a repurposed ED office with telemedicine equipment or from home using a variety of technology solutions We staff ourservice 24/7 with our existing group of pediatric emergency medicine physician assistants and nursepractitioners Providers and patients were surveyed regarding their experience with the service Visit data were summarized and analyzed in a Power BI dashboard and in Microsoft Excel Results: We implemented ourprogram on March 30, 2020 after two weeks of development and training, 19 days after the rst case ofCOVID-19 in our county In our rst 30 days of operation 580 unique visits were completed, 25% of which werefrom outside our typical ED catchment area Mean visit duration was 7 minutes and mean wait time was 8minutes Mean hourly volumes showed a peak from 10AM to 8PM (see Figure 1) Patients and families (247responses) were satised with the care they received and the quality of the technology, on average rating both4 9 on a 5 point scale The most common chief complaints were rash, cold, fever, sore throat and ear pain (seeFigure 2) Eighty percent of patients were subscribers of our affiliated health plan Additional data analysisincludes frequency of technical problems, frequencies of the most common diagnoses, frequency of referralfor an in-person evaluation, frequency of prescription of any type and for antibiotics (and comparison tonational trends), payor details, and frequency of outpatient SARS-CoV-2 testing Detailed provider and patientsurveys are pending Conclusions: A direct-to-consumer pediatric telemedicine service can be rapidlydeveloped and deployed to respond to a sudden change in needs of a population This type of service isconvenient for families that want to seek care from home and broadly acceptable to patients and providers Volume and Visit Metrics Visits are summed and represented as a histogram by hour Visit du","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"6 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":"117265131","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}

{"title":"Use of Telemedicine with An Artificial Intelligence-Enabled Stethoscope to Support Decision-Making and Reduce Inappropriate Use of Echocardiography in Children with Heart Murmurs","authors":"R. Thompson, C. L. Kuryla, Julia M. Kim, Christopher Golden, Michael Crocetti","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.989","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.989","url":null,"abstract":"Background/Purpose: A pathologic murmur may be the first sign of heart disease in children and is an appropriate indication for echocardiography, while an innocent murmur is not. However, stethoscope skills are in decline among primary providers making distinction of innocent from pathologic murmurs increasingly difficult. This may lead to over-referral to the cardiologist and overuse of echocardiography, resulting in unnecessary emotional and financial burdens on families. The use of telemedicine and an artificial intelligence (AI)-enabled electronic stethoscope may aid decision-making regarding referral of children with …","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"5 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":"127930232","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}

{"title":"Rapid Expansion Of Specialty Practice Telemedicine Delivers Time Sensitive Care During COVID-19","authors":"K. L. Carstairs, Mario Bialostozky, Kendall Sanderson, A. Magit, Albert Oriel, Charles E. Davis, D. Pyatt, K. Hollenbach, Cynthia Kuelbs, R. Christensen, I.O. García","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.978","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.978","url":null,"abstract":"Background: The unprecedented impact of SARS-CoV-2/COVID-19 worldwide pandemic on healthcare hasbeen profound At our large quaternary care pediatric healthcare system, in response to change how wedeliver care, a telemedicine strategy was rapidly developed with a priority to address the needs of patientsrequiring specialty time sensitive ambulatory care One obvious opportunity was to rapidly expandtelemedicine capabilities to address the impact quarantines and stay at home orders would have on thedelivery of care to children with chronic conditions We had some telemedicine capabilities in certainpopulations, however when our community shut down we responded with an immediate plan to expandtelemedicine services in a large multi-specialty practice During the first week of the stay at home order, ourambulatory volumes drop by 69% reinforcing concerns regarding delays care (Fig 1) Methods: We establisheda leadership model, task forces, and communication plan We rapidly adapted to ongoing changes andaddressed specific needs including clinic workflow, patient populations, patient capabilities to utilize telehealth, education of clinical teams, and daily visible tracking tools We measured daily telemedicinevolumes by practice, total visits, and proportion of telemedicine visits Results: The 69% decrease inambulatory volume was countered with a 42,300% increase in telemedicine visits Prior to COVID-19, weaveraged 4 telemedicine visits weekly and currently complete over 2,000 Through telemedicine, we aremaintaining a clinic volume of 57% of expected with 68% of all those visits being provided throughtelemedicine (Figure 2) All specialty services provide telemedicine Certain specialty clinics adapted totelemedicine easier than others;allergy/asthma (98%;n = 581), pulmonary (97%;n = 390), neurology (96%;n =1,004), dermatology (95%;1,175), and otolaryngology (91%;n = 1,314) clinics experienced the greatest degreesof success over the past month while ophthalmology (55%;n = 531), cardiology (35%;n = 576) and orthopedics(14%;n = 1,713) faced challenges Additionally, 30% of all completed telemedicine visits were for new referralvisits Conclusion: We rapidly expanded telemedicine to provide time sensitive care in a large ambulatoryspecialty practice Certain specialties were more amenable to telehealth for various reasons--vital signsavailable from home monitoring, ability to assess neurologic function in natural settings, etc We realized thatevery specialty could do some aspect of telemedicine yet for others it was more challenging due to the needfor ancillary tests (Echocardiogram, x-rays, ophthalmology adjuncts, etc ) or lack of a good substitute forphysical exam findings (murmurs, abdominal exams, etc ) We successfully completed new referral visits (aprevious concern in specialty practices) Future steps to sustain our telemedicine practice are to continue torefinine best telemedicine practices, identifying appropriate populations and visit types, track financia","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"1 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":"125459703","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}

{"title":"The Before Picture: Assessing the Value of Telemedicine from the Perspective of the Caregiver Presenting to a Pediatric Surgery Clinic Prior to COVID-19","authors":"Gregory A. Metzger, I. Halaweish, Carley M Lutz, P. Minneci, K. Deans","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.987-A","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.987-A","url":null,"abstract":"Background: Within pediatrics, the use of telemedicine has grown considerably within the past decade, mostnotably within primary care and behavioral health However, within pediatric surgery the increase in use hasbeen modest In response to COVID-19, many healthcare institutions implemented strategies to curb thespread of the virus, including restricting non-emergent clinic appointments and quickly rolling outtelemedicine options for patients The utility of telemedicine options beyond the COVID-19 restrictive periodhas not been studied The purpose of this study is to assess the state of interest in telemedicine for caregiverspresenting to a pediatric surgery clinic prior to COVID-19 and to evaluate the potential benets of continuingtelemedicine use within pediatric surgery based on the caregiver perspective Methods: Following IRBapproval, caregivers for all patients that presented to a general pediatric surgery clinic from January 1, 2020 toMarch 1, 2020, were considered for enrollment Subjects were asked to complete a voluntary and anonymous survey Survey responses were recorded directly into REDCap by participants Categorical variables wereevaluated using frequencies and reported as percentages Results: In total, 58 caregivers completed a survey The majority (51%) of respondents were between 31-40 years old, with 71% identifying as Caucasian and 22%as African American A fourth (25%) of respondents traveled at least 100 miles, with more than one-third (36%)spending a minimum of 2 hours in travel time To get to and from the clinic appointment, 69% reportedspending at least $10 in fuel, with 13% spending more than $50 Three-quarters (75%) of participants reportedworking outside of the home, and the majority (53%) had to miss work for the appointment, resulting inmissed wages for 41% of respondents All caregivers had a cellphone and 93% had access to a computer ortablet, with 87% reporting daily internet use and 71% reporting use of video chat at least once per week Only26% of respondents were familiar with telemedicine prior to taking the survey However, following a briefdescription, 66% responded that they would be interested in remote appointments, with 74% citing cost as areason and 69% stating that time spent traveling was an important factor For 91% of respondents the mostimportant factor related to the visit was getting the correct diagnosis Conclusion: The COVID-19 restrictiveperiod has led to increased use of telemedicine within pediatric surgery Prior to COVID-19 most caregiverspresenting to a pediatric surgery clinic were unfamiliar with telemedicine options, however, the majority wereinterested in the benets afforded by remote evaluation Future studies are needed to determine how best tocontinue the use of telemedicine for the treatment of pediatric surgery patients beyond the restrictive period","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"27 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":"122678891","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}

{"title":"Vaping in Schools: What do Teens Think?","authors":"Simran Jutla, Passang Tsekey, A. Beleck, A. Eliscu, R. Boykan","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.1009","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.1009","url":null,"abstract":"","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"66 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":"115216741","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}

{"title":"Adolescent EVALI in the Delaware Valley: A Report of 9 Cases","authors":"Sarah E. Schaffer, A. Chidekel, A. Strang, A. Shenoy","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.993","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.993","url":null,"abstract":"","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"20 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":"132429065","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}

{"title":"To Call or Not to Call: the Impact of Phone Call Reminders on Influenza Vaccination Rates","authors":"Linnea Dixson, Kristen Samaddar","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.988","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.988","url":null,"abstract":"","PeriodicalId":259868,"journal":{"name":"Section on Tobacco Control Program","volume":"39 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":"115997567","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}