Academic Pediatrics最新文献

{"title":"WHAT DETERS MEDICAL STUDENTS FROM PURSUING A CAREER IN PEDIATRICS?","authors":"Christopher Chow-Parmer MD , Kim Hoang MD , Lynne Huffman MD","doi":"10.1016/j.acap.2024.102643","DOIUrl":"10.1016/j.acap.2024.102643","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102643"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143353804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal Education and Child Self-Regulation: Do Maternal Self-Regulation and Responsiveness Mediate the Association?","authors":"Bisola E. Duyile PhD ,&nbsp;Jennifer LoCasale-Crouch PhD ,&nbsp;Tessa B. NeSmith MS, MEd ,&nbsp;Khara L.P. Turnbull PhD ,&nbsp;Eve Colson MD ,&nbsp;Michael J. Corwin MD ,&nbsp;Mayaris Cubides Mateus PhD ,&nbsp;Emma Forbes MPH ,&nbsp;Nicole Geller MPH ,&nbsp;Tim Heeren PhD ,&nbsp;Fern R. Hauck MD ,&nbsp;Brianna Jaworski BS ,&nbsp;Ann Kellams MD ,&nbsp;Stephen Kerr MPH ,&nbsp;Rachel Y. Moon MD","doi":"10.1016/j.acap.2024.03.012","DOIUrl":"10.1016/j.acap.2024.03.012","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the mediating role of observed maternal responsiveness and maternal self-regulation on the association between maternal education and children’s self-regulation.</div></div><div><h3>Methods</h3><div>English-speaking mother-child dyads (n = 189) were recruited from a previous study and were eligible if the child was kindergarten eligible at the start of the 2020 to 2021 or 2021 to 2022 school year. Key measures included: <em>Difficulties in Emotion Regulation Scale</em>—<em>Short Form</em> for maternal emotional self-regulation, <em>Culturally Affirming and Responsive Experiences</em> for maternal responsiveness, and the <em>Head-Toes-Knees-Shoulders</em><span> for child self-regulation. The association between years of maternal education and child self-regulation was examined with linear regression, and the mediation analyses utilized 4 subsequent steps examining their relations. These steps were checked through a series of linear regressions, and beta weights were used to describe associations. Each potential mediator was examined separately.</span></div></div><div><h3>Results</h3><div>Children of mothers with higher education had significantly higher self-regulation, slope of 1.3 (95% confidence interval 0.3, 2.4, <em>P</em> = 0.015, beta = 0.18). Further, mothers with higher education had significantly higher observed responsiveness. The beta-weight of 0.34 (<em>P</em> &lt; 0.001) supported maternal responsiveness as a mediator. Finally, in the test for direct and indirect effects, observed maternal responsiveness explained 29% (95% confidence interval 3.3%, 115%) of the association between maternal education and child self-regulation.</div></div><div><h3>Conclusions</h3><div>This study highlights a key mechanism related to children’s self-regulation skills and the significant role of observed maternal responsiveness in explaining the association between maternal education and child self-regulation.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102484"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140181884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CARING FOR YOUR NEWBORN: REPURPOSING A PARENT-FACING VIDEO AS A TOOL TO TRAIN RESIDENTS IN PROMOTING POSITIVE PARENTING DURING THE NEWBORN DISCHARGE TALK","authors":"Brittany Wenger MD ,&nbsp;Blair Hammond MD ,&nbsp;Xian Zhang Ph.D ,&nbsp;Gwen Raphan MD","doi":"10.1016/j.acap.2024.102642","DOIUrl":"10.1016/j.acap.2024.102642","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102642"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143293202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"GENDER-EQUITY IN NUMBER OF PUBLICATIONS FOR PROMOTION","authors":"Taylor Kaldenberg BS,&nbsp;Marisa Roman MD,&nbsp;Amanda Rogers MD,&nbsp;Erwin Cabacungan MD,&nbsp;Kris Saudek MD","doi":"10.1016/j.acap.2024.102678","DOIUrl":"10.1016/j.acap.2024.102678","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102678"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143287450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE EQUITY PAUSE: USING QUALITATIVE RESEARCH TO EXAMINE ITS MEANING AND APPLICATION IN MEDICAL EDUCATION","authors":"Caroline Paul MD ,&nbsp;Heather Howell MD ,&nbsp;Chanelle Coble-Sadaphal MD ,&nbsp;Renee Heller BS ,&nbsp;Julia Festa MD ,&nbsp;Caitlin Plovnick BA, MS, MFA ,&nbsp;Gary Beck Dallaghan PhD","doi":"10.1016/j.acap.2024.102655","DOIUrl":"10.1016/j.acap.2024.102655","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102655"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143306149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SOCIAL MEDIA FOR CHILD ADVOCACY: PEDIATRICS RESIDENTS’ ATTITUDES AND USE OF SOCIAL MEDIA FOR ADVOCACY","authors":"Vivien Sun MD,&nbsp;Brandii Criss MD,&nbsp;Lisa Chamberlain MD,&nbsp;Janine Bruce DPhil,&nbsp;Carrie Rassbach MD","doi":"10.1016/j.acap.2024.102633","DOIUrl":"10.1016/j.acap.2024.102633","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102633"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143306235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"READINESS FOR UNSUPERVISED PRACTICE FOR THE 17 ABP GENERAL PEDIATRICS EPAS: ARE GRADUATING RESIDENTS READY TO PROVIDE THE CARE PATIENTS NEED?","authors":"Daniel Schumacher MD, PhD, MEd ,&nbsp;David Turner MD ,&nbsp;Benjamin Kinnear MD, MEd ,&nbsp;Ariel Winn MD ,&nbsp;Catherine Michelson MD, MMSc ,&nbsp;Alan Schwartz PhD","doi":"10.1016/j.acap.2024.102676","DOIUrl":"10.1016/j.acap.2024.102676","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102676"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143285315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ARE PEDIATRIC SUBSPECIALTY FELLOWS READY FOR UNSUPERVISED PRACTICE AFTER TWO YEARS OF TRAINING?","authors":"Sarah Pitts MD ,&nbsp;Alan Schwartz PhD ,&nbsp;Ruchika Karnik MD ,&nbsp;Pamela High MD, MS ,&nbsp;Diane Stafford MD ,&nbsp;Tandy Aye MD ,&nbsp;Melissa Langhan MD, MHS ,&nbsp;Donald Boyer MD, MSEd ,&nbsp;Richard Mink MD, MACM","doi":"10.1016/j.acap.2024.102652","DOIUrl":"10.1016/j.acap.2024.102652","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102652"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143306150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Behaviors Associated with SARS-CoV-2 Test Positivity Among Children Evaluated in Canadian Emergency Departments, 2020 to 2022: A Cross-Sectional Survey Study","authors":"Madeleine Sumner AB ,&nbsp;Gillian A.M. Tarr PhD ,&nbsp;Jianling Xie MD MPH ,&nbsp;Ahmed Mater MD ,&nbsp;Kathleen Winston MSc ,&nbsp;Jocelyn Gravel MD, MSc ,&nbsp;Naveen Poonai MSc, MD ,&nbsp;Brett Burstein MDCM, PhD, MPH ,&nbsp;Simon Berthelot MD, MSc ,&nbsp;Roger Zemek MD ,&nbsp;Robert Porter MD, MSc ,&nbsp;Bruce Wright MD ,&nbsp;April Kam MD MScPH ,&nbsp;Jason Emsley MSc, MD, PhD ,&nbsp;Vikram Sabhaney MD ,&nbsp;Darcy Beer MD ,&nbsp;Gabrielle Freire MDCM, MHSc ,&nbsp;Anne Moffatt MD ,&nbsp;Stephen B. Freedman MDCM, MSc ,&nbsp;on behalf of Pediatric Emergency Research Canada","doi":"10.1016/j.acap.2024.08.016","DOIUrl":"10.1016/j.acap.2024.08.016","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate how social behaviors relate to SARS-CoV-2 test positivity across pediatric age groups.</div></div><div><h3>Methods</h3><div>Multicenter, cross-sectional study recruiting children &lt;18 years old tested for SARS-CoV-2 infection in emergency departments between 2020 and 2022. We used multivariate logistic regression to assess how self-reported social behaviors affect SARS-CoV-2 test positivity across four age groups. Causal mediation analysis quantified how mask-wearing and presence of an infected close contact mediated the SARS-CoV-2 risk of given behaviors.</div></div><div><h3>Results</h3><div>Seven thousand two hundred and seventy two children were enrolled and 1457 (20.0%) tested positive for SARS-CoV-2. Attending a social gathering was associated with increased odds (aOR 1.64, 95% CI: 1.05, 2.57) of SARS-CoV-2 positivity among children aged 5-&lt;12 years. Those attending in-person school/daycare were less likely to test positive for SARS-CoV-2 across all age categories. Attending childcare was associated with 16.3% (95% CI: −21.0%, −11.2%) and 9.0% (95% CI: −11.6%, −6.5%) reductions in the probability of testing positive for SARS-CoV-2 infection, with 53.5% (95% CI: 39.2%, 73.9%) and 22.8% (95% CI: 9.7%, 36.2%) of the effects being mediated by the presence of a close contact among &lt;1 year and 1-&lt;5 year age groups, respectively. Masking in public mediated the association between childcare attendance and SARS-CoV-2 positivity in children aged &lt;1 year.</div></div><div><h3>Conclusions</h3><div>Attending social gatherings increased the risk of SARS-CoV-2 test positivity in 5-&lt;12-year-old children, but in-person daycare/school was associated with a reduced odds of testing positive across all ages. Settings with high public health adherence (ie, schools) reduced the risk of testing positive for SARS-CoV-2, possibly from reduced close contact with SARS-CoV-2 positive individuals.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102571"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potentially Avoidable Emergency Department Transfers for Acute Pediatric Respiratory Illness","authors":"Kaileen Jafari MD ,&nbsp;Apeksha Gupta MPH, MS ,&nbsp;Derya Caglar MD ,&nbsp;Emily Hartford MD, MPH","doi":"10.1016/j.acap.2024.07.020","DOIUrl":"10.1016/j.acap.2024.07.020","url":null,"abstract":"<div><h3>Background</h3><div>Acute pediatric respiratory illness is one of the most common reasons for emergency department (ED) transfer; however, few studies have examined predictors of potentially avoidable ED transfer (PAT) in this subpopulation. This study aimed to characterize patterns and predictors of PATs in children with acute respiratory illness.</div></div><div><h3>Methods</h3><div>Cross-sectional analysis of 8,402,577 visits for patients ≤17 years from 2018 to 2019 Health Care Utilization Project State ED and Inpatient Datasets from New York, Maryland, Wisconsin, and Florida. ED transfers matched to a visit at a receiving facility with a primary diagnosis of pneumonia, croup/other upper respiratory infection (URI), bronchiolitis, or asthma were included. PAT was defined as discharge from receiving ED or within 24 hours of inpatient admission without specialized procedures, as previously described. PATs were compared with necessary transfers using a 3-level generalized linear mixed model with adjustment for patient and hospital covariates.</div></div><div><h3>Results</h3><div>Among 4409 matched respiratory transfers, 25.5% were potentially avoidable. Most PATs originated from EDs within the third highest quartile of annual pediatric ED visits (n = 472, 42.0%). In the multivariable model, the likelihood of PAT was higher for patients with croup/other URI ((odds ratio) OR 2.72 (2.09–3.5) and if referring ED was in the highest quartile of annual pediatric ED volumes (OR 0.48 95% (confidence interval) CI 0.26–0.88).</div></div><div><h3>Conclusions</h3><div>Pediatric respiratory transfers with a diagnosis of croup/other URI were the most likely to be potentially avoidable. Future implementation efforts to reduce PATs should consider focusing on croup management in EDs in the lower 3 quartiles of pediatric volume.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102553"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}