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Identifying Maternal and Paternal Postpartum Depression in the Primary Care Setting with Appropriate Intervention and Follow-Up 通过适当的干预和随访在初级保健环境中识别母亲和父亲的产后抑郁症
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.48
Cam Phan, John Davis, Michael Napkori
Background: The American Academy of Pediatrics as well as the Department of Health and Human Services for Medicare and Medicaid call for pediatricians to screen for maternal depression at newborn exams and well child checks following the initial visit. Postpartum depression is something that has been studied for years in medicine, more so its effects on mothers as opposed to fathers. The overall goal of this study is to show other providers that there is a simple yet effective way to …
背景:美国儿科学会以及医疗保险和医疗补助的卫生和人类服务部呼吁儿科医生在新生儿检查和初次就诊后的儿童健康检查中筛查母亲抑郁症。产后抑郁症在医学上已经研究了很多年,它对母亲的影响比对父亲的影响更大。这项研究的总体目标是向其他医疗服务提供者展示,有一种简单而有效的方法……
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引用次数: 0
The Power Of One: Combining a Community Partnership With a Dynamic Advocacy Curriculum 一个人的力量:将社区伙伴关系与动态倡导课程相结合
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.59-A
T. Gayle, Olanrewaju O. Falusi, Iana Clarence, K. Donnelly
BACKGROUND: Food insecurity (FI) affects 1 in 9 Americans. While pediatric residency programs begun including FI training, many are didactic-based. Engagement with FI requires community-based training in partnership with need-based organizations. METHODS: In the curriculum, PL1s visit a food bank. Experiential learning is utilized as a conceptual framework, through which knowledge is gained. The day begins with service learning in the urban garden and a discussion …
背景:食物不安全(FI)影响着1 / 9的美国人。虽然儿科住院医师项目开始包括FI培训,但许多是基于教学的。参与国际金融机构需要与基于需求的组织合作进行社区培训。方法:在课程中,学生们参观食物银行。体验式学习被用作一个概念框架,通过它获得知识。这一天从城市花园的服务学习和讨论开始……
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引用次数: 0
Prescribing Psychotropic Medications in Primary Care: Pediatric Resident Perspectives on Training and Practice 在初级保健中开精神药物处方:儿科住院医师培训和实践的观点
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.53
Jeffrey D. Shahidullah, S. Forman, Adam J. Lekwa
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引用次数: 0
Group Well Child Care as a Strategy to Support Parents 团体良好儿童照顾作为支持父母的策略
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.46
M. Boutry, S. Ronis, Marie Masotya, G. Birkby, S. Lo
Background: We implemented a pilot group well child care (GWCC) program as an alternative to individual well child care (IWCC) in a large, urban, pediatric practice caring for children insured by Medicaid, with the overarching goals of increasing parent empowerment and social support Our GWCC model was conceived as an extension of existing CenteringPregnancy group perinatal care programs, enrolling groups of approximately 6-8 parents and their newborns. GWCC follows Bright Futures guidelines for well-visit schedule from birth to age 2. A clinician facilitates the …
背景:我们在一个大型城市儿科实践中实施了一项试验性群体健康儿童护理(GWCC)计划,作为个人健康儿童护理(IWCC)的替代方案,该计划照顾的是受医疗补助保险的儿童,其总体目标是增加父母的权力和社会支持。我们的GWCC模型被认为是现有的CenteringPregnancy小组围产期护理计划的延伸,招募了大约6-8名父母及其新生儿。GWCC遵循光明期货从出生到2岁的探井时间表指南。临床医生促进…
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引用次数: 0
“Health Stars” Model to Increase Diverse Parents’ Child Health Education “健康之星”模式加强多元家长子女健康教育
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.47
Wendy L M Hunter, P. Hartigan, Mary J. Baker-Ericzén, Vianey Perez-Maldonado
Background: Social determinants have a powerful effect on child health and are linked to parenting practices, with lower income minority families displaying lower parent-child interactions. Pediatricians have an opportunity to promote child health. Yet, low access and time constraints within pediatric visits make it challenging to teach and model parenting behaviors towards child health. Health Stars is a new model of care that brings pediatricians into the communities of high-risk families to increase child health education with parent-child interactive …
背景:社会决定因素对儿童健康有强大的影响,并与养育做法有关,低收入少数民族家庭表现出较低的亲子互动。儿科医生有机会促进儿童健康。然而,儿科就诊的机会少且时间有限,这使得在儿童健康方面进行教育和示范父母行为具有挑战性。健康之星是一种新的护理模式,将儿科医生带入高危家庭社区,通过亲子互动增加儿童健康教育。
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引用次数: 0
The Role of a Federally Qualified Health Center During a Pandemic 联邦合格医疗中心在大流行期间的作用
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.60
A. Shapiro, B. Hackley, L. Hargarten, Monica Kavanaugh, Fadhylla Saballos Tercero, D. Herszenson, Scott Ikeda, J. Kopa
The COVID-19 pandemic has caused a significant loss of life and dramatically upended the livelihood of communities across the world. However, as with other health crises, the pandemic has hit low-income communities particularly hard. Epidemiological data have shown that individuals in poorer communities are not only at a higher risk for severe COVID-19 illness and fatality, but are also at a heightened risk of suffering long-term economic and social consequences as indirect effects of the pandemic, highlighting the need for community-wide interventions. As community-based institutions, whose primary role is to …
2019冠状病毒病大流行造成了重大生命损失,极大地颠覆了世界各地社区的生计。然而,与其他卫生危机一样,这一流行病对低收入社区的打击尤为严重。流行病学数据显示,贫困社区的个人不仅面临COVID-19严重疾病和死亡的更高风险,而且由于大流行的间接影响,遭受长期经济和社会后果的风险也更高,这凸显了在社区范围内采取干预措施的必要性。作为以社区为基础的机构,其主要作用是……
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引用次数: 0
Parenting in a Pandemic: An Innovative Virtual Support Forum for Families Living in Homeless Shelters 流行病中的育儿:为无家可归者收容所家庭提供的创新虚拟支持论坛
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.52
R. Whitmire, B. Rezet, Kaitlyn Petruccelli, A. Gula, Noreena Lewis
Background: Over 700,000 children experience abuse in the US annually Reported and substantiated cases ofchild abuse increase in the months following disasters The COVID-19 pandemic has increased known riskfactors for child abuse, including financial hardship, unemployment, increased anxiety, increased caregiverresponsibilities, and decreased access to behavioral health services and community resources Children andfamilies already facing homelessness prior to the pandemic may be at especially heightened risk of childmaltreatment The Homeless Health Initiative (HHI) was developed by pediatrics residents and is now amultifaceted advocacy network supporting local, urban homeless shelters that is funded and staffed by ourinstitution PriCARE is a positive parenting program also funded and staffed by our institution Both HHI andPriCARE had to suspend in-person services due to the COVID-19 pandemic at a time when families may mostneed additional support Online parenting support programs have demonstrated significant reductions innegative parent-child interactions, problematic child behaviors, negative disciplinary methods, parent stressand depression, and child anxiety Therefore, the multidisciplinary team members that serve families throughHHI and PriCARE sought to develop a virtual platform to provide their support Methodology: The goal of thisinitiative is to establish a multidisciplinary virtual program for families experiencing homelessness thatprovides trauma-informed, positive parenting support, promotion of healthy parent-child relationships,relevant illness and injury prevention tips, and anticipatory guidance for families coping during a pandemic We completed a needs assessment through ongoing communication with families and workers at the shelters Various stakeholders, including experts in child abuse prevention, intimate partner violence, and positiveparenting, worked together to develop supportive materials for families related to the above topics Weconducted virtual sessions including members of each participating stakeholder in an open-ended formatguided by participants' concerns, both previously submitted and in real-time, to provide support and developfamily-centered programming Our platform was compatible with phones distributed to shelter residents bythe city during the pandemic to facilitate open access To supplement virtual content, we also distributedaccompanying resources for reinforcement Further development of this initiative is ongoing with iterativeplan/do/study/act (PDSA) cycles Anonymous feedback from shelter residents and session leader debriefs areintegral in guiding our modifications Discussion: The delivery of our material via video conferencing andwritten handouts is practical, feasible, and respectful of physical distancing recommendations We arecontinuing to improve this initiative in response to feedback In addition, we plan to integrate thisinterdisciplinary model focusing on positive parenting into our in-person se
背景:在灾难发生后的几个月里,报告和证实的虐待儿童案件有所增加。COVID-19大流行增加了已知的虐待儿童的风险因素,包括经济困难、失业、焦虑加剧、照顾者责任增加、获得行为健康服务和社区资源的机会减少,在大流行之前就已经面临无家可归的儿童和家庭遭受虐待的风险可能特别高。无家可归者健康倡议(HHI)是由儿科住院医生制定的,现在是一个多方面的宣传网络,支持当地、PriCARE是一个积极的育儿计划,也是由我们的机构资助和配备的。由于COVID-19大流行,HHI和PriCARE不得不暂停面对面的服务,而此时家庭可能最需要额外的支持。在线育儿支持计划已经证明,在消极的亲子互动、问题儿童行为、消极的惩戒方法、父母压力和抑郁方面,因此,通过hhi和PriCARE为家庭提供服务的多学科团队成员寻求开发一个虚拟平台来提供他们的支持。这一举措的目标是为无家可归的家庭建立一个多学科的虚拟方案,提供了解创伤的积极育儿支持,促进健康的亲子关系,提供相关的疾病和伤害预防提示,并为家庭在大流行期间的应对提供前瞻性指导。包括预防儿童虐待、亲密伴侣暴力和积极育儿方面的专家,共同为与上述主题相关的家庭开发支持性材料。我们开展了虚拟会议,包括每个参与利益攸关方的成员,以开放式形式,以参与者先前提交的和实时提交的关注点为指导。提供支持和发展以家庭为中心的编程我们的平台与疫情期间城市向避难所居民分发的电话兼容,以促进开放访问。为了补充虚拟内容,我们还分发了相关资源以加强这一举措的进一步发展,正在以迭代的计划/行动/研究/行动(PDSA)周期进行,来自避难所居民的匿名反馈和会议负责人的汇报是指导我们修改的重要组成部分。通过视频会议和书面讲义的方式提供我们的材料是实际可行的,并且尊重物理距离的建议。我们正在继续改进这一举措,以回应反馈。此外,我们计划在适当的时候将这种专注于积极育儿的跨学科模式整合到我们的面对面会议中。通过与所有相关利益相关者合作,我们制定了一项计划,通过一个虚拟平台为居住在无家可归者收容所的家庭提供服务,该平台可以响应并灵活地满足他们的需求
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引用次数: 1
Nature Contact and Children's Health: A Systematic Review 自然接触与儿童健康:系统综述
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.50
A. Fyfe-Johnson, E. Marcuse, P. Tandon, M. Hazlehurst, Gregory N. Bratman, Rick Thomas, S. Perrins, K. Garrett
Background: Daily outdoor play for children has been encouraged by the American Academy of Pediatrics, which has long recognized the importance of play for promoting children’s health and social-emotional development. The COVID-19 related school closures and activity restrictions have highlighted potential inequities in opportunities for children to play outdoors. There is increasing evidence, of varying quality, that outdoor environments containing elements of nature may offer benefits for children’s health that come specifically from the nature contact experienced. However, one barrier to increasing support for nature contact from the health …
背景:美国儿科学会(American Academy of Pediatrics)一直鼓励儿童每天在户外玩耍,该学会很早就认识到玩耍对促进儿童健康和社会情感发展的重要性。与COVID-19相关的学校停课和活动限制凸显了儿童在户外玩耍机会方面可能存在的不平等。越来越多的证据表明,虽然质量不同,但含有自然元素的户外环境可能对儿童的健康有益,特别是来自与自然的接触。然而,增加对自然接触的支持的一个障碍来自卫生…
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引用次数: 1
Associations Between Adverse Home Environments and Appetite Hormones, Adipokines, and Adiposity in Adolescence: A Longitudinal Study of a Chilean Birth Cohort 不良家庭环境与青少年食欲激素、脂肪因子和肥胖之间的关系:智利出生队列的纵向研究
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.33
Deshna Majmudar, S. Gahagan, R. Burrows, S. Martinez, P. East, E. Blanco
Background: Stress can affect appetite via disruptions in appetite hormones and adipokines. Stress triggered by an adverse home environment might also relate to appetite. Objective: To determine whether adverse home environments in childhood and adolescence relate to disruptions in appetite hormones in adolescence, or specifically, lower levels of adiponectin and ghrelin and higher levels of leptin and orexin. Methods: Home environments were measured for forms/types of adversity (i.e., depression, family stress, …
背景:压力可以通过破坏食欲激素和脂肪因子来影响食欲。由不利的家庭环境引发的压力也可能与食欲有关。目的:确定儿童和青少年不良的家庭环境是否与青少年食欲激素的紊乱有关,或者具体地说,与脂联素和胃饥饿素水平较低以及瘦素和食欲素水平较高有关。方法:测量家庭环境中逆境的形式/类型(即抑郁、家庭压力、…
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引用次数: 0
Complete Eats: A Hybrid Type I Effectiveness and Implementation Study of a Clinically Based Summer Food Service Program 完全饮食:基于临床的夏季食品服务计划的混合I型有效性和实施研究
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.39
Danielle Cullen, Douglas Strane, J. Fein
Background: 21.5 million low-income children rely on free or reduced-price meals during the school year. The USDA Summer Food Service Program (SFSP) provides meals to children during summer months, but due to lack of awareness fewer than 1 in 8 eligible children participate. The medical center is one of the few institutions that children access during the summer months, and as such may be a prime location for these programs. We evaluate the effectiveness of situating a …
背景:2150万低收入儿童在学年期间依赖免费或减价膳食。美国农业部夏季食品服务计划(SFSP)在夏季为儿童提供膳食,但由于缺乏意识,只有不到八分之一的合格儿童参加。该医疗中心是儿童在夏季可以访问的少数机构之一,因此可能是这些项目的主要地点。我们评估安置……的有效性。
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引用次数: 0
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Council on Community Pediatrics Program
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