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CHANNELING INTRINSIC MOTIVATION: A BOARD REVIEW EDUCATION BUNDLE FOR PEDIATRIC CARDIOLOGY FELLOWS
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102666
Minnie Dasgupta MD, Desireé Conrad MD, Rebecca Blankenburg MD, MPH
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引用次数: 0
Standing Up to Antisemitism, Together 共同抵制反犹太主义。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.07.014
Andrew F. Beck MD, MPH , Barry S. Solomon MD, MPH , Leora N. Mogilner MD , Benard P. Dreyer MD , Todd A. Florin MD, MSCE , Yonit Lax MD , Lawrence M. Rhein MD, MPH , Lee M. Sanders MD, MPH , Melissa D. Klein MD, MEd
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引用次数: 0
Effects of a Prenatal Anxiety Randomized Controlled Trial Intervention on Infant Development in Pakistan 产前焦虑随机对照试验干预对巴基斯坦婴儿发育的影响。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.07.018
Pamela J. Surkan ScD, PhD , Soim Park PhD , Ziyue Sheng MB , Ahmed Zaidi MSc , Najia Atif PhD , Lauren M. Osborne MD , Atif Rahman PhD, MBBS, FRCPsych, MRes , Abid Malik PhD, FRCPsych

Objective

Given that infant development is influenced by caregiver mental health, we tested whether an intervention to reduce antenatal anxiety could affect infant development. A secondary aim was to test depressive symptoms, maternal responsiveness, and maternal infant bonding as mediators of this relationship.

Methods

Between 2020 and 2022, pregnant women participated in a randomized controlled trial of the Happy Mother-Healthy Baby (HMHB) program based on cognitive behavioral therapy. We collected data on child development from 202 intervention and 198 control participants in a public hospital in Pakistan. Child development was measured using the Ages and Stages Questionnaires-Version 3 at six weeks postpartum. Using intent-to-treat analyses, we examined whether the intervention was associated with performance on the five ASQ-3 domains. Causal mediation analysis was used to assess depressive symptoms, bonding, and maternal-infant responsiveness as mediators.

Results

Socio-demographic characteristics were evenly distributed between study arms. Intervention arm infants showed a 2.1-point increase (95% CI: 0.12, 4.17) in communication scores compared to controls. Though not achieving statistical significance, intervention infants also showed a 2.0-point increase (95% CI: −0.06, 4.09) in gross motor development performance. Bonding, depression, and responsiveness were mediators between the intervention and infant communication (Bindirect = 1.94 (95% CI: 0.86, 3.25) depression; Bindirect = 0.57 (95% CI: 0.09, 1.16) bonding; Bindirect = 0.53 (95% CI: 0.01, 1.21) and responsiveness (Bindirect = 1.94 (95% CI: 0.86, 3.25)). Bonding, responsiveness, and depression mediated 25%, 23%, and 87% of the total association, respectively.

Conclusions

HMHB positively affected infant communication at six-week follow-up. Larger studies with longer follow-up are needed to confirm and extend these findings.

Trial registration

ClinicalTrials.gov NCT03880032; https://clinicaltrials.gov/ct2/show/NCT03880032
研究目的鉴于婴儿的发育受照顾者心理健康的影响,我们测试了减少产前焦虑的干预措施是否会影响婴儿的发育。其次,我们还测试了抑郁症状、产妇反应能力和母婴亲子关系作为这种关系的中介因素:2020 年至 2022 年期间,孕妇参加了一项基于认知行为疗法的 "快乐母亲-健康宝宝(HMHB)"随机对照试验。我们收集了巴基斯坦一家公立医院中 202 名干预参与者和 198 名对照参与者的儿童发育数据。在产后六周时,我们使用年龄与阶段问卷 3 版对儿童发育情况进行了测量。通过意向治疗分析,我们研究了干预是否与 ASQ-3 五个领域的表现相关。我们还使用了因果中介分析来评估抑郁症状、亲子关系和母婴反应能力的中介作用:各研究组的社会人口特征分布均匀。与对照组相比,干预组婴儿的沟通得分提高了 2.1 分(95% CI:0.12,4.17)。干预组婴儿的大运动发展表现也提高了 2.0 分(95% CI:-0.06,4.09),但未达到统计学意义。亲和力、抑郁和反应能力是干预与婴儿沟通之间的中介因素(Bindirect=1.94(95%CI:0.86,3.25)抑郁;Bindirect=0.57(95%CI:0.09,1.16)亲和力;Bindirect=0.53(95%CI:0.01,1.21)反应能力;Bindirect=1.94(95%CI:0.86,3.25))。结合、反应性和抑郁分别介导了总关联的 25%、23% 和 87%:结论:在六周的随访中,HMHB 对婴儿的沟通有积极影响。需要进行更大规模、更长时间的随访研究,以证实并扩展这些发现:试验注册:ClinicalTrials.gov NCT03880032;https://clinicaltrials.gov/ct2/show/NCT03880032。
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引用次数: 0
DOES MEDICAL SCHOOL MATTER? ANALYSIS OF HOLISTIC REVIEW PROCESS AT A LARGE-SIZED PEDIATRIC RESIDENCY PROGRAM
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102671
Kevin Fang MD MPH, Adriana Hernandez MD, Trinh Ha BS, Hanna Song PhD
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引用次数: 0
RESIDENT ROTATIONS IN THE PEDIATRIC AND NEONATAL INTENSIVE CARE UNITS
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102639
Rachel Johnson MD , Ruchit Nagar MD , Andrea Asnes MD, MSW
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引用次数: 0
A NOVEL ELECTIVE TO ADDRESS RESIDENT WELLNESS AND SICK CALL OUTS
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102675
Danielle Rosema MD, Leila Stallworth MD
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引用次数: 0
Concordance in Child-Parent Reporting of Social Victimization Experiences in the Adolescent Brain Cognitive Development (ABCD) Study 青少年大脑认知发展(ABCD)研究中儿童与家长对社会伤害经历报告的一致性。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.02.001
Judy T. Tang MSN, RN , Altaf Saadi MD, MS , Erin C. Dunn ScD, MPH , Kristen Choi PhD, RN, FAAN

Objective

To investigate child-parent concordance in reporting social victimization experiences and whether parent concordance with child report of victimization was associated with child behavioral symptoms.

Methods

This was an observational study with data from the Adolescent Brain Cognitive Development Social Development (ABCD-SD) substudy. The analytic sample was 2415 pre-adolescent children from the United States. We assessed parent-child concordance on six domains of child social victimization: conventional crime, peer victimization, witnessing violence, internet victimization, school victimization, and gun violence. Child behavior symptoms were measured using the parent-report Child Behavior Checklist. Interrater agreement and multiple linear and logistic regression analyses were conducted to assess parent concordance with child report of victimization and its relationship to behavioral symptoms.

Results

Interrater agreement in parent-child social victimizations reports was low, with Cohen’s Kappa values ranging from 0.10 to 0.23. Compared to parent-child dyads in which neither reported victimization, parent concordance with child report of victimization across multiple domains of social victimization was associated with more internalizing/externalizing behaviors, as was parent discordance with child reports that did not indicate victimization. Among children who reported victimization, parents’ perceptions of greater neighborhood safety were associated with lower odds of concordant parent report of conventional crime (OR = 0.94, 95% CI = 0.90–0.98) and witnessing violence (OR = 0.94, 95% CI-0.89–0.98).

Conclusions

Parents and children do not necessarily agree in reporting social victimization experiences. Parent reports of child social victimization, whether they were concordant with positive child reports or discordant with negative child reports, were associated with parent reports of behavioral symptoms and thus may be an indicator of the severity of experiences, underscoring the need to consider multiple informants when screening for adversity.
目的调查儿童与家长在报告社会受害经历方面的一致性,以及家长与儿童受害经历报告的一致性是否与儿童行为症状有关:这是一项观察性研究,数据来自青少年大脑认知发展社会发展(ABCD-SD)子研究。分析样本是来自美国的 2415 名青春期前儿童。我们评估了父母与子女在六个儿童社会受害领域的一致性:传统犯罪、同伴受害、目睹暴力、网络受害、学校受害和枪支暴力。儿童行为症状采用家长报告的儿童行为核对表进行测量。对父母与儿童受害情况报告之间的一致性及其与行为症状之间的关系进行了分析,并进行了多元线性和逻辑回归分析:亲子间的社会伤害报告一致性较低,Cohen's Kappa 值从 0.10 到 0.23 不等。与双方均未报告受害情况的亲子二人组相比,在社会受害的多个领域,父母与子女受害情况报告的一致性与更多的内化/外化行为有关,而父母与未显示受害情况的子女报告的不一致性也与更多的内化/外化行为有关。在报告受害情况的儿童中,父母认为邻里更安全与父母报告传统犯罪(OR = 0.94,95% CI = 0.90-0.98)和目睹暴力(OR = 0.94,95% CI-0.89-0.98)一致的几率较低有关:结论:家长和儿童在报告社会受害经历时并不一定意见一致。家长对儿童社会受害经历的报告,无论是与儿童的正面报告一致,还是与儿童的负面报告不一致,都与家长报告的行为症状相关,因此可能是儿童社会受害经历严重程度的一个指标,这强调了在筛查逆境时需要考虑多个信息提供者。
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引用次数: 0
Pediatric Vaccination Outside of the Medical Home: Updates on Alternative Settings for Vaccine Delivery 家庭医疗之外的儿童疫苗接种:关于疫苗接种替代环境的最新信息。
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.04.007
Mersine A. Bryan MD, MPH , Shannon H. Baumer-Mouradian MD , Annika M. Hofstetter MD, PhD, MPH
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引用次数: 0
UNLEASHING POTENTIAL: UNDERSTANDING PEDIATRICS RESIDENTS’ CONFIDENCE IN LEADING FAMILY CARE CONFERENCES
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102670
Lakshmeeramya Malladi MD, Lynne Huffman MD
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引用次数: 0
SAFETY USHERSS: A QUALITY IMPROVEMENT INITIATIVE ON UTILIZING THE SAFETY HUDDLE TO EMPOWER RESIDENTS AS SAFETY STEWARDS (USHERSS)
IF 3 3区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102657
Taylor Tragesser DO, Jasmin Shahrestani DO, MPH, Patricia O'Brien MD, PhD, Sharon Dabrow MD
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引用次数: 0
期刊
Academic Pediatrics
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