Contributors
TINA L. CHENG, MD, MPH (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - April 29, 2023 Category: Pediatrics Source Type: research
Contents
Tina L. Cheng (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - April 29, 2023 Category: Pediatrics Source Type: research
Forthcoming Issues
Achieving Child Health Equity (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - April 29, 2023 Category: Pediatrics Source Type: research
Population Health in Pediatric Primary Care as a Means to Achieving Child Health Equity
We propose population health as a model of care to advance efforts to achieve child health equity. We use the structure-process-outcome framework to highlight key structures of pediatric population health necessary to catalyze what has been slow progress to date. Using specific ongoing examples, we then show how different models of integrated health care delivery systems align population health structures to enable processes aimed to achieve child health equity. We conclude by highlighting the critical role of committed leadership to drive progress. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - April 28, 2023 Category: Pediatrics Authors: R. Neal Davis, Carolyn Reynolds, Elena Dicus, Angelo P. Giardino Source Type: research
Addressing Social Determinants of Health in Practice
This review summarizes the current pediatric literature related to social determinants of health, including strengths and weaknesses of screening practices and intervention strategies, common concerns and potential unintended consequences, opportunities for further research, and provides evidence-informed practical strategies for clinicians. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - April 28, 2023 Category: Pediatrics Authors: Melissa R. Lutz, Arvin Garg, Barry S. Solomon Source Type: research
Achieving Health Equity for Sexual and Gender-Diverse Youth
This article describes the disparities impacting SGD youth, their differential exposure to the stigma and discrimination that foster these disparities, and the protective factors that can mitigate or disrupt the impact of these exposures. On the final point, the article specifically focuses on pediatric providers and inclusive, affirming, medical homes as critical protective factors for SGD youth and their families. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - April 28, 2023 Category: Pediatrics Authors: Errol L. Fields Source Type: research
Addressing Structural Racism in Pediatric Clinical Practice
Structural racism is the inequitable allocation of various social determinants of health to different communities. Exposure to this and other discrimination levied from intersectional identities is the primary driver of disproportionately adverse health outcomes for minoritized children and their families. Pediatric clinicians must vigilantly identify and mitigate racism in health care systems and delivery, assess for any impact of patient and family exposure to racism and direct them to appropriate health resources, foster an environment of inclusion and respect, and ensure that all care is delivered through a race-consci...
Source: Pediatric Clinics of North America - April 28, 2023 Category: Pediatrics Authors: Marciana Laster, Daniel Kozman, Keith C. Norris Source Type: research
Crossing the Quality Chasm and the Ignored Pillar of Health Care Equity
This article describes how equity should be addressed using the QI process. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - April 28, 2023 Category: Pediatrics Authors: Tina L. Cheng, Ndidi I. Unaka, David Nichols Source Type: research
Rehabilitation Care of the Child with an Acute Severe Traumatic Brain Injury
This article summarizes important information regarding severe TBI epidemiology, pathophysiology, classification, and acute management. Early and longitudinal involvement of rehabilitation experts, such as pediatric physiatrists, is critical in managing complications and optimizing outcomes. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - March 20, 2023 Category: Pediatrics Authors: Matthew J. McLaughlin, Sathya Vadivelu, Kimberly C. Hartman Source Type: research
Early Cerebral Palsy Detection and Intervention
Early identification of cerebral palsy (CP) facilitates optimal care, support, and outcomes for children and their families. Ideally, infants with risk factors or developmental deviations should be evaluated early using standardized assessments of neurodevelopment and brain imaging. If a diagnosis of CP or high risk for CP (HRCP) is established, specialized, evidence-informed therapy and family support should be initiated. With task-specific motor skill training and an enriched environment, infants with CP show greater gross motor and cognitive gains. These enhanced outcomes are only achievable with early diagnosis and sub...
Source: Pediatric Clinics of North America - March 20, 2023 Category: Pediatrics Authors: Paola Mendoza-Sengco, Caitlin Lee Chicoine, Jilda Vargus-Adams Source Type: research
Pediatric Rehabilitation Medicine Physicians
Pediatric rehabilitation medicine (PRM) physicians are subspecialists in the field of physical medicine and rehabilitation trained to promote the health and function of children with disabilities (CWD) across their lifespans. Management strategies employed include prescribing medications, therapy, and adaptive equipment (braces and mobility devices) to optimize function and allow participation. PRM physicians collaborate with other providers to mitigate the negative consequences of health conditions and injuries. Their work is interdisciplinary because CWD with either temporary or permanent impairments needs treatments, se...
Source: Pediatric Clinics of North America - March 19, 2023 Category: Pediatrics Authors: Glendaliz Bosques, Amy J. Houtrow, Lainie K. Holman Source Type: research
Return to Learn After Traumatic Brain Injury
A successful return of youth back to school after traumatic brain injury (TBI) is an important aspect of post-injury management. Regardless of the severity of the injury, returning to school is an important aspect of improving recovery and outcomes. Often temporary informal school adjustments suffice in supporting children returning to school after concussion. For those with more a significant TBI, often formal school supports and interventions are important. Given the resiliency and recovery often seen after pediatric brain injury, close monitoring, serial evaluations, and fluid supports are important in accurately identi...
Source: Pediatric Clinics of North America - March 19, 2023 Category: Pediatrics Authors: Michael Dichiaro, David Baker, Sarah J. Tlustos Source Type: research
Spasticity Interventions
Spasticity results from an abnormality of the central nervous system and is characterized by a velocity-dependent increase in muscle tone or stiffness. In children, it can cause functional impairments, delays in achieving developmental or motor milestones, participation restrictions, discomfort, and musculoskeletal differences. Unique to children is the ongoing process of a maturing central nervous system and body, which can create the appearance of worsening or changing spasticity. Treatment options include physical interventions such as stretching, serial casting, and bracing; oral and injectable medications; and neurosu...
Source: Pediatric Clinics of North America - March 19, 2023 Category: Pediatrics Authors: Joline E. Brandenburg, Amy E. Rabatin, Sherilyn W. Driscoll Source Type: research
Evaluation, Treatment, and Outcomes of Viral and Autoimmune Encephalitis in Children
Viral encephalitis and autoimmune encephalitis are currently the most common causes of encephalitis. Determining the causative agent is helpful in initiating medical treatment that may help reduce long-term sequelae. Cerebrospinal fluid, neuroimaging, serologic, and electroencephalogram in combination with clinical manifestations play a role in determining the cause of the encephalitis. Although motor dysfunction tends to improve, there is a significant risk of long-term neurologic and cognitive sequelae. These persistent deficits that occur in childhood indicate the importance for ongoing rehabilitative services to maximi...
Source: Pediatric Clinics of North America - March 19, 2023 Category: Pediatrics Authors: Joshua A. Vova, Robyn A. Howarth Source Type: research
Promoting Functional Recovery in Critically Ill Children
Over two-thirds of pediatric critical illness survivors will experience functional impairments that persist after discharge, that is, post –intensive care syndrome in pediatrics (PICS-p). Risk factors include child and family characteristics, invasive procedures, and social determinants of health. Approaches to remediate PICS-p include early rehabilitation, minimizing sedation, psychosocial resources for caregivers, delivery of famil y-centered care, and longitudinal screening for PICS-p. Challenges include feasible and validated approaches to screening, and resources and coordination for multidisciplinary care. Next ste...
Source: Pediatric Clinics of North America - March 19, 2023 Category: Pediatrics Authors: Amit Sinha, Sarah Rubin, Jessica M. Jarvis Source Type: research
