Designing and Testing a Shaken Baby Syndrome Prevention Program—The Period of PURPLE Crying: Keeping Babies Safe in North Carolina

2009 ◽  
Vol 15 (4) ◽  
pp. 2-24 ◽  
Author(s):  
Desmond K. Runyan ◽  
Heidi J. Hennink-Kaminski ◽  
Adam J. Zolotor ◽  
Ronald G. Barr ◽  
Robert A. Murphy ◽  
...  
Keyword(s):  
North Carolina ◽  
Prevention Program ◽  
Shaken Baby Syndrome ◽  
Abusive Head Trauma ◽  
Current Medical Research ◽  
Primary Care Providers ◽  
Care Providers ◽  
Infant Crying ◽  
Well Child Care

Each year infants die or are permanently disabled at the hands of their caregivers by abusive head trauma, more commonly known as Shaken Baby Syndrome (SBS). Current medical research confirms the central role of infant crying in triggering shaking by caregivers; anecdotally, inconsolable crying is the most common explanation given by abusers. Although SBS prevention efforts have been initiated, most remain unevaluated. This article provides an overview of a 5-year, evidence-based SBS-prevention program called The Period of PURPLE Crying: Keeping Babies Safe in North Carolina from a social marketing perspective. The project includes three components: (1) in-hospital education for parents of every newborn at all 86 hospitals/birthing centers in North Carolina; (2) reinforcement in community settings such as prenatal visits to health departments or well-child care visits to primary care providers; and (3) a media campaign.

scholarly journals Effectiveness of a Statewide Abusive Head Trauma Prevention Program in North Carolina

2015 ◽  
Vol 169 (12) ◽  
pp. 1126 ◽  
Author(s):  
Adam J. Zolotor ◽  
Desmond K. Runyan ◽  
Meghan Shanahan ◽  
Christine Piette Durrance ◽  
Maryalice Nocera ◽  
...  
Keyword(s):  
North Carolina ◽  
Head Trauma ◽  
Prevention Program ◽  
Abusive Head Trauma

Pain and Addiction in Patients with Post-Traumatic Stress Disorder (DRAFT)

2018 ◽  
Author(s):  
Steven A. Eraker
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychiatric Symptoms ◽  
Primary Care Providers ◽  
Psychiatric Diagnoses ◽  
Care Providers ◽  
Post Traumatic Stress ◽  
Basic Principles ◽  
Post Traumatic

Addressed equally to psychiatrists and to primary care providers, this chapter is intended to explore non–substance use disorder psychiatric diagnoses as they impact the perception of pain and the treatment of substance use disorders. A screening checklist emphasizing basic principles of psychiatric history-taking is provided to help identify the patient’s requirements. The author reviews the classes of psychiatric diagnoses most likely to be present in the pain/addiction and other comorbidly-ill patients, and reviews suicide risks. Similarly, the classes of medications employed in psychiatry and their capacity for alleviation or aggravation of substance use disorders are reviewed, with notations of drug–drug interactions. A final section addresses the role of emotions and psychiatric symptoms in the perception and management of pain.

Asthma Management: Part I: An Overview of the Problem and Current Trends

2002 ◽  
Vol 18 (3) ◽  
pp. 128-137 ◽  
Author(s):  
Valerie O’Toole Baker ◽  
Janet Friedman ◽  
Rita Schmitt
Keyword(s):  
Asthma Management ◽  
Primary Care Providers ◽  
School Nurse ◽  
Normal Lung ◽  
Complementary Alternative Medicine ◽  
Care Providers ◽  
Current Trends ◽  
Management Plans ◽  
Children With Asthma

Death rates from asthma have increased or remained stable over the past decade despite increased knowledge about the pathophysiology and improved treatment of the disease, a fact that is both puzzling and disconcerting. Some children with asthma experience severe and life-interfering exacerbations separated by long periods of normal lung function and no symptoms. Asthma management plans are developed by primary care providers and the family. School nurses implement and monitor the child’s response to the plan. Therefore, the school nurse needs current information about asthma management. Part I of this two-part series describes the pathophysiology of asthma and the types, risk factors, and current trends in management of the disease. The role of the school nurse in asthma management is outlined, including how he or she can influence environmental factors that precipitate asthma symptoms or exacerbations. Part II will discuss the role of the school nurse in pharmacologic management of asthma. Complementary alternative medicine for asthma management will be described, as well as health teaching for the child with asthma and their family.

scholarly journals A Primary Care Perspective on Gout

2016 ◽  
Vol 9 (1) ◽  
pp. 27-34
Author(s):  
Eva Rimler ◽  
Jennifer Lom ◽  
Jason Higdon ◽  
Dominique Cosco ◽  
Danielle Jones
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Hospital Admissions ◽  
Primary Care Providers ◽  
Treat To Target ◽  
Care Providers ◽  
Work Related ◽  
Treat All ◽  
Care Costs

Gout causes patients’ significant morbidity, work-related disability, loss of productivity, increased health care costs, and even all-cause hospital admissions. As a result, primary care providers must be armed with the knowledge to properly diagnose and manage gout. While many aspects of care remain the same, some key updates that primary care providers must consider when treating their patients with gout will be discussed. In this perspective we will highlight and discuss acceptable circumstances for empiric treatment, renewed emphasis on treat to target, access to commonly used medications, recommended first line agents, and the role of primary care physicians in gout flare prevention among other topics. These strategies will aid primary care physicians treat all but the most complex cases of gout.

Which Mothers Know That All Babies Cry? A Randomized Controlled Trial of a Child Abuse Prevention Program for Low-Income New Mothers

2020 ◽  
Vol 59 (9-10) ◽  
pp. 865-873
Author(s):  
Luisa F. Cala Cala ◽  
Carrie Leah Kelly ◽  
Elaina Ramos ◽  
Marcia VanVleet ◽  
Pamela High
Keyword(s):  
Brain Damage ◽  
Low Income ◽  
Controlled Trial ◽  
Shaken Baby Syndrome ◽  
Abusive Head Trauma ◽  
Child Abuse Prevention ◽  
New Mothers ◽  
Infant Crying ◽  
Randomized Controlled

This study evaluated an intervention for low-income new mothers, half from Spanish-speaking homes, that provides education around infant crying and abusive head trauma (AHT). At enrollment, non–US-born mothers were less likely than US-born mothers to have heard of shaken baby syndrome (60% vs 89%, P ≤ .0001) or to know shaking babies could lead to brain damage or death (48% vs 80%, P < .0001). At follow-up, non–US-born intervention mothers had improved knowledge of the peak of crying (31% vs 4%, P = .009), improved knowledge that shaking a baby could lead to brain damage or death (36% vs 12%, P = .035), and identified more calming strategies for parenting stress compared with non–US-born control mothers (+0.8 [SD = 1.1] vs −0.4 [SD = 1.4]). This study identifies a gap in AHT knowledge at baseline of non–US-born mothers. These mothers had improved knowledge with intervention and are an important population for similar prevention efforts.

When should a PCP refer a patient with pustular psoriasis to a dermatologist?

2021 ◽  
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Pustular Psoriasis ◽  
Care Providers

This video guide for primary care providers describes the reasons for referring patients with pustular psoriasis to the dermatologist and the role of the dermatologist in managing patients with pustular psoriasis.

Shaping the Next Generation of Providers

2019 ◽  
pp. 457-464
Author(s):  
Gerri Mattson ◽  
Karen Remley
Keyword(s):  
Primary Care ◽  
Health Care Providers ◽  
Clinical Medicine ◽  
Collaborative Work ◽  
Well Being ◽  
Primary Care Providers ◽  
Care Providers ◽  
Health Community ◽  
Changing Role

This chapter is about the changing role of the primary carer in the health setting with a particular focus on the training of primary carers. Primary care providers are already increasingly called on to expand their practice beyond their traditional knowledge and skills in clinical medicine. The chapter looks at the population health competency of primary health carers. Primary care providers, once trained, in the community can serve as mentors for trainees, which can provide additional perspective and experience outside of the academic setting. The chapter goes on to argue that the health and well-being of the entire community are dependent on the collaborative work of health care providers, public health, community organizations, faith-based organizations, and the community itself. Understanding the myriad connections, competencies, and impacts of these partnerships allows clinicians to engage with the community early in their careers; to deepen their engagement, understanding, and ability over time; and to be effective advocates with and on behalf of the communities they serve.

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