scholarly journals Parental perspectives regarding primary-care weight-management strategies for school-age children

2014 ◽  
Vol 12 (2) ◽  
pp. 326-338 ◽  
Author(s):  
Christy Boling Turer ◽  
Megha Mehta ◽  
Richard Durante ◽  
Fatima Wazni ◽  
Glenn Flores
PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 864-866
Author(s):  
Marilyn D. McPherson-Corder

During the past two decades, financial access to health care has improved for the very young, with emphasis on immunizations and medical care facilities for infants and mothers. Well-woman mandates, such as cancer detection and treatment programs, have improved the health of adult women. Even efforts to meet the needs of an ever-growing elderly population have improved. In contrast to expansions and improvements in care for the aforementioned populations, among others, there is still a population whose unmet medical needs have grown exponentially: school-age youth. Morbidity and mortality for todays school-age children are linked most often to complex behavior patterns and psychosocial risk factors. Prevention and treatment of these patterns and factors often require a multidisciplinary approach using educational and case management strategies; social, mental health, dental, and nutritional services; and traditional medical services. In recognition of the school as the focus of many communities and in recognition of this population's disproportionate drain on medical expenditures, current and projected, there has been a push for more monies to be spent on developing integrated school-based and school-linked clinics. These clinics should focus on meeting community needs and should emphasize coordination and cooperation between private and public agencies. If such efforts are not continued into the 21st century, this least-served population, which on the surface seems to be the healthiest, will be a major factor in the rising cost of care, particularly because they lacked a medical home while they were school age.


2020 ◽  
Vol 20 (2) ◽  
pp. 208-215 ◽  
Author(s):  
Andrea E. Spencer ◽  
Tithi D. Baul ◽  
Jennifer Sikov ◽  
William G. Adams ◽  
Yorghos Tripodis ◽  
...  

2015 ◽  
Vol 2 ◽  
pp. 2333794X1557779 ◽  
Author(s):  
Shota Hamada ◽  
Hironobu Tokumasu ◽  
Akira Sato ◽  
Masahiro Iwasaku ◽  
Koji Kawakami

Background. Treatment and management strategies for asthma in children are generally consistent internationally, but prescription of antiasthma drugs differs among countries. The objective of this study was to examine the prescribing patterns of antiasthma drugs, particularly controller medications, in children. Methods. A retrospective cohort study was performed in children with asthma using an administrative claims database in Japan. Results. A total of 1149 preschool-age and 3226 school-age children were identified. Leukotriene receptor antagonists were prescribed for about 80% of the children. Long-acting β-agonists were prescribed for 87.6% and 59.6% of preschool-age and school-age children, respectively, whereas prescriptions of inhaled corticosteroids had lower rates of 8.2% and 16.5%, respectively. In an examination of prescriptions at 1-month intervals, a relatively high number of children were prescribed bronchodilators without anti-inflammatory agents. Conclusion. Our findings suggest that asthma care for children in Japan can be improved through changes in drug prescriptions.


2016 ◽  
Vol 16 (3) ◽  
pp. 260-266 ◽  
Author(s):  
Christy Boling Turer ◽  
Carla Upperman ◽  
Zahra Merchant ◽  
Sergio Montaño ◽  
Glenn Flores

BMJ ◽  
2014 ◽  
pp. g3668 ◽  
Author(s):  
Kay Wang ◽  
Norman K Fry ◽  
Helen Campbell ◽  
Gayatri Amirthalingam ◽  
Timothy G Harrison ◽  
...  

Objective To estimate the prevalence and clinical severity of whooping cough (pertussis) in school age children presenting with persistent cough in primary care since the introduction and implementation of the preschool pertussis booster vaccination. Design Prospective cohort study (November 2010 to December 2012). Setting General practices in Thames Valley, UK. Participants 279 children aged 5 to 15 years who presented in primary care with a persistent cough of two to eight weeks’ duration. Exclusion criteria were cough likely to be caused by a serious underlying medical condition, known immunodeficiency or immunocompromise, participation in another clinical research study, and preschool pertussis booster vaccination received less than one year previously. Main outcome measures Evidence of recent pertussis infection based on an oral fluid anti-pertussis toxin IgG titre of at least 70 arbitrary units. Cough frequency was measured in six children with laboratory confirmed pertussis. Results 56 (20%, 95% confidence interval 16% to 25%) children had evidence of recent pertussis infection, including 39 (18%, 13% to 24%) of 215 children who had been fully vaccinated. The risk of pertussis was more than three times higher (21/53; 40%, 26% to 54%) in children who had received the preschool pertussis booster vaccination seven years or more previously than in those who had received it less than seven years previously (20/171; 12%, 7% to 17%). The risk of pertussis was similar between children who received five and three component preschool pertussis booster vaccines (risk ratio for five component vaccine 1.14, 0.64 to 2.03). Four of six children in whom cough frequency was measured coughed more than 400 times in 24 hours. Conclusions Pertussis can still be found in a fifth of school age children who present in primary care with persistent cough and can cause clinically significant cough in fully vaccinated children. These findings will help to inform consideration of the need for an adolescent pertussis booster vaccination in the United Kingdom. Study registration UK Clinical Research Network portfolio ID 8361.


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