Pediatric Collections: LGBTQ+: Support and Care (Part 2: Health Concerns and Disparities)

2021 ◽  
Author(s):  

Although most lesbian, gay, bisexual, transgender, and questioning youths are quite resilient and emerge from adolescence as healthy adults, the effects of stigma and heterosexism can contribute to health disparities. Part 2 of this first-of-its-kind 3-part series can help pediatric primary care providers become stronger allies for TGD patients and their families in the clinic, community, and beyond, providing the promise of both a medical home and a future that celebrates people for being true to themselves. https://shop.aap.org/pediatric-collections-lgbtq-support-and-care-part-2-health-concerns-and-disparities-paperbac/

2017 ◽  
Vol 57 (7) ◽  
pp. 806-814 ◽  
Author(s):  
Alex M. Taylor ◽  
Lise E. Nigrovic ◽  
Meredith L. Saillant ◽  
Emily K. Trudell ◽  
Jonathan R. Modest ◽  
...  

Pediatric primary care providers report limited training and tools to manage concussion. We developed a learning community intervention for a large independent pediatric practice association affiliated with a university hospital to standardize concussion management and improve the use of consensus-based guidelines. The learning community included in-person and online didactics, followed by a web-based reinforcement platform to educate and train clinicians on our treatment algorithm and decision support tools. Chart reviews before and after the intervention demonstrated significant increases in the use of standardized symptom rating scales (19.6% to 69.3%; P < .001), balance assessment (2.3% to 37.6%; P < .001), and scheduled follow-up (41.8% to 61.2%; P < .001), with an increase in delivery of our entire best practice bundle from 3.5% to 28.1% ( P < .001). A multimodal educational intervention can effect change among pediatric primary care providers and help align their management practices with consensus-based guidelines.


2018 ◽  
Author(s):  
Marijane G. Staniec

Many of today’s healthy adults will be plagued by chronic diseases, such as obesity, hypertension, heart disease, and diabetes, and be robbed of the quality of life they desire. According to the 2015–2020 Dietary Guidelines for Americans, about half of all American adults have one or more diet-related chronic diseases. The question, “What should healthy adults eat to stay healthy?” may seem simple. However, many primary care providers feel vulnerable answering questions about nutrition. This review serves as a summary of the most up-to-date guidelines about added sugars, sodium, types of fat, and cholesterol for healthy adults and a refresher for health care providers caring for them. Other important related issues, such as the latest recommendations for physical activity, the problem of adult weight gain, the need for adiposity screening, the powerful role of the primary care provider, and suggestions nutrition-focused primary care, are discussed. This review contains 5 Figures, 5 Tables and 137 references Key words: weight gain, cholesterol, Dietary Guidelines, sugar-sweetened beverages, adiposity, added sugar, hydrogenated oils, physical activity, waist-to-height ratio, nutrition-focused, Primary Care


2020 ◽  
Vol 34 (5) ◽  
pp. e49-e58
Author(s):  
Anne E. Pidano ◽  
Natasha K. Segool ◽  
Natalie Delgado ◽  
Kip Forness ◽  
Kathryn Hagen ◽  
...  

2017 ◽  
Vol 68 (6) ◽  
pp. 531-534 ◽  
Author(s):  
Prerna G. Arora ◽  
Elizabeth H. Connors ◽  
Kelly Coble ◽  
Angela Blizzard ◽  
Larry Wissow ◽  
...  

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