scholarly journals Pediatric Integrative Medicine: Vision for the Future

Children ◽  
2018 ◽  
Vol 5 (8) ◽  
pp. 111 ◽  
Author(s):  
Anna Esparham ◽  
Sanghamitra Misra ◽  
Erica Sibinga ◽  
Timothy Culbert ◽  
Kathi Kemper ◽  
...  
Keyword(s):  
Integrative Medicine ◽  
Professional Education ◽  
Chronic Conditions ◽  
Pediatric Population ◽  
Family Education ◽  
Pediatric Care ◽  
The Past ◽  
Significant Interest ◽  
Important Time ◽  
Ecologically Sustainable

Pediatric integrative medicine (PIM) is of significant interest to patients, with 12% of the general pediatric population and up to 80% of children with chronic conditions using PIM approaches. The field of PIM has evolved over the past 25 years, approaching child health with a number of guiding principles: preventive, context-centered, relationship-based, personalized, participatory, and ecologically sustainable. This manuscript reviews important time points for the field of PIM and reports on a series of meetings of PIM leaders, aimed at assessing the state of the field and planning for its future. Efforts in the first decade of the 2000s led to increased visibility in academic and professional pediatric organizations and through international listservs, designed to link those interested in and practicing PIM, all of which continue to flourish. The PIM leadership summits in recent years resulted in specific goals to advance PIM further in the following key areas: research, clinical practice, professional education, patient and family education, and advocacy and partnerships. Additionally, goals were developed for greater expansion of PIM professional education, broader support for pediatric PIM research, and an expanded role for PIM approaches in the provision of pediatric care.

Medication Use for Hypercholesterolemia in the Pediatric Population

2012 ◽  
Vol 6 (6) ◽  
pp. 455-457
Author(s):  
Thomas L. Lenz ◽  
Jessica C. Larson
Keyword(s):  
Chronic Conditions ◽  
Pediatric Population ◽  
Medication Use ◽  
Health Care Team ◽  
Lipid Levels ◽  
First Line ◽  
Lifestyle Medicine ◽  
Safety And Efficacy ◽  
The Past ◽  
Youth At Risk

The past few decades have shown an increase in the prevalence of chronic conditions in the pediatric population. One of the chronic conditions that appears to be on the rise in this population is hypercholesterolemia. At the same time, the rate of obesity is increasing in children and adolescents and may be putting our youth at risk for abnormal lipid levels. First-line prevention and treatment should involve intensive lifestyle medicine therapy. If warranted, however, the use of medications may be started as early as 8 years of age, but this has many unknown variables related to safety and efficacy. Caution and vigilant observation for drug interactions and adverse events is warranted by the health care team and family members throughout treatment with drug therapy.

The Use of Sonography in Pediatrics: The Bioethical Concerns in Clinical and Research Practice

2021 ◽  
pp. 875647932110350
Author(s):  
Nicole Weikle
Keyword(s):  
Clinical Setting ◽  
Imaging Modality ◽  
Pediatric Population ◽  
Well Being ◽  
Ethical Principles ◽  
Pediatric Care ◽  
Research Practice ◽  
Ethical Guidelines ◽  
Non Invasive ◽  
Clinical Pediatric

Sonography has been widely used in both a clinical and non-clinical setting. This imaging modality is a common tool of choice for both physicians and researchers. Although sonography is a non-ionizing and non-invasive tool for imaging, special considerations need to be made when working with the pediatric population. Ethical guidelines for clinical pediatric care and research need to consider the varying ethical guidelines and bioethical concerns in children. As sonographers, researchers, educators and clinicians, pediatric care and research must balance the protection of children and the need for imaging to improve pediatric well-being. The discussion of this paper will delve into The Principles Approach developed by Beauchamp and Childress. Each principle will be explored and how those ethical principles could be considered in pediatric care.

Pediatric care coordination and risk tiering: Moving beyond claims data

2021 ◽  
pp. 1-9
Author(s):  
Hillary E. Swann-Thomsen ◽  
Jared Vineyard ◽  
John Hanks ◽  
Rylon Hofacer ◽  
Claire Sitts ◽  
...  
Keyword(s):  
Care Coordination ◽  
Chronic Conditions ◽  
Pediatric Patients ◽  
Classification Model ◽  
Pediatric Care ◽  
Care Needs ◽  
Accurate Identification ◽  
Special Health Care ◽  
Pediatric Populations ◽  
Mean Differences

PURPOSE: The goal of this study was to evaluate the performance of a pediatric stratification tool that incorporates health and non-medical determinants to identify children and youth with special health care needs (CYSHCN) patients according to increasing levels of complexity and compare this method to existing tools for pediatric populations. METHODS: This retrospective cohort study examined pediatric patients aged 0 to 21 years who received care at our institution between 2012 and 2015. We used the St. Luke’s Children’s Acuity Tool (SLCAT) to evaluate mean differences in dollars billed, number of encounters, and number of problems on the problem list and compared the SLCAT to the Pediatric Chronic Conditions Classification System version2 (CCCv2). RESULTS: Results indicate that the SLCAT assigned pediatric patients into levels reflective of resource utilization and found that children with highly complex chronic conditions had significantly higher utilization than those with mild and/or moderate complex conditions. The SLCAT found 515 patients not identified by the CCCv2. Nearly half of those patients had a mental/behavioral health diagnosis. CONCLUSIONS: The findings of this study provide evidence that a tiered classification model that incorporates all aspects of a child’s care may result in more accurate identification of CYSHCN. This would allow for primary care provider and care coordination teams to match patients and families with the appropriate amount and type of care coordination services.

scholarly journals Research Trends of Acupuncture Therapy on Cancer Over the Past Two Decades: A Bibliometric Analysis

2020 ◽  
Vol 19 ◽  
pp. 153473542095944
Author(s):  
Jing Guo ◽  
Lixia Pei ◽  
Lu Chen ◽  
Hao Chen ◽  
Dongmei Gu ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Acupuncture Therapy ◽  
Supportive Care ◽  
Bibliometric Analysis ◽  
Integrative Medicine ◽  
Clinical Studies ◽  
Current Status ◽  
Cancer Center ◽  
Future Research ◽  
The Past

Purpose: Acupuncture has been used for managing cancer-related symptoms. However, there are still few studies concerning the overall trends in acupuncture therapy on cancer based on bibliometric analysis. This study aims to demonstrate the current status and trends in this field over the past 2 decades. Methods: Articles were retrieved from the Web of Science from 2000 to 2019. CiteSpace was used for co-authorship network of countries/institutions, dual-map analysis, and detecting the keywords with citation bursts. VOSviewer was used to construct networks based on co-authorship and co-citation analysis of authors, and co-occurrence of keywords. Results: A total of 927 articles and reviews were included in the final analysis. The number of publications has steadily increased with some fluctuations among years. The country and institution contributing most to this field are the USA and Memorial Sloan Kettering Cancer Center. Mao JJ was the most productive author and Molassiotis A ranked first in the cited authors. The co-occurrence analysis revealed 5 clusters (including “clinical trials,” “clinical studies on chemotherapy/radiation-induced symptoms,” “CAM therapy for cancer,” “clinical studies on vasomotor symptoms,” and “systematic reviews”). Most recent keyword bursts were “neuropathic pain,” “arthralgia,” “prevention,” “supportive care,” and “integrative medicine”. Conclusions: The annual publication output would increase rapidly in the next decade, which shows a promising future in this research field. Future research hotspots would focus on the role of acupuncture in neuropathic pain, arthralgia, prevention, supportive care, and integrative medicine.

Microstructural Evolution in Al-Ti Multilayered Film with Annealing

1999 ◽  
Vol 5 (S2) ◽  
pp. 836-837
Author(s):  
R. Mitra ◽  
W.A. Chiou ◽  
A.Madan ◽  
R. Hoffman ◽  
J.R. Weertman
Keyword(s):  
Magnetron Sputtering ◽  
Ingot Metallurgy ◽  
Multilayered Film ◽  
Multilayered Structures ◽  
Multilayered Films ◽  
Specific Strength ◽  
The Past ◽  
High Specific Strength ◽  
Significant Interest ◽  
Deposited Film

There has been a significant interest in the development of dispersion-hardened aluminum for many years for high specific strength and modulus. Such materials are usually processed by powder or ingot metallurgy routes. In this study, Al3 Ti dispersion hardened Al was obtained by annealing Al-Ti multilayers. Al-Ti multilayered films have been characterized in the past by observing the structure of the layers, as well as tensile properties and hardness. This paper reports the structure of Al-Ti multilayers and the evolution of matrix and dispersoid microstructure on annealing.The Al-Ti multilayered structures were prepared by magnetron sputtering using Al and Ti as targets and either Si (100) or NaCl as substrates. The bi-layer thickness was maintained around 16 nm with Ti constituting 12% of the total. The substrate was alternately moved below the Al and Ti targets for the purpose of deposition. The as-deposited film on the substrate and NaCl salts were annealed at 400°C for periods between 1 and 24 h in a vacuum (10−5 torr) furnace.

RADIATION PROTECTION IN DIAGNOSTIC RADIOGRAPHY OF CHILDREN

PEDIATRICS ◽  
1973 ◽  
Vol 51 (1) ◽  
pp. 141-144
Author(s):  
Herman Grossman ◽  
Donald H. Altman ◽  
David H. Baker ◽  
John L. Gwinn ◽  
John A. Kirkpatrick ◽  
...  
Keyword(s):  
Radiation Safety ◽  
Pediatric Population ◽  
Technical Information ◽  
Pediatric Radiologist ◽  
Potential Hazard ◽  
General Philosophy ◽  
Chemical Laboratory ◽  
The Past ◽  
Laboratory Investigations ◽  
Diagnostic Radiography

As is readily apparent, the problem of reducing radiation exposure to the pediatric patient encompasses many areas. In the past, more attention has been devoted to the concrete aspects such as refined radiographic equipment and gonadal shielding. Less attention has been devoted to the abstract aspects which involve the general philosophy and disposition of the referring physician and his radiologic consultant. In this regard, it cannot be overstated that close communication with the radiologist is mandatory. The (pediatric) radiologist is constantly aware of the aspects of radiation safety and utilizes this information when he obtains radiographic examinations. There is a tendency to treat radiographic examinations in the same context as clinical and chemical laboratory investigations. Perhaps this attitude stems from the fact that radiographs are often ordered at the same time as these laboratory tests. Such an orientation is dangerous, and it behooves the referring physician and the radiologist to work in cooperation to remedy this situation. Indeed, it is simple to improve radiographic equipment and not too difficult to shield the child; but, it is difficult to formulate a proper attitude regarding radiographic examinations and their potential hazard to the pediatric population. The Committee on Radiology plans to prepare additional recommendations on radiographic examinations to provide more detailed and technical information which should be helpful to pediatricians and other physicians providing care for children.

Certification for the Pediatric Nurse Associate

PEDIATRICS ◽  
1974 ◽  
Vol 53 (4) ◽  
pp. 588-588
Author(s):  
Louis I. Hochheiser
Keyword(s):  
Health Care ◽  
Child Health ◽  
Nurse Practitioner ◽  
Pediatric Care ◽  
Child Health Care ◽  
Recent Letter ◽  
Pediatric Nurse ◽  
The Past ◽  
American Academy Of Pediatrics ◽  
Pediatric Nurse Practitioner

The recent letter to Pediatric Nurse Associates and members of the American Academy of Pediatrics reporting the division between the AAP and American Nurses Association on certification, is an unfortunate and deplorable happening. Since the onset of the first Pediatric Nurse Practitioner Program in 1965, more than 1,000 nurses have graduated from over 45 programs adding a new dimension to care for children. Although touted by many as the answer to manpower problems for child health care, evidence over the past five years indicates that a new dimension has been added to pediatric care.

Overcoming Obstacles to Breast-Feeding in a Large Municipal Hospital: Applications of Lessons Learned

PEDIATRICS ◽  
1987 ◽  
Vol 80 (3) ◽  
pp. 423-433
Author(s):  
Beverly Winikoff ◽  
Deborah Myers ◽  
Virginia Hight Laukaran ◽  
Richard Stone
Keyword(s):  
Breast Feeding ◽  
Professional Education ◽  
Routine Care ◽  
Control Site ◽  
Lessons Learned ◽  
Pediatric Care ◽  
Institutional Constraints ◽  
Municipal Hospital ◽  
Intervention Site ◽  
Intensive Training

A project to overcome institutional constraints to breast-feeding was implemented in a large municipal hospital. Interventions included staff education, intensive training of a team of physicians and nurses, development of user-tested educational materials, and day and evening staffing by a breast-feeding counselor. A nearby hospital served as a control. Project evaluation entailed chart reviews at the intervention site and a control hospital (n = 812); interviews with mothers during their postpartum hospital stay and at return clinic visits (n = 180); and field observations in all areas of the hospital that provided prenatal, intrapartum, postpartum, and pediatric care. Comparisons of the incidence and pattern of breast-feeding were made before, midway through, and after the project. At the intervention site, the incidence of breast-feeding increased from 15% to 56%, and exclusive breast-feeding for more than 3/4 of feedings increased from 0% to 15%. At the control site, the respective changes were from 28% to 41% and from 5% to 7%. Formula use by breast-feeding women decreased but was nonetheless extensive, and the usual reason given by breast-feeding women for supplementation was a perceived insufficiency of breast milk. This may be due, in part, to the fact that bedside assistance to breast-feeding mothers was not integrated into the routine care provided by staff nurses but was relegated to the lactation nurse/counselors who were not available at all times. It is concluded that the process to overcome institutional constraints to breast-feeding is difficult but feasible. Repeated and extensive professional education helps create the context whereby clinical and administrative staff can reassess routines and policies.

Christianity, Plurality and Vernacular Religion in early Twentieth-Century Glastonbury: A Sign of Things to Come?

2015 ◽  
Vol 51 ◽  
pp. 302-321
Author(s):  
Marion Bowman
Keyword(s):  
Twentieth Century ◽  
Considerable Heterogeneity ◽  
Individual Level ◽  
The Past ◽  
Early Twentieth Century ◽  
Vernacular Religion ◽  
Important Time ◽  
To Come ◽  
Shed Light

This essay focuses upon a significant place, Glastonbury, at an important time during the early twentieth century, in order to shed light on a particular aspect of Christianity which is frequently overlooked: its internal plurality. This is not simply denominational diversity, but the considerable heterogeneity which exists at both institutional and individual level within denominations, and which often escapes articulation, awareness or comment. This is significant because failure to apprehend a more detailed, granular picture of religion can lead to an incomplete view of events in the past and, by extension, a partial understanding of later phenomena. This essay argues that by using the concept of vernacular religion a more nuanced picture of religion as it is – or has been – lived can be achieved.

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