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40
4
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/j.jpeds.2004.11.034" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.jpeds.2004.11.034</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Decisions in diagnosing and managing chronic gastroesophageal reflux disease in children
Publisher
An entity responsible for making the resource available
The Journal Of Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
Subject
The topic of the resource
Child; Humans; Biopsy; Esophagoscopy; Fundoplication; Medical History Taking; Diagnosis; Differential; Anti-Ulcer Agents/therapeutic use; Gastroesophageal Reflux/diagnosis/therapy; Proton Pumps/antagonists & inhibitors
Creator
An entity primarily responsible for making the resource
Hassall E
Description
An account of the resource
Gastroesophageal reflux disease (GERD) presents in different ways in children, most commonly with vomiting, or with esophageal symptoms such as regurgitation, heartburn, or dysphagia. Extraesophageal symptoms and signs also frequently occur. Less well recognized is that abdominal pain is a relatively common mode of presentation. Although abdominal pain is common in school-aged children, GERD and other acid-related disorders such as peptic ulcer disease are relatively uncommon causes of such. A careful history will usually determine whether an acid-related disorder is in the differential diagnosis of abdominal pain. Early detection and treatment of GERD in children may prevent, attenuate, or heal complications such as failure to thrive or feeding refusal as well as pulmonary, ear-nose-and-throat disorders, erosive esophagitis, and peptic stricture. In children with persistent or severe symptoms and/or complications of GERD such as erosive esophagitis, the major treatment options are pharmacologic management with acid-suppressing medication, specifically proton pump inhibitors (PPIs), or antireflux surgery. For many patients, PPI treatment offers advantages over surgery. When given in adequate doses, PPIs can safely effect relief of GERD symptoms and healing of esophagitis in children. Antireflux surgery may work well in selected patients, but it carries significant risk of morbidity, including high failure rates, even in the short term. Some postoperative studies report that more than 60% of patients are back on medical treatment with proton pump inhibitors for recurrence of GERD symptoms, and a similar percentage have new symptoms that were not present before surgery. Death is uncommon but does occur and is an unacceptable risk in an otherwise healthy, low-risk individual. Laparoscopic surgery may have some disadvantages compared with open surgery, including a higher rate of redo operations. Studies show that many children undergo surgery for unclear indications, often with few preoperative diagnostic studies. The availability of highly effective medical therapy, together with more careful selection of patients for surgery, may result in better patient outcomes, with much lower operative rates.
2005
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jpeds.2004.11.034" target="_blank" rel="noreferrer">10.1016/j.jpeds.2004.11.034</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2005
Anti-Ulcer Agents/therapeutic use
Backlog
Biopsy
Child
Diagnosis
Differential
Esophagoscopy
Fundoplication
Gastroesophageal Reflux/diagnosis/therapy
Hassall E
Humans
Journal Article
Medical History Taking
Proton Pumps/antagonists & inhibitors
The Journal Of Pediatrics
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1185/030079902125001164" target="_blank" rel="noreferrer">http://doi.org/10.1185/030079902125001164</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
New guidelines for the management of migraine in primary care
Publisher
An entity responsible for making the resource available
Current Medical Research And Opinion
Date
A point or period of time associated with an event in the lifecycle of the resource
2002
Subject
The topic of the resource
Humans; Questionnaires; Medical History Taking; Primary Health Care; Non-U.S. Gov't; Research Support; patient care team; referral and consultation; algorithms; Diagnosis; Differential; Patient Education; Migraine Disorders/diagnosis/prevention & control/therapy
Creator
An entity primarily responsible for making the resource
Dowson AJ; Lipscombe S; Sender J; Rees T; Watson D; Migraine In Primary Care Advisors (MIPCA) - Migraine Guidelines Development Group
Description
An account of the resource
Despite repeated initiatives over the past decade, migraine remains under-recognised, under-diagnosed and under-treated in everyday clinical practice. The Migraine in Primary Care Advisors (MIPCA) group has produced new guidelines for migraine management to attempt to rectify this situation. MIPCA is a group of physicians, nurses, pharmacists and other healthcare professionals dedicated to the improvement of headache management in primary care, who have also worked closely with the Migraine Action Association (the UK patients' group) in the development of these guidelines. The principles of the new MIPCA guidelines are: To arrange specific consultations for headache. To institute a system of detailed history taking, patient education and buy-in at the outset of the consultation. To utilise a new screening algorithm for the differential diagnosis of headache, which can be confirmed by further questioning, if necessary. To institute a process of management that is individualised for each patient, using a new algorithm. Assessing the impact on the patient's daily life is a key aspect of diagnosis and management. To prescribe only treatments that have objective evidence of favourable efficacy and tolerability. To utilise prospective follow-up procedures to monitor the success of treatment. To organise a team approach to headache management in primary care.
2002
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1185/030079902125001164" target="_blank" rel="noreferrer">10.1185/030079902125001164</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2002
algorithms
Backlog
Current Medical Research And Opinion
Diagnosis
Differential
Dowson AJ
Humans
Journal Article
Lipscombe S
Medical History Taking
Migraine Disorders/diagnosis/prevention & control/therapy
Migraine In Primary Care Advisors (MIPCA) - Migraine Guidelines Development Group
Non-U.S. Gov't
Patient Care Team
Patient Education
Primary Health Care
Questionnaires
Rees T
Referral And Consultation
Research Support
Sender J
Watson D
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1056/nejm197503062921005" target="_blank" rel="noreferrer">http://doi.org/10.1056/nejm197503062921005</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Evaluation of patient-care protocol use by various providers
Publisher
An entity responsible for making the resource available
New England Journal Of Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1975
Subject
The topic of the resource
Humans; Medical Staff; Medical Audit; Cooperative Behavior; Patient Care Planning; Medical History Taking; Hospitals; Nurse Practitioners; Teaching; Medical; Nursing Staff; RDF Project; Hospital; Fees; General; Laboratory Techniques and Procedures; North Carolina; Personnel; Pharyngitis/diagnosis/therapy; Physician Assistants/education
Creator
An entity primarily responsible for making the resource
Grimm R; Shimoni K; Harlan W; Estes E
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1056/nejm197503062921005" target="_blank" rel="noreferrer">10.1056/nejm197503062921005</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
Description
An account of the resource
1975
1975
Backlog
Cooperative Behavior
Estes E
Fees
General
Grimm R
Harlan W
Hospital
Hospitals
Humans
Journal Article
Laboratory Techniques and Procedures
Medical
Medical Audit
Medical History Taking
Medical Staff
New England Journal Of Medicine
North Carolina
Nurse Practitioners
Nursing Staff
Patient Care Planning
Personnel
Pharyngitis/diagnosis/therapy
Physician Assistants/education
RDF Project
Shimoni K
Teaching
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1001/archpedi.153.1.63" target="_blank" rel="noreferrer">http://doi.org/10.1001/archpedi.153.1.63</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Computer-assisted health counselor visits: a low-cost model for comprehensive adolescent preventive services
Publisher
An entity responsible for making the resource available
Archives Of Pediatrics & Adolescent Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
Subject
The topic of the resource
Female; Humans; Male; Pilot Projects; Feasibility Studies; Patient Satisfaction; Medical History Taking; Time Factors; Counseling; adolescent; Adolescent Health Services/economics; Adolescent Transitions; Costs and Cost Analysis; Medical Informatics Applications; Preventive Health Services/economics/methods; Risk-Taking
Creator
An entity primarily responsible for making the resource
Paperny DM; Hedberg VA
Description
An account of the resource
OBJECTIVE: To evaluate a low-cost strategy for providing preventive health services to adolescents using computerized health assessments with individualized educational videos, trained health counselors, and nurses. DESIGN: Feasibility study, cost analysis, and comparative evaluation of health problems identified, guidance delivered, and patient satisfaction. SETTING: Eleven sessions at nontraditional sites including schools, universities, shopping malls, and after-hours clinics on Oahu, Hawaii. PARTICIPANTS AND INTERVENTION: Adolescents (N=258, mean age 17 years) completed confidential computerized health assessments, received individualized feedback, and viewed automatically selected educational videos on a laptop computer. The computer additionally printed a prioritized problems list for the graduate student-level health counselor to review with the adolescent. The counselor subsequently reviewed each encounter with a nurse-educator who performed further counseling and physical examinations when indicated. RESULTS: Visit length averaged 44 minutes. Subjects spent an average of 21 minutes completing the automated health assessment and viewing interactive multimedia and 15 minutes with the health counselor. One third of subjects required further evaluation and counseling by the nurse (average, 8 minutes). A team of 2 counselors and 1 nurse provided comprehensive screening, health counseling, and physical examinations to 1 patient every 10 minutes at a salary cost of $7.46 per visit. This model identified risk behaviors at levels consistent with local behavioral data, and addressed and documented them significantly more often than do physicians in traditional settings. Subjects (71%) preferred the computer-assisted visits to standard office visits, and 92% felt the amount of time spent was acceptable. CONCLUSIONS: Computer-assisted delivery of adolescent preventive services using nonphysician health counselors is a feasible, economical, and acceptable alternative to traditional clinical practice for screening young people for health-compromising behaviors and providing individualized health education and routine physical examinations. This model would likely increase adolescents' access to needed preventive services at a very modest cost.
1999
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1001/archpedi.153.1.63" target="_blank" rel="noreferrer">10.1001/archpedi.153.1.63</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1999
Adolescent
Adolescent Health Services/economics
Adolescent Transitions
Archives Of Pediatrics & Adolescent Medicine
Backlog
Costs And Cost Analysis
Counseling
Feasibility Studies
Female
Hedberg VA
Humans
Journal Article
Male
Medical History Taking
Medical Informatics Applications
Paperny DM
Patient Satisfaction
Pilot Projects
Preventive Health Services/economics/methods
Risk-Taking
Time Factors