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1.
Zachary Y. Kerr Aliza K. Nedimyer Melissa C. Kay Avinash Chandran Paula Gildner K. Hunter Byrd Juliet K. Haarbauer-Krupa Johna K. Register-Mihalik 《运动与健康科学(英文)》2021,10(2):113
BackgroundDeveloping appropriate concussion prevention and management paradigms in middle school (MS) settings requires understanding parents’ general levels of concussion-related knowledge and attitudes. This study examined factors associated with concussion-symptom knowledge and care-seeking attitudes among parents of MS children (aged 10–15 years).MethodsA panel of 1224 randomly selected U.S. residents, aged ≥ 18 years and identifying as parents of MS children, completed an online questionnaire capturing parental and child characteristics. The parents’ concussion-symptom knowledge was measured using 25 questions, with possible answers being “yes”, “maybe”, and “no”. Correct answers earned 2 points, “maybe” answers earned 1 point, and incorrect answers earned 0 point (range: 0–50; higher scores = better knowledge). Concussion care-seeking attitudes were also collected using five 7-point scale items (range: 5–35; higher scores = more positive attitudes). Multivariable ordinal logistic regression models identified predictors of higher scores. Models met proportional odds assumptions. Adjusted odds ratios (aORs) with 95% confidence intervals (95%CIs) (excluding 1.00) were deemed statistically significant.ResultsMedian scores were 39 (interquartile range: 32–44) for symptom knowledge and 32 (interquartile range: 28–35) for care-seeking attitude. In multivariable models, odds of better symptom knowledge were higher in women vs. men (aOR = 2.28; 95%CI: 1.71–3.05), white/non-Hispanics vs. other racial or ethnic groups (aOR = 1.88; 95%CI: 1.42–2.49), higher parental age (10-year-increase aOR = 1.47; 95%CI: 1.26–1.71), and greater competitiveness (10%-scale-increase aOR = 1.24; 95%CI: 1.13–1.36). Odds of more positive care-seeking attitudes were higher in white/non-Hispanics vs. other racial or ethnic groups (aOR = 1.45; 95%CI: 1.06–1.99) and in older parental age (10-year-increase aOR = 1.24; 95%CI: 1.05–1.47).ConclusionCharacteristics of middle school children''s parents (e.g., sex, race or ethnicity, age) are associated with their concussion-symptom knowledge and care-seeking attitudes. Parents’ variations in concussion knowledge and attitudes warrant tailored concussion education and prevention. 相似文献
2.
Wen-hua RUAN Mei-li HUANG Xiao-lei HE Feng ZHANG Hai-biao TAO 《Journal of Zhejiang University. Science. B》2013,14(3):253-258
Objective:To evaluate the pharmacological effects of traditional Chinese medicine,bear bile capsule and Huangqi granule,on recurrent parotitis in children.Methods:In this prospective,controlled,and randomized study,a total of 151 young children were divided into three groups:Group A included massaging the children’s parotid region and melting vitamin C in their mouth daily;Group B included swallowing bear bile capsule and Huangqi granule daily;and Group C included massages and vitamin C as prescribed in Group A,and traditional Chinese medicine as prescribed in Group B.Children were treated individually for one month and then a follow-up study was conducted for 1 to 3.5 years.Analysis of variance(ANOVA) and Ridit analysis were employed for statistical analysis.Results:The recurrence rate decreased in every group,but was significantly more in Groups B and C when compared to Group A.The recurrences significantly decreased(P<0.01) in Group B and their recovery rate was as high as 63%,significantly better than those of the other groups(P<0.01).Conclusions:Huangqi and bear bile could be a novel clinical approach for treating recurrent parotitis in children. 相似文献
3.
张月珍 《湖北广播电视大学学报》2011,31(11):32-33
目的：探讨儿科学课程中应用项目式教学法对培养学生学习兴趣、发挥主观能动性、提高综合能力的影响。方法：在儿科学教学中,将2006级92名临床医学专科学生随机分成对照组（46人）和实验组（46人）。对照组采用传统教学方法,实验组采用项目式教学法,最后采用自制问卷进行能力自评,比较2组学生实践考核和理论考核成绩。结果：实验组考核成绩明显高于对照组（p〈0.01）,实验组各项能力自评优于对照组（p〈0.05）,差异均有统计学意义。结论：项目式教学法在提高学生学习兴趣、培养职业心理素质、发挥主观能动性、提高综合能力等方面优于传统教学法。 相似文献
4.
《运动与健康科学(英文)》2014,3(4):320-325
BackgroundAnecdotally, parents often report that children with attention deficit hyperactivity disorder (ADHD) who engage in regular physical activity (PA) experience positive behavioral changes. The purpose of this study was to examine this anecdotal relationship to provide preliminary evidence relevant to the potential benefits of PA on ADHD symptoms.MethodsParents (n = 68) of children diagnosed with ADHD completed an Internet survey assessing perceptions of how PA influences their child's symptoms.ResultsA significantly greater percentage of parents reported that regular PA positively impacted symptoms. However, there were no uniform effects for all types of ADHD symptoms. The results indicate that there may be more positive benefits for symptoms of inattention and hyperactivity than for those of impulsivity.ConclusionThis is the first study to empirically document parents' perceptions of how PA influences ADHD and suggests that PA can be a viable strategy for reducing symptoms. PA may have greater benefits for specific symptoms of ADHD, providing critical information for developing PA interventions for children and adolescents. 相似文献
5.
《Child abuse & neglect》2014,38(9):1533-1539
To assess the quality and diagnostic accuracy of pediatric sexual abuse forensic examinations conducted at rural hospitals with access to telemedicine compared with examinations conducted at similar hospitals without telemedicine support. Medical records of children less than 18 years of age referred for sexual abuse forensic examinations were reviewed at five rural hospitals with access to telemedicine consultations and three comparison hospitals with existing sexual abuse programs without telemedicine. Forensic examination quality and accuracy were independently evaluated by expert review of state mandated forensic reporting forms, photo/video documentation, and medical records using two structured implicit review instruments. Among the 183 patients included in the study, 101 (55.2%) children were evaluated at telemedicine hospitals and 82 (44.8%) were evaluated at comparison hospitals. Evaluation of state mandatory sexual abuse examination reporting forms demonstrated that hospitals with telemedicine had significantly higher quality scores in several domains including the general exam, the genital exam, documentation of examination findings, the overall assessment, and the summed total quality score (p < 0.05 for each). Evaluation of the photos/videos and medical records documenting the completeness and accuracy of the examinations demonstrated that hospitals with telemedicine also had significantly higher scores in several domains including photo/video quality, completeness of the examination, and the summed total completeness and accuracy score (p < 0.05 for each). Rural hospitals using telemedicine for pediatric sexual abuse forensic examination consultations provided significantly higher quality evaluations, more complete examinations, and more accurate diagnoses than similar hospitals conducting examinations without telemedicine support. 相似文献
6.
肖满田 《中国科教创新导刊》2013,(20):1-2
通过启发引导式教学模式在儿科教学查房的应用,提升实习生学习兴趣,学生创新能力、分析解决问题的能力明显提高,学生对启发式教学满意度达95%以上,同时教师教学查房方式相应改进,教学积极性也相应提高,因而启发引导式教学法可提高实习生的临床思维能力,教师教学水平也有不同程度的促进作用,对儿科临床教学质量有明显提高作用。 相似文献
7.
Objectives
Pediatric fractures suspicious for abuse are often evaluated in emergency departments (ED), although corresponding diagnostic coding for possible abuse may be lacking. Thus, the primary objective of this study was to determine the proportion of fracture cases investigated in the ED for abuse that had corresponding International Classification of Diseases (ICD) codes documenting abuse suspicion. Additional objectives were to determine the proportion of these fractures with admission ICD abuse coding, and physician text diagnoses recording abuse suspicion in the ED and/or admission notes. Factors possibly associated with abuse-related ED ICD codes were also examined.Methods
Children less than three years of age that presented primarily with a fracture to two large academic children's hospitals from 1997 to 2007 and were evaluated for suspicion of abuse by child protective services were included in this retrospective review. The main outcome measure was the proportion of the fracture cases that had abuse suspicion reflected in ED discharge ICD codes.Results
Of the 216 eligible patients, only 23 (11.5%) patients had ED ICD codes that included the possibility of abuse. Forty-nine (22.7%) had the possibility for abuse documented by physicians as an ED discharge diagnosis. In addition, 53/149 (35.6%) of all admitted patients and 34/55 (61.8%) of confirmed abuse cases included abuse-related admission ICD coding. Female gender was found to be a factor associated with ED ICD abuse codes.Conclusion
Current standards of ICD coding result in a significant underestimate of the prevalence of children assessed in the ED and hospital wards for possible and confirmed abusive fracture(s). 相似文献8.
Kara K. Palmer Abigail L. Matsuyama J. Megan Irwin Jared M. Porter 《Physical Education & Sport Pedagogy》2017,22(6):580-588
Background and purpose: Attentional focus cues have been shown to impact motor performance of adults and children. Specifically, an external focus of attention results in improved motor learning and performance as compared to adopting an internal focus of attention. The purpose of this study was to determine the effects of an internal and external attentional focus cue on children’s object control skill performance during a commonly used motor skill assessment.Methods: Using a within-participant design, a total of 44 children (Mage?=?7.7 years, 20 boys and 24 girls) completed all three attentional focus conditions. The object control subscale of the Test of Gross Motor Development-2nd Edition (TGMD-2; Ulrich, 2000. Test of Gross Motor Development-2. Austin: Pro-Ed.) served as the motor skill assessment in present study. The TGMD-2 is a normed and criteria-referenced assessment frequently used to assess fundamental motor skill competence in children. The object control subtest of the TGMD-2 assesses a child’s ability to complete six fundamental motor skills – striking a stationary ball, stationary dribble, catch, kick, overhand throw, and underhand roll. All participants completed the object control subtest of the TGMD-2 under three different attentional focus conditions: baseline (i.e. neutral focus), internal, and external. The internal cue focused on movement performance and the external cue focused on movement outcome. In all three conditions, a video demonstration of proper skill performance was used to ensure no difference in visual demonstration, but the overlaying audio was changed to encompass each attentional focus condition. Children’s motor performance was recorded and later coded by a single researcher blinded to the study. A repeated-measures analysis of variance was used to determine if children’s motor scores changed among the three conditions.Results: Findings demonstrated that children’s performance differed among the three conditions (F(2,43)?=?3.5, p?Post hoc analysis revealed that children scored significantly better in the external cue condition compared to the baseline (difference?=?1.98, p?Conclusion: Children performed better when given a verbal instruction to focus their attention externally rather than a verbal instruction with no attentional focus cue. No significant differences exist between the internal and external focus condition or between the neutral and internal condition. Our findings align with the literature and support that external attentional focus cues have a positive effect on motor performance. From a teaching and learning standpoint, using consistent instructions appears to be essential for young learners. Slight changes in verbal cues can have a significant effect on how well children execute fundamental motor skills. 相似文献
9.
《Child abuse & neglect》2014,38(9):1487-1495
Pediatric abusive head trauma causes significant cognitive and behavioral morbidity, yet very few post-acute interventions exist to facilitate long-term recovery. To meet the needs of this vulnerable population, we piloted a web-based intervention with live coaching designed to improve positive parenting and child behavior. The efficacy of this parenting skills intervention was compared with access to Internet resources on brain injury. Participants included seven families (four randomized to the parenting intervention and three randomized to receive Internet resources). Parenting skills were observed and child behavior was rated at baseline and intervention completion. At completion, parents who received the parenting skills intervention showed significantly more positive parenting behaviors and fewer undesirable behaviors during play than parents who received access to Internet resources. Additionally, during play, children in the parenting skills intervention group were more compliant following parent commands than children in the Internet resources group. Lastly, parents who received the parenting intervention reported less intense oppositional and conduct behavior problems in their children post-intervention than did parents in the Internet resources group. These findings provide preliminary evidence for the use of this web-based positive parenting skills intervention to improve parenting skills and child behavior following abusive head trauma. 相似文献
10.
Reviewed by Doris Wisher 《Medical reference services quarterly》2013,32(2):204-205
ABSTRACTPediatric Care Online is the American Academy of Pediatrics’ point-of-care tool designed for health care providers. Pediatric Care Online builds on content from Red Book Online and Pediatric Patient Education and features Quick Reference topic pages for more than 250 pediatric health care topics. The multitude of resources available within Pediatric Care Online will be reviewed in this column, and a sample search will be used to illustrate the type of information available within this point-of-care pediatric resource. 相似文献