Publications by authors named "George Dalembert"

Background And Objectives: Adolescent strengths and risks are not routinely captured in systematized and actionable ways in pediatric primary care. To address this problem, we developed a comprehensive adolescent health questionnaire (AHQ) integrated within the electronic health record and evaluated the AHQ's impact on collection of information on prioritized health-related domains.

Methods: We developed and pilot tested the AHQ.

View Article and Find Full Text PDF

Importance: Neighborhood conditions are known to broadly impact child health. Research to date has not examined the association of the Childhood Opportunity Index (COI), a multidimensional indicator of neighborhood environment conditions, specifically with pediatric primary care outcomes.

Objective: To determine the association of neighborhood opportunity measured by the COI with health metrics commonly captured clinically in pediatric primary care, reflecting both access to preventive care and child well-being.

View Article and Find Full Text PDF
Article Synopsis
  • Pennsylvania's Children's Development Account (CDA) program, launched in 2019, offers new parents a $100 investment in education savings, but only 10.6% of eligible families utilized it by 2021.
  • A survey of 100 low-income caregivers revealed that only 29% were aware of the CDA, while only 4% had enrolled; however, 64% expressed interest in receiving financial counseling through their clinics.
  • Identified barriers to participation include a lack of knowledge and complicated registration processes, while suggested strategies to improve engagement involve simplifying enrollment and increasing outreach and personal support from clinics and communities.
View Article and Find Full Text PDF
Article Synopsis
  • The COVID-19 pandemic has led to a significant increase in pediatric obesity rates, highlighting pre-existing health disparities among different demographic groups.
  • A study analyzed electronic health records from a large pediatric primary care network to assess changes in obesity levels during the pandemic compared to before it, focusing on data from June 2017 to December 2022.
  • Despite obesity levels returning to pre-pandemic rates by December 2022, ongoing disparities related to sociodemographic factors persist, indicating that some groups may still be affected more severely.
View Article and Find Full Text PDF
Article Synopsis
  • Pediatric obesity rates rose by 3.2% during the COVID-19 pandemic, and the study aimed to explore how neighborhood greenspace influenced changes in obesity risk among children aged 2-17.
  • The analysis revealed that children living in areas with more greenspace (higher Normalized Difference Vegetation Index) had smaller increases in obesity risk, especially among those who were not obese before the pandemic.
  • These findings indicate that greener neighborhoods could be linked to lesser obesity risk during stressful periods like the pandemic, although the impact varied for children living in rural versus urban/suburban settings.
View Article and Find Full Text PDF

Health and health care disparities are widespread with major impacts on outcomes for children and families. Inequitable care is poor quality care. Though health IT has the potential to improve disparities, health IT implementation can have unintended consequences of widening, maintaining, or creating disparities by disproportionately benefiting advantaged children, adolescents, and their caregivers.

View Article and Find Full Text PDF

The COVID-19 pandemic halted research operations at academic medical centers. This shutdown has adversely affected research infrastructure, the current research workforce, and the research pipeline. We discuss the impact of the pandemic on overall research operations, examine its disproportionate effect on underrepresented minority researchers, and provide concrete strategies to reverse these losses.

View Article and Find Full Text PDF

Background: Excessive inpatient administrative tasks can lead to adverse consequences for residents and their patients. Furthermore, this burden has been linked to depersonalization, a major component of physician burnout.

Objective: To describe the development, implementation, feasibility, acceptability, and early outcomes of Resident Team Assistant (RTA) programs.

View Article and Find Full Text PDF

Objective: Adolescents have fewer well-care visits than all other age groups. Males and ethnic minorities are seen least often. We elicited from Black adolescent males and their parents key drivers of teen well-care seeking.

View Article and Find Full Text PDF

Objective: Despite known benefits of diversity, certain racial/ethnic groups remain underrepresented in academic pediatrics. Little research exists regarding unconscious racial attitudes among pediatric faculty responsible for decisions on workforce recruitment and retention in academia. This study sought to describe levels of unconscious racial bias and perceived barriers to minority recruitment and retention among academic pediatric faculty leaders.

View Article and Find Full Text PDF

Many factors must be considered when assessing estimates of prevalence, including research methods and quality of the work by the research team. Broad social and political forces also influence estimates of prevalence, as seen in the case of autism and intellectual disability. Indeed, researchers themselves may be influenced by broader sociopolitical factors in ways that they do not recognize.

View Article and Find Full Text PDF

Neuronal differentiation is a complex process that involves a plethora of regulatory steps. To identify transcription factors that influence neuronal differentiation we developed a high throughput screen using embryonic stem (ES) cells. Seven-hundred human transcription factor clones were stably introduced into mouse ES (mES) cells and screened for their ability to induce neuronal differentiation of mES cells.

View Article and Find Full Text PDF