Publications by authors named "Gilbert Handal"

Article Synopsis
  • A nine-year-old boy with trisomy 21 and end-stage renal disease showed signs of peritonitis linked to his peritoneal dialysis catheter.
  • After initial antibiotic treatment failed, the catheter was surgically removed, revealing a non-tuberculous mycobacterial infection that improved his symptoms.
  • He later transitioned to hemodialysis and received a successful kidney transplant eight months later, highlighting the importance of considering atypical infections in similar cases.
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Objectives: Investigate physicians' breast-feeding experiences and attitudes using a survey based on two behavioral theories: theory of reasoned action (TRA) and the health belief model (HBM).

Methods: There were 73 participants included in the investigation. These participants were resident and faculty physicians from pediatrics, obstetrics/gynecology, and family medicine at a university campus, located on the US-Mexico border.

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Objective: Although there is an expectation for outcomes-oriented training in residency programs, the reality is that few guidelines and examples exist as to how to provide this type of education and training. We aimed to improve patient care outcomes in our pediatric residency program by using quality improvement (QI) methods, tools, and approaches.

Methods: A series of QI projects were implemented over a 3-year period in a pediatric residency program to improve patient care outcomes and teach the residents how to use QI methods, tools, and approaches.

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Background: Psychosocial and behavioral problems should be detected early during the pediatric consultation to prevent more severe psychosocial impairment as children move into adolescence. The pediatric visit offers an excellent opportunity to assess possible problems using screening tools. The aim of this study is to assess whether an adaptation of a screening tool (Pediatric Symptom Checklist) using visual aids is valid and suitable for the early detection of psychosocial problems among a sample of Mexican children and adolescents.

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Communication is a major problem in the management of patients. Miscommunication occurs frequently in populations with low reading skills, illiteracy does not completely account for the observed low rates of recall of communicated information. Transmission of the message also plays an important role.

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