Publications by authors named "L Bachrach"
Purpose: To assess young people's interest in advance provision (AP) of medication abortion-receiving mifepristone and misoprostol from a clinician in advance for their future use.
Methods: From November 2022-August 2023 we administered an electronic survey regarding advance provision to patients assigned female at birth at four Bay Area youth-serving clinics.
Results: Among 152 people ages 14-24 years (mean 17.
Importance: Before 2021, the US Food and Drug Administration required mifepristone to be dispensed in person, limiting access to medication abortion.
Objective: To estimate the effectiveness, acceptability, and feasibility of dispensing mifepristone for medication abortion using a mail-order pharmacy.
Design, Setting, And Participants: This prospective cohort study was conducted from January 2020 to May 2022 and included 11 clinics in 7 states (5 abortion clinics and 6 primary care sites, 4 of which were new to abortion provision).
Trabecular bone score (TBS) derived from secondary analysis of lumbar spine dual-energy X-ray absorptiometry (DXA) scans improves fracture prediction independent of bone mineral density (BMD) in adults. The utility of TBS to assess fracture risk in younger patients has not been established because pediatric norms have been lacking. Robust TBS reference data from the Bone Mineral Density in Childhood Study (BMDCS) have been published.
View Article and Find Full Text PDFLabor and sex trafficking impact children of all ages, genders, and nationalities. Trafficked patients present to the emergency department for illnesses and injuries both related and unrelated to their trafficking experiences. Emergency clinicians are not meant to be experts in labor and sex trafficking, but they must know enough to be able to identify patients at risk for trafficking and ensure that these patients have the opportunity to be connected to relevant services and support.
View Article and Find Full Text PDFArticle Synopsis
- Pediatric metabolic bone and mineral disorders are complex conditions that pose diagnostic and treatment challenges due to inadequate training among physicians.
- A survey conducted among members of the Pediatric Endocrine Society and Canadian Pediatric Endocrine Group found varying levels of confidence in managing these disorders, with only 4 out of 20 conditions being well-managed by most respondents.
- The results highlighted a need for better training and educational resources to improve physician confidence and standardize treatment practices, particularly regarding therapies like burosumab.