Effect of an Educational Intervention on Human Papillomavirus Vaccine Hesitancy in a Pediatric Clinic.

Study Objective: Despite numerous accredited health organizations recommending the HPV (human papillomavirus) vaccine in adolescence, an estimated 26% of parents across the US are hesitant to vaccinate their children against HPV. We aim to describe HPV vaccine hesitancy (VH) among parents of children using a previously validated vaccine hesitancy scale (VHS) for the HPV vaccine and to reduce HPV VH among parents through direct HPV vaccine education.

Methods: Our study sampled parents of patients aged 9-18 years who attended an outpatient pediatric clinic.

Parental Leave for Residents and Pediatric Training Programs.

Residency and fellowship are unique occupational time periods for many early career physicians, generally consisting of long duty hours. Many early career physicians have or are in the process of building their families during this time period. The literature suggests many medical and psychosocial benefits of protected parental leave for both parents and children, which necessitates parental leaves of absence.

Care of Adolescent Parents and Their Children.

Teen pregnancy and parenting remain important public health issues in the United States and around the world. A significant proportion of teen parents reside with their families of origin, which may positively or negatively affect the family structure. Teen parents, defined as those 15 to 19 years of age, are at high risk for repeat births.

Four-month-old infant with intussusception presenting as altered mental status.

Objective: To remind pediatric care providers that an altered mental status can be the only presenting symptom for intussusception, a life-threatening diagnosis.

Method: A case report that presents a unique presentation of intussusception: a 4-month old boy with neurological findings after a reported head injury.

Conclusion: Diagnosis of intussusception in the pediatric population is highly dependent on its classical presenting signs and symptoms: sudden severe colicky abdominal pain, vomiting, and an abdominal mass in children between 3 months and 6 years of age.

Mentorship programs for faculty development in academic general pediatric divisions.

Introduction. Mentoring relationships have been shown to support academicians in areas of research, work/life balance, and promotion. Methods.

Lower extremity paralysis in a male preadolescent.

A 12-year-old boy presented to the emergency department with bilateral lower leg sensory loss and inability to walk. The initial work-up revealed no significant abnormalities on physical examination other than bilateral paralysis and no laboratory abnormalities. The inpatient work-up included neurologic, psychiatric, and psycho-logic evaluations.

Practical management: community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA): the latest sports epidemic.

Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) has gained international recognition as a superbug that causes serious infectious outbreaks in high-risk populations such as athletes. Clusters of cases in various athletic teams, particularly contact sports, have been reported since 1993 in the United States and more recently in Canada. CA-MRSA infections are not limited to North America, and all athletes are considered high risk.

Chromosome 3p25 deletion in mother and daughter with minimal phenotypic effect.

3p25 deletion syndrome is characterized by mental retardation, growth retardation, hypotonia, microcephaly, ptosis, and micrognathia. Of the 42 persons with this deletion syndrome cited in the literature, only 2 patients, a mother-daughter pair, have previously been reported without apparent clinical consequence. We present a second mother-daughter dyad with a terminal 3p25.

Lessons learned from pediatric residents on a community pediatrics rotation.

Pediatric residents on block community rotations completed journals and exit interviews regarding their perceptions of the rotation. Three common themes present in residents' responses were identified via qualitative analysis: enlightenment and attitude change, impact of direct participation, and rotation challenges. Advantages and disadvantages to block rotations in community pediatrics, and their relationship to learning child advocacy skills, are discussed.

Lessons learned from community site administrators involved in pediatric community rotations.

Objective: Prominent pediatric organizations agree that young physicians need to be trained for the role of patient advocate in the community. However, information on the community site administrators' perspective on such training is limited. Therefore, the objective of this study was to explore community site administrators' perceptions of the advantages and disadvantages to pediatric resident training at their centers.