Improving oral health through dental fluoride varnish application in a primary care paediatric practice.

Dental caries affect 97% of people during their lifetime. A total of 59% of children aged 12-19 will have at least one documented cavity. The American Academy of Pediatrics recommends fluoridated toothpaste to all children starting at tooth eruption, regardless of caries risk.

The high prevalence of inappropriate feeding among infants presenting with an apparent life-threatening event.

Kojima K, Mckinley K, Donohue P, Sigal Y. The high prevalence of inappropriate feeding among infants presenting with an apparent life-threatening event. Turk J Pediatr 2017; 59: 304-310.

Improving asthma severity and control screening in a primary care pediatric practice.

Asthma is the most commonly encountered chronic disease in children. Periodic assessment of asthma severity and control is an integral part of asthma management, but patients with uncontrolled asthma don't always schedule routine asthma care visits. The aim of this project was to improve asthma control and severity screening in a primary care setting by using a validated tool for all visits for patients with a diagnosis of asthma aged 4-21 years.

Improving early childhood literacy and school readiness through Reach Out and Read (ROR) program.

Reach out and Read program (ROR) prepares young children to succeed in school by partnering with physicians and training them in handing out age appropriate books and to counsel parents about the importance of reading aloud to their children. Children served by ROR enter kindergarten with stronger vocabulary and language skills. The aim of this project was to improve the rate of distribution of books and physician advice about reading, to the families at each well child visit in the age range of six months to five years.

Improving viable low cost generic medication prescription rate in primary care pediatric practice.

The pediatric clinics of the Michigan State University College of Human Medicine (MSU-CHM) consist of academic pediatricians serving two clinics with a patient population of 5200. The internal quality measures published by the MSU health team had consistently indicated our generic medications prescription rate to be very low, with an average of about 21% for the years 2009, 2010, and 2011. There was an earnest need to increase our generic medication prescription rates, which is considered an indicator of good practice.

Improving validated depression screen among adolescent population in primary care practice using electronic health records (EHR).

Adolescent depression, has been identified as one of the important risk factors for adolescent safety. The American Academy of Pediatrics (AAP) recommends screening the adolescent population for depression with a validated screening tool at least once a year. Given the time constraints in primary care, many physicians tend to rely more on clinical questioning to screen depression.

Recurrent cellulitis in a case of Aagenaes syndrome.

Aagenaes syndrome, also called Lymphedema Cholestasis Syndrome (LSC 1), is a form of idiopathic familial intrahepatic cholestasis associated with lymphedema of the lower extremities. It is named after the Norwegian pediatrician Oyestein Aagenaes, who described the syndrome in 1968. The presence of lymphedema is likely the predisposing factor for development of recurrent infections in such patients.

Web sites and pediatric residency training programs in the United States.

The purpose of this study was to describe the use of Web sites by pediatric residency programs in the United States, the information provided on those Web sites, and the degree of user-friendliness in navigating the Web sites. Most residency programs (137/197) listed a Web address; 96% (131) of these sites were accessible and were analyzed. Most programs (98/131) provided information for 11 to 20 content items, 11 programs described less than 10 content items, and the remaining 22 programs listed 21 to 42 content items on their Web sites.