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Outpatient clinic access for patients diagnosed with non-emergent ocular conditions has been shown to decrease patient load in the Emergency Department (ED)/Urgent Care and improve patient satisfaction with care. We sought to quantify referral completion rates and ED/Urgent Care visit durations at a pediatric tertiary care center and analyze how demographic factors may influence these quality indicators. We discuss an overarching strategy to improve access to subspecialty care through a same-day access program.
View Article and Find Full Text PDFWidely accessible prognostication using medical history for fetal growth restriction and small for gestational age in nationwide insured women.
Sci Rep
March 2025
Institute of Biomedical Informatics, College of Medicine, National Yang Ming Chiao Tung University, 155 Section 2 Linong Street, Taipei, 112304, Taiwan.
Prevention of fetal growth restriction/small for gestational age (FGR/SGA) is adequate if screening is accurate. Ultrasound and biomarkers can achieve this goal; however, both are often inaccessible. This study aimed to develop, validate, and deploy a prognostic prediction model for screening FGR/SGA using only medical history.
View Article and Find Full Text PDFBuilding HOPE: Integrating community-based doula care in public hospitals in New York City.
Health Aff Sch
March 2025
NYC Department of Health and Mental Hygiene, Bureau of Maternal Infant and Reproductive Health, Long Island City, NY 11101, United States.
Maternal morbidity and mortality in the United States is an urgent public health issue, and there are stark differences by race and ethnicity. Community-based doula care is an evidence-based strategy to improve maternal health through accompaniment, health care engagement, addressing social needs, and promoting respectful care. Yet, there is a gap in access to doula care for people who are low-income or publicly insured, due to cost and availability.
View Article and Find Full Text PDFIntervention factors associated with efficacy, when targeting oral language comprehension of children with or at risk for (Developmental) Language Disorder: A meta-analysis.
Int J Lang Commun Disord
March 2025
Department of Speech-Language Pathology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Background: Language interventions are complex behavioural interventions, making it difficult to distinguish the specific factors contributing to efficacy. The efficacy of oral language comprehension interventions varies greatly, but the reasons for this have received little attention.
Aims: The aim of this meta-analysis was to examine which intervention factors are associated with efficacy (as expressed with effect sizes) regarding interventions aiming to improve oral language comprehension on its own, or together with expressive language, in children under the age of 18 with or at risk for (developmental) language disorder-(D)LD.
Newborn Screening for Sickle Cell Disease and Thalassemia.
JAMA Health Forum
March 2025
UCSF School of Medicine, UCSF Benioff Children's Hospital, Oakland, California.
Importance: Hemoglobin disorders are a considerable public health issue with more than 500 000 affected infants born annually worldwide. First introduced in the 1970s, newborn screening (NBS) for sickle cell disease (SCD) was included in the Recommended Uniform Screening Panel (RUSP) in 2006, a successful public health promotion and prevention practice that has led to improved childhood survival. Although SCD is the primary target, the screening process also detects many other hemoglobinopathies.
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