Initiation of a Pediatric Movement Clinic in an Urban Setting.

Physical activity is an essential component to overall health and wellness. Disparities and barriers to equitable access to physical activity exist and are more common in urban, under resourced and minority communities. Health care providers play an essential role in supporting patients to reach ideal physical activity goals.

Identifying adaptations for a mindfulness program for Spanish-speaking mothers of children with chronic conditions or disabilities.

Mothers of children with chronic conditions or disabilities have benefited from mindfulness programs, yet culturally relevant mindfulness programs for Spanish-speaking mothers are lacking. We aimed to explore how this population experienced a peer-led mindfulness program to inform adaptations. Sixteen mothers attended a 6-week program and completed semi-structured interviews.

"The curriculum brings equity to the forefront": Pediatric residents' perspectives and experiences in a longitudinal EDI curriculum.

Background: The Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements include training in caring for diverse populations and understanding social determinants of health. Our large pediatric residency program implemented a longitudinal equity, diversity and inclusion (EDI) curriculum.

Objective: To explore pediatric residents' perspectives and experiences in our longitudinal EDI curriculum.

Confronting Racism In Pediatric Care.

A primary care pediatrician calls on his profession to address racism in pediatric care.

Gender Discrimination and Reporting Experiences among Academic Pediatric Faculty: A Qualitative, Single-institution Study.

Objective: Gender-harassment is well-described in academic medicine, including pediatrics. We explored academic pediatricians' qualitative descriptions of: 1) workplace gender-harassment; 2) its professional and emotional tolls; 3) barriers to and outcomes of reporting gender-harassment; and 4) tools to intervene.

Methods: We conducted a cross-sectional, anonymous, survey-based study within a single, large pediatrics department.

Barriers to hydroxyurea use from the perspectives of providers, individuals with sickle cell disease, and families: Report from a U.S. regional collaborative.

Sickle cell disease (SCD) is an inherited blood disorder that affects about 100,000 people in the U.S., primarily Blacks/African-Americans.

Addressing racism in the healthcare encounter: The role of clinical ethics consultants.

Justice is a core principle in bioethics, and a fair opportunity to achieve health is central to this principle. Racism and other forms of prejudice, discrimination, or bias directed against people on the basis of their membership in a particular racial or ethnic group are known contributors to health inequity, defined as unjust differences in health or access to care. Though hospital-based ethics committees and consultation services routinely address issues of justice that arise in the course of patient care, there is variability in whether and how racism and other causes of health inequities are addressed.

Membership Trends in the Academic Pediatric Association From 2009 to 2018.

Objective: To describe changes in the racial and ethnic diversity of the membership of a national academic health professional organization, the Academic Pediatric Association (APA) from 2009 to 2018.

Methods: Administrative data from the APA was used for the study. Our sample was limited to dues-paying members of the APA with complete profile information.

Everyone Swims: a community partnership and policy approach to address health disparities in drowning and obesity.

Well-known disparities exist in rates of obesity and drowning, two public health priorities. Addressing these disparities by increasing access to safe swimming and water recreation may yield benefits for both obesity and injury prevention. Everyone Swims, a community partnership, brought community health clinics and water recreation organizations together to improve policies and systems that facilitated learning to swim and access to swimming and water recreation for low-income, diverse communities.

Additional injuries in young infants with concern for abuse and apparently isolated bruises.

Objective: To determine the prevalence of additional injuries or bleeding disorders in a large population of young infants evaluated for abuse because of apparently isolated bruising.

Study Design: This was a prospectively planned secondary analysis of an observational study of children<10 years (120 months) of age evaluated for possible physical abuse by 20 US child abuse teams. This analysis included infants<6 months of age with apparently isolated bruising who underwent diagnostic testing for additional injuries or bleeding disorders.

Clinical Spanish use and language proficiency testing among pediatric residents.

Purpose: To describe patterns of clinical Spanish use by pediatric residents, and to compare self-assessment of language proficiency against an objective language test.

Method: In 2010, the authors e-mailed a survey to all 247 pediatric residents at three institutions, inviting those with any level of Spanish language ability to participate. Participants completed a survey reporting Spanish proficiency, interpreter use, and comfort using Spanish in a range of clinical scenarios.

Inadequate history as a barrier to immunization.

Objectives: To evaluate how lack of immunization history contributes to missed opportunities for immunization and to document the effort required to obtain immunization history.

Design: Cross-sectional.

Setting: Urban, inner-city primary care pediatric clinic serving a low-income, multiethnic population.

Odor identification in young and elderly African-Americans and Caucasians.

Olfactory function is affected by age and gender. However, there are few data on smell function in various racial/cultural groups, in particular, in different-aged African-Americans. Therefore, this study sought to determine if there is a relationship among age, gender, and race for smell identification.

Nutritional rickets.

Nutritional rickets was diagnosed in 18 infants aged eight to 24 months. Clinical features included progressive leg bowing, poor linear growth, a diet deficient in vitamin D, seizures, and abnormal serum calcium, phosphate and alkaline phosphatase levels. Wrist radiographs and serum alkaline phosphatase levels were the most useful confirmatory tests.