Based on current national guidelines and clinical evidence, the algorithms and care pathways can be used as a reliable and practical resource for day to day practice in obstetrics and gynaecology. Basic Sciences Published Online: Doctor, Qualified, early specialism training, Undergraduate Doctor, Qualified, late specialism training Specialty: The definitive primer in basic sciences for the MRCOG Part 1 examination, this online resource takes a new, dynamic approach to the basic sciences in obstetrics and gynaecology by extending The definitive primer in basic sciences for the MRCOG Part 1 examination, this online resource takes a new, dynamic approach to the basic sciences in obstetrics and gynaecology by extending the understanding of the basic medical sciences and their relevance to this specialty.
Complex concepts are discussed in a problem-based format so that the relevant basic sciences are taught and drawn together in context, but it also provides a conventional approach, teaching what is 'true', but it also what is 'false', and why. Detailed line drawings explain the scientific content, and 'Examination Hints' highlight key revision points.
Introduction
Challenging Concepts Published Online: Challenging Concepts in Obstetrics and Gynaecology is an online, case-based guide to difficult scenarios faced in both fields, covering many of the major sub-speciality areas of each. The 24 cases have been selected to cover a spectrum of challenges in obstetrics and gynaecology. The authors have chosen specific, challenging scenarios that are commonly encountered in clinical practice, but by no means have simple answers or outcomes. Complex cases are examined from a multidisciplinary approach with consideration of diagnostic procedures, practical skills, evidence base, and the application of national and international guidelines.
There is also a summary of evidence from the medical literature in various subspecialty areas of obstetrics and gynaecology, alongside current controversies in management. Cases are punctuated by easy-to-read "Learning Points", "Clinical Tips", and "Evidence Base" boxes, speeding the learning process as well as providing a handy dip-into guide for those just refreshing their memory. Doctor, Qualified, late specialism training, Qualified, specialist Specialty: Obstetrics and Gynaecology, Obstetrics, Gynaecology Item type: The interplay between mind and body is a rapidly developing area of Obstetrics and Gynaecology, growing in prominence as many areas of medicine recognise the importance of understanding the The interplay between mind and body is a rapidly developing area of Obstetrics and Gynaecology, growing in prominence as many areas of medicine recognise the importance of understanding the physical, mental, and social aspects of complex conditions.
Clinical Psychosomatic Obstetrics and Gynaecology: A Patient-centred Biopsychosocial Practice is the fundamental work facilitating the management of women's disease conditions resulting from psychosomatic or mind-body interactions that are routinely encountered by clinicians. Authored by a world-renowned group of contributors who have led a transformative approach to the way services to women are approached, Clinical Psychosomatic Obstetrics and Gynaecology comprehensively addresses the biological, psychological, social, and cultural factors leading to disease manifestations.
Detailed chapters clarify the scientific basis of the clinical psychosomatic concept, prevention of morbidity and mortality from cancer or obesity, pregnancy, and childbirth, migraine and delivery, subfertility, premenstrual disorders, vulval pain, psycho-oncology, sexual health, and psychosomatic implications of migration and cultural issues, this title is a highly topical and much-needed guide to addressing clinical conditions that compromise women's health as well as their mental and social well-being. Doctor, Qualified, early specialism training, Qualified, late specialism training, Qualified, specialist Specialty: Obstetrics and Gynaecology, Obstetrics Item type: High-risk pregnancies are increasing and form a significant proportion of the pregnant patient population.
The book is designed to provide a practical and accessible individualised framework of information for doctors in busy clinical environments, and to integrate the specialist care offered to women with high-risk pregnancies. For each condition, the book covers vital points on risk reduction, clinical governance, discussion with patients, and required documentation. This is important in a litigious environment with high patient expectations, and demonstrates how clinical governance and risk management are interwoven in daily clinical practice.
Congenital and perinatal infections are commonly encountered in clinical practice. This book provides a summation of the data regarding infections transmitted from mother to child during This book provides a summation of the data regarding infections transmitted from mother to child during the antepartum, intrapartum, or postnatal period, with the goal of providing a complete and critical review of the literature regarding the prevention, diagnosis, and management of congenital and perinatal infections. Emphasis is placed on epidemiology, clinical manifestations, key diagnostic studies, and therapeutic interventions.
Individual chapters elucidate the pathogenesis of these infections, as well as high-priority areas for future research. This text will prove useful to medical students and residents, fellows, and practicing physicians in obstetrics and pediatrics, as well as family-practice physicians and specialists who care for pregnant women and newborns.
Emergencies in Published Online: This handbook provides a practical and accessible guide to all emergency situations encountered in obstetrics and gynaecology, from the immediately life-threatening to the smaller but This handbook provides a practical and accessible guide to all emergency situations encountered in obstetrics and gynaecology, from the immediately life-threatening to the smaller but urgent problems that may arise. Designed around the symptoms and signs with which the patient presents to the hospital, this handbook explains how to arrive at a differential diagnosis and how to prevent, manage, and treat an emergency.
The second edition addresses new topics on issues that have become more prevalent in recent years, such as substance misuse in pregnancy and violence against women and children. Fully revised and updated, covering new guidance, this title provides foundation year doctors, specialty trainees, and consultants in obstetrics and gynaecology with an invaluable source of information for every emergency situation.
Sep Published Online: Doctor, Qualified, early specialism training, Qualified, late specialism training Specialty: This resource brings together information in an accessible single source to allow professionals from many different disciplines to have a sound understanding of the scope and limitations of This resource brings together information in an accessible single source to allow professionals from many different disciplines to have a sound understanding of the scope and limitations of fetal cardiac diagnosis and treatment. It will be of practical clinical value to all involved in fetal cardiac assessment or in the management of feto-maternal problems.
Doctor, Qualified, early specialism training Specialty: Heart Disease in Pregnancy provides a detailed introduction to the physiological changes of pregnancy and gives practical advice on the management of women with heart disease who are Heart Disease in Pregnancy provides a detailed introduction to the physiological changes of pregnancy and gives practical advice on the management of women with heart disease who are pregnant or who are considering pregnancy.
Weil Integrative Library Published Online: Books on sexuality typically Books on sexuality typically are for the clinical specialist and cite only focally relevant research, or are geared to lay knowledge and cite almost no research.
- Medical Record Keeping in the Summer Camp Setting.
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- Teaching Gender (Teaching the New English).
Integrative Sexual Health provides an overview of sexual biology and sexual dysfunction, diverse lifespan, lifestyle, and environmental impacts on sexual function, applies complementary and integrative medicine solutions to sexual problems, and offers traditional Eastern and Western treatment approaches to resolving sexual difficulties. Written by diverse integratively trained experts in sexuality, psychology, psychiatry, and other medical specialties. Introduction As obesity has emerged as a significant public health concern across the globe, the importance of early prevention and treatment cannot be overstated.
Open in a separate window. Results Summary of Study Characteristics Appendix 1 provides information on the study characteristics of the 31 studies included in this review. Summary of Intervention Features Table 1 displays study intervention features, grouped by child age group and prevention or treatment focus. Table 1 Intervention characteristics by participant age and type of study prevention or treatment.
Children ages 2 to 20 years: Effective Interventions Obesity-related study outcomes and study results are summarized in Appendix 1. Discussion This review paper identified primary care-based obesity prevention and treatment interventions and assessed the efficacy of these interventions on child weight outcomes. Challenges Associated with Obesity Prevention Of the 31 studies identified in our review, only 7 were focused on obesity prevention, of which 1 found a significant effect on child growth, over a relatively short follow-up period [ 50 ].
Role for Primary Care Providers in Obesity Interventions This review demonstrated considerable heterogeneity in the role of primary care providers in obesity interventions set in primary care, as well as in the level of detail reported about the nature of this involvement. Linking Primary Care to Community Settings and Resources While more intensive interventions have demonstrated promise in the treatment of pediatric obesity, primary care obesity interventions with greater participant contacts are resource intensive, in terms of provider time, staff time, cost of services, and participant burden.
Tailoring Interventions to the Developmental Needs of Children This review of interventions directed at children and parents across infancy, childhood, and adolescence underscores the need for obesity prevention and treatment interventions that are targeted to the developmental needs of the child. Conclusions This review of obesity treatment and prevention interventions found modest support for the efficacy of behavioral treatment interventions set in primary care.
Appendix 1 Table 2 Study characteristics and relevant significant findings by participant age and type of study prevention or treatment. Infant weight for height Secondary: Maternal eating behaviors breakfast; family meals; location of meals and maternal feeding behaviors child intake of milk, fruit, vegetables, and juice; child drinks from cup; and child self feeds month: Less juice intervention 1 vs.
Pediatric nursing mcqs
Serum lipid and lipoprotein concentrations, growth infancy: BMI ; nutrient intake; physical activity; NO-induced vasodilatation. Parental eating attitudes year: Gastrointestinal tract infection; breastfeeding duration; exclusivity breastfeeding Secondary: Baseline, 3 week, 16 week, 1 year pilot RCT Sample size: Infant sleep total daily sleep and nocturnal sleep ; Maternal feeding behaviors total daily feeds; nocturnal feeds; introduction of solid foods; and repeated exposure of vegetables month: Baseline, 2-, 4-, month, 5-year cluster RCT Sample size: Waist circumference; infant sleep; child sleep month: Lower odds infant sleep issues adjusted OR, 0.
NS 5 years 1—3 sessions Baseline, 1-year RCT Sample size: Total child screen time previous weekday and weekend day Secondary: I, AC X 3 Time: Baseline, 3-, 6-month RCT Sample size: Child intake of sugared drinks, high energy foods, fruits, and vegetables; child sedentary activities; child physical activity 6-month: Baseline, 6-, month pilot RCT Sample size: Child average caloric intake; child physical activity; home food environment 6-month: I, UC X 3 Time: Baseline, 1-, 2-year cluster RCT Sample size: Change in BMI Secondary: TV viewing behaviors; SSB intake; and fast food intake 1 -year: Baseline, 6-month pilot RCT Sample size: BMI; child health-related quality of life; child metabolic indicators of obesity; child physical activity.
NS 6 months 6 months Baseline, month pilot RCT Sample size: Children ages 5 to 16 years mean age: NS 12 months 12 months Perceived body image; parent BMI 6-month: Child dietary intake; child physical activity accelerometer data ; child mealtime behavior problems 8-month: Baseline, 2-month post- treatment, month post treatment pilot RCT Sample size: BMI percentile; child physical activity; child eating behaviors Post-intervention: Baseline, 6-, month RCT Sample size: Children ages 9—17 years mean age BMI and body weight Secondary: Body composition; blood pressure; biochemical parameters; other obesity parameters month: Baseline, 2-, 4-, 6-, 9-, and month RCT Sample size: Children ages 5—17 mean age: Change in BMI percentile Secondary: NS 12 months AC, 9 months I, 12 months Children ages 7—16 years Mean age: Change in obesity-related attitudes; adverse metabolic effects of obesity 6-month: Baseline, month RCT Sample size: Other comparison groups not- randomized: Greater decrease in BMI I1 vs.
Waist circumference; general quality of life; health-related quality of life; physical activity; nutrition; sedentary behaviors; body satisfaction 9-month: Baseline, 6-, , month RCT, randomized at physician-level Sample size: Baseline, 7—8 month pilot RCT Sample size: Children 5—8 years old; BMI 85—99 th percentile Primary: Feasibility measures of intervention Secondary: BMI and BMI percentile; physical activity; dietary intake; TV viewing; parenting practices to promote fruit and vegetable intake; TV parenting practices; and physical activity parenting practices 7-month: Children age 5 years; overweight using international BMI cut points; no chronic medical condition; Dutch-speaking child and parent.
BMI and waist circumference Secondary: NS 2 years Up to 6 months NS 12 months 3 months Children ages 3—10 years mean age: BMI z score Secondary: NS 15 months 12 months BMI z score 12 month g: Baseline, 3-month pilot RCT Sample size: I, C by 3 Time: Adolescents ages 11—15 years; no medical condition affecting PA or nutrition Primary: Disordered eating; screen time; physical activity; team sports participation; eating breakfast; family meals; fast food; dietary intake; dieting in previous 6 months; use of professional weight management services Over time baseline, post-I, follow-up: BMI; fast food intake; soft drink intake; fruit intake; vegetable intake; intrinsic motivation for nutrition; physical activity; intrinsic motivation for exercise 3-month: Baseline, 4-, 7-month RCT Sample size: Percentage of overweight; weight; height; total energy intake; percent energy from fat; physical activity; sedentary behavior; problematic eating behaviors; weight-related behaviors or beliefs 4 month: References Papers of particular interest, published recently, have been highlighted as: Predicting obesity in young adulthood from childhood and parental obesity.
New Engl J Med. Tracking of childhood overweight into adulthood: Overweight in children and adolescents pathophysiology, consequences, prevention, and treatment. Sorof J, Daniels S. Obesity hypertension in children a problem of epidemic proportions. Age-related consequences of childhood obesity. What the long term cohort studies that began in childhood have taught us about the origins of coronary heart disease.
Current Cardiovascular Risk Reports. Demography of pediatric primary care in Europe: Rethinking well-child care in the United States: Paediatric primary care in Europe: The global epidemic of childhood obesity: Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: National Health and Medical Research Council. Summary guide for the management of overweight and obesity in primary care.
National Health and Medical Research Council; National Institute for Health and Clinical Excellence. National Institute for Health and Clinical Excellence; Brit J Gen Pract. Management of child and adolescent obesity: Survey of physician attitudes and practices related to pediatric obesity.
Clin Pediatr Phila ; 42 3: Kolagotla L, Adams W. Ambulatory management of childhood obesity. Clin Pediatr Phila ; 51 Preventing and treating obesity: Obesity Silver Spring ; 18 7: Diagnosis and management of childhood obesity: J Paediatr Child H. Childhood overweight and obesity management: Obesity prevention, screening, and treatment: Clin Pediatr Phila ; 50 5: Evaluating the implementation of expert committee recommendations for obesity assessment.
Clin Pediatr Phila ; 52 2: Obesity counseling by pediatric health professionals: This article uses the Medical Expenditure Panel Survey — to calculate nationally representative rates of parent-reported health care provider screening and counseling of childhood obesity and weight-related behaviors. Tanda R, Salsberry P. The impact of the expert committee recommendations on childhood obesity preventive care in primary care settings in the United States.
J Pediatr Health Car. Primary care obesity management in Hungary: Children Attending Paediatricians Study: Clin Pediatr Phila ; 43 8: Adoption of body mass index guidelines for screening and counseling in pediatric practice. Obstacles to the prevention of overweight and obesity in the context of child health care in Sweden.
Components of primary care interventions to treat childhood overweight and obesity: A controlled study of lifestyle treatment in primary care for children with obesity. Decrease in television viewing predicts lower body mass index at 1-year follow-up in adolescents, but not adults. J Nutr Educ Behav. Recruitment and retention strategies in longitudinal clinical studies with low-income populations.
Dietary and lifestyle counselling reduces the clustering of overweight-related cardio-metabolic risk factors in adolescents. Prospective randomised trial in infants of diet low in saturated fat and cholesterol. Growth patterns and obesity development in overweight or normal-weight year-old adolescents: Impact of repeated dietary counseling between infancy and 14 years of age on dietary intakes and serum lipids and lipoproteins: Clustered metabolic risk and leisure-time physical activity in adolescents: Br J Sports Med.
Development of overweight in an atherosclerosis prevention trial starting in early childhood. Effects of promoting longer-term and exclusive breastfeeding on adiposity and insulin-like growth factor-I at age Preventing obesity during infancy: Obesity Silver Spring ; 19 2: Infant temperament and maternal parenting self-efficacy predict child weight outcomes.
Does an intervention that improves infant sleep also improve overweight at age 6? Trent Rosenbloom 2, 3, 4. Author information Article notes Copyright and License information Disclaimer. Received Jun 21; Accepted Oct 9. Summary Background Approximately one fifth of school-aged children spend a significant portion of their year at residential summer camp, and a growing number have chronic medical conditions.
A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions
Objective To survey residential summer camps for children to determine how camps create, store, and use camper health records. Methods We designed a web-based electronic survey concerning medical recordkeeping and healthcare practices at summer camps. Conclusions Summer camps in the United States make efforts to appropriately document health-care given to campers, but inconsistency and inefficiency may be barriers to staff productivity, staff satisfaction, and quality of care. Documentation, summer camp, infirmary, informatics, medical record. Objectives To survey residential summer camps for children to determine how camps create, store, and use camper health records.
Results Of the email addresses in our random sample, we identified 46 duplicate and invalid email addresses. Open in a separate window. Table 1 General characteristics of responding summer camps. Table 2 Formats of documentation for different healthcare events at summer camp, listed as percent of survey respondents. Total of Respondents N Event Occurs Events which occur are consistently documented Among camps who consistently document the event, what is the format?
Table 3 Timing and staff member responsible for documenting different healthcare events at summer camp, listed as percent of survey respondents. Documented at what time s?
- Medical Record Keeping in the Summer Camp Setting?
- Erfolgsfaktoren des Auslandseinsatzes (German Edition).
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Table 4 Practices of communicating with parents and home healthcare providers. Responses N Percent of respondents Parents may submit health forms via: Table 6 Quotations about practical issues with medical and nursing documentation. Lack of proper labeling of medications. Snail mail is not quick enough for parents anymore. It is hard to track and report because nothing is electronic.
1. Background And Significance
Table 7 Quotations about administrative issues with medical and nursing documentation. We are not allowed to throw them away until they turn I would prefer … a PCR format similar to the forms used in prehospital settings…A standard form would be beneficial for uniformity … this of course would have to be approved by the ACA. I do see the need to for forms to be streamlined and electronic. I feel documentation is only needed if there is a health problem or camper is on medication. Discussion This study presents a picture of how American residential summer camps create, store, and use health information of their campers.
Responses revealed certain requirements for such a program: Offer, but do not require, internet accessibility. While some camps will benefit from internet both for sharing across camp property and for securely sharing with parents, it cannot be a requirement of a camp software. Many camps do not have reliable, or any, access to internet and still wish to adopt electronic health records.
An ideal EMR would have an optional offline mode which could be utilized by camps in poorly connected rural areas. Users will rotate often, will have minimal time to train, and will tend towards shortcuts due to pressure to see many campers quickly. Camp EMRs will not have many of the same billing and regulatory requirements as mainstream pediatric EMRs, and should instead be structured with a goal of optimizing transitions between rotating, and sometimes novice, staff.
Avoid unnecessary technical medical jargon: Formats must be standardized enough to be understood by health services providers of different backgrounds. These may include tools for calculating pediatric medication dosages or immunizations checklists on health screenings forms. Such features are not only convenient perks; they are crucial for functionality and safety of pediatric medical record systems[ 11—14 ].
Conclusion Summer camps in the United States make efforts to appropriately document healthcare given to campers, but inconsistency and inefficiency may be barriers to staff productivity, staff satisfaction, and quality of care. Acknowledgements We would like to thank the Vanderbilt University School of Medicine for their financial and logistical support. Vanderbilt University School of Medicine. American Association of Pediatrics Clinical Relevance While efforts to implement advanced medical record systems are rapidly progressing across the country, one special setting where one fifth of school-aged children spend a significant portion of their time, residential summer camp, has lagged behind.
Conflict of Interest The authors declare that they have no conflicts of interest in the research. Financial Disclosure None of the authors has a financial disclosure to disclose.
Health appraisal guidelines for day camps and resident camps. Pediatrics ; 6: Dynamics of obesity and chronic health conditions among children and youth.
A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions
JAMA ; Akinbami LJ, et al. Carroll M, Examination N. Prevalence of Obesity Among Children and Adolescents: United States, Trends — Through — So Young and So Many Pills. Wall Street Journal Family experiences and pediatric health services use associated with family-centered rounds. Pediatrics ; 2: Perspectives from before and after the pediatric to adult care transition: Diabetes Care ; 37 2: Well-child care clinical practice redesign for serving low-income children. Pediatrics ; 1: Pediatric aspects of inpatient health information technology systems.
Use of electronic health record systems by office-based pediatricians. Special requirements for electronic medical records in adolescent medicine. J Adolesc Health ; 51 5: Special requirements of electronic health record systems in pediatrics. Pediatrics ; 3: What Are Camps Not Asking?
CompassPoint ; 13 1: Lishner K, Busch K. Safe delivery of medications to children in summer camps. Pediatr Nur ; 20 3: Health and Wellness Standards for Camp Accreditation. American Camp Association; Camp health services in the state of Michigan. Wilderness Environ Med ; 15 4: Illness and injuries at summer camp. South Med J ; 90 5: Illness and injury among children attending summer camp in the United States, Pediatrics ; 5: