prac

Sustainability of a Parental Tobacco Control Intervention in Pediatric Practice

Parental smoking cessation helps eliminate children’s exposure to tobacco smoke. A child’s visit to the doctor provides a teachable moment for parental smoking cessation. Effective strategies to help parents quit smoking are available for implementation.

Evidence-based outpatient intervention for parents who smoke can be delivered successfully after the initial implementation. Maximizing parental quit rates in the pediatric context will require more complete and sustained systems-level integration. (Read the full article)




prac

Regulations to Promote Healthy Sleep Practices in Child Care

Previous studies have examined state regulations for child care facilities and found substantial variation among states. None of these studies examined regulations related to healthy sleep practices, which is an important and often overlooked intervention target for obesity prevention.

We reviewed state regulations related to healthy sleep in child care and compared them to recent national recommendations put forth by the Institute of Medicine. We found that many states lacked regulations, highlighting an important and timely opportunity for improvement. (Read the full article)




prac

Strategic Modeling of the Pediatric Nurse Practitioner Workforce

The number of nurse practitioner graduates in the United States has nearly doubled over the past 2 decades. However, the number of pediatric nurse practitioner (PNP) graduates has remained relatively flat, although the demand for PNPs is expected to increase.

This study estimates the best-case shortage of PNPs over the next 25 years. We propose possible policy interventions to address key areas of the PNP workforce system and we compute their impact on the forecasted PNP shortage. (Read the full article)




prac

A Comparison of Individual- Versus Practice-Level Measures of the Medical Home

Medical home transformation is led by practice-level assessment, but much of the evidence supporting the medical home derives from individual-level assessment based on parental perception. The association between these 2 levels of assessment is unknown.

Among Boston-area community health centers, there was no association between the individual- and practice-level assessments of the medical home. This highlights the need for studies supporting the child health benefits of medical home practice transformation. (Read the full article)




prac

Parent-Reported Outcomes of a Shared Decision-Making Portal in Asthma: A Practice-Based RCT

Strategies are needed to engage families of chronically ill children at home in an ongoing process of shared decision-making regarding treatment that is responsive to families’ concerns and goals and children’s evolving symptoms.

This study evaluated a novel patient portal that facilitates shared decision-making in asthma. The portal was feasible and acceptable to families, improved outcomes, and provides a model for improving care through an electronic health record portal. (Read the full article)




prac

An Early Feeding Practices Intervention for Obesity Prevention

"Protective" complementary feeding practices that promote self-regulation of intake and development of healthy food preferences have been positively associated with healthy child eating patterns and growth. There are few high-quality trials evaluating feeding practice interventions; none has reported long-term outcomes.

This large randomized controlled trial demonstrates that anticipatory guidance on the "how" of complementary feeding resulted in more protective feeding practices. These intervention effects were sustained for 3 years and translated into commensurate trends in obesity risk. (Read the full article)




prac

Positive Parenting Practices, Health Disparities, and Developmental Progress

Interactive activities and routines promote early childhood language skills and subsequent educational achievement. Population studies describing parent-child participation in interactive activities and their associations with early child development among vulnerable populations are needed.

Significant disparities exist in parenting practices that promote child development between economically advantaged and disadvantaged parents. Participating in less interactive activities was associated with increased risk of developmental delay among low-income families, suggesting a need to enrich parenting practices. (Read the full article)




prac

Parent/Adolescent Weight Status Concordance and Parent Feeding Practices

Research has shown that parent feeding practices are associated with adolescent weight status and dietary intake. It is unknown whether certain factors such as parent and child weight status concordance or discordance influence parents’ use of specific feeding practices.

Findings from the current study suggest that parents use the highest levels of pressure-to-eat feeding practices when parents and adolescents are both nonoverweight and the highest levels of food restriction when parents and adolescents are both overweight/obese. (Read the full article)




prac

Trends in Pediatric Malpractice Claims 1987-2015: Results From the Periodic Survey of Fellows

BACKGROUND:

Pediatricians are less frequently sued than other physicians. When suits are successful, however, the average payout is higher. Little is known about changes in the risk of litigation over time. We sought to characterize malpractice lawsuit trends for pediatricians over time.

METHODS:

The Periodic Survey is a national random sample survey of American Academy of Pediatrics members. Seven surveys between 1987 and 2015 asked questions regarding malpractice (n = 5731). Bivariate and multivariable analyses examined trends and factors associated with risk and outcome of malpractice claims and lawsuits. Descriptive analyses examined potential change in indemnity amount over time.

RESULTS:

In 2015, 21% of pediatricians reported ever having been the subject of any claim or lawsuit, down from a peak of 33% in 1990. Report of successful outcomes in the most-recent suit trended upward between 1987 and 2015, greatest in 2015 at 58%. Median indemnity was unchanged, averaging $128 000 in 2018 dollars. In multivariate analysis, male sex, hospital-based subspecialty (neonatology, pediatric critical care, pediatric emergency medicine, and hospital medicine), longer career, and more work hours were associated with a greater risk of malpractice claim.

CONCLUSIONS:

From 1987 to 2015, the proportion of pediatricians sued has decreased and median indemnity has remained unchanged. Male pediatricians and hospital-based subspecialists were more likely to have been sued. Greater knowledge of the epidemiology of malpractice claims against pediatricians is valuable because it can impact practice arrangements, advise risk-management decisions, influence quality and safety projects, and provide data to guide advocacy for appropriate tort reform and future research.




prac

Practical Nursing Program moves clinicals to virtual simulations

Lehigh Valley's Practical Nursing Program has moved to the Shadow Health Digital Clinical Experience so students can continue clinical rotations through virtual simulations.




prac

Fin24.com | 3 'practicalities' to consider before investing in property in Africa – expert

Africa can be a challenging place to do business and property investment is not exempt from some, often unique, challenges, says a Nedbank expert.




prac

Clinical Practice Guideline: Nosebleed (Epistaxis)




prac

How can Research-Practice Partnerships Support the Use of Education Research?

Understanding how research is actually used by district leaders is essential for research-practice partnerships to effectively bridge research and practice in education.




prac

The Side Effects of Education: Research and Practice

If researchers hope to identify programs that will prepare students for the future, then they cannot continue to measure innovation based on the ideas from the past.




prac

Variations in Practice and Outcomes in the Canadian NICU Network: 1996-1997

Shoo K. Lee
Nov 1, 2000; 106:1070-1079
ARTICLES




prac

Secondary Sexual Characteristics and Menses in Young Girls Seen in Office Practice: A Study from the Pediatric Research in Office Settings Network

Marcia E. Herman-Giddens
Apr 1, 1997; 99:505-512
ARTICLES




prac

Performance Assessment: 4 Best Practices

This isn't the first time states and schools have turned to projects, portfolios, exhibitions, and essays to measure students' learning. Here are lessons from the last go-around.




prac

Mindfulness practices may reduce stress in the classroom

An education professor at Penn State is investigating how educators can adopt mindfulness practices to keep stress and anxiety at bay.




prac

A Centralized Approach for Practicing Genomic Medicine

Next-generation sequencing has revolutionized the diagnostic process, making broadscale testing affordable and applicable to almost all specialties; however, there remain several challenges in its widespread implementation. Barriers such as lack of infrastructure or expertise within local health systems and complex result interpretation or counseling make it harder for frontline clinicians to incorporate genomic testing in their existing workflow. The general population is more informed and interested in pursuing genetic testing, and this has been coupled with the increasing accessibility of direct-to-consumer testing. As a result of these changes, primary care physicians and nongenetics specialty providers find themselves seeing patients for whom genetic testing would be beneficial but managing genetic test results that are out of their scope of practice. In this report, we present a practical and centralized approach to providing genomic services through an independent, enterprise-wide clinical service model. We present 4 years of clinical experience, with >3400 referrals, toward designing and implementing the clinical service, maximizing resources, identifying barriers, and improving patient care. We provide a framework that can be implemented at other institutions to support and integrate genomic services across the enterprise.




prac

Transitioning Patients With Complex Health Care Needs to Adult Practices: Theory Versus Reality




prac

DOJ Sues to Stop Fraudulent and Deceptive Practices by Developer of Dover “55-Plus” Community

The Delaware Department of Justice has filed suit against the developer of The Villages of Noble’s Pond, an 879-lot “55-plus” community in Kent County, for numerous violations of the Consumer Fraud Act, the Deceptive Trade Practices Act, and other Delaware laws protecting consumers against unlawful and predatory behavior. Attorney General Kathy Jennings announced the filing […]



  • Department of Justice
  • Department of Justice Press Releases
  • News

prac

Post Covid-19 digital shift of legal practice

Post Covid-19 digital shift of legal practice




prac

Statement on USDA Report Showing Positive Impact of Farming Practices in Chesapeake Bay Region

The Governor released a statement on USDA Report Showing Positive Impact of Farming Practices in Chesapeake Bay Region.




prac

DHSS Seeks Mini-Grant Applications from Small Primary Care Practices to Connect to Delaware Health Information Network

NEW CASTLE (October 9, 2019) – The Department of Health and Social Services (DHSS) is seeking applications from Delaware health care providers for one-time, health information exchange (HIE) support mini-grants to adopt the full range of health information exchange tools offered by the Delaware Health Information Network (DHIN). DHIN is Delaware’s Health Information Exchange (HIE) […]



  • Delaware Health and Social Services
  • News
  • Delaware Health Care Commission
  • Delaware Health Information Network
  • DHIN

prac

902 Prohibited Unfair Claim Settlement Practices

DEPARTMENT OF INSURANCE: Office of the Commissioner




prac

6 Personalization Practices from Walgreens' Balance Rewards Program

How the retail pharmacy chain uses customer data to make its marketing messages relevant





prac

How Japan borrows $9 trn practically for free

Low inflation rate and slow growth help




prac

Webinar on Environment Law Practice, Issues and the role played by NGT

Conservation - Conversation 

with Mrs. Neelam Rathore, senior advocate, best known for speaking for the trees. She has a robust practice in NGT and can be credited for a huge load of carbon offset making the lives easier for thousands. 
 
A webinar on - 
ENVIRONMENT LAWS, ISSUES and the ROLE OF NGT!
 
Date - 24th April
Time- 11 AM -12:30 PM
 




prac

Nadal: 'I see 2020 as practically lost' for tennis

Rafael Nadal has said he views the rest of this year as "practically lost" for tennis and would even be relieved if the sport returned as normal at the start of 2021.





prac

Practical Attacks With DNS Rebinding




prac

Practical Aspects for Subtractive Etching of High Density Interconnects

Presentation by Don Ball of Chemcut Corporation




prac

The Next Revolution: Discarding Dangerous Fossil Fuel Accounting Practices

The green revolution and, in particular, renewable energy products such as solar power, wind turbines, geothermal and algae-based fuels are not waiting for viable technology — it already exists in many forms. What they are waiting for is a massive sea change in our antiquated financial accounting systems.




prac

Engineering Possibilities Versus Practical Implementation: Utility Portfolios and Business Models

Europe’s utilities are re-evaluating their business models due to the energy transition. Members of POWER-GEN Europe’s Advisory Board consider how a reliance on fossil fuels is no longer politically desirable, forcing utilities to transform their portfolios to adapt to radical change.




prac

Live Webinar | Best Practices for Securing Unmanaged and IoT Devices at Massive and Growing Scale




prac

Live Webinar | Best Practices for Securing Unmanaged and IoT Devices at Massive and Growing Scale




prac

Live Webinar | Best Practices for Securing Unmanaged and IoT Devices at Massive and Growing Scale




prac

Private Equity Fund Practice: ILPA Principles 3.0 – Evolution or Revolution?

Introduction The Institutional Limited Partners Association (“ILPA”) has released Version 3.0 of its Principles aimed at fostering transparency, governance and alignment of interests for general partners (“GPs”) and limited p...




prac

The New Electronic Communications Code – Code of Practice, Notices & Standard Terms

The new Electronic Communications Code (“the Code”) received royal assent on 27 April 2017, as part of the Digital Economy Act 2017 (“the Act”). The Code came into force on 28 December 2017.  


prac

Coronavirus – Q&A: Insights and practical solutions for tenants – UK

On 20th March, we held the 'Coronavirus Insights and practical solutions for landlords' webinar. 



prac

Coronavirus – Q&A: Insights and practical solutions for landlords – UK

On 20th March, we held the 'Coronavirus Insights and practical solutions for landlords' webinar.  In this webinar, our speakers discussed how the outbreak of Covid-19 and the subsequent political and economic impact is having a signific...




prac

Coronavirus – Webinar – Practical experience with measures to mitigate the economic consequences in Slovakia – SK

Slovak-Austrian Chamber of Commerce together with law firm Eversheds Sutherland invites you to a webinar: First practical experience with measures to mitigate the economic consequences of COVID19 in Slovakia. The Slovak republic applied a number of ...




prac

Eversheds Sutherland (International) is ‘Legal Practice of the Year’ at Northern Lights Awards

Eversheds Sutherland (International) has been named ‘Legal Practice of the Year’ at the Northern Lights Awards, Manchester. The awards are designed to highlight collaboration between companies and within companies in the Northern Powerh...




prac

South Korean Teachers Visiting U.S. Schools to Share Globalized Teaching Practices

HONOLULU (Jan. 10, 2014) – Twenty K-12 educators from South Korea have arrived at the East-West Center to begin a month of residencies in U.S. school communities in Connecticut, New York, Massachusetts and Vermont. The ROK-US Teacher Exchange Program global learning and school immersion program is coordinated by EWC’s AsiaPacificEd Program with funding from the Asia-Pacific Centre of Education for International Understanding under the auspices of UNESCO and the Republic of Korea’s Ministry of Education. Later this year, American teachers from the U.S. host schools will travel to Korea for reciprocal exchange and learning.




prac

Coronavirus – Practical employers guide – Czech Republic

We are continually updating this guide in response to the gradual publication of official information by public authorities. Latest update: 5 May 2020, 17:00 (Restrictions on movement of persons, Mandatory quarantine when crossing borders, Childr...




prac

Practical Considerations For Land Owners And Developers Arising From The Flood And Water Management Act 2010

The New Act The Flood and Water Management Act 2010 received Royal Assent on 8 April 2010. The Act takes forward several Government strategy documents and, importantly, reflects the Government’s response to Sir Michael Pitt’s Revie...




prac

Chambers Global Practice Guide - Public Procurement and Government Contracts

...




prac

Coronavirus: In-depth insights and practical advice regarding Force Majeure, Frustration and reconsidering Commercial Contracts Webinar - 3 April 2020

The law on force majeure differs from country to country, not least between common law and civil law jurisdictions. We have produced a both a Global Guide to Force Majeure and an Asia-Pacific Guide to Force Majeure that provides some preliminary ad...




prac

Lawbite: The Lease Renewal Pilot Scheme in practice

Eventuate Capital Ltd v Grosvenor Estate Belgravia (E02CL652) The County Court and First-tier Tribunal Unopposed Business Lease Renewal Pilot Scheme has been in place for over 2 years but very few cases have, as yet, proceeded to trial. In one of th...