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Hasbro Children's Hospital presents at 2008 Pediatric Academic Societies Meeting
Date:5/5/2008

PROVIDENCE, R.I. Several physicians from Hasbro Childrens Hospital presented research on an assortment of pediatric topics at this years Pediatric Academic Societies (PAS) meeting in Honolulu from May 3 6. The following tip sheet outlines in chronological order the presentations made on each of these studies, the doctors involved and the abstract of each study presented by Hasbro Childrens Hospital at the PAS meeting.

EMERGENCY MEDICINE

Differences in Presentation and Management of Pediatric Facial Lacerations by Type of Health Insurance

ABSTRACT: Limited data has been available about the difference in presentation, management and disposition of pediatric patients in emergency departments (PEDs) based on insurance status.

The objective of this study was to assess the difference in presentation and care of pediatric facial lacerations based on medical insurance status. Findings showed that despite the similarity in the presentation and characteristics of facial lacerations, there were differences in the use of conscious sedation and subspecialty consultation between those with private and public insurance.

Saturday, May 3, 2008, 4:15 p.m. 6:15 p.m.
PAS Opening Poster Session I
HCC Exhibit Hall
Course Number: 3786; Board Number: 563
Siraj Amanullah, James G. Linakis, Emily Clarke-Pearson, Alisha G. Revotskie, Dale W. Steele. Publication 3786.28

Effect of Bedside Ultrasonography on Management of Cellulitis Without Obvious Abscess

ABSTRACT: Bedside ultrasound (BUS) has been demonstrated to be an emerging clinical adjunct in the assessment and management of cellulitis without signs of obvious abscess in adults. The utility of BUS in this setting has yet to be studied in pediatrics.

The objective of this study was to determine the effect of soft tissue evaluations by BUS on the clinical diagnosis and management of pediatric cellulitis without signs of obvious abscess. The results of this study showed that BUS evaluations of cellulitis in children might be a useful clinical adjunct for the physician, with a greater sensitivity in determining of the presence of subclinical abscesses.

Saturday, May 3, 2008, 4:15 p.m. 6:15 p.m.
PAS Opening Poster Session I
HCC Exhibit Hall
Course Number: 3786; Board Number: 544
Adam B. Sivitz, Jonathan H. Valente, Arun D. Nagdev. Publication 3786.9


NEPHROLOGY

Relationship Between Microalbuminuria and Hypertension Assessed by Twenty-Four Hour Ambulatory Blood Pressure Monitoring

ABSTRACT: twenty-four hour Ambulatory Blood Pressure Monitoring (ABPM) is an accurate tool for the diagnosis and management of hypertension. Microalbuminuria is a known predictor for progression of diabetic nephropathy. However, there is lack of data demonstrating an independent relationship between microalbuminuria and hypertension in children.

The objective of this study was to determine if microalbuminuria is associated with hypertension assessed by 24-hour ambulatory blood pressure monitoring in pediatric patients. The results of this study were limited by the study sample size. Additionally, the patient population in the study had only a single evaluation for microalbuminuria at baseline. Since microalbuminuria develops over time in diabetes, this may also hold true for hypertensive patients. Microalbuminuria in hypertensive patients may be a useful marker for end-organ damage and may also prove useful in predicting disease progression. Therefore, multi-center prospective studies with long-term follow-up are needed to further assess the relationship between hypertension and microalbuminuria in pediatric patients.

Sunday, May 4, 2008, 11:15 a.m. 1:15 p.m.
Poster Session II
HCC Exhibit Hall
Course Number: 4493 Hypertension; Board Number: 654
M. Khurram Faizan, Ghazi G. Hussain, Siraj Amanullah. Publication 4493.10


GENERAL PEDIATRICS: ISSUES IN PRIMARY CARE

Dynamic Nature of Maternal Feeding Practices: Differences Between Genders

ABSTRACT: Controlling maternal feeding practices (CMFP) are associated with increased BMI in children. However, it is unclear whether changes in CMFPs result in later changes in BMI z-score or are a response to increases in child BMI.

The objective of this study was to determine over a 4.5-year period whether: 1) Early change in CMFP predicts later change in child zBMI or 2) Early change in child zBMI predicts later change in CMFPs. Findings showed that changes in CMFPs did not result in increased overweight risk among children. Boys may benefit from increasing CMFPs while girls zBMI did not change. However, mothers appear to be more concerned about their female child s increasing zBMI and subsequently became more controlling. Understanding the impact of maternal feeding practices on children will help guide future recommendations to parents.

Monday, May 5, 2008, 9:00 a.m.
Platform Session
HCC Room 323BC
Course Number: 5120 General Pediatrics: Issues in Primary Care
Kyung E. Rhee, Sharon Coleman, Niko Kaciroti, Rob F. Corwyn, Robert H. Bradley, Julie C. Lumeng. Publication 5120.5


GENERAL PEDIATRICS

Health Status and Subspecialty Needs of Refugee Children After Resettlement

ABSTRACT: Newly arrived refugees are an increasing presence in the American health care system. Research has shown that newly arrived refugee children have an appreciable burden of disease. Little is known, however, about subspecialty referral for identified morbidities.

The objective of this study was to describe the health status and the subspecialty needs of a pediatric refugee population in the first year after resettlement. The results of the study demonstrate a high disease burden in a population of newly arrived pediatric refugees, with rates of disease similar to those found in other studies of refugee children. Although the burden of disease justifies screening at arrival, there was variability in the specific screening tests performed. The study also highlights the common subspecialty needs of this population. More than half of the patients were referred to a subspecialist, and they interfaced with a wide variety of subspecialists. A medical home that includes primary care and subspecialty providers who have an understanding of the medical needs of refugee children will likely improve health care for this vulnerable population.

Monday, May 5, 2008, 5:15 p.m. 6:45 p.m.
Poster Session III
HCC Exhibit Hall
Course Number: 5810 Undeserved Population; Board Number: 230
Delma-Jean Watts, Jennifer F. Friedman, Patrick M. Vivier, Christine E.A. Tompkins, Anthony J. Alario. Publication 5810.1

Immunization Status of Refugee Children After Resettlement

ABSTRACT: Newly arrived refugee children are at risk for vaccine preventable diseases due to incomplete immunization. Catch-up vaccination requires multiple visits to a primary care provider. There has been little research addressing vaccination status of refugee children after resettlement.

The objective of this study was to assess immunization rates for refugee children who have been in the United States for at least one year. Findings showed that low overall rates of complete immunization were found in a population of pediatric refugees after resettlement. These low rates were mostly due to children who were lost to follow-up within the first year. For those refugees attending a primary care clinic throughout the first year of resettlement, immunization rates were comparable to rates in the general population. The creation of a medical home for refugee children will likely increase immunization completion rates.

Monday, May 5, 2008, 5:15 p.m. 6:45 p.m.
Poster Session III
HCC Exhibit Hall
Course Number: 5810 Undeserved Population; Board Number: 231
Delma-Jean Watts, Jennifer F. Friedman, Patrick M. Vivier, Christine E.A. Tompkins, Anthony J. Alario. Publication 5810.2


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Contact: Jill Reuter
jreuter@lifespan.org
401-444-6863
Lifespan
Source:Eurekalert

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