Practical Paediatrics Pdf Free 'LINK' 42
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Improvements in sensor accuracy, greater convenience and ease of use, and expanding reimbursement have led to growing adoption of continuous glucose monitoring (CGM). However, successful utilization of CGM technology in routine clinical practice remains relatively low. This may be due in part to the lack of clear and agreed-upon glycemic targets that both diabetes teams and people with diabetes can work toward. Although unified recommendations for use of key CGM metrics have been established in three separate peer-reviewed articles, formal adoption by diabetes professional organizations and guidance in the practical application of these metrics in clinical practice have been lacking. In February 2019, the Advanced Technologies & Treatments for Diabetes (ATTD) Congress convened an international panel of physicians, researchers, and individuals with diabetes who are expert in CGM technologies to address this issue. This article summarizes the ATTD consensus recommendations for relevant aspects of CGM data utilization and reporting among the various diabetes populations.
The AAP offers a free Family Friendly Referral Guide (in English and Spanish) focused on supporting families and caregivers whose child has a developmental concern. Pediatric practices can customize this guide with information about local referral resources, and then use the guide to support families/caregivers in understanding what to do if a developmental concern has been identified. The guide also illustrates the importance of following through with developmental referrals.
Find strategies and resources on how to prevent and control the spread of influenza in early education and child care settings. This page includes a link to a free webinar covering influenza recommendations for the 2022-2023 season, the importance of vaccination, and strategies for prevention and control.
This latest blog post highlights key takeaways from a recent learning session for participants of the Adolescent & Young Adult Behavioral Health Collaboration project. Allissa Torres, Director of Mental Health Equity at Mental Health America, spoke with the group about practical ways to center equity for BIPOC communities within efforts to support improvement of mental health systems. The archived learning session and helpful resources can be accessed within the blog post. To receive an e-mail notification when a new blog post is available for viewing, please sign up here.
This free video-based educational curriculum of 4 independent courses aims to improve the continuity of care between primary care and specialty cardiac care physicians; as well as promote lifelong cardiac care for people with CHDs. Each course is geared towards a different audience, including pediatricians, obstetrician-gynecologists, internal medicine, emergency medicine and family medicine physicians, and contains an accompanying Point-of-Care tool, which is intended to be used as a quick reference guide for each clinician audience. Learners are eligible to receive CME credit for each course.
This free educational curriculum was developed as part of the American Academy of Pediatrics CHD Awareness project supported by the Centers for Disease Control and Prevention. Additional resources for improving lifelong cardiac care for people with CHDs are available on the CHD Awareness Toolkit.
A new web page on AAP.org focuses on children with medical complexity. The page includes information on care improvement initiatives and practical clinical resources you can implement in your practice, along with resources for families.
Neurological involvement is common in African children. Typically, children with cerebral malaria present with a history of a febrile illness lasting one to three days with convulsions, impaired consciousness, with or without brain-stem signs. This is strictly defined as an unrousable coma that persists for more than one hour following a seizure (irrespective of anticonvulsant medication) since many children with malaria regain full consciousness after a brief convulsion. The most widely used paediatric classification of impaired consciousness in sSA is the Blantyre Coma Scale (BCS), a practical tool developed for children who are too young to speak [34,35]. Coma is classified as a BSC of 2 (out of a possible 5) or less. The precision of the clinical diagnosis of cerebral malaria, optimal for intervention studies, has been shown to be considerably improved by ophthalmoscopy (in temporarily-dilated pupils) to assess for malaria retinopathy . The observation of a specific malaria retinopathy is supported by autopsy evidence of intracerebral parasite sequestration in a study of 27 Malawian children with fatal cerebral malaria .
The use of iron chelating agents was considered for adjunctive therapy in severe malaria. The positive hypothesis suggested that by chelating free iron these drugs would thus withhold iron which is required by malaria parasites to mature and multiply and, thus, limit or inhibit parasite reproduction rate. A Cochrane review of the data on the uses of iron chelation was conducted in 2007 . Whilst seven trials involving 570 participants met the inclusion criteria, four of these were excluded as they included non-severe or asymptomatic malaria or had methodological issues. In children with severe malaria two controlled trials examined desferrioxamine (DFO) [135,136] with cerebral malaria and one studied deferiprone  in Indian adults (13 to 84 years) with severe malaria.
To be eligible for deemed Public Health Service status, sponsoring free clinics must sponsor licensed or certified individuals for deeming, and the sponsorship application must satisfy statutory and Program deeming requirements. There are four major program requirements that are required by statute to establish eligibility for deeming:
The Free Clinics FTCA Program is authorized by section 224(o) of the Public Health Service (PHS) Act (42 U.S.C. 233(o)) and extends FTCA liability protections to eligible volunteer health professionals who are sponsored for deeming by a qualifying free clinic when providing a qualifying health service, as well as officers, governing board members, employees, or contractors when providing services for qualifying free clinics. The eligibility for FTCA liability protections does not extend to the free clinic entity itself.
In providing a health service to an individual, a free clinic health care practitioner will be considered a free clinic health professional eligible for FTCA liability protections if the following conditions are met:
The FTCA application process requires applicants to disclose whether or not they are accredited; and if so, by whom. There is no requirement for health centers to be accredited in order to participate in the FTCA program. Although accreditation may be expensive, Health Center Program grant funding may be available for use for expenses associated with pursuing accreditation if health centers wish to pursue it. In addition, the Health Center Program makes available accreditation TA resources. The free clinic application does not currently address accreditation.
There are three application types for the Free Clinics FTCA Program. The first is the initial deeming application. Free clinics that do not currently sponsor any deemed individuals must submit an initial deeming application. All initial deeming applications must include a completed application form in addition to: QA/QI or Risk Management plan, copy of the non-profit designation, medical malpractice documentation (where applicable) and Affirmation signatures (entered as electronic signatures) by the Chief Executive Officer and Medical Director of the sponsoring free clinic.
All providers eligible for FTCA liability protections must be both credentialed and privileged either by their sponsoring free clinic or a contracted credentials verification organization (CVO). Credentialing is a process of verifying education, licensure, and ability through a mix of primary source verification and secondary source verification. Providers must also be privileged by their sponsoring free clinic. After initial credentialing and privileging is completed, re-credentialing and re-privileging must occur every two years.
There are no minimum hours that an individual sponsored by a free clinic must work to be deemed a PHS employee for FTCA coverage. However, all such individuals must comply with all Program and applicable legal requirements.
Only contractors of the free clinic who are individuals providing services are eligible for deeming under the Free Clinics FTCA program. The contract cannot be between the free clinic and an organization or corporation, but must be with the individual providing services. For example, a contract with John Smith, Inc., does not provide a basis for coverage, even if John Smith is the only employee of John Smith, Inc. The contract needs to be with John Smith, individually.
2. Any physician, advanced practice registered nurse, registered nurse, practical nurse, pharmacist, pharmacy intern, midwife, paramedic, advanced or intermediate EMT, respiratory therapist, dentist, physician assistant, podiatrist, optometrist, or veterinarian who has held an active license or certification under the law of any State within the last five years, which is inactive, expired or lapsed, who prescribes, dispenses, or administers COVID-19 vaccines that are Covered Countermeasures under section VI of this Declaration in any jurisdiction where the PREP Act applies in association with a COVID-19 vaccination effort by a State, local, Tribal or territorial authority or by an institution in which the COVID-19 vaccine covered countermeasure is administered, so long as the license or certification was active and in good standing prior to the date it went inactive, expired or lapsed and was not revoked by the licensing authority, surrendered while under suspension, discipline or investigation by a licensing authority or surrendered following an arrest, and the individual is not on the List of Excluded Individuals/Entities maintained by the Office of Inspector General; 2b1af7f3a8