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51.
Elizabeth E. Springston Claudia H. Lau Parav Patel Manoj R. Warrier Min‐Woong Sohn Jacqueline Pongracic Ruchi S. Gupta 《Pediatric allergy and immunology》2012,23(7):642-647
Objective: To evaluate a brief educational tool for pediatricians developed to address known gaps in food allergy knowledge. Study Design: Pre‐ and post‐assessments were administered to a convenience sample of 61 US pediatricians completing the Food Allergy Comprehension Tool between February and March of 2010. McNemar’s and Wilcoxon signed rank tests were used to determine whether clinical knowledge of food allergy and level of comfort in caring for food‐allergic children increased significantly after reviewing the tool. Logistic regression models were used to measure the association of participant characteristics with increased knowledge and comfort. Results: Sixty‐one percent of surveyed physicians answered more knowledge questions correctly after reviewing the tool. Significantly more participants correctly indicated that anaphylaxis poses the greatest threat to teenagers rather than young children, and correctly rejected chronic nasal problems as a symptom of food allergy (p < 0.05). Comfort in caring for food‐allergic children increased significantly on all items post‐intervention (p < 0.05). Odds of increased knowledge and comfort were significantly higher among pediatricians without previous training in food allergy. Conclusion: The Food Allergy Comprehension Tool is a rapid way to address known knowledge gaps among pediatricians and to identify areas in need of further intervention. We recommend integration of the tool with current food allergy guidelines. 相似文献
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《Journal of consumer health on the Internet》2013,17(4):69-75
Abstract Health care consumers often need information about the quality of health services provided by specific facilities and health professionals. A growing number of Web sites are meeting consumers' needs for quality-related information. These sites offer a wide array of information, ranging from traditional directory information to comparative data and records of personal experiences. This paper provides a selective review of Web sites that offer information on the quality of health services delivered by specific physicians and facilities in the United States. 相似文献
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Tariq S. Marroush Amreeta V. Sharma Louis D. Saravolatz Robert Takla Howard S. Rosman 《The American journal of the medical sciences》2018,355(1):88-93
Myocardial infarction (MI) following blunt chest trauma is rare, but potentially fatal. We treated a young patient for acute MI after falling chest-first on ice while playing hockey. Coronary artery bypass grafting (CABG) was performed after percutaneous stenting attempts were unsuccessful. By reviewing the related literature, we found 179 cases, the majority of which affected young males following road accidents. Left anterior descending artery was most frequently affected followed by right coronary artery particularly in their proximal thirds. Prior to the advent of emergent angioplasty for MI, conservative management was frequently pursued, whereas subsequently both stenting and CABG were performed as initial therapy. Several cases required CABG after the failure of stenting attempts. Trauma-associated MI is uncommon but should be suspected to be properly diagnosed and managed; the potential need for CABG requires that a cardiac surgeon be informed at the time of angiography to avoid possible delay in revascularization. 相似文献
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