The Effectiveness of Nutrition Specialists on Pediatric Weight Management Outcomes in Multicomponent Pediatric Weight Management Interventions: A Systematic Review and Exploratory Meta-Analysis

Background

Nutrition specialists are considered key members of multicomponent pediatric weight management intervention teams, but to date, their contribution has not been quantified.

Aneurysmal Subarachnoid Hemorrhage: Management by the Advanced Practice Provider

Annually, approximately 5% to 10% of strokes are due to an aneurysmal subarachnoid hemorrhage, resulting in high morbidity and mortality. Advanced practice providers greatly impact and improve patient outcomes during acute hospitalization and postdischarge care. This report provides an overview of acute in-patient management and postdischarge care for patients experiencing a subarachnoid hemorrhage.     

团队管理模式在儿科急诊护理管理中的应用

目的探讨团队管理模式在儿科急诊护理管理中的应用。方法选择2017年9月～2018年11月治疗并进行儿科急诊护理的患儿112例作为对象,采用随机数字表法分为对照组(n=56)和观察组(n=56)。对照组给予常规管理,观察组采用团队管理模式,管理1个月后对患者效果进行评估,比较两组患儿管理前后生活质量、相关指标、管理有效率。结果管理前两组生理方面、生活方面、心理方面评分差异均无统计学意义(P0.05)。经团队管理模式管理后,观察组患儿的生理方面、生活方面、心理方面的评分均高于对照组,差异有统计学意义(P0.05)。经团队管理模式管理后,观察组的VAS评分低于对照组,首次下床时间及术后住院时间均短于对照组,差异有统计学意义(P0.05)。观察组总有效率为78.57%,对照组总有效率为64.29%。观察组总有效率明显高于对照组,差异有统计学意义(P0.05)。结论将团队管理用于儿科急诊护理管理中能提高患儿的生活质量和管理有效率,减轻患儿的痛苦,缩短患儿首次下床时间和术后住院时间,值得临床推广应用。     

Checklist for gene/disease‐specific variation database curators to enable ethical data management

Databases with variant and phenotype information are essential for advancing research and improving the health and welfare of individuals. These resources require data to be collected, curated, and shared among relevant specialties to maximize impact. The increasing generation of data which must be shared both nationally and globally for maximal effect presents important ethical and privacy concerns. Database curators need to ensure that their work conform to acceptable ethical standards. A Working Group of the Human Variome Project had the task of updating and streamlining ethical guidelines for locus‐specific/gene variant database curators. In this article, we present practical and achievable steps which should assist database curators in carrying out their responsibilities within acceptable ethical norms.     

Applying Human-Centered Design to the Development of an Asthma Essentials Kit for School-Aged Children and Their Parents

This study aimed to design and test an asthma essentials kit to support parent–child shared asthma management. Fourteen children (age range?=?7–11 years) with asthma and their parents participated in this study. Development of the asthma essentials kit involved a generative phase, focused on understanding and designing to meet user needs, and an evaluative phase, which entailed narrowing, evaluating, and refining the asthma essentials kit. As is typical in human-centered design, analysis was iterative throughout the design process such that findings informed each subsequent phase. The final asthma essentials kit concepts collectively addressed the three user-identified priorities: roles and responsibilities, desire for normalcy, and shared asthma management. Concept prototypes included a to-go bag, cue card, wearable device, and mobile health application. Usability and acceptability testing showed that the asthma essentials kit prototypes were highly useful, acceptable, and easy to navigate. Human-centered design holds promise in developing interventions to meet user needs.