OBJECTIVE To describe the implementation and evaluation of a quality improvement intervention to increase new-patient access and decrease time-to-appointment wait for gastroenterology care. METHODS We used a new model of care for gastroenterology evaluation. For specified clinical complaints, we offered new-patient appointments that were scheduled with a general pediatrician as an alternative...

OBJECTIVE To examine the differential effects of two scoring procedures for a parent-completed measure, the Pediatric Symptom Checklist (PSC), designed to assess children's behavioral and emotional functioning, on parent-pediatrician communication concerning psychosocial issues. METHODS Prior to their medical appointment, 174 parents of children aged 4-16 were assigned to one of three experim...

Head lice commonly evoke feelings of disgust, revulsion, anger, and shame among parents and patients. There should, however, be no great cause for such alarm if a physician suspects pediculosis capitis. The recent introduction of several new pediculicidal drugs now allows a choice among four distinct therapeutic agents, which should substantially improve control of isolated cases and epidemics....

In the practice of Pediatrics one may erroneously look for answers to childhood behavior disorders which are direct and concise. For instance, what is the treatment of temper tantrums, feeding problems, enuresis, etc.? But there can be no such outline for the ready solution of behavior and psychiatric problems, for each is a problemn unto itself. With this book as a "primer," however, the physi...

As a critical review it is somewhat less satisfactory, for many topics are mentioned but casually or receive but scant attention, a defect clearly unavoidable in the preparation of a text meant primarily to be practical. Nevertheless, it represents a treatment of the subject that will prove most useful. Much could be done to make the index more helpful, and the lack of an index of the many auth...

The pediatrician plays a key role in the prevention of mother-to-child transmission of HIV-1 infection. For infants born to women with HIV-1 infection identified during pregnancy, the pediatrician ensures that antiretroviral prophylaxis is provided to the infant to decrease the risk of acquiring HIV-1 infection and promotes avoidance of postnatal HIV-1 transmission by advising HIV-1-infected wo...