al HIV Testing Among Adolescents With Acute Sexually Transmitted Infections By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 BACKGROUND AND OBJECTIVES: Rates of sexually transmitted infections (STIs) have increased over the decade. Guidelines recommend HIV testing with incident STIs. Prevalence and factors associated with HIV testing in acute STIs are unknown in adolescents. Our objective was to determine the prevalence of completed HIV testing among adolescents with incident STIs and identify patient and health care factors associated with HIV testing. METHODS: Retrospective study of STI episodes (gonorrhea, Chlamydia, trichomoniasis, or syphilis) of adolescents between 13 and 24 years old from July 2014 to December 2017 in 2 urban primary care clinics. We performed mixed effects logistic regression modeling to identify patient and health care factors associated with HIV testing within 90 days of STI diagnosis. RESULTS: The 1313 participants contributed 1816 acute STI episodes. Mean age at STI diagnosis was 17.2 years (SD = 1.7), 75% of episodes occurred in females, and 97% occurred in African Americans. Only half (55%) of acute STI episodes had a completed HIV test. In the adjusted model, female sex, previous STIs, uninsured status, and confidential sexual health encounters were associated with decreased odds of HIV testing. Patients enrolled in primary care at the clinics, compared with those receiving sexual health care alone, and those with multipathogen STI diagnoses were more likely to have HIV testing. CONCLUSIONS: HIV testing rates among adolescents with acute STIs are suboptimal. Patient and health care factors were found to be associated with receipt of testing and should be considered in clinical practice. Full Article
al The Infantile Hemangioma Referral Score: A Validated Tool for Physicians By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 OBJECTIVES: Infantile hemangiomas (IHs) are common; some cases require timely referral and treatment to prevent complications. We developed and validated a reliable instrument for timely and adequate referral of patients with IH to experts by nonexpert primary physicians. METHODS: In this multicenter, cross-sectional, observational study, we used a 3-stage process: (1) development of the Infantile Hemangioma Referral Score (IHReS) tool by IH experts who selected a representative set of 42 IH cases comprising images and a short clinical history, (2) definition of the gold standard for the 42 cases by a second independent committee of IH experts, and (3) IHReS validation by nonexpert primary physicians using the 42 gold standard cases. RESULTS: A total of 60 primary physicians from 7 different countries evaluated the 42 gold standard cases (without reference to the IHReS tool); 45 primary physicians evaluated these cases using the IHReS questionnaire, and 44 completed retesting using the instrument. IHReS had a sensitivity of 96.9% (95% confidence interval 96.1%–97.8%) and a specificity of 55.0% (95% confidence interval 51.0%–59.0%). The positive predictive value and negative predictive value were 40.5% and 98.3%, respectively. Validation by experts and primary physicians revealed substantial agreement for interrater reliability and intrarater repeatability. CONCLUSIONS: IHReS, a 2-part algorithm with a total of 12 questions, is an easy-to-use tool for primary physicians for the purpose of facilitating correct and timely referral of patients with IH. IHReS may help practitioners in their decision to refer patients to expert centers. Full Article
al Trends in Pediatricians Developmental Screening: 2002-2016 By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 BACKGROUND: Current guidelines from the American Academy of Pediatrics recommend screening children for developmental problems by using a standardized screening tool and referring at-risk patients to early intervention (EI) or subspecialists. Adoption of guidelines has been gradual, with research showing many children still not being screened and referred. METHODS: We analyzed American Academy of Pediatrics Periodic Survey data from 2002 (response rate = 58%; N = 562), 2009 (response rate = 57%; N = 532), and 2016 (response rate = 47%, N = 469). Surveys included items on pediatricians’ knowledge, attitudes, and practices regarding screening and referring children for developmental problems. We used descriptive statistics and a multivariable logistic regression model to examine trends in screening and referral practices and attitudes. RESULTS: Pediatricians’ reported use of developmental screening tools increased from 21% in 2002 to 63% in 2016 (P < .001). In 2016, on average pediatricians reported referring 59% of their at-risk patients to EI, up from 41% in 2002 (P < .001), and pediatricians in 2016 were more likely than in 2002 to report being "very likely" to refer a patient with global developmental delay, milestone loss, language delay, sensory impairment, motor delays, and family concern to EI. CONCLUSIONS: Pediatricians’ reported use of a standardized developmental screening tool has tripled from 2002 to 2016, and more pediatricians are self-reporting making referrals for children with concerns in developmental screening. To sustain this progress, additional efforts are needed to enhance referral systems, improve EI programs, and provide better tracking of child outcomes. Full Article
al Trends in Pediatric Malpractice Claims 1987-2015: Results From the Periodic Survey of Fellows By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 BACKGROUND: Pediatricians are less frequently sued than other physicians. When suits are successful, however, the average payout is higher. Little is known about changes in the risk of litigation over time. We sought to characterize malpractice lawsuit trends for pediatricians over time. METHODS: The Periodic Survey is a national random sample survey of American Academy of Pediatrics members. Seven surveys between 1987 and 2015 asked questions regarding malpractice (n = 5731). Bivariate and multivariable analyses examined trends and factors associated with risk and outcome of malpractice claims and lawsuits. Descriptive analyses examined potential change in indemnity amount over time. RESULTS: In 2015, 21% of pediatricians reported ever having been the subject of any claim or lawsuit, down from a peak of 33% in 1990. Report of successful outcomes in the most-recent suit trended upward between 1987 and 2015, greatest in 2015 at 58%. Median indemnity was unchanged, averaging $128 000 in 2018 dollars. In multivariate analysis, male sex, hospital-based subspecialty (neonatology, pediatric critical care, pediatric emergency medicine, and hospital medicine), longer career, and more work hours were associated with a greater risk of malpractice claim. CONCLUSIONS: From 1987 to 2015, the proportion of pediatricians sued has decreased and median indemnity has remained unchanged. Male pediatricians and hospital-based subspecialists were more likely to have been sued. Greater knowledge of the epidemiology of malpractice claims against pediatricians is valuable because it can impact practice arrangements, advise risk-management decisions, influence quality and safety projects, and provide data to guide advocacy for appropriate tort reform and future research. Full Article
al Continuous Albuterol With Benzalkonium in Children Hospitalized With Severe Asthma By pediatrics.aappublications.org Published On :: 2020-04-01T01:00:57-07:00 BACKGROUND AND OBJECTIVES: The albuterol dropper bottle used to prepare solutions for continuous nebulization contains the preservative benzalkonium chloride (BAC). BAC, by itself, has been shown to cause bronchospasm. We hypothesized that BAC would decrease the therapeutic efficacy of albuterol in patients with acute asthma exacerbations. METHODS: We performed a retrospective cohort study comparing the clinical outcomes of patients <18 years of age receiving continuous nebulized albuterol with and without BAC. For the primary end point (duration of continuous albuterol nebulization), we compared the 2 groups with Kaplan-Meier estimate of survival curves, conducted a log-rank test of difference, and adjusted for baseline characteristics using multivariable Cox regression. A P value <.05 was considered significant. RESULTS: A total of 477 patients were included in the analysis (236 exposed to BAC and 241 controls). The duration of continuous nebulization was significantly longer in the BAC group than in the control group (median of 9 vs 6 hours; 15.7% required continuous nebulization compared to 5.8% of controls at 24 hours). The control group was 79% more likely to stop continuous nebulization at any particular point in time (hazard ratio 1.79; 95% confidence interval: 1.45 to 2.22; P < .001) and 43% more likely to stop additional respiratory support (hazard ratio 1.43; 95% confidence interval: 1.16 to 1.75; P < .001). CONCLUSIONS: BAC is a functional albuterol antagonist associated with a longer duration of continuous albuterol nebulization treatment and additional respiratory support, suggesting that preservative-free albuterol formulations are safer for use in continuous nebulization. Full Article
al Home Chef Meal Delivery Service By www.pcmag.com Published On :: True to its name, Home Chef is the homiest of meal services we've tried. The recipes are simple and not too adventurous, but for some home chefs, that's a good thing. Full Article
al WRS Health By www.pcmag.com Published On :: WRS Health is an innovative and clinician-centered solution that improves charting accuracy, individualizes patient-care plans, and enhances reimbursements. This application is definitely a top contender in the electronic medical record (EMR) field. Full Article
al GoDaddy GoCentral Online Store By www.pcmag.com Published On :: Given that GoDaddy's GoCentral Online Store is an add-on service to its web hosting product, you'll find its features a little more limited than much of the competition. But if you're a GoDaddy customer, then it's a great way to start quickly. Full Article
al SteelSeries Rival 710 By www.pcmag.com Published On :: Like its predecessor the Rival 700, the SteelSeries Rival 710 is a solid, pricey gaming mouse, with unique features (such as an on-body screen) that are more fun and flashy than technically useful. Full Article
al Samsung Galaxy Note 10+ By www.pcmag.com Published On :: The Samsung Galaxy Note 10+ is a big, powerful phone that's good for artists and note-takers. Full Article
al Salesforce Pardot By www.pcmag.com Published On :: Although it's pricey, the intuitive Salesforce Pardot offers standout features, making it a leader among today's marketing automation platforms. Full Article
al Champions League Fantasy popular picks and potential differentials By www.uefa.com Published On :: Mon, 17 Feb 2020 14:00:00 GMT Ahead of Matchday 7, UEFA.com looks at some obvious selections and some lesser-owned options. Full Article general
al Valencia v Atalanta facts By www.uefa.com Published On :: Fri, 21 Feb 2020 21:00:00 GMT Valencia will need to must a remarkable home recovery to turn round their tie against Atalanta after a 4-1 first-leg defeat. Full Article comp_matches
al Fantasy Football Matchday 7 lessons: Goalkeepers By www.uefa.com Published On :: Fri, 28 Feb 2020 12:00:00 GMT UEFA.com delves into the numbers and finds clean sheets were at a premium in the first legs. Full Article general
al Fantasy Football Matchday 7 lessons: Defenders By www.uefa.com Published On :: Fri, 28 Feb 2020 14:46:00 GMT The start of the knockout rounds provided a reminder there is still plenty of value to be found at the defensive end of the field. Full Article general
al Manchester City v Real Madrid facts By www.uefa.com Published On :: Fri, 28 Feb 2020 15:00:00 GMT A first-leg comeback has put Manchester City in the driving seat as Real Madrid travel to north-west England facing a 2-1 deficit. Full Article comp_matches
al Fantasy Football Matchday 7 lessons: Midfielders By www.uefa.com Published On :: Fri, 28 Feb 2020 16:00:00 GMT Key differentials were once again to the fore in the round of 16 first legs, although Serge Gnabry took the headlines again. Full Article general
al Fantasy Football Matchday 7 lessons: Forwards By www.uefa.com Published On :: Fri, 28 Feb 2020 18:00:00 GMT Erling Braut Haaland and Robert Lewandowski continued to hit the net, although injury means the latter is likely to miss the second leg. Full Article general
al Saskia's Albanian journey By feedproxy.google.com Published On :: Fri, 07 Jun 2019 14:10:54 +0000 Saskia perseveres through language learning and connects with a young Albanian girl who becomes a follower of Jesus. Full Article
al Not your stereotypical missionary By feedproxy.google.com Published On :: Fri, 19 Jul 2019 15:58:38 +0000 From age 17, Ana Maria prayed to serve God in Switzerland. While she waited, she became a dance instructor with no idea dance would become her ministry. Full Article
al God called you, and God has a plan for you By feedproxy.google.com Published On :: Fri, 02 Aug 2019 14:27:10 +0000 An OM worker in Cambodia shares about how a new training she is attending is transforming the way she does ministry. Full Article
al Educational Technology Has Limitations By feedproxy.google.com Published On :: Wed, 30 Aug 2017 00:00:00 +0000 Deep and lasting learning can best come from the relationship between teachers and their students. Full Article Technology
al Digital Technology Is Gambling With Children's Minds By feedproxy.google.com Published On :: Tue, 13 Nov 2018 00:00:00 +0000 Writing, reading, focusing, and remembering have all been transformed in ways we don't yet fully understand, writes psychologist Elias Aboujaoude. Full Article Technology
al Could Artificial Intelligence Automate Student Note-Taking? By feedproxy.google.com Published On :: Tue, 26 Feb 2019 00:00:00 +0000 An AI-powered digital assistant to take notes for you? It’s already happening in the workplace, but classroom note taking could prove harder to automate. Full Article Technology
al Michelle Darnell named director of Smeal's new Tarriff Center By news.psu.edu Published On :: Mon, 27 Apr 2020 13:51 -0400 Michelle R. Darnell, associate clinical professor in management and director of honor and integrity at Smeal, has been appointed as the inaugural director of the Tarriff Center for Business Ethics and Social Responsibility. Full Article
al Penn State Smeal MBA student unites community with fitness By news.psu.edu Published On :: Tue, 28 Apr 2020 09:39 -0400 When Penn State students were faced with the unprecedented challenge of remote learning for the remainder of the spring semester in response to COVID-19, Orlando Acevedo saw an opportunity to connect his community by organizing a 9-week fitness challenge. Full Article
al Penn State Smeal names spring 2020 Senior Award honorees By news.psu.edu Published On :: Wed, 29 Apr 2020 18:44 -0400 The Penn State Smeal College of Business has announced the recipients of its spring 2020 Senior Awards. Full Article
al Penn State Smeal panel explores pandemic's effects on sustainability, business By news.psu.edu Published On :: Fri, 01 May 2020 13:15 -0400 The Penn State Smeal College of Business Center for the Business of Sustainability recently hosted the first in a series of virtual fireside discussions titled “The Impact of Coronavirus on Sustainability and Social Impact,” to explore how recent momentum in sustainability efforts has been altered. Full Article
al Smeal supply chain student marshal points to professor as guiding force By news.psu.edu Published On :: Fri, 01 May 2020 16:17 -0400 Rachel Hooker, who will graduate May 9 with a 3.99 GPA in supply chain and information systems, has been selected as the Smeal College of Business’ spring 2020 supply chain and information systems student marshal. Full Article
al Leadership comes naturally to Penn State Smeal spring 2020 student marshal By news.psu.edu Published On :: Wed, 06 May 2020 11:38 -0400 Jake Griggs, who will graduate Saturday with a 3.95 GPA with dual majors in management and political science, has been named Smeal’s spring 2020 management and organization student marshal. Full Article
al Penn State Health selects president for its new Hampden Medical Center By news.psu.edu Published On :: Thu, 09 Apr 2020 14:51 -0400 Penn State Health has appointed Don McKenna as president of Penn State Health Hampden Medical Center. Full Article
al Hershey Medical Center joins clinical trial evaluating antiviral drug remdesivir By news.psu.edu Published On :: Thu, 16 Apr 2020 08:00 -0400 Penn State Health Milton S. Hershey Medical Center has begun enrolling participants in an international clinical trial evaluating an investigational antiviral drug, remdesivir, for treatment of coronavirus disease 2019 (COVID-19). Full Article
al Penn State Health hospitals use recovered patients' plasma as COVID-19 treatment By news.psu.edu Published On :: Fri, 17 Apr 2020 07:40 -0400 Penn State Health has enrolled its first COVID-19 patient into an experimental treatment program called convalescent plasma therapy. Full Article
al Penn State researchers collaborate to distribute COVID-19 survey globally By news.psu.edu Published On :: Fri, 17 Apr 2020 13:25 -0400 To assess public perceptions about COVID-19 and identify populations whose behaviors put them at risk of infection, researchers at Penn State have released an online survey for the general public. Full Article
al Penn State Health resumes construction to convert space to outpatient care By news.psu.edu Published On :: Mon, 20 Apr 2020 14:50 -0400 Penn State Health today resumed construction of Penn State Health Cocoa Outpatient Center, an expansion of medical services at the former CocoaPlex Center location. Full Article
al Practical Nursing Program moves clinicals to virtual simulations By news.psu.edu Published On :: Tue, 21 Apr 2020 09:42 -0400 Lehigh Valley's Practical Nursing Program has moved to the Shadow Health Digital Clinical Experience so students can continue clinical rotations through virtual simulations. Full Article
al Local Penn Staters participate in the fight against COVID-19 By news.psu.edu Published On :: Tue, 21 Apr 2020 15:16 -0400 Two alumni and one community partner contribute clinical medicine and research experience during the pandemic Full Article
al Lehigh Valley hosts virtual Transfer Thursday events By news.psu.edu Published On :: Tue, 21 Apr 2020 15:30 -0400 Prospective transfer students can explore the Lehigh Valley Campus virtually during the Transfer Thursday events Full Article
al Lehigh Valley LaunchBox grant recipients help COVID-19 relief efforts By news.psu.edu Published On :: Tue, 28 Apr 2020 10:00 -0400 Using their unique skills and experiences, three LaunchBox grant recipients are providing a variety of COVID-19 relief efforts. Full Article
al Faculty member earns doctorate, selected as Fulbright specialist By news.psu.edu Published On :: Tue, 28 Apr 2020 14:59 -0400 Beth E. Michalec, lecturer of corporate communication at Penn State Lehigh Valley, earned a doctorate in rhetoric from Duquesne University. Michalec was selected as a Fulbright specialist in June 2019 by the U.S. Department of State. Full Article
al Penn State Lehigh Valley announces 2020 student life and athletics award winners By news.psu.edu Published On :: Tue, 05 May 2020 11:48 -0400 Students celebrated for athletic and student life achievements during the Finally Finished Fest Full Article
al PSU-LV faculty member accepted into Fulbright Specialist Program By news.psu.edu Published On :: Tue, 05 May 2020 13:04 -0400 Although complications caused by the coronavirus pandemic have temporarily halted the Fulbright Specialist Program, Nichola D. Gutgold looks forward to officially joining the Roster after the U.S. Department of State determines that projects can resume. Full Article
al Fin24.com | REVEALED: Africa's wealthiest and poorest people By www.fin24.com Published On :: Sun, 16 Jul 2017 17:21:48 +0200 Mauritians are Africa's wealthiest individuals, while Zimbabweans count as the poorest, according to the latest Africa Wealth Report. Full Article
al Fin24.com | SA inequality grows as rich take larger share - report By www.fin24.com Published On :: Fri, 15 Dec 2017 06:42:04 +0200 New research has found that inequality in SA has increased, with wealth becoming ever more concentrated among the rich. Full Article
al Fin24.com | Credit card fraud spikes at 'alarming' rate in just 3 months – Banking Services Ombud By www.fin24.com Published On :: Tue, 09 Apr 2019 15:03:29 +0200 Credit card fraud increased to 19.47% as at the end of March 2019, compared to 12.2% reported at the beginning of January 2019. Full Article
al Fin24.com | Stokvel members urged to be vigilant over festive season as criminals ready to strike By www.fin24.com Published On :: Thu, 14 Nov 2019 20:12:26 +0200 Sabric, a financial crime information centre, shares its tips on staying safe over the festive season. Full Article
al Fin24.com | 'I told myself it's not my money, yet': This woman saved R23 400 in small change in a year By www.fin24.com Published On :: Sat, 04 Jan 2020 08:45:37 +0200 Student Sandisiwe Msomi saved R23 400 in small change over a year, which she will now use to pay for the registration fees of her second academic year. Full Article
al Deals: Lenovo Flex 14, Dell Gaming Monitor, New Nintendo Switch By www.pcmag.com Published On :: Today you can save $120 on the Lenovo Flex 14 2-in-1 laptop. Also, the 24-inch Dell S2419HGF 1080p monitor dropped is now just $149.99. Finally, the new Nintendo Switch, featuring improved battery life, is now available. Full Article
al Fitbit Charge 3 Fitness Tracker on Sale for Less Than $120 By www.pcmag.com Published On :: Save $30 on this Editors' Choice fitness tracker, which is safe to wear in the pool and shower. It's normally $149.95, but you can grab it now for just $119.95 with free shipping. Full Article
al 24 Hours With the Apollo Mood-Altering Wearable By www.pcmag.com Published On :: Developed by physicians and neuroscientists, Apollo isn't the sleekiest of wearables—you might mistake it for a court-ordered ankle bracelet—but it put a little pep in my step, and is an interesting talking point, if nothing else. Full Article