A team approach to delivery of EPSDT services in the Pittsburgh, Pennsylvania, Schools.
Explore the source record for details and available documents.
Child↗
Biomedical subjects
D G Nativio
Publications and source records attributed to D G Nativio.
Authorship. International Academy of Nursing Editors.
There are no binding or universally accepted rules to answer the questions who is an author and in collaborative works, how should the order of authorship be decided? What follows is a response to those questions in the form of a position paper which was endorsed by editors attending the 1993 InANE conference in Edmonton, Alberta, Canada.
Authorship↗
Prevalence of bacterial respiratory pathogens in the nasopharynx in breast-fed versus formula-fed infants.
In several studies, breast-feeding has been associated with decreased frequency or duration of otitis media episodes. If a causal relationship exists, the mechanism of protection of breast-feeding has not been established. We hypothesized that infants who are breast-fed, compared with infants who are formula-fed, have a lower prevalence of nasopharyngeal colonization with the bacterial respiratory pathogens (Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pyogenes) commonly isolated from the middle ear effusions of children with acute otitis media. In two private pediatric practices, we obtained specimens from the nasopharynx for culture from 211 infants at 1 month of age and from 173 of these infants at 2 months of age. A swab was left in place in the nasopharynx for 45 s and was then immediately transferred onto appropriate culture media. Exclusively breast-fed (n = 84) and exclusively formula-fed (n = 76) infants were similar regarding the number of persons in the household, the number of children in the household, the number of siblings in day care, and the proportion with a recent upper respiratory tract infection. The two groups did not differ significantly in the proportions found to have one or more respiratory pathogens at 1 month of age (10.7 versus 18.4%; P = 0.12) or 2 months of age (34.8 versus 35.1%; P = 0.57). We conclude that during the first 2 months after birth, the exclusive receipt of breast milk appears not to substantially influence the prevalence of nasopharyngeal colonization with common bacterial respiratory pathogens.
Age Factors↗
Content and process in clinical decision-making by nurse practitioners.
Clinical decision-making is the process nurses use to gather information, evaluate it and make a judgment that results in the provision of patient care. This research sought to increase our understanding of clinical decision making by nurse practitioners. The sample consisted of 27 nurse practitioners; 6 OB/GYN nurse practitioners, 11 experienced family nurse practitioners and 10 inexperienced family nurse practitioners. All subjects cared for the same patient who was presented via computer and interactive video. Findings indicated that nurse practitioners use a process of clinical decision-making in which diagnostic hypotheses drive data acquisition. The OB/GYN nurse practitioners were more likely to develop lists of diagnostic hypotheses which reflected the patient's chief complaint, while both experienced and inexperienced family nurse practitioners were more likely to acquire subjective and objective data that did not appear to be hypothesis driven.
Computer Simulation↗
Overview of credentialing: focus on professional certification for pediatric/maternal-child health nurses.
Explore the source record for details and available documents.
Certification↗
Henoch-Schönlein purpura in childhood.
Explore the source record for details and available documents.
Child↗
More on classic manuscripts.
Explore the source record for details and available documents.
Clinical Trials as Topic↗
Childhood neurofibromatosis.
Neurofibromatosis is a multifaceted progressive genetic disorder with no known cure. Although early identification is desirable, it is seldom possible since signs and symptoms may take years to manifest sufficiently to confirm a diagnosis. Careful monitoring by a consistent health care provider improves the chances of patient and family receiving appropriate information and care.
Child↗