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The first pediatricians in Serbia
Pe?i? Vladimir,Pavlovi? Budimir,Jovanovi?-Simi? Jelena
Srpski Arhiv za Celokupno Lekarstvo , 2005, DOI: 10.2298/sarh0502101p
Abstract: Dr. Platon Papakostopulos (1864-1915), Dr. Milenko Materni (1875-1929), Dr. Milan Petrovi (1886-1963), Dr. Nade da Stanojevi (1887-1979) and Dr. ura Jovanovi (1892-1977) were founders of modern pediatrics in Serbia. They established and managed the first pediatric institutions: Hospital pediatric departments, Mother and Child Health Care Consultations and Child welfare clinics in Belgrade and Novi Sad. They also established Pediatric Section of the Serbian Medical Association and published numerous scientific and popular articles in pediatrics.
Knowledge and practice of spirometry among pediatricians in Riyadh, Kingdom of Saudi Arabia
Al-Saadi Muslim
Annals of Thoracic Medicine , 2008,
Abstract: Background: Spirometry is the most basic, widely used and effort-dependent pulmonary function test. It assesses the lung volumes and flows, and is ideally suited to describe the effects of restriction or obstruction on lung function. Therefore, keeping in view the clinical applications of spirometry, this study attempts to explore the knowledge and practice about spirometry among pediatricians. Materials and Methods: A questionnaire-based study was conducted across multiple centers in various hospitals in Riyadh, Saudi Arabia. The structured questionnaire, based upon knowledge and practice of spirometry, was distributed to 150 pediatricians in the various tertiary care hospitals in the metropolitan area of Riyadh. Results: Ninety-four percent of 113 pediatricians agreed that spirometry is a valuable tool in pediatric clinical practice. However, knowledge relating to spirometry was lacking among pediatricians, and about 86% of the study population did not demonstrate up-to-date knowledge of spirometry in pediatrics. Only 11% of pediatricians were very confident in interpreting spirometry results. No statistically significant association was observed between the distribution of responses relating to knowledge and practice of spirometry and the study variables including academic position, duration of practicing experience and number of patients attended daily. Conclusion: The results indicated that pediatricians in Riyadh were lacking adequate knowledge about the clinical applications of spirometry in their daily clinical practice. Hence, it was suggested that pediatricians should attend periodical training, workshops and continuous medical education programmes to enhance their knowledge. This should especially be performed during their pediatric residency training programmes, as spirometry is one of the essential components in clinical practice.
The knowledge, attitude and practice in prevention of dental caries amongst pediatricians in Bangalore: A cross-sectional study
Murthy G,Mohandas U
Journal of the Indian Society of Pedodontics and Preventive Dentistry , 2010,
Abstract: Dental caries comprise the single most chronic disease affecting children today. Evidence increasingly suggests that for successful prevention of dental caries, preventive interactions must begin within the first year of life. Pediatricians are responsible for the primary care of the child and are well positioned to begin this process if they recognize and encourage good preventive habits and refer appropriately. Insufficient information about their role in prevention of dental caries led us to conduct a survey among pediatricians in Bangalore urban to determine their knowledge, attitude and practice in prevention of dental caries.
Vaccination practices among physicians and their children  [PDF]
Michael Martin, Vahe Badalyan
Open Journal of Pediatrics (OJPed) , 2012, DOI: 10.4236/ojped.2012.23036
Abstract: The purpose of this study was to identify vaccination patterns of both general pediatricians and subspecialists with regards to their own children and projected progeny. A 14 question survey was sent randomly to 1000 members of the Academy of Pediatrics in 2009. Two categories of questions included 1) how physicians with children vaccinated them in the past, and 2) how all respondents would vaccinate a child in 2009. A comparison was made between the answers of general and specialty pediatricians. 582 valid questionnaires were received (58.2% response rate) of which 431 were general pediatricians and 151 subspecialists. No statistical difference was found between general and specialty pediatricians on how they vaccinated their children up until 2009 (95% vs 93%). When asked about vaccinating a future child, a significant proportion of respondents would deviate from CDC guidelines, specialists more than general pediatricians (21% vs 9%). Generalists were more likely to give a future child Hepatitis A (OR: 3.6; 95% CI 1.3 - 10.4), Rotavirus (OR: 2.2; 95% CI 1.1 - 4.4), Meningococcal (OR: 9.9; 95% CI 3.3-29.9), and influenza (OR: 5.4; 95% CI 1.1 - 26.7) vaccines. Specialists were more likely to postpone MMR vaccinetion (OR: 4.4 95% CI 2.3 - 8.6). Safety was listed by both groups as the most common reason for altering the recommended immunization schedule. Until 2009, general pediatricians and pediatric specialists have largely adhered to ACIP recommendations, but due to vaccine safety and other concerns, both groups, albeit a higher percentage of specialists, reported greater numbers willing to diverge from these recommendations.
Síndrome de desgaste profesional en médicos pediatras: Análisis bivariado y multivariado
Pistelli,Yanina; Perochena,Jorge; Moscoloni,Nora; Tarrés,María Cristina;
Archivos argentinos de pediatr?-a , 2011,
Abstract: background. as burnout syndrome has been barely analyzed in pediatricians, it was considered relevant to explore labor satisfaction and tiredness in these professionals and to evaluate possible associated factors. population and methods. the maslach burnout inventory questionnaire was voluntarily and anonymously applied to pediatricians. personal and professional variables were included. bivariate and multivariate statistical techniques were employed for analyzing registered data. results. answer rate reached 89%. mean values related with emotional exhaustion, depersonalization and personal achievement were 30.60 ± 10.98, 0.51 ± 5.95 and 35.76 ± 7.32, respectively. it was established that as time of pediatric performance went on, personal achievement increased and depersonalization diminished. depersonalization also decreased in physicians carrying out managerial jobs. the clusters obtained through multivariate analysis showed a higher to lower severity ordination, going from pediatricians with lower personal achievement and higher values of depersonalization and emotional exhaustion (classes 1 and 2) to pediatricians with lower emotional exhaustion, medium depersonalization and higher personal achievement (classes 4 and 5). conclusions. the polled pediatricians evidenced higher values of emotional exhaustion and depersonalization and a medium personal achievement. this dimension became higher as they revealed more years of professional performance. depersonalization was lower in physicians carrying out managerial jobs. multivariate analysis was useful to group individuals in accordance with their affinities on the studied variables.
La Pediatría en Atención Primaria en Madrid
Sánchez Pina,C.; Hernando Helguero,P.; Lorente Mi?arro,M.; Hernández Delgado,M.J.; Carrasco Sanz,A.; Geijo Rincón,M.J.; Rodríguez Delgado,J.; Rodríguez-Moldes Vázquez,B.;
Pediatría Atención Primaria , 2010, DOI: 10.4321/S1139-76322010000500006
Abstract: primary care pediatrics in madrid has had a complicated time lately. the current situation of isolation and scarcity of pediatricians in primary care teams makes us all vulnerable to managers. the creation of the new "mixed" contracts to cover the current necessities of guards in hospitals as well as vacancies in primary care centers have supposed a threat to the presence of pediatricians at the first level of child care. the hiring of pediatricians in primary care has been blocked by the madrid′s political administration for 10 months to encourage the growth of these new contracts. the board of the primary care pediatrics association of madrid (ampap) with the help of other pediatrics professional societies and citizens, has collected over 24 000 signatures for the manifesto in defense of the general pediatrician and after the parliamentary debate in the assembly of madrid we have achieved to unblock the hiring of pediatricians for the health centers.
Physicians Awareness on Primary Immunodeficiency Disorders in Iran
Keramat Nourijelyani,Asghar Aghamohammadi,Mohammad Salehi Sadaghiani,Nasrin Behniafard
Iranian Journal Of Allergy, Asthma and Immunology , 2012,
Abstract: Primary immunodeficiency diseases (PIDs) consist of a group of genetic disorders that predispose the patients to immune-mediated complications. The aim of this study was to assess the knowledge of Iranian general practitioners and pediatricians about PIDs.A questionnaire consisting 52 closed questions on clinical symptoms, laboratory data, associated syndromes and management of PIDs patients was made valid and reliable by a pair pilot study. Then the questionnaire was filled by pediatricians, general practitioners and pediatric residents from different regions of Iran. Totally, 333 physicians (50 general practitioners, 52 pediatric residents, 182 pediatric specialists, and 49 pediatric sub specialists) participated in this study. The mean total score was 55.9±14.3 (i.e. about 29 correct answers out of 52 questions). One hundred and five participants (31.9%) answered correctly more than two third of all questions. In order to qualitatively compare the groups a ranking system was used. Total scores was significantly different between physicians groups (p<0.01). Pediatric subspecialties gained the highest rank, which was significantly over the other participants (p<0.05). This study showed that there is a considerable lack of awareness on PIDs in physicians. This may be one of the major reasons in late diagnosis and the delay in adequate treatment deteriorating patients morbidity and mortality. Retraining classes and reconsidered educating schedules are needed as an efficient strategies and improving physicians knowledge about PIDs.
A Survey of Pediatricians’ Knowledge on Asthma Management in Children
Mohammad Gharagozlou,Hengameh Abdollahpour,Zahra Moinfar,Mohammad Hassan Bemanian
Iranian Journal Of Allergy, Asthma and Immunology , 2008,
Abstract: Asthma is one of the most common acute and chronic conditions in children, and the pediatricians are expected to provide an important role for asthma care in this age group, however there is no published information describing the different aspects of their practices about children asthma in Iran. This study was done to characterize the knowledge of the Iranian pediatricians about the diagnosis, treatment and education of asthma in children. Validated questionnaires were completed by 193 pediatricians from different parts of Iran during the International Congress of Pediatrics in Tehran. A total of 193 returned questionnaires (96.5%) were eligible for the survey and analysis. About 49% of the respondents were male and 18% were sub-specialists. Wheezing was the most common mentioned symptoms in taking asthma into consideration. About 40% of these physicians had no plan for doing spirometry in eligible children and 35.2% of them did not have familiarity with peak flowmeter. Also about 17.6% of them paid no regular visits to their asthmatic patients. Only 29% of the respondents indicated that they would prescribe inhaled corticosteroids for a 6-year-old child with moderate persistent asthma and 73.3% of them would prescribe inhaled bronchodilator (Salbutamol) for an acute asthmatic attack as the first drug, while 17.1% of them used epinephrine injection for this purpose. About 42.2% of the respondents did not consider any education or action plan for their patients and only 60.6% of them had access to standard guidelines and educational programs. The results show that there are numerous aspects of children asthma management in Iran which are not consistent with standardized guidelines and recommendations. This survey and the attained information suggest areas for interventions to improve the pediatricians' knowledge about asthma and the disease management.
Breastfeeding Recommendations. Pediatricians Mexicans Survey  [PDF]
H. Reyes-Vázquez, C. Lopez-Enriquez, F. Bribiesca-Godoy, A. Espinosa-Aguilera, B. M. Morfin-Maciel, N. E. Martínez-Aguilar
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1102816
Objective: To know recommendations on breastfeeding by Mexican pedia-tricians. Methods: Cross-sectional, descriptive study conducted through a survey of Mexican pediatricians. Results: Two hundred and fifty-four pedi-atricians (range 27 to 72 years) were surveyed. Most of them worked in public hospital or private practice or both. Among them 94.5% recom-mended newborn early contact with mother and 54.3% rooming. Exclusive breastfeeding was suggested by 89.8%, out of them 51.9% for 6 months. Breastfeeding on demand was counseled by 88.2% and 84.6% without fixed schedules. Pacifier use was rejected by 86.6%. 51.2% used iron supplements and 59.5% used other vitamins. Stopping breastfeeding in special situations was suggested by 87.4%; of them, 86.6% in case of infection with AIDS; 74.4% if the mother used drugs; 74.4% by infection with hepatitis B virus; 49.6% in case of mastitis; 17.3% in newborns with jaundice; and 18.5% in other situations. Finally, 93.3% of pediatricians surveyed reported interest in breastfeeding; 54.7% obtained information in medical journals; 54.7% through medical courses, and 31.9% in books. 58.3% of respondents oriented on breastfeeding according to WHO recommendations; 31.5% did so regularly and 10.2% did not. Conclusions: Pediatricians play a major role in breastfeeding promotion, but their formation is scarce and they are not prepared to counsel patients. Governments of developing countries should promote breastfeeding to ensure the health and proper development of infants.
Satisfacción laboral en pediatras del conurbano bonaerense, Región Sur
Revista chilena de pediatría , 2007, DOI: 10.4067/S0370-41062007000500006
Abstract: objective: to determine the prevalence of job satisfaction in a sample of pediatricians. method: 123 pediatricians, 89 women (72,4%), working in pediatrics units of general hospitals. the study was cross-sectional and non-randomized. job satisfaction was evaluated by a scale of 8 items obtained from the "job satisfaction questionnaire s20/23"1. results: 13%) of cases manifested to be "dissatisfied" or "very dissatisfied" in the results of the scale. more than 50%> of the participants manifested to be "very dissatisfied" or "dissatisfied" with the salary (89,4%), hygiene of the working place (57,7%), formation (56,9%o) and promotion possibilities (59,3%). significant differences were not obtained according to gender. conclusions: labor conditions for pediatricians need to change by means of public investments, in order to improve the quality of service offered to society
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