Consistent but not the same: effect of method on chronic condition rates

Article Abstract:

The percentage of children and youths judged to have a chronic health condition appears to vary according to whether doctors or parents are the source of the data. Researchers analyzed data from a survey of children aged 6 to 11 years and a subsequent survey of youths aged 12 to 17. Almost one-third of the children appeared in both surveys, which allowed tracking over time. In the earlier survey, parents identified 12% of children as having a chronic condition whereas a screening physical identified 16%. Among youths, parents reported 11% as having a chronic condition versus 22% based on physical exam. For children appearing in both surveys, differing percentages of children were reported as well or ill in both time periods or as moving from one category to the other depending on whether the information source was parental report or a physical. This discrepancy has important implications for analyzing and comparing research and for determining health care policies.

Demographic aspects, Chronically ill children

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A recipe for clinical research

Article Abstract:

There are several important factors that produce successful clinical pediatric researchers in the changing environment of today's medical field. Clinical researchers see patients as well as conduct research. Researchers should view this changing environment as an opportunity rather than as an obstacle. Beginning clinical researchers should choose a research project that is meaningful to them and word their research goals carefully. They should be open to thoughtful criticism but be prepared to defend their positions. Emotional, financial and practical support will be important throughout the research project. The interactive role that clinical pediatric researchers have created since the development of the Ambulatory Pediatric Association should continue. Creative pediatric researchers will find ways to finance and pursue important research projects despite the changes taking place in the medical field.

Research, Methods, Clinical medicine, Medical research, Pediatricians

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Prevalence of clinical sinusitis in young children followed up by primary care physicians

Article Abstract:

Sinusitis may be diagnosed accurately from a few factors and successfully treated with antibiotics. If the criteria are not followed, false diagnoses and unnecessary prescribing can happen. Of 1,307 children, 121 or 9.3% fulfilled the criteria for symptoms of sinusitis. Most of these had come to the doctor for cough or cold. Symptoms of 'persistent' sinusitis include nasal congestion or drainage for more than 9 days without improvement. Symptoms of 'acute' sinusitis include are a discharge of pus from the nose, fever, headache or facial pain.

Diagnosis, Sinusitis

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