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OBJECTIVE To determine increases in immunization up-to-date (UTD) rates at a rural pediatric practice with the sequential addition of records from other sites in a 2-county region. DESIGN/METHODS UTD rates for children aged 3 months to 35 months (n = 876) were determined for the index practice and then recalculated after sequential addition of records(More)
OBJECTIVE To assess adequacy of reimbursement for childhood vaccinations in two rural regions in Colorado, the authors measured medical practice costs of providing childhood vaccinations and compared them with reimbursement. METHODS A "time-motion" method was used to measure labor costs of providing vaccinations in 13 private and public practices.(More)
BACKGROUND Little is known about the impact of video capsule endoscopy (VCE) on decision making in pediatric patients with IBD. Moreover, few studies have reported on the outcomes of treatment changes made based on VCE findings. Our aim was to identify the added value of VCE in pediatric patients in a tertiary IBD center with established or suspected IBD,(More)
Long-term IS in transplant patients has significant morbidity, poorer quality of life, and substantial economic costs. TOL, defined as graft acceptance without functional impairment in the absence of IS, has been achieved in some pediatric LT recipients. Using mass cytometry, peripheral blood immunotyping was performed to characterize differences between(More)
Two brothers aged 17 and 19 had been followed in our Pediatric Gastroenterology clinic for over 14 years for complaints of intractable diarrhea of uncertain etiology. Both brothers had 5–6 watery stools per day without emesis, abdominal pain, melena, or hematochezia. They experienced no nocturnal bowel movements and reported some improvement in stool output(More)
BACKGROUND Adult studies have demonstrated that increased resting blood pressure (BP) levels correlate with decreased pain sensitivity. However, few studies have examined the relationship between BP and experimental pain sensitivity among children. OBJECTIVES This study investigated the association between resting BP levels and experimental pain(More)
OBJECTIVE To determine the impact of the Text Message Educational Automated Compliance Help (TEACH) text message intervention as a pragmatic approach for patient engagement among adolescents with celiac disease (CD) as measured by gluten-free diet (GFD) adherence, patient activation, and quality of life (QOL). STUDY DESIGN Randomized controlled trial with(More)
Inflammatory bowel disease (IBD) is a lifelong condition with waxing and waning disease course that requires reassessment of disease status as well as screening for complications throughout a patient's lifetime. Laboratory testing, endoscopic assessment, and fecal biomarkers are often used in the initial diagnosis and ongoing monitoring of a patient with(More)
A 10-year-old girl with biliary atresia who underwent orthotopic liver transplant July 2012 was initially evaluated by our institution 1 year after transplant with 2 weeks of daily fevers up to 104 C. She had associated fatigue, abdominal pain, and anorexia, but denied emesis, changes in bowel movements, dysuria, cough, rash, or rhinorrhea. She was fully(More)
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