Viking A Hedberg

Learn More
The syndrome of thrombocytopenia with absent radii (TAR) is a rare congenital syndrome in which the characteristic hematological findings are hypomegakaryocytic thrombocytopenia, periodic leukemoid reactions, and eosinophilia. The thrombocytopenia usually presents at birth or during the neonatal period and may be profound, accounting for significant(More)
The US Preventive Services Task Force (USPSTF) has recommended depression screening for adults. Screening mothers has special importance to pediatricians because of the impact of maternal depression on children. The two screening questions endorsed by the USPSTF may allow pediatricians to screen mothers during routine well child care. This study explores(More)
OBJECTIVE To evaluate implementation of the Guidelines for Adolescent Preventive Services (GAPS) in Community and Migrant Health Centers (CMHCs). DESIGN Before and after comparison of health center policy, clinician and adolescent self-report, and chart reviews in 5 CMHCs. PARTICIPANTS Eighty-one preintervention and 80 one-year postintervention(More)
OBJECTIVE To demonstrate the feasibility of directly surveying adolescents about the content of preventive health services they have received and to assess the validity of adolescent self-reported recall. DATA SOURCES/SETTING Audiotaped encounters, telephone interviews, and chart reviews with 14-21 year olds being seen for preventive care visits at 15(More)
OBJECTIVES To describe the health issues reported using a personal digital assistant (PDA) to conduct screening at adolescent well visits, and to determine the effect of a PDA screening tool on the content and quality of the clinical interaction. DESIGN The PDA screening tool was used to record adolescent health risk behaviors, and cross-sectional exit(More)
Most morbidity and mortality among adolescents results from their participation in health-compromising behaviors. Recent guidelines for clinical adolescent preventive services recommend that primary care clinicians routinely screen for and counsel adolescents about these behaviors, identify and address related social, psychological, and biologic factors.(More)
OBJECTIVE To evaluate a low-cost strategy for providing preventive health services to adolescents using computerized health assessments with individualized educational videos, trained health counselors, and nurses. DESIGN Feasibility study, cost analysis, and comparative evaluation of health problems identified, guidance delivered, and patient(More)
OBJECTIVES To (1) compare preventive health visits by poor and nonpoor adolescents, (2) describe adolescent users of community health centers (CHCs), (3) investigate adolescent preventive visits to CHCs, and (4) determine factors independently associated with timely preventive visits. DESIGN Analysis of the nationally representative sample of 6635(More)
The authors discuss the evidence supporting the effectiveness of adolescent preventive services to influence health outcomes, the magnitude of the long-term consequences of adolescent health-compromising behaviors, and their implications for health policies. Particular attention is given to the contribution that behaviors participated in or begun during(More)
Ardis L. Olson, MD;1 Cecelia A. Gaffney, MEd;1 Viking A. Hedberg, MD, MPH;2 Wendy Gladstone, MD;3 Sam Dugan, MD;4 Robert Mathes, MD;5 Paul Reiss, MD6 1Dartmouth Medical School, Hanover, NH 2Plymouth Pediatrics, Dartmouth-Hitchcock Clinic, Plymouth, NH 3Exeter Pediatric Associates, Exteter, NH 4Bedford Pediatrics, Dartmouth-Hitchcock Clinic, Bedford, NH(More)