Diabetes and the gastrointestinal tract in the pediatric patient.

The child who has diabetes is at increased risk for gastrointestinal disorders. In addition to the typical stigmata of increased weight and round, robust-appearing faces with chemical abnormalities of hypoglycemia, hypocalemia, and hyper-bilirubinemia, the infant of a diabetic mother may have a microcolon which require

New Developments: Gastroenterology

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/30860/1/0000523.pd

Coordination between child welfare agencies and mental health service providers, children's service use, and outcomes

Interorganizational relationships (IORs) between child welfare agencies and mental health service providers may facilitate mental health treatment access for vulnerable children. This study investigates whether IORs are associated with greater use of mental health services and improvement in mental health status for children served by the child welfare system

“Someone’s got to do it” – Primary care providers (PCPs) describe caring for rural women with mental health problems

Objective: Little is known about how primary care providers (PCPs) approach mental health care for low-income rural women. We developed a qualitative research study to explore the attitudes and practices of PCPs regarding the care of mood and anxiety disorders in rural women. Method: We conducted semi-structured interviews with 19 family physicians, internists, and obstetrician-gynecologists (OBGYNs) in office-based practices in rural central Pennsylvania. Using thematic analysis, investigators developed a coding scheme. Questions focused on 1) screening and diagnosis of mental health conditions, 2) barriers to treatment among rural women, 3) management of mental illnesses in rural women, and 4) ideas to improve care for this population. Results: PCP responses reflected these themes: 1) PCPs identify mental illnesses through several mechanisms including routine screening, indicator-based assessment, and self-identification by the patient; 2) Rural culture and social ecology are significant barriers to women in need of mental healthcare; 3) Mental healthcare resource limitations in rural communities lead PCPs to seek creative solutions to care for rural women with mental illnesses; 4) To improve mental healthcare in rural communities, both social norms and resource limitations must be addressed. Conclusion: Our findings can inform future interventions to improve women\u27s mental healthcare in rural communities. Ideas include promoting generalist education in mental healthcare, and expanding access to consultative networks. In addition, community programs to reduce the stigma of mental illnesses in rural communities may promote healthcare seeking and receptiveness to treatment

Health service access across racial/ethnic groups of children in the child welfare system

This study examined health service access among children of different racial/ethnic groups in the child welfare system in an attempt to identify and explain disparities

Racial Differences in Parental Reports of Attention-Deficit/Hyperactivity Disorder Behaviors

Accurate assessment of racial disparities in attention-deficit/hyperactivity disorder (ADHD) depends on measurement that is equally valid for all groups. This study examines differences among African American and white children in ADHD measurement with a widely used parental report instrument, the Diagnostic Interview Schedule for Children (DISC)

Pseudoascites: Unusual presentation of omental cyst

An unusual case of omental cyst is described. The child initially presented with a unilocular intraperitoneal fluid collection on CT. After paracentesis, CT showed freely layering peritoneal fluid, with eventual complete resolution of fluid. CT eight months later demonstrated re-appearance of a multiseptated cystic mass. At surgery, an omental cyst was found.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46693/1/247_2005_Article_BF02011393.pd