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  1. Book ; Online ; E-Book: Succinct pediatrics

    Feld, Leonard G. / Mahan, John D.

    evaluation and management for common and critical care

    2015  

    Author's details Leonard G. Feld, John D. Mahan
    Language English
    Size 1 Online-Ressource (xxxv, 812 Seiten)
    Publisher American Academy of Pediatrics
    Publishing place Elk Grove Village, Chicago
    Publishing country United States
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT018958941
    ISBN 978-1-58110-955-9 ; 978-1-58110-968-9 ; 1-58110-955-5 ; 1-58110-968-7
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Pediatric CKD-MBD: existing and emerging treatment approaches.

    Ayoob, Rose M / Mahan, John D

    Pediatric nephrology (Berlin, Germany)

    2022  Volume 37, Issue 11, Page(s) 2599–2614

    Abstract: ... recommendations center on establishing adequate vitamin D status, phosphate control through diet restriction and ... phosphate binders, and the use of vitamin D analogs for specific indications. Several emerging bone ...

    Abstract The effects of bone and mineral metabolism on skeletal formation, as well as vascular and soft tissue calcifications, define chronic kidney disease-metabolic bone disease (CKD-MBD). Treatment recommendations center on establishing adequate vitamin D status, phosphate control through diet restriction and phosphate binders, and the use of vitamin D analogs for specific indications. Several emerging bone-promoting therapies have now been studied in adults with CKD, including bisphosphonates and denosumab. These approaches are associated with improved bone mass and, in some cases, decreased fracture rates in adults with CKD-MBD and are of potential interest for some children with CKD-MBD. In children with CKD and immobilization and/or muscle weakness, bisphosphonates appear to be an effective treatment to increase bone mass; baseline assessment and careful monitoring of bone density and/or bone biopsy findings are important in consideration of any new bone therapies for children with CKD-MBD.
    MeSH term(s) Bone Diseases, Metabolic/drug therapy ; Bone Diseases, Metabolic/etiology ; Child ; Chronic Kidney Disease-Mineral and Bone Disorder/drug therapy ; Chronic Kidney Disease-Mineral and Bone Disorder/etiology ; Denosumab ; Diphosphonates ; Humans ; Minerals ; Phosphates ; Renal Insufficiency, Chronic/complications ; Renal Insufficiency, Chronic/metabolism ; Renal Insufficiency, Chronic/therapy ; Vitamin D/therapeutic use
    Chemical Substances Diphosphonates ; Minerals ; Phosphates ; Vitamin D (1406-16-2) ; Denosumab (4EQZ6YO2HI)
    Language English
    Publishing date 2022-01-17
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 631932-4
    ISSN 1432-198X ; 0931-041X
    ISSN (online) 1432-198X
    ISSN 0931-041X
    DOI 10.1007/s00467-021-05265-8
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  3. Article ; Online: Averting Burnout in Pediatricians: Understanding the Intersection of Workload and Meaning of Work.

    Zuniga, Linessa M / Mahan, John D

    Hospital pediatrics

    2021  

    Language English
    Publishing date 2021-12-01
    Publishing country United States
    Document type Journal Article
    ISSN 2154-1671
    ISSN (online) 2154-1671
    DOI 10.1542/hpeds.2021-006349
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  4. Article ; Online: Burnout in Pediatric Residents and Physicians: A Call to Action.

    Mahan, John D

    Pediatrics

    2017  Volume 139, Issue 3

    MeSH term(s) Anxiety Disorders ; Burnout, Professional ; Child ; Humans ; Internship and Residency ; Physicians
    Language English
    Publishing date 2017
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2016-4233
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  5. Article ; Online: Mechanisms and management of edema in pediatric nephrotic syndrome.

    Kallash, Mahmoud / Mahan, John D

    Pediatric nephrology (Berlin, Germany)

    2020  Volume 36, Issue 7, Page(s) 1719–1730

    Abstract: Edema is the abnormal accumulation of fluid in the interstitial compartment of tissues within the body. In nephrotic syndrome, edema is often seen in dependent areas such as the legs, but it can progress to cause significant accumulation in other areas ... ...

    Abstract Edema is the abnormal accumulation of fluid in the interstitial compartment of tissues within the body. In nephrotic syndrome, edema is often seen in dependent areas such as the legs, but it can progress to cause significant accumulation in other areas leading to pulmonary edema, ascites, and/or anasarca. In this review, we focus on mechanisms and management of edema in children with nephrotic syndrome. We review the common mechanisms of edema, its burden in pediatric patients, and then present our approach and algorithm for management of edema in pediatric patients. The extensive body of experience accumulated over the last 5 decades means that there are many options, and clinicians may choose among these options based on their experience and careful monitoring of responses in individual patients.
    MeSH term(s) Ascites ; Child ; Edema/etiology ; Edema/therapy ; Humans ; Nephrotic Syndrome/complications ; Nephrotic Syndrome/diagnosis ; Nephrotic Syndrome/therapy
    Language English
    Publishing date 2020-11-20
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 631932-4
    ISSN 1432-198X ; 0931-041X
    ISSN (online) 1432-198X
    ISSN 0931-041X
    DOI 10.1007/s00467-020-04779-x
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  6. Article ; Online: Treatment of Growth Retardation in a Child with CKD.

    Stonebrook, Emily / Mahan, John D

    Clinical journal of the American Society of Nephrology : CJASN

    2019  Volume 14, Issue 11, Page(s) 1658–1660

    MeSH term(s) Child ; Child, Preschool ; Female ; Growth Disorders/etiology ; Growth Disorders/therapy ; Humans ; Kidney Failure, Chronic/complications ; Male
    Language English
    Publishing date 2019-07-26
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2226665-3
    ISSN 1555-905X ; 1555-9041
    ISSN (online) 1555-905X
    ISSN 1555-9041
    DOI 10.2215/CJN.03960319
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6584: Show issues Location:
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  7. Article: Barriers and Facilitators to Pediatric Resident Education in the Emergency Department: A Qualitative Study.

    Jones, Christopher / Mitzman, Jennifer / Spencer, Sandra / Lo, Charmaine B / Mahan, John D / Stein, David

    Cureus

    2023  Volume 15, Issue 6, Page(s) e40142

    Abstract: Objective Local resident evaluations of the pediatric emergency department (ED) declined over the last five years. Sparse literature exists on resident perspectives of educational experiences. This study explored the barriers and facilitators to resident ...

    Abstract Objective Local resident evaluations of the pediatric emergency department (ED) declined over the last five years. Sparse literature exists on resident perspectives of educational experiences. This study explored the barriers and facilitators to resident education in the Pediatric ED. Methods This qualitative study utilized focus groups at a large pediatric training hospital. Trained facilitators performed semi-structured interviews prompting discussion of resident experiences in the pediatric ED. One pilot and six focus groups (38 pediatric residents) achieved data saturation. Sessions were audio recorded, de-identified and transcribed by a professional service. Three authors (CJ, JM, SS) analyzed the transcripts independently using line-by-line coding. Following code agreement, authors identified central themes drawing on grounded theory. Results Six categories emerged: (1) ED environment, (2) consistent goals, expectations, and resources, (3) ED workflow, (4) preceptor accessibility, (5) resident growth and development, (6) ED preconceived notions. Residents value a respectful work environment despite the chaotic nature of the ED. They need clear goals and expectations with a strong orientation. Autonomy, open communication and shared decision-making allow residents to feel like team members. Residents gravitate toward welcoming, available preceptors that enthusiastically teach. More ED environment exposure increases comfort and efficiency and helps develop medical decision-making skills. Residents admit ED preconceptions and personality traits affect performance. Conclusion Residents self-identified barriers and facilitators to ED education. Educators must provide a safe and open learning environment, clear rotation expectations and goals, consistent positivity supporting shared decision making, and allow residents autonomy to build their practice styles.
    Language English
    Publishing date 2023-06-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.40142
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Clinician Educator Milestones: Assessing and Improving Educators' Skills.

    Mahan, John D / Kaczmarczyk, Joseph M / Miller Juve, Amy K / Cymet, Tyler / Shah, Brijen J / Daniel, Rebecca / Edgar, Laura

    Academic medicine : journal of the Association of American Medical Colleges

    2024  

    Abstract: Abstract: The importance of the clinician educator (CE) role in the delivery of competency-based medical education is well-recognized. There is, however, no formal mechanism to identify when faculty have the knowledge, skills, and attitudes to be ... ...

    Abstract Abstract: The importance of the clinician educator (CE) role in the delivery of competency-based medical education is well-recognized. There is, however, no formal mechanism to identify when faculty have the knowledge, skills, and attitudes to be successful CEs. In 2020, the Accreditation Council for Graduate Medical Education, Accreditation Council for Continuing Medical Education, Association of American Medical Colleges, and American Association of Colleges of Osteopathic Medicine convened a workgroup of 18 individuals representing multiple medical specialties and diverse institutions in the United States, including nonphysician educators, a medical student, and a resident, to develop a set of competencies, subcompetencies, and milestones for CEs.A 5-step process was used to create the Clinician Educator Milestones (CEMs). In step 1, the workgroup developed an initial CEM draft. Through brainstorming, 141 potential education-related CE tasks were identified. Descriptive statements for each competency and developmental trajectories for each subcompetency were developed and confirmed by consensus. The workgroup then created a supplemental guide, assessment tools, and additional resources. In step 2, a diverse group of CEs were surveyed in 2021 and provided feedback on the CEMs. In step 3, this feedback was used by the workgroup to refine the CEMs. In step 4, the second draft of the CEMs was submitted for public comment and the CEMs were finalized. In step 5, the final CEMs were released for public use in 2022.The CEMs consist of 1 foundational domain that focuses on commitment to lifelong learning, 4 additional domains of competence for the CE in the learning environment, and 20 subcompetencies. These milestones have many potential uses for CEs, including self-assessment, constructing learning and improvement plans, and designing systematic faculty development efforts. The CEMs will continue to evolve as they are applied in practice and as the role of CEs continues to grow and develop.
    Language English
    Publishing date 2024-03-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000005684
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    Zs.A 112: Show issues Location:
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  9. Article ; Online: Results of the PROPINE randomized controlled trial: determining the ever-elusive target, the optimal plan for relapses of nephrotic syndrome in children.

    Mahan, John D / Kallash, Mahmoud / Smoyer, William E

    Kidney international

    2021  Volume 99, Issue 2, Page(s) 311–313

    Abstract: Best treatments for initial presentation and relapses in children with nephrotic syndrome (NS) are still to be defined. The PROPINE study, published in this issue of Kidney International, demonstrates for relapse of childhood NS, the non-inferiority of a ...

    Abstract Best treatments for initial presentation and relapses in children with nephrotic syndrome (NS) are still to be defined. The PROPINE study, published in this issue of Kidney International, demonstrates for relapse of childhood NS, the non-inferiority of a short taper (over 36 days) after remission with steroids. This study reinforces the need for more well-designed studies and the incorporation of predictive biomarkers, genetic studies, and other details to personalize treatment for each child with idiopathic NS.
    MeSH term(s) Child ; Epinephrine/analogs & derivatives ; Humans ; Nephrotic Syndrome/diagnosis ; Nephrotic Syndrome/drug therapy ; Prednisone ; Recurrence
    Chemical Substances dipivefrin (8Q1PVL543G) ; Prednisone (VB0R961HZT) ; Epinephrine (YKH834O4BH)
    Language English
    Publishing date 2021-01-28
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 120573-0
    ISSN 1523-1755 ; 0085-2538
    ISSN (online) 1523-1755
    ISSN 0085-2538
    DOI 10.1016/j.kint.2020.10.034
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  10. Article ; Online: Well-being factors associated with confidence in providing calm, compassionate care in pediatric residents.

    Liu, Alex / Ben-Zion, Sabrina / Schwartz, Alan / Mahan, John D / Reed, Suzanne

    Patient education and counseling

    2023  Volume 115, Page(s) 107906

    Abstract: Objective: Engagement in calm, compassionate care (CCC) is important in fostering patient-centered care. We aimed to study factors which predict confidence in providing CCC in pediatric residents.: Methods: We performed a retrospective, multi-center, ...

    Abstract Objective: Engagement in calm, compassionate care (CCC) is important in fostering patient-centered care. We aimed to study factors which predict confidence in providing CCC in pediatric residents.
    Methods: We performed a retrospective, multi-center, cohort study utilizing data from the Pediatric Resident Burnout and Resilience Study (PRB-RSC) from 2016 to 2018. The Calm Compassionate Care Scale (CCCS) was used to assess confidence in delivering CCC. We examined cross-sectional associations between CCC, demographic measures, programmatic features, and psychological scales.
    Results: The following showed significant positive associations with confidence in providing CCC: Cognitive and Affective Mindfulness Scale, Neff's Self Compassion, Patient Reported Outcomes Measures-mental health, and Interpersonal Reactivity Index-empathetic concern. For the Maslach Burnout Index subscales, decreased personal accomplishment, increased emotional exhaustion, and increased depersonalization showed significant negative associations.
    Conclusions: We found that several well-being measures and an increased sense of personal accomplishment are associated with increased confidence in providing CCC. These findings underscore the interrelatedness of these measures and highlight the importance of personal accomplishment as a positive factor in trainee development.
    Practice implications: Program level interventions that decrease trainee burnout and enhance resiliency as well as support trainees' development of empathy and compassion may help trainees develop skills that promote patient-centered, compassionate care.
    MeSH term(s) Humans ; Child ; Empathy ; Cohort Studies ; Retrospective Studies ; Cross-Sectional Studies ; Mindfulness ; Burnout, Professional/prevention & control ; Surveys and Questionnaires
    Language English
    Publishing date 2023-07-18
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 605590-4
    ISSN 1873-5134 ; 0738-3991
    ISSN (online) 1873-5134
    ISSN 0738-3991
    DOI 10.1016/j.pec.2023.107906
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