Implications of the Healthy People 2030 in the United States for the Health Plan 2030 in Korea: Focusing on children and adolescents

2021 ◽  
Vol 38 (4) ◽  
pp. 19-31
Author(s):  
Youn-Ju Park
Keyword(s):  
United States ◽  
Children And Adolescents ◽  
Health Plan ◽  
The United States ◽  
Healthy People

scholarly journals Semantic adaptation of the Global Psychotrauma Screen for children and adolescents in the United States

2021 ◽  
Vol 12 (1) ◽  
pp. 1911080
Author(s):  
Emma Grace ◽  
Shanelle Sotilleo ◽  
Rosalind Rogers ◽  
Renee Doe ◽  
Miranda Olff
Keyword(s):  
United States ◽  
Children And Adolescents ◽  
The United States ◽  
Semantic Adaptation

scholarly journals EPIDEMIOLOGY OF PEDIATRIC CARTILAGE RESTORATION PROCEDURES IN THE UNITED STATES: INSURANCE AND GEOGRAPHY PLAY A ROLE

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0024
Author(s):  
Tyler B. Hall ◽  
Max J. Hyman ◽  
Neeraj M. Patel
Keyword(s):  
United States ◽  
Children And Adolescents ◽  
Statistical Significance ◽  
Private Insurance ◽  
Univariate Analysis ◽  
The United States ◽  
National Database ◽  
The West ◽  
Cartilage Restoration ◽  
Common Diagnosis

Background: A number of surgical options are available for sizeable articular cartilage lesions of the knee. These include osteochondral autograft (OAU) or allograft (OAL) transfer, or autologous chondrocyte implantation (ACI). In the pediatric population, there is little data on the patients undergoing these procedures or evidence to support one technique over another, which may lead to variation in preferred practice. Hypothesis/Purpose: The purpose of this study is to analyze the epidemiology of children and adolescents undergoing OAU, OAL, and ACI in the United States, with attention to variation along the lines of demographic and geographic factors. Methods: The Pediatric Health Information System, a national database consisting of 49 children’s hospitals, was queried for all patients undergoing OAU, OAL, and ACI between 2012 and 2018. Demographic information was collected for each subject. United States Census guidelines were used to categorize hospitals geographically into regions. Univariate analysis was followed by purposeful entry multivariate regression to adjust for confounding factors. Results: A total of 809 subjects with a mean age of 15.4±2.4 years were included in the analysis. Of these, 393 (48.6%) underwent OAL, 339 (41.9%) underwent OAU, and 77 (9.5%) underwent ACI. The most common diagnosis at the time of surgery was osteochondritis dissecans in 360 patients (44.5%) followed by an associated cruciate ligament injury in 126 (15.6%) and patellar instability in 98 (12.1%). After adjusting for confounders in a multivariate model, ACI was more 3.4 times more likely to be performed in patients with private insurance than those that were publicly insured (95% CI 1.5-7.5, p=0.002). Furthermore, a patient in this Northeast was 29.3 times more likely to undergo ACI than in the West (95% CI 4.0-217.4, p=0.001). OAU was performed most frequently in the West and Midwest (52.4% and 51.8% of the time, respectively; p<0.001). Univariate analysis also revealed differences along the lines of race, but these findings did not maintain statistical significance in multivariate analysis. Conclusion: In the United States, there is substantial variation in the procedures performed for cartilage restoration in children and adolescents. Though ACI is the least commonly selected operation overall, it is significantly more likely to be performed on patients with private insurance and those in the Northeast. OAU is the most commonly performed procedure in the West and Midwest.

Suicide and Self-Harm in Children and Adolescents Admitted to PICUs in the United States

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Casey K. McCluskey ◽  
Margaret J. Klein ◽  
Sarah C. Steward ◽  
Alexandre T. Rotta
Keyword(s):  
United States ◽  
Children And Adolescents ◽  
The United States ◽  
Self Harm
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