Supraventricular Tachycardia in the Pediatric Primary Care Setting: Age-related Presentation, Diagnosis, and Management.
J Pediatr Health Care. 2008 September – October;22(5):289-299
Authors: Schlechte EA, Boramanand N, Funk M
As many as 1 in 250 children experience supraventricular tachycardia (SVT), but its presentation is often vague and its symptoms mistakenly attributed to other common pediatric conditions. If SVT is correctly identified in a timely manner, most children will go on to live normal healthy lives. SVT is not covered in depth in most pediatric advanced practice nursing programs, but because of its prevalence, it should be familiar to all pediatric primary care providers. This article reviews common mechanisms of SVT and their age-related presentation, diagnosis, and management. A case study of an 8-year-old boy with SVT is presented.
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Journal impact factor and its importance for AFP.
Aust Fam Physician. 2008 Sep;37(9):770-3
Authors: L van Driel M, Magin PJ, Del Mar CB, Furler J, De Maeseneer J
BACKGROUND: In 2008, Australian Family Physician (AFP) was accepted on the list of journals listed in Science Citation Index Expanded and, thus, will generate an impact factor over the next 2 years. Impact factor is important to authors from research and academic backgrounds and will make AFP an increasingly attractive journal in which to publish. AIM: To describe the impact factor, its method of calculation, and its flaws. DISCUSSION: Impact factor is the number of a journal’s cited research papers divided by the total number of citable papers it has published. It is distorted by several different factors: sub-discipline, region, basic versus applied research, and whether the journal editor deliberately tries to strategically increase their impact factor. CONCLUSION: Impact factor is an oversimplified single measure of ‘impact’, which may underestimate the contribution of the AFP to society. However, no accepted alternative metric currently exists.
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Evidence-based and patient-centered care: results from an STFM group project.
Fam Med. 2008 Jun;40(6):417-22
Authors: Lacy NL, Backer EL
OBJECTIVES: This study’s purpose was to identify the elements of a definition of evidence-based patient-centered care (EBPCC), the barriers to using EBPCC, and strategies for overcoming these barriers. METHODS: This research project used focus group methodology with participants drawn from Society of Teachers of Family Medicine (STFM) members who attend STFM meetings and are interested in the integration of evidence-based medicine and patient-centered care. Forty-five self-selected STFM members-participants attended one of five total focus groups between September 2004 and May 2005. Focus groups were audiotaped Data were transcribed and analyzed using an immersion crystallization style. RESULTS: There was no single, consistent definition about what constitutes EBPCC. Several common themes arose, with the conceptual models of EBPCC varied across groups and individuals. The barriers to using EBPCC fell into eight categories. Participants listed substantially fewer solutions to barriers, which were not as easily categorized. CONCLUSIONS: This research is a beginning exploration of what constitutes EBPCC. Our findings suggest that, in this sample of educators, there is no current single, shared definition or model of what constitutes EBPCC. While the variation in models may be representative of differing understandings, styles, and philosophies of EBPCC, identification of barriers is consistent. Strategies for overcoming barriers are not well developed.
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