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https://www.selleckchem.com/products/sr-0813.html 88% reported using at least one type of protective measure to prevent TSE and 90% believed they protect other household members from TSE. None of the strategies had a significant relationship with lower cotinine levels on bi-variable or multivariable analyses. CONCLUSIONS Parental strategies to decrease TSE did not result in lower cotinine levels. Many measures are not evidence-based and do not protect children. Parent's clothing and homes may create a reservoir for nicotine. Education should focus on exposure elimination and cessation rather than protective measures. PURPOSE Promotion of physician well-being has emerged as a national priority, yet meaningful interventions depend on further understanding the factors that promote and detract from physician well-being. The aim of this study was to better understand the perspectives of academic pediatricians regarding the factors influencing their wellbeing. METHODS We conducted a qualitative study using grounded theory methodology. In June 2018, we performed facilitated focus groups with academic pediatric faculty at our institution. Focus groups were audio-recorded, transcribed, and analyzed using the constant comparative method to identify key themes. RESULTS Fiftyfour pediatricians participated in the focus groups. Key themes included (1) pediatricians feel inundated by collective professional and personal pressures, (2) pediatricians feel they have lost control over how time at work is spent, and (3) obscured professional-personal boundaries can cause erosion of personal life. CONCLUSION Pediatricians identified three key barriers to well-being collective pressures, including increasing and competing academic and clinical responsibilities; low value tasks that consume their time; and erosion of personal life. This study adds to the growing literature describing physician well-being as strongly influenced by workplace factors, and offers examples of modifiable facto

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