Clinical Pediatrics最新文献

Shifting Trends in Diagnosis of Asthma, Bronchiolitis, and Viral Pneumonia in Young Children. 幼儿哮喘、支气管炎和病毒性肺炎诊断的变化趋势。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-01 Epub Date: 2023-12-06 DOI: 10.1177/00099228231216324

Michelle R Brajcich, Gabrielle E Bau, William Tsai, Megan Birkholz, James Gaensbauer

{"title":"Shifting Trends in Diagnosis of Asthma, Bronchiolitis, and Viral Pneumonia in Young Children.","authors":"Michelle R Brajcich, Gabrielle E Bau, William Tsai, Megan Birkholz, James Gaensbauer","doi":"10.1177/00099228231216324","DOIUrl":"10.1177/00099228231216324","url":null,"abstract":"Over the last decade, there have been widespread efforts to reduce non-evidence-based therapies for viral bronchiolitis. We question whether this change in practice has inadvertently impacted the diagnosis and management of other pediatric lower-respiratory-tract illnesses. We used the Pediatric Health Information System (PHIS) and logistic regression to describe trends in relative diagnosis frequency of bronchiolitis, viral pneumonia, and reactive airway disease (RAD)/asthma as well as systemic corticosteroid use among children of the age range 1 to 4 years over a 10-year period. Among 169,207 children, the relative frequency of asthma/RAD diagnoses declined over a 10-year period, while bronchiolitis and viral pneumonia diagnoses increased among children of the age range 1 to 3 years and 2 to 4 years, respectively. Frequency of systemic corticosteroid use declined. We question whether the observed shift in diagnosis from asthma/RAD to bronchiolitis or viral pneumonia is reflective of true disease pathophysiology or if it represents an unintended consequence of campaigns surrounding bronchiolitis.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138486851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ketoacidosis in a Toddler: A Case Report. 幼儿酮症酸中毒：病例报告

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-01 Epub Date: 2024-01-04 DOI: 10.1177/00099228231223309

Suresh K Nathan, Usha Sethuraman, Andrew Prout

引用次数: 0

Cardiac Manifestation in a Child With Atypical Hemolytic Uremic Syndrome. 一名非典型溶血性尿毒症患儿的心脏表现

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-01 Epub Date: 2024-01-19 DOI: 10.1177/00099228231223656

Akif Kavgacı, Emre Leventoğlu, Ebru Azapağası, Esra Serdaroğlu, Kibriya Fidan, Serdar Kula

引用次数: 0

Attitudes Toward Routine Vaccines and COVID-19 Vaccines Among Parents of Infants and Toddlers in an Urban Safety-Net Setting. 城市安全网环境中婴幼儿家长对常规疫苗和 COVID-19 疫苗的态度。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-01 Epub Date: 2024-01-27 DOI: 10.1177/00099228231224168

Margaux Zimmerman, Lesly P Zapata, Karla Bachiller, Jean L Devera, Taylor A Hall, Sharon M Casey, Rebecca B Perkins, Natalie Pierre-Joseph

{"title":"Attitudes Toward Routine Vaccines and COVID-19 Vaccines Among Parents of Infants and Toddlers in an Urban Safety-Net Setting.","authors":"Margaux Zimmerman, Lesly P Zapata, Karla Bachiller, Jean L Devera, Taylor A Hall, Sharon M Casey, Rebecca B Perkins, Natalie Pierre-Joseph","doi":"10.1177/00099228231224168","DOIUrl":"10.1177/00099228231224168","url":null,"abstract":"This study explores attitudes toward diphtheria-tetanus-acellular pertussis (DTaP), measles-mumps-rubella (MMR), influenza, and coronavirus disease 2019 (COVID-19) vaccines among English-speaking and Spanish-speaking parents of infants in a safety-net setting. Parents aged 18 years or older were recruited from outpatient clinics between December 2020 and December 2021. The interviews were then recorded, transcribed, translated, and qualitatively analyzed using the modified grounded theory. Thirty-two individuals participated (18 English-speaking and 14 Spanish-speaking). Almost all supported receiving routine childhood vaccines, DTaP, influenza, and MMR and believed that vaccines promote health. Vaccine concerns differed by each vaccine. Few participants expressed concerns about DTaP and MMR vaccines. Concerns around influenza vaccines often stemmed from personal experience and perceived increased risk of flu-like illnesses. Participants expressed the most concerns related to COVID-19 vaccinations, including age-based immunity of their infants. Based on these findings, future interventions to improve vaccine uptake may focus on benefits common to all vaccines, while addressing vaccine-specific concerns.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139570143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Industry Payments to Pediatricians in the United States Between 2013 and 2021. 2013 年至 2021 年美国儿科医生的行业薪酬。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-01 Epub Date: 2023-12-15 DOI: 10.1177/00099228231218850

Anju Murayama

引用次数: 0

Clinical Predictors of Steroid Resistance in Childhood Nephrotic Syndrome. 儿童肾病综合征中类固醇抵抗的临床预测因素

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-01 Epub Date: 2023-12-24 DOI: 10.1177/00099228231219109

Neslihan Cicek, Nurdan Yıldız, Sercin Guven, Mehtap Kaya, Ibrahim Gokce, Harika Alpay

{"title":"Clinical Predictors of Steroid Resistance in Childhood Nephrotic Syndrome.","authors":"Neslihan Cicek, Nurdan Yıldız, Sercin Guven, Mehtap Kaya, Ibrahim Gokce, Harika Alpay","doi":"10.1177/00099228231219109","DOIUrl":"10.1177/00099228231219109","url":null,"abstract":"We aimed to evaluate the clinical parameters, histopathological findings of nephrotic syndrome (NS) patients, and independent factors predicting steroid resistance in a single tertiary center. One hundred and sixty-two children (57 girls and 105 boys) with NS who were followed between 1998 and 2018 were analyzed in this retrospective cohort. The median (interquartile range; range) age and follow-up time were 4.9 (5.7; 0.1-16.8) and 5.5 (5.4; 0.1-20.3) years. A total of 82.7% of the patients were steroid-sensitive nephrotic syndrome (SSNS) and 17.3% were steroid-resistant nephrotic syndrome (SRNS). The median age at first presentation was lower in the SSNS group (P = .002). The most common histopathological findings were focal segmental glomerulosclerosis (FSGS) and minimal change disease (MCD). Hypertension and macroscopic and microscopic hematuria were higher in the SRNS group (P < .001). The age and microscopic hematuria were independent risk factors for steroid resistance (P = .019 and P = .002, respectively). Complement 3 (C3) was evaluated in 148 patients and found low in 7 patients who were subsequently diagnosed as membranoproliferative glomerulonephritis. There is still no better clinical predictor for steroid response than late age of onset and microscopic hematuria. Hypertension may also give a hint for potential steroid resistance.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute Alcohol Intoxication-Related Metabolic and Biochemical Disturbances in Adolescents: A Matched Case-Control Study. 青少年与急性酒精中毒相关的代谢和生化紊乱：一项匹配病例对照研究

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-01 Epub Date: 2024-01-19 DOI: 10.1177/00099228231225164

Damla Hanalioglu, Cansu Ozkocer, Esra Can Ozalp, Zeliha Gunnur Dikmen, Asli Pinar, Ozlem Teksam

{"title":"Acute Alcohol Intoxication-Related Metabolic and Biochemical Disturbances in Adolescents: A Matched Case-Control Study.","authors":"Damla Hanalioglu, Cansu Ozkocer, Esra Can Ozalp, Zeliha Gunnur Dikmen, Asli Pinar, Ozlem Teksam","doi":"10.1177/00099228231225164","DOIUrl":"10.1177/00099228231225164","url":null,"abstract":"We aimed to investigate clinical and laboratory characteristics of acute alcohol intoxication (AAI) in adolescents who presented to the pediatric emergency department (ED) at a tertiary referral center from 2006 to 2019. All consecutive adolescents with AAI (n = 335) and their sex- and age-matched control subjects (n = 335) with undetectable ethanol levels were included in this case-matched study. Mean serum ethanol level was 156.4 ± 58.4 (range: 50.8-341.2) mg/dL in the acute alcohol intoxication (AAI) group. Glasgow coma scores were lower in AAI group (14 [14-15] vs 15 [15-15], P < .001). Acidosis (16.3%), hyperlactatemia (60.9%), hypoglycemia (1.7%), hypernatremia (2.2%), hypokalemia (12.3%), hyperchloremia (20.4%), hypocalcemia (13.9%), hypermagnesemia (9.7%), and hyperalbuminemia (10.4%) were significantly more common in the AAI group than the control group. Blood pH, lactate, Na+, K+, Ca++, Mg++, albumin, blood urea nitrogen (BUN), and uric acid levels were correlated with serum ethanol levels. This study shows that AAI frequently leads to mild to moderate metabolic/biochemical derangements in adolescents.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139490879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Content Analysis of Transgender Health and Wellness Themes Shared Through Social Media. 对通过社交媒体分享的变性人健康和幸福主题的内容分析。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-01 Epub Date: 2023-12-22 DOI: 10.1177/00099228231219499

Vishvanie B Stoody, Hannah R Glick, Annie C Murphey, Julie M Sturza, Ellen M Selkie

{"title":"A Content Analysis of Transgender Health and Wellness Themes Shared Through Social Media.","authors":"Vishvanie B Stoody, Hannah R Glick, Annie C Murphey, Julie M Sturza, Ellen M Selkie","doi":"10.1177/00099228231219499","DOIUrl":"10.1177/00099228231219499","url":null,"abstract":"Transgender and gender-diverse (TGD) adolescents experience limited access to gender-affirming care (GAC) and information and use social media platforms for informational and social support. We conducted conventional content analysis of posts on the platform, Tumblr and applied univariate statistics to characterize health and wellness themes represented by this content. Content was predominantly transmasculine-relevant. Posts addressing the trans health care paradigm often co-occurred with content referencing affirmation logs, the physical and emotional impact of affirmation, surgery, and unspecified medical interventions. Gender-affirming hormone therapy was the most prevalent intervention referenced in posts related to non-professional/non-licensed medical care and advice requests. Transgender and gender-diverse youth-serving individuals can use this information to mitigate harm, enhance patient education, and improve the overall well-being of TGD youth. Further research is needed to characterize the effect of content encountered on social media on pediatric patient experiences and on outcomes of GAC.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138884632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Painless Progressive Abdominal Distension in a 5-Year-Old Girl. 一名 5 岁女孩无痛性进行性腹胀。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-01 Epub Date: 2023-12-24 DOI: 10.1177/00099228231219496

Barbara Ximenes Braz, Chantal M Soobhanath, Pawini Khanna, Amelia B Thompson

引用次数: 0

A Pitfall of Adrenal Hypoplasia Congenita. 先天性肾上腺发育不全的陷阱。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-01 Epub Date: 2024-01-27 DOI: 10.1177/00099228231222714

Jiro Abe, Junko Tsubaki, Kazuhiro Shimura, Tomonobu Hasegawa

引用次数: 0