Clinical Pediatrics最新文献

Clinical Characteristics of Children With Foreign Bodies in the Digestive Tract and Analysis of Risk Factors for Serious Complications. 消化道异物患儿的临床特征及严重并发症风险因素分析。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-05-16 DOI: 10.1177/00099228241253344

Fengge Wang, Chijun Hu, Zhenni Zhu, Daiqin Wu, Meng Shu

引用次数: 0

ECHO Autism Washington: Autism Diagnostic Evaluations in Primary Care. 华盛顿 ECHO 自闭症中心：自闭症初级医疗诊断评估。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-06-03 DOI: 10.1177/00099228241255866

Jennifer Gerdts, Karís A Casagrande, Katherine J Bateman, Caitlin M Hudac, Alice Bravo, James Mancini, Jennifer Mannheim, Beth Ogata, Kate Orville, Gary A Stobbe

{"title":"ECHO Autism Washington: Autism Diagnostic Evaluations in Primary Care.","authors":"Jennifer Gerdts, Karís A Casagrande, Katherine J Bateman, Caitlin M Hudac, Alice Bravo, James Mancini, Jennifer Mannheim, Beth Ogata, Kate Orville, Gary A Stobbe","doi":"10.1177/00099228241255866","DOIUrl":"10.1177/00099228241255866","url":null,"abstract":"ECHO (Extensions for Community Healthcare Outcomes) Autism is a telementoring learning model to increase community capacity for autism-related health care. Seventy-seven pediatric providers (mostly primary care, seeing exclusively Medicaid patient populations) enrolled in 1 year of ECHO Autism Washington. Analysis of self-report surveys showed a significant increase in autism diagnoses made by ECHO providers after 1 year, F(1, 65) = 7.52, P = .008. Providers who attended more sessions reported making more diagnoses, F(2, 613.26), P = .045. Of note, autism diagnoses were not externally validated. The total number of reported barriers reduced, F(2, 61) = 13.5), P < .001, and confidence ratings increased F(2, 60) = 24.21, P < .001. The average number of diagnostic referrals from ECHO providers to the state's largest autism specialty clinic significantly reduced, t(43) = 4.23, P < .001, with significantly fewer diagnostic referrals made during and after ECHO training compared with a comparison group of 28 non-ECHO providers, t(58.77) = -3.36, P < .001. Overall, 1 year of ECHO Autism Washington participation led to significant changes in autism diagnostic practices.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"91-100"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199513","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

Fever, Headache, and Runny Nose in an 8-Year-Old Girl. 一名 8 岁女孩发烧、头痛和流鼻涕。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-03-19 DOI: 10.1177/00099228241240187

Rayan Kteish, Lyncean Ung, Yevgeniy Furman, Sehar Ejaz

引用次数: 0

Using Antinuclear Antibody Testing in Pediatric Rheumatology. 在小儿风湿病学中使用抗核抗体检测。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-05-20 DOI: 10.1177/00099228241254232

Emine Nur Sunar Yayla, Sevcan A Bakkaloğlu

{"title":"Using Antinuclear Antibody Testing in Pediatric Rheumatology.","authors":"Emine Nur Sunar Yayla, Sevcan A Bakkaloğlu","doi":"10.1177/00099228241254232","DOIUrl":"10.1177/00099228241254232","url":null,"abstract":"The antinuclear antibody (ANA) test is frequently used for the identification of patients who are at a high risk of developing autoimmune rheumatological diseases. The aim of this study is to evaluate the final diagnoses of patients applied to the pediatric rheumatology outpatient clinic with a positive ANA test result. In this study, the medical records of 283 children who had ANA positivity between January 2010 and January 2022 were evaluated retrospectively. All patients were younger than 18 years of age at diagnosis and were followed up in the pediatric rheumatology department for at least 6 months. The majority of the patients were females (69%), and the mean age was 9.9 ± 4.7 years. 94% of the ANA tests were requested in pediatric rheumatology outpatient clinics, and 6% in general pediatrics and other outpatient clinics. Arthritis was the most common reason for ANA testing (41.7%). Of the patients who had ANA positivity, 37% were diagnosed with juvenile idiopathic arthritis (JIA), 15% with connective tissue diseases, 10% with autoinflammatory disease, and 7% with vasculitides. Positivity at 1/320 and 1/640 titers were more common in the patients diagnosed with autoimmune connective tissue diseases or JIA compared to the patients without these diagnoses (P = .009 and P = .013, respectively). The ANA test should be judiciously requested by pediatric rheumatologists, especially in suspected cases of autoimmune rheumatic disorders and JIA patients to aid in classification. Indiscriminate use of the ANA test for screening may potentially misguide clinicians.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"125-130"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064912","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

Different Presentations of Invasive Streptococcus pyogenes Infections in Children. 儿童侵袭性化脓性链球菌感染的不同表现形式。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-05-14 DOI: 10.1177/00099228241254270

Asli Arslan, Gülhadiye Avcu, Ece Erci, Sabire Şöhret Aydemir, Zafer Kurugol, Zumrut Sahbudak Bal

引用次数: 0

Community-Acquired Pneumonia Diagnosis Following Emergency Department Visits for Respiratory Illness. 因呼吸道疾病到急诊室就诊后的社区获得性肺炎诊断。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-05-17 DOI: 10.1177/00099228241254153

Alexandra T Geanacopoulos, Janine P Amirault, Kenneth A Michelson, Michael C Monuteaux, Susan C Lipsett, Alexander W Hirsch, Mark I Neuman

{"title":"Community-Acquired Pneumonia Diagnosis Following Emergency Department Visits for Respiratory Illness.","authors":"Alexandra T Geanacopoulos, Janine P Amirault, Kenneth A Michelson, Michael C Monuteaux, Susan C Lipsett, Alexander W Hirsch, Mark I Neuman","doi":"10.1177/00099228241254153","DOIUrl":"10.1177/00099228241254153","url":null,"abstract":"Community-acquired pneumonia (CAP) is often considered for children presenting to the emergency department (ED) with respiratory symptoms. It is unclear how often children are diagnosed with CAP following an ED visit for respiratory illness. We performed a retrospective case-control study to evaluate 7-day CAP diagnosis among children 3 months to 18 years discharged from the ED with respiratory illness from 2011 to 2021 and who receive care at 4 hospital-affiliated primary care clinics. Logistic regression was performed to assess for predictors of 7-day CAP diagnosis. Seventy-four (0.7%, 95% confidence interval [CI] = 0.6%, 0.9%) of 10 329 children were diagnosed with CAP within 7 days, and fever at the index visit was associated with increased odds of diagnosis (odds ratio [OR] = 3.32, 95% CI = 1.75-6.28). Community-acquired pneumonia diagnosis after discharge from the ED with respiratory illness is rare, even among children who are febrile at time of initial evaluation.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"83-90"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Safety and Treatment Outcomes of Infants and Children Treated With Daptomycin: Six-Year Experience From a Pediatric Academic Medical Center. 使用达托霉素治疗婴幼儿的安全性和治疗效果：一家儿科学术医疗中心的六年经验。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-03-30 DOI: 10.1177/00099228241242186

Bryan J Vonasek, Allison M Samuel, Sheryl L Henderson, Jill R Strayer, Monica C Bogenschutz

引用次数: 0

Screening and Follow-Up Treatment Practices for Suicide Risk in Adolescent Primary Care: A Retrospective Chart Review. 青少年初级保健中的自杀风险筛查和后续治疗实践：回顾病历。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-05-14 DOI: 10.1177/00099228241253158

William Butler, Kristina L Lewis, Talia S Benheim, Alexy Arauz Boudreau, Kathryn S Brigham, Mitchell Feldman, Michael Jellinek, J Michael Murphy

{"title":"Screening and Follow-Up Treatment Practices for Suicide Risk in Adolescent Primary Care: A Retrospective Chart Review.","authors":"William Butler, Kristina L Lewis, Talia S Benheim, Alexy Arauz Boudreau, Kathryn S Brigham, Mitchell Feldman, Michael Jellinek, J Michael Murphy","doi":"10.1177/00099228241253158","DOIUrl":"10.1177/00099228241253158","url":null,"abstract":"Universal depression screening in adolescent primary care often encompasses questions about suicide risk. We conducted a retrospective chart review of well-child visits where adolescents (ages 13-17.9) had endorsed self-injurious thoughts and behaviors or suicidal ideation. The goal was to investigate primary care providers' follow-up actions, including documentation, further assessment, and referrals. Over 3-quarters of the progress notes showed evidence of further assessment, and two-thirds documented same-day actions, including mental health referrals, emergency department referrals, safety plans, medication changes, primary-care follow-up, and talking to parents. Actions varied by depression severity. Cases without interventions often had justifications. Owing to the variety of possible meanings and severity underlying positive screens, providers implemented an array of interventions, using clinical judgment to tailor actions to patients' individual needs and preferences. From these observations, we propose that standardized guidelines for suicide risk screening and follow-up should involve a clinical assessment and individualized treatment planning.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"101-110"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915840","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

Applicability of the Pancreatic Exocrine Insufficiency Test (PEI-TEST) in Pediatric Patients. 胰腺外分泌功能不全测试（PEI-TEST）在儿科患者中的适用性。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-05-09 DOI: 10.1177/00099228241252212

Burcu Güven, Esra Özkaya, Serdar Karakullukçu, Mustafa Selçuk İmamoğlu, Murat Çakır

引用次数: 0

The Effect of Montelukast on Urinary Symptoms in Children With Bladder Pain Syndrome: A Randomized Clinical Trial. 孟鲁司特对膀胱疼痛综合征患儿排尿症状的影响：随机临床试验

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-06-12 DOI: 10.1177/00099228241260119

Ali Arjmand Shabestari, Faeze Akbarzadeh, Fatemeh Dorreh, Parsa Yousefichaijan, Amir Almasi-Hashiani

引用次数: 0