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Rare Cause of Anaphylaxis Flaxseed and Review of the Literature. 亚麻籽致过敏反应的罕见原因及文献综述。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-07-01 Epub Date: 2024-12-31 DOI: 10.1177/00099228241306900
Feride Candan, Hülya Anıl, Koray Harmancı
{"title":"Rare Cause of Anaphylaxis Flaxseed and Review of the Literature.","authors":"Feride Candan, Hülya Anıl, Koray Harmancı","doi":"10.1177/00099228241306900","DOIUrl":"https://doi.org/10.1177/00099228241306900","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":"64 7","pages":"1033-1036"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224565","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
Dengue-Associated Hemophagocytic Lymphohistiocytosis: The Many Faces of Expanded Dengue Syndrome. 登革热相关的噬血细胞淋巴组织细胞增多症：扩展登革热综合征的许多方面。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-07-01 Epub Date: 2024-12-31 DOI: 10.1177/00099228241309192
Ritu Sharma, Sanghamitra Ray, Arpita Chattopadhyay, Arti Khatri
{"title":"Dengue-Associated Hemophagocytic Lymphohistiocytosis: The Many Faces of Expanded Dengue Syndrome.","authors":"Ritu Sharma, Sanghamitra Ray, Arpita Chattopadhyay, Arti Khatri","doi":"10.1177/00099228241309192","DOIUrl":"https://doi.org/10.1177/00099228241309192","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":"64 7","pages":"905-908"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224564","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
Vitals Are Vital! 生命是至关重要的！
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-07-01 Epub Date: 2025-02-17 DOI: 10.1177/00099228251319862
Brittany Jankauskas, Andrea Mancinelli
{"title":"Vitals Are Vital!","authors":"Brittany Jankauskas, Andrea Mancinelli","doi":"10.1177/00099228251319862","DOIUrl":"10.1177/00099228251319862","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1042-1044"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440120","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
Improving Firearm Screening and Safe Storage Counseling in a Primary Care Pediatric Practice. 在初级保健儿科实践中改进枪支筛查和安全储存咨询。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-07-01 Epub Date: 2024-12-24 DOI: 10.1177/00099228241306868
Crystal N Craig, Cynthia M Rand, Constance D Baldwin
{"title":"Improving Firearm Screening and Safe Storage Counseling in a Primary Care Pediatric Practice.","authors":"Crystal N Craig, Cynthia M Rand, Constance D Baldwin","doi":"10.1177/00099228241306868","DOIUrl":"10.1177/00099228241306868","url":null,"abstract":"<p><p>We conducted a quality improvement (QI) study to increase rates of firearm screening/safety counseling by 25% over 10 months for children (4-18 years) at preventive visits in an academic continuity clinic. Plan-Do-Study-Act (PDSA) cycles consisted of 1) (January 2023) educating providers about best practices for screening, safe storage counseling, and use of cable firearm locks; 2) (May 2023) revising the preventive visit note template to prompt providers on best practices; and 3) (September 2023) providing caregiver educational resources to support safe storage practices. The baseline firearm screening rate was 38%. After PDSA 1, screening rates were 34%; following PDSA 2, screening rates increased to 82.5%; after PDSA 3, rates were 95%. This QI intervention increased provider screening for firearms, confidence in safety counseling, and confidence in the use of cable firearm locks during preventive visits. Revising the note template had the largest effect on increasing screening rates.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"962-971"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885237","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
The Diagnostic Value of Neutrophil and Monocyte Cell Population Data Obtained From a Hematology Analyzer in Neonatal Sepsis. 从血液分析仪获得的中性粒细胞和单核细胞群数据在新生儿败血症中的诊断价值。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-07-01 Epub Date: 2025-01-08 DOI: 10.1177/00099228241309729
Ozan Unlu, Sinem Gulcan Kersin, Tulay Cevlik, Nazmiye Unlu, Hulya Selva Bilgen, Eren Ozek, Onder Sirikci, Goncagul Haklar
{"title":"The Diagnostic Value of Neutrophil and Monocyte Cell Population Data Obtained From a Hematology Analyzer in Neonatal Sepsis.","authors":"Ozan Unlu, Sinem Gulcan Kersin, Tulay Cevlik, Nazmiye Unlu, Hulya Selva Bilgen, Eren Ozek, Onder Sirikci, Goncagul Haklar","doi":"10.1177/00099228241309729","DOIUrl":"10.1177/00099228241309729","url":null,"abstract":"<p><p>We aimed to investigate the diagnostic value of leukocyte cell population data (CPD) parameters obtained from an automated hematology analyzer to be able to use it in the diagnosis of neonatal sepsis. Our study was a retrospective and cross-sectional analysis. The neonates were classified into 3 groups: culture-positive sepsis (n = 20), clinical sepsis (n = 87), and control (n = 269). CPD parameters were determined during complete blood count (CBC) by volume-conductivity-scatter (VCS) technology with DxH 900 Coulter Cell Analyzer. Mean neutrophil volume (MNVNE), standard deviations of volumes of neutrophils (SDVNE), standard deviations of volumes of monocytes (SDVMO), and monocyte distribution width (MDW) were significantly increased in the culture-positive sepsis group compared with the clinical sepsis and control groups (<i>P</i> < .05). We have demonstrated the diagnostic utility of leukocyte CPD parameters, especially MNVNE, MDW, and their combination, for neonatal sepsis. These parameters are advantageous because they are obtained during routine CBC analysis without the need for additional blood collection and extra costs.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"987-995"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945789","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
Exploring Compassion Fatigue in Pediatric Nursing: A Cross-Sectional Study. 儿童护理中的同情疲劳：一个横断面研究。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-07-01 Epub Date: 2025-01-09 DOI: 10.1177/00099228241310933
Tingting Zhang, Jingjing Zhou, Yu Xia
{"title":"Exploring Compassion Fatigue in Pediatric Nursing: A Cross-Sectional Study.","authors":"Tingting Zhang, Jingjing Zhou, Yu Xia","doi":"10.1177/00099228241310933","DOIUrl":"10.1177/00099228241310933","url":null,"abstract":"<p><strong>Background: </strong>Compassion fatigue is a state of emotional and physical exhaustion that arises from frequent contact with people who have experienced trauma or stress, which may affect particularly those working in health care. This study aimed to elucidate the prevalence and determinants of compassion fatigue among pediatric nurses.</p><p><strong>Methods: </strong>A survey was administered to pediatric nurses at a tertiary hospital in Jiangsu province, China. Chinese compassion fatigue scale was used to investigate the compassion fatigue.</p><p><strong>Results: </strong>The study enrolled 364 pediatric nurses, with a compassion fatigue prevalence of 59.89%. Age (odds ratio [OR] = 2.094, 95% confidence interval [CI] = 1.833-2.418), education level (OR = 2.118, 95% CI = 1.852-2.669), monthly income (OR = 3.976, 95% CI = 2.904-4.412), and having children at home (OR = 2.314, 95% CI = 1.851-3.025) were independent predictors of compassion fatigue.</p><p><strong>Conclusions: </strong>These findings demonstrate the need for targeted interventions to mitigate compassion fatigue in pediatric nurses.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1007-1015"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945787","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
Reduction in Antibiotic Usage and Financial Savings Through a Large System Intervention Project. 通过大型系统干预项目减少抗生素使用和节省资金。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-07-01 Epub Date: 2024-12-24 DOI: 10.1177/00099228241307426
Puneet Jairath, Michael Howard Goodstein, Karli Unick, Ryan Sentz
{"title":"Reduction in Antibiotic Usage and Financial Savings Through a Large System Intervention Project.","authors":"Puneet Jairath, Michael Howard Goodstein, Karli Unick, Ryan Sentz","doi":"10.1177/00099228241307426","DOIUrl":"10.1177/00099228241307426","url":null,"abstract":"<p><p>Clinicians continue to seek out ways to decrease antibiotic usage and its sequelae for infants with risk factors for Early Onset Sepsis (EOS). We carried out a large system intervention (LSI) to decrease antibiotic usage, decrease the proportion of infants exposed to any antibiotics and evaluate the financial impact of this intervention. Antibiotic use was monitored from January 2018 through June 2020 for infants born at York Hospital ≥ 35 weeks gestation and discharged from Newborn Nursery. LSIs, including the Kaiser Sepsis Calculator, were implemented January-June 2019. Quality metrics were compared 12-months before and after the intervention. Overall, 5021 infants were discharged from the nursery. Antibiotic usage decreased 68% and infant exposure to antibiotics decreased 64%. There was a savings of $697 per at risk newborn and there were no readmissions for EOS. A Systemic LSI can safely reduce newborn antibiotic exposure and create significant cost saving.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"955-961"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885239","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
Regular Dynamic Exercise Has a Beneficial Effect on Arterial Stiffness Already in Childhood and Adolescence. 有规律的动态运动对儿童和青少年的动脉硬化有有益的影响。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-07-01 Epub Date: 2024-12-20 DOI: 10.1177/00099228241305853
Maja Vugrinec Mamić, Milan Milošević, Vesna Herceg-Čavrak, Jakov Mamić, Višnja Tokić Pivac
{"title":"Regular Dynamic Exercise Has a Beneficial Effect on Arterial Stiffness Already in Childhood and Adolescence.","authors":"Maja Vugrinec Mamić, Milan Milošević, Vesna Herceg-Čavrak, Jakov Mamić, Višnja Tokić Pivac","doi":"10.1177/00099228241305853","DOIUrl":"10.1177/00099228241305853","url":null,"abstract":"<p><p>This study aims to assess the parameters of arterial stiffness in active children and adolescents according to the type of sport they practice and compare them with those who do not participate in sport. There were 238 subjects, 80 practiced predominantly dynamic sports, 58 predominantly static sports, and 100 children and adolescents were not regularly included in sports. The control group was volunteers of similar age recruited from elementary schools. The control group had statistically significantly higher values of aortic pulse wave velocity (PWVao) in rest compared with the group of children and adolescent athletes (<i>P</i> < .001, median PWVao 6.28 [5.70-7.00] vs 5.74 [5.10-6.23] m/s). This group had a significantly higher body mass index than children and adolescent athletes (<i>P</i> = .046). Children and adolescents who practiced sports with a high level of dynamic load after 2 years showed significantly lower values of PWVao compared with those who practiced sports with a high level of static load (<i>P</i> = .040, PWVao median 5.64 (5.10-6.10) vs 5,95 (5.50-6.50) m/s). Based on our findings, continuous and regular physical activity, especially dynamic, benefits arterial stiffness and arterial blood pressure, the major predictors of cardiovascular risk.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"944-954"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871537","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
Unprecedented Cerebral Venous Sinus Thrombosis After COVID-19 and Bacterial Infection. 新冠肺炎和细菌感染后史无前例的脑静脉窦血栓形成。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-07-01 Epub Date: 2025-01-04 DOI: 10.1177/00099228241307439
Zhongyuan Zhang, Bindu Setty
{"title":"Unprecedented Cerebral Venous Sinus Thrombosis After COVID-19 and Bacterial Infection.","authors":"Zhongyuan Zhang, Bindu Setty","doi":"10.1177/00099228241307439","DOIUrl":"10.1177/00099228241307439","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1045-1050"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926745","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
Family Caregiver Knowledge in the Outpatient Management of Pediatric Tracheostomy-Related Emergencies. 家庭护理人员知识在儿科气管切开术相关急诊门诊管理中的应用。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-07-01 Epub Date: 2024-12-20 DOI: 10.1177/00099228241304480
Brittany A Truitt, Radhika N Ghosh, Eric W Price, Chenxi Du, Shasha Bai, Devon Greene, Dawn M Simon, Walter Reeder, Ajay S Kasi
{"title":"Family Caregiver Knowledge in the Outpatient Management of Pediatric Tracheostomy-Related Emergencies.","authors":"Brittany A Truitt, Radhika N Ghosh, Eric W Price, Chenxi Du, Shasha Bai, Devon Greene, Dawn M Simon, Walter Reeder, Ajay S Kasi","doi":"10.1177/00099228241304480","DOIUrl":"10.1177/00099228241304480","url":null,"abstract":"<p><p>Tracheostomy-related emergencies (TREs) contribute significantly to preventable mortality. The retention of caregiver knowledge and skills acquired through simulation-based training (SBT) is unknown. This study aimed to assess the management of TREs by caregivers who did and did not receive SBT. A questionnaire containing 3 TRE scenarios and frequency of outpatient TREs was administered to 52 caregivers of children with tracheostomies; 34 caregivers had completed SBT. Most caregivers (80%) reported ≥1 TRE since discharge. Only 46% of caregivers answered all 3 TRE questions correctly. No differences were observed in correct responses for accidental decannulation (<i>p</i> = .16), oxygen desaturation (<i>p</i> = .84), and mucus plugging (<i>p</i> = .16) based on the completion of SBT. There were no differences between duration since SBT completion and correct responses for all 3 TRE questions. Caregivers showed knowledge deficiencies in TRE management regardless of SBT completion or duration since SBT. Periodic reassessment of knowledge may create targeted re-education opportunities for TRE management.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"936-943"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871535","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
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