Clinical Pediatrics最新文献

An Infant With an Abnormal Newborn Hemoglobinopathy Screen and Developmental Delay. 1例新生儿异常血红蛋白病筛查与发育迟缓。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-11-01 Epub Date: 2026-07-19 DOI: 10.1177/00099228261468617

Leighann Leslie, Erin Goode, Muna Elsiddig, Kate Gowans, Brian Berman

引用次数: 0

Upper Gastrointestinal Involvement in Celiac Disease: Histopathologic and Endoscopic Findings-A Retrospective Cross-sectional Study. 乳糜泻累及上消化道：组织病理学和内镜检查结果-一项回顾性横断面研究

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-11-01 Epub Date: 2026-07-20 DOI: 10.1177/00099228261467862

Yeşim Tural, Erdal Sarı, Egemen Tural, Nevzat Aykut Bayrak

{"title":"Upper Gastrointestinal Involvement in Celiac Disease: Histopathologic and Endoscopic Findings-A Retrospective Cross-sectional Study.","authors":"Yeşim Tural, Erdal Sarı, Egemen Tural, Nevzat Aykut Bayrak","doi":"10.1177/00099228261467862","DOIUrl":"10.1177/00099228261467862","url":null,"abstract":"Upper gastrointestinal involvement beyond the duodenum in pediatric celiac disease (CD) remains undercharacterized. We conducted a single-center retrospective analysis of children who underwent esophagogastroduodenoscopy, comparing CD cases with non-CD controls. Biopsies were graded using the modified Marsh-Oberhuber and Sydney systems; Helicobacter pylori was assessed by histology and rapid urease testing. Outcomes were esophagitis, gastritis subtypes, H pylori infection, peptic ulcers, and, in CD, associations with Marsh stage. Among 996 procedures, 260 (26.1%) had CD. Gastritis was common in both groups, with chronic active gastritis most frequent. Chronic lymphocytic gastritis was more prevalent in CD (P < .05), while H pylori infection was lower (39.6% vs 50.3%; P < .05). Peptic ulcers were more frequent in CD, predominantly in the duodenal bulb (P < .001). Esophagitis showed an inverse relationship with Marsh stage (P < .05). These findings delineate distinct upper gastrointestinal features in pediatric CD and may support a more comprehensive evaluation of the upper gastrointestinal tract during diagnostic endoscopy.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1308-1315"},"PeriodicalIF":0.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535419","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 Communities: Use of Windshield Surveys in Pediatric Residency Education. 探索社区：在儿科住院医师教育中使用挡风玻璃调查。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-11-01 Epub Date: 2026-07-07 DOI: 10.1177/00099228261463366

Ana C Monterrey, Emma A Omoruyi, Nancy R Kelly, Shilpa Pai, Christin Traba, Aditi Gupta

{"title":"Exploring Communities: Use of Windshield Surveys in Pediatric Residency Education.","authors":"Ana C Monterrey, Emma A Omoruyi, Nancy R Kelly, Shilpa Pai, Christin Traba, Aditi Gupta","doi":"10.1177/00099228261463366","DOIUrl":"10.1177/00099228261463366","url":null,"abstract":"Windshield surveys (WS) have been used to teach about social determinants of health (SDOH) through direct observation of communities. Limited information exists about how pediatric residency programs design and implement WS; therefore, the authors created a survey to understand their use. Twenty-one percent (61/290) of pediatric residency programs responded and 42 report using WS. Most require completion during first year of training (19/33). Learning objectives for the WS included themes on barriers to health, understanding resources and community characteristics. Resident assessment involved discussion with faculty (15/33), reflective writing (3/33), faculty review of WS (1/33), or a combination of these (8/33). To evaluate the curriculum, discussion (17/33), formal evaluations (7/33), or both (3/33) were used. Experiential activities like WS can teach about communities and SDOH, however, no standardization of methods or evaluation exist. Further research is needed on effective learner assessment and curriculum evaluation methods for residency programs wanting to implement WS.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1290-1298"},"PeriodicalIF":0.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396284","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

The Weight of Listening. 倾听的重要性。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-11-01 Epub Date: 2026-07-31 DOI: 10.1177/00099228261474387

Tarek Zieneldien

引用次数: 0

Evaluation of the Appropriateness of Pediatric Cefdinir Prescribing. 儿童头孢地尼处方的适宜性评价。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-11-01 Epub Date: 2026-08-07 DOI: 10.1177/00099228261465260

Karina Phang, Hannah Anderson, Aleena Moin, Alison Maiello, Eric Wright, Jove Graham, William T Basco, Jennifer Vodzak

{"title":"Evaluation of the Appropriateness of Pediatric Cefdinir Prescribing.","authors":"Karina Phang, Hannah Anderson, Aleena Moin, Alison Maiello, Eric Wright, Jove Graham, William T Basco, Jennifer Vodzak","doi":"10.1177/00099228261465260","DOIUrl":"10.1177/00099228261465260","url":null,"abstract":"We evaluated the appropriateness of cefdinir prescribing in an integrated health care system. We performed a cross-sectional analysis of cefdinir prescribing for children aged 0 to 17 years old from 2005 to 2020 with acute otitis media, sinusitis, streptococcal pharyngitis, community-acquired pneumonia, urinary tract infection, and viral respiratory tract infections. The percentage of potentially inappropriate prescriptions was compared by location, provider specialty, and provider type using the chi-square test. A total of 93 748 cefdinir prescriptions were prescribed to pediatric patients, with 53 642 (57%) deemed as potentially inappropriate. Encounters in emergency and urgent care settings were more likely than ambulatory settings to be associated with inappropriate prescribing of cefdinir (P < .001). Non-pediatric-trained providers were responsible for 46.8% of the potentially inappropriate cefdinir prescriptions and were more likely to prescribe potentially inappropriate cefdinir prescriptions compared with pediatric-trained providers (P < .001). Advanced practice providers were more likely than physician providers to prescribe potentially inappropriate cefdinir prescriptions (P < .001).","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1316-1348"},"PeriodicalIF":0.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148688651","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 Relationship Between Life Satisfaction, Psychological Resilience, and Burnout in Mothers of Disabled Children. 残疾儿童母亲生活满意度、心理弹性与职业倦怠的关系

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-11-01 Epub Date: 2026-07-09 DOI: 10.1177/00099228261457819

Esra Verim, Melike Yavaş Çelik

{"title":"The Relationship Between Life Satisfaction, Psychological Resilience, and Burnout in Mothers of Disabled Children.","authors":"Esra Verim, Melike Yavaş Çelik","doi":"10.1177/00099228261457819","DOIUrl":"10.1177/00099228261457819","url":null,"abstract":"There are many problems that mothers who take care of disabled children experience, and when mothers cannot cope with these problems, they suffer greatly. This study aimed to examine the relationship between life satisfaction, psychological resilience, and burnout in mothers of disabled children. The research is descriptive in a cross-sectional type. The Parents Burnout Scale, The Satisfaction With Life Scale, and The Resilience Scale for Adults were used to collect data in the study. In total, 79.9% of the children were receiving rehabilitation training, 56.5% could not attend school, 49.5% had mental disabilities, and 36.7% had second-degree disabilities. The total mean score of the Parent Burnout Scale was 161.95 ± 32.55. A negative relationship was detected between the total mean score of the parental burnout scale and the satisfaction with life scale, the psychological resilience scale (r = -0.61, P < .05, r = -0.26, P < .05). Mothers' burnout status was interpreted as moderate. A relationship was detected between burnout, life satisfaction, and psychological resilience. It was suggested that nurses should work to produce more detailed solutions to solve the problems of disabled children.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1299-1307"},"PeriodicalIF":0.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419226","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

Documented Caregiver Report of Wheezing at Home is Associated With Decreased Length of Pediatric Asthma Hospitalizations. 记录在案的护理人员报告家中喘息与儿童哮喘住院时间缩短有关。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-11-01 Epub Date: 2026-06-30 DOI: 10.1177/00099228261461420

Martha Grace James, Katelin Samaniego, Raymond Parlar-Chun

引用次数: 0

Association of Intravenous Methylprednisolone With Immune Response and Clinical Outcomes in Children With Mycoplasma pneumoniae Pneumonia: A Retrospective Cohort Study. 静脉注射甲基强的松龙与肺炎支原体肺炎儿童免疫反应和临床结局的关系：一项回顾性队列研究

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-17 DOI: 10.1177/00099228261481634

Junmei Fang, Ting Liu, Wenbin Zhu

{"title":"Association of Intravenous Methylprednisolone With Immune Response and Clinical Outcomes in Children With Mycoplasma pneumoniae Pneumonia: A Retrospective Cohort Study.","authors":"Junmei Fang, Ting Liu, Wenbin Zhu","doi":"10.1177/00099228261481634","DOIUrl":"https://doi.org/10.1177/00099228261481634","url":null,"abstract":"This retrospective cohort study investigated the effect of intravenous methylprednisolone on immune outcomes in 624 children with Mycoplasma pneumoniae pneumonia (MPP) admitted from April 2023 to April 2025. Data were retrospectively extracted from electronic medical records. Based on treatment received, patients were divided into control (azithromycin-based therapy) and observation (additional methylprednisolone) groups. After treatment, the observation group showed significantly higher CD4⁺ and CD4⁺/CD8⁺ levels, lower CD8⁺ levels, greater reductions in IL-6 and IL-8, and greater increase in IL-10 compared with controls (all P < .05). Symptom resolution times were significantly shorter in the observation group (P < .05). Adverse reaction rates were similar between groups (11.54% vs 15.38%, P > .05). Adding intravenous methylprednisolone to standard therapy was associated with improved immune and inflammatory markers, faster symptom resolution, and good tolerability in children with MPP. Prospective trials are needed to validate these findings.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261481634"},"PeriodicalIF":0.8,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149215061","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

Pediatric Mental Health Screening Practices Across Health Systems: A Multistate Survey. 跨卫生系统的儿童心理健康筛查实践：一项多州调查。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-15 DOI: 10.1177/00099228261494442

Alissa Briggs, Anna Chock, Mitchell Douglass, Lucy Easler, Laura Hoffman, Jennifer Katzenstein, Nasuh Malas

引用次数: 0

Spirituality in Multicultural Pediatric Oncology End-of-Life Care: Four Cases. 多元文化儿童肿瘤学临终关怀中的灵性：四例。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-12 DOI: 10.1177/00099228261491899

Olga Nigro, Marta Podda, Tullio Proserpio, Elisabetta Schiavello, Giuseppe Forzini, Maura Massimino

{"title":"Spirituality in Multicultural Pediatric Oncology End-of-Life Care: Four Cases.","authors":"Olga Nigro, Marta Podda, Tullio Proserpio, Elisabetta Schiavello, Giuseppe Forzini, Maura Massimino","doi":"10.1177/00099228261491899","DOIUrl":"https://doi.org/10.1177/00099228261491899","url":null,"abstract":"Attention to spiritual needs at the end-of-life remains an issue that deserves to be implemented in oncology, especially when it comes to pediatric patients. Using different end-of-life stories experienced at the pediatric oncology unit of the Fondazione IRCCS Istituto Nazionale dei Tumori in Milan as a starting point, this work would like to analyze the approach to spirituality and religiosity in pediatric palliative care.There are no specific inclusion/exclusion criteria for this study. We selected 4 representative cases of terminally ill pediatric patients treated and died from January 1, 2011, to September 30, 2024, in whom spiritual or religious beliefs played a significant role in care planning. The aim is descriptive and educational.To date, there are no real guidelines. Several groups recommend providing interprofessional psychosocial support for pediatric patients with cancer throughout the care trajectory. Based on our experience, our working group also agrees in strongly recommending spiritual support, and here too we would like to emphasize the importance of the \"team.\"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261491899"},"PeriodicalIF":0.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165559","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