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The Role of Ultrasound in Pediatric Peritonsillar Infection: A Descriptive Analysis. 超声波在小儿腹腔周围感染中的作用：描述性分析
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-07-26 DOI: 10.1177/00099228241265174
Luke Wohlford, Zola Trotter, Mary Connell, Bikash Bhattarai, Siddharth Pandya
{"title":"The Role of Ultrasound in Pediatric Peritonsillar Infection: A Descriptive Analysis.","authors":"Luke Wohlford, Zola Trotter, Mary Connell, Bikash Bhattarai, Siddharth Pandya","doi":"10.1177/00099228241265174","DOIUrl":"10.1177/00099228241265174","url":null,"abstract":"<p><p>In this study, we describe the role of ultrasound in diagnosing pediatric peritonsillar abscesses (PTAs). A retrospective chart review was conducted on 54 children aged 4 to 17 years who had an ultrasound performed for suspected PTA. Based on ultrasound imaging, the patients were classified into 2 groups: PTA-positive (8, 14.8%) and PTA-negative (46, 85.2 %). Trismus was significantly associated with PTA (50% vs. 13%, <i>P</i> = .03). PTA-positive patients were more likely to be given steroids, be admitted, and have extended hospital stays (<i>P</i> = .04, .004, and .002, respectively). The 2 groups had no significant difference in computed tomography (CT) acquisition, surgical intervention, and return visits (<i>P</i> = .92, .17, and .97, respectively). Larger abscesses trended toward surgical treatment (<i>P</i> = .087). Ultrasound is an efficient diagnostic modality for suspected peritonsillar infections in children, with similar clinical outcomes for PTA-positive and PTA-negative groups.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"391-400"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757534","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
Reasons for Unmet Health Care Needs Among Black, Hispanic, and White Children in the United States With or at Risk for Physical and Mental Health Conditions. 美国黑人、西班牙裔和白人中患有或可能患有身心健康疾病的儿童的医疗保健需求未得到满足的原因。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-06-24 DOI: 10.1177/00099228241263042
Anna K Ault, DeLawnia Comer-HaGans, Sarah J Faubert, Bakari A Wallace, Bridget E Weller
{"title":"Reasons for Unmet Health Care Needs Among Black, Hispanic, and White Children in the United States With or at Risk for Physical and Mental Health Conditions.","authors":"Anna K Ault, DeLawnia Comer-HaGans, Sarah J Faubert, Bakari A Wallace, Bridget E Weller","doi":"10.1177/00099228241263042","DOIUrl":"10.1177/00099228241263042","url":null,"abstract":"<p><p>Children with special health care needs (CSHCN)-ie, children who are at increased risk for, or currently manage, persistent physical and mental health conditions-require more health care resources than children without special health care needs. Furthermore, CSHCN who identify as racial/ethnic minorities disproportionately encounter unmet needs, according to reports from their caregivers. However, the reasons for their unmet needs are relatively unknown. This study estimated and compared the US national prevalence of caregiver-reported reasons for unmet health care needs for Hispanic, non-Hispanic black, and non-Hispanic white CSHCN. The most common reasons were problems getting an appointment for black CSHCN and cost for Hispanic and white CSHCN. Issues related to transportation were significantly less likely for black than for white and Hispanic CSHCN. Cost-related issues were significantly less likely for black than Hispanic CSHCN. To address reasons for unmet needs for CSHCN, effective structural changes are needed.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"373-381"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442201","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 Effect of Antiseizure Medications on Thyroid Functions in Children With Epilepsy. 抗癫痫药物对癫痫患儿甲状腺功能的影响。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-06-19 DOI: 10.1177/00099228241262380
Dilek Cebeci, Esra Gurkas, Nefise Aribas Oz, Ahmet Alptuğ Gungor, Aylin Irmak Kuruc, Gonul Buyukyilmaz
{"title":"The Effect of Antiseizure Medications on Thyroid Functions in Children With Epilepsy.","authors":"Dilek Cebeci, Esra Gurkas, Nefise Aribas Oz, Ahmet Alptuğ Gungor, Aylin Irmak Kuruc, Gonul Buyukyilmaz","doi":"10.1177/00099228241262380","DOIUrl":"10.1177/00099228241262380","url":null,"abstract":"<p><p>In this study, we aimed to investigate the effects of antiseizure medications on serum thyroid-stimulating hormone (TSH), free thyroxin (fT4) levels, and the frequency of subclinical hypothyroidism in children with epilepsy. One hundred and eighty-one pediatric patients receiving valproate, phenobarbital, carbamazepine, and levetiracetam monotherapy were included. The serum TSH levels were significantly higher at 6th, 12th, and 18th months of the treatment compared with the pre-treatment levels in valproate-treated patients. Serum fT4 levels in carbamazepine group were significantly lower than levetiracetam, valproate, and phenobarbital groups at 12th and 18th months of the treatment. Serum fT4 and TSH levels in levetiracetam group showed no significant changes at any time point. The frequency of subclinical hypothyroidism at 18th month was 16% in valproate, 11% in phenobarbital, 7% in carbamazepine, and 0% in levetiracetam groups. Our data suggest that levetiracetam monotherapy does not cause thyroid dysfunction.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":"64 3","pages":"326-331"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413586","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
Reducing Capillary Leak Syndrome Mortality in Extremely Premature Infants: A Pilot Investigation. 降低极早产儿毛细血管渗漏综合征死亡率：试点调查
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-08-09 DOI: 10.1177/00099228241272037
Timothy J Boly, Michell M Lozano-Chinga, Melanie E Reyes-Hernandez, Timothy G Elgin, Zuhair Ballas, Jennifer R Bermick
{"title":"Reducing Capillary Leak Syndrome Mortality in Extremely Premature Infants: A Pilot Investigation.","authors":"Timothy J Boly, Michell M Lozano-Chinga, Melanie E Reyes-Hernandez, Timothy G Elgin, Zuhair Ballas, Jennifer R Bermick","doi":"10.1177/00099228241272037","DOIUrl":"10.1177/00099228241272037","url":null,"abstract":"<p><p>Neonatal capillary leak syndrome (CLS) is a rare, but life-threatening condition following neonatal sepsis or inflammatory injury. The objective of this study was to describe a standardized treatment approach for CLS that improves mortality and neonatal outcomes. A retrospective cohort study of 10 infants born at 22 to 26 weeks of gestation who developed CLS following a significant inflammatory insult was performed. Time to diagnosis and treatment approaches over 2 epochs were recorded and described. In epoch 2, with increased clinical awareness of CLS and implementation of a standardized treatment approach, there was a non-statistically significant decrease in the time to treatment with a significant decrease in mortality. An early targeted treatment approach for neonatal CLS can decrease mortality rates in this highly morbid condition.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"425-433"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141912054","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
Aligning Minor Blood Groups Amid RhD Incompatibility: A Case Analysis. 在RhD不相容的情况下调整小血型：病例分析。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-07-23 DOI: 10.1177/00099228241264365
Sachin Sakharkar, Deepika Tiwari, Anuja Datar, Haribalakrishna Balasubramanian
{"title":"Aligning Minor Blood Groups Amid RhD Incompatibility: A Case Analysis.","authors":"Sachin Sakharkar, Deepika Tiwari, Anuja Datar, Haribalakrishna Balasubramanian","doi":"10.1177/00099228241264365","DOIUrl":"10.1177/00099228241264365","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"439-442"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141747575","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
Optimizing Colonoscopy Preparation in Autistic Children: A Comparative Study of Hypertonic Sugar Saline and Normal Saline Enemas. 优化自闭症儿童结肠镜检查前的准备工作：高渗糖生理盐水和正常生理盐水灌肠的比较研究。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-08-24 DOI: 10.1177/00099228241275054
Xinyu Jin, Weisong Sheng, Xinrong Liu, Danrong Zhu
{"title":"Optimizing Colonoscopy Preparation in Autistic Children: A Comparative Study of Hypertonic Sugar Saline and Normal Saline Enemas.","authors":"Xinyu Jin, Weisong Sheng, Xinrong Liu, Danrong Zhu","doi":"10.1177/00099228241275054","DOIUrl":"10.1177/00099228241275054","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluates the effectiveness of combining oral polyethylene glycol electrolyte solution with hypertonic sugar saline enema for colonoscopy preparation in autistic children.</p><p><strong>Methods: </strong>Clinical data of 58 children with autism who underwent fecal bacteria transplantation and transendoscopic enteral tubing (TET) catheterization at the hospital were retrospectively analyzed. Participants were allocated into 2 groups: a control group (26 children) and an observation group (32 children), differentiated by their intestinal preparation protocols. The control group was administered oral polyethylene glycol combined with normal saline enema, whereas the observation group was given oral polyethylene glycol combined with hypertonic sugar saline enema. The Boston Bowel Preparation Scale (BBPS) was used to score intestinal cleanliness. Differences in intestinal cleanliness and colonoscopy duration between the 2 groups were compared.</p><p><strong>Results: </strong>The group treated with hypertonic sugar saline enema exhibited significantly higher BBPS scores (6.78 ± 0.83) and an intestinal passage rate of 96.86%, which were statistically significant compared with the control group (<i>P</i> < 0.05). In addition, the colonoscopy duration was notably shorter in the observation group (14.03 ± 4.86 minutes) compared with the control group (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Our findings suggest that an oral polyethylene glycol electrolyte solution combined with a hypertonic sugar saline enema is a more effective preparation method for colonoscopy in autistic children.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"368-372"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142046383","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
Rehabilitation Frequency for Pediatric Patients With Burns in Acute Care. 急性护理中烧伤儿科患者的康复频率。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-07-26 DOI: 10.1177/00099228241263778
Rachel Reoli, Hallie Lenker
{"title":"Rehabilitation Frequency for Pediatric Patients With Burns in Acute Care.","authors":"Rachel Reoli, Hallie Lenker","doi":"10.1177/00099228241263778","DOIUrl":"10.1177/00099228241263778","url":null,"abstract":"<p><p>It is known that rehabilitation provides beneficial outcomes postburns. However, the frequency of therapy interventions is inconsistent, especially in the hospital setting. Our objective is to identify the frequency of rehabilitation interventions for pediatric patients with burns in acute care. Manuscripts were included if they addressed rehabilitation burn interventions for the pediatric population and reported intervention frequencies. Studies were excluded if they included adults and/or were beyond the acute care setting. We searched 6 databases for published literature, in the English language, from 2010 to April 2023. A total of 140 articles were found; however, only 8 met the inclusion criteria. Five studies met criteria for high-quality evidence, 3 for low quality. Frequency of rehabilitative therapy in the acute care setting was found to be variable, ranging from 1 day per week to 2 times per day. More research is needed to support optimum frequency.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"434-438"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757521","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
Telementoring to Strengthen Child and Youth Mental Health Care Capacity in Primary Care Providers: Session Duration and Learning Outcomes. Telementoring to Strengthen Child and Youth Mental Health Care Capacity in Primary Care Providers：会期和学习成果。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-08-25 DOI: 10.1177/00099228241270035
Kathleen Pajer, William Gardner, Carley Ouellette, Michael Cheng, Sarah Bissex, Roxanne MacKay, Tracey MacLaurin, Hazen Gandy
{"title":"Telementoring to Strengthen Child and Youth Mental Health Care Capacity in Primary Care Providers: Session Duration and Learning Outcomes.","authors":"Kathleen Pajer, William Gardner, Carley Ouellette, Michael Cheng, Sarah Bissex, Roxanne MacKay, Tracey MacLaurin, Hazen Gandy","doi":"10.1177/00099228241270035","DOIUrl":"10.1177/00099228241270035","url":null,"abstract":"<p><p>Primary care providers (PCPs) report insufficient capacity for child and youth mental health care (CYMH). The telementoring program Project ECHO (Extension for Community Healthcare Outcomes) can build capacity, but 75- to 120-minute sessions are a participation barrier. Using a Lean health care paradigm, we designed a 60-minute session, and compared self-reported CYMH capacity strengthening (10 constructs) and satisfaction between 60- and 90-minute sessions. Pre-post (n = 139) and post-cycle (n = 146) survey data were analyzed using generalized linear mixed-effects logistic regression. Capacity strengthening was demonstrated when analyzing both groups together (all <i>Ps</i> ≤ .002). Session duration did not affect capacity strengthening for 9/10 constructs (all <i>Ps</i> > .05), but medication management development was higher with 90-minute sessions (<i>P</i> = .002). Satisfaction was high in both groups. The 60-minute ECHO CYMH sessions can be used without negative learning outcomes, but more mentoring may be needed to build capacity for psychopharmacologic treatment.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"382-390"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055123","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 Qualitative Study of Breastfeeding Mothers' Perspectives Regarding Lactation Support Services. 母乳喂养母亲对哺乳支持服务看法的定性研究。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-07-26 DOI: 10.1177/00099228241264778
Rebecca Lu, Lasheena Brooks, Lydia Furman, Ganga L Srinivas, Sarah D Ronis
{"title":"A Qualitative Study of Breastfeeding Mothers' Perspectives Regarding Lactation Support Services.","authors":"Rebecca Lu, Lasheena Brooks, Lydia Furman, Ganga L Srinivas, Sarah D Ronis","doi":"10.1177/00099228241264778","DOIUrl":"10.1177/00099228241264778","url":null,"abstract":"<p><p>Although breastfeeding is widely accepted as beneficial, only half of U.S. mothers are breastfeeding at 6 months. This study aimed to learn whether a quality improvement project to embed lactation support services into the newborn visit at a primary pediatric practice met families' needs. Mothers who were aged 18+ years, had an infant born in October 2021 with a well-child visit to the study practice (urban, 85% Medicaid, and 90% African American), and planned to breastfeed were invited to participate in a semi-structured telephone interview about their experience with breastfeeding and lactation support. We interviewed 18 mothers and, using a descriptive qualitative approach (thematic analysis), found that early support was helpful in addressing initial challenges such as latching pain but did not adequately anticipate later barriers to continued breastfeeding. This suggests lactation support offered by pediatric primary care practices should extend beyond the newborn period and be tailored to families' evolving needs.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"332-339"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765687","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
Neighborhood Socioeconomic Context Predicts Pediatric Asthma Exacerbation. 邻里社会经济背景可预测小儿哮喘恶化。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-07-23 DOI: 10.1177/00099228241262997
Ashley W Kranjac, Zeev N Kain, Louis Ehwerhemuepha, Michael Weiss, Brooke N Jenkins
{"title":"Neighborhood Socioeconomic Context Predicts Pediatric Asthma Exacerbation.","authors":"Ashley W Kranjac, Zeev N Kain, Louis Ehwerhemuepha, Michael Weiss, Brooke N Jenkins","doi":"10.1177/00099228241262997","DOIUrl":"10.1177/00099228241262997","url":null,"abstract":"<p><p>Causes of asthma exacerbation in children have been studied extensively at the individual level, but contributions of neighborhood-level factors are less explored. We test which distinctive residential characteristics produce variation in uncontrolled asthma among pediatric patients. We extracted electronic medical record data from pediatric patients living in Southern California and used multilevel modeling techniques to isolate which neighborhood characteristics drive inequitable asthma control. Above and beyond the individual-level factors known to predict inadequate disease control, neighborhoods with greater concentration of non-Hispanic black residents (odds ratios [OR] = 1.02; 95% confidence interval [CI]: 0.99-1.03; <i>P</i> < .05), higher proportions of female-headed households (OR = 1.01; 95% CI: 0.99-1.01; <i>P</i> < .05), and higher levels of ambient air pollution (OR = 1.05; 95% CI: 1.01-1.10; <i>P</i> < .001) associate with greater odds of asthma exacerbation. The interplay between community characteristics and asthma management during childhood is complex, and place-based initiatives are needed to narrow the gap in asthma exacerbation.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"310-318"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751272","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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