Clinical PediatricsPub Date : 2025-01-01Epub Date: 2024-03-30DOI: 10.1177/00099228241242832
Jenna M Baker, Shanika R Uduwana, Sheri L Nemerofsky
{"title":"Universal G6PD Screening: A Retrospective Chart Review.","authors":"Jenna M Baker, Shanika R Uduwana, Sheri L Nemerofsky","doi":"10.1177/00099228241242832","DOIUrl":"10.1177/00099228241242832","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"5-8"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140326476","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}
Lora Batson, Pamela K Donohue, Mona-Esmat Jarrah, Brandon M Smith, Caitlin Nalda, Rebecca R Seltzer
{"title":"The Home-Built Environment of Children With Medical Complexity.","authors":"Lora Batson, Pamela K Donohue, Mona-Esmat Jarrah, Brandon M Smith, Caitlin Nalda, Rebecca R Seltzer","doi":"10.1177/00099228241306247","DOIUrl":"https://doi.org/10.1177/00099228241306247","url":null,"abstract":"<p><p>This study aimed to describe the home-built environment of children with medical complexity (CMC) using novel photovoice methodology. Parents/guardians of CMC uploaded and discussed photographs of their home environment through semi-structured interviews. Conventional content analysis was applied to interview transcripts embedded with corresponding photographs. All participants modified their home environment to optimize the health, function, and well-being of the child and family; extent of modifications varied. Two main themes and subthemes characterized the home-built environment: (1) replicating hospital function and structure: ensuring accessibility, promoting safety, optimizing organization of supplies, and equipment and (2) maintaining a sense of home: self-expression, entertaining, family participation, and comfort. Elements of hospital structure and function and traditional home aesthetics and utility were equally important to families, the interplay between both facets informed modifications. By understanding the home-built environment, pediatric providers can more holistically support the health and well-being of CMC and their caregivers.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241306247"},"PeriodicalIF":1.0,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876177","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}
{"title":"The Relationship between Parents' Use of the Pediatric Emergency Department and Cyberchondria.","authors":"Fadime Üstüner Top, Barış Kaya","doi":"10.1177/00099228241308006","DOIUrl":"https://doi.org/10.1177/00099228241308006","url":null,"abstract":"<p><p>The study aimed to investigate the correlation between children's attendance at the emergency department and the cyberchondria of parents. The population for this cross-sectional study comprised parents of children aged 0 to 18 attending the emergency department. Research data were collected using an Information Form, the Cyberchondria Severity Scale (CSS). The participants had mean CSS scores of 41.45 ± 19.22. There were significant differences observed between the reason for choosing the emergency department with mean scores for the total CSS (<i>F</i> = 2.289, <i>P</i> = .021), distress (<i>F</i> = 2.466, <i>P</i> = .013), and compulsion (<i>F</i> = 2.822, <i>P</i> = .005) subscales. A weak positive correlation was identified between the number of attendances at the emergency department in the last year and the excessiveness (<i>r</i> = .204) subscale. Participants had moderate levels of CSS. According to the research findings, most parents attended the emergency department for non-urgent reasons. In addition, as the cyberchondria severity level of parents increased, their attendance at health institutions and emergency departments was determined to increase.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241308006"},"PeriodicalIF":1.0,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876188","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}
{"title":"Chiropractic Care in Children: A Review of Evidence and Safety.","authors":"Sanghamitra M Misra, Omar Jaber, Caroline Long","doi":"10.1177/00099228241305202","DOIUrl":"https://doi.org/10.1177/00099228241305202","url":null,"abstract":"<p><p>Complementary therapies are used to treat many pediatric symptoms and health conditions, and chiropractic care is one of the most commonly used forms of complementary therapies by children and adolescents. Research studies have investigated the evidence behind and safety of chiropractic care in pediatrics with various musculoskeletal and non-musculoskeletal conditions. There are limited data with a range of findings and often no definite conclusion. Despite the paucity of evidence of benefits of chiropractic care in children, the considerations around safety, and the differing opinions regarding pediatric chiropractic practice inside and outside the field, many pediatric patients visit chiropractors, and chiropractors often care for pediatric patients. Pediatric health care providers should discuss the use of all complementary therapies with patients, so guidance can be optimal with a focus on promoting health and safety.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241305202"},"PeriodicalIF":1.0,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876035","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}
{"title":"The Value of Preprocedural Evaluation and Postprocedural Monitoring of Circumcision: A Unique Case of Delayed Diagnosis of Hemophilia.","authors":"Andrea Lauffer, Josh Hess, Paul Finch","doi":"10.1177/00099228241305849","DOIUrl":"https://doi.org/10.1177/00099228241305849","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241305849"},"PeriodicalIF":1.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871540","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}
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":"https://doi.org/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":"99228241305853"},"PeriodicalIF":1.0,"publicationDate":"2024-12-20","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}
Elber Yuksel Aydin, Matthew Garber, C Krystyn Stocking, Charlene Pringle, Jose Irazuzta
{"title":"Bronchiolitis: Impact of Age and Etiology on Morbidity and Mortality in Previously Healthy Critically Ill Children.","authors":"Elber Yuksel Aydin, Matthew Garber, C Krystyn Stocking, Charlene Pringle, Jose Irazuzta","doi":"10.1177/00099228241303600","DOIUrl":"https://doi.org/10.1177/00099228241303600","url":null,"abstract":"<p><p>This retrospective, multicenter observational study analyzed data from 257 children under 2 years old admitted with viral bronchiolitis to pediatric intensive care units (PICU) at Wolfson Children's Hospital and UFHealth Shands Children's Hospital from January 2020 to March 2022. The study explores viral etiologies and their associations with hospital length of stay (H-LOS), PICU length of stay (P-LOS), and severity markers and scores. Younger age was associated with longer H-LOS and P-LOS (<i>P</i> < .001). Respiratory syncytial virus (RSV) was associated with younger age but not with H-LOS when controlled for age. RSV's impact on H-LOS varied by age (<i>P</i> = .018). Markers of severity did not differ between patients infected with RSV versus those without RSV, or in patients with co-infection versus single infection. In our population, pSOFA performed better than PELOD-2 in disease severity assessment.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241303600"},"PeriodicalIF":1.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871532","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}
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":"https://doi.org/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":"99228241304480"},"PeriodicalIF":1.0,"publicationDate":"2024-12-20","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}
Muhammed Fatih Satılmaz, Mehmet Gökhan Aslan, Mert Beşenek
{"title":"Evaluation of Ocular Parameters in Newly Diagnosed Obsessive-Compulsive Disorder Children With Eye-Rubbing Compulsion.","authors":"Muhammed Fatih Satılmaz, Mehmet Gökhan Aslan, Mert Beşenek","doi":"10.1177/00099228241304469","DOIUrl":"https://doi.org/10.1177/00099228241304469","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the ocular structural changes in obsessive-compulsive disorder (OCD) children with eye-rubbing compulsion.</p><p><strong>Methods: </strong>Participants recruited at the child and adolescent psychiatry clinic were evaluated for the OCD diagnosis. All patients underwent imaging with Scheimpflug corneal topography (Sirius, CSO, Italy), Tomey EM-4000 specular microscopy (Nagoya, Japan), and Lenstar LS 900 (Haag-Streit AG, Switzerland) optical biometry.</p><p><strong>Results: </strong>Both naive OCD and healthy control groups consisted of 40 patients. Mean cylindric diopter, coma, and trefoil values were significantly higher in the right eyes of OCD children. (<i>P</i> = .043, .024, and .028, respectively). Besides, lens thickness, total ocular aberrations, and high ocular aberrations (<i>P</i> = .014, .040; .027, .038; and.020, .013, in right and left eyes, respectively) were bilaterally higher in OCD children.</p><p><strong>Conclusion: </strong>Eye rubbing and mechanical trauma were proposed as risk factors for ocular structural changes. Early evaluation of corneal topographic parameters such as CylD, coma, and trefoil aberrations in newly diagnosed OCD children might assist in preventing future corneal ectatic diseases.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241304469"},"PeriodicalIF":1.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871534","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}