Clinical Pediatrics最新文献_第2页

Metabolic Profile and Clustering of Metabolic Syndrome Components in Children and Adolescents With Overweight and Obesity Attending Secondary Care in Mexico: A Single-Center Cross-Sectional Study. 墨西哥参加二级保健的超重和肥胖儿童和青少年代谢综合征成分的代谢谱和聚类：一项单中心横断面研究

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-08 DOI: 10.1177/00099228261490957

Andrés Barradas-Cervantes, Esther Moreno-Cabrera, Marco A Morales-Pérez

{"title":"Metabolic Profile and Clustering of Metabolic Syndrome Components in Children and Adolescents With Overweight and Obesity Attending Secondary Care in Mexico: A Single-Center Cross-Sectional Study.","authors":"Andrés Barradas-Cervantes, Esther Moreno-Cabrera, Marco A Morales-Pérez","doi":"10.1177/00099228261490957","DOIUrl":"https://doi.org/10.1177/00099228261490957","url":null,"abstract":"This single-center cross-sectional study described the metabolic profile and clustering of metabolic syndrome components in 202 children and adolescents aged 10 to 16 years with overweight or obesity attending secondary care in Mexico. Metabolic syndrome was defined according to International Diabetes Federation criteria. Abdominal obesity was highly prevalent (88.6%), followed by low high-density lipoprotein cholesterol (52.5%) and hypertriglyceridemia (43.1%), whereas elevated fasting glucose and blood pressure were less frequent. Overall, 37.1% met the criteria for metabolic syndrome, and 38.1% presented 3 or more concurrent components, indicating substantial cardiometabolic clustering. Increasing component burden was associated with higher body mass index (BMI)-for-age z-scores, alanine aminotransferase, and uric acid levels. In ordinal logistic regression, older age and higher BMI-for-age z-score were independently associated with greater component burden, whereas sex and pubertal stage were not. These findings indicate a high burden of cardiometabolic abnormalities not fully captured by a dichotomous diagnosis, underscoring the need for comprehensive metabolic assessment in routine pediatric practice.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261490957"},"PeriodicalIF":0.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135192","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 Psychological Resilience and Stress Levels of Mothers Whose Premature Babies Are Hospitalized in Neonatal Intensive Care Unit. 新生儿重症监护室早产儿母亲心理弹性与应激水平的关系

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-05-21 DOI: 10.1177/00099228261452841

Sema Kaya Bozkurt, Gonca Karayagiz Muslu

{"title":"The Relationship Between Psychological Resilience and Stress Levels of Mothers Whose Premature Babies Are Hospitalized in Neonatal Intensive Care Unit.","authors":"Sema Kaya Bozkurt, Gonca Karayagiz Muslu","doi":"10.1177/00099228261452841","DOIUrl":"10.1177/00099228261452841","url":null,"abstract":"Having a premature infant hospitalized in the neonatal intensive care unit (NICU) is a highly stressful experience for mothers and may affect their psychological well-being. Psychological resilience is considered an important factor that may help mothers cope with the emotional challenges of the NICU environment. This study aimed to examine the relationship between psychological resilience and stress levels among mothers of premature infants hospitalized in the NICU. This descriptive, correlational, cross-sectional study was conducted with 187 mothers whose premature infants were hospitalized in an NICU. Data were collected using a Personal Information Form, the Psychological Resilience Scale for Adults, and the Neonatal Intensive Care Unit Parental Stress Scale. Mothers experienced notable levels of stress related to their infants' hospitalization. A significant negative association was identified between maternal stress and several dimensions of psychological resilience, including self-perception, future perception, family cohesion, and structural style. Strengthening psychological resilience through psychosocial support programs may help reduce maternal stress and support maternal well-being during the NICU hospitalization period.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1152-1163"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980800","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 Invasive Group A Streptococcus Characteristics Before, During, and After COVID-19. 儿童侵袭性A组链球菌在COVID-19之前、期间和之后的特征

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-27 DOI: 10.1177/00099228261463464

Tsoline Kojaoghlanian, Katja Anuth, Katheryn Cireseanu, Areeba Qazi, Jeremy Silverstein, Maria Bhatti, Rabia Agha

引用次数: 0

Effect of Preferred Language on Pediatric Rapid Response Activation and Subsequent Intensive Care Utilization. 首选语言对儿童快速反应激活和随后重症监护使用的影响。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-30 DOI: 10.1177/00099228261462810

Rachel E Moss, Jan Fune, Catherine McDonough, Shubhi Kaushik, Sandeep Gangadharan

{"title":"Effect of Preferred Language on Pediatric Rapid Response Activation and Subsequent Intensive Care Utilization.","authors":"Rachel E Moss, Jan Fune, Catherine McDonough, Shubhi Kaushik, Sandeep Gangadharan","doi":"10.1177/00099228261462810","DOIUrl":"10.1177/00099228261462810","url":null,"abstract":"Health care disparities stemming from language discordance have been well established, leading to increased morbidity and mortality. We sought to examine the effect of patient preferred language on time to rapid response activation and subsequent intensive care utilization. We sought to evaluate the association between patient preferred language and time to rapid response (RR) activation, intensive care unit (ICU) transfer rate, and intensive care utilization in a quaternary pediatric hospital. We conducted a retrospective observational study of pediatric patients with rapid response activation from January 2020 to June 2023. Demographic and clinical data, including time to rapid response, ICU transfers, and use of mechanical ventilation, non-invasive ventilation, and vasoactive support, were analyzed. Statistical comparisons were performed between English-speaking and language other than English (LOE) patients, with subgroup analyses for Spanish-speaking patients. Of 374 unique patients, 25% were using LOE. Time to rapid response activation was not significantly different between language groups. However, Spanish-speaking patients were more likely to be transferred to the ICU (P = .0047) and had longer hospital stays (10 vs 7 days, P = .0425). While language preference did not impact time to rapid response activation, Spanish-speaking patients had increased ICU transfers and prolonged hospital stays. These findings highlight the need for improved language-concordant care to mitigate disparities in pediatric critical care outcomes.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1260-1267"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148351126","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

Virtual Reality Education for Hospitalized Pediatric Patients Improves Intrinsic Motivation: A Prospective, Randomized Crossover Study. 虚拟现实教育对住院儿科患者内在动机的改善：一项前瞻性、随机交叉研究。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-28 DOI: 10.1177/00099228261460362

Faith Collins, Emily Moya, Marcos S Rojas-Pino, Michelle Zuniga-Hernandez, Faaizah Arshad, Ruth Feng, Ellen Y Wang, Samuel T Rodriguez, Christian Jackson, Thomas J Caruso

{"title":"Virtual Reality Education for Hospitalized Pediatric Patients Improves Intrinsic Motivation: A Prospective, Randomized Crossover Study.","authors":"Faith Collins, Emily Moya, Marcos S Rojas-Pino, Michelle Zuniga-Hernandez, Faaizah Arshad, Ruth Feng, Ellen Y Wang, Samuel T Rodriguez, Christian Jackson, Thomas J Caruso","doi":"10.1177/00099228261460362","DOIUrl":"10.1177/00099228261460362","url":null,"abstract":"Hospitalized children experience educational disruption and reduced motivation during prolonged admissions. Despite the availability of in-hospital schools, many cannot participate due to illness severity or isolation precautions. This pragmatic, randomized crossover trial evaluated whether bedside virtual reality (VR) lessons improve intrinsic motivation among inpatients aged 5 to 25 years unable to attend the hospital school. Participants completed both VR-based educational sessions and standard of care (SOC) conditions on consecutive days. The primary outcome was intrinsic motivation, with secondary outcomes including educational self-efficacy, well-being, self-esteem, and parental experience. Of 156 enrolled patients, 100 were analyzed (mean age 11.5 [SD = 4.1 years]; 43.9% female). Intrinsic motivation scores were higher in the VR condition than SOC (P = .0048), and parental satisfaction was also greater (P = .0008). Bedside VR education represents a feasible, acceptable, and scalable adjunct to inpatient learning, supporting intrinsic motivation and caregiver satisfaction during hospitalization.Trial Registration: ClinicalTrials.gov NCT05725395, date first registered November 22, 2022.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1249-1259"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148344019","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

Where the Recent AAP Policy on Digital Media Falls Short. 最近的AAP数字媒体政策的不足之处。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-07-15 DOI: 10.1177/00099228261466899

Victor C Strasburger, Donald Shifrin, Marjorie Hogan

引用次数: 0

Clinical Significance of a New Z-Score Calculator in Pediatric Patients With Kawasaki Disease. 新型z评分计算器在小儿川崎病中的临床意义

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-05-26 DOI: 10.1177/00099228261452213

Kathryn W Holmes, Juliana Sarwary, Sheila Markwardt, Monique Bohun, Christina Ronai, Jennifer H Huang, Erin Madriago

引用次数: 0

Lichen Sclerosus: A Common but Often Overlooked Condition in Pediatric Patients. 青苔硬化：一种常见但经常被忽视的儿童疾病。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-25 DOI: 10.1177/00099228261452276

Begüm Avcı, Gönül Parmaksız, Hasan Özkan Gezer, Murat Durdu, Aytül Noyan

引用次数: 0

Corrigendum to "Investigation of Walking Ability in 161 Patients With Duchenne Muscular Dystrophy". “161例杜氏肌营养不良患者行走能力调查”的勘误表。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-06 DOI: 10.1177/00099228261457788

引用次数: 0

The Rash That Will Not Go Away. 皮疹不会消失。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-30 DOI: 10.1177/00099228261459939

Peter Newman, Kushal Patel, Judith Rowen, Geetha Radhakrishnan, Donna Mendez

引用次数: 0