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Improving Response to Developmental Screening Through Integrated Behavioral Health in Pediatric Primary Care. 通过儿童初级保健综合行为健康改善对发育筛查的反应。
IF 0.7 4区 医学
Clinical Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-01-08 DOI: 10.1177/00099228251407418
Sharnita D Harris, Teryn P Bruni, Danielle Dwyer, Elizabeth T Koval, Layla Mohammed, Jenny Radesky, Tiffany G Munzer
{"title":"Improving Response to Developmental Screening Through Integrated Behavioral Health in Pediatric Primary Care.","authors":"Sharnita D Harris, Teryn P Bruni, Danielle Dwyer, Elizabeth T Koval, Layla Mohammed, Jenny Radesky, Tiffany G Munzer","doi":"10.1177/00099228251407418","DOIUrl":"10.1177/00099228251407418","url":null,"abstract":"<p><p>Follow up care after an abnormal developmental screening may be challenging for families, particularly those from under resourced communities. In this study, we examined how an existing integrated primary care (IPC) co-located model could address the needs of families whose children faced developmental concerns by conducting qualitative interviews to inform the adaptation to include developmental services. Data from 51 caregivers of pediatric patients (4 months to 6 years old) were analyzed qualitatively and coded using the Consolidated Framework for Implementation Research (CFIR) in combination with grounded theory to identify themes. Following coding with the CFIR framework, a thematic analysis was conducted for overarching themes in the data with the gradual development of codes and categories in an inductive manner. The thematic analyses identified three major themes: components of effective referrals, barriers, and caregiver preferences. The current study provides in-depth, contextualized information about how current IPC models can be expanded to address developmental concerns.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"566-573"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13130052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145932514","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
Two Teenagers With New-Onset, Ascending Weakness With Progressive Neurologic Deficits. 两名青少年新发，衰弱加重伴进行性神经功能缺损。
IF 0.7 4区 医学
Clinical Pediatrics Pub Date : 2026-05-01 Epub Date: 2025-12-01 DOI: 10.1177/00099228251395472
Chloe LaRochelle, Anais Iglesias, Sarah Marsicek, Lacey Chambers
{"title":"Two Teenagers With New-Onset, Ascending Weakness With Progressive Neurologic Deficits.","authors":"Chloe LaRochelle, Anais Iglesias, Sarah Marsicek, Lacey Chambers","doi":"10.1177/00099228251395472","DOIUrl":"10.1177/00099228251395472","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"461-465"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647597","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 Pediatric Case of Lemierre Syndrome Mimicking Kawasaki Disease. 小儿模仿川崎病Lemierre综合征1例。
IF 0.7 4区 医学
Clinical Pediatrics Pub Date : 2026-05-01 Epub Date: 2025-12-04 DOI: 10.1177/00099228251398984
Elena Dingle, Jessica Debski, Shankar Ganapathy, Zachary Rohrer
{"title":"A Pediatric Case of Lemierre Syndrome Mimicking Kawasaki Disease.","authors":"Elena Dingle, Jessica Debski, Shankar Ganapathy, Zachary Rohrer","doi":"10.1177/00099228251398984","DOIUrl":"10.1177/00099228251398984","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"469-472"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145667159","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
Safety and Efficacy of Different Sedation Regimens in Pediatric Diagnostic Gastroscopy: A Retrospective Controlled Study. 不同镇静方案在儿童诊断胃镜检查中的安全性和有效性：一项回顾性对照研究。
IF 0.7 4区 医学
Clinical Pediatrics Pub Date : 2026-05-01 Epub Date: 2025-12-29 DOI: 10.1177/00099228251407412
Qin Chen, Jiejie Wang, Caiyu Hu
{"title":"Safety and Efficacy of Different Sedation Regimens in Pediatric Diagnostic Gastroscopy: A Retrospective Controlled Study.","authors":"Qin Chen, Jiejie Wang, Caiyu Hu","doi":"10.1177/00099228251407412","DOIUrl":"10.1177/00099228251407412","url":null,"abstract":"<p><p>To compare the safety and efficacy of propofol monotherapy and midazolam combined with propofol for sedation in pediatric diagnostic gastroscopy, providing evidence for optimizing clinical sedation protocols. A retrospective analysis was conducted on 162 children aged 3 to 14 years who underwent gastroscopy at our Digestive Endoscopy Center between January 2022 and June 2024. Based on the sedation regimen used, patients were categorized into 2 groups: the propofol group (n = 78, sedated with propofol alone) and the combination group (n = 84, sedated with midazolam and propofol). Baseline characteristics, sedation efficacy, recovery parameters, intra-procedural vital signs, incidence of adverse reactions, use of sedative drugs, and procedure-related times were compared between the 2 groups. Propofol monotherapy offers rapid recovery, less impact on vital signs, and improved turnover efficiency, making it a potentially more suitable sedation strategy for pediatric diagnostic gastroscopy in clinical practice.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"556-565"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145849093","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
Prediction Models for Serious Bacterial Infection in Infants Up to 90 Days of Age. 90天以下婴儿严重细菌感染的预测模型。
IF 0.7 4区 医学
Clinical Pediatrics Pub Date : 2026-05-01 Epub Date: 2025-12-18 DOI: 10.1177/00099228251396239
Halima Dabaja-Younis, Nadeen Makhoul, Rozeen Abu Shqara, Ranaa Damouni Shalabi, Anat Reiner-Benaim, Manfred S Green, Imad Kassis
{"title":"Prediction Models for Serious Bacterial Infection in Infants Up to 90 Days of Age.","authors":"Halima Dabaja-Younis, Nadeen Makhoul, Rozeen Abu Shqara, Ranaa Damouni Shalabi, Anat Reiner-Benaim, Manfred S Green, Imad Kassis","doi":"10.1177/00099228251396239","DOIUrl":"10.1177/00099228251396239","url":null,"abstract":"<p><p>In a decade-long retrospective study at a tertiary center, predictive models for serious bacterial infections (SBIs) in febrile infants <90 days were devised. Among 1250 infants, SBIs were found in 18.4% of those <29 days and 15.1% of those aged 29 to 89 days. Elevated absolute neutrophil count (ANC) (>7500 mm<sup>3</sup>) and C-reactive protein (CRP) (>3 mg/dL) were risk factors in both groups, with viral-like illness in family members being protective. Diarrhea was a risk factor in the younger group and protective in the older group, while female sex was a risk factor in the older group. The \"NeoSBIscore,\" incorporating these factors with signs of focal infection and abnormal urinalysis, exhibited 94.7% sensitivity and 97.0% negative predictive value (NPV) in <29 days and 92.8% sensitivity and 94.7% NPV in older infants, effectively detecting SBI with higher thresholds of widely available biomarkers and comprehensive clinical details. This tool aids in SBI risk assessment.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"481-490"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145773856","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 Vaccination Rates by Connecting Families to Community Resources. 通过连接家庭与社区资源提高疫苗接种率。
IF 0.7 4区 医学
Clinical Pediatrics Pub Date : 2026-05-01 Epub Date: 2025-12-29 DOI: 10.1177/00099228251404282
Joshua Arthur, Ally Siegler Terhaar, Jin Huang, Gene LaBarge, Ellen Barnidge
{"title":"Improving Vaccination Rates by Connecting Families to Community Resources.","authors":"Joshua Arthur, Ally Siegler Terhaar, Jin Huang, Gene LaBarge, Ellen Barnidge","doi":"10.1177/00099228251404282","DOIUrl":"10.1177/00099228251404282","url":null,"abstract":"<p><p>We developed a social needs intervention (the PHASE program) in a Midwestern, low-income, pediatric clinic to screen for financial needs, food insecurity, housing insecurity, and other needs and connect families to clinic and community-based social resources. We measured the impact of our intervention on adherence with recommended childhood immunizations. While PHASE-enrolled patients were overdue on 34% more vaccines at the time of enrollment, by the second year their vaccine status had improved to the point that the intervention and comparison groups were indistinguishable. Most notably, at 18 months, PHASE patients were overdue for 0.15 less vaccines than at the time of enrollment, while at the same time, non-participants were overdue for 0.32 more vaccines than at the time of enrollment-a statistically significant difference of 0.47 less overdue vaccines. This suggests that families that are connected with short and long-term resources can have an improvement in immunization adherence.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"531-540"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145854717","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
Can't Be Ovary Cautious With a Vomiting Neonate. 对一个呕吐的新生儿不能对卵巢谨慎。
IF 0.7 4区 医学
Clinical Pediatrics Pub Date : 2026-05-01 Epub Date: 2025-12-01 DOI: 10.1177/00099228251395525
Emilie No, Ann Marie Saravana, Jonathan Greenfeld, Shane Rainey
{"title":"Can't Be Ovary Cautious With a Vomiting Neonate.","authors":"Emilie No, Ann Marie Saravana, Jonathan Greenfeld, Shane Rainey","doi":"10.1177/00099228251395525","DOIUrl":"10.1177/00099228251395525","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"466-468"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647562","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
Self-Guided Online Software Applications (SOSAs) for Child, Adolescent, and Young Adult (CAYA) Mental Health Treatment: From Research to Practice. 儿童，青少年和年轻人（CAYA）心理健康治疗的自我引导在线软件应用程序（SOSAs）：从研究到实践。
IF 0.7 4区 医学
Clinical Pediatrics Pub Date : 2026-05-01 Epub Date: 2025-12-17 DOI: 10.1177/00099228251403826
Catherine Gray, Ashish Khanchandani, Dmitry Tumin
{"title":"Self-Guided Online Software Applications (SOSAs) for Child, Adolescent, and Young Adult (CAYA) Mental Health Treatment: From Research to Practice.","authors":"Catherine Gray, Ashish Khanchandani, Dmitry Tumin","doi":"10.1177/00099228251403826","DOIUrl":"10.1177/00099228251403826","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"457-459"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145767274","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
Gun Violence: A Decade of Experience at a Free-Standing Children's Hospital. 枪支暴力：一家独立儿童医院的十年经验。
IF 0.7 4区 医学
Clinical Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-01-07 DOI: 10.1177/00099228251404291
Colin Wilson, Miraides F Brown, P Cooper White
{"title":"Gun Violence: A Decade of Experience at a Free-Standing Children's Hospital.","authors":"Colin Wilson, Miraides F Brown, P Cooper White","doi":"10.1177/00099228251404291","DOIUrl":"10.1177/00099228251404291","url":null,"abstract":"<p><p>The objective of this study was to analyze the circumstances of encounters involving gun violence at a Children's Hospital (CH) between January 1, 2012, and December 31, 2023. This was a retrospective study of patients 0 to 17 years old, presenting with firearm-related trauma to a CH facility. There were 325 cases. There was a rising frequency trend from 2012 to 2023. The year 2020 saw the highest annual frequency. A significant majority of these cases were the result of assaults experienced by black, male, teenagers living within an urban zip code. There were 16 deaths (4.9%). The extremities were the most common injury location (61%). A total of 188 (57.9%) cases involved hospitalization, 133 (40.9%) cases required surgery, and 67 (20.6%) cases required intensive care unit (ICU) admission. Our study demonstrates the overwhelming burden of gun violence borne by black urban communities, confirming other similar studies.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"541-548"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917148","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
Use of Videos to Provide Anticipatory Infant Feeding Guidance During Well-Child Visits: A Pragmatic Pilot Study. 在健康儿童访问期间使用视频提供预期的婴儿喂养指导：一项实用的试点研究。
IF 0.7 4区 医学
Clinical Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-01-07 DOI: 10.1177/00099228251408938
Jean A Welsh, Katelyn V Chiang, Aileen Rivell, Belise Livingston-Burns, Terri McFadden
{"title":"Use of Videos to Provide Anticipatory Infant Feeding Guidance During Well-Child Visits: A Pragmatic Pilot Study.","authors":"Jean A Welsh, Katelyn V Chiang, Aileen Rivell, Belise Livingston-Burns, Terri McFadden","doi":"10.1177/00099228251408938","DOIUrl":"10.1177/00099228251408938","url":null,"abstract":"<p><p>This pragmatic, quasi-experimental pilot study evaluated the feasibility, acceptability, and preliminary impact of using videos to deliver anticipatory infant feeding guidance during well-child visits (WCVs) at a pediatric primary care clinic. Control group parents (n = 116) participated between August 2021 and July 2022, and intervention group parents (n = 274) participated between November 2022 and May 2023. Parents viewed a brief video on infant feeding recommendations (intervention) or safe sleep (control) at their child's 4- or 12-month WCV and completed a brief post survey. Control parents and a subset of intervention parents (n = 56) also completed infant feeding surveys at the 6- or 15-month WCV. Most (78%-96%) found the intervention videos helpful, engaging, and informative. Introduction of fruit juice by the 6-month WCV was similar between groups (40%-42%), but intervention parents were less likely to have introduced sugar-sweetened beverages by the 15-month WCV. Clinic staff supported the use of videos during WCVs. These findings suggest that offering video-based anticipatory guidance during WCVs is a promising strategy for improving infant feeding.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"574-583"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917222","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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