Clinical Pediatrics最新文献_第3页

Evaluation of Ocular Parameters in Newly Diagnosed Obsessive-Compulsive Disorder Children With Eye-Rubbing Compulsion.

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-12-20 DOI: 10.1177/00099228241304469

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":"Purpose: To determine the ocular structural changes in obsessive-compulsive disorder (OCD) children with eye-rubbing compulsion.Methods: 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.Results: 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. (P = .043, .024, and .028, respectively). Besides, lens thickness, total ocular aberrations, and high ocular aberrations (P = .014, .040; .027, .038; and.020, .013, in right and left eyes, respectively) were bilaterally higher in OCD children.Conclusion: 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.","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}

引用次数: 0

Siblings With Abnormal Thyroid Function Tests.

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-12-20 DOI: 10.1177/00099228241304511

Savanna Gornisiewicz, Aleeza Kessler, Kristin Dayton

引用次数: 0

Resistance to Epoetin-Stimulating Agents in Children Receiving Renal Replacement Therapy.

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-12-17 DOI: 10.1177/00099228241299893

Mehtap Kaya, Neslihan Cicek, Sercin Guven, Harika Alpay, Ibrahim Gokce

{"title":"Resistance to Epoetin-Stimulating Agents in Children Receiving Renal Replacement Therapy.","authors":"Mehtap Kaya, Neslihan Cicek, Sercin Guven, Harika Alpay, Ibrahim Gokce","doi":"10.1177/00099228241299893","DOIUrl":"https://doi.org/10.1177/00099228241299893","url":null,"abstract":"The incidence of anemia increases with the stage of chronic kidney disease (CKD). Erythropoietin (EPO) deficiency is a common cause of anemia in CKD. Erythropoietin-stimulating agents (ESAs) are the mainstay of the treatment. Treatment can be challenging due to erythropoietin resistance (ER), which can be assessed using the erythropoietin resistance index (ERI). Our aim was to investigate the factors contributing to high ERI levels in children receiving renal replacement therapy (RRT). Thirty-three children receiving RRT for at least 3 months were included. The mean ERI value was 15.7 IU/kg/w/g/dL. A significant association was observed between serum phosphorus levels and ERI (P = .016, r = 0.41). The mean parathormone (PTH) level was also higher in the high ERI group (599 ± 351 vs 392 ± 320 pg/mL, P = .088). An association, approaching statistical significance, was found between ERI and hypertension (P = .06, r = 0.32). Our study indicated a potential relationship between hyperphosphatemia, possibly secondary hyperparathyroidism, and ERI in children undergoing RRT.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241299893"},"PeriodicalIF":1.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845885","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

Publicly Insured Hispanic Families' Perspectives on Well-Being and Challenges During the COVID-19 Pandemic.

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-12-17 DOI: 10.1177/00099228241306861

Julia Krantz, Ladawna Gievers, Lillya Roldan, Sheevaun Khaki, Tina Burdsall

{"title":"Publicly Insured Hispanic Families' Perspectives on Well-Being and Challenges During the COVID-19 Pandemic.","authors":"Julia Krantz, Ladawna Gievers, Lillya Roldan, Sheevaun Khaki, Tina Burdsall","doi":"10.1177/00099228241306861","DOIUrl":"https://doi.org/10.1177/00099228241306861","url":null,"abstract":"Previous studies have identified negative impacts of the COVID-19 pandemic on the mental and physical health of children in the United States, including exacerbation of previously existing disparities according to income, race, and ethnicity. However, a knowledge gap exists regarding the experience of minority families who were disproportionately affected by the pandemic. This qualitative study explores publicly insured Hispanic families' experiences with school, physical, and sedentary activities and overall health and well-being during the pandemic and subsequent lifting of stay-at-home orders. Fourteen (7 Spanish-speaking, 7 English-speaking) caregivers participated in semi-structured, language-concordant telephone interviews. Through an iterative coding process, this study identified 3 thematic categories: (1) challenges with virtual learning, (2) changes in children's activity, and (3) resilience and silver linings. Minority populations suffered substantial morbidity and mortality in the United States, and so their experiences are critical as we document the significant impacts of the global pandemic on underserved populations.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241306861"},"PeriodicalIF":1.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845883","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

Evaluation of the Impact of Enteral Nutrition Support on Anthropometric Measurements and Micronutrient Levels in Malnourished Children.

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-12-11 DOI: 10.1177/00099228241303595

Hanife Ayşegül Arsoy, Günel Aghazada, Zeliha Demirtaş, Alihan Sürsal, Maide Nur Paksoy Korkudur, Fatih Ozdener

{"title":"Evaluation of the Impact of Enteral Nutrition Support on Anthropometric Measurements and Micronutrient Levels in Malnourished Children.","authors":"Hanife Ayşegül Arsoy, Günel Aghazada, Zeliha Demirtaş, Alihan Sürsal, Maide Nur Paksoy Korkudur, Fatih Ozdener","doi":"10.1177/00099228241303595","DOIUrl":"https://doi.org/10.1177/00099228241303595","url":null,"abstract":"Background: Malnutrition is a critical clinical condition that requires early intervention due to its potential for causing preventable fatalities and complications. This study aims to assess the impact of outpatient enteral nutrition support (ENS) as a therapeutic intervention on anthropometric measurements, intolerance, and micronutrient values in malnourished children.Methods: This observational study included 344 patients in ages 1 to 18 treated with standard enteral nutrition (1.5 kcal/mL energy with fiber). Patient data recorded at admission, in 3 and 6 months, including weight, height, body mass index (BMI), intolerance symptoms, and micronutrient levels. Data were also compared by age groups (1-2, 3-5, 6-12, and 13-18 years of age).Results: Malnutrition was prevalent in the 1- to 5-year age group (63.6%). Age-based analysis showed significant height and BMI z-score improvement in all age groups (P = .009 and P < .001, for all age groups, respectively), except the 13- to 18-year age group (P = .102 and P = .091, respectively). Micronutrient values remained within healthy ranges with minimal fluctuations. The ENS was well tolerated by 62.5% of patients, and the most common intolerance symptoms were constipation (15.4%), vomiting (8.1%), and nausea (7.3%).Conclusion: This study demonstrates that outpatient ENS therapy for 6 months significantly improved anthropometric measurements in malnourished children and was well tolerated. The 1 to 2 age group exhibited the most substantial response to treatment, whereas the 1 to 5 age group required at least 6 months of nutritional therapy to prevent stunting. However, the effect of ENS therapy on height and BMI z-scores in the 13 to 18 age group appeared insufficient after 3 months.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241303595"},"PeriodicalIF":1.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806007","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 Standardized Dosing Sheets in Pediatric Emergency Care: Experience in a Third-Level Hospital.

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-12-11 DOI: 10.1177/00099228241301842

Júlia Serralabós-Ferré, Fatima Castillo-Gomez, Mireia Sensarrich-Roset, Irene Barceló-Carceller, Xoan Gonzalez-Rioja

{"title":"Use of Standardized Dosing Sheets in Pediatric Emergency Care: Experience in a Third-Level Hospital.","authors":"Júlia Serralabós-Ferré, Fatima Castillo-Gomez, Mireia Sensarrich-Roset, Irene Barceló-Carceller, Xoan Gonzalez-Rioja","doi":"10.1177/00099228241301842","DOIUrl":"https://doi.org/10.1177/00099228241301842","url":null,"abstract":"Objectives: Medication errors are one of the main causes of avoidable injuries in health care. With the aim of reducing them, a set of sheets with precalculated doses (by weight intervals) and preparation guidelines of the most common drugs in emergencies (Farmacards) was implemented in a Pediatric Emergency Department, replacing the previous manual calculation system. The aim of the study is to assess the staff's perception of safety and usefulness of the new dosing system.Study design: Pre-post intervention comparative analysis was performed by distributing an opinion questionnaire to pediatric emergency department staff in 2017 (manual calculation in situ) and 2023 (Farmacards). We obtained 60 and 55 responses, respectively, and analyzed the characteristics of the sample and the perception of the new method.Results: Five years after its introduction, 88.5% were aware of its existence, 86.9% knew where to find it, and 76% used it \"always or almost always\" for critically ill patients. Greater use was observed among personnel with more years of work experience (Spearman, P = .057) and among nurses (Mann-Whitney, P < .001). The new method improved the level of perceived safety, especially for nurses (Mann-Whitney, P = .008).Conclusions: Standardized medication dosing systems in emergency situations aim to reduce medical errors and minimize iatrogenesis, participating in safety culture. According to the results of our study, the implementation of Farmacards shows a good acceptance by the staff and in the perception of patient safety, which is a good starting point to further optimize the quality of care. specialties: emergency medicine, general pediatrics, toxicology, and critical care.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241301842"},"PeriodicalIF":1.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806009","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

Enterovirus and Paraechovirus Meningitis in Neonates: Which Is the Difference? 新生儿肠道病毒和副粘病毒脑膜炎：二者有何区别？

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-04 DOI: 10.1177/00099228241235448

Simonetta Picone, Vito Mondì, Federico Di Palma, Maria Beatrice Valli, Martina Rueca, Manuela Bedetta, Piermichele Paolillo

引用次数: 0

Acute Abdominal Pain: Not Always So Obvious. 急性腹痛：并不总是那么明显。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-16 DOI: 10.1177/00099228241235447

Inês Alexandra Azevedo, Rosa Cardoso, Pedro Portugal, Cláudia Almeida, Catarina Matos de Figueiredo, Magalys Pereira

引用次数: 0

A Case of Respiratory Distress in a Newborn. 一例新生儿呼吸窘迫病例

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-21 DOI: 10.1177/00099228241240194

Eleanor J Scalone, Andrea D Triplett

引用次数: 0

The Impact of Environmental Externalities on Pediatric Dermatologic Conditions. 环境外部因素对儿科皮肤病的影响。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-30 DOI: 10.1177/00099228241241385

Alexandra Ola Baczynski, Wendy E Kim

引用次数: 0