Clinical Pediatrics最新文献_第3页

Evaluation of Thyroid Dysfunction in Children: Screening Approaches and Referral Triggers to Endocrinology. 评估儿童甲状腺功能障碍：筛选方法和转介触发内分泌。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-04 DOI: 10.1177/00099228261452278

Emine Gozde Ozdrama Yildiz, Eren Vurgun, Digdem Bezen

{"title":"Evaluation of Thyroid Dysfunction in Children: Screening Approaches and Referral Triggers to Endocrinology.","authors":"Emine Gozde Ozdrama Yildiz, Eren Vurgun, Digdem Bezen","doi":"10.1177/00099228261452278","DOIUrl":"10.1177/00099228261452278","url":null,"abstract":"Thyroid diseases are common endocrinological disorders in children. The aim of this study is to evaluate the rate of actual thyroid dysfunction among children referred to pediatric endocrinology due to abnormal thyroid function test (TFT) results. All of the 204 children who were referred to the pediatric endocrinology clinic following an initial evaluation at the pediatric clinic in a tertiary care center were included. Clinical characteristics and TFT results of the subjects at both visits were evaluated according to the diagnosis of thyroid dysfunction. TFTs were performed for screening purposes in 42.7% of the cases. After endocrinology evaluation, 49.5% were found not to have thyroid dysfunction. There was no difference in thyroid dysfunction when only free thyroxine (fT4) levels at the initial visit were assessed. Among those with low initial thyroid-stimulating hormone (TSH), 80% had no thyroid dysfunction, while 57.6% with high TSH had thyroid dysfunction. If TSH remained high at follow-up, the risk of thyroid dysfunction increased 19.4-fold. TSH alone is adequate for the screening of thyroid dysfunction in children. For patients with initially abnormal TSH levels, a repeat TSH and fT4 evaluation should be conducted after 4 to 12 weeks before referral to pediatric endocrinology.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1143-1151"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148155508","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 Nutritional Habits and Quality of Life of Mothers of Children With Metabolic Diseases Requiring a Restricted Diet. 需要限制饮食的代谢性疾病患儿母亲的营养习惯和生活质量评价

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-16 DOI: 10.1177/00099228261456638

Bereket Bağcı, Bahar Kulu, İdil Akay Hacı, Murat Bektaş, Sibel Burçak Şahin Uyar, Nuriye Ece Mintaş, Nur Arslan

引用次数: 0

The Impact of Parental Education on Atopic Diseases in Children Aged 10 to 12 Years: A Cross-Sectional Study. 父母教育对10 ~ 12岁儿童特应性疾病的影响：一项横断面研究

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-23 DOI: 10.1177/00099228261455068

Aliki Nikolina Tolidou, Vasiliki Kostopoulou, Evdoxia Valavani, George Antonogeorgos, Konstantinos Douros, Dafni Moriki

{"title":"The Impact of Parental Education on Atopic Diseases in Children Aged 10 to 12 Years: A Cross-Sectional Study.","authors":"Aliki Nikolina Tolidou, Vasiliki Kostopoulou, Evdoxia Valavani, George Antonogeorgos, Konstantinos Douros, Dafni Moriki","doi":"10.1177/00099228261455068","DOIUrl":"10.1177/00099228261455068","url":null,"abstract":"The objective of this study was to examine the association between parental education and the occurrence of asthma, allergic rhinitis, and eczema in children, while accounting for potential confounding factors. Data were collected through questionnaires completed by 379 children aged 10 to 12. Maternal, paternal, and combined parental educational levels were assessed. Logistic regression models were used to evaluate associations with the odds of atopic diseases, adjusting for confounders. High parental educational level was significantly associated with a lower occurrence of allergic rhinitis in children (adjusted odds ratio [aOR] = 0.52, 95% CI: 0.27-0.99, P = .048), particularly when mothers had high, and fathers had low educational levels (aOR = 0.30, 95% CI: 0.13-0.71, P = .006). In addition, children with highly educated fathers were less likely to develop eczema (aOR = 0.56, 95% CI: 0.33-0.93, P = .028). These findings suggest that parental education influences atopic diseases in children, reflecting the complex role of social determinants of health.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1222-1233"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307155","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

Clinical Characteristics of Campylobacter Bacteremia in Pediatric Population. 儿童弯曲杆菌菌血症的临床特点。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-12 DOI: 10.1177/00099228261456632

Lee Galmor, Aviv Sever, David Levy, Efraim Bilavsky, Salvador Fisher, Haim Ben-Zvi, Nimrod Sachs

{"title":"Clinical Characteristics of Campylobacter Bacteremia in Pediatric Population.","authors":"Lee Galmor, Aviv Sever, David Levy, Efraim Bilavsky, Salvador Fisher, Haim Ben-Zvi, Nimrod Sachs","doi":"10.1177/00099228261456632","DOIUrl":"10.1177/00099228261456632","url":null,"abstract":"Campylobacter infection in children is a common bacterial illness that mostly causes gastroenteritis and typically presents with diarrhea that may or may not be bloody, emesis, or abdominal pain. However, pediatric cases of bacteremia are rarely reported. Our objective was to report our tertiary center experience with Campylobacter bacteremia in a pediatric population. This 16-year retrospective study was performed at a tertiary-affiliated pediatric medical center. Data were collected from all patients with Campylobacter bacteremia during the study period. We identified 37 pediatric patients with Campylobacter bacteremia. Most children (n = 30, 81%) had severe underlying medical conditions, including malignancy and primary immunodeficiency. Only 7 (18.9%) children were previously healthy. The median age was 6.8 years, and children with severe underlying medical conditions were older than previously healthy children (9 vs. 1.2 years, P = .02). Most children present with fever and/or gastrointestinal symptoms. Campylobacter jejuni was the most common species (n = 30, 81%), and most isolates tested for antibiotic susceptibility were susceptible to macrolides. While one child was hospitalized in the intensive care unit because of septic shock, the outcome for all children was favorable. Campylobacter bacteremia is an uncommon complication of Campylobacter infection in children and has been reported more frequently among immunocompromised patients. Most children present with fever or gastrointestinal symptoms. Even in this predominantly immunocompromised population, the outcome is generally favorable, with most cases resolving without complications. Macrolides remain the antibiotic of choice for Campylobacter infections, including bacteremia.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1175-1179"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148223513","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 Primary Care Providers' Confidence in Management of Behavioral Health Disorders Through Use of the ECHO Model. 通过使用ECHO模型提高初级保健提供者对行为健康障碍管理的信心

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-13 DOI: 10.1177/00099228261455063

Meghan Harrison, Meredith Sherretz, Amy Geyer, Amanda M Lewis, Allen Garcia

引用次数: 0

Pediatric Residents' Knowledge and Confidence in Autism Diagnosis: Impact of an Asynchronous Training Module Embedded Within a Developmental-Behavioral Pediatrics Rotation. 儿科住院医师对自闭症诊断的知识和信心：发展-行为儿科轮转中嵌入的异步训练模块的影响。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-23 DOI: 10.1177/00099228261457335

Asna Asrar, Angela Paxton, Jordan Huskins, Rebecca McNally Keehn, Brett Enneking

{"title":"Pediatric Residents' Knowledge and Confidence in Autism Diagnosis: Impact of an Asynchronous Training Module Embedded Within a Developmental-Behavioral Pediatrics Rotation.","authors":"Asna Asrar, Angela Paxton, Jordan Huskins, Rebecca McNally Keehn, Brett Enneking","doi":"10.1177/00099228261457335","DOIUrl":"10.1177/00099228261457335","url":null,"abstract":"With rising autism prevalence coupled with a shortage of trained specialists, pediatricians are caring for more patients with autism. However, pediatric residents experience gaps in autism knowledge and comfort in caring for these children. This study aimed to evaluate changes in autism knowledge and perceived confidence among residents after completion of a developmental-behavioral pediatrics (DBP) rotation, which included an asynchronous module on autism diagnosis. Participants were 79 categorical and combined pediatrics residents. Prior to and following completion of the autism module and clinical experiences in their DBP rotation, residents completed an objective measure of knowledge about autism in young children and rated confidence in autism diagnosis on a Likert scale. Residents demonstrated a significant increase in total autism knowledge from pre-rotation to post-rotation (P = .007). Perceived confidence of autism diagnosis also increased (P < .001). Findings demonstrate the potential for enhancing resident autism knowledge through asynchronous education combined with clinical experience.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1191-1199"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301267","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

Home Observation for Measurement of the Environment: Collecting Data Virtually. 家庭环境观测测量：虚拟数据收集。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-06-23 DOI: 10.1177/00099228261455066

Lorraine M McKelvey, Robert H Bradley, Leanne Whiteside-Mansell, Ashley Acheson, Xiawei Ou, Stephanie Merhar, Jennifer Vannest, Weili Lin, Karen M Grewen, Kanna N Lewis

引用次数: 0

A Fatal Case of Intentional Benzonatate Overdose in an Adolescent. 一个青少年故意过量服用苯甲酸酯的致命案例。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-07-09 DOI: 10.1177/00099228261464145

Paige Poffenberger, Elizabeth Beaty, Lauren Schopman

引用次数: 0

Early Predictive Value of the C-reactive Protein-to-Serum Iron Ratio for Severe Mycoplasma pneumoniae Pneumonia in Children. c反应蛋白与血清铁比值对儿童重症肺炎支原体肺炎的早期预测价值。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 DOI: 10.1177/00099228261493825

Huifeng Qian, Shunchang Li

引用次数: 0

Utility of E-Nose in Paediatric Respiratory Diseases Using Machine Learning Approach: A Pilot Study. 使用机器学习方法的电子鼻在儿科呼吸系统疾病中的应用：一项试点研究。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-10-01 Epub Date: 2026-07-07 DOI: 10.1177/00099228261459936

Ana Díez-Izquierdo, Hipólito Perez Martín, Cristina Lidón Moyano, Teresa Garriga-Baraut, Ines De Mir-Messa, Alba Torrent-Vernetta, Sandra Rovira-Amigó, Manuel Gómez-Duque, Antonio Moreno-Galdó, Jose Maria Martínez-Sánchez

{"title":"Utility of E-Nose in Paediatric Respiratory Diseases Using Machine Learning Approach: A Pilot Study.","authors":"Ana Díez-Izquierdo, Hipólito Perez Martín, Cristina Lidón Moyano, Teresa Garriga-Baraut, Ines De Mir-Messa, Alba Torrent-Vernetta, Sandra Rovira-Amigó, Manuel Gómez-Duque, Antonio Moreno-Galdó, Jose Maria Martínez-Sánchez","doi":"10.1177/00099228261459936","DOIUrl":"10.1177/00099228261459936","url":null,"abstract":"To assess the feasibility of an electronic nose (e-nose) for volatile organic compounds (VOCs) to classify respiratory diseases and establish a protocol for use. We analysed exhaled air samples with Cyranose 320 nose from 67 children (14 healthy, 34 asthmatics and 19 other respiratory diseases) (mean age 11.4 years). Three samples were collected for each patient. We used machine learning models to generate an algorithm to classify children according to disease. There were significant differences in 30/32 sensors between plastic and tedlar bags. The Cronbach alpha was <0.5 in all cases, so that the consistency of the measurements was low. An analysis was performed to distinguish between healthy and asthmatics, P < .05 in 27/32 sensors. The algorithm predicted asthma disease with high sensitivity (over 99%) and accuracy (over 96%). The negative and positive predictive values were over 90%. The e-nose seems a valuable tool for screening asthma disease in the paediatric population in clinical practice.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1240-1248"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396227","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