Angélica Godenço Leite, Etiene Farah Teixeira de Carvalho, Dirceu Costa, Evelim Leal de Freitas Dantas Gomes
{"title":"Associations Between Sleep Quality and Asthma Control, Pulmonary Inflammation, Asthma Severity, Exercise Capacity, and Quality of Life in Children With Asthma: A Cross-sectional Study.","authors":"Angélica Godenço Leite, Etiene Farah Teixeira de Carvalho, Dirceu Costa, Evelim Leal de Freitas Dantas Gomes","doi":"10.1177/00099228251348266","DOIUrl":"https://doi.org/10.1177/00099228251348266","url":null,"abstract":"<p><p>Asthma is a condition characterized by ongoing inflammation of the lower respiratory system, leading to symptoms such as shortness of breath, wheezing, coughing, and chest tightness. Beyond acute symptoms, children with asthma may face ongoing issues, such as decreased physical fitness, sleep disturbances, and a reduced quality of life. This study aimed to explore the connections between sleep quality, asthma control, pulmonary inflammation, exercise capacity, and overall wellbeing in children aged 6 to 12 years. Forty children with varying asthma severity were evaluated for clinical control status, sleep disturbances, quality of life, and exercise ability using various questionnaires and tests. Results showed that 15% had intermittent/mild asthma while 85% had moderate/severe asthma, with 75% experiencing uncontrolled asthma. The analysis indicated a strong correlation between improved asthma control, reduced pulmonary inflammation, better sleep quality, and enhanced quality of life, accounting for 20% of the variations in the children's quality of life scores.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251348266"},"PeriodicalIF":1.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316032","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":"Internet-Based Comprehensive Disease Management in Children With Precocious Puberty: A Randomized Controlled Trial.","authors":"Yiling Wu, Lifeng Luo, Shaozhuang Luo, Caiju Li, Yuyan Tang, Huihong Zhou, Shuo Zhang, Huiyi Hu, Meifen Dai","doi":"10.1177/00099228251341745","DOIUrl":"https://doi.org/10.1177/00099228251341745","url":null,"abstract":"<p><p>Treatment compliance and continuity of care significantly impact the prognosis of children with precocious puberty. The aim of this study is to analyze the effectiveness of Internet-based comprehensive disease management in children with precocious puberty. We included children with precocious puberty as the study population. The enrolled children were randomly assigned to either the Internet group, which received Internet-based Comprehensive Disease Management, or the control group, which received the standard care model. This study included a total of 78 children with precocious puberty. The Internet-based comprehensive disease management model demonstrated significant advantages, particularly in strengthening the self-management capabilities of the children with precocious puberty. In addition, it empowered parents with a heightened sense of self-determination in caring for their children. The implementation of Internet-based comprehensive disease management represents a significant advancement in clinical pediatric care, offering a transformative approach to treatment and long-term disease management.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251341745"},"PeriodicalIF":1.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144301225","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}
Tomonori Sunakawa, Sota Iwatani, Akiko Yokoi, Tadashi Hatakeyama, Seiji Yoshimoto
{"title":"Growth Restriction Beginning in Early Infancy Among Survivors of Congenital Diaphragmatic Hernia: A Single-Center Experience.","authors":"Tomonori Sunakawa, Sota Iwatani, Akiko Yokoi, Tadashi Hatakeyama, Seiji Yoshimoto","doi":"10.1177/00099228251349259","DOIUrl":"https://doi.org/10.1177/00099228251349259","url":null,"abstract":"<p><p>A significant number of congenital diaphragmatic hernia (CDH) survivors experience growth restriction (GR), but the timing of its onset is not well studied. This single-center retrospective study evaluated the frequency of GR at specific postnatal ages and associated risk factors. We reviewed charts of prenatally diagnosed CDH patients delivered between 2011 and 2020, with follow-up until December 2022. Body height and weight Z-scores were assessed at 1, 2, 3, 6, 12, 18, and 36 months of age. GR, defined as a Z-score below -2.0, was observed in 32%, 63%, 50%, 50%, 48%, 42%, and 24% of patients at these ages, respectively. Persistent GR up to 6 months was associated with lower birth weights, pulmonary vasodilator use at discharge, and asthma after discharge. GR begins in early infancy in CDH survivors but improves over time with catch-up growth, highlighting the need for long-term growth monitoring and nutritional/respiratory support after discharge.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251349259"},"PeriodicalIF":1.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144301224","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}
David J Sas, Imad Absah, Sean M Phelan, Avni Y Joshi, Ana L Creo, Supriya Behl, Kristine T Hanson, Seema Kumar
{"title":"The Association Between Physician Demographics on Patient Satisfaction Survey Results in Pediatrics: A Role for Implicit Bias?","authors":"David J Sas, Imad Absah, Sean M Phelan, Avni Y Joshi, Ana L Creo, Supriya Behl, Kristine T Hanson, Seema Kumar","doi":"10.1177/00099228251348311","DOIUrl":"https://doi.org/10.1177/00099228251348311","url":null,"abstract":"<p><p>We assessed associations of pediatrician demographic characteristics with patient satisfaction (PS) scores. We performed a retrospective analysis of PS scores among pediatricians at a single academic institution and their associations with individual demographic features including gender, race, and geographic location of medical school education. We analyzed PS survey results for 153 pediatricians, 48.4% of whom were female. Males received higher scores in 4 out of 10 questions including \"Likelihood of your recommending this care provider to others\" (<i>P</i> = .007). We observed similar findings for white pediatricians compared to Black, Indigenous, and People of Color (BIPOC) (<i>P</i> = .033) and US medical school graduates compared to international school graduates (<i>P</i> = .044). Overall, we observed that pediatricians who are female, BIPOC, or international medical school graduates receive lower PS scores than their counterparts. The impact of potential survey responder bias should be acknowledged when interpreting PS scores for pediatricians.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251348311"},"PeriodicalIF":1.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144301226","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}
Azer Ahmadov, Akif Kavgacı, Serdar Kula, Ali Poshtkouh, Semiha Terlemez, Ayşe Deniz Oğuz, Sedef Tunaoğlu
{"title":"Self-Reported Physical Activities of Children Aged 9 to 14 Years Who Have Been Treated For Congenital Heart Disease.","authors":"Azer Ahmadov, Akif Kavgacı, Serdar Kula, Ali Poshtkouh, Semiha Terlemez, Ayşe Deniz Oğuz, Sedef Tunaoğlu","doi":"10.1177/00099228251347771","DOIUrl":"https://doi.org/10.1177/00099228251347771","url":null,"abstract":"<p><p>Children with congenital heart disease (CHD) often experience limited physical activity due to protective behavior from parents and physicians. This study aimed to assess whether physical activity remains insufficient in children post-CHD treatment. A descriptive study was conducted with 40 children aged 9 to 14 years who had been treated for CHD at least 12 months prior and were clinically stable without medication. A control group of 40 healthy peers was included. Physical activity data were collected using a demographic form and the Physical Activity Questionnaire adapted to the Turkish language. The patient group reported significantly lower engagement in running (<i>P</i> = .013) and gymnastics (<i>P</i> =.014). Also, the difference between the groups in terms of their degrees of engagement in physical education classes in the last 7 days was significant (<i>P</i> = .001). Despite being free from heart disease, these children demonstrated limited physical activity, which in turn underscores the educational objective of enhancing encouragement to foster greater physical engagement.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251347771"},"PeriodicalIF":1.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293457","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":"Racial and Gender Disparities in Nasal Foreign Bodies in Pediatric Patients: A Decade-Long Analysis of U.S. Emergency Department Presentations.","authors":"Abdurrahman Al-Awady, Avanish Yendluri, Krisna Maddy, Shazli Elshazali, Ryan Sicard, Alfred-Marc Iloreta, Satish Govindaraj, Aldo Londino","doi":"10.1177/00099228251348695","DOIUrl":"https://doi.org/10.1177/00099228251348695","url":null,"abstract":"<p><p>This study is a comprehensive epidemiological assessment of nasal foreign bodies (NFB) in pediatric patients, focusing on racial and gender disparities in incidence and outcomes. Pediatric NFB case data in children aged 0 to 12 was collected from The National Electronic Injury Surveillance System (NEISS) spanning 2012-2021. Emergency room disposition was classified into treatment and release, hospitalization, and leaving against medical advice. Chi-square analysis was used to assess variations. Incidence of NFBs was significantly higher in African American Children (<i>P</i> < .05) and in female patients, who were also less likely to be admitted and more likely to leave against medical advice (<i>P</i> < .05). Disposition data similarly unveiled African American and Asian American children were less likely to be admitted and more likely to leave against medical advice (<i>P</i> < .05). The observed disparities emphasize the imperative for community-specific interventions and spotlight potential systemic biases warranting further investigation in health care delivery.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251348695"},"PeriodicalIF":1.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282687","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":"Preferred Language Communication With Spanish-Speaking Families: A Single Center Snapshot.","authors":"Shayena Shah, Nivedita Srinivas, Lauren Destino","doi":"10.1177/00099228251346038","DOIUrl":"https://doi.org/10.1177/00099228251346038","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251346038"},"PeriodicalIF":1.0,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246772","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":"Playfulness of Preschool-Aged Children With Autism in a Sensory Integration Room.","authors":"Sinem Kars, Esra Aki","doi":"10.1177/00099228251345199","DOIUrl":"https://doi.org/10.1177/00099228251345199","url":null,"abstract":"<p><p>Playfulness can be determined by evaluation for the presence of 3 elements: intrinsic motivation, internal control, and the freedom to suspend reality. Playfulness may be affected by the child's physical, social, and cognitive skills and the physical, social, and cultural aspects of the play environment. Therefore, we aimed to investigate the playfulness of children with autism in a sensory integration room. Thirty-six children with autism, with a mean (SD) age of 62.1 (7.1) months, participated. Demographic Information Questionnaire and Turkish version of Test of Playfulness were used. The playfulness of the children with autism were analyzed according to children's gender, age and birth order, parents' age, education level and employment status, family income, and number of siblings. The playfulness is related to the father's education level (<i>r</i> = -0.534, <i>P</i> < .01), the mother's employment status (<i>r</i> = 0.335, <i>P</i> < .05) and family income (<i>r</i> = -0.469, <i>P</i> < .01). Implications are discussed and suggestions for future research are formulated.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251345199"},"PeriodicalIF":1.0,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246771","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}