{"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":"<p><p>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 (<i>P =</i> .007). Perceived confidence of autism diagnosis also increased (<i>P</i> < .001). Findings demonstrate the potential for enhancing resident autism knowledge through asynchronous education combined with clinical experience.</p>","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}
{"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":"<p><p>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, <i>P</i> = .048), particularly when mothers had high, and fathers had low educational levels (aOR = 0.30, 95% CI: 0.13-0.71, <i>P</i> = .006). In addition, children with highly educated fathers were less likely to develop eczema (aOR = 0.56, 95% CI: 0.33-0.93, <i>P</i> = .028). These findings suggest that parental education influences atopic diseases in children, reflecting the complex role of social determinants of health.</p>","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}
Clinical PediatricsPub Date : 2026-10-01Epub Date: 2026-06-23DOI: 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
{"title":"Home Observation for Measurement of the Environment: Collecting Data Virtually.","authors":"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","doi":"10.1177/00099228261455066","DOIUrl":"10.1177/00099228261455066","url":null,"abstract":"<p><p>This study examined the feasibility and the reliability of a virtual assessment of the home environment using the widely used measure of the home environment, the Home Observation for Measurement of the Environment (HOME) Inventory. A convenience sample of 53 families were assessed with the virtual and in-person HOME. Children were ages 6 to 36 months and lived in 2 states in the United States. When examining HOME dimensions, the mean level of agreement was not statistically different from 85% except for the Involvement dimension. After having received both an interview in-person and virtually, most parents reported preferring the virtual (63.3%) over the in-person interview (36.7%). Results from this study show that the HOME Inventory can be administered virtually for many families and that the data collected is useful for research and applied purposes.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1234-1239"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307223","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}
Clinical PediatricsPub Date : 2026-10-01Epub Date: 2026-07-09DOI: 10.1177/00099228261464145
Paige Poffenberger, Elizabeth Beaty, Lauren Schopman
{"title":"A Fatal Case of Intentional Benzonatate Overdose in an Adolescent.","authors":"Paige Poffenberger, Elizabeth Beaty, Lauren Schopman","doi":"10.1177/00099228261464145","DOIUrl":"10.1177/00099228261464145","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1274-1276"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419259","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":"Early Predictive Value of the C-reactive Protein-to-Serum Iron Ratio for Severe <i>Mycoplasma pneumoniae</i> Pneumonia in Children.","authors":"Huifeng Qian, Shunchang Li","doi":"10.1177/00099228261493825","DOIUrl":"https://doi.org/10.1177/00099228261493825","url":null,"abstract":"<p><p>This retrospective single-center study evaluated the predictive value of the C-reactive protein-to-serum iron (CRP/SI) ratio for the early identification of severe <i>Mycoplasma pneumoniae</i> pneumonia (SMPP) in children. A total of 335 children with laboratory-confirmed <i>Mycoplasma pneumoniae</i> pneumonia hospitalized between January and December 2024 were included. Logistic regression analyses were performed to identify independent risk factors for SMPP, and receiver operating characteristic analysis was used to assess diagnostic performance. C-reactive protein, SI, and the CRP/SI ratio were independently associated with SMPP. The CRP/SI ratio demonstrated the best diagnostic performance (area under the curve = 0.90), with an optimal cutoff value of 5.08 yielding a sensitivity of 83.3% and specificity of 82.6%. The CRP/SI ratio may serve as a simple and readily available biomarker for early identification of SMPP in children.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261493825"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104957","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}
Clinical PediatricsPub Date : 2026-10-01Epub Date: 2026-07-07DOI: 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":"<p><p>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, <i>P</i> < .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.</p>","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}
{"title":"Enhancing Provider Comfort toward Gender Pronouns and Routine Care for Gender-Diverse Populations: A Postcurriculum Analysis.","authors":"Tanya Tandon, Abhinav Thakral, Hayder Ferman, Divya Moorthy, Kanayo Nwankwo, Kusum Viswanathan, Rosemarie St Victor, Fernanda Kupferman","doi":"10.1177/00099228261490613","DOIUrl":"https://doi.org/10.1177/00099228261490613","url":null,"abstract":"<p><p>This study evaluates the effectiveness of a novel training curriculum on providers' comfort levels in using gender pronouns (GP) and providing routine care to the gender-diverse population (GDP) by reducing perceived barriers. This interventional study employs a pretest-posttest survey analysis to assess the curriculum administered to consenting physicians and residents in the Department of Pediatrics. Using the Kern Model, a curriculum comprising 7 grand round lectures and 1 focus group session was developed and conducted by expert medical speakers and external advocacy organizations. Based on Social Learning Theory, representative materials such as badges and signage were incorporated. Data analysis was performed using mean percentages for descriptive data and chi-square tests for significance. Survey response rates were 78% for the pretest and 85% for the posttest, with 44 and 48 respondents, respectively. Postcurriculum, comfort levels in using GP significantly increased among residents (<i>P</i> = .024), with a positive shift toward participating in routine care for GDP. Perceived barriers, such as \"lack of knowledge/competency/training\" and \"fear of making a mistake,\" decreased markedly, with a significant rise in respondents reporting \"no barriers\" (<i>P</i> = .03). Providers reported the curriculum positively impacted their practice and knowledge, with no negative responses recorded. Our findings demonstrate the curriculum's effectiveness in improving provider comfort and reducing barriers, with the potential to improve competency and initiate a culture shift in a previously hesitant or uninformed population.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261490613"},"PeriodicalIF":0.8,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149079968","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":"When Parents Trust AI Over Pediatricians: Ethical Imperatives in the Self-Diagnosis Era.","authors":"Yan Pan","doi":"10.1177/00099228261490690","DOIUrl":"https://doi.org/10.1177/00099228261490690","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261490690"},"PeriodicalIF":0.8,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036758","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}
Fatma Al Rashdi, Michelle Rita Tanel, Lauren Columbus, Sara Glazer, Michael Miller, Farah Abdulsatar
{"title":"Home Phototherapy: A Parental Perspective Survey Study.","authors":"Fatma Al Rashdi, Michelle Rita Tanel, Lauren Columbus, Sara Glazer, Michael Miller, Farah Abdulsatar","doi":"10.1177/00099228261485626","DOIUrl":"10.1177/00099228261485626","url":null,"abstract":"<p><p>Home phototherapy (HP) is an emerging treatment for neonatal hyperbilirubinemia, offering benefits such as reduced hospital admissions and enhanced parent-infant bonding. Despite its application elsewhere, HP services are not routinely offered in many Canadian centers, and parental perspectives on this modality remain underexplored. This study aimed to assess parental interest in HP, identify preferred forms of support, and explore socioeconomic associations. A survey of 319 eligible parents found that 98.7% had previously used in-hospital phototherapy, while only 1.3% had used HP. Although 80.3% were initially unaware of this service, 93.7% expressed a willingness to consider using HP. Preferred forms of support included 24/7 virtual access (62.1%), daily in-home visits (72.1%), and hands-on training (87.8%). Major concerns included monitoring progress (77.9%) and emergency support (52.7%). In summary, HP appears appealing to caregivers when adequate support and training are provided; however, limited awareness and safety concerns highlight the need for structured education.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261485626"},"PeriodicalIF":0.8,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036786","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}
Mutiat T Onigbanjo, Kathleen Connors, Rebecca Vivrette, Sarah M Edwards
{"title":"Using Enhanced Rates to Support and Financially Maintain a HealthySteps Program at an Academic Primary Care Practice.","authors":"Mutiat T Onigbanjo, Kathleen Connors, Rebecca Vivrette, Sarah M Edwards","doi":"10.1177/00099228261489176","DOIUrl":"https://doi.org/10.1177/00099228261489176","url":null,"abstract":"<p><p>HealthySteps is an evidence-based, interdisciplinary program that promotes positive parenting as well as the health and well-being of infants and toddlers, specifically in underserved communities. In Maryland, Medicaid provides enhanced reimbursement for recognized HealthySteps services under code H0025. This quality improvement initiative evaluated whether implementing the use of H0025 could support the financial sustainability of HealthySteps in an academic, hospital-based primary care practice, aiming to increase H0025 utilization from 0% to 70% within 12 months. Targeted clinician education and electronic medical record-based interventions were implemented using quality improvement methods. During the study period, 73% of eligible encounters were billed using H0025, with utilization rising to 88% by the end of the intervention. We conclude that enhanced reimbursement through H0025 can partially support a HealthySteps program.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261489176"},"PeriodicalIF":0.8,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036822","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}