发布求助
文献互助 智能选刊 最新文献

Clinical Pediatrics最新文献

筛选
英文 中文
The Gap Between What Parents Need and How Pediatric Primary Care Providers Can Help Families of Children With Special Education Needs. 家长需求与儿科初级保健提供者如何帮助有特殊教育需求儿童的家庭之间的差距。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-02-29 DOI: 10.1177/00099228241234702
Michelle L Stransky, Alexandra van Waes, Ivys Fernandez-Pastrañ A, Hilana Scott, Soukaina Adolphe
{"title":"The Gap Between What Parents Need and How Pediatric Primary Care Providers Can Help Families of Children With Special Education Needs.","authors":"Michelle L Stransky, Alexandra van Waes, Ivys Fernandez-Pastrañ A, Hilana Scott, Soukaina Adolphe","doi":"10.1177/00099228241234702","DOIUrl":"10.1177/00099228241234702","url":null,"abstract":"<p><p>We describe the gap between parents' special education needs and pediatric primary care providers' (PCPs) ability to address those needs from a mixed-methods study at a safety-net hospital. We conducted qualitative interviews with English- and Spanish-speaking parents (n = 25) and PCPs (n = 11) about special education knowledge and experience and interactions with a primary care-embedded special education clinic. PCPs also answered survey questions on these topics. Parents reported four challenges: (1) knowing where to start and how to advocate for their youth, (2) being heard or having a say, (3) using the \"right\" language, and (4) gathering information on special education resources. Primary care providers disclosed three barriers: (1) training, (2) knowledge to assess the appropriateness of supports, and (3) time to address concerns. The gap between PCPs and parents was bridged by the special education clinic. Systematic interventions can ensure that PCPs help parents address the special education needs of their patients.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1653-1663"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989399","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
The Predictive and Prognostic Value of Percentage Change in Calf Circumference in Infants and Children During the First Week of Admission in the Pediatric Intensive Care Unit: A Prospective Cohort Study. 儿科重症监护室入院第一周婴幼儿小腿围百分比变化的预测和预后价值：一项前瞻性队列研究
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-21 DOI: 10.1177/00099228241238631
Marwa Taha, Abdalkareem Nael Maslamani, Hoda Atef Abdelsattar Ibrahim
{"title":"The Predictive and Prognostic Value of Percentage Change in Calf Circumference in Infants and Children During the First Week of Admission in the Pediatric Intensive Care Unit: A Prospective Cohort Study.","authors":"Marwa Taha, Abdalkareem Nael Maslamani, Hoda Atef Abdelsattar Ibrahim","doi":"10.1177/00099228241238631","DOIUrl":"10.1177/00099228241238631","url":null,"abstract":"<p><p>Calf circumference (CC) is an easy measure of muscle loss; yet, there are limited studies in children. We aimed to assess the viability of the first-week percent change in CC as a prognostic nutritional marker. Two MUAC (mid-upper arm circumference), CC, and weight measurements were carried out: one on the first day of admission and another on the seventh day. The differences and correlations between their percent changes were examined. The possible association between CC percent change and prolonged length of hospital stay (PLOS) and in-hospital mortality was assessed. Seventy participants were enrolled with a median age of 19.5 months. The median (interquartile range [IQR]) of CC percent change was 0.54 (5.5) with significant correlations between it and each of MUAC and weight percent change (ρ = 0.928, <i>P</i> = .001), (ρ = 0.902, <i>P</i> = .001), respectively. Calf circumference percent changes were significantly more negative in children with PLOS; (<i>P</i> = .004). These changes seem to be viable measures of nutritional status.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1718-1726"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140174006","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
Children With Chronic Health Conditions and Social Needs: Investigating Outcomes to Drive Health System Improvements. 有慢性疾病和社会需求的儿童：调查成果，推动医疗系统的改进。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-30 DOI: 10.1177/00099228241241896
Kevin J McKenna, Kevin P Fiori, Earle C Chambers
{"title":"Children With Chronic Health Conditions and Social Needs: Investigating Outcomes to Drive Health System Improvements.","authors":"Kevin J McKenna, Kevin P Fiori, Earle C Chambers","doi":"10.1177/00099228241241896","DOIUrl":"10.1177/00099228241241896","url":null,"abstract":"<p><p>Children with chronic health conditions (CHCs) are a high-resource population, and further data are needed to identify associations between CHC diagnoses and social needs to optimize health outcomes. In this cross-sectional study of 19 779 pediatric patients screened for social needs in an urban health system, we used logistic regression to evaluate CHC diagnoses and social need. Our independent variables were CHC diagnoses. Our dependent variable was the presence of social need. In the study, 2247 of 11 071 (20%) children with CHCs identified need. Children with CHCs were more likely to have a social need than children without CHCs (adjusted odds ratio: 1.56; 95% confidence interval: 1.44-1.68). Children with autism/developmental delay were most likely to have a social need. Children with autism/developmental delay, anxiety/depression, and asthma were most likely to report specific social needs. Health systems should screen for these families' needs to improve health outcomes.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1698-1707"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140326473","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
Rhabdomyosarcoma of the Prostate in Adolescent Presenting With Urinary Retention. 出现尿潴留的青少年前列腺横纹肌肉瘤
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-07 DOI: 10.1177/00099228241236235
Brooke Saunders, Emily Reynolds, Irasema Concepcion Paster, Sean Elliott, Arthi Hannallah
{"title":"Rhabdomyosarcoma of the Prostate in Adolescent Presenting With Urinary Retention.","authors":"Brooke Saunders, Emily Reynolds, Irasema Concepcion Paster, Sean Elliott, Arthi Hannallah","doi":"10.1177/00099228241236235","DOIUrl":"10.1177/00099228241236235","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1641-1644"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140048953","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
Appropriateness of Use of Streptococcal Pharyngitis Testing and Associated Antibiotic Prescribing in the Urgent Care Setting. 在急诊护理环境中使用链球菌咽炎检测及相关抗生素处方的适宜性。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-12 DOI: 10.1177/00099228241237908
Michael A Haynes, M'hamed Temkit, Igor Kushner, Diane E Hindman
{"title":"Appropriateness of Use of Streptococcal Pharyngitis Testing and Associated Antibiotic Prescribing in the Urgent Care Setting.","authors":"Michael A Haynes, M'hamed Temkit, Igor Kushner, Diane E Hindman","doi":"10.1177/00099228241237908","DOIUrl":"10.1177/00099228241237908","url":null,"abstract":"<p><p>The primary objective was to evaluate Group A streptococcal (GAS) tests performed with a Modified Centor Criteria (MCC) Score < 3 at Urgent Care Clinics (UCC). Secondary objectives included evaluating the MCC sensitivity and specificity, antibiotics prescribed with an MCC score < 3, and association between palatal petechiae and GAS pharyngitis infections. This was a retrospective review from July 1, 2018, to June 30, 2019, of Rapid Antigen Detection Tests (RADTs) on patients with ICD codes associated with pharyngitis. Fifteen hundred patient charts were reviewed. The majority of MCC scores were < 3 at 60.0% (878/1464). Sensitivity of GAS testing (RADT/culture) slightly increased for MCC scores ≥ 3 and was better than the specificity of those scores. In comparison, MCC scores < 3, showed better specificity compared to sensitivity. Over 50% of RADTs performed were inappropriate per clinical guidelines. MCC score < 3 had higher rates of negative test results.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1691-1697"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101177","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
Serum Uric Acid Levels among Chinese Children: Reference Values and Association With Overweight/Obesity. 中国儿童的血清尿酸水平：参考值及其与超重/肥胖的关系
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-21 DOI: 10.1177/00099228241238510
Wenjing Ye, Xinhe Zhou, Yanping Xu, Chao Zheng, Peining Liu
{"title":"Serum Uric Acid Levels among Chinese Children: Reference Values and Association With Overweight/Obesity.","authors":"Wenjing Ye, Xinhe Zhou, Yanping Xu, Chao Zheng, Peining Liu","doi":"10.1177/00099228241238510","DOIUrl":"10.1177/00099228241238510","url":null,"abstract":"<p><p>This study aimed to investigate the reference values for serum uric acid (SUA) levels and their association with overweight/obese in children. We conducted a retrospective analysis of 8522 participants, including 6227 normal weight children, aged 2 to 18 years in China. Among normal children, SUA levels increased with age, showing significant sex differences in children over 10 years. Age-specific and sex-specific 95% reference intervals for SUA levels were established. Furthermore, we observed that the percentage of overweight/obesity significantly increased as SUA quartiles rose. Elevated SUA levels were associated with a high odds ratio (OR) for overweight/obesity (OR = 4.45, 95% confidence interval = 3.33, 5.93). We propose that the 97.5th percentile is a suitable value for defining elevated SUA levels, and there is a positive correlation between SUA levels and the presence of overweight or obesity.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1684-1690"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140183919","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
Virtual Nutrition Counseling in Pediatric Primary Care: An Integrated Approach to the Prevention and Management of Pediatric Obesity. 儿科初级保健中的虚拟营养咨询：预防和管理小儿肥胖症的综合方法。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-04-02 DOI: 10.1177/00099228241242174
Katherine Mann, Rachel Miller DiGiacomo, Nazrat Mirza, Susma Vaidya
{"title":"Virtual Nutrition Counseling in Pediatric Primary Care: An Integrated Approach to the Prevention and Management of Pediatric Obesity.","authors":"Katherine Mann, Rachel Miller DiGiacomo, Nazrat Mirza, Susma Vaidya","doi":"10.1177/00099228241242174","DOIUrl":"10.1177/00099228241242174","url":null,"abstract":"<p><p>Given the rising prevalence of pediatric obesity, new approaches to the delivery of targeted nutrition counseling to not only prevent but also treat pediatric obesity are needed. The integration of a dietitian virtually was a successful quality improvement measure in this academic pediatric primary care clinic. The virtual dietitian provided age-appropriate nutrition counseling at well-child visits from 9 months to 6 years of age. Dietary counseling was also provided for children with overweight and obesity regardless of age. Vegetable, fruit, snack, and dairy intake was assessed in children who received counseling versus those who had traditional well childcare. Improved dairy habits were noted in the counseling cohort. A decrease in body mass index was not demonstrated in the patients with obesity or overweight; however, patient and provider satisfaction was quite high with this novel quality improvement measure. Virtual nutrition counseling can be easily integrated to facilitate a comprehensive pediatric medical home.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1742-1749"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334934","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
Appointment Factors Contributing to Children with Speech Disorders Missing Speech and Language Pathology Appointments. 导致有言语障碍的儿童错过言语和语言治疗预约的因素。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-04 DOI: 10.1177/00099228241235440
Jonathan M Carnino, Lindsay R Salvati, Henry Bayly, Dean G Kennedy, Amos M Mwaura, Nicholas R Wilson, Jessica R Levi
{"title":"Appointment Factors Contributing to Children with Speech Disorders Missing Speech and Language Pathology Appointments.","authors":"Jonathan M Carnino, Lindsay R Salvati, Henry Bayly, Dean G Kennedy, Amos M Mwaura, Nicholas R Wilson, Jessica R Levi","doi":"10.1177/00099228241235440","DOIUrl":"10.1177/00099228241235440","url":null,"abstract":"<p><p>This study explores missed pediatric speech and language pathology (SLP) appointments to identify barriers for patients with speech disorders. Data from 839 referrals at Boston Medical Center, including demographics, appointment details, COVID-19 lockdown, and number of items on patient problem lists, were analyzed using chi-square tests and logistic regression. The findings revealed that lockdown status, appointment timing, appointment type (in-person vs telemedicine), referral department (ear, nose, and throat [ENT] vs non-ENT), sex, race, primary language, birthplace, and primary care provider presence had no significant impact on attendance. However, the number of patient-listed problems, prior cancelations, and missed appointments were significant predictors of patients who did not keep appointments. In conclusion, this research emphasizes the patient's problem list and past appointment behavior as critical factors in predicting missed SLP appointments for pediatric speech disorder patients. These insights can guide targeted interventions to improve attendance and enhance SLP engagement.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1664-1669"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140027528","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
Recessive Hereditary Methemoglobinemia Type II in a Microcephalic Infant. 一名小头畸形婴儿的 II 型隐性遗传性高铁血红蛋白血症
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-04 DOI: 10.1177/00099228241235441
Tugba Belgemen-Ozer, Kursat Bora Carman, Paola Bianchi, Elisa Fermo
{"title":"Recessive Hereditary Methemoglobinemia Type II in a Microcephalic Infant.","authors":"Tugba Belgemen-Ozer, Kursat Bora Carman, Paola Bianchi, Elisa Fermo","doi":"10.1177/00099228241235441","DOIUrl":"10.1177/00099228241235441","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1636-1640"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140027530","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
Prevalence, Predictors, and Cross-Resistance of Community-Acquired Extended-Spectrum Beta-Lactamase-Producing Enterobacterales in Pediatric Urinary Tract Infections in Israel. 以色列小儿尿路感染中社区获得型广谱β-乳酰胺酶产肠杆菌的流行率、预测因素和交叉耐药性。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-03-29 DOI: 10.1177/00099228241241932
Suha Rizik, Imad Kassis, Elias Nasrallah, Nadeen Makhoul, Halima Dabaja-Younis
{"title":"Prevalence, Predictors, and Cross-Resistance of Community-Acquired Extended-Spectrum Beta-Lactamase-Producing Enterobacterales in Pediatric Urinary Tract Infections in Israel.","authors":"Suha Rizik, Imad Kassis, Elias Nasrallah, Nadeen Makhoul, Halima Dabaja-Younis","doi":"10.1177/00099228241241932","DOIUrl":"10.1177/00099228241241932","url":null,"abstract":"<p><p>This retrospective study evaluates the incidence and risk factors of community-acquired urinary tract infections (CA-UTIs) linked to extended-spectrum beta-lactamase-producing Enterobacterales (ESBLPE). The study was conducted in a tertiary hospital in northern Israel and included children younger than 18 years with CA-UTIs due to Enterobacterales who were admitted to the emergency department, during the years 2017 to 2019. Among the 570 children, 9.8% had ESBLPE-associated CA-UTIs. This prevalence remained steady over the study period. ESBLPE exhibited substantial resistance to amoxicillin/clavulanic acid (62.5% vs 20.4%, <i>P</i> < .001, odds ratio [OR] = 6.5), trimethoprim/sulfamethoxazole (58.9% vs 18%, <i>P</i> < .001, OR = 6.6), ciprofloxacin (33.9% vs 3.1%, <i>P</i> < .001, OR = 15.9), piperacillin/tazobactam (26.8% vs 7%, <i>P</i> < .001, OR = 4.9), and gentamicin (21.4% vs 4.3%, <i>P</i> < .001, OR = 6.1), compared with non-ESBLPE. Risk factors for ESBLPE-associated UTIs included recent antibiotic treatment within the past 3 months (<i>P</i> = .003, OR = 3.5) and colonization with ESBLPE (<i>P</i> < .001, OR = 12.8). Given the variable incidence of ESBLPE, relying on local epidemiology for antibiotic selection pending culture results is crucial. The study finding of a low ESBLPE incidence, coupled with global concerns regarding carbapenem resistance, supports cautious use of broad-spectrum antibiotics in nonsevere cases.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1727-1733"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140317919","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信