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}
{"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":"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}
Caroline Weiss, Gabrielle Pollack, April Slamowitz, Deirdre Lewis
{"title":"Paralysis in Pairs: Insights From Two Cases of Infant Botulism.","authors":"Caroline Weiss, Gabrielle Pollack, April Slamowitz, Deirdre Lewis","doi":"10.1177/00099228251345321","DOIUrl":"https://doi.org/10.1177/00099228251345321","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251345321"},"PeriodicalIF":1.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233381","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 : 2025-06-01Epub Date: 2024-10-13DOI: 10.1177/00099228241288715
Sandra Regina Loggetto, Thiago de Souza Vilela, Julia Maimone Beatrice, Priscila Grizante-Lopes, Janahyna Gomes Emerenciano, Andrea Angel, Josefina Aparecida Pellegrini Braga
{"title":"Complete Blood Count in Children With COVID-19: A Predictor of Disease Severity.","authors":"Sandra Regina Loggetto, Thiago de Souza Vilela, Julia Maimone Beatrice, Priscila Grizante-Lopes, Janahyna Gomes Emerenciano, Andrea Angel, Josefina Aparecida Pellegrini Braga","doi":"10.1177/00099228241288715","DOIUrl":"10.1177/00099228241288715","url":null,"abstract":"<p><p>Blood count abnormalities are frequent in patients with severe COVID-19 disease and there is still a lack of information in pediatric complete blood count (CBC) results. Thus, this study aims to correlate the CBC in the emergency room of children with COVID-19 between 0 and 10 years old and the clinical severity of the disease. A retrospective cohort study was performed in children with COVID-19 who collected at the emergency room CBC, C-reactive protein (CRP), platelet to lymphocyte ratio (PLR), neutrophil to lymphocyte ratio (NLR), neutrophil to monocyte ratio (NMR), lymphocyte to neutrophil ratio (LNR), lymphocyte to monocyte ratio (LMR), monocyte to neutrophil ratio (MNR) and monocyte to lymphocyte ratio (MLR). In total, demographic data from 93 children with median age of 19 months (0.3-126), 60.2% males, were included. The main changes in the CBC were atypical lymphocytes (51.6%) and eosinopenia (49.5%). From 69 hospitalized children, 21 were considered severe. There was no association between age, gender, and CRP value with clinical severity. The presence of underlying disease was five times higher (odds ratio [OR] = 5.08) in patients who required hospitalization and a higher NLR value was 54% (OR = 1.54) more likely to occur. Eosinopenia was three times more frequent in inpatients with disease severity criteria (OR = 3.05). In conclusion, children younger than 10 years of age with COVID-19 have changes in the CBC collected in the emergency room, mainly atypical lymphocytes and eosinopenia. The presence of a comorbidity or a higher NLR increases the chance of hospitalization. In addition, eosinopenia was a predictor of severity in inpatient children due to COVID-19.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"695-702"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459605","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}