Clinical Pediatrics最新文献

{"title":"Not Your Average Limping Toddler.","authors":"Danielle Hatt, Chloe Kupelian, Laurie Bernard Stover, Kathryn Pade","doi":"10.1177/00099228241235980","DOIUrl":"10.1177/00099228241235980","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1759-1762"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140048952","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":"Ultrasound as a Tool for Initial Diagnosis of Bone Lesions in Children Has Good Predictive Values: A Prospective Study From a University Hospital.","authors":"Kaoutar Choukri, Elie Haddad, Hassan Al Khouri Salem, Claire Boutet, Virginie Leveques, Ahmad Mteirek, Olivier Philbois, Aurélien Scalabre, Aymeric Cantais","doi":"10.1177/00099228241241894","DOIUrl":"10.1177/00099228241241894","url":null,"abstract":"<p><p>Pediatric bone injuries are traditionally diagnosed using radiography. However, ultrasonography is emerging as an alternative due to its speed and minimal invasiveness. This study assessed the diagnostic capabilities of ultrasound before radiography in a group of 186 children with suspected long bone fractures at Saint Etienne University Hospital (Saint-Priest-en-Jarez, France). Patients with open trauma and severe deformity were excluded. Ultrasonography demonstrated 88.2% sensitivity and 86.4% specificity, with better results for forearm injuries. Of the 186 cases, 162 were consistent with radiography and 24 varied. Factors influencing an accurate diagnosis included the presence of indirect signs, operator experience, and examination duration, while indirect signs often led to misinterpretation. Although ultrasound cannot completely replace radiography due to its limitations in identifying deeper fractures, this study revealed its substantial efficacy and ease, supporting its potential utility in pediatric trauma emergencies.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1734-1741"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140329740","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":"Cardiac Complication of Intramuscular Epinephrine.","authors":"Fatima Sukhera, Savannah Phillips, Ryan Brown","doi":"10.1177/00099228241235762","DOIUrl":"10.1177/00099228241235762","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1763-1765"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140038880","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":"<i>Mobile Flu Fighter!</i> Development and Pilot Implementation of a Mobile Vaccination Program to Reduce Pediatric Influenza Vaccination Disparities.","authors":"Meredith R Denney, Kelly Moore, Barron Patterson, Adriana Bialostozky, Elizabeth Williams","doi":"10.1177/00099228241301848","DOIUrl":"https://doi.org/10.1177/00099228241301848","url":null,"abstract":"<p><p>Severe pediatric influenza outcomes disproportionately affect racial minority groups, yet flu vaccination rates are often lower in these populations. Community Engagement Studios were conducted among parents/caregivers who refused flu vaccination for their children to discuss vaccination decision-making. A pilot program, <i>Mobile Flu Fighter!</i>, was created for pediatric patients in Nashville, Tennessee, and 4 events were conducted during the 2021 to 2022 flu season. Events provided free flu vaccines to all eligible children (aged 6 months to <u><</u>18 years old), recorded vaccinations in electronic medical records and the state vaccine registry, and incorporated community partners. Events resulted in 49 pediatric flu vaccinations. Patient flu vaccination rates were compared with previous seasons, which resulted in an overall decrease in 2.9% to 3.5%. The decrease may be influenced by factors like COVID-19 vaccine hesitancy, vaccine infodemics, and not employing family-centered approaches. More work is necessary to reduce pediatric vaccination disparities.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241301848"},"PeriodicalIF":1.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766674","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":"Approach to Different Features of Plastibell Ring Circumcision.","authors":"Hamed Akhavizadegan, Kourosh Afshar, Seyed Mohammad Kazem Aghamir","doi":"10.1177/00099228241298146","DOIUrl":"https://doi.org/10.1177/00099228241298146","url":null,"abstract":"<p><strong>Introduction: </strong>In this review article, we aim to illustratively address abnormal and normal courses of Plastibell (a system designed to remove the correct amount of skin) circumcision. We searched 2 target databases, PubMed and Embase, for Plastibell ring circumcision and recruited photos from circumcised children with plasticbell rings. The ordinary postprocedure healing course may resemble abnormal situations such as infection and dehiscence. Conversely, adverse events are rarely noticed by parents. Thus, medical attention is sought when it is not needed and omitted when the specialist may require an intervention.</p><p><strong>Conclusion: </strong>Providing a pamphlet illustrating standard normal and abnormal features of plastic bell ring circumcision will decrease family stress, emergency referrals, and preventable complications in this standard procedure.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241298146"},"PeriodicalIF":1.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766677","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":"Small Children Receive Large Doses, While Large Children Receive Low Doses of Amoxicillin Per kg.","authors":"Katelyn S Stenger, Loren G Yamamoto","doi":"10.1177/00099228241299903","DOIUrl":"https://doi.org/10.1177/00099228241299903","url":null,"abstract":"<p><strong>Purpose: </strong>With increasing pneumococcal penicillin resistance, physicians treat pneumococcal infections with high-dose amoxicillin (80-90 mg/kg/d). High-dose amoxicillin approaches adult doses which makes clinicians reluctant to exceed \"adult doses.\" This study examines the disparity of amoxicillin dosing between the ages of children.</p><p><strong>Methods: </strong>A retrospective chart review of 5503 children prescribed amoxicillin regardless of diagnosis. The final cohort consisted of 3620 encounters with infections that align with recommendations of high-dose amoxicillin.</p><p><strong>Results: </strong>Linear regression demonstrated a significant negative correlation between age/dose (mg/kg/d) and weight/dose (mg/kg/d). Larger children are prescribed declining doses in mg/kg/d, so most patients above 60 kg are dosed at less than 40 mg/kg/d. Children 6 years and under cluster around the 80 mg/kg/d dose.</p><p><strong>Conclusions: </strong>Older children receiving a lower than recommended dose per kilogram of amoxicillin for conditions that require high-dose amoxicillin. There is a disparity in the dosing of amoxicillin between age/weight categories.</p><p><strong>Article summary: </strong>A chart review of 3620 pediatric patient encounters prescribed amoxicillin. After controlling for weight, as age and weight increases, the dose of amoxicillin prescribed decreases. Children are reaching the adult maximum dose right after they surpass 15 kg.<b>What is known on this subject:</b> An Amoxicillin guideline shift to 80 to 90 mg/kg/d for treating pneumococcal infections in 2014. This was due to increasing intermediate penicillin resistance. Obesity results in children reaching the \"maximum\" doses at younger ages as well.<b>What this study adds:</b> There is a disparity is amoxicillin dosing among the pediatric population, are small children getting too much amoxicillin, or are larger children getting too little? Children are also reaching the adult maximum dose at low weights, such as 20 kg.<b>Deidentified individual participant data will not be made available.</b></p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241299903"},"PeriodicalIF":1.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738586","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":"Health Care Provider Perspectives on Shared Decision Making With Parents and Adolescents.","authors":"Ellen A Lipstein, Isabella K Pallotto, Chelsey B Anderson, Mary Anne Ammon, Adam C Carle","doi":"10.1177/00099228241299897","DOIUrl":"https://doi.org/10.1177/00099228241299897","url":null,"abstract":"<p><p>Little is known about health care provider perspectives on sharing decisions in a parent-adolescent-provider triad. This perspective is needed to develop tools for supporting shared decision-making (SDM) in a triad that involves an adolescent. To assess this perspective, we conducted individual interviews with pediatric health care providers. Trained study staff interviewed health care providers who work with adolescents with chronic conditions about their medical decision-making experience and key components of SDM. Interviews were transcribed, coded, and analyzed using thematic content analysis. Our analysis elicited 3 major themes: (1) roles of each triad member; (2) key aspects of triadic SDM components; and (3) essentials for triadic SDM with an adolescent. Providers discussed the importance of alignment between parents and adolescents and facilitating such alignment through preference discussions. We found that providers want to engage adolescents with chronic conditions and their parents and achieve alignment between these 2 parties, during shared medical decisions.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241299897"},"PeriodicalIF":1.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738666","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":"Corrigendum to \"Point-of-Care Ultrasound for the General Pediatric Resident: A Needs Assessment\".","authors":"","doi":"10.1177/00099228241301908","DOIUrl":"https://doi.org/10.1177/00099228241301908","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241301908"},"PeriodicalIF":1.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709764","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":"Embracing Difference in Intersex Variations.","authors":"Camilia Kamoun, Katharine B Dalke","doi":"10.1177/00099228241299909","DOIUrl":"https://doi.org/10.1177/00099228241299909","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241299909"},"PeriodicalIF":1.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709765","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":"15q24 Duplication: A Case Report of Neurodevelopmental Delay.","authors":"Agustín Cámara-Domínguez, Alexandra Margaret Stuart-Aguiar, Nicte-Há Asunción Fuentes-Canto, Andrea Cervera-Rosado, Cuauhtli Nacxitl Azotla-Vilchis, Luz Del Carmen Márquez-Quiroz, Rodrigo Vargas-Méndez, Silvina Noemí Contreras-Capetillo","doi":"10.1177/00099228241296235","DOIUrl":"https://doi.org/10.1177/00099228241296235","url":null,"abstract":"<p><p>Chromosomal rearrangements are structural anomalies that affect chromosomal architecture and can impact gene expression, genomic imprinting, or even generate de novo gene fusions, as seen in hematological chromosomal aberrations. Chromosomal rearrangements can be associated with syndromes causing neurodevelopmental delay, autism spectrum disorder, and variable dysmorphic features. This article presents the clinical and molecular characteristics of a 2-year-old male child with neurodevelopmental delay who was diagnosed with a chromosomal rearrangement due to a 15q24 duplication (dup15q24). The 15q24 locus presents controversy between the phenotype associated with duplication and deletion, thus posing a challenge in differential diagnosis for both. The phenotypes of autism spectrum disorder and pediatric patients with language delay should be evaluated by a multidisciplinary team comprising genetics, pediatrics, and pediatric neurology to shorten the diagnostic odyssey for patients with rare diseases and to impact the quality of life of the patient and their family.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241296235"},"PeriodicalIF":1.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686165","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}