Clinical Pediatrics最新文献_第5页

Probiotics as Functional Dietary Interventions for Gut Health, Immune Modulation, and Overall Well-Being: A Systematic Review. 益生菌作为肠道健康、免疫调节和整体健康的功能性饮食干预：系统综述。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-09-22 DOI: 10.1177/00099228261480530

Smriti Mishra, Shikha Saxena

{"title":"Probiotics as Functional Dietary Interventions for Gut Health, Immune Modulation, and Overall Well-Being: A Systematic Review.","authors":"Smriti Mishra, Shikha Saxena","doi":"10.1177/00099228261480530","DOIUrl":"https://doi.org/10.1177/00099228261480530","url":null,"abstract":"Background: The pediatric gut microbiome influences immune maturation, neurodevelopment, and disease susceptibility. Probiotic supplementation has been investigated across multiple childhood conditions, yet strain-specific efficacy remains inconsistent.Objective: The objective of this review is to systematically evaluate strain-specific probiotic interventions in children and assess clinical efficacy, safety, and mechanistic pathways.Methodology: A systematic review was conducted following PRISMA 2020 guidelines. PubMed, Scopus, and Web of Science were searched for studies (2006-2024).Results: Strong evidence supports Lactobacillus rhamnosus GG and Saccharomyces boulardii for acute diarrhea. Mixed strains show moderate benefit in atopic dermatitis. Adjunct probiotic therapy improves Helicobacter pylori eradication rates. Evidence in asthma and autism spectrum disorder remains preliminary.Conclusion: Significant heterogeneity in strains, dosing, and study design limits generalizability. Probiotic efficacy in pediatrics is strain and condition-specific. Standardized RCTs and precision microbiome approaches are required.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261480530"},"PeriodicalIF":0.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015956","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

Clinical Characteristics of Children and Adolescents With Misophonia. 儿童和青少年恐音症的临床特征。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-09-19 DOI: 10.1177/00099228261467192

Lotte R Rappoldt, Carola de Wit, Marthe M van der Pol, Simone Slaghekke, Caroline Houben, Kees J Kan, André B Rietman, Damiaan Denys, Elisabeth M W J Utens, Nienke C C Vulink

{"title":"Clinical Characteristics of Children and Adolescents With Misophonia.","authors":"Lotte R Rappoldt, Carola de Wit, Marthe M van der Pol, Simone Slaghekke, Caroline Houben, Kees J Kan, André B Rietman, Damiaan Denys, Elisabeth M W J Utens, Nienke C C Vulink","doi":"10.1177/00099228261467192","DOIUrl":"https://doi.org/10.1177/00099228261467192","url":null,"abstract":"Misophonia has a serious impact on children and families. Few studies have, however, assessed the specific phenomenology of misophonia in youth. We investigated clinical characteristics in a treatment-seeking sample of youth with misophonia (n = 95, 8-18 years), using validated instruments to assess misophonia phenomenology, psychiatric comorbidity, emotional/behavioral problems, attention problems, sensory processing, and quality of life. The most prevalent triggers were eating sounds and the most common responses irritation/anger and anticipation anxiety. Psychiatric comorbidity was present in 27.4% of cases (eg, anxiety disorders 10.5%; attention-deficit hyperactivity disorder 8.4%). Internalizing psychopathology was more prevalent than externalizing. Adolescents reported differences in auditory, tactile, visual, and taste/smell sensory processing compared with a norm group, as well as heightened sensory awareness and avoidance. Misophonia severity was inversely related to quality of life in children/parents. Future research should investigate the underlying mechanisms of misophonia in youth. Pre-registered: The Netherlands Trial Register (CCMO): NL-OMON20775, https://onderzoekmetmensen.nl/nl/trial/20775.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261467192"},"PeriodicalIF":0.8,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149007676","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

Child Opportunity Index: Paradoxical Risk of Pediatric Long COVID Cases. 儿童机会指数：儿童长COVID病例的矛盾风险。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-09-15 DOI: 10.1177/00099228261487907

Erin McLaughlin, Alexandra B Yonts, Anand Gourishankar

引用次数: 0

Oropharyngeal Gonorrhea and Chlamydia Testing in the Pediatric Emergency Department. 儿科急诊科口咽淋病和衣原体检测

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-09-15 DOI: 10.1177/00099228261484453

Andre Brissett, Abigail F Nixon, Tanner W Mercer, Haamid Chamdawala, James A Meltzer

{"title":"Oropharyngeal Gonorrhea and Chlamydia Testing in the Pediatric Emergency Department.","authors":"Andre Brissett, Abigail F Nixon, Tanner W Mercer, Haamid Chamdawala, James A Meltzer","doi":"10.1177/00099228261484453","DOIUrl":"https://doi.org/10.1177/00099228261484453","url":null,"abstract":"Gonorrhea and chlamydia (GCCT) are among the most commonly reported sexually transmitted infections (STIs), particularly in adolescents. Screening guidelines recommend only urogenital testing for most patients. With changing trends in sexual practice, we sought to determine whether the addition of oropharyngeal GCCT testing would improve STI detection in our Pediatric Emergency Department (PED). In December 2021, our PED began incorporating routine oropharyngeal testing for all patients undergoing urogenital GCCT testing. This retrospective study of patients ages 13 to 21 years examined patients who underwent both urogenital and oropharyngeal testing from February 2022 to January 2025. McNemar's chi-square test was used to determine percentage differences of combined oropharyngeal and urogenital GCCT testing versus urogenital testing alone. In total, 218 adolescents underwent both urogenital and oropharyngeal testing. The median age was 19 years (interquartile range = 18, 20), and 152 (70%) were female. Ten patients had an oropharyngeal test positive for GCCT but a negative urogenital test. With both urogenital and oropharyngeal testing, there was a significant increase in the overall GCCT positivity rate compared with urogenital testing alone (58 [27%] vs 48 [22%], P = 0.002). By expanding STI testing to include universal oropharyngeal testing, we identified several adolescents with GCCT who might have been missed by standard urogenital screening.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261484453"},"PeriodicalIF":0.8,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148966970","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

Letter in Response to "Interpretive Considerations for Continuous Percentile Scores in Pediatric Feeding Assessment". 回复“对儿科喂养评估中连续百分位分数的解释性考虑”的信。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-09-08 DOI: 10.1177/00099228261484808

Jamie Crandell, Jinhee Park, Suzanne Thoyre, Hayley Estrem

引用次数: 0

Triaging Benign Paroxysmal Movements in Infants and Young Children. 婴幼儿良性阵发性运动的分诊。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-09-07 DOI: 10.1177/00099228261481708

Matthew Chase Lustig

引用次数: 0

More Than Skin Deep: Systemic Illness Manifesting as Inguinal Cellulitis. 超越皮肤深层：全身性疾病表现为腹股沟蜂窝织炎。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-09-06 DOI: 10.1177/00099228261483769

Allison Huffman, Goutam Gutta, Andrea Newman Molina, Rebecca Wallihan, Guliz Erdem, Joshua R Watson

引用次数: 0

Telehealth in Pediatrics: A Quick Review. 儿科远程医疗：快速回顾。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-09-05 DOI: 10.1177/00099228261479615

Tanya Tandon

引用次数: 0

The Doctor Will Zoom You Now: An Experiential Telemedicine Assessment for Pediatric Residents. 医生将放大你现在：儿科住院医师的体验式远程医疗评估。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-09-03 DOI: 10.1177/00099228261465379

Heather B Howell, Jonathan Lebowitz, Jeffrey Wilhite, Chanelle Coble-Sadaphal, Meaghan McGrath, Rachel Ramsey, Lisa Altshuler, Sondra Zabar, Purnahamsi V Desai

{"title":"The Doctor Will Zoom You Now: An Experiential Telemedicine Assessment for Pediatric Residents.","authors":"Heather B Howell, Jonathan Lebowitz, Jeffrey Wilhite, Chanelle Coble-Sadaphal, Meaghan McGrath, Rachel Ramsey, Lisa Altshuler, Sondra Zabar, Purnahamsi V Desai","doi":"10.1177/00099228261465379","DOIUrl":"https://doi.org/10.1177/00099228261465379","url":null,"abstract":"There has been increased use of telemedicine in clinical practice, but telemedicine curricula are not standard in pediatric residency training. We developed a 2-case, Virtual Objective Structured Clinical Exam (VOSCE) for pediatric residents with telemedicine learning objectives. Resident competency was assessed using a behaviorally anchored checklist, and residents completed a pre/post self-assessment. Less than half of the residents met mastery for the following behaviors: confirmation of patient identifiers, optimization of technical aspects and partnering with the patient to perform a physical exam. Resident self-assessment improved after participating in the VOSCE but remained low in key domains such as virtual physical exam and mental health issue identification and guidance. Most pediatric residents have not mastered all the skills needed for a successful telemedicine encounter. Incorporating a curriculum focused on telemedicine best practices into residency training is highly merited.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261465379"},"PeriodicalIF":0.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886167","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

Persistent Respiratory Symptoms in a Teenaged Saxophone Player: An Unexpected Culprit-A Case Report. 一名青少年萨克斯管演奏者的持续呼吸道症状：一个意想不到的罪魁祸首-一个病例报告。

IF 0.8 4区医学

Clinical Pediatrics Pub Date : 2026-09-01 Epub Date: 2026-04-17 DOI: 10.1177/00099228261437162

Irmak Tanal Şambel, Abdurrahman Erdem Başaran, Betül Bankoğlu Parlak, Didar Ağca Cengiz, Tuğçe Tural Kara, Ayşen Bingöl

引用次数: 0