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Comparison of Questionnaires in Childhood Asthma Control. 儿童哮喘控制问卷的比较。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-04-24 DOI: 10.1177/00099228251328157
Mehmet Karaci, Emre Akkelle
{"title":"Comparison of Questionnaires in Childhood Asthma Control.","authors":"Mehmet Karaci, Emre Akkelle","doi":"10.1177/00099228251328157","DOIUrl":"https://doi.org/10.1177/00099228251328157","url":null,"abstract":"<p><p>Asthma is the most common chronic disease in childhood. The aim of this study is to determine the control levels of asthma patients followed in our clinic and to see the results of different control tests. Patients aged 7 years and older were included in the study. To determine asthma control levels, patients were administered the Global Initiative for Asthma (GINA) control level and Asthma Control Questionnaire (ACQ) questionnaires. The study was conducted with a total of 90 patients, 52 (57.8%) male and 38 (42.2%) female. The most common allergen sensitivity was house dust mite with 76.7%. While there was a significant relationship between having a family history of atopy and the ACQ questionnaire (<i>P</i> = .011), this situation could not be detected in the GINA control questionnaire. Complete control rates in GINA and ACQ were found to be 13.3% to 58.9%, respectively. It was observed that asthma control questionnaires had similar rates of capturing patients with full control and those without control.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251328157"},"PeriodicalIF":1.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991682","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
Caregiver Perspectives on Discussing Immigration Legal Status in a Medical Setting. 在医疗环境中讨论移民法律地位的看护者观点。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-04-22 DOI: 10.1177/00099228251333220
Sophie Kurschner, Olanrewaju Falusi, Daniel Newman
{"title":"Caregiver Perspectives on Discussing Immigration Legal Status in a Medical Setting.","authors":"Sophie Kurschner, Olanrewaju Falusi, Daniel Newman","doi":"10.1177/00099228251333220","DOIUrl":"https://doi.org/10.1177/00099228251333220","url":null,"abstract":"<p><p>Medical-legal partnerships (MLPs) address legal issues, including challenges around immigration status, that contribute to health outcomes. This study evaluated our MLP-a collaboration between our pediatric primary care center and nonprofit legal organization. We assessed patient/family comfort and acceptability of conversations regarding immigration legal needs as well as attitudes toward incorporating legal services in a health care setting. Fifty-one participants were surveyed during medical visits and more than 80% reported immigration status concerns, despite nearly half never having sought legal assistance. Most participants (74.5%) found conversations around legal topics <i>very appropriate</i> (on a 5-point Likert scale) and 75.8% were <i>completely comfortable</i> having these discussions in the medical context. The majority (94.1%) identified primary care sites as an appropriate location for these discussions. These results indicate that asking about immigration legal needs within a health care setting is acceptable among immigrant families and primary care centers can be effective sites to co-locate services.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251333220"},"PeriodicalIF":1.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976697","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
Expression of concern: Neonatal Eating Assessment Tool-Bottle-Feeding: Norm-Reference Values for Infants Less Than 7 Months Old. 表达关注：新生儿进食评估工具-奶瓶喂养：7个月以下婴儿的标准参考值。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-04-21 DOI: 10.1177/00099228251337932
{"title":"Expression of concern: Neonatal Eating Assessment Tool-Bottle-Feeding: Norm-Reference Values for Infants Less Than 7 Months Old.","authors":"","doi":"10.1177/00099228251337932","DOIUrl":"https://doi.org/10.1177/00099228251337932","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251337932"},"PeriodicalIF":1.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986843","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
Jaundice and Altered Mental Status in the Primary Care Office. 初级保健办公室的黄疸和精神状态改变。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-04-21 DOI: 10.1177/00099228251333317
Julianne Lawler, Lily Deng, Sarah Swauger, Christelle Tan, Mary Carol Burkhardt
{"title":"Jaundice and Altered Mental Status in the Primary Care Office.","authors":"Julianne Lawler, Lily Deng, Sarah Swauger, Christelle Tan, Mary Carol Burkhardt","doi":"10.1177/00099228251333317","DOIUrl":"https://doi.org/10.1177/00099228251333317","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251333317"},"PeriodicalIF":1.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980886","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
Etiologies, Clinical Courses and Outcomes of Pediatric Cardiothoracic Surgery: A Retrospective Analysis of Postsurgery Presentations at the PED. 小儿心胸外科的病因、临床过程和结果：PED对术后表现的回顾性分析。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-04-18 DOI: 10.1177/00099228251333221
Itai Gross, Idit Rabello, Eldad Erez, Amit Hess, Lea Ohana Sarna Cahan, Naama Pines, Uri Pollak, Saar Hashavya
{"title":"Etiologies, Clinical Courses and Outcomes of Pediatric Cardiothoracic Surgery: A Retrospective Analysis of Postsurgery Presentations at the PED.","authors":"Itai Gross, Idit Rabello, Eldad Erez, Amit Hess, Lea Ohana Sarna Cahan, Naama Pines, Uri Pollak, Saar Hashavya","doi":"10.1177/00099228251333221","DOIUrl":"https://doi.org/10.1177/00099228251333221","url":null,"abstract":"<p><p>Congenital heart defects, the most common of all birth defects, often necessitate complex postoperative care due to the risk of severe complications. This retrospective cohort study evaluated the clinical presentations, outcomes, and complications in the records of 730 children who underwent 877 cardiothoracic surgeries at Hadassah Medical Center, Jerusalem, from 2011 to 2018. During the first postoperative year, 295 of these patients (40.4%) presented to the Pediatric Emergency Department. Single ventricle defects were associated with higher presentation rates than biventricular repairs (69.3% vs 53.7%, <i>P</i> < .001). Serious bacterial infections were found in 5% of the cases. The overall admission rate was 34%, with a Pediatric Intensive Care Unit admission rate of 1.45%. Complications such as chylothorax and pleural effusion were primarily found in Glenn and Fontan procedures, respectively. The study underscores the complex needs and major health care challenges faced by postsurgical pediatric patients, and emphasizes the importance of informed and prompt management.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251333221"},"PeriodicalIF":1.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977533","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
Sleep Duration and Timing in Relation to BMI and Readiness to Change Lifestyle Behaviors: Results From a Pediatric Weight Management Clinic. 睡眠时长和时间与BMI和改变生活方式行为的准备程度有关：来自儿科体重管理诊所的结果。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-04-18 DOI: 10.1177/00099228251334512
Erica C Jansen, Mengshu Yan, Bethany J Gaffka
{"title":"Sleep Duration and Timing in Relation to BMI and Readiness to Change Lifestyle Behaviors: Results From a Pediatric Weight Management Clinic.","authors":"Erica C Jansen, Mengshu Yan, Bethany J Gaffka","doi":"10.1177/00099228251334512","DOIUrl":"https://doi.org/10.1177/00099228251334512","url":null,"abstract":"<p><p>Associations between sleep, body mass index (BMI), and readiness to engage in lifestyle changes are not well understood for adolescents attending weight management clinics. We conducted a medical chart review of 99 adolescents/young adults aged 13 to 20 years attending the intake visit for a weight management clinic (average BMI = 41.79 [SD = 9.77]). Linear and logistic regression models were used to evaluate associations between sleep duration and sleep midpoint (median of bedtime and wake time) with continuous BMI and dichotomous readiness to change variables, adjusting for relevant confounders. Longer weekend sleep duration and later weekday sleep timing were each associated with higher confounder-adjusted BMI (β = 1.41 higher BMI/h of sleep with 95% confidence interval [CI] = 0.24, 2.57 and β = 1.28 higher BMI/h later sleep with 95% CI = 0.003, 2.55). Adolescents with shorter sleep duration indicated lower readiness to alter food amounts, and adolescents with later sleep timing were less willing to alter food choices and sleep habits.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251334512"},"PeriodicalIF":1.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975397","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
Real-Life in Cystic Fibrosis Pediatric Patients Treated With Kaftrio: A Descriptive Observational Study. 儿童囊性纤维化患者接受Kaftrio治疗的现实生活：一项描述性观察研究。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-04-12 DOI: 10.1177/00099228251330121
Francisco José García Díaz, María Moreno Ortega, Marcos Medina Bethencourt, María Esther Quintana Gallego, Laura Carrasco Hernández, Carmen Delgado Pecellín, Isabel Delgado Pecellín
{"title":"Real-Life in Cystic Fibrosis Pediatric Patients Treated With Kaftrio: A Descriptive Observational Study.","authors":"Francisco José García Díaz, María Moreno Ortega, Marcos Medina Bethencourt, María Esther Quintana Gallego, Laura Carrasco Hernández, Carmen Delgado Pecellín, Isabel Delgado Pecellín","doi":"10.1177/00099228251330121","DOIUrl":"https://doi.org/10.1177/00099228251330121","url":null,"abstract":"<p><p>In 2020, Kaftrio, a combination of Elexacaftor, Tezacaftor, and Ivacaftor, gained approval for treating cystic fibrosis (CF) in patients from the age of 12 years. This study aims to analyze 1 year of treatment with Kaftrio in pediatric patients, comparing their clinical characteristics with pre-treatment data. This is an observational, descriptive, and longitudinal study in patients with CF older than 12 years with at least 1 F508del mutation treated with Kaftrio for 1 year. Forced expiratory volume in 1 second (FEV1) z-score increased by +1.1 (95% confidence interval [CI] = 0.55 to 1.64), forced vital capacity (FVC) by +0.56 (95% CI = 0.10 to 1.04), and maximal mid-expiratory flow (MMEF) 25/75 improved by +1.53 (95% CI = 0.59 to 2.47). In addition, a reduction of 25.50 points (95% CI = -37.95 to -13.06) in sweat chloride levels was observed. Body mass index (BMI)-for-age z-score (WHO 2006/2007) increased +0.39 (95% CI = 0.02 to 0.77). A transient increase in cough and secretions was noted in 61.53% after starting treatment. Kaftrio improves lung function and BMI and also reduces respiratory exacerbations and sweat chloride levels.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251330121"},"PeriodicalIF":1.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989703","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
Is Insulin Resistance Present in Children With Subclinical Hypothyroidism? 亚临床甲状腺功能减退症患儿是否存在胰岛素抵抗？
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-04-12 DOI: 10.1177/00099228251333302
Amine Aktar Karakaya, Edip Unal, Aslı Beştaş, Ozan Kapçay
{"title":"Is Insulin Resistance Present in Children With Subclinical Hypothyroidism?","authors":"Amine Aktar Karakaya, Edip Unal, Aslı Beştaş, Ozan Kapçay","doi":"10.1177/00099228251333302","DOIUrl":"https://doi.org/10.1177/00099228251333302","url":null,"abstract":"<p><p>There are limited number of studies in the literature reporting the effect of subclinical hypothyroidism (SH) on insulin resistance and glucose metabolism in children. This study compared insulin, glucose and Homeostasis Model Assessment (HOMA-IR) values in 50 patients with SH and 50 healthy subjects. However, no significant difference was found between the groups. In addition, no significant correlation was observed between the TSH and fT4 levels and blood glucose, insulin and HOMA-IR values in patients with SH. Our study showed that SH does not lead to insulin resistance. Weight gain may be higher than normal in patients with SH. More comprehensive studies are needed for the long-term metabolic and cardiovascular effects of SH.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251333302"},"PeriodicalIF":1.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976875","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
Chronic Cough in a Thin 18-Year-Old Adolescent. 18岁青少年的慢性咳嗽。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-04-12 DOI: 10.1177/00099228251330731
Natasha D Dombrowski, Stephen Percy, Pakkay Ngai, Michael T McGuire, Sejal M Bhavsar
{"title":"Chronic Cough in a Thin 18-Year-Old Adolescent.","authors":"Natasha D Dombrowski, Stephen Percy, Pakkay Ngai, Michael T McGuire, Sejal M Bhavsar","doi":"10.1177/00099228251330731","DOIUrl":"https://doi.org/10.1177/00099228251330731","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251330731"},"PeriodicalIF":1.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955377","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
A Rare Manifestation of Excessive Cow's Milk Consumption. 过量饮用牛奶的罕见表现。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-04-04 DOI: 10.1177/00099228251333210
April Butler, David Gutglass, Karen Kim Jo Yaphockun
{"title":"A Rare Manifestation of Excessive Cow's Milk Consumption.","authors":"April Butler, David Gutglass, Karen Kim Jo Yaphockun","doi":"10.1177/00099228251333210","DOIUrl":"https://doi.org/10.1177/00099228251333210","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251333210"},"PeriodicalIF":1.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779231","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
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