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Parental Perceptions and Practices Regarding Pain Management and Medical Marijuana Use in Patients With Sickle Cell Disease. 父母对镰状细胞病患者疼痛管理和医用大麻使用的看法和实践。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-06-01 Epub Date: 2024-12-27 DOI: 10.1177/00099228241304464
Loretta Cinquepalmi, Adetunbi Ayeni, Laura Melville, Christopher Kelly
{"title":"Parental Perceptions and Practices Regarding Pain Management and Medical Marijuana Use in Patients With Sickle Cell Disease.","authors":"Loretta Cinquepalmi, Adetunbi Ayeni, Laura Melville, Christopher Kelly","doi":"10.1177/00099228241304464","DOIUrl":"10.1177/00099228241304464","url":null,"abstract":"<p><p>Parental strategies for home management of pain crisis in children with sickle cell anemia are not well studied. Non-steroidal anti-inflammatory medications (NSAIDs) are thought of as the mainstay of home and in-patient pain management for pediatric patients with sickle cell disease. Parents and providers often fear the use of opioids due to the risk of addiction. Medical marijuana is a potential adjunct therapy, but parental concerns regarding its use are not known. We aimed to assess parental strategies for home pain control, as well as attitudes toward the use of medical marijuana in children with sickle cell disease. Although medical marijuana may be a safer alternative to opioids, parents had similar concerns regarding marijuana. There were significant concerns regarding the societal implications of marijuana use. Further study of the utility of marijuana is warranted, but clinicians must look beyond the medical and consider the social consequences that may impact treatment acceptability.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"824-829"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892671","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
Performance of Mid-Upper Arm Circumference (MUAC) in Detection of Severe Acute Malnutrition (SAM), in Young Infants Aged 1 to 6 Months. 中上臂围 (MUAC) 在检测 1 至 6 个月婴儿严重急性营养不良 (SAM) 方面的性能。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-06-01 Epub Date: 2024-09-29 DOI: 10.1177/00099228241284880
Tanya Goel, Mukesh Vir Singh, Manisha Maurya, Nandita Mishra, Shahid Akhtar Siddiqui, Richa Singh
{"title":"Performance of Mid-Upper Arm Circumference (MUAC) in Detection of Severe Acute Malnutrition (SAM), in Young Infants Aged 1 to 6 Months.","authors":"Tanya Goel, Mukesh Vir Singh, Manisha Maurya, Nandita Mishra, Shahid Akhtar Siddiqui, Richa Singh","doi":"10.1177/00099228241284880","DOIUrl":"10.1177/00099228241284880","url":null,"abstract":"<p><p>Infants are more vulnerable to malnutrition as compared with older children. Prevalence of severe wasting in Indian infants under 6 months of age (U6M) is 14.8% (National Family Health Survey 4, 2015-2016). Weight for length z-score (WLZ) and mid-upper arm circumference (MUAC) are 2 anthropometric parameters for detecting severe acute malnutrition (SAM) in children aged 6 months to 5 years. But in infants U6M, currently no accepted MUAC criteria are present for SAM. Calculating WLZ is practically difficult and cumbersome as compared with measuring MUAC. We tried to find out whether MUAC can be used in detecting SAM in infants aged 1 to 6 months also. The area under ROC curve was computed to evaluate the accuracy of MUAC in detecting SAM (taking WLZ as reference test). Level of accuracy was found out to be \"good.\" Optimal MUAC cut-off with best diagnostic accuracy was identified as ≤11.5 cm, using the highest Youden index of 0.55.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"642-649"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342842","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 Study of the Psychometric Properties of the Pediatric Symptom Checklist-17 for Children With Developmental Delays and Disorders. 针对发育迟缓和发育障碍儿童的儿科症状核对表-17 的心理测量特性研究》（Pediatric Symptom Checklist-17 for Children with Development Delays and Disorders）。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-06-01 Epub Date: 2024-09-28 DOI: 10.1177/00099228241284095
Allison C Meinert, Sarah S Mire, Han Joe Kim, Alison B Shellman, Milena A Keller-Margulis, David F Curtis
{"title":"A Study of the Psychometric Properties of the Pediatric Symptom Checklist-17 for Children With Developmental Delays and Disorders.","authors":"Allison C Meinert, Sarah S Mire, Han Joe Kim, Alison B Shellman, Milena A Keller-Margulis, David F Curtis","doi":"10.1177/00099228241284095","DOIUrl":"10.1177/00099228241284095","url":null,"abstract":"<p><p>Primary care physicians (PCPs) frequently serve pediatric patients with developmental delays and disorders (DD/D). Although the most widely used primary care behavioral health screener, the <i>Pediatric Symptom Checklist-17</i> (<i>PSC-17</i>), is validated for use with children without DD/D, it is unclear whether this measure accurately identifies behavioral health symptoms in youth with DD/D. Thus, the purpose of this study was to assess the psychometric properties of the <i>PSC-17</i> for children with DD/D. Medical record data from 3596 pediatric patients at a primary care clinic were analyzed. Descriptive analyses, measurement invariance testing, and internal consistency evaluations were conducted to assess the psychometric properties of the <i>PSC-17</i>. The results of these analyses support the use of the <i>PSC-17</i> for behavioral health screening for children with DD/D. Behavioral health screening in this population is critical, because the timely identification of behavioral health concerns can facilitate early intervention, which may enhance long-term functioning.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"656-664"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342836","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
Hidden in Plain Sight: Weight Bias and Atypical Anorexia. 隐藏在众目睽睽之下：体重偏差和非典型厌食症。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-06-01 Epub Date: 2024-09-28 DOI: 10.1177/00099228241286289
Lisa Beth Ditchek, Melanie Cheng, Sania Tahir, Margaret Hammerschlag, Amy Suss
{"title":"Hidden in Plain Sight: Weight Bias and Atypical Anorexia.","authors":"Lisa Beth Ditchek, Melanie Cheng, Sania Tahir, Margaret Hammerschlag, Amy Suss","doi":"10.1177/00099228241286289","DOIUrl":"10.1177/00099228241286289","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"739-741"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342839","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
Use of Standardized Dosing Sheets in Pediatric Emergency Care: Experience in a Third-Level Hospital. 标准化给药单在儿科急诊护理中的应用：某三甲医院的经验
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-06-01 Epub Date: 2024-12-11 DOI: 10.1177/00099228241301842
Júlia Serralabós-Ferré, Fatima Castillo-Gomez, Mireia Sensarrich-Roset, Irene Barceló-Carceller, Xoan Gonzalez-Rioja
{"title":"Use of Standardized Dosing Sheets in Pediatric Emergency Care: Experience in a Third-Level Hospital.","authors":"Júlia Serralabós-Ferré, Fatima Castillo-Gomez, Mireia Sensarrich-Roset, Irene Barceló-Carceller, Xoan Gonzalez-Rioja","doi":"10.1177/00099228241301842","DOIUrl":"10.1177/00099228241301842","url":null,"abstract":"<p><strong>Objectives: </strong>Medication errors are one of the main causes of avoidable injuries in health care. With the aim of reducing them, a set of sheets with precalculated doses (by weight intervals) and preparation guidelines of the most common drugs in emergencies (Farmacards) was implemented in a Pediatric Emergency Department, replacing the previous manual calculation system. The aim of the study is to assess the staff's perception of safety and usefulness of the new dosing system.</p><p><strong>Study design: </strong>Pre-post intervention comparative analysis was performed by distributing an opinion questionnaire to pediatric emergency department staff in 2017 (manual calculation in situ) and 2023 (Farmacards). We obtained 60 and 55 responses, respectively, and analyzed the characteristics of the sample and the perception of the new method.</p><p><strong>Results: </strong>Five years after its introduction, 88.5% were aware of its existence, 86.9% knew where to find it, and 76% used it \"always or almost always\" for critically ill patients. Greater use was observed among personnel with more years of work experience (Spearman, <i>P</i> = .057) and among nurses (Mann-Whitney, <i>P</i> < .001). The new method improved the level of perceived safety, especially for nurses (Mann-Whitney, <i>P</i> = .008).</p><p><strong>Conclusions: </strong>Standardized medication dosing systems in emergency situations aim to reduce medical errors and minimize iatrogenesis, participating in safety culture. According to the results of our study, the implementation of Farmacards shows a good acceptance by the staff and in the perception of patient safety, which is a good starting point to further optimize the quality of care. specialties: emergency medicine, general pediatrics, toxicology, and critical care.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"849-857"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806009","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
Examining Infectious Complications Following Lumbar Puncture in Children. 检查儿童腰椎穿刺后的感染并发症。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-06-01 Epub Date: 2024-11-17 DOI: 10.1177/00099228241293901
Talal B Seddik, Julianne E Burns, Sharon F Chen, Hayden T Schwenk, Yungting Liao, Kimberly Horstman, Rabbia Waris, Lyn M Dos Santos
{"title":"Examining Infectious Complications Following Lumbar Puncture in Children.","authors":"Talal B Seddik, Julianne E Burns, Sharon F Chen, Hayden T Schwenk, Yungting Liao, Kimberly Horstman, Rabbia Waris, Lyn M Dos Santos","doi":"10.1177/00099228241293901","DOIUrl":"10.1177/00099228241293901","url":null,"abstract":"<p><p>Little is known about infectious complications of lumbar puncture (LP) in children. We reviewed records of children with bacterial meningitis, intraspinal abscess, and vertebral osteomyelitis over a 3-year period to identify infections following LP. Four children with bacterial meningitis and 1 child with vertebral osteomyelitis were identified and their clinical presentations were described. These cases were scored by infectious disease experts, using a Likert scale, for the possibility of iatrogenic causation; these scores were variable, reflecting uncertainty. The bacterial meningitis cases had repeat LPs, and the latter cerebrospinal fluid analyses were diagnostic of bacterial meningitis; the interval between the initial \"index\" LP (I-LP) and symptom onset was 8 to 10 hours in most cases. Pediatricians should be aware of this possibility, and have a low threshold to repeat LP if there is a clinical change after the I-LP that could be consistent with meningitis.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"791-796"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646249","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
Medical and Socioeconomic Risk Factors for Academic and Psychological Outcomes in Pediatric Sickle Cell Disease. 儿童镰状细胞病学业和心理结果的医学和社会经济风险因素。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-06-01 Epub Date: 2024-12-31 DOI: 10.1177/00099228241306233
Feven A Ogbaselase-Beck, Wynette Williams-Kirkwood, Sonal Johal, Alexis Bailey, Erin Jackson, Dereck Davis, Cynthia W Karlson
{"title":"Medical and Socioeconomic Risk Factors for Academic and Psychological Outcomes in Pediatric Sickle Cell Disease.","authors":"Feven A Ogbaselase-Beck, Wynette Williams-Kirkwood, Sonal Johal, Alexis Bailey, Erin Jackson, Dereck Davis, Cynthia W Karlson","doi":"10.1177/00099228241306233","DOIUrl":"10.1177/00099228241306233","url":null,"abstract":"<p><p>Risk factors for poor neuropsychological outcomes are not fully understood in youth with sickle cell disease (SCD). We examined the associations between medical factors (SCD genotype, silent infarct/stroke, etc), socioeconomic factors (insurance type), and neuropsychological outcomes (reading and math achievement, psychological symptoms) in youth with SCD. A chart review was conducted for 108 Black/African American youth with SCD (M<sub>age</sub> = 10.80, SD = 3.53, 54.6% males) referred for neuropsychological evaluation. Patients were administered Wechsler-series tests of intelligence and academic achievement. Psychological symptoms were measured using the caregiver report Child Behavior Checklist. Zero-order correlations, analyses of variance (ANOVAs), and hierarchical linear regression models examined the associations between variables. Youth with less severe SCD genotypes (SC/SBeta+ thalassemia) had more externalizing problems. Youth with Medicaid/no insurance had more internalizing, externalizing, and somatic symptoms. Low full-scale intelligence quotient (FSIQ) strongly predicted poor academic achievement scores above other factors. Results highlight the importance of early neuropsychological/psychosocial screenings in SCD.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":"64 6","pages":"858-866"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136037","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
21-Month-Old Presenting With Cervical Lymphadenopathy, Intermittent Fever, and Polyarthralgia. 21个月大，表现为颈部淋巴结病、间歇性发热和多关节痛。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-05-29 DOI: 10.1177/00099228251345725
Sarah King, Jessica Emoto, Robert Wittler
{"title":"21-Month-Old Presenting With Cervical Lymphadenopathy, Intermittent Fever, and Polyarthralgia.","authors":"Sarah King, Jessica Emoto, Robert Wittler","doi":"10.1177/00099228251345725","DOIUrl":"https://doi.org/10.1177/00099228251345725","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251345725"},"PeriodicalIF":1.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179747","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
Thunderclap Headache and Seizure in a Teenage Boy. 少年的霹雳头痛和癫痫。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-05-28 DOI: 10.1177/00099228251342962
Erin Warnick, Christine Zhang, Akilah Evans, Melissa Schafer
{"title":"Thunderclap Headache and Seizure in a Teenage Boy.","authors":"Erin Warnick, Christine Zhang, Akilah Evans, Melissa Schafer","doi":"10.1177/00099228251342962","DOIUrl":"10.1177/00099228251342962","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251342962"},"PeriodicalIF":1.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172872","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
Association Between Fluoride Exposure and BMI, WWI in Children and Adolescents: A Cross-Sectional Study. 儿童和青少年氟暴露与BMI、WWI之间的关系：一项横断面研究。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-05-26 DOI: 10.1177/00099228251339210
Tingting Hao, Qi Ding, Jie Ma, Lei Ding, Yuan Gao, Yuxiao Zhang, Yali Liang, Yue'e Huang
{"title":"Association Between Fluoride Exposure and BMI, WWI in Children and Adolescents: A Cross-Sectional Study.","authors":"Tingting Hao, Qi Ding, Jie Ma, Lei Ding, Yuan Gao, Yuxiao Zhang, Yali Liang, Yue'e Huang","doi":"10.1177/00099228251339210","DOIUrl":"https://doi.org/10.1177/00099228251339210","url":null,"abstract":"<p><p>This research aimed to investigate the relationship of fluoride exposure to body mass index (BMI), weight-adjusted waist index (WWI) in children and adolescents. The study used the 2015-2016 Nutrition Examination Survey database and screened a total of 2004 participants aged 6 to 19 years. Multiple linear regression and logistic regression were used to analyze the relationship between blood fluoride, urine fluoride, and water fluoride and BMI, WWI, overweight/obesity, and WWI category. The fully adjusted model illustrated that urinary fluoride concentration was positively associated with BMI (β = 0.50, 95% confidence interval [CI] = 0.06-0.93). Blood fluoride concentration was positively associated with WWI (β = 0.15, 95% CI = 0.01-0.30). Urinary fluoride concentration was positively associated with overweight/obesity (odds ratio [OR] = 1.21, 95% CI = 1.01-1.45). Blood fluoride concentration was positively associated with WWI category (OR = 2.07, 95% CI = 1.19-3.58). This study found that BMI and WWI in children and adolescents were positively associated with fluoride exposure.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251339210"},"PeriodicalIF":1.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141582","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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