Clinical PediatricsPub Date : 2025-10-01Epub Date: 2025-04-24DOI: 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":"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":"1244-1248"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","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}
{"title":"Survey on Near Infrared Spectroscopy Use in UK Neonatal Units.","authors":"Ceri Chadwick, Mirium Alzeera, Nalaayeni Kanesan, Mona Noureldein","doi":"10.1177/00099228251339255","DOIUrl":"10.1177/00099228251339255","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1356-1360"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961436","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 : 2025-10-01Epub Date: 2025-03-17DOI: 10.1177/00099228251325448
Debra Yeh, David J Inwards-Breland, Tay L Richardson, Maja Marinkovic, Bixby Marino-Kibbee, Aarti Patel, Erin Stucky Fisher, Lauren Gist, Kyung E Rhee
{"title":"Designing a Better Health System: Patient Perspectives on Gender Inclusive Care.","authors":"Debra Yeh, David J Inwards-Breland, Tay L Richardson, Maja Marinkovic, Bixby Marino-Kibbee, Aarti Patel, Erin Stucky Fisher, Lauren Gist, Kyung E Rhee","doi":"10.1177/00099228251325448","DOIUrl":"10.1177/00099228251325448","url":null,"abstract":"<p><p>Our study explored perspectives of transgender and non-binary (TNB) patients regarding gender-inclusive care at our medical center. Thirty participants (13-21 years old) completed semi-structured interviews and demographic surveys. Surveys were analyzed using descriptive statistics, and interviews were analyzed using thematic analysis. Key themes contributing to positive experiences were: (1) personnel with experience caring for TNB youth, (2) Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual (LGBTQIA) identified health care team members, (3) visible improvements made over time, (4) provider and staff advocacy, and (5) parent advocacy. Areas for improvement were: (1) training on use of pronouns, gender-affirming terminology, and exam techniques, (2) accurate display of name and pronouns in the electronic medical record and patient labels throughout clinical settings, and (3) more LGBTQIA-inclusive décor and resources. While improvements were recognized, participants identified persistent gaps. Multilevel advocacy and standards set by accrediting bodies can be the next steps in ensuring quality care for TNB patients.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1218-1226"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12379034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical PediatricsPub Date : 2025-10-01Epub Date: 2025-04-18DOI: 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":"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":"1370-1379"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288046/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical PediatricsPub Date : 2025-10-01Epub Date: 2025-05-07DOI: 10.1177/00099228251339076
Jason Ong, Pranjal Agrawal, Jeffrey S Garofano, Carisa Parrish, Kevin J Psoter, Tammy M Brady
{"title":"Depression and Anxiety Prevalence in a Pediatric Obesity Hypertension Clinic: Impact of the COVID-19 Pandemic.","authors":"Jason Ong, Pranjal Agrawal, Jeffrey S Garofano, Carisa Parrish, Kevin J Psoter, Tammy M Brady","doi":"10.1177/00099228251339076","DOIUrl":"10.1177/00099228251339076","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1205-1208"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981303","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 : 2025-10-01Epub Date: 2025-05-09DOI: 10.1177/00099228251339885
Mohamed M Radwan, Ola El Kebbi, Imad El Majzoub, Dima Hamideh, Hashem Nassereddine, Sarah Abdul Nabi, Adonis Wazir, Osama Ibrahim, Rola Cheaito, Hani Tamim, Rasha D Sawaya
{"title":"Characteristics and Prevalence of Bacteremia in Febrile Children With Cancer: Is a Peripheral Blood Culture Necessary?","authors":"Mohamed M Radwan, Ola El Kebbi, Imad El Majzoub, Dima Hamideh, Hashem Nassereddine, Sarah Abdul Nabi, Adonis Wazir, Osama Ibrahim, Rola Cheaito, Hani Tamim, Rasha D Sawaya","doi":"10.1177/00099228251339885","DOIUrl":"10.1177/00099228251339885","url":null,"abstract":"<p><p>Many guidelines recommend a peripheral and central blood culture in febrile children with cancer, although data on the utility of the former are scarce. We aimed to report the prevalence and predictors of bacteremia in this cohort, and the utility of a peripheral blood culture in identifying missed bacterial infections. This was a single-center, retrospective study of febrile children with cancer. Between 2014 and 2018, we compared the group with at least one positive blood culture to the group without. We identified 342 unique febrile visits with a mean age of 7.6 years. Fifteen (4%) had bacteremia: 1 only peripheral, 11 only central, 3 both peripheral and central. The odds of bacteremia increased with reinduction chemotherapy (adjusted odds ratio [aOR] = 4.68 [1.13-19.42]) and decreased in children older than 3 years (aOR = 0.27 [0.09-0.80]). In conclusion, our rates of bacteremia were low and the utility of peripheral blood cultures was limited.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1454-1461"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967944","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 : 2025-10-01Epub Date: 2025-04-21DOI: 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":"10.1177/00099228251333317","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1335-1338"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","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}
Clinical PediatricsPub Date : 2025-10-01Epub Date: 2025-04-22DOI: 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":"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":"1296-1304"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","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}