Clinical Pediatrics最新文献_第7页

Assessing Community Needs for Autism Spectrum Disorder: A Review of Rural/Frontier Needs Through Community Outreach With Developmental Pediatrics. 评估自闭症谱系障碍的社区需求：通过与发育儿科开展社区外联活动，回顾农村/边疆地区的需求。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-20 DOI: 10.1177/00099228241233803

Alyssa Eygnor, Abigail Angulo, Maritza Cobian, Rebecca Wilson, Elizabeth Coan, Ann Reynolds, Sandra Friedman, Richard E Boles

{"title":"Assessing Community Needs for Autism Spectrum Disorder: A Review of Rural/Frontier Needs Through Community Outreach With Developmental Pediatrics.","authors":"Alyssa Eygnor, Abigail Angulo, Maritza Cobian, Rebecca Wilson, Elizabeth Coan, Ann Reynolds, Sandra Friedman, Richard E Boles","doi":"10.1177/00099228241233803","DOIUrl":"10.1177/00099228241233803","url":null,"abstract":"Early intervention is known to improve long-term outcomes for individuals with autism spectrum disorder (ASD). Access barriers to care limit timely engagement with supportive services. This report characterized the community needs and supportive services for children and families with suspected or diagnosed ASD. Families and providers participating in outreach clinics identified available services and their attitudes about support for ASD diagnosis. Chart reviews provided referral history, insurance, and current services. Children were nearly 6 years old, 95% of families relied on public health insurance, whereas 50% reported traveling 11 miles or greater for supportive services. Most providers (83%) were medically trained in primary care and placed 1-5 referrals per month to a tertiary referral hospital. Providers reported travel difficulty as the primary reason for referring patients for evaluation. Multiple barriers for supportive services were identified, highlighting the importance to increase the capacity and availability of local ASD supportive services.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1568-1572"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139912183","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

It is Not Just Bad Luck: A Case Report Exploring Pyloric Stenosis in Twins. 这不仅仅是运气不好：探索双胞胎幽门狭窄的病例报告。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-24 DOI: 10.1177/00099228241234211

Hira Aslam, Maria Lane, Brian Alverson

引用次数: 0

Neonatal Diabetes Mimicking Neonatal Sepsis. 模拟新生儿败血症的新生儿糖尿病

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-28 DOI: 10.1177/00099228241234498

Ilham Farhat, Vivian L Chin

引用次数: 0

New Onset Diabetes Mellitus With COVID-19 Infection in a 5-Month Old. 5个月大的孩子因感染COVID-19而新发糖尿病

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-01-11 DOI: 10.1177/00099228231224845

Jubel Puthusseril, Alicia Lowes, Ryan Heksch

引用次数: 0

Feasibility and Acceptability of a Pediatric Primary Care Physician Training for Anxiety Screening and Evidence-based Intervention. 儿科初级保健医生焦虑症筛查和循证干预培训的可行性和可接受性。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-29 DOI: 10.1177/00099228241234229

Julie A Wojtaszek, Hannah L Ham, Teryn P Bruni, Eleah Sunde, Claudia Drossel, Alexandros Maragakis

引用次数: 0

Abdominal Pain in a 17-Year-Old Boy with an Eating Disorder. 一名患有进食障碍的 17 岁男孩的腹痛。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-21 DOI: 10.1177/00099228241233867

Yusuke Matsuura, Melanie Simons, Laura Nell Hodo

引用次数: 0

Protocol-Based Standardized Endocrinological Evaluation of Children With Traumatic Brain Injury: A Quality Improvement Initiative. 对脑外伤儿童进行基于协议的标准化内分泌评估：质量改进计划。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-08 DOI: 10.1177/00099228241230390

Jayalakshmi Narayan Bhat, Abbie Amato, Scott Schultz, Ricardo Gomez

{"title":"Protocol-Based Standardized Endocrinological Evaluation of Children With Traumatic Brain Injury: A Quality Improvement Initiative.","authors":"Jayalakshmi Narayan Bhat, Abbie Amato, Scott Schultz, Ricardo Gomez","doi":"10.1177/00099228241230390","DOIUrl":"10.1177/00099228241230390","url":null,"abstract":"Introduction: Traumatic brain injury (TBI) can disrupt the hypothalamo-pituitary axis, causing neuroendocrine dysfunction. As a third of children can develop post-traumatic hypothalamo-pituitary axis dysfunction (HPAD), a longitudinal follow-up is required in children with TBI.Method: The study comprised a pre-quality improvement (QI) phase (baseline phase) and a QI phase (post-intervention phase). Retrospective data were collected on children with TBI at our hospital during the pre-QI phase of the study to estimate the baseline data on HPAD prevalence and pediatric endocrine referral rate. Guidance protocol for standardizing the pediatric endocrine referral, evaluation, and follow-up of children with TBI was implemented. Prospective data were collected to estimate outcome measures (prevalence of HPAD, rate of initial endocrine consultation and outpatient follow-up) and process measures (protocol adherence rate).Result: Twenty-seven children, aged ≤19 years, were admitted with TBI in the pre-QI phase. The median age was 9 years. Motor vehicle accidents predominated. Thirty percent had limited endocrine evaluation, and 4% had transient cranial diabetes insipidus (DI). The QI phase included 8 children. Demographic data were similar to those in the pre-QI phase. Both outcome and process measures increased to 75% from the pre-QI phase following the protocol implementation.Conclusion: A lower prevalence rate of HPAD in the current cohort may be owing to underevaluation and a smaller sample size. The QI initiative incorporating a guidance protocol-based endocrinological approach to children with TBI improved the pediatric endocrinology referral and follow-up rates.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1551-1558"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139702096","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

Comparison of 2 Models of Care for Children With Medical Complexity Following Spinal Fusion. 脊柱融合术后医疗复杂儿童的两种护理模式比较。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-01-30 DOI: 10.1177/00099228241228104

Zachary Semenetz, Amanda M Lewis, Kamyar Arasteh, Tullis Liu, Matthew Demczko

引用次数: 0

Familial Hemophagocytic Lymphohistiocytosis Due to PRF1 Mutation Triggered by Enterovirus. 由肠病毒引发的 PRF1 基因突变导致的家族性嗜血细胞淋巴组织细胞增多症

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-07 DOI: 10.1177/00099228241230818

Marlin Hana, Shadman Memarian, Dmitry Tumin

引用次数: 0

A Brief Intervention in Primary Care to Improve Parents' Discipline Practices and Reach Other Caregivers. 在初级保健中采取简短干预措施，以改善父母的管教方法并影响其他照顾者。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-09 DOI: 10.1177/00099228241227756

Seth J Scholer, Hannah K Martin, LauraBeth Adams, Mary S Dietrich

{"title":"A Brief Intervention in Primary Care to Improve Parents' Discipline Practices and Reach Other Caregivers.","authors":"Seth J Scholer, Hannah K Martin, LauraBeth Adams, Mary S Dietrich","doi":"10.1177/00099228241227756","DOIUrl":"10.1177/00099228241227756","url":null,"abstract":"Parents (N = 599) of 6-month-old to 10-year-old children were given a handbook intervention that educates about healthy discipline in a pediatric clinic serving low-income families in Nashville, Tennessee. A research assistant spent approximately 1 minute introducing the intervention. A total of 440 parents (73.4%) responded to a follow-up survey 2 to 4 months later. Most parents (88%) who completed the follow-up survey had read at least part of the handbook. Of parents who received the handbook, 63% reported that the handbook helped them discipline their children. Half of parents reported specific changes they made because of the handbook. The most frequently reported changes were more talking/explaining/communicating (25%), more redirecting (7.8%), more patience/listening (6.0%), less anger/yelling (10.8%), and less spanking (7.5%). 42% of parents reported that they shared the handbook with other caregivers, friends, relatives, and children. A brief clinic intervention improves parents' discipline practices and reaches other caregivers.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1502-1509"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139706295","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}

引用次数: 0