Annalisa Loconsole, Antonio Colella, Gabrielle Coppola, Maria Grazia Foschino Barbaro, Daniela Dibello
{"title":"The Impact of Baby's Developmental Dysplasia of the Hip on Mother's Mental Health: Preliminary Findings From a Prospective Study.","authors":"Annalisa Loconsole, Antonio Colella, Gabrielle Coppola, Maria Grazia Foschino Barbaro, Daniela Dibello","doi":"10.1177/00099228251314220","DOIUrl":"https://doi.org/10.1177/00099228251314220","url":null,"abstract":"<p><p>Evidence shows that parents of children with chronic illnesses are mentally stressed. Thus far, developmental dysplasia of the hip (DDH) is unexplored in relation to its impact on mothers' well-being. The study aimed at contributing to fill this gap by exploring mothers' mental health facing infants' DDH, at the diagnosis time and by the end of the treatment; possible moderators of changes over time were mothers' hip worries, compliance to treatment, and severity of babies' DDH. The sample included 60 mother-infant dyads, 33 of which followed longitudinally. Multiple mother- and clinician-reported measures were administered. Multilevel models showed that the mothers' psychological condition remained stable over time. The mothers' hip worries, compliance to treatment, and severity of babies' DDH did not moderate mothers' mental health over time but were significant independent predictors of it. Our findings might have relevant clinical implications, for medical staff who deals with mothers and infants' DDH.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251314220"},"PeriodicalIF":1.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022206","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}
Sarah Dzubay, Megha Arora, Emile Latour, Julie Reeder, Byron A Foster
{"title":"Characterizing Physician and WIC Staff Experiences During the 2022 Infant Formula Shortage in Oregon.","authors":"Sarah Dzubay, Megha Arora, Emile Latour, Julie Reeder, Byron A Foster","doi":"10.1177/00099228241312533","DOIUrl":"https://doi.org/10.1177/00099228241312533","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241312533"},"PeriodicalIF":1.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022104","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":"Exploring Compassion Fatigue in Pediatric Nursing: A Cross-Sectional Study.","authors":"Tingting Zhang, Jingjing Zhou, Yu Xia","doi":"10.1177/00099228241310933","DOIUrl":"https://doi.org/10.1177/00099228241310933","url":null,"abstract":"<p><strong>Background: </strong>Compassion fatigue is a state of emotional and physical exhaustion that arises from frequent contact with people who have experienced trauma or stress, which may affect particularly those working in health care. This study aimed to elucidate the prevalence and determinants of compassion fatigue among pediatric nurses.</p><p><strong>Methods: </strong>A survey was administered to pediatric nurses at a tertiary hospital in Jiangsu province, China. Chinese compassion fatigue scale was used to investigate the compassion fatigue.</p><p><strong>Results: </strong>The study enrolled 364 pediatric nurses, with a compassion fatigue prevalence of 59.89%. Age (odds ratio [OR] = 2.094, 95% confidence interval [CI] = 1.833-2.418), education level (OR = 2.118, 95% CI = 1.852-2.669), monthly income (OR = 3.976, 95% CI = 2.904-4.412), and having children at home (OR = 2.314, 95% CI = 1.851-3.025) were independent predictors of compassion fatigue.</p><p><strong>Conclusions: </strong>These findings demonstrate the need for targeted interventions to mitigate compassion fatigue in pediatric nurses.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241310933"},"PeriodicalIF":1.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945787","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}
Ozan Unlu, Sinem Gulcan Kersin, Tulay Cevlik, Nazmiye Unlu, Hulya Selva Bilgen, Eren Ozek, Onder Sirikci, Goncagul Haklar
{"title":"The Diagnostic Value of Neutrophil and Monocyte Cell Population Data Obtained From a Hematology Analyzer in Neonatal Sepsis.","authors":"Ozan Unlu, Sinem Gulcan Kersin, Tulay Cevlik, Nazmiye Unlu, Hulya Selva Bilgen, Eren Ozek, Onder Sirikci, Goncagul Haklar","doi":"10.1177/00099228241309729","DOIUrl":"https://doi.org/10.1177/00099228241309729","url":null,"abstract":"<p><p>We aimed to investigate the diagnostic value of leukocyte cell population data (CPD) parameters obtained from an automated hematology analyzer to be able to use it in the diagnosis of neonatal sepsis. Our study was a retrospective and cross-sectional analysis. The neonates were classified into 3 groups: culture-positive sepsis (n = 20), clinical sepsis (n = 87), and control (n = 269). CPD parameters were determined during complete blood count (CBC) by volume-conductivity-scatter (VCS) technology with DxH 900 Coulter Cell Analyzer. Mean neutrophil volume (MNVNE), standard deviations of volumes of neutrophils (SDVNE), standard deviations of volumes of monocytes (SDVMO), and monocyte distribution width (MDW) were significantly increased in the culture-positive sepsis group compared with the clinical sepsis and control groups (<i>P</i> < .05). We have demonstrated the diagnostic utility of leukocyte CPD parameters, especially MNVNE, MDW, and their combination, for neonatal sepsis. These parameters are advantageous because they are obtained during routine CBC analysis without the need for additional blood collection and extra costs.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241309729"},"PeriodicalIF":1.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945789","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":"Rare Etiology of Fever and Chest Pain in Pediatric Populations.","authors":"J Ty Spradley, Alanna Sam, Craig Conard","doi":"10.1177/00099228241311737","DOIUrl":"https://doi.org/10.1177/00099228241311737","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241311737"},"PeriodicalIF":1.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945788","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":"Drug Extravasation in a Tertiary Referral Children Hospital: A Prospective Cohort Study.","authors":"Niloufar Amini, Neda Shirvani, Sharareh Babaei, Hamid Rahimi, Roya Riahi, Kimia Mehraein, Bahareh Abtahi-Naeini","doi":"10.1177/00099228241304485","DOIUrl":"https://doi.org/10.1177/00099228241304485","url":null,"abstract":"<p><p>Extravasation injuries are prevalent in pediatric hospitals and often result in tissue damage and extended hospital stays. However, limited data exist regarding risk factors for extravasation in children. This study aimed to identify these risk factors in pediatric patients receiving intravenous (IV) therapy. This prospective cohort study included 500 children aged 1 month to 18 years who had undergone either central or peripheral catheterization and were admitted to the pediatric intensive care unit (PICU) at Imam Hossein Children's Hospital in Isfahan, Iran, between July 2020 and July 2021. Data were collected on age, gender, length of hospitalization, catheter type, instances of extravasation, drugs administered, and treatment protocols. The median age was 36 months, and approximately 56% of participants were male. Among the cohort, the prevalence of extravasation was 9.8% (49 patients). Female gender (<i>P</i> = .002), central venous catheterization (<i>P</i> = .002), prolonged hospitalization (P < .001), reduced consciousness (<i>P</i> = .012), and the use of taping for vein fixation (<i>P</i> = .004) were all significantly associated with a higher risk of extravasation. This study underscores the need for health care providers to carefully assess risk factors for extravasation to mitigate injury risk, particularly in vulnerable pediatric populations.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241304485"},"PeriodicalIF":1.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930745","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":"Kabuki Syndrome With Hyperinsulinemic Hypoglycemia and Cholestasis in an Infant.","authors":"Lilin Huang, Cuilan Liu, Yingying Tian","doi":"10.1177/00099228241310938","DOIUrl":"https://doi.org/10.1177/00099228241310938","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241310938"},"PeriodicalIF":1.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930746","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 : 2025-01-01Epub Date: 2024-05-16DOI: 10.1177/00099228241253344
Fengge Wang, Chijun Hu, Zhenni Zhu, Daiqin Wu, Meng Shu
{"title":"Clinical Characteristics of Children With Foreign Bodies in the Digestive Tract and Analysis of Risk Factors for Serious Complications.","authors":"Fengge Wang, Chijun Hu, Zhenni Zhu, Daiqin Wu, Meng Shu","doi":"10.1177/00099228241253344","DOIUrl":"10.1177/00099228241253344","url":null,"abstract":"<p><p>Foreign bodies (FBs) in the digestive tract are common in children, we analyzed the clinical characteristics of children with FBs in the digestive tract and discuss the risk factors for serious complications. We retrospectively reviewed clinical data of 139 children with FBs in the digestive tract. Based on the severity of complications caused by FBs, the patients were divided into risk and general groups for analysis and comparison. Significant differences were observed in the retention sites of FBs, the diameter of FBs retained in the esophagus, FBs retention time exceeding 24 h, and the absence of witnesses between the 2 groups. Inadequate care, button batteries (BBs), ingested mmFBs, FBs retained in the esophagus, long-term retention, and giant gastric bezoars may cause serious complications. In addition to treating FBs and the complications, clinicians should emphasize the importance of childcare to prevent the ingestion of FBs.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"72-82"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956261","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 : 2025-01-01Epub Date: 2024-06-03DOI: 10.1177/00099228241255866
Jennifer Gerdts, Karís A Casagrande, Katherine J Bateman, Caitlin M Hudac, Alice Bravo, James Mancini, Jennifer Mannheim, Beth Ogata, Kate Orville, Gary A Stobbe
{"title":"ECHO Autism Washington: Autism Diagnostic Evaluations in Primary Care.","authors":"Jennifer Gerdts, Karís A Casagrande, Katherine J Bateman, Caitlin M Hudac, Alice Bravo, James Mancini, Jennifer Mannheim, Beth Ogata, Kate Orville, Gary A Stobbe","doi":"10.1177/00099228241255866","DOIUrl":"10.1177/00099228241255866","url":null,"abstract":"<p><p><i>ECHO</i> (<i>Extensions for Community Healthcare Outcomes</i>) <i>Autism</i> is a telementoring learning model to increase community capacity for autism-related health care. Seventy-seven pediatric providers (mostly primary care, seeing exclusively Medicaid patient populations) enrolled in 1 year of <i>ECHO Autism Washington</i>. Analysis of self-report surveys showed a significant increase in autism diagnoses made by ECHO providers after 1 year, <i>F</i>(1, 65) = 7.52, <i>P</i> = .008. Providers who attended more sessions reported making more diagnoses, <i>F</i>(2, 613.26), <i>P</i> = .045. Of note, autism diagnoses were not externally validated. The total number of reported barriers reduced, <i>F</i>(2, 61) = 13.5), <i>P</i> < .001, and confidence ratings increased <i>F</i>(2, 60) = 24.21, <i>P <</i> .001. The average number of diagnostic referrals from ECHO providers to the state's largest autism specialty clinic significantly reduced, <i>t</i>(43) = 4.23, <i>P</i> < .001, with significantly fewer diagnostic referrals made during and after ECHO training compared with a comparison group of 28 non-ECHO providers, <i>t</i>(58.77) = -3.36, <i>P</i> < .001. Overall, 1 year of <i>ECHO Autism Washington</i> participation led to significant changes in autism diagnostic practices.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"91-100"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199513","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}