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Different Catch-Up Growth Patterns in Very Preterm and Small for Gestational Age Infants. 极早产儿和小于胎龄儿的不同追赶生长模式。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-10-18 DOI: 10.1177/00099228241289739
Yang Li, Jialin Wen, Qianqian Jiang, Hong Cui
{"title":"Different Catch-Up Growth Patterns in Very Preterm and Small for Gestational Age Infants.","authors":"Yang Li, Jialin Wen, Qianqian Jiang, Hong Cui","doi":"10.1177/00099228241289739","DOIUrl":"https://doi.org/10.1177/00099228241289739","url":null,"abstract":"<p><p>This study aimed to describe the growth pattern in preterm infants and identify factors influencing catch-up growth. A total of 288 preterm infants were divided into groups based on the degree of prematurity, sex, and size for gestational age. Growth in head circumference, length, weight-for-length, and weight was compared between groups at corrected age of 0, 3, 6, 9, 12, 18, and 24 months. Logistic regression analysis was conducted to determine risk factors for catch-up growth. At a corrected age of 24 months, the proportions of preterm infants with z-scores less than -2 for head circumference, length, weight-for-length, and weight were less than the expected 2.3% at 0.9%, 1.7%, 2.1%, and 1.7%, respectively. The head circumference, length, weight-for-length, and weight z-scores at corrected ages of 24 months were lower in the small for gestational age (SGA) group than in the non-SGA group (<i>P</i> < .05). The weight-for-length z-scores were higher in the late preterm birth infants than in the very preterm birth infants at a corrected age of 24 months (<i>P</i> < .05). At a corrected age 24 months, the proportion of male with weight z-scores <-2 was lower than that of female (<i>P</i> < .05). The differences in proportion of the z-scores (head circumference, length, weight-for-length, and weight) <-2 at a corrected age of 24 months among different gestational age groups and intrauterine growth status groups were not statistically significant (<i>P</i> > .05). We found that the factors influencing catch-up growth in preterm infants varied at different corrected age stages, and the impact of factors during hospitalization gradually diminished as the infants grew.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241289739"},"PeriodicalIF":1.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459606","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
Factors Associated With Repeat Pediatric Influenza Vaccination Among Inconsistent Vaccinators. 不坚持接种者重复接种小儿流感疫苗的相关因素。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-10-18 DOI: 10.1177/00099228241286970
Claire Abraham, Melissa B Gilkey, Kathleen E Walsh, Madison R Hickingbotham, Alison A Galbraith
{"title":"Factors Associated With Repeat Pediatric Influenza Vaccination Among Inconsistent Vaccinators.","authors":"Claire Abraham, Melissa B Gilkey, Kathleen E Walsh, Madison R Hickingbotham, Alison A Galbraith","doi":"10.1177/00099228241286970","DOIUrl":"https://doi.org/10.1177/00099228241286970","url":null,"abstract":"<p><p>Promoting consistent vaccination practices may help improve suboptimal influenza vaccination rates. This study evaluated the prevalence and correlates of repeat influenza (flu) vaccination among children who had previously received the vaccine inconsistently. An online survey study was conducted in 2022 among parents of commercially insured children ages 3 to 19 years who were previously inconsistently vaccinated. Of 317 respondents, 85% reported that their child received a flu vaccine in the 2021 to 2022 flu season. Among these parents, 61% reported concern that their child would get sick from flu as the most important reason for vaccinating. Repeat vaccination was less likely among parents who reported that school/daycare requirements were a reason for vaccinating in the prior season (odd ratio [OR] = 0.17, 95% confidence interval [CI] = 0.05-0.55). Our findings suggest that school policies may improve vaccination rates among inconsistent vaccinators.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241286970"},"PeriodicalIF":1.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459607","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
Complete Blood Count in Children With COVID-19: A Predictor of Disease Severity. COVID-19 儿童的全血细胞计数：疾病严重程度的预测指标
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-10-13 DOI: 10.1177/00099228241288715
Sandra Regina Loggetto, Thiago de Souza Vilela, Julia Maimone Beatrice, Priscila Grizante-Lopes, Janahyna Gomes Emerenciano, Andrea Angel, Josefina Aparecida Pellegrini Braga
{"title":"Complete Blood Count in Children With COVID-19: A Predictor of Disease Severity.","authors":"Sandra Regina Loggetto, Thiago de Souza Vilela, Julia Maimone Beatrice, Priscila Grizante-Lopes, Janahyna Gomes Emerenciano, Andrea Angel, Josefina Aparecida Pellegrini Braga","doi":"10.1177/00099228241288715","DOIUrl":"https://doi.org/10.1177/00099228241288715","url":null,"abstract":"<p><p>Blood count abnormalities are frequent in patients with severe COVID-19 disease and there is still a lack of information in pediatric complete blood count (CBC) results. Thus, this study aims to correlate the CBC in the emergency room of children with COVID-19 between 0 and 10 years old and the clinical severity of the disease. A retrospective cohort study was performed in children with COVID-19 who collected at the emergency room CBC, C-reactive protein (CRP), platelet to lymphocyte ratio (PLR), neutrophil to lymphocyte ratio (NLR), neutrophil to monocyte ratio (NMR), lymphocyte to neutrophil ratio (LNR), lymphocyte to monocyte ratio (LMR), monocyte to neutrophil ratio (MNR) and monocyte to lymphocyte ratio (MLR). In total, demographic data from 93 children with median age of 19 months (0.3-126), 60.2% males, were included. The main changes in the CBC were atypical lymphocytes (51.6%) and eosinopenia (49.5%). From 69 hospitalized children, 21 were considered severe. There was no association between age, gender, and CRP value with clinical severity. The presence of underlying disease was five times higher (odds ratio [OR] = 5.08) in patients who required hospitalization and a higher NLR value was 54% (OR = 1.54) more likely to occur. Eosinopenia was three times more frequent in inpatients with disease severity criteria (OR = 3.05). In conclusion, children younger than 10 years of age with COVID-19 have changes in the CBC collected in the emergency room, mainly atypical lymphocytes and eosinopenia. The presence of a comorbidity or a higher NLR increases the chance of hospitalization. In addition, eosinopenia was a predictor of severity in inpatient children due to COVID-19.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241288715"},"PeriodicalIF":1.0,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459605","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
Point-of-Care Ultrasound for the General Pediatric Resident: A Needs Assessment. 普通儿科住院医师的护理点超声检查：需求评估。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-10-13 DOI: 10.1177/00099228241286967
Nicolas Delacruz, Almaz Dessie, Kaitlin Strumph, Laurie Malia
{"title":"Point-of-Care Ultrasound for the General Pediatric Resident: A Needs Assessment.","authors":"Nicolas Delacruz, Almaz Dessie, Kaitlin Strumph, Laurie Malia","doi":"10.1177/00099228241286967","DOIUrl":"10.1177/00099228241286967","url":null,"abstract":"<p><p>Point-of-care ultrasound (POCUS) is a valuable tool in pediatric care, but formalized education on POCUS is not a standard part of pediatric residency. Our primary objective was to conduct a needs assessment to determine pediatric residents' attitudes toward ultrasound education. A Likert scale-based survey was distributed to residents at 48 pediatric residency programs. Respondents were asked to rate their agreement to statements about ultrasound education at their respective programs. Participants were also asked to rank ultrasound indications in order of importance. Ninety-seven survey responses were included in the final data set. Sixty percent of respondents had not performed any ultrasound scans during residency. Ninety-two percent of respondents indicated an interest in ultrasound training during residency and that they desired a formal POCUS curriculum. Eighty-one percent of residents indicated that having more ultrasound education would make their programs more attractive to applicants. Pediatric residents recognize the utility of POCUS and desire additional education during training.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241286967"},"PeriodicalIF":1.0,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459609","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 1.3-Year-Old Toddler Who Refused to Walk. 拒绝走路的 1.3 岁幼儿。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-10-13 DOI: 10.1177/00099228241288982
Efrat Ben Nun Yaari, Amit Ziv, Eugene Kotz, Yosef Uziel, Ruby Haviv
{"title":"A 1.3-Year-Old Toddler Who Refused to Walk.","authors":"Efrat Ben Nun Yaari, Amit Ziv, Eugene Kotz, Yosef Uziel, Ruby Haviv","doi":"10.1177/00099228241288982","DOIUrl":"https://doi.org/10.1177/00099228241288982","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241288982"},"PeriodicalIF":1.0,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459604","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
Pacifiers and Teething Devices: A Risk for Craniofacial Injury in Children Under 2 Years Old. 奶嘴和出牙器：两岁以下儿童颅面损伤的风险。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-10-13 DOI: 10.1177/00099228241288738
Alyssa D Reese, Alaina Kenny, Victoria Miller, Meghan Long, Hannah M Smith, Sara Neimanis, Clinton Morrison
{"title":"Pacifiers and Teething Devices: A Risk for Craniofacial Injury in Children Under 2 Years Old.","authors":"Alyssa D Reese, Alaina Kenny, Victoria Miller, Meghan Long, Hannah M Smith, Sara Neimanis, Clinton Morrison","doi":"10.1177/00099228241288738","DOIUrl":"https://doi.org/10.1177/00099228241288738","url":null,"abstract":"<p><p>Pacifiers and teething devices are commonly introduced during infancy to soothe and comfort. This study aimed to investigate the incidence of emergency room visits for pediatric craniofacial injuries associated with pacifiers and teething devices. All craniofacial injuries due to \"Pacifiers or Teething Rings\" in children less than 2 years old were retrieved from the National Electronic Injury Surveillance System (NEISS). Age, sex, race, context of injury, cause of injury, and patient disposition were collected. Query revealed an estimated nationwide incidence of 5424 injuries from the years 2012 to 2021, with a mean age of 12.1 months at the time of injury. Most injuries occurred at home (70.2%), often resulting from falls while using the pacifier/teething device (71.0%). An estimated 97.6% of patients were released after emergency room treatment. Education regarding abstaining from pacifier and teething device use during activity may reduce the incidence of these injuries.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241288738"},"PeriodicalIF":1.0,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459608","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
Thiamine Deficiency Secondary to Pain-Induced Oral Aversion. 继发于疼痛引起的口腔厌恶的硫胺素缺乏症
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-10-13 DOI: 10.1177/00099228241286239
Bryan Cusack, Dustin Paul, Puneet Kochar, Talbot Weston, Jacob Nelsen, Keith E Williams
{"title":"Thiamine Deficiency Secondary to Pain-Induced Oral Aversion.","authors":"Bryan Cusack, Dustin Paul, Puneet Kochar, Talbot Weston, Jacob Nelsen, Keith E Williams","doi":"10.1177/00099228241286239","DOIUrl":"https://doi.org/10.1177/00099228241286239","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241286239"},"PeriodicalIF":1.0,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459610","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 Directed Content Analysis of Discussions Between Mothers and Pediatricians Around Feeding and Growth Topics During Infant Well-Child Visits. 对母亲和儿科医生在婴儿健康访视期间围绕喂养和成长话题进行讨论的定向内容分析。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-10-10 DOI: 10.1177/00099228241287629
Meghan C Savidge, Melanie K Bean, Laura J Caccavale, Romesh Wijesooriya, Elizabeth L Adams
{"title":"A Directed Content Analysis of Discussions Between Mothers and Pediatricians Around Feeding and Growth Topics During Infant Well-Child Visits.","authors":"Meghan C Savidge, Melanie K Bean, Laura J Caccavale, Romesh Wijesooriya, Elizabeth L Adams","doi":"10.1177/00099228241287629","DOIUrl":"https://doi.org/10.1177/00099228241287629","url":null,"abstract":"<p><p>This study identified specific feeding and growth topics discussed during 2-, 4-, and 6-month well-child visits. Conversations between mothers (N = 20) and pediatricians (N = 5) during visits were audio-recorded. Conversation segments were classified as pediatrician-initiated guidance, mother-initiated questions/concerns, or updates using directed content analysis. Pediatricians and mothers completed surveys on perceptions of guidance delivered. Feeding clusters included introducing solids/drinks, breast milk/formula amount and timing, feeding in specific situations; and breast milk/formula preparation. Growth clusters included appropriate growth and growth tracking. There was considerable variability in specific topics discussed between and within families across visits. Mothers desired additional guidance around introducing solids (42.1%) and allergen foods (31.6%). Pediatricians (80%) felt the amount of guidance to deliver in a standard visit was too much, and additional guidance outside of visits would benefit caregivers. Future research should investigate strategies to further support families by offering additional guidance during or outside of well-child visits.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241287629"},"PeriodicalIF":1.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388539","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
Glycopyrrolate Premedication and Procedure-Related Events in Pediatric Upper Endoscopy. 小儿上内窥镜检查中的甘草酸苷预处理和手术相关事件。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-10-10 DOI: 10.1177/00099228241288145
Dmitry Tumin, Daniel A Ladin, Matthew Ledoux
{"title":"Glycopyrrolate Premedication and Procedure-Related Events in Pediatric Upper Endoscopy.","authors":"Dmitry Tumin, Daniel A Ladin, Matthew Ledoux","doi":"10.1177/00099228241288145","DOIUrl":"https://doi.org/10.1177/00099228241288145","url":null,"abstract":"<p><p>Glycopyrrolate premedication is used for pediatric upper endoscopy procedures, with limited clinical evidence for efficacy. We investigated whether glycopyrrolate use is associated with lower incidence of procedure-related events and serious adverse events (SAEs) using the Pediatric Sedation Research Consortium registry. Pediatric upper endoscopy procedures performed between April 27, 2020 and February 3, 2022 were included (<i>N</i> = 1046). The primary outcome was the incidence of any procedure-related events during induction, maintenance, or recovery, and the secondary outcome was incidence of SAEs. The event rate was 15%, including 30 SAEs (3%). On multivariable analysis, glycopyrrolate was not associated with the overall event rate (odds ratio [OR]: 1.08; 95% confidence interval [CI]: 0.72, 1.61), but was associated with lower odds of SAEs (OR: 0.34; 95% CI: 0.13, 0.91). Although glycopyrrolate was associated with lower odds of SAEs after accounting for patient and procedure characteristics, validation through prospective trials is needed to support its routine use in clinical practice.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241288145"},"PeriodicalIF":1.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388540","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
Quality of Life in Adolescent Athletes With Sport-Related Concussion Prescribed Heart Rate-Targeted Aerobic Exercise Within 10 Days of Injury. 运动性脑震荡青少年运动员在受伤后 10 天内进行以心率为目标的有氧运动的生活质量。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2024-10-10 DOI: 10.1177/00099228241284345
Ian Bogdanowicz, Kyle Plante, John Leddy, Christina Master, Mohammad Haider
{"title":"Quality of Life in Adolescent Athletes With Sport-Related Concussion Prescribed Heart Rate-Targeted Aerobic Exercise Within 10 Days of Injury.","authors":"Ian Bogdanowicz, Kyle Plante, John Leddy, Christina Master, Mohammad Haider","doi":"10.1177/00099228241284345","DOIUrl":"https://doi.org/10.1177/00099228241284345","url":null,"abstract":"<p><p>Individualized aerobic exercise treatment prescribed within 10 days of injury facilitates recovery in adolescents after sport-related concussion (SRC) and reduces incidence of persisting post-concussive symptoms (PPCSs) beyond 4 weeks. The effect of aerobic exercise treatment on quality of life symptoms is, however, unknown. This planned secondary aim of a published randomized controlled trial found that while adolescents prescribed aerobic exercise recovered faster, there was no difference on the Pediatric Quality of Life (PedsQL) questionnaire scores during the 4-week intervention period. Nevertheless, adolescents who experienced PPCS reported significantly worse initial visit (within 10 days of injury) symptoms on the PedsQL than those who recovered within 4 weeks. Higher scores on the PedsQL correlated with greater initial visit concussion symptom burden and more abnormalities on a concussion-relevant visio-vestibular examination. Thus, the PedsQL captures the clinical severity of concussion and is prognostic of risk for delayed recovery when administered early after SRC in adolescents.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241284345"},"PeriodicalIF":1.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388541","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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