Clinical Pediatrics最新文献_第9页

Case Report and Literature Review of 10 Pediatric Cases of Knee Pigmented Villonodular Synovitis. 小儿膝色素绒毛结节性滑膜炎10例报告及文献复习。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-03-12 DOI: 10.1177/00099228251316428

Yanan Ma, Kun Zhang, Sainan Fan, Shun Liu, Jinping Zhang

{"title":"Case Report and Literature Review of 10 Pediatric Cases of Knee Pigmented Villonodular Synovitis.","authors":"Yanan Ma, Kun Zhang, Sainan Fan, Shun Liu, Jinping Zhang","doi":"10.1177/00099228251316428","DOIUrl":"https://doi.org/10.1177/00099228251316428","url":null,"abstract":"Objective: This study was aimed to analyze 10 pediatric cases of pigmented villonodular synovitis (PVNS) of the knee to elucidate their clinical features, diagnosis, treatments, and prognosis for providing reference regarding its clinical management in children.Methods: A retrospective analysis was made pertaining to the clinical manifestations, magnetic resonance imaging (MRI) findings, pathology, immunohistochemical results, treatment methods, and follow-up outcomes of 10 pediatric PVNS patients of the knee treated from January 2022 to January 2024 at our hospital. They were compared and analyzed with existing literature.Results: (1) All 10 patients had joint swelling with restricted movement, mainly in older female children with male-to-female ratio of 3:7 and average age of 14.1 ± 3.6 years; (2) diagnostic positive rate of MRI was 80%; (3) significant features of PVNS were the appearance of villous and nodular hyperplasia on synovial surface and deposition of brownish-yellow granular hemosiderin. Immunohistochemical staining results were clusterin (synovial cells+), D2-40 (synovial cells+), CD163 (histiocytes+), KP-1 (histiocytes+), CD31 (vascular+), P63 (-), and Ki67 (+, 1%-10%); and (4) all patients underwent arthroscopic surgery with 20% recurrence rate.Conclusion: Pediatric knee PVNS is more prevalent in older female children. The PVNS diagnosis is carried out by MRI, pathology, and immunohistochemistry. Arthroscopic surgery is effective for treating this condition in children.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251316428"},"PeriodicalIF":1.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604150","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

Electronic Health Record Clinical Decision Support to Close the Human Papillomavirus Vaccination Gender Disparity in Children Aged 9 and 10 Years. 电子健康记录临床决策支持消除9岁和10岁儿童人乳头瘤病毒疫苗接种的性别差异

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-03-12 DOI: 10.1177/00099228251324017

Carole H Stipelman, Erica Ulibarri, Natalie Wilson, Alexis Olivas, Andie Sanders, Elly Trepman, Kensaku Kawamoto

{"title":"Electronic Health Record Clinical Decision Support to Close the Human Papillomavirus Vaccination Gender Disparity in Children Aged 9 and 10 Years.","authors":"Carole H Stipelman, Erica Ulibarri, Natalie Wilson, Alexis Olivas, Andie Sanders, Elly Trepman, Kensaku Kawamoto","doi":"10.1177/00099228251324017","DOIUrl":"https://doi.org/10.1177/00099228251324017","url":null,"abstract":"We performed a quality improvement project (31 clinics; July 2021 to October 2023) to increase human papillomavirus vaccination initiation frequency and decrease gender disparity in children aged 9 and 10 years. The 11 process changes included electronic health record clinical decision support (CDS) tools for providers, staff, and parents and medical assistant participation. In phase 1 (preparation), initiation frequency was lower in boys (250 of 1688 visits, 15%) than girls (289 of 1549 visits, 19%; P = .003). In phase 2 (CDS alerts; recommended initiation age lowered from 11 to 9 years), initiation frequency was increased and similar between boys (906 of 1847 visits, 49%) and girls (867 of 1740 visits, 50%; P = .64). In phase 3 (patient portal outreach), initiation frequency was increased further for boys and girls. The multifaceted intervention, including CDS tools and lowering the initiation age, was associated with increased initiation frequency and decreased gender disparity.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251324017"},"PeriodicalIF":1.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613767","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

Hyperglycemic Emergencies in Minority Children and Adolescents With Diabetes. 少数民族儿童和青少年糖尿病患者的高血糖急症。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-03-12 DOI: 10.1177/00099228251321899

Ahmed Badran, Amruta Thakkar, Despoina Galetaki, Assia Miller, Vatcharapan Umpaichitra, Renee Bargman, Vivian L Chin

引用次数: 0

Erythematous Neck Folds in Infant. 婴儿颈部褶皱红斑。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-03-11 DOI: 10.1177/00099228251321319

Margaret Hofstedt, Yucong Zhang, Meg G Keeley, Shakun Gupta

引用次数: 0

Burnout Profiles Among French Pediatric Health Care Professionals: A Cluster Analysis. 法国儿科医护人员的职业倦怠概况：聚类分析

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-07-26 DOI: 10.1177/00099228241265172

Damien Ridremont, Emilie Boujut

引用次数: 0

Multisystemic Inflammatory Syndrome in Children (MIS-C) With COVID-19 and Kidney Involvement: Poor Outcomes in a Case Series. 伴有 COVID-19 和肾脏受累的儿童多系统炎症综合征（MIS-C）：一个病例系列的不良结果。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-08-09 DOI: 10.1177/00099228241272008

Nora S Alghamdi, Lujain Aletani, Ibrahim Sandokji, Hasan Aljefri, Khalid Alhasan, Mohammad A Shalaby, Jameela A Kari

{"title":"Multisystemic Inflammatory Syndrome in Children (MIS-C) With COVID-19 and Kidney Involvement: Poor Outcomes in a Case Series.","authors":"Nora S Alghamdi, Lujain Aletani, Ibrahim Sandokji, Hasan Aljefri, Khalid Alhasan, Mohammad A Shalaby, Jameela A Kari","doi":"10.1177/00099228241272008","DOIUrl":"10.1177/00099228241272008","url":null,"abstract":"Multisystemic inflammatory syndrome (Mis-C) has emerged in May 2020 as a serious complication of coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV2). A total of 6 children presented to tertiary care hospitals with Mis-C, of which 5 (83%) have died during hospitalization. All included patients presented with respiratory symptoms (ranged from mild to severe acute respiratory distress syndrome) and gastrointestinal symptoms. Most of the patients are known to have medical illnesses. Pediatric Risk of Mortality (PRISM) IV score ranged from 3 to 87. All patients developed acidosis and varying stages of acute kidney injury and electrolyte disturbances. All were treated for coagulopathy, thrombocytopenia, bacterial infections as well as antiviral medications (either ritonavir or lopinavir). Most patients had chest X-ray changes either unilateral or bilateral lung changes. Multisystemic inflammatory syndrome is a rare, yet serious complication of SARS-CoV2 infection in children. Multisystem involvement should be anticipated and promptly treated.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"408-415"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141912052","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

Traffic Proximity and Recurrent Wheeze Development by Severe Bronchiolitis Status. 按严重支气管炎状态划分的交通距离和反复喘息的发展。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-07-26 DOI: 10.1177/00099228241264359

Ying Shelly Qi, Janice A Espinola, Rebecca E Cash, Ashley F Sullivan, Kohei Hasegawa, Carlos A Camargo

引用次数: 0

A Comparison of Sequelae After a Practice Change From Vancomycin to Ampicillin Containing Antibiotic Regimens for Necrotizing Enterocolitis. 治疗坏死性小肠结肠炎的抗生素方案从万古霉素改为氨苄西林后的后遗症比较。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-08-14 DOI: 10.1177/00099228241271938

James Hunter Fly, Kelley R Lee, Sandra R Arnold, Bindiya Bagga, Ajay J Talati, Jeremy S Stultz

{"title":"A Comparison of Sequelae After a Practice Change From Vancomycin to Ampicillin Containing Antibiotic Regimens for Necrotizing Enterocolitis.","authors":"James Hunter Fly, Kelley R Lee, Sandra R Arnold, Bindiya Bagga, Ajay J Talati, Jeremy S Stultz","doi":"10.1177/00099228241271938","DOIUrl":"10.1177/00099228241271938","url":null,"abstract":"The aim of this study was to compare sequelae and acute kidney injury (AKI) occurrence among patients with necrotizing enterocolitis (NEC) after changing institutional guidelines replacing vancomycin with ampicillin for gram-positive coverage. This was a retrospective, single-center cohort analysis of patients from 2016-2020 (n = 73) with NEC at a surgical neonatal intensive care unit with a high community prevalence of methicillin-resistant Staphylococcus aureus (MRSA). Multivariate logistic regression was utilized to assess associations. Twenty-five (34%) patients had at least 1 sequela related to NEC. Ampicillin containing regimens were not associated with any sequelae type or AKI. Postmenstrual age < 29 weeks at diagnosis ([OR] 5.8 [1.2-28.8], P = .03; and receipt of vasopressors [OR] 3.3 [1.1-10.2], P = .04) were independently associated with sequalae. Stage III NEC was independently associated with AKI, OR 10.6 (2-55.6), P = .005. In conclusion, ampicillin-containing regimens are effective for NEC management at our institution despite a high prevalence of MRSA.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"401-407"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141981797","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

Assessing Strengths and Well-Being in Primary Care for Adolescents With Mental Health and Substance Use Concerns. 在初级保健中评估有心理健康和药物使用问题的青少年的优势和福祉。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-07-24 DOI: 10.1177/00099228241264769

Deepinder Singh, Heidi K Schumacher, Christine A Pellegrino, Breena W Holmes, Rachel L Garfield, Valerie S Harder

{"title":"Assessing Strengths and Well-Being in Primary Care for Adolescents With Mental Health and Substance Use Concerns.","authors":"Deepinder Singh, Heidi K Schumacher, Christine A Pellegrino, Breena W Holmes, Rachel L Garfield, Valerie S Harder","doi":"10.1177/00099228241264769","DOIUrl":"10.1177/00099228241264769","url":null,"abstract":"As the COVID-19 pandemic highlighted gaps in meeting adolescent behavioral health needs, primary care providers (PCPs) were a locus for interventions to address adolescent mental health and substance use concerns. Strength-based approaches may support PCP promotion of positive behavioral health in adolescents, but competing priorities or other factors may inhibit their use. We analyzed health record review data from 31 primary care practices to assess utilization of strength-based approaches during the health supervision visit (HSV) for adolescents with and without behavioral health concerns. We found that most had strengths identified (78%) or well-being topics addressed (83%). However, adolescents screening positive for depression were 40% less likely to have strengths identified, whereas those screening positive for anxiety or substance use were 89% and 163%, respectively, more likely to have well-being topics addressed. Primary care providers may need support for integrating strength-based approaches when managing adolescents screening positive for depression.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"340-347"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757517","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

The Role of Ultrasound in Pediatric Peritonsillar Infection: A Descriptive Analysis. 超声波在小儿腹腔周围感染中的作用：描述性分析

IF 1 4区医学

Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-07-26 DOI: 10.1177/00099228241265174

Luke Wohlford, Zola Trotter, Mary Connell, Bikash Bhattarai, Siddharth Pandya

引用次数: 0