Clinical PediatricsPub Date : 2025-06-01Epub Date: 2024-12-31DOI: 10.1177/00099228241306233
Feven A Ogbaselase-Beck, Wynette Williams-Kirkwood, Sonal Johal, Alexis Bailey, Erin Jackson, Dereck Davis, Cynthia W Karlson
{"title":"Medical and Socioeconomic Risk Factors for Academic and Psychological Outcomes in Pediatric Sickle Cell Disease.","authors":"Feven A Ogbaselase-Beck, Wynette Williams-Kirkwood, Sonal Johal, Alexis Bailey, Erin Jackson, Dereck Davis, Cynthia W Karlson","doi":"10.1177/00099228241306233","DOIUrl":"10.1177/00099228241306233","url":null,"abstract":"<p><p>Risk factors for poor neuropsychological outcomes are not fully understood in youth with sickle cell disease (SCD). We examined the associations between medical factors (SCD genotype, silent infarct/stroke, etc), socioeconomic factors (insurance type), and neuropsychological outcomes (reading and math achievement, psychological symptoms) in youth with SCD. A chart review was conducted for 108 Black/African American youth with SCD (M<sub>age</sub> = 10.80, SD = 3.53, 54.6% males) referred for neuropsychological evaluation. Patients were administered Wechsler-series tests of intelligence and academic achievement. Psychological symptoms were measured using the caregiver report Child Behavior Checklist. Zero-order correlations, analyses of variance (ANOVAs), and hierarchical linear regression models examined the associations between variables. Youth with less severe SCD genotypes (SC/SBeta+ thalassemia) had more externalizing problems. Youth with Medicaid/no insurance had more internalizing, externalizing, and somatic symptoms. Low full-scale intelligence quotient (FSIQ) strongly predicted poor academic achievement scores above other factors. Results highlight the importance of early neuropsychological/psychosocial screenings in SCD.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":"64 6","pages":"858-866"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136037","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}
Tingting Hao, Qi Ding, Jie Ma, Lei Ding, Yuan Gao, Yuxiao Zhang, Yali Liang, Yue'e Huang
{"title":"Association Between Fluoride Exposure and BMI, WWI in Children and Adolescents: A Cross-Sectional Study.","authors":"Tingting Hao, Qi Ding, Jie Ma, Lei Ding, Yuan Gao, Yuxiao Zhang, Yali Liang, Yue'e Huang","doi":"10.1177/00099228251339210","DOIUrl":"https://doi.org/10.1177/00099228251339210","url":null,"abstract":"<p><p>This research aimed to investigate the relationship of fluoride exposure to body mass index (BMI), weight-adjusted waist index (WWI) in children and adolescents. The study used the 2015-2016 Nutrition Examination Survey database and screened a total of 2004 participants aged 6 to 19 years. Multiple linear regression and logistic regression were used to analyze the relationship between blood fluoride, urine fluoride, and water fluoride and BMI, WWI, overweight/obesity, and WWI category. The fully adjusted model illustrated that urinary fluoride concentration was positively associated with BMI (β = 0.50, 95% confidence interval [CI] = 0.06-0.93). Blood fluoride concentration was positively associated with WWI (β = 0.15, 95% CI = 0.01-0.30). Urinary fluoride concentration was positively associated with overweight/obesity (odds ratio [OR] = 1.21, 95% CI = 1.01-1.45). Blood fluoride concentration was positively associated with WWI category (OR = 2.07, 95% CI = 1.19-3.58). This study found that BMI and WWI in children and adolescents were positively associated with fluoride exposure.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251339210"},"PeriodicalIF":1.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141582","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}
Kirsten Simonton, Vikash Patel, Emily A Eismann, Sarat Thikkurissy, Sarah J Beal, Mary V Greiner
{"title":"Oral Health of Children in Foster Care.","authors":"Kirsten Simonton, Vikash Patel, Emily A Eismann, Sarat Thikkurissy, Sarah J Beal, Mary V Greiner","doi":"10.1177/00099228251343949","DOIUrl":"https://doi.org/10.1177/00099228251343949","url":null,"abstract":"<p><p>The objective of this study was to evaluate the prevalence of dental disease among children in protective custody (eg, foster care) and associations with foster placement characteristics. We analyzed data from 778 patients ≥12 months of age who received oral health examinations by a pediatrician at a foster care clinic in a large urban setting, including 37 who were additionally examined by a dental resident. Examination findings were classified as routine, in need of urgent referral, or in need of emergent referral. Overall, 53% of children in protective custody had at least 1 abnormal dental finding, most commonly restorations (24%) and caries (22%). Twenty-four percent of patients required an urgent dental referral, of which 92% were due to dental caries. Variables associated with receiving an urgent dental referral included younger age, shorter time in protective custody, and being in a placement other than a group home.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251343949"},"PeriodicalIF":1.0,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141585","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}
Anne Martin, Lianna R Lipton, Leora Mogliner, Mariel Benjamin, Aliza W Pressman, Carrie Quinn, Ellen Galinsky, Blair Hammond
{"title":"The Creation of an Online Curriculum to Promote Parenting Behaviors That Foster Early Childhood Development.","authors":"Anne Martin, Lianna R Lipton, Leora Mogliner, Mariel Benjamin, Aliza W Pressman, Carrie Quinn, Ellen Galinsky, Blair Hammond","doi":"10.1177/00099228251340451","DOIUrl":"https://doi.org/10.1177/00099228251340451","url":null,"abstract":"<p><p>This article describes the creation of the Keystones of Development, a curriculum on parenting and early child development for residency programs. Following Kern's 6-step model of curriculum development, we first determined a need for pediatrician training on key facets of early cognitive, self-regulatory, and social-emotional development and the parenting behaviors that promote them. We also ascertained interest among pediatric residency directors, who reported a lack of available curricula. A multidisciplinary group identified 6 key domains of early development for inclusion in a new, animated, self-guided curriculum. We designed the curriculum to have 2 parts: the first providing expert information about the key domains of development, and the second demonstrating opportunities to promote those domains of development during well-child visits. Since the curriculum was piloted, it has been adopted by nearly all pediatric residency programs and nearly half the family residency programs in the U.S.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251340451"},"PeriodicalIF":1.0,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141589","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}
Sapna Khemka, Isaiah Noel, Daniel Pettee, Kevin Watson
{"title":"Castleman's Disease: 12-Year-Old Male With Fatigue, Anemia, and Poor Growth.","authors":"Sapna Khemka, Isaiah Noel, Daniel Pettee, Kevin Watson","doi":"10.1177/00099228251343750","DOIUrl":"https://doi.org/10.1177/00099228251343750","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251343750"},"PeriodicalIF":1.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136060","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}