Clinical Pediatrics最新文献_第9页

Telementoring to Strengthen Child and Youth Mental Health Care Capacity in Primary Care Providers: Session Duration and Learning Outcomes. Telementoring to Strengthen Child and Youth Mental Health Care Capacity in Primary Care Providers：会期和学习成果。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-08-25 DOI: 10.1177/00099228241270035

Kathleen Pajer, William Gardner, Carley Ouellette, Michael Cheng, Sarah Bissex, Roxanne MacKay, Tracey MacLaurin, Hazen Gandy

{"title":"Telementoring to Strengthen Child and Youth Mental Health Care Capacity in Primary Care Providers: Session Duration and Learning Outcomes.","authors":"Kathleen Pajer, William Gardner, Carley Ouellette, Michael Cheng, Sarah Bissex, Roxanne MacKay, Tracey MacLaurin, Hazen Gandy","doi":"10.1177/00099228241270035","DOIUrl":"https://doi.org/10.1177/00099228241270035","url":null,"abstract":"Primary care providers (PCPs) report insufficient capacity for child and youth mental health care (CYMH). The telementoring program Project ECHO (Extension for Community Healthcare Outcomes) can build capacity, but 75- to 120-minute sessions are a participation barrier. Using a Lean health care paradigm, we designed a 60-minute session, and compared self-reported CYMH capacity strengthening (10 constructs) and satisfaction between 60- and 90-minute sessions. Pre-post (n = 139) and post-cycle (n = 146) survey data were analyzed using generalized linear mixed-effects logistic regression. Capacity strengthening was demonstrated when analyzing both groups together (all Ps ≤ .002). Session duration did not affect capacity strengthening for 9/10 constructs (all Ps > .05), but medication management development was higher with 90-minute sessions (P = .002). Satisfaction was high in both groups. The 60-minute ECHO CYMH sessions can be used without negative learning outcomes, but more mentoring may be needed to build capacity for psychopharmacologic treatment.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055123","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

Optimizing Colonoscopy Preparation in Autistic Children: A Comparative Study of Hypertonic Sugar Saline and Normal Saline Enemas. 优化自闭症儿童结肠镜检查前的准备工作：高渗糖生理盐水和正常生理盐水灌肠的比较研究。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-08-24 DOI: 10.1177/00099228241275054

Xinyu Jin, Weisong Sheng, Xinrong Liu, Danrong Zhu

{"title":"Optimizing Colonoscopy Preparation in Autistic Children: A Comparative Study of Hypertonic Sugar Saline and Normal Saline Enemas.","authors":"Xinyu Jin, Weisong Sheng, Xinrong Liu, Danrong Zhu","doi":"10.1177/00099228241275054","DOIUrl":"https://doi.org/10.1177/00099228241275054","url":null,"abstract":"Objective: This study evaluates the effectiveness of combining oral polyethylene glycol electrolyte solution with hypertonic sugar saline enema for colonoscopy preparation in autistic children.Methods: Clinical data of 58 children with autism who underwent fecal bacteria transplantation and transendoscopic enteral tubing (TET) catheterization at the hospital were retrospectively analyzed. Participants were allocated into 2 groups: a control group (26 children) and an observation group (32 children), differentiated by their intestinal preparation protocols. The control group was administered oral polyethylene glycol combined with normal saline enema, whereas the observation group was given oral polyethylene glycol combined with hypertonic sugar saline enema. The Boston Bowel Preparation Scale (BBPS) was used to score intestinal cleanliness. Differences in intestinal cleanliness and colonoscopy duration between the 2 groups were compared.Results: The group treated with hypertonic sugar saline enema exhibited significantly higher BBPS scores (6.78 ± 0.83) and an intestinal passage rate of 96.86%, which were statistically significant compared with the control group (P < 0.05). In addition, the colonoscopy duration was notably shorter in the observation group (14.03 ± 4.86 minutes) compared with the control group (P < 0.05).Conclusion: Our findings suggest that an oral polyethylene glycol electrolyte solution combined with a hypertonic sugar saline enema is a more effective preparation method for colonoscopy in autistic children.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142046383","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 Co-Occurrence of POTS and PPPD: A Pediatric Case Report. POTS 和 PPPD 的并发症：一个儿科病例报告。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-08-23 DOI: 10.1177/00099228241274908

Christina Kokorelis, Carolyn Jenks, Peter C Rowe

引用次数: 0

A Newborn With Ambiguous Genitalia and Persistent Hypoglycemia. 新生儿生殖器模糊且持续低血糖。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-08-23 DOI: 10.1177/00099228241271944

Muhammad Farhan Bin Salleh, Yin Ye Lai, Normaizuwana Binti Mohamed Mokhtar, Subashini C Thambiah, Intan Nureslyna Samsudin

引用次数: 0

Back to Basics: A Clinical Medicine to Safeguard International Cooperation. 返璞归真：保障国际合作的临床医学》。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-08-20 DOI: 10.1177/00099228241274915

Javier Arredondo Montero, Paula Ortolá Fortes, Carlos Bardají Pascual

引用次数: 0

Non-scarring Bitemporal Asymptomatic Alopecia Unraveling a Sensitive Diagnosis. 非疤痕性双颞无症状性脱发，揭开敏感诊断的神秘面纱。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-08-19 DOI: 10.1177/00099228241273381

Gonzalo Mellado, Manuel Rodríguez, Diego Aragón-Caqueo, María Teresa Dossi, Paula Muñoz

引用次数: 0

Scoping Review of Pediatric Primary Care Educational Literature. 儿科初级保健教育文献范围审查。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-08-19 DOI: 10.1177/00099228241274905

Lucas Bruton, Denise Nunes, Maheen Quadri

引用次数: 0

Physical activity may attenuate psychological distress associated with different types of sedentary behaviors: a cross-sectional study of 10972 Chinese students. 体育锻炼可减轻与不同类型久坐行为相关的心理困扰：一项针对 10972 名中国学生的横断面研究。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-08-14 DOI: 10.1177/00099228241273420

Jing Sheng, Hao Zhang, Yalin Song, Hao Lou, Cuiping Wu, Changfu Hao, Ran Li, Genli Gao, Xiaomin Lou, Xian Wang

{"title":"Physical activity may attenuate psychological distress associated with different types of sedentary behaviors: a cross-sectional study of 10972 Chinese students.","authors":"Jing Sheng, Hao Zhang, Yalin Song, Hao Lou, Cuiping Wu, Changfu Hao, Ran Li, Genli Gao, Xiaomin Lou, Xian Wang","doi":"10.1177/00099228241273420","DOIUrl":"https://doi.org/10.1177/00099228241273420","url":null,"abstract":"The aim of the study was to investigate independent and joint associations of physical activity and sedentary behavior with psychological distress. In this cross-sectional study, all participants underwent a physical examination and questionnaire survey, including physical activity, sedentary behavior, and psychological distress. The rank-sum test was used to compare the distribution of psychological distress status among students with different characteristics, physical activity levels, and sedentary time. Logistic regression models were used to analyze the independent and joint association between physical activity, sedentary behavior, and psychological distress, stratified by age. The results of the rank sum test and logistic regression showed that students with more sedentary behavior and less physical activity were associated with higher psychological distress generally, but physical activity may attenuate the psychological distress relevant to non-screen-based sedentary behavior on weekdays in middle and high school students and screen-based sedentary behavior on weekends in all participants.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141981799","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 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 : 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-08-14","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

Effect of Foot Posture on Limits of Stability in Children With Spastic Diplegic Cerebral Palsy. 足部姿势对痉挛性偏瘫脑瘫儿童稳定极限的影响

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-08-14 DOI: 10.1177/00099228241271399

Arshin Tamboli, Radha Bhattad

引用次数: 0