发布求助
文献互助 智能选刊 最新文献

Clinical Pediatrics最新文献

筛选
英文 中文
ECHO Autism Washington: Autism Diagnostic Evaluations in Primary Care. 华盛顿 ECHO 自闭症中心：自闭症初级医疗诊断评估。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-06-03 DOI: 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}
引用次数: 0
Fever, Headache, and Runny Nose in an 8-Year-Old Girl. 一名 8 岁女孩发烧、头痛和流鼻涕。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-03-19 DOI: 10.1177/00099228241240187
Rayan Kteish, Lyncean Ung, Yevgeniy Furman, Sehar Ejaz
{"title":"Fever, Headache, and Runny Nose in an 8-Year-Old Girl.","authors":"Rayan Kteish, Lyncean Ung, Yevgeniy Furman, Sehar Ejaz","doi":"10.1177/00099228241240187","DOIUrl":"10.1177/00099228241240187","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"131-134"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140174005","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
Using Antinuclear Antibody Testing in Pediatric Rheumatology. 在小儿风湿病学中使用抗核抗体检测。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-05-20 DOI: 10.1177/00099228241254232
Emine Nur Sunar Yayla, Sevcan A Bakkaloğlu
{"title":"Using Antinuclear Antibody Testing in Pediatric Rheumatology.","authors":"Emine Nur Sunar Yayla, Sevcan A Bakkaloğlu","doi":"10.1177/00099228241254232","DOIUrl":"10.1177/00099228241254232","url":null,"abstract":"<p><p>The antinuclear antibody (ANA) test is frequently used for the identification of patients who are at a high risk of developing autoimmune rheumatological diseases. The aim of this study is to evaluate the final diagnoses of patients applied to the pediatric rheumatology outpatient clinic with a positive ANA test result. In this study, the medical records of 283 children who had ANA positivity between January 2010 and January 2022 were evaluated retrospectively. All patients were younger than 18 years of age at diagnosis and were followed up in the pediatric rheumatology department for at least 6 months. The majority of the patients were females (69%), and the mean age was 9.9 ± 4.7 years. 94% of the ANA tests were requested in pediatric rheumatology outpatient clinics, and 6% in general pediatrics and other outpatient clinics. Arthritis was the most common reason for ANA testing (41.7%). Of the patients who had ANA positivity, 37% were diagnosed with juvenile idiopathic arthritis (JIA), 15% with connective tissue diseases, 10% with autoinflammatory disease, and 7% with vasculitides. Positivity at 1/320 and 1/640 titers were more common in the patients diagnosed with autoimmune connective tissue diseases or JIA compared to the patients without these diagnoses (<i>P =</i> .009 and <i>P =</i> .013, respectively). The ANA test should be judiciously requested by pediatric rheumatologists, especially in suspected cases of autoimmune rheumatic disorders and JIA patients to aid in classification. Indiscriminate use of the ANA test for screening may potentially misguide clinicians.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"125-130"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064912","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
Different Presentations of Invasive Streptococcus pyogenes Infections in Children. 儿童侵袭性化脓性链球菌感染的不同表现形式。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-05-14 DOI: 10.1177/00099228241254270
Asli Arslan, Gülhadiye Avcu, Ece Erci, Sabire Şöhret Aydemir, Zafer Kurugol, Zumrut Sahbudak Bal
{"title":"Different Presentations of Invasive <i>Streptococcus pyogenes</i> Infections in Children.","authors":"Asli Arslan, Gülhadiye Avcu, Ece Erci, Sabire Şöhret Aydemir, Zafer Kurugol, Zumrut Sahbudak Bal","doi":"10.1177/00099228241254270","DOIUrl":"10.1177/00099228241254270","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"14-17"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915790","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
Safety and Treatment Outcomes of Infants and Children Treated With Daptomycin: Six-Year Experience From a Pediatric Academic Medical Center. 使用达托霉素治疗婴幼儿的安全性和治疗效果：一家儿科学术医疗中心的六年经验。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-03-30 DOI: 10.1177/00099228241242186
Bryan J Vonasek, Allison M Samuel, Sheryl L Henderson, Jill R Strayer, Monica C Bogenschutz
{"title":"Safety and Treatment Outcomes of Infants and Children Treated With Daptomycin: Six-Year Experience From a Pediatric Academic Medical Center.","authors":"Bryan J Vonasek, Allison M Samuel, Sheryl L Henderson, Jill R Strayer, Monica C Bogenschutz","doi":"10.1177/00099228241242186","DOIUrl":"10.1177/00099228241242186","url":null,"abstract":"<p><p>Daptomycin is a common treatment for serious infections caused by gram-positive bacteria in adult patients; however, data regarding its safety and efficacy in the pediatric population are limited. This was a retrospective chart review of adverse reactions and treatment outcomes associated with daptomycin use in children <13 years old who received at least 1 dose of daptomycin. At least 1 dose of daptomycin was received by 147 patients. Seventy-two patients received daptomycin for 5 or more days. New-onset loose stools on daptomycin initiation were reported for 14 (9.5%) patients, elevations in creatine kinase in 3 (2%) patients, and elevated aspartate transaminase and alanine transaminase in 13 (8.8%) and 9 (6.1%) patients, respectively. Two patients (1.4%) had daptomycin discontinued due to specific concerns for adverse drug reactions. Daptomycin was found to be safe and effective in this pediatric cohort that included young children and infants with a variety of types and severities of infections.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"18-24"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140326474","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
Screening and Follow-Up Treatment Practices for Suicide Risk in Adolescent Primary Care: A Retrospective Chart Review. 青少年初级保健中的自杀风险筛查和后续治疗实践：回顾病历。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-05-14 DOI: 10.1177/00099228241253158
William Butler, Kristina L Lewis, Talia S Benheim, Alexy Arauz Boudreau, Kathryn S Brigham, Mitchell Feldman, Michael Jellinek, J Michael Murphy
{"title":"Screening and Follow-Up Treatment Practices for Suicide Risk in Adolescent Primary Care: A Retrospective Chart Review.","authors":"William Butler, Kristina L Lewis, Talia S Benheim, Alexy Arauz Boudreau, Kathryn S Brigham, Mitchell Feldman, Michael Jellinek, J Michael Murphy","doi":"10.1177/00099228241253158","DOIUrl":"10.1177/00099228241253158","url":null,"abstract":"<p><p>Universal depression screening in adolescent primary care often encompasses questions about suicide risk. We conducted a retrospective chart review of well-child visits where adolescents (ages 13-17.9) had endorsed self-injurious thoughts and behaviors or suicidal ideation. The goal was to investigate primary care providers' follow-up actions, including documentation, further assessment, and referrals. Over 3-quarters of the progress notes showed evidence of further assessment, and two-thirds documented same-day actions, including mental health referrals, emergency department referrals, safety plans, medication changes, primary-care follow-up, and talking to parents. Actions varied by depression severity. Cases without interventions often had justifications. Owing to the variety of possible meanings and severity underlying positive screens, providers implemented an array of interventions, using clinical judgment to tailor actions to patients' individual needs and preferences. From these observations, we propose that standardized guidelines for suicide risk screening and follow-up should involve a clinical assessment and individualized treatment planning.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"101-110"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915840","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
Community-Acquired Pneumonia Diagnosis Following Emergency Department Visits for Respiratory Illness. 因呼吸道疾病到急诊室就诊后的社区获得性肺炎诊断。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-05-17 DOI: 10.1177/00099228241254153
Alexandra T Geanacopoulos, Janine P Amirault, Kenneth A Michelson, Michael C Monuteaux, Susan C Lipsett, Alexander W Hirsch, Mark I Neuman
{"title":"Community-Acquired Pneumonia Diagnosis Following Emergency Department Visits for Respiratory Illness.","authors":"Alexandra T Geanacopoulos, Janine P Amirault, Kenneth A Michelson, Michael C Monuteaux, Susan C Lipsett, Alexander W Hirsch, Mark I Neuman","doi":"10.1177/00099228241254153","DOIUrl":"10.1177/00099228241254153","url":null,"abstract":"<p><p>Community-acquired pneumonia (CAP) is often considered for children presenting to the emergency department (ED) with respiratory symptoms. It is unclear how often children are diagnosed with CAP following an ED visit for respiratory illness. We performed a retrospective case-control study to evaluate 7-day CAP diagnosis among children 3 months to 18 years discharged from the ED with respiratory illness from 2011 to 2021 and who receive care at 4 hospital-affiliated primary care clinics. Logistic regression was performed to assess for predictors of 7-day CAP diagnosis. Seventy-four (0.7%, 95% confidence interval [CI] = 0.6%, 0.9%) of 10 329 children were diagnosed with CAP within 7 days, and fever at the index visit was associated with increased odds of diagnosis (odds ratio [OR] = 3.32, 95% CI = 1.75-6.28). Community-acquired pneumonia diagnosis after discharge from the ED with respiratory illness is rare, even among children who are febrile at time of initial evaluation.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"83-90"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Montelukast on Urinary Symptoms in Children With Bladder Pain Syndrome: A Randomized Clinical Trial. 孟鲁司特对膀胱疼痛综合征患儿排尿症状的影响：随机临床试验
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-06-12 DOI: 10.1177/00099228241260119
Ali Arjmand Shabestari, Faeze Akbarzadeh, Fatemeh Dorreh, Parsa Yousefichaijan, Amir Almasi-Hashiani
{"title":"The Effect of Montelukast on Urinary Symptoms in Children With Bladder Pain Syndrome: A Randomized Clinical Trial.","authors":"Ali Arjmand Shabestari, Faeze Akbarzadeh, Fatemeh Dorreh, Parsa Yousefichaijan, Amir Almasi-Hashiani","doi":"10.1177/00099228241260119","DOIUrl":"10.1177/00099228241260119","url":null,"abstract":"<p><p>Montelukast by inhibiting leukotriene receptors in the bladder can prevent the activation of mast cells. We investigated the effectiveness of Montelukast in reducing the symptoms of children with bladder pain syndrome (BPS). In this randomized clinical trial, children were allocated into groups of intervention (Montelukast and oxybutynin) and the control (oxybutynin). At the beginning and after 14 days, questions from mothers of children about their urinary condition were asked about the frequency of nocturnal enuresis, frequent urination, urinary incontinence, urinary urgency, and their pain severity. There was no significant difference between two groups in terms of frequency of nocturnal enuresis, frequent urination, urinary incontinence, and urinary urgency. Regarding the frequency of pain distribution, the frequency of pain-free people in the Montelukast group was higher than control group (84.4% vs 56.3%, <i>P</i> = .023). The results showed that adding Montelukast to oxybutynin has a significant decrease in pain in children with BPS.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"111-117"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305612","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
Applicability of the Pancreatic Exocrine Insufficiency Test (PEI-TEST) in Pediatric Patients. 胰腺外分泌功能不全测试（PEI-TEST）在儿科患者中的适用性。
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-05-09 DOI: 10.1177/00099228241252212
Burcu Güven, Esra Özkaya, Serdar Karakullukçu, Mustafa Selçuk İmamoğlu, Murat Çakır
{"title":"Applicability of the Pancreatic Exocrine Insufficiency Test (PEI-TEST) in Pediatric Patients.","authors":"Burcu Güven, Esra Özkaya, Serdar Karakullukçu, Mustafa Selçuk İmamoğlu, Murat Çakır","doi":"10.1177/00099228241252212","DOIUrl":"10.1177/00099228241252212","url":null,"abstract":"<p><p>In mild cases, it is difficult to diagnose pancreatic exocrine insufficiency (PEI). There is no gold standard method for the diagnosis of PEI. A reliable method is needed for preliminary diagnosis of PEI. The PEI-TEST was applied to the patients with nonspecific gastrointestinal complaints. Serum amylase, lipase, serum trypsinogen, and fecal elastase 1 (FE-1) were analyzed from each patient. According to the PEI-TEST, PEI was present in 42 (47.7%) and PEI was not present in 46 (52.3%) patients. No significant difference was observed between the 2 groups with regard to age, gender and amylase, lipase, serum trypsinogen, and FE-1. When an FE-1 value of <200 µg/dL was considered as indicating PEI, the sensitivity and specificity of the test were found to be 47.4% and 52.2%, respectively. Although it is promising that PEI-TEST is a validated test in our country and suitable for our society, it is not suitable for pediatric patients.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"118-124"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891577","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
Universal G6PD Screening: A Retrospective Chart Review. 普及 G6PD 筛查：回顾病历
IF 1 4区 医学
Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-03-30 DOI: 10.1177/00099228241242832
Jenna M Baker, Shanika R Uduwana, Sheri L Nemerofsky
{"title":"Universal G6PD Screening: A Retrospective Chart Review.","authors":"Jenna M Baker, Shanika R Uduwana, Sheri L Nemerofsky","doi":"10.1177/00099228241242832","DOIUrl":"10.1177/00099228241242832","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"5-8"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140326476","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信