{"title":"Screening for Risk Factors for the Development of Phlebitis After Intravenous Fluid Therapy in Children With <i>Mycoplasma pneumoniae</i> Pneumonia.","authors":"Chaoqun Wu, Yafei Zhu, Peijun Zhen, Haiyan Lin","doi":"10.1177/00099228261424009","DOIUrl":"https://doi.org/10.1177/00099228261424009","url":null,"abstract":"<p><p>To investigate the risk factors for the occurrence of phlebitis after intravenous infusion therapy in children with <i>Mycoplasma pneumoniae</i> pneumonia. A total of 108 children with <i>Mycoplasma pneumoniae</i> pneumonia who received intravenous infusion therapy from December 2020 to December 2023 in our hospital were retrospectively analyzed. In the phlebitis group, the proportion of children with maximum body temperature ≥39℃ before treatment, the proportion of children with fever duration ≥3 days, and the proportion of children with combined pleural effusion were significantly higher (<i>P</i> < .05). Higher inflammation level before the initiation of treatment, longer duration of fever, and unsuccessful intravenous treatment are all risk factors for the occurrence of phlebitis in children with <i>Mycoplasma pneumoniae</i> pneumonia. Attention should be paid to the management of the whole process of intravenous infusion to reduce the incidence of this complication.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261424009"},"PeriodicalIF":0.7,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147275541","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}
Aria C Mallare, Cameron Cooper, Leopoldo Castillo, Ashley Murphy, Heather Risser, Carolyn C Foster
{"title":"Experiences and Preferences With Pediatric Health Supervision Care Among Family Caregivers of Individuals With Down Syndrome.","authors":"Aria C Mallare, Cameron Cooper, Leopoldo Castillo, Ashley Murphy, Heather Risser, Carolyn C Foster","doi":"10.1177/00099228261425287","DOIUrl":"https://doi.org/10.1177/00099228261425287","url":null,"abstract":"<p><p>Though pediatric health supervision Down syndrome (DS) guidelines have been established for decades, prior work has shown that primary care providers (PCPs) experience challenges to their adherence and information on family caregivers' experience with the DS guidelines is lacking. To address this literature gap, our study sought to understand the experiences of family caregivers with health supervision care as related to guideline adherence and patient-family experience. Through semi-structured interviews, we found that most caregivers felt their child's health care needs were being met but expressed frustrations due to their child's PCP's lack of knowledge on the current DS guidelines. Caregivers saw their PCP as the center of their child's care and desire a partnership to address their child's DS medical needs while recognizing their child's personhood beyond their diagnosis. However, participating caregivers typically did not feel their PCPs were fulfilling this role due to a lack of DS knowledge and experience.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261425287"},"PeriodicalIF":0.7,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269886","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}
{"title":"Clinical Implications of Diet Inflammatory Index in Celiac Patients.","authors":"Arzu Gülseren, Aslıhan Besparmak, Neşe Kaya","doi":"10.1177/00099228261422296","DOIUrl":"https://doi.org/10.1177/00099228261422296","url":null,"abstract":"<p><p>The objective of the study is to investigate the dietary inflammation index (DII) in children with celiac disease (CD) and its effect on clinic. This cross-sectional study involved 47 patients aged 5 to 18 diagnosed with CD, conducted from January 2024 to January 2025. Forty-seven patients with CD included in the study. The mean children-DII (c-DII) and energy consumption (e-c-DII) values of the study group were found to be 2.0 ± 1.0 and 2.7 ± 0.8, respectively. It was analyzed that c-DII and e-c-DII values were correlated significantly with tissue transglutaminase immunglobulin A and anti-endomysium antibody values. It was analyzed that the mean c-DII value was higher in patients with low waist circumference, mid-upper arm circumference, and skinfold thickness (<10% percentile), and the result was statistically significant. Anthropometric measurements, crucial indications of proper nutrition, were substantially correlated with the dietary inflammatory content in individuals with CD.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261422296"},"PeriodicalIF":0.7,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146218841","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}
{"title":"Pathogenesis, Treatment Advances, and Renal Outcomes in Childhood-Onset Lupus Nephritis.","authors":"Aqsa Safdar","doi":"10.1177/00099228261422294","DOIUrl":"https://doi.org/10.1177/00099228261422294","url":null,"abstract":"<p><p>Systemic lupus erythematosus is defined as an autoimmune and inflammatory disease that is distinguished by the involvement of diversified multisystem and a persistent course with unpredictable flares. Immune complex-mediated glomerulonephritis is the main presentation of renal involvement and is commonly regarded as lupus nephritis (LN). Although the long-term renal prognosis has been considerably improved, a significant morbidity and mortality is still experienced by children and adolescents with LN. Furthermore, present literature is insufficient with regard to data related to pediatrics, resulting in clinicians to depend entirely on therapeutic approaches employed for adults. Treatment protocols have been produced by various international groups that recommend an intense duration of immunosuppression to stop the process of acute renal inflammation, with subsequent maintenance therapy and close monitoring for disease improvement and rapid assessment of disease flares. Prevalence of renal remission is suboptimal indicating only 40% to 60% of patients attaining complete remission. The rate of chronic kidney disease (CKD) stage V has been observed to be at least 15% and the presence of LN has an association with high mortality rates. In ascertained renal failure, renal transplantation is implied to be the most favorable modality of renal replacement therapy in this specific patient group. This review aims to describe childhood-onset LN and provide an overview on the pathogenesis, therapeutic approaches, emerging therapies and present renal outcomes for this disease with the objective of recognizing the key features that might aid in reducing the risk of long-term CKD.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261422294"},"PeriodicalIF":0.7,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146218829","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}
Saddam Hossain, Mohammad Amees, Abid Fakhre Alam, Naved Ahmad
{"title":"Electronic Medical Records for Maternal and Child Health Care: A Bibliometric Study.","authors":"Saddam Hossain, Mohammad Amees, Abid Fakhre Alam, Naved Ahmad","doi":"10.1177/00099228261418459","DOIUrl":"https://doi.org/10.1177/00099228261418459","url":null,"abstract":"<p><p>Electronic medical records (EMRs) are critical, highly sensitive private information in health sector, and manage patient health information. The purpose of the study identifies a unique opportunity to develop a secure for maternal child health care. This work uses the Scopus, PubMed, and Web of Science databases to analyse the most productive authors, journals, institutions, and countries, as well as the most cited papers and the citing articles. The investigation used bibliometric analysis to identify the bibliographic data from 501 articles published from 2011 and 2025 and implementation of EMRs for maternal and child healthcare. Based on the findings, the issue is multifaceted and involves various stakeholders, including health care providers, patients, and technological issues within the health sectors. The proposed work can significantly reduce the turnaround time for EMRs sharing, improve decision making for medical care, and reduce the overall cost of medical instruments.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261418459"},"PeriodicalIF":0.7,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146218783","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}
Serpil Albayrak, Murat Karaoglan, Ahmet Yildirim, Nurgül Ataş, Mehmet Keskin
{"title":"Visceral Adiposity Index as a Predictor of Metabolic Syndrome in Children and Adolescents With Type 1 Diabetes: A Cross-Sectional Study.","authors":"Serpil Albayrak, Murat Karaoglan, Ahmet Yildirim, Nurgül Ataş, Mehmet Keskin","doi":"10.1177/00099228261417527","DOIUrl":"https://doi.org/10.1177/00099228261417527","url":null,"abstract":"<p><p>This study explored the association between the visceral adiposity index (VAI) and metabolic syndrome (MetS) in children with type 1 diabetes mellitus (T1DM). The study was conducted between September 2023 and March 2024 at a tertiary pediatric endocrinology clinic in Türkiye. Metabolic syndrome was defined using criteria of the World Health Organization and the International Diabetes Federation. The classification threshold was set at a cut-off value of 1.77. Metabolic syndrome occurred in 22.5% of children by World Health Organization criteria and 8.6% by International Diabetes Federation criteria. Higher visceral adiposity index values were linked to abdominal fat and adverse lipid findings. The VAI significantly predicted MetS (odds ratio: 13.29, <i>P</i> = .001), with an area under the curve of 0.830. The VAI is a simple and effective tool for early identification of MetS risk in children with T1DM .</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261417527"},"PeriodicalIF":0.7,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146212413","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}
Ludovico Randazzo, Marilina Covuccia, Ilaria Notaristefano, Sara Romano, Mario Mastrangelo, Francesco Pisani
{"title":"Acute Asymmetric Motor and Sensory Deficits in a Pediatric Case.","authors":"Ludovico Randazzo, Marilina Covuccia, Ilaria Notaristefano, Sara Romano, Mario Mastrangelo, Francesco Pisani","doi":"10.1177/00099228261420564","DOIUrl":"https://doi.org/10.1177/00099228261420564","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261420564"},"PeriodicalIF":0.7,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197385","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}
Zaid Elsabbagh, Henry Hyonoo Joo, Syed Ameen Ahmad, Erin Y Chen, Sumrah Jilani, Aileen Zhang, Kelsey Davis, Galen Shi, Rahul Koka
{"title":"Evaluating the Impact of a Telepresence Robot Intervention on Preoperative Anxiety in Children: A Preliminary Study.","authors":"Zaid Elsabbagh, Henry Hyonoo Joo, Syed Ameen Ahmad, Erin Y Chen, Sumrah Jilani, Aileen Zhang, Kelsey Davis, Galen Shi, Rahul Koka","doi":"10.1177/00099228261422284","DOIUrl":"https://doi.org/10.1177/00099228261422284","url":null,"abstract":"<p><p>Preoperative anxiety is common among pediatric patients and is associated with adverse perioperative outcomes. This prospective single-arm pilot study evaluated the feasibility of the WeGo Telepresence Robotics Program-a real-time, child-operated virtual tour-as a tool to reduce preoperative anxiety. Fifteen pediatric patients (ages 5-14) undergoing elective surgery participated in a WeGo tour before surgery. Anxiety was measured using the Modified Yale Preoperative Anxiety Scale (mYPAS) before and after the intervention. Mean mYPAS scores significantly decreased from 33.22 ± 12.11 to 24.00 ± 1.76 (<i>P</i> < .001), with no significant associations between anxiety reduction and age, sex, or prior surgery. All patients experienced a reduction or maintenance of low anxiety levels, including those with brief technical interruptions. These findings support the feasibility of implementing WeGo in the preoperative setting and suggest potential benefits as a non-pharmacological tool, with future applications as an adjunct to standard care. Further studies are warranted to validate efficacy and assess broader applications.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261422284"},"PeriodicalIF":0.7,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197383","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}
Vanessa Gorito, Makram Talih, Francisco Fernandes, Naré Navasardyan, Inês Azevedo, Raquel Lucas
{"title":"The Burden of Pediatric Pain: Triggers, Impact on Daily Life and Health Care Utilization-A Cohort Study.","authors":"Vanessa Gorito, Makram Talih, Francisco Fernandes, Naré Navasardyan, Inês Azevedo, Raquel Lucas","doi":"10.1177/00099228261418406","DOIUrl":"https://doi.org/10.1177/00099228261418406","url":null,"abstract":"<p><p>Pain has an important impact on children's life, leading frequently to health care seeking. Using data from the Generation XXI cohort at 10 years, we aimed to characterize pain experience, health care use, and medical diagnoses according to children and parent reports. Of the 3725 children reporting pain, 26.7% had a parent-reported impact on at least one of their daily activities. An impact on daily activities was more likely in children with more frequent, more intense, multisite, and longer-lasting pain and also medication use. Among children with pain, 17.0% sought health care and 12.5% obtained a medical diagnosis as a result, more frequently boys. The most frequent diagnosis categories were musculoskeletal, gastroenterological, and psychological. Health care use was associated with higher pain frequency, duration, and use of medications. Despite the higher prevalence of pain among girls, we highlight a similar impact in both sexes. Most pediatric pain is managed without resorting to health care.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228261418406"},"PeriodicalIF":0.7,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197431","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}