Clinical Medicine Insights-Pediatrics最新文献_第6页

Eculizumab-Associated Moraxella lacunata Bacteremia and Systemic Inflammatory Response Syndrome in a Toddler with Atypical Hemolytic Uremic Syndrome. 非典型溶血性尿毒症患儿依曲单抗相关的窝状莫拉菌菌血症和全身炎症反应综合征。

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2021-02-08 eCollection Date: 2021-01-01 DOI: 10.1177/1179556521992367

Paige S Bicoll, Ashima Goyal, Neal B Blatt, Bishara J Freij

引用次数: 3

Voiding Disorders in Pediatrician's Practice. 儿科医生实践中的排尿障碍。

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2020-11-27 eCollection Date: 2020-01-01 DOI: 10.1177/1179556520975035

Magda Rakowska-Silska, Katarzyna Jobs, Aleksandra Paturej, Bolesław Kalicki

{"title":"Voiding Disorders in Pediatrician's Practice.","authors":"Magda Rakowska-Silska, Katarzyna Jobs, Aleksandra Paturej, Bolesław Kalicki","doi":"10.1177/1179556520975035","DOIUrl":"https://doi.org/10.1177/1179556520975035","url":null,"abstract":"Voiding disorders result usually from functional disturbance. However, relevant organic diseases must be excluded prior to diagnosis of functional disorders. Additional tests, such as urinalysis or abdominal ultrasound are required. Further diagnostics is necessary in the presence of alarm symptoms, such as secondary nocturnal enuresis, weak or intermittent urine flow, systemic symptoms, glucosuria, proteinuria, leukocyturia, erythrocyturia, skin lesions in the lumbar region, altered sensations in the perineum. Functional micturition disorders were thoroughly described in 2006, and revised in 2015 by ICCS (International Children's Continence Society) and are divided into storage symptoms (increased and decreased voiding frequency, incontinence, urgency, nocturia), voiding symptoms hesitancy, straining, weak stream, intermittency, dysuria), and symptoms that cannot be assigned to any of the above groups (voiding postponement, holding maneuvers, feeling of incomplete emptying, urinary retention, post micturition dribble, spraying of the urinary stream). Functional voiding disorders are frequently associated with constipation. Bladder and bowel dysfunction (BBD) is diagnosed when lower urinary tract symptoms are accompanied by problems with defecation. Monosymptomatic enuresis is the most common voiding disorder encountered by pediatricians. It is diagnosed in children older than 5 years without any other lower urinary tract symptoms. Other types of voiding disorders such as: non-monosymptomatic enuresis, overactive and underactive bladder, voiding postponement, bladder outlet obstruction, stress or giggle incontinence, urethrovaginal reflux usually require specialized diagnostics and therapy. Treatment of all types of functional voiding disorders is based on non-pharmacological recommendations (urotherapy), and such education should be implemented by primary care pediatricians.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"14 ","pages":"1179556520975035"},"PeriodicalIF":1.5,"publicationDate":"2020-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179556520975035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38350917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Laboratory abnormalities in children with novel Coronavirus Disease 2019. 2019年新型冠状病毒病儿童的实验室异常

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2020-09-11 eCollection Date: 2020-01-01 DOI: 10.1177/1179556520955177

Laila Bourkhissi, Karima El Fakiri, Houda Nassih, Rabiy El Qadiry, Aicha Bourrahouat, Imane Ait Sab, Noureddine Rada, Ghizlane Draiss, Mohammed Bouskraoui

{"title":"Laboratory abnormalities in children with novel Coronavirus Disease 2019.","authors":"Laila Bourkhissi, Karima El Fakiri, Houda Nassih, Rabiy El Qadiry, Aicha Bourrahouat, Imane Ait Sab, Noureddine Rada, Ghizlane Draiss, Mohammed Bouskraoui","doi":"10.1177/1179556520955177","DOIUrl":"10.1177/1179556520955177","url":null,"abstract":"The novel Coronavirus disease 2019 continues to be a worldwide pandemic. Yet, little is still known about the biological features of this emergent infection in children. In this prospective study, we collected 68 children infected with SARS-COV-2 from March 2020 to May 2020, in Marrakesh, Morocco. No severe cases were observed in this cohort, and 66% of the patients were asymptomatic. The main laboratory abnormalities were hematological, as we found Leucopoenia in 4.4% of the cases, hyperleukocytosis in 1.6%. Neutropenia was found in 5 patients (7%) and only 2 cases (3%) had Lymphopenia. The inflammation and coagulation biomarkers were normal in the majority of the cases, as for liver and kidney function. Lactate dehydrogenase (LDH) serum levels were elevated in 8 cases (11.67%). The COVID-19 in children seems to have mild course and better outcome than in adults, which impacts the laboratory findings in this category. More studies must be conducted to learn more about the laboratory abnormalities in pediatric COVID-19.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"14 ","pages":"1179556520955177"},"PeriodicalIF":1.5,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179556520955177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38407105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Childhood Obesity: Is the Built Environment More Important Than the Food Environment? 儿童肥胖:建筑环境比食物环境更重要吗?

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2020-07-31 eCollection Date: 2020-01-01 DOI: 10.1177/1179556520932123

Wenes Pereira Reis, Mark Ghamsary, Caroline Galustian, Henrik Galust, Patti Herring, Josileide Gaio, Hildemar Dos Santos

{"title":"Childhood Obesity: Is the Built Environment More Important Than the Food Environment?","authors":"Wenes Pereira Reis, Mark Ghamsary, Caroline Galustian, Henrik Galust, Patti Herring, Josileide Gaio, Hildemar Dos Santos","doi":"10.1177/1179556520932123","DOIUrl":"https://doi.org/10.1177/1179556520932123","url":null,"abstract":"Obesity continues to be a health burden to society and new efforts may be needed to combat this epidemic. This study aims to investigate the contribution of parents education and level of income, food environment (grocery stores and fast food restaurants), and built environment (perceived safety, availability/quantity of parks) on childhood obesity. This cross-sectional observational study explored whether parents education and income level, built environment, and food environment can affect children with obesity. Participants were selected from 3 separate elementary schools located in an urban community with higher risk to have children with obesity in Montclair, California. Children living in families with low incomes have 2.31 times greater odds to be affected by obesity than children living in higher income homes. Children whose parents did not feel safe in their neighborhoods had odds of obesity 2.23 times greater than those who reported their neighborhoods as safe. Age also appeared to be a risk factor, and the odds of children affected by obesity among children 8 to 9 years was 0.79, and the odds of being affected by obesity among children 10 to 11 years of age was 0.36, when compared to children 6 to 7 years old. Findings suggest that low family income, perceptions of neighborhoods as unsafe, and young age are associated with higher body mass index (BMI) percentiles among children living in poor neighborhoods in Montclair, California.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"14 ","pages":"1179556520932123"},"PeriodicalIF":1.5,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179556520932123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38403315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Pre-schoolers Referred to a Child and Adolescent Mental Health Clinic: A Hospital Quality Improvement Report. 儿童和青少年心理健康诊所转诊的学龄前儿童：医院质量改进报告》。

IF 1.7

Clinical Medicine Insights-Pediatrics Pub Date : 2020-07-02 eCollection Date: 2020-01-01 DOI: 10.1177/1179556520925479

Irene B Elgen, Mariell Stikholmen, Rolf Gjestad, Inger Lande Danielsen, Silje Fevang

{"title":"Pre-schoolers Referred to a Child and Adolescent Mental Health Clinic: A Hospital Quality Improvement Report.","authors":"Irene B Elgen, Mariell Stikholmen, Rolf Gjestad, Inger Lande Danielsen, Silje Fevang","doi":"10.1177/1179556520925479","DOIUrl":"10.1177/1179556520925479","url":null,"abstract":"Objective: Aim of the study was to evaluate the patient pathway from referral to assessment and diagnosis of pre-schoolers referred to a Child and Adolescent Mental Health Clinic (CAMHC) in Norway.Method: Following data were collected retrospectively from medical records over a 2-year study period: data from clinical interviews for diagnostic evaluation, observation findings in kindergartens and the CAMHC, and results from medical examinations. The times taken from referral to first contact with the CAMHC, then to the first evaluation, and finally to diagnosis were assessed.Results: Of 13 402 pre-schoolers, 88 (0.7%) were referred to the CAMHC, of which 15 refused assessment and 69 completed a diagnostic assessment. Of the assessed children, 15 (21%) did not meet any criteria for an International Classification of Diseases, Tenth revision (ICD-10) diagnosis, 26 (38%) were diagnosed with developmental disorders, and 10 (14%) were given a non-specific diagnosis. For those children without a specific diagnosis, the mean time taken from referral to CAMHC assessment and diagnosis was longer, although not statistically significant, compared with those with a specific diagnosis (P = .52). No significant correlation between referral symptoms and final diagnosis was found.Conclusions: Pre-schoolers referred to the CAMHC have an increased risk of having developmental disorders. Furthermore, 1 in 5 of the children had comorbidities. We propose more effective health care service by developing an interdisciplinary approach for the management of these children.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"14 ","pages":"1179556520925479"},"PeriodicalIF":1.7,"publicationDate":"2020-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/70/10.1177_1179556520925479.PMC7333487.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38151166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Formative Process Evaluation of the "Connect" Physical Activity Feasibility Trial for Adolescents. 青少年“连接”体育活动可行性试验的形成过程评价。

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2020-06-03 eCollection Date: 2020-01-01 DOI: 10.1177/1179556520918902

Nicole Zarrett, Michelle Abraczinskas, Brittany S Cook, Dawn Wilson, Alex Roberts

{"title":"Formative Process Evaluation of the \"Connect\" Physical Activity Feasibility Trial for Adolescents.","authors":"Nicole Zarrett, Michelle Abraczinskas, Brittany S Cook, Dawn Wilson, Alex Roberts","doi":"10.1177/1179556520918902","DOIUrl":"https://doi.org/10.1177/1179556520918902","url":null,"abstract":"Most interventions do not reach full implementation in real-world settings. Due to this issue, formative process evaluation during pilot programs can be especially useful to understand implementation strengths and areas for improvement so that full implementation can be reached in future iterations. This study demonstrated how a formative process evaluation of the Connect through Positive Leisure Activities for Youth (Connect) pilot informed course corrections for year 2 implementation. Connect is an intervention to promote a positive social motivational climate for physical activity (PA) in pre-existing after school programs. Connect ran 3 days a week for 8 weeks and had 2 components: a 30-minute \"Get-to-Know-You\" (GTKY) session and a 60-minute PA session. Formative evaluation was assessed using an observational tool and staff surveys. Changes in youth PA during program hours was assessed as a process outcome using the System for Observing Children's Activity and Relationships during Play (SOCARP). All Connect essential elements were assessed with the observational tool including (a) social goal-oriented support; (b) collaborative, cooperative play; (c) equal treatment/access; and (d) an inclusive and engaging climate. Adequate dose was achieved on all items in all sessions. Although GTKY and PA sessions both reached high fidelity in promoting equal treatment and access, success in reaching fidelity varied for the 3 remaining essential elements. Post-intervention staff surveys indicated acceptability/adoptability of the Connect program and SOCARP observations indicated significant increases in PA from baseline to post-intervention. Changes for year 2 implementation based on the findings are discussed.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"14 ","pages":"1179556520918902"},"PeriodicalIF":1.5,"publicationDate":"2020-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179556520918902","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38056351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Saving Costs for Hospitals Through Medical Clowning: A Study of Hospital Staff Perspectives on the Impact of the Medical Clown. 通过医疗小丑为医院节省成本:医院员工对医疗小丑影响的看法研究。

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2020-03-06 eCollection Date: 2020-01-01 DOI: 10.1177/1179556520909376

Jack Gomberg, Amnon Raviv, Eyal Fenig, Noam Meiri

引用次数: 14

Hydrocortisone Improves Oxygenation Index and Systolic Blood Pressure in Term Infants With Persistent Pulmonary Hypertension. 氢化可的松改善患有持续性肺动脉高压的足月婴儿的氧合指数和收缩压。

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2019-11-21 eCollection Date: 2019-01-01 DOI: 10.1177/1179556519888918

Mahdi Alsaleem, Aysha Malik, Satyan Lakshminrusimha, Vasantha Hs Kumar

{"title":"Hydrocortisone Improves Oxygenation Index and Systolic Blood Pressure in Term Infants With Persistent Pulmonary Hypertension.","authors":"Mahdi Alsaleem, Aysha Malik, Satyan Lakshminrusimha, Vasantha Hs Kumar","doi":"10.1177/1179556519888918","DOIUrl":"https://doi.org/10.1177/1179556519888918","url":null,"abstract":"Persistent pulmonary hypertension of the newborn (PPHN) is an essential cause for hypoxic respiratory failure with significant morbidity and mortality in term and near-term neonates. Hydrocortisone has been shown to decrease oxygen dependency and pulmonary hypertension in neonates with meconium aspiration syndrome and animal studies, respectively. We hypothesize that hydrocortisone will improve oxygenation in term and near-term infants with pulmonary hypertension. We performed a retrospective chart review of all infant with PPHN who received intravenous hydrocortisone therapy as a rescue for severe PPHN. Clinical response was objectively measured using, oxygenation index (OI), PaO2/FiO2 ratio, and inotrope score before, during, and after the hydrocortisone course. We found that hydrocortisone administration resulted in significant improvement of systolic blood pressure, OI, and PaO2/FiO2. In conclusion, hydrocortisone increased systolic blood pressure and improved oxygenation in term and near-term infants with persistent pulmonary hypertension. Prospective randomized trials are required to evaluate these findings further.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"13 ","pages":"1179556519888918"},"PeriodicalIF":1.5,"publicationDate":"2019-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179556519888918","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Development of a Pediatric PICC Team Under an Existing Sedation Service: A 5-Year Experience 在现有镇静服务下儿科PICC小组的发展:5年经验

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2019-10-01 DOI: 10.1177/1179556519884040

S. Rainey, Girish G Deshpande, Haley Boehm, Kim Camp, Annette Fehr, Kimberly Horack, Keith Hanson

{"title":"Development of a Pediatric PICC Team Under an Existing Sedation Service: A 5-Year Experience","authors":"S. Rainey, Girish G Deshpande, Haley Boehm, Kim Camp, Annette Fehr, Kimberly Horack, Keith Hanson","doi":"10.1177/1179556519884040","DOIUrl":"https://doi.org/10.1177/1179556519884040","url":null,"abstract":"Objective: To examine our institutional experiences with ultrasound-guided peripherally inserted central catheter (US-PICC) placement by a dedicated US-PICC team under the umbrella of an existing pediatric sedation service. Methods: Retrospective review of quality data examining 968 US-PICC encounters over a 5-year period from 2012 to 2016. Data for each encounter included line indications, success rate, dwelling time, need for sedation, and incidence of complications including venous thrombosis, infection, and accidental removal. Results: US-PICC lines were successfully placed in 89% of patients with an average age of 5.4 years. Extended antibiotic treatment was the most common indication for US-PICC placement and the mean dwell time was 23 days. Long-term complications were noted in 6.1% of cases, with venous thrombosis and line infection complicating 1.7% and 0.9% of encounters, respectively. Conclusion: Results suggest that our endeavor of creating a dedicated US-PICC team under an existing pediatric sedation service is successful with regard to the number of lines placed, success rates, and incidence of complications. This approach may be beneficial to other institutions seeing to maximize resource utilization and streamline patient care.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"47 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78394077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Investigating Postpartum Depression in the Adolescent Mother Using 3 Potential Qualitative Approaches 用三种潜在的定性方法调查青春期母亲产后抑郁

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2019-10-01 DOI: 10.1177/1179556519884042

S. Ladores, J. Corcoran

引用次数: 3