Clinical Medicine Insights-Pediatrics最新文献_第8页

Knowledge of Neonatal Hyperbilirubinemia Among Primary Health Care Physicians: A Single-Center Experience. 初级保健医生对新生儿高胆红素血症的了解:单中心经验。

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2019-03-03 eCollection Date: 2019-01-01 DOI: 10.1177/1179556518824375

Mostafa A Mostafa, Naglaa M Kamal, Sherif Eltaher, Yahia Hamed, Hany Abdelaziz, Walid Abdelghany, Efat Aser, Eman Fawzy, Laila M Sherief

{"title":"Knowledge of Neonatal Hyperbilirubinemia Among Primary Health Care Physicians: A Single-Center Experience.","authors":"Mostafa A Mostafa, Naglaa M Kamal, Sherif Eltaher, Yahia Hamed, Hany Abdelaziz, Walid Abdelghany, Efat Aser, Eman Fawzy, Laila M Sherief","doi":"10.1177/1179556518824375","DOIUrl":"https://doi.org/10.1177/1179556518824375","url":null,"abstract":"Background and objectives: To evaluate the knowledge of the primary health care physicians (PHCP) in Kalubia governorate, Egypt, about the causes, diagnosis, complications, and treatment of neonatal hyperbilirubinemia (NHB).Methods: Cross-sectional survey distributed by interview to 500 physicians working in the primary health care (PHC) sector in Kalubia.Results: Out of 500 distributed surveys, 419 (84%) PHCP completed the questionnaire. They represent 174 (90%) out of 193 PHC units and centers. About 18% were males and 82% females with mean age of 28.5 ± 5.2 years, and mean duration of work was 3.3 ± 4.4 years. All of the respondents have patients with NHB in their daily practice. The knowledge of the PHCP was good in some aspects about NHB; however, it was poor and may be even hazardous in other aspects.Conclusions: Many areas of defects are detected in PHCP knowledge about NHB. Pre-service and continuous training of the PHCP about the diagnosis and management of NHB are essential.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"13 ","pages":"1179556518824375"},"PeriodicalIF":1.5,"publicationDate":"2019-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179556518824375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37041023","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: 7

Infant Feeding Practices In a Diverse Group of Women: The Healthy Start Study. 不同妇女群体的婴儿喂养实践:健康开端研究。

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2019-01-20 eCollection Date: 2019-01-01 DOI: 10.1177/1179556518824362

Jill Landsbaugh Kaar, Katherine A Sauder, Allison Lb Shapiro, Anne P Starling, Brandy M Ringham, Susan L Johnson, Dana Dabelea

{"title":"Infant Feeding Practices In a Diverse Group of Women: The Healthy Start Study.","authors":"Jill Landsbaugh Kaar, Katherine A Sauder, Allison Lb Shapiro, Anne P Starling, Brandy M Ringham, Susan L Johnson, Dana Dabelea","doi":"10.1177/1179556518824362","DOIUrl":"https://doi.org/10.1177/1179556518824362","url":null,"abstract":"Background: To describe infant feeding practices among a diverse group of mother-offspring pairs and identify factors associated with adherence to the American Academy of Pediatrics (AAP) recommendations.Methods: Data were analyzed from 835 mother-offspring dyads in The Healthy Start Study, an ongoing longitudinal prebirth cohort in Denver, Colorado. Maternal report of infant feeding practices was obtained at 4 to 6 months and 18 to 24 months postnatally. Practices were classified according to the following AAP recommendations: exclusive breastfeeding for first 6 months, continued breastfeeding through 12 months, and introduction of solid foods around 6 months of age. Participants who met all 3 recommendations were categorized as \"adherent.\" All others were categorized as \"not adherent.\"Results: About 77% of dyads did not adhere fully to the AAP recommendations. Women who worked ⩾35 hours/week or had a higher prepregnancy body mass index were more likely to be nonadherent. Women who were older, college educated, or had offspring with greater weight for gestational age at birth were less likely to be nonadherent.Conclusions: Most of the women in a large contemporary cohort are not adhering to AAP infant feeding recommendations. Our results highlight the specific subgroups of women who may need additional support to optimize infant feeding practices.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"13 ","pages":"1179556518824362"},"PeriodicalIF":1.5,"publicationDate":"2019-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179556518824362","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36918130","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: 4

Brain Injury in Neonatal Hypoglycemia: A Hospital-Based Cohort Study 新生儿低血糖脑损伤:一项基于医院的队列研究

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2019-01-01 DOI: 10.1177/1179556519867953

Mei-hong Gu, F. Amanda, Tianming Yuan

{"title":"Brain Injury in Neonatal Hypoglycemia: A Hospital-Based Cohort Study","authors":"Mei-hong Gu, F. Amanda, Tianming Yuan","doi":"10.1177/1179556519867953","DOIUrl":"https://doi.org/10.1177/1179556519867953","url":null,"abstract":"Background: Neonatal hypoglycemia is more prevalent and can cause severe neurological sequelae. The objective of this study was to assess the patterns of neuroradiologic changes in neonatal hypoglycemia. Methods: A retrospective cohort study was conducted on 66 neonatal hypoglycemia patients, and the magnetic resonance imaging (MRI) and clinical records were reviewed. Results: Magnetic resonance imaging showed evidences of abnormality in 54.54% (36 of 66) of hypoglycemic infants. The most common abnormal findings were located on the parietal and occipital lobes of the brains. The number of days with hypoglycemia was significantly higher for abnormal MRI infants (P < .001), and prolonged/recurrent hypoglycemia was remarkably distinguished for abnormal MRI infants (P < .001). Patients with abnormal MRI findings did not have a lower blood glucose than infants without abnormal MRI findings (P > .05), but the lowest blood glucose was significantly lower for the patients with seizures (P < .01). Conclusions: The pattern of bilateral occipital cortical injury is the most common abnormality for neonatal hypoglycemia. The number of days with hypoglycemia, not the lower blood glucose, was significantly related to abnormal MRI infants.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"55 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83538316","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: 19

Human Papillomavirus–Associated Oropharyngeal High-Grade Neuroendocrine Carcinoma in an Adolescent: Case Report and Review of Literature 1例青少年人乳头瘤病毒相关口咽高级别神经内分泌癌:病例报告及文献复习

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2019-01-01 DOI: 10.1177/1179556519870520

Sara Sinno, A. Assaad, Nina Salem Shabb

引用次数: 5

Perforated Small Intestine: A Case of a Delayed Presentation of an Intra-Abdominal Injury in a Pediatric Patient With a Seatbelt Sign 小肠穿孔:一例有安全带标志的儿童腹部损伤延迟表现

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2019-01-01 DOI: 10.1177/1179556519876635

G. Taylor, Jonathan Zygowiec, Laurie C Wallace, Dawn C. Zelenka-Joshowitz, Angel F Chudler

{"title":"Perforated Small Intestine: A Case of a Delayed Presentation of an Intra-Abdominal Injury in a Pediatric Patient With a Seatbelt Sign","authors":"G. Taylor, Jonathan Zygowiec, Laurie C Wallace, Dawn C. Zelenka-Joshowitz, Angel F Chudler","doi":"10.1177/1179556519876635","DOIUrl":"https://doi.org/10.1177/1179556519876635","url":null,"abstract":"With the use of seatbelts comes a unique injury profile that has been called “the seatbelt syndrome.” The classically described “seatbelt sign” has become a pattern of injury, describing potential underlying damage. As a clinician, clues to the underlying damage follow a thorough physical examination including the removal of all clothing to locate abrasions and bruises to the skin that potentially follow a seatbelt pattern. Delayed presentation of an intra-abdominal injury in the setting of a seatbelt sign has been well documented; however, the question is how long to observe these patients. We present the case of a 17-year-old woman involved in a motor vehicle collision who presented to the emergency department (ED) hemodynamically stable with a lower abdominal wall seatbelt sign. Her initial imaging revealed only an abdominal wall contusion. She was admitted for observation. Approximately 12 h later she started developing abdominal pain, and by 14 h abdominal distention, with repeat imaging showing free fluid and free air. She was taken to the operating room for an exploratory laparotomy and was ultimately discharged back home on day 7.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"31 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89020662","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: 1

Does Ramadan Fasting Affect Spirometric Data of Healthy Adolescents? 斋月禁食会影响健康青少年的肺活量测定数据吗?

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2019-01-01 DOI: 10.1177/1179556519862280

Selma Ben Fraj, Amira Miladi, F. Guezguez, M. Ben rejeb, J. Bouguila, I. Gargouri, S. Rouatbi, I. Latiri, H. Ben Saad

{"title":"Does Ramadan Fasting Affect Spirometric Data of Healthy Adolescents?","authors":"Selma Ben Fraj, Amira Miladi, F. Guezguez, M. Ben rejeb, J. Bouguila, I. Gargouri, S. Rouatbi, I. Latiri, H. Ben Saad","doi":"10.1177/1179556519862280","DOIUrl":"https://doi.org/10.1177/1179556519862280","url":null,"abstract":"Purpose: Several studies raised the effects of Ramadan fasting on healthy adults spirometric data, but none was performed in children. The aim of this study was to compare the spirometric data of a group of faster adolescents (n = 26) with an age-matched non-faster one (n = 10). Methods: This comparative quasi-experimental study, including 36 healthy males aged 12 to 15 years, was conducted during the summer 2015 (Ramadan: June 18 to July 16). Three sessions (Before-Ramadan [Before-R], Mid-Ramadan [Mid-R], After-Ramadan [After-R]) were selected for spirometry measurements. Spirometry was performed around 5.5 to 3.5 h before sunset and the spirometric data were expressed as percentages of local spirometric norms. Results: The two groups of fasters and non-fasters had similar ages and weights (13.35 ± 0.79 vs 12.96 ± 0.45 years, 46.8 ± 9.2 vs 41.7 ± 12.6 kg, respectively). There was no effect of Ramadan fasting on forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), FEV1/FVC, peak expiratory flow, and maximal mid-expiratory flow. For example, during the Before-R, Mid-R, and After-R sessions, there was no significant difference between the fasters and non-fasters mean FVC (101 ± 11 vs 99 ± 14, 101 ± 12 vs 102 ± 14, 103 ± 11 vs 104 ± 13, respectively) or FEV1 (101 ± 13 vs 96 ± 16, 98 ± 11 vs 97 ± 16, 101 ± 10 vs 98 ± 16, respectively). Conclusions: Ramadan fasting had no interaction effect with the spirometric data of Tunisian healthy male adolescents.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"30 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89945104","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: 5

Corrigendum. 勘误表。

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2018-12-27 eCollection Date: 2018-01-01 DOI: 10.1177/1179556518800765

引用次数: 0

Bronchopulmonary Dysplasia: An Update of Current Pharmacologic Therapies and New Approaches. 支气管肺发育不良：当前药物疗法和新方法的最新进展。

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2018-12-11 eCollection Date: 2018-01-01 DOI: 10.1177/1179556518817322

Zoe Michael, Fotios Spyropoulos, Sailaja Ghanta, Helen Christou

引用次数: 0

Neonatal Cholestasis: A Pandora's Box. 新生儿胆汁淤积症:潘多拉的盒子。

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2018-12-06 eCollection Date: 2018-01-01 DOI: 10.1177/1179556518805412

Aakash Pandita, Vishal Gupta, Girish Gupta

{"title":"Neonatal Cholestasis: A Pandora's Box.","authors":"Aakash Pandita, Vishal Gupta, Girish Gupta","doi":"10.1177/1179556518805412","DOIUrl":"https://doi.org/10.1177/1179556518805412","url":null,"abstract":"Neonatal cholestasis (NC) is a diagnostic dilemma frequently countered in a neonatal care unit. Early diagnosis is vital for achieving an optimal patient outcome as many causes of cholestasis such as biliary atresia are time-sensitive and amenable to treatment if analyzed and treated early. Nonetheless, it is not generally simple to analyze these cases right on time as some of them are regularly missed due to the presence of pigmented stools, lack of newborn metabolic screening, and named as instances of prolonged jaundice. In this manner, we prescribe to explore all reasons for prolonged jaundice stretching out past 14 days in neonates. Besides, we suggest that stool card ought to be a piece of release rundown for all newborn children being released from the nursery. This is of most extreme significance in the nation like India where guaranteeing customary follow-up is as yet a tough assignment. These stool cards will help in the early determination of patients with NC particularly biliary atresia and guarantee their auspicious cure. Another reason which needs exceptional say is parenteral nutrition-associated liver illness, as the proportion of preterm babies is getting greater and greater with better neonatal care. These extreme preterm infants are in the requirement for prolonged (>14 days) total parenteral nourishment because of which they are at high hazard for NC contrasted with their more developed peers. In this survey, we will give an understanding of clinical approach, differential diagnosis, and clinical review of NC.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"12 ","pages":"1179556518805412"},"PeriodicalIF":1.5,"publicationDate":"2018-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179556518805412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36847457","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: 10

Evaluating Accessible Sleep Health Information in Rural and Urban Contexts: Delivery Face-to-Face or Online? 评估农村和城市环境下可获得的睡眠健康信息:面对面还是在线传递?

IF 1.5

Clinical Medicine Insights-Pediatrics Pub Date : 2018-11-29 eCollection Date: 2018-01-01 DOI: 10.1177/1179556518815168

Joanne M Osborne, Sarah Blunden

{"title":"Evaluating Accessible Sleep Health Information in Rural and Urban Contexts: Delivery Face-to-Face or Online?","authors":"Joanne M Osborne, Sarah Blunden","doi":"10.1177/1179556518815168","DOIUrl":"https://doi.org/10.1177/1179556518815168","url":null,"abstract":"Objective: New parents need education about infant sleep but is not universally available especially not in regional and rural areas. We delivered sleep education both face-to-face and online to test sleep knowledge acquisition for parents wherever they reside. Best practice delivery of accessible sleep health information for new families needs to be investigated more carefully in order for specialist services to be universally available.Methods: Pre- and post-information session questionnaires (n = 32) assessed levels of knowledge acquisition and comparisons tested differences between face-to-face seminars compared with an online webinar.Results: Sleep knowledge across participants was low (69% scoring < 50%). Sleep knowledge significantly increased for both the webinar delivery group (P = .002) and face-to-face delivery group (P = .001). No significant differences in knowledge acquisition were found between face-to-face vs online delivery (P = .170), suggesting both modes of delivery were sufficient to improve parental sleep knowledge.Conclusions: Parental sleep knowledge, while low, increased with education. Online delivery was similar to face-to-face delivery suggesting ease of access for rural and remote communities needing specialist sleep information.Implications for public health: Information delivered online is effective and offers a health delivery solution to regional and remote parents unable to access sleep services and rendering sleep service accessibility more equitable.","PeriodicalId":45027,"journal":{"name":"Clinical Medicine Insights-Pediatrics","volume":"12 ","pages":"1179556518815168"},"PeriodicalIF":1.5,"publicationDate":"2018-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179556518815168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36847458","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: 4