American journal of diseases of children (1960)最新文献_第7页

Children with unrecognized human immunodeficiency virus infection. An emergency department perspective. 患有无法识别的人类免疫缺陷病毒感染的儿童。从急诊部门的角度来看。

American journal of diseases of children (1960) Pub Date : 1993-10-01 DOI: 10.1001/archpedi.1993.02160340090021

J A Fein, L R Friedland, R Rutstein, L M Bell

{"title":"Children with unrecognized human immunodeficiency virus infection. An emergency department perspective.","authors":"J A Fein, L R Friedland, R Rutstein, L M Bell","doi":"10.1001/archpedi.1993.02160340090021","DOIUrl":"https://doi.org/10.1001/archpedi.1993.02160340090021","url":null,"abstract":"Objective: To provide an approach toward the diagnosis of children with human immunodeficiency virus (HIV) infection in the acute care setting.Design: Patient reports and review of recent literature.Setting: Emergency departments or acute care clinics.Selection procedures: Analysis of important recent clinical publications.Interventions: None.Results and conclusions: The clinical and historical findings associated with pediatric HIV infection are occasionally subtle and differ from those findings in adults. In this article, we have divided the first presentation of HIV in the acute care setting into five categories: recurrent bacterial infections, failure to thrive, unexplained organomegaly, adolescents with HIV, and late presentation of perinatally acquired HIV. Each category is illustrated by a patient treated in the acute care setting. Recognition of these categories of presentation will hopefully assist acute care physicians in the early diagnosis of HIV infection.","PeriodicalId":75474,"journal":{"name":"American journal of diseases of children (1960)","volume":"147 10","pages":"1104-8"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpedi.1993.02160340090021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19204203","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: 4

Picture of the month. Cerebral malaria. 本月照片。脑型疟疾。

American journal of diseases of children (1960) Pub Date : 1993-10-01 DOI: 10.1001/archpedi.1993.02160340107025

J E Epstein, B J Dyer, W W Tunnessen

引用次数: 0

Missed opportunities in preventive pediatric health care. Immunizations or well-child care visits? 错过了预防儿科保健的机会。免疫接种或儿童保健访问?

American journal of diseases of children (1960) Pub Date : 1993-10-01 DOI: 10.1001/archpedi.1993.02160340067016

J Brown, P Melinkovich, B Gitterman, S Ricketts

{"title":"Missed opportunities in preventive pediatric health care. Immunizations or well-child care visits?","authors":"J Brown, P Melinkovich, B Gitterman, S Ricketts","doi":"10.1001/archpedi.1993.02160340067016","DOIUrl":"https://doi.org/10.1001/archpedi.1993.02160340067016","url":null,"abstract":"Objective: To determine the percentage of patients in a large pediatric practice in compliance with national recommendations regarding immunizations and well-child care visits.Research design: Chart review. Point estimates with 95% confidence intervals were determined for reviewed charts in compliance with recommendations of the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention and schedule of well-child care visits, screening, and anticipatory guidance recommended by the American Academy of Pediatrics (AAP).Setting: A large, multisite urban public pediatric practice.Patients: Three hundred eighty-six infants and children (aged 0 to 60 months) who had a total of 7595 patient visits.Selection procedure: A random sample of charts.Results: There was a large discrepancy in compliance for patients aged 0 to 23 months in ACIP-recommended immunizations (90.5% +/- 3.9%) vs AAP-recommended well-child care visits (37.6% +/- 6.4%) and for patients aged 24 to 60 months in ACIP-recommended immunizations (87.8% +/- 5.1%) vs AAP-recommended well-child care visits (31.0% +/- 7.1%).Conclusions: The data suggest that immunization alone does not ensure that children will receive all aspects of preventive care, raising questions about the practicality of the current AAP recommendations for preventive pediatric health care.","PeriodicalId":75474,"journal":{"name":"American journal of diseases of children (1960)","volume":"147 10","pages":"1081-4"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpedi.1993.02160340067016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19204199","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: 26

Intrauterine meconium aspiration in an extremely premature infant. 极早产儿宫内胎粪抽吸术。

American journal of diseases of children (1960) Pub Date : 1993-10-01 DOI: 10.1001/archpedi.1993.02160340021004

H S Falciglia, D Kosmetatos, K Brady, T A Wesseler

引用次数: 8

Accidental strangulation of a toddler involving a wall light switch. 因墙灯开关意外勒死一名幼童。

American journal of diseases of children (1960) Pub Date : 1993-10-01 DOI: 10.1001/archpedi.1993.02160340024006

J D Hord, D Anglin

引用次数: 7

Self-perception of infertility among female adolescents. 女性青少年不孕的自我认知。

American journal of diseases of children (1960) Pub Date : 1993-10-01 DOI: 10.1001/archpedi.1993.02160340039010

D Y Rainey, C Stevens-Simon, D W Kaplan

{"title":"Self-perception of infertility among female adolescents.","authors":"D Y Rainey, C Stevens-Simon, D W Kaplan","doi":"10.1001/archpedi.1993.02160340039010","DOIUrl":"https://doi.org/10.1001/archpedi.1993.02160340039010","url":null,"abstract":"Objective: To determine the prevalence and correlates of the self-perception of infertility among female adolescents.Design: Cross-sectional survey.Setting: Urban adolescent clinic in a neighborhood health center in Denver, Colo.Participants: Two hundred sexually active, nulliparous, 14- through 18-year-old female adolescents.Measurements/main results: Concerns about fertility were expressed by 43 (21.5%) of the 200 respondents. Logistic regression analysis revealed that the factors most strongly associated with the self-perception of infertility were as follows (odds ratios; 95% confidence interval): a history of discussing infertility with anyone (4.3; 1.8 to 10.4); desire for pregnancy (3.8; 1.4 to 10.3); boyfriend desiring pregnancy (3.0; 1.1 to 8.3); a history of sexually transmitted disease(s) (3.0; 1.2 to 7.1); and having an older boyfriend (2.6; (1.1 to 6.2). Adolescents who doubted their fertility used contraceptives less frequently than other teens (30% vs 55% of the time; P < .01).Conclusions: The self-perception of infertility is common among sexually active urban female adolescents and may pose another barrier to contraceptive use. Our findings may help clinicians counsel adolescents about contraceptives more effectively.","PeriodicalId":75474,"journal":{"name":"American journal of diseases of children (1960)","volume":"147 10","pages":"1053-6"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archpedi.1993.02160340039010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19203603","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: 49

Neonatal hemochromatosis associated with maternal autoantibodies against Ro/SS-A and La/SS-B ribonucleoproteins. 新生儿血色素沉着症与母体针对Ro/SS-A和La/SS-B核糖核蛋白的自身抗体有关。

American journal of diseases of children (1960) Pub Date : 1993-10-01 DOI: 10.1001/archpedi.1993.02160340058014

J Schoenlebe, J P Buyon, B J Zitelli, D Friedman, M A Greco, A S Knisely

引用次数: 59

Community response to medical need. 社区对医疗需求的反应。

American journal of diseases of children (1960) Pub Date : 1993-09-01

A W Pruitt