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Clinical Pediatrics

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https://www.readbyqxmd.com/read/29226699/acute-mental-status-change-in-an-adolescent-male
#1
Ioni M Kokodis, Russell W Steele
No abstract text is available yet for this article.
December 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29192504/utility-of-fecal-calprotectin-in-evaluation-of-chronic-gastrointestinal-symptoms-in-primary-care
#2
Ramya Ramraj, Amy Garcia, David Mosen, Lisa Waiwaiole, Ning Smith
Fecal calprotectin (FC) is a marker of intestinal inflammation. Data are limited on utility of routine FC testing in pediatric primary care. Participants 0 to 18 years old who had an FC test in the years 2010-2014 were retrospectively identified. Those with less than a year of follow-up or a prior diagnosis of inflammatory bowel disease (IBD) were excluded. In all, 84% (689/822) had normal FC; no participant with normal FC was diagnosed with IBD in the subsequent 12 months. Also, 16% (133/822) had elevated FC, and 31% of those (42/133) were diagnosed with IBD...
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29183146/improving-rates-of-screening-for-anemia-in-infancy
#3
Barbara Ha, Deirdre L O'Sullivan, Carol A Diamond, Amy J Plumb, Jeffrey S Sleeth, Frank R Greer, Pamela J Kling
In 2010, the American Academy of Pediatrics recommended universal screening for anemia at approximately 1 year of age. This quality improvement study sought to improve anemia screening in an ambulatory setting. In a large university-based setting, a best practice alert (BPA) was placed within the electronic health record. The primary outcome was overall screening rate in ambulatory family medicine (DFM) and pediatrics (PEDS) clinics. From 2545 pre-BPA clinic visits over a 12-month period, the screening rate was 48...
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29182022/persistent-perianal-rash-in-a-young-boy
#4
Megan S Evans, Paul B Googe, Dean S Morrell
No abstract text is available yet for this article.
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29182021/injuries-depicted-in-sport-related-films
#5
Robert P Olympia, Hannah Wakefield, Bryan Wakefield, Christopher J Weber
The perception that children and adolescents have of injuries may be influenced by their depiction in sport-related films. The objective of this study was to determine the depiction of injuries in a select number of sport-related films. Forty-four films were analyzed. Injury category, on-the-field management, and long-term management were determined for each injury. Major injuries were defined as injuries requiring prompt intervention and immediate discontinuation of sport participation. A total of 49 injuries were depicted, categorized as fracture (n = 11), contusion (n = 10), brain concussion (n = 8), muscle cramps (n = 5), laceration/abrasion (n = 4), ligamentous knee injury (n = 4), shoulder dislocation (n = 2), rotator cuff injury (n = 2), ankle sprain (n = 2), and unspecified injury (n = 1)...
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29168394/documentation-of-child-maltreatment-in-electronic-health-records
#6
Canan Karatekin, Brandon Almy, Susan Marshall Mason, Iris Borowsky, Andrew Barnes
International Classification of Diseases codes for child maltreatment can aid surveillance and research, but the extent to which they are used is not well established. We documented prevalence of the use of maltreatment-related codes, examined demographic characteristics of youth assigned these codes, and compared results with previous studies. Data were extracted from electronic health records of 0- to 21-year-olds assigned 1 of 15 maltreatment-related International Classification of Diseases, Ninth Revision, codes who had encounters in a large medical system over a 4-year period...
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29164923/impact-of-traditional-versus-flavored-tongue-depressors-on-pediatric-oropharynx-exam
#7
Brian Murray, Marina Gore, Nicole R Leonard, Nadia M Pearson, Jeremiah J Johnson, Michael D April
We compared patient-reported discomfort associated with oropharynx examination using traditional (unflavored) versus flavored tongue depressors among pediatric patients presenting to the emergency department in a single-blinded, placebo-controlled randomized trial using a convenience sample ages 3 to 12 years. Our primary outcome was patient discomfort. Secondary outcomes included provider perceptions of patient discomfort, provider-reported examination ease, and caregiver perceptions of patient discomfort...
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29152996/birth-defects-associated-with-congenital-zika-virus-infection-in-mexico
#8
Silvina Noemí Contreras-Capetillo, Nina Valadéz-González, Pablo Manrique-Saide, Rafael Eduardo Carcaño-Castillo, Freddy Pacheco-Tugores, Hirian Alonso Moshe Barrera-Pérez, Doris Pinto-Escalante, Manuel Lliteras-Cardín, José Alfredo Hoil-Parra, José Luis Cáceres-Solís, Norma Pavía-Ruz
Part of the work agenda of international health authorities is to define the clinical spectrum of the congenital Zika syndrome (CZS) in different territories. We describe the clinical variability that gave rise to the suspicion of CZS in 3 newborn patients in the south of Mexico with active transmission of Zika. All of them presented Zika RNA by reverse transcription-polymerase chain reaction and positive antibodies for IgM by enzyme-linked immunosorbent assay. None of the mothers tested positive for active viremia, only one mother had Zika-symptoms and titers of Zika-positive IgM...
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29132218/infant-reflux-in-the-primary-care-setting-a-brief-educational-intervention-and-management-changes
#9
Brendan Ryan Harris, William E Bennett
There has been a significant increase in prescription of acid suppression therapy to infants despite limited support for efficacy and safety. Prior studies have shown that educational interventions can improve clinician practices. Our aim is to implement an educational module with high-yield evidence to decrease the rate of prescribing these medications. Chart review of infants seen by residents after completing module was performed. Twelve clinic sessions before and after intervention were examined. 28 residents completed the intervention and required clinics...
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29117743/neurological-manifestations-of-primary-immunodeficiency-diseases
#10
Ömer Faruk Aydin, Banu Anlar
No abstract text is available yet for this article.
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29113508/outcomes-of-children-with-critical-bronchiolitis-living-in-poor-communities
#11
Katherine N Slain, Steven L Shein, Anne G Stormorken, Meredith C G Broberg, Alexandre T Rotta
There are established associations between adverse health outcomes and poverty, but little is known regarding these associations in critically ill children. We hypothesized that living in poorer communities would be associated with unfavorable outcomes in children with critical bronchiolitis. This retrospective study included children with bronchiolitis admitted to a pediatric intensive care unit (PICU) over a 2-year period. Median household income was estimated from patient ZIP codes and 2014 US Census Bureau data...
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29113505/fever-confusion-and-a-severe-headache
#12
Stanley T Szybinski, Russell W Steele
No abstract text is available yet for this article.
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29113499/certainty-of-decisions-a-process-based-model-for-decision-making-for-children-with-severe-neurological-impairment
#13
Jori F Bogetz, Julie Hauer
No abstract text is available yet for this article.
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29096541/fever-and-bone-pain-is-not-always-osteomyelitis
#14
Lahiru Ranasinghe, Matthew Fletcher, Rajasekharan Warrier
No abstract text is available yet for this article.
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29096538/sensorineural-hearing-loss-associated-with-bupropion-use
#15
Maria Carratola Grant, Theodora Valovska, J Lindhe Guarisco
No abstract text is available yet for this article.
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29096537/neurodevelopmental-disorders-in-the-picu-population
#16
Sarah A Sobotka, Sarah Peters, Neethi P Pinto
Attention deficit hyperactivity disorder (ADHD), affecting 11% of children and adolescents, increases risk for injury and may predispose children to illness. However, the prevalence of ADHD and other developmental disorders in the pediatric intensive care unit (PICU) has not been previously studied. We performed a single-center, prospective cohort study of children aged 6 to 12 years who were hospitalized in the PICU from May through August 2016. Parents described their child's educational and neurodevelopmental history, and completed ADHD and emotional/behavioral disorder screening on enrollment and 1 month after discharge...
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29096535/impact-of-early-multiplex-filmarray-respiratory-pathogen-panel-rpp-assay-on-hospital-length-of-stay-in-pediatric-patients-younger-than-3-months-admitted-for-fever-or-sepsis-workup
#17
Cory McFall, Hossein Salimnia, Paul Lephart, Ronald Thomas, Eric McGrath
No abstract text is available yet for this article.
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29090599/a-female-infant-with-vomiting-and-failure-to-thrive
#18
Abigail Russ, Anwar Rjoop, Rebecca A Levy, Ciji Arthur, Ginell R Post
No abstract text is available yet for this article.
October 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29090598/care-coordination-for-youth-with-mental-health-disorders-in-primary-care
#19
Katherine Hobbs Knutson, Mark J Meyer, Nisha Thakrar, Bradley D Stein
Many children are treated for mental health disorders in primary care settings. The system of care (SOC) provides a framework for collaboration among pediatric mental health providers, but it is unclear if youth treated for mental health disorders in primary care receive such coordination. At the South Boston Community Health Center from September /2012 to August 2013 for 74 individuals ≤18 years, the odds of contact with SOC agencies (mental health, education, child protective services, juvenile justice and developmental disabilities) were compared for mental health treatment in primary versus specialty care...
October 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29090597/primary-care-implementation-of-instrument-based-vision-screening-for-young-children
#20
Louis Vernacchio, Emily K Trudell, Jason Nigrosh, Glenn Focht
Vision screening for young children can detect conditions that may lead to amblyopia and vision loss if left untreated. Portable vision screening devices with high levels of precision are now available, but their effectiveness in busy primary care settings is unknown. We analyzed the effect of deploying instrument screening devices (SPOT Vision Screener, Welch-Allyn) in 19 pediatric practices. At baseline, using chart-based screening, 65.3% of 3- to 5-year-old children completed screening. A significant increase was observed starting 3 weeks after delivery of devices, and a stable level was reached 12 weeks after implementation, with 86...
October 1, 2017: Clinical Pediatrics
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