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Clinical Pediatrics

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https://www.readbyqxmd.com/read/30111173/a-5-month-old-female-presenting-with-lethargy-and-hypoglycemia
#1
Devan Pandya, Andrew J Davis, Tommy Kim
No abstract text is available yet for this article.
August 15, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30111172/defining-the-virtual-patient-centered-medical-home
#2
Sarah Nuss, Cristina Camayd-Muñoz, Rinat Jonas, Jodi K Wenger, Keri Sewell, Georgia Montouris, Laurie Douglass
No abstract text is available yet for this article.
August 15, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30095017/missed-opportunities-to-address-pregnancy-prevention-with-young-men-in-primary-care
#3
Noah J Wheeler, Nanlesta Pilgrim, Jacky M Jennings, Renata Sanders, Kathleen R Page, Penny S Loosier, Patricia J Dittus, Arik V Marcell
Young men (aged 15-24 years) have pregnancy prevention needs, yet little is known about whether they perceive they learn about pregnancy prevention in primary care. A sample of 190 young men seen in primary care in one city from April 2014 to September 2016 were assessed on perceived learning about pregnancy prevention, background and visit characteristics, pregnancy prevention care receipt, and contraception needs at last sex. The majority of participants were non-Hispanic black (92%), aged 15 to 19 years (54%), seen for a physical examination (52%), and established patients (87%)...
August 10, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30095008/family-functioning-in-pediatric-primary-care-patients
#4
Catherine A Van Fossen, Keeley J Pratt, Robert Murray, Joseph A Skelton
INTRODUCTION: The purpose of this study was to pilot a brief measure of family functioning (Family Assessment Device-General Functioning [FAD_GF]) with caregivers of children aged 2 to 18 years, seen for routine pediatric primary care visits. METHODS: This study evaluated the psychometric properties of the FAD_GF in a pediatric primary care sample of 400 families. Confirmatory factor analysis was used to validate the FAD_GF using R, and WLSMV was used to estimate missing variables...
August 10, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30095005/poststreptococcal-glomerulonephritis-and-antibiotics-a-fresh-look-at-old-data
#5
Rebecca J Sainato, Martin E Weisse
No abstract text is available yet for this article.
August 10, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30094999/evaluation-of-neonates-with-suspected-congenital-heart-disease-a-new-cost-effective-algorithm
#6
Prashant Minocha, Arpit Agarwal, Nurin Jivani, Sethuraman Swaminathan
We assessed the value of existing guidelines for the evaluation of suspected congenital heart disease (CHD) in term neonates and propose a revised algorithm. Retrospective chart review of newborns referred for cardiac evaluation at a tertiary care center was performed. A total of 777 newborns qualified for the study. Among these, 3 critical and 8 major CHD were identified. The sensitivity of the combination of abnormal physical examination and pulse oximetry screening for major and critical CHD was 100%. The cost to detect a case of critical CHD, based on echocardiograms done for all abnormal electrocardiograms, was 3...
August 10, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30066572/factors-associated-with-early-deaths-following-neonatal-male-circumcision-in-the-united-states-2001-to-2010
#7
Brian D Earp, Veerajalandhar Allareddy, Veerasathpurush Allareddy, Alexandre T Rotta
We sought to quantify early deaths following neonatal circumcision (same hospital admission) and to identify factors associated with such mortality. We performed a retrospective analysis of all infants who underwent circumcision in an inpatient hospital setting during the first 30 days of life from 2001 to 2010 using the National Inpatient Sample. Over 10 years, 200 early deaths were recorded among 9 833 110 subjects (1 death per 49 166 circumcisions). Note: this figure should not be interpreted as causal but correlational as it may include both undercounting and overcounting of deaths attributable to circumcision...
August 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30051728/persistent-fever-in-a-teenager
#8
Farn-Hsuan Tseng, Monika L Dietrich, Jessica Coleman, Patricia E Thomas
No abstract text is available yet for this article.
July 27, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30024277/focal-neurologic-deficits-in-a-febrile-adolescent
#9
Amy Armstrong-Javors, Kathryn Berndtson, Caitlin Naureckas Li, Kevin Schwartz
No abstract text is available yet for this article.
July 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30014720/sleep-and-gastrointestinal-symptoms-in-a-community-based-survey-of-children
#10
Erica C Jansen, Galit Levi Dunietz, Barbara T Felt, Louise M O'Brien
We examined whether gastrointestinal (GI) symptoms were associated with sleep disturbances in a community-based sample of 337 school-aged children from Ypsilanti, Michigan. Parents completed the sleep-related breathing disorder scale of the Pediatric Sleep Questionnaire and the Conners' parents rating scale, which included questions concerning GI symptoms. One fifth of the children screened positive for sleep-disordered breathing; the same fraction had sleepiness, and one-quarter snored more than half the time...
July 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30014706/a-systematic-review-of-race-ethnicity-and-parental-treatment-decision-making
#11
Vandra C Harris, Anne R Links, Jonathan Walsh, Desi P Schoo, Andrew H Lee, David E Tunkel, Emily F Boss
Patient race/ethnicity affects health care utilization, provider trust, and treatment choice. It is uncertain how these influences affect pediatric care. We performed a systematic review (PubMed, Scopus, Web of Science, PsycINFO, Cochrane, and Embase) for articles examining race/ethnicity and parental treatment decision-making, adhering to PRISMA methodology. A total of 9200 studies were identified, and 17 met inclusion criteria. Studies focused on treatment decisions concerning end-of-life care, human papillomavirus vaccination, urological surgery, medication regimens, and dental care...
July 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30010401/dress-following-fires-a-clinical-conundrum
#12
Amanda R Dahl, Erin E Knoebel, Robin M Lloyd
No abstract text is available yet for this article.
July 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30008250/acute-onset-of-unilateral-edema-of-leg-followed-by-hemiplegia-in-an-adolescent-a-case-report
#13
Bonnie Y Kim, Ashley S Moon, Robert Vasquez, Rajasekharan Warrier
No abstract text is available yet for this article.
July 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30008244/associations-of-eczema-severity-and-parent-knowledge-with-child-quality-of-life-in-a-pediatric-primary-care-population
#14
Corinna J Rea, Katherine D Tran, Maria Jorina, Larissa M Wenren, Elena B Hawryluk, Sara L Toomey
We investigated factors associated with quality of life (QOL) in children with eczema. We conducted a cross-sectional analysis of survey data from 224 parents of children with eczema attending a large, hospital-based pediatric clinic. Parents completed a validated eczema severity scale (Patient-Oriented Eczema Measure), a QOL scale (Infants' Dermatitis QOL Index or Children's Dermatology Life Quality Index), and a knowledge and understanding questionnaire. In adjusted multivariate analyses, worse eczema severity was associated with worse overall QOL (β = 0...
July 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30003807/challenges-of-menstrual-dysfunction-screening-using-the-preparticipation-physical-examination-a-pilot-study
#15
Julie A Young, Marie Schaefer, Anastasia N Fischer
No abstract text is available yet for this article.
July 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30003804/trends-in-the-off-label-use-of-gnrh-agonists-among-pediatric-patients-in-the-united-states
#16
Carla M Lopez, Daniel Solomon, Susan D Boulware, Emily Christison-Lagay
BACKGROUND: Gonadotropin-releasing hormone (GnRH) agonists are FDA approved for the treatment of precocious puberty. The therapy consists of histrelin acetate (Supprelin), a surgically implanted device, or Lupron injections. In recent years, the use of these agents has been extended to include the off-label treatment of children with normally timed puberty. Trends in the off-label use of GnRH agonists in children across the U.S. have not been previously described in the literature. METHODS: We analyzed data on the use of Supprelin and Lupron reported to the Pediatric Health Information System (PHIS) from 2013 to 2016 to determine the trends in both the FDA-approved and off-label uses of these medications...
July 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30003797/screening-for-attention-deficit-hyperactivity-disorder-and-comorbidities-in-a-diverse-urban-primary-care-setting
#17
Andrea E Spencer, Natalie Plasencia, Ying Sun, Cara Lucke, Haregnesh Haile, Rebecca Cronin, Stephen V Faraone, Michael Jellinek, J Michael Murphy, Joseph Biederman
We tested the accuracy of 2 parent-report tools, the Pediatric Symptom Checklist (PSC-35) and Child Behavior Checklist (CBCL), to identify attention-deficit/hyperactivity disorder (ADHD) and distinguish complex (highly comorbid) cases in an urban, largely Latino pediatric practice. Spanish- and English-speaking parents of children aged 6 to 10 years completed a PSC-35 and CBCL at well visits. Those with CBCL Attention Problems Subscale (CBCL-APS) T scores ≥60 plus controls completed the diagnostic MINI-KID (Miniature International Neuropsychiatric Interview) for Children...
July 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30003794/outreach-and-reminders-to-improve-human-papillomavirus-vaccination-in-an-integrated-primary-care-system
#18
Nora B Henrikson, Weiwei Zhu, Lauren Baba, Matthew Nguyen, Heidi Berthoud, Gabrielle Gundersen, Annika M Hofstetter
This study evaluated the impact of health system-based outreach and reminders on human papillomavirus (HPV) vaccine series initiation and completion. Parents of 10 to 12 year olds (n = 1805) were randomized to receive either (1) an outreach letter and brochure recommending HPV vaccination followed by automated HPV vaccine reminders or (2) usual care. We interviewed a subset of 50 parents to assess program acceptability. Outcomes were HPV vaccine initiation during the study period and on-time series completion...
July 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30003793/development-of-the-pediatric-social-risk-instrument-using-a-structured-panel-approach
#19
Justine Cohen-Silver, Sherri Adams, Rishi Agrawal, Catherine Birken, Eyal Cohen, Geoffrey Dougherty, Amy Houtrow, Thivia Jegathesan, Sharmilaa Kandasamy, Barbara Muskat, Nikhil Pai, Jonathon L Maguire
BACKGROUND: Social determinants of health impact child illness. Currently, no instrument exists to identify social need during hospital admission. METHODS: Using the UCLA (University of California Los Angeles)-RAND appropriateness method, consensus was reached for an instrument to identify social need in hospitalized children. A panel of 11 experts reviewed candidate indicators through 3 rounds to reach consensus. The instrument then underwent usability testing...
July 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29993270/recurrent-cardiology-evaluation-for-innocent-heart-murmur-echocardiogram-utilization
#20
Nupur N Dalal, Sanja Dzelebdzic, Lowell H Frank, Sarah B Clauss, Stephanie J Mitchell, Othman A Aljohani, Tyler Bradley-Hewitt, Ashraf S Harahsheh
We conducted a retrospective study to identify electrocardiogram (ECG) and echocardiogram utilization among patients presenting for a follow-up cardiology evaluation with innocent heart murmur between 2012 and 2014. The 2014 echocardiogram Appropriate Use Criteria was applied. We observed high rates of ordering ECGs and echocardiograms on follow-up visits (79% and 36%); only 1 patient had an appropriate indication for echocardiogram while the rest had rarely appropriate indication. Having had an ECG done did not affect echocardiogram ordering behavior...
July 1, 2018: Clinical Pediatrics
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