Pub Date : 2025-03-01Epub Date: 2024-07-24DOI: 10.1177/00099228241265915
Giacomo Brisca, Tommaso Bellini, Marcello Mariani
{"title":"Letter to the Editor Regarding the Article: \"Enterovirus and Paraechovirus Meningitis in Neonates: Which Is the Difference?\"","authors":"Giacomo Brisca, Tommaso Bellini, Marcello Mariani","doi":"10.1177/00099228241265915","DOIUrl":"10.1177/00099228241265915","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"448-449"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2024-08-14DOI: 10.1177/00099228241271399
Arshin Tamboli, Radha Bhattad
Cerebral palsy (CP) is a neurological condition that affects musculoskeletal system causing altered balance control, which is governed by constant adjustments by muscular activity and joint positioning. Since the foot is the platform upon which we stand and balance, it is important to study and characterize foot posture abnormalities in CP to better understand their possible effect on multidirectional limits of stability (MDLS) in standing. Our aim was to find relation between foot posture and MDLS in diplegic children. Thirty diplegics (13 pes-planus and 17 pes-cavus) between the age of 6 to 14, gross motor function classification system (GMFCS) levels I and II, whose parents consented were included in this study. Diplegics unable to stand unsupported for < 2 minutes, undergone lower-limb surgeries in 6 months, having visual impairments were excluded. Foot posture was assessed with arch index, MDLS were measured by GEAMASTER stabilometer. There was significant positive correlation between foot posture and limits of stability. Diplegic children having pes-planus have better MDLS as compared with pes-cavus.
脑性瘫痪(CP)是一种影响肌肉骨骼系统的神经系统疾病,会导致平衡控制发生改变,而平衡控制则受肌肉活动和关节定位的不断调整所支配。由于足部是我们站立和保持平衡的平台,因此研究和描述脊髓灰质炎患者足部姿势异常的特征非常重要,以便更好地了解它们对站立时多向稳定性极限(MDLS)可能产生的影响。我们的目的是研究双腿截瘫儿童的足部姿势与多向稳定性极限之间的关系。本研究共纳入了 30 名双腿截瘫儿童(13 名趾平面截瘫和 17 名趾凹陷截瘫),他们的年龄在 6 至 14 岁之间,粗大运动功能分类系统(GMFCS)分级为 I 级和 II 级,并征得了家长的同意。无法在无支撑的情况下站立<2分钟、在6个月内接受过下肢手术、有视力障碍的双腿瘫痪者不包括在内。用足弓指数评估足部姿势,用 GEAMASTER 稳定计测量 MDLS。足部姿势与稳定性极限之间存在明显的正相关。与趾骨凹陷相比,患有趾骨平面凹陷的偏瘫儿童的 MDLS 更好。
{"title":"Effect of Foot Posture on Limits of Stability in Children With Spastic Diplegic Cerebral Palsy.","authors":"Arshin Tamboli, Radha Bhattad","doi":"10.1177/00099228241271399","DOIUrl":"10.1177/00099228241271399","url":null,"abstract":"<p><p>Cerebral palsy (CP) is a neurological condition that affects musculoskeletal system causing altered balance control, which is governed by constant adjustments by muscular activity and joint positioning. Since the foot is the platform upon which we stand and balance, it is important to study and characterize foot posture abnormalities in CP to better understand their possible effect on multidirectional limits of stability (MDLS) in standing. Our aim was to find relation between foot posture and MDLS in diplegic children. Thirty diplegics (13 pes-planus and 17 pes-cavus) between the age of 6 to 14, gross motor function classification system (GMFCS) levels I and II, whose parents consented were included in this study. Diplegics unable to stand unsupported for < 2 minutes, undergone lower-limb surgeries in 6 months, having visual impairments were excluded. Foot posture was assessed with arch index, MDLS were measured by GEAMASTER stabilometer. There was significant positive correlation between foot posture and limits of stability. Diplegic children having pes-planus have better MDLS as compared with pes-cavus.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"360-367"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141981798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2024-08-09DOI: 10.1177/00099228241272053
Amanda K Morrow, Cindy Villatoro, Christina Kokorelis, Peter C Rowe, Laura A Malone
Despite there being a wide variety of symptoms reported in pediatric long COVID, one condition that has become increasingly recognized is orthostatic intolerance (OI), which can cause significant morbidity, limiting activities of daily living. This study examines rates of OI in 92 children with long COVID who underwent a bedside passive standing test in a pediatric post-COVID-19 rehabilitation clinic. Seventy-one percent met criteria for an orthostatic condition, including postural orthostatic tachycardia syndrome (POTS), orthostatic tachycardia (OT), classic orthostatic hypotension (OH), delayed OH, and orthostatic hypertension. Our findings suggest that OI is common in pediatric long COVID, necessitating appropriate clinical screening and treatment.
{"title":"Orthostatic Intolerance in Children With Long COVID Utilizing a 10-Minute Passive Standing Test.","authors":"Amanda K Morrow, Cindy Villatoro, Christina Kokorelis, Peter C Rowe, Laura A Malone","doi":"10.1177/00099228241272053","DOIUrl":"10.1177/00099228241272053","url":null,"abstract":"<p><p>Despite there being a wide variety of symptoms reported in pediatric long COVID, one condition that has become increasingly recognized is orthostatic intolerance (OI), which can cause significant morbidity, limiting activities of daily living. This study examines rates of OI in 92 children with long COVID who underwent a bedside passive standing test in a pediatric post-COVID-19 rehabilitation clinic. Seventy-one percent met criteria for an orthostatic condition, including postural orthostatic tachycardia syndrome (POTS), orthostatic tachycardia (OT), classic orthostatic hypotension (OH), delayed OH, and orthostatic hypertension. Our findings suggest that OI is common in pediatric long COVID, necessitating appropriate clinical screening and treatment.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"416-424"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141912053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2024-07-23DOI: 10.1177/00099228241264123
Nadja Melina Burgio, Sven Jennessen
This study provides prevalence and mortality data for 0- to 19-year-old children and adolescents with medically documented life-threatening and life-shortening diagnoses in Germany. A secondary data analysis of more than 12 million insured persons documented by the statutory health insurance funds in Germany from 2014 to 2019 was conducted in collaboration with the German Association of Statutory Health Insurance Funds (GKV-SV) and the Institute for Applied Health Research Berlin (InGef), whose data sets vary in collection methods. Diagnosis prevalence and mortality were calculated based on selected International Classification of Diseases, 10th Revision (ICD-10) codes reported in inpatient and outpatient care settings. In Germany, the diagnosis prevalence of life-threatening and life-shortening diseases in children and adolescents ranges between 319 948 (InGef-adapted Fraser list) and 402 058 (GKV-SV). These diagnoses can be differentiated into different disease groups (Together-for-Short-Lives [TfSL] 1-4). The TfSL-1 group in which curative treatment can be feasible represents the largest one, with 190 865 persons. In 2019, approximately 1458 children and adolescents with life-threatening and life-shortening diseases died. The current diagnostic and mortality data of affected children and adolescents in Germany serve as the essential foundation for further research into the health care of the target group.
{"title":"Prevalence and Mortality of Life-Threatening and Life-Shortening Diseases in Children and Adolescents in Germany.","authors":"Nadja Melina Burgio, Sven Jennessen","doi":"10.1177/00099228241264123","DOIUrl":"10.1177/00099228241264123","url":null,"abstract":"<p><p>This study provides prevalence and mortality data for 0- to 19-year-old children and adolescents with medically documented life-threatening and life-shortening diagnoses in Germany. A secondary data analysis of more than 12 million insured persons documented by the statutory health insurance funds in Germany from 2014 to 2019 was conducted in collaboration with the German Association of Statutory Health Insurance Funds (GKV-SV) and the Institute for Applied Health Research Berlin (InGef), whose data sets vary in collection methods. Diagnosis prevalence and mortality were calculated based on selected International Classification of Diseases, 10th Revision (ICD-10) codes reported in inpatient and outpatient care settings. In Germany, the diagnosis prevalence of life-threatening and life-shortening diseases in children and adolescents ranges between 319 948 (InGef-adapted Fraser list) and 402 058 (GKV-SV). These diagnoses can be differentiated into different disease groups (Together-for-Short-Lives [TfSL] 1-4). The TfSL-1 group in which curative treatment can be feasible represents the largest one, with 190 865 persons. In 2019, approximately 1458 children and adolescents with life-threatening and life-shortening diseases died. The current diagnostic and mortality data of affected children and adolescents in Germany serve as the essential foundation for further research into the health care of the target group.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"319-325"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A retrospective observational study aimed to assess blood calcium levels in children with lower respiratory tract infections (LRTIs) from September 2023 to February 2024. A total of 225 eligible records were evaluated. Calcium deficiency was observed in 44.8% of children, hyperchloremia in 42.6%, and hyperkalemia in 36.8% on admission. The mean age was 16.8 ± 16.2 months, and the mean SpO2 was 95.8 ± 2.5%. Although the risk of hypocalcemia was slightly higher in nonimmunized subjects (odds ratio = 1.04 [95% confidence interval = 0.59-1.85]), this was not statistically significant (P > .05). A negative correlation between normal calcium levels and body mass (r =-0.295, P = .001) suggests that higher body weight is linked to calcium imbalance. Immunization status and developmental history did not significantly affect the risk of hypocalcemia. The study highlights the importance of regular calcium monitoring in pediatric LRTI patients, as hypocalcemia was prevalent, particularly in those with higher body weight.
{"title":"Prevalence of Hypocalcemia in Pediatrics With Lower Respiratory Tract Infections.","authors":"Usha Sree Puneem, Vanitha Rani Nagasubramanian, Bhima Sridevi, Ranakishor Pelluri, Vasudeva Murthy Sindgi, Hanish Donthula, Vishwas Hunsur Nagendra, Sadagoban Gopal Krishnamoorthy","doi":"10.1177/00099228251321916","DOIUrl":"https://doi.org/10.1177/00099228251321916","url":null,"abstract":"<p><p>A retrospective observational study aimed to assess blood calcium levels in children with lower respiratory tract infections (LRTIs) from September 2023 to February 2024. A total of 225 eligible records were evaluated. Calcium deficiency was observed in 44.8% of children, hyperchloremia in 42.6%, and hyperkalemia in 36.8% on admission. The mean age was 16.8 ± 16.2 months, and the mean SpO<sub>2</sub> was 95.8 ± 2.5%. Although the risk of hypocalcemia was slightly higher in nonimmunized subjects (odds ratio = 1.04 [95% confidence interval = 0.59-1.85]), this was not statistically significant (<i>P</i> > .05). A negative correlation between normal calcium levels and body mass (<i>r</i> =-0.295, <i>P</i> = .001) suggests that higher body weight is linked to calcium imbalance. Immunization status and developmental history did not significantly affect the risk of hypocalcemia. The study highlights the importance of regular calcium monitoring in pediatric LRTI patients, as hypocalcemia was prevalent, particularly in those with higher body weight.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251321916"},"PeriodicalIF":1.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-26DOI: 10.1177/00099228251321925
Camila Aparicio-Llorente, Carlos R Oliveira, Christine Miller
{"title":"An Infectious Disease Mimicking Rheumatologic Disease in an Adolescent.","authors":"Camila Aparicio-Llorente, Carlos R Oliveira, Christine Miller","doi":"10.1177/00099228251321925","DOIUrl":"10.1177/00099228251321925","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251321925"},"PeriodicalIF":1.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-26DOI: 10.1177/00099228251321313
Courtney Romba
{"title":"An Update on the Stimulant Shortage and Practical Guidance for the Pediatric Prescriber.","authors":"Courtney Romba","doi":"10.1177/00099228251321313","DOIUrl":"https://doi.org/10.1177/00099228251321313","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251321313"},"PeriodicalIF":1.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-24DOI: 10.1177/00099228251314224
Ying Yang, Huamei Li, Yujie Liu, Chunzhen Hua
Nonbacterial respiratory pathogens are major acute respiratory infection (ARI) agents in children. We aimed to characterize the epidemiological changes in 11 common nonbacterial pathogens after easing COVID-19 restrictions in Zhejiang, China, to guide prevention and treatment. A retrospective study was conducted on children with ARIs at Children's Hospital, Zhejiang University School of Medicine in 2023, and epidemiological characteristics were analyzed for gender, age, month, sampling method, and immune status. In total, 59.48% of the children identified pathogens, and Mycoplasma pneumoniae ranked first. Various pathogens showed new features regarding detection rates, seasonal patterns, and susceptible populations. The host age, onset time, sampling method, and immunity status affected the mixed infection rate and unusual coinfection pairs emerged. The epidemiology of respiratory pathogens among children in Zhejiang has changed with local characteristics, and possible preventive actions are needed.
{"title":"Nonbacterial Respiratory Pathogens Following the Easing of COVID-19 Restrictive Measures.","authors":"Ying Yang, Huamei Li, Yujie Liu, Chunzhen Hua","doi":"10.1177/00099228251314224","DOIUrl":"https://doi.org/10.1177/00099228251314224","url":null,"abstract":"<p><p>Nonbacterial respiratory pathogens are major acute respiratory infection (ARI) agents in children. We aimed to characterize the epidemiological changes in 11 common nonbacterial pathogens after easing COVID-19 restrictions in Zhejiang, China, to guide prevention and treatment. A retrospective study was conducted on children with ARIs at Children's Hospital, Zhejiang University School of Medicine in 2023, and epidemiological characteristics were analyzed for gender, age, month, sampling method, and immune status. In total, 59.48% of the children identified pathogens, and <i>Mycoplasma pneumoniae</i> ranked first. Various pathogens showed new features regarding detection rates, seasonal patterns, and susceptible populations. The host age, onset time, sampling method, and immunity status affected the mixed infection rate and unusual coinfection pairs emerged. The epidemiology of respiratory pathogens among children in Zhejiang has changed with local characteristics, and possible preventive actions are needed.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228251314224"},"PeriodicalIF":1.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}