Pub Date : 2025-02-01Epub Date: 2024-06-10DOI: 10.1177/00099228241260167
Susanne Klawetter, Ladawna Gievers, Cindy T McEvoy, Christina Nicolaidis
Parents of infants requiring neonatal intensive care unit (NICU) hospitalization often experience increased rates of distress, trauma, and perinatal mood disorders. Untreated parental mental health conditions have short- and long-term effects for infants and families. While some NICUs provide varying degrees of mental health supports for NICU families, these services are not universally or systematically integrated in US NICUs. Multiple factors contribute to this gap in care, including mental health stigma, funding constraints, and lack of staff training and capacity. In an effort to address this gap, we used a participatory action research approach, guided by a Patient and Stakeholder Engagement model, to partner with graduate NICU parents and patient-facing NICU staff to identify parental mental health needs and ideas to address them. Through efforts to mitigate power differentials and engage parents as research and program development partners, our work shaped NICU practices, programming, and subsequent research.
{"title":"NICU Parent and Staff Advocacy to Address Parental Mental Health.","authors":"Susanne Klawetter, Ladawna Gievers, Cindy T McEvoy, Christina Nicolaidis","doi":"10.1177/00099228241260167","DOIUrl":"10.1177/00099228241260167","url":null,"abstract":"<p><p>Parents of infants requiring neonatal intensive care unit (NICU) hospitalization often experience increased rates of distress, trauma, and perinatal mood disorders. Untreated parental mental health conditions have short- and long-term effects for infants and families. While some NICUs provide varying degrees of mental health supports for NICU families, these services are not universally or systematically integrated in US NICUs. Multiple factors contribute to this gap in care, including mental health stigma, funding constraints, and lack of staff training and capacity. In an effort to address this gap, we used a participatory action research approach, guided by a Patient and Stakeholder Engagement model, to partner with graduate NICU parents and patient-facing NICU staff to identify parental mental health needs and ideas to address them. Through efforts to mitigate power differentials and engage parents as research and program development partners, our work shaped NICU practices, programming, and subsequent research.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"247-256"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141295671","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 : 2025-02-01Epub Date: 2024-05-24DOI: 10.1177/00099228241254888
Hadas Katz-Dana, Sarin Lekchuensakul, Robert Hamilton, Laura Zahavich, Rebekah K Jobling, Savithiri Ratnapalan
{"title":"Exercise-Induced Cardiac Arrest in a Child: A Case Report.","authors":"Hadas Katz-Dana, Sarin Lekchuensakul, Robert Hamilton, Laura Zahavich, Rebekah K Jobling, Savithiri Ratnapalan","doi":"10.1177/00099228241254888","DOIUrl":"10.1177/00099228241254888","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"168-170"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086859","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 : 2025-02-01Epub Date: 2024-06-16DOI: 10.1177/00099228241260939
Hope Lewis, Kallol K Set
{"title":"Approach to Dystonia Versus Spasticity in Children: A Case Report.","authors":"Hope Lewis, Kallol K Set","doi":"10.1177/00099228241260939","DOIUrl":"10.1177/00099228241260939","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"290-294"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141330508","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 : 2025-02-01Epub Date: 2024-05-29DOI: 10.1177/00099228241257133
Kristen E Calhoun, Aaron J Samide, Kimberly R Collins, Robert A Dudas, Scott Krugman, John M Morrison
{"title":"Identifying Children Hospitalized With Neglect Using ICD-10 Codes.","authors":"Kristen E Calhoun, Aaron J Samide, Kimberly R Collins, Robert A Dudas, Scott Krugman, John M Morrison","doi":"10.1177/00099228241257133","DOIUrl":"10.1177/00099228241257133","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"192-196"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161144","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 : 2025-02-01Epub Date: 2024-06-16DOI: 10.1177/00099228241261203
Yan Liu, Jiayan Xu, Yamei Fan, Ying Zhou
Background: It is necessary to evaluate the risk factors of secondary bleeding after tonsillectomy in children, to provide reference for clinical children management and care.
Methods: Children who underwent tonsillectomy from January 1, 2018, to December 31, 2022, in our hospital were retrospectively included. The characteristics of children with and without secondary bleeding were analyzed.
Results: A total of 1068 children undergoing tonsillectomy were included, and the incidence of secondary bleeding children undergoing tonsillectomy was 4.87%. Age ≥ 9 years old (odds ratio [OR] = 2.609, 95% confidence interval [CI] = 2.112-3.437), type of surgery (OR = 1.764, 95% CI = 1.148-2.291), and degree of tonsil embedding (OR = 2.116, 95% CI = 1.805-2.644) were the risk factors of secondary bleeding after tonsillectomy in children (all P < .05).
Conclusion: Medical staff should proactively monitor and address the identified risk factors by implementing timely warning systems and preventive strategies to reduce the postoperative bleeding following tonsillectomy.
{"title":"Postoperative Bleeding in Children With Tonsillectomy: A Retrospective Cohort.","authors":"Yan Liu, Jiayan Xu, Yamei Fan, Ying Zhou","doi":"10.1177/00099228241261203","DOIUrl":"10.1177/00099228241261203","url":null,"abstract":"<p><strong>Background: </strong>It is necessary to evaluate the risk factors of secondary bleeding after tonsillectomy in children, to provide reference for clinical children management and care.</p><p><strong>Methods: </strong>Children who underwent tonsillectomy from January 1, 2018, to December 31, 2022, in our hospital were retrospectively included. The characteristics of children with and without secondary bleeding were analyzed.</p><p><strong>Results: </strong>A total of 1068 children undergoing tonsillectomy were included, and the incidence of secondary bleeding children undergoing tonsillectomy was 4.87%. Age ≥ 9 years old (odds ratio [OR] = 2.609, 95% confidence interval [CI] = 2.112-3.437), type of surgery (OR = 1.764, 95% CI = 1.148-2.291), and degree of tonsil embedding (OR = 2.116, 95% CI = 1.805-2.644) were the risk factors of secondary bleeding after tonsillectomy in children (all <i>P</i> < .05).</p><p><strong>Conclusion: </strong>Medical staff should proactively monitor and address the identified risk factors by implementing timely warning systems and preventive strategies to reduce the postoperative bleeding following tonsillectomy.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"257-263"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141330509","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 : 2025-02-01Epub Date: 2024-06-13DOI: 10.1177/00099228241260773
Erin F Kelleher, Haroon M Ali, Kristin A Tiedt, Laura P Chen
{"title":"A Rare Case of Cervical Lymphadenopathy and Weight Loss.","authors":"Erin F Kelleher, Haroon M Ali, Kristin A Tiedt, Laura P Chen","doi":"10.1177/00099228241260773","DOIUrl":"10.1177/00099228241260773","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"295-298"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141316874","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 : 2025-02-01Epub Date: 2024-06-12DOI: 10.1177/00099228241260568
Mustafa Gençeli, Kübra Nur Erdoğan, Sipil Gençeli, Anida Firzi Bala, Özge Metin Akcan
{"title":"Acute Parotitis due to Familial Mediterranean Fever: A Case Report.","authors":"Mustafa Gençeli, Kübra Nur Erdoğan, Sipil Gençeli, Anida Firzi Bala, Özge Metin Akcan","doi":"10.1177/00099228241260568","DOIUrl":"10.1177/00099228241260568","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"197-199"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305592","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 : 2025-02-01Epub Date: 2024-05-20DOI: 10.1177/00099228241254703
Lauretta A Oseni, Anna Tryfonos, Caroline Basta, Maria-Anna Vastardi, Margaret R Hammerschlag
Penicillin allergy knowledge has not been evaluated specifically in the pediatric resident population. An anonymous electronic survey was distributed to all the pediatric residents in a single residency program to ascertain knowledge of penicillin allergies and allergy history taking skills. Responses among each resident class were compared using the Fisher exact test, 2-tailed. A total of 46 (52%) of 88 pediatric residents completed the survey. Only 63% reported to have had prior penicillin allergy education. All residents incorrectly identified low-risk symptoms as high-risk symptoms. The knowledge of penicillin allergy was poor across all training levels with no improvement over the duration of training. There is large support in the literature for de-labeling penicillin allergy in patients. Pediatric residents evaluate patients in childhood when most of the allergy labeling occurs. We need to consider strategies for incorporating penicillin allergy education in pediatric residency training.
{"title":"Pediatric Residents Knowledge of Penicillin Allergy.","authors":"Lauretta A Oseni, Anna Tryfonos, Caroline Basta, Maria-Anna Vastardi, Margaret R Hammerschlag","doi":"10.1177/00099228241254703","DOIUrl":"10.1177/00099228241254703","url":null,"abstract":"<p><p>Penicillin allergy knowledge has not been evaluated specifically in the pediatric resident population. An anonymous electronic survey was distributed to all the pediatric residents in a single residency program to ascertain knowledge of penicillin allergies and allergy history taking skills. Responses among each resident class were compared using the Fisher exact test, 2-tailed. A total of 46 (52%) of 88 pediatric residents completed the survey. Only 63% reported to have had prior penicillin allergy education. All residents incorrectly identified low-risk symptoms as high-risk symptoms. The knowledge of penicillin allergy was poor across all training levels with no improvement over the duration of training. There is large support in the literature for de-labeling penicillin allergy in patients. Pediatric residents evaluate patients in childhood when most of the allergy labeling occurs. We need to consider strategies for incorporating penicillin allergy education in pediatric residency training.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"200-204"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064911","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 : 2025-02-01Epub Date: 2024-05-29DOI: 10.1177/00099228241256483
Ankita Sahoo, Rebecca Carter
Adolescent sexual health documentation reflects the depth of discussion physicians conduct with their patients. Limited studies exist on rates of sexual history documentation in technology-dependent patients. We sought to identify whether treatment gaps exist in a technology-dependent adolescent population. Well-child visits for patients with enterotomy or tracheostomy dependence, 12 to 19 years age, and seen in our urban clinic over a 3-year period (n = 14) were compared with a randomly selected peer group without technology dependence. Documentation of sexual activity, sexual orientation, safe sex and sexually transmitted infection (STI) guidance, and contraception or condom use were noted. Results demonstrate lower rates of documentation in sexual orientation, safe sex and STI guidance, and contraception or condom use in patients with technology dependence when compared with patients without technology dependence. Similar differences were noted in the 16- to 19-year group between the experimental and control groups. No differences were noted between gender and age groups.
{"title":"Sexual History Documentation in Pediatric Patients with Technology Dependence.","authors":"Ankita Sahoo, Rebecca Carter","doi":"10.1177/00099228241256483","DOIUrl":"10.1177/00099228241256483","url":null,"abstract":"<p><p>Adolescent sexual health documentation reflects the depth of discussion physicians conduct with their patients. Limited studies exist on rates of sexual history documentation in technology-dependent patients. We sought to identify whether treatment gaps exist in a technology-dependent adolescent population. Well-child visits for patients with enterotomy or tracheostomy dependence, 12 to 19 years age, and seen in our urban clinic over a 3-year period (n = 14) were compared with a randomly selected peer group without technology dependence. Documentation of sexual activity, sexual orientation, safe sex and sexually transmitted infection (STI) guidance, and contraception or condom use were noted. Results demonstrate lower rates of documentation in sexual orientation, safe sex and STI guidance, and contraception or condom use in patients with technology dependence when compared with patients without technology dependence. Similar differences were noted in the 16- to 19-year group between the experimental and control groups. No differences were noted between gender and age groups.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"205-209"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161111","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 : 2025-02-01Epub Date: 2024-05-20DOI: 10.1177/00099228241254893
Jennifer Saccente Thompson, Sahna Reddy, Alison Shaw, Antone R Opekun, Richard Kellermayer
{"title":"Pediatric Participation in Biobanking Related to Inflammatory Bowel Diseases.","authors":"Jennifer Saccente Thompson, Sahna Reddy, Alison Shaw, Antone R Opekun, Richard Kellermayer","doi":"10.1177/00099228241254893","DOIUrl":"10.1177/00099228241254893","url":null,"abstract":"","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"176-179"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064910","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}