Abstract:
:The records of 20 children with imported malaria admitted to Kings County Hospital between October 1987 and May 1995 were reviewed. All had a history of recent travel or immigration from a malaria endemic area (West-Africa [16], Central-America [three], and the Caribbean [one]). None of the 10 children with a travel history received appropriate malaria chemoprophylaxis. The most common symptoms and signs were daily fever, chills, and hepatomegaly. Diagnosis was delayed in seven children who were initially felt to have pharyngitis or viral syndrome. Common laboratory findings were anemia and thrombocytopenia. P. falciparum was identified in 70% of the patients. Other species were P. malariae and P. vivax. Complications occurred in six children, hyponatremia in five, seizures in three, and cerebral malaria in one patient. The high incidence of chloroquine-resistant malaria makes chemoprophylaxis difficult in children. The clinical presentation of malaria is nonspecific, and diagnostic delays occur, so a high index of suspicion is needed in children with a travel history.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Viani RM,Bromberg Kdoi
10.1177/000992289903800603subject
Has Abstractpub_date
1999-06-01 00:00:00pages
333-7issue
6eissn
0009-9228issn
1938-2707journal_volume
38pub_type
杂志文章,评审abstract::An acutely ill 4-year-old girl with Rocky Mountain spotted fever (RMSF) was found to have a coagulation inhibitor. This child had no serious bleeding manifestations and minimal hemorrhagic skin manifestations despite severe RMSF, concurrent thrombocytopenia, as well as the coagulation inhibitor. Hemostatic abnormaliti...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702600905
更新日期:1987-09-01 00:00:00
abstract::Each year, 3.3 to 10 million children are exposed to domestic violence/abuse (DV). Providers' reporting obligations for these children are unclear. The child maltreatment statutes available on state's web sites (through August 2003) were reviewed. Only Alaska defines DV in the presence of a child as child abuse within...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992280404300506
更新日期:2004-06-01 00:00:00
abstract::The purpose of this study was to determine the efficacy and safety of propofol sedation for pediatric procedures in the emergency department. For patients needing painful procedures, propofol was administered intravenously. Vital signs, complications, and time to recovery were recorded. Patient amnesia and parent, pat...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280104001204
更新日期:2001-12-01 00:00:00
abstract::Child psychiatric consultants perform psychiatric assessment and liaison among various clinical services. Execution of these familiar roles for pediatric liver transplantation recipients exposes unfamiliar and difficult bioethical problems. Administrative problems arise if the recipient's suitability is too narrowly e...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702600207
更新日期:1987-02-01 00:00:00
abstract::The authors describe 4 first rib fractures in 3 infants, highlighting the difficulty in detecting first rib fractures on skeletal survey. All 4 fractures were the result of physical abuse. A literature search does not find a case of first rib fracture in a healthy infant that is not the result of child abuse. The diag...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811430343
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:To compare parental report of child body image with perceived healthy weight body image in preschoolers and describe weight-counseling preferences. METHODS:Parents seeking well-child care were interviewed and asked to select images resembling: (a) their own child's current weight, (b) a healthy weight presch...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810368288
更新日期:2010-08-01 00:00:00
abstract::To examine how urban parents' perceptions of healthy infant size and growth relate to objective weight-for-length percentiles of their children, parents of 222 (69% minority) 6- to 27-month-old infants were surveyed. In all, 41% of parents said growth charts had never been explained to them, and 31% were not confident...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811398960
更新日期:2011-08-01 00:00:00
abstract::Two types of calipers to measure skinfolds have been compared in adults, but the same type of comparison has not been done in a pediatric population who generally would have smaller skinfolds. Biceps and triceps skinfold measurements were made in 240 pediatric patients ranging in age from 2 weeks to 18 years. Skinfold...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300104
更新日期:1984-01-01 00:00:00
abstract::Obesity is a common nutritional problem among children. Using the Futrex 5000A method of bodyfat measurement, this prospective study determined the percentage bodyfat in a self-selected, indigent, predominantly black population and the accuracy of perceived body image. Bodyfat exceeded the optimal range in 39% and 67%...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289703600707
更新日期:1997-07-01 00:00:00
abstract::Recent studies have indicated possible changes in the incidence of acute mastoiditis. A retrospective review of children discharged with a diagnosis of acute mastoiditis was undertaken to describe the epidemiology, clinical presentation, microbiology, and treatment of acute mastoiditis over past years. Demographic his...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280404300307
更新日期:2004-04-01 00:00:00
abstract::Follow-up survival and health information were obtained, after a median of 27.5 years, from 132 patients who had been seen originally as children with nephrotic syndrome between 1951 and 1967. Ninety seven patients were alive. Recurring edema or proteinuria, or both, persisted in 15 percent of those still alive. Eight...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802700201
更新日期:1988-02-01 00:00:00
abstract::A 13-year old boy with acute lymphoblastic leukemia on chemotherapy developed neutropenia and acute cellulitis progressing to fulminating septicemia due to Pseudomonas pseudomallei. Septicemic melioidosis should be considered in the differential diagnosis of a febrile illness in children who are susceptible to infecti...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001901012
更新日期:1980-10-01 00:00:00
abstract::The effects of breast feeding in the early months of life on such clinical phenomena as the rate of weight gain, linear growth, frequency of office visits, phone calls and types of clinical morbidity encountered in office practice during the 1st year of the infant's life were examined. The practice was located in a s...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287201100109
更新日期:1972-01-01 00:00:00
abstract:OBJECTIVE:To assess the predictors of attrition from a clinical pediatric obesity treatment program. METHODS:We evaluated 2- through 20-year-old patients first seen at the Duke University Healthy Lifestyles Program between October 2006 and December 2008. We assessed the predictors of early dropout (not returning for a...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812458355
更新日期:2012-12-01 00:00:00
abstract::Although trauma undertriage has been widely discussed in the literature, undertriage in the pediatric trauma population remains understudied. Using the 2009-2013 Nationwide Emergency Department Sample, we assessed the national undertriage rate in pediatric major trauma patients (age ≤16 years and injury severity score...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817709553
更新日期:2017-08-01 00:00:00
abstract::Objectives. The available literature on pulmonary disease in pediatric inflammatory bowel disease is limited. We evaluated the prevalence of pulmonary manifestations in pediatric inflammatory bowel disease and their association with disease severity. Methods. Patients completed the St. George's Respiratory Questionnai...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820910821
更新日期:2020-06-01 00:00:00
abstract::This study examines primary care provider (PCP) experiences with the initial parental disclosure of cystic fibrosis (CF) newborn screening (NBS) results in order to identify methods to improve parent-provider communication during the CF NBS process. PCPs of infants who received positive CF NBS results participated in ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814545619
更新日期:2015-01-01 00:00:00
abstract::National guidelines recommend that children with persistent asthma have at least 2 preventive asthma visits (PAVs) per year. We sought to determine the percent of urban children with persistent asthma who had a PAV in the past year, and to identify differences in demographics, health-related variables, and management ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816685816
更新日期:2017-12-01 00:00:00
abstract::This study analyzed parental perception of the impact of diarrhea on quality of life of their children. A standardized questionnaire was completed by 2023 parents in Germany with children with diarrhea who were younger than 2 years old. Parents stated the most worrying aspects of diarrhea. A health score was measured ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807310933
更新日期:2008-05-01 00:00:00
abstract::Although asthma treatment guidelines recommend daily inhaled corticosteroid (ICS) use for all persistent asthma, pediatricians may recommend alternative treatment plans for children with mild persistent disease. The authors administered a survey of pediatricians to describe prescribing patterns for mild persistent ast...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807312184
更新日期:2008-06-01 00:00:00
abstract::We reviewed 74 outpatient febrile episodes in 22 pediatric heart transplant patients in order to determine etiologies, rates of serious and nonserious illness, and factors predictive of serious disease. Twenty-two febrile episodes (30%) resulted in hospital admission. Only three variables were predictive of serious il...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289603500902
更新日期:1996-09-01 00:00:00
abstract::Five children with pyogenic liver abscess were admitted to Institute of Child Health, Kabul during the period 1978 to 1980. All patients were males, and their ages ranged from 4 to 10 years. The clinical picture was characterized by fever, upper abdominal pain, enlarged tender liver with raised right dome of the diaph...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288202100204
更新日期:1982-02-01 00:00:00
abstract::Five cases of bacterial epididymo-orchitis are presented. These patients demonstrate three distinct mechanisms of bacterial infection of the intrascrotal structures: epididymo-orchitis as a presentation and a complication of urinary tract infection; epididymo-orchitis associated with sexually transmitted disease; and ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001901206
更新日期:1980-12-01 00:00:00
abstract::The study objective was to quantify sugar-sweetened beverage (SSB) offerings to children in Pennsylvania (PA) childcare centers and determine whether this information is communicated to parents. In October 2014, a SurveyMonkey link was sent to 4461 PA childcare centers. The 518 respondents represented 88% of PA counti...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815591887
更新日期:2016-06-01 00:00:00
abstract::Twenty-two pediatric residents and 31 medical students viewed the Play Nicely program. The Play Nicely program is a multimedia program that teaches health care professionals how to counsel parents to use positive parenting and disciplining strategies in response to early childhood aggression. Health care professionals...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816667313
更新日期:2016-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy and feasibility of a multifaceted, community-based weight intervention program for children using exergaming technology (activity-promoting video gaming). DESIGN AND METHODS:This is a prospective observational pilot study. Forty-eight children, between the ages of 8 and 16 years, who...
journal_title:Clinical pediatrics
pub_type: 临床试验,杂志文章
doi:10.1177/0009922811429480
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:This is a retrospective chart review of autistic patients presenting to the emergency department (ED) in a tertiary care pediatric center during the year 2011. RESULTS:There were 160 ED visits by 130 patients, 25% of visits were repeated, and 20% were admitted to the hospital. There were 126 (79%) male and ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814540983
更新日期:2014-10-01 00:00:00
abstract::With an incidence of 1 in 3,000, neurofibromatosis type 1 (NF1), or von Recklinghausen disease, is one of the most common genetic disorders encountered by primary care physicians. NF1 is a multisystem disease that affects more than one million people worldwide (more than 80,000 in the United States). Although most ped...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992289603501101
更新日期:1996-11-01 00:00:00
abstract::To assess knowledge regarding symptoms and treatment of anaphylaxis, a vignette of a child having an allergic reaction to a peanut was presented to residents in an allergy clinic. Twelve sets of clinical outcomes ranging from severe multi-organ to mild single organ involvement were described, and residents were asked ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820946012
更新日期:2021-01-01 00:00:00
abstract::Infections with Mycobacterium marinum are uncommon in children but should be considered by a physician confronted with chronic, poorly healing skin lesions. A case of such an infection in a 4-year-old child is presented. Presenting signs and symptoms, differential diagnosis, and treatment of these infections are discu...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400512
更新日期:1985-05-01 00:00:00