Abstract:
:To compare parental compliance with after-hours triage advice provided by telephone advice nurses and on-call pediatricians, a randomized controlled trial was undertaken at a university general pediatrics practice that enrolled parents or guardians calling for after-hours advice. Advice calls were randomized to a call center advice nurse or the on-call pediatrician. Parental compliance with the triage advice and agreement of the parental report of advice with the pediatrician/nurse report of advice given was evaluated. There were 566 participants in the pediatrician and 616 in the nurse group. Compliance with advice (pediatrician v. nurse) was not significantly different for emergent/urgent care (75.8% v. 72.6%) and self care (74.3% v. 77.2%) but was significantly higher in the pediatrician group for office care (51.5% v. 29.6%; 95% CI of difference, 8.9%-34.2%). Overall agreement between the caller reported and physician or nurse advice was 84.5% for emergent/ urgent, 42.7% for office care, and 93.7% for self-care.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Lee TJ,Baraff LJ,Wall SP,Guzy J,Johnson D,Woo Hdoi
10.1177/000992280304200707subject
Has Abstractpub_date
2003-09-01 00:00:00pages
613-9issue
7eissn
0009-9228issn
1938-2707journal_volume
42pub_type
临床试验,杂志文章,随机对照试验abstract::Cefotaxime, a third generation cephalosporin antibiotic, was evaluated in 26 infants and children for the treatment of documented or suspected bacterial infections, including pneumonia (10 cases), soft tissue skin infection (13 cases), and urinary tract infection (3 cases). An average daily dose of 60 mg/kg in 3 to 4 ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300406
更新日期:1984-04-01 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::Patient-centered medical home (PCMH) transformation has been challenging for pediatric practices, in part because of the National Committee for Quality Assurance (NCQA) PCMH focus on conditions and processes specific to adult patients. Realizing the potential challenges faced by pediatric practices, Vermont supported ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816669788
更新日期:2017-06-01 00:00:00
abstract::An age-appropriate questionnaire (GASP-Q) was used to assess the frequency and severity of the gastroesophageal reflux disease (GERD) symptoms: abdominal/belly pain, chest pain/heartburn, pain after eating, nausea, burping/belching, vomiting/regurgitation, choking when eating, and difficulty swallowing, in adolescents...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0009922806292792
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND:Children 3 to 5 years old with developmental delays are eligible for special education services. OBJECTIVE:To assess primary care physicians' (PCPs) knowledge, attitudes, and practices regarding their referrals to the special education system on behalf of children 3 to 5 years old. DESIGN/METHODS:Mail surv...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813503036
更新日期:2014-02-01 00:00:00
abstract::This study examined whether physical pain, mental health symptoms, and provider characteristics were associated with the discussion of children's behavior, mood, getting along with others, school performance, family stress, and parent stress during 800 pediatric primary care visits to 54 providers in 13 clinics. The d...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807304144
更新日期:2007-11-01 00:00:00
abstract::Cervical adenopathy as the sole presentation of tuberculosis is seen infrequently in the pediatric age group. Despite modern treatment and public health measures, tuberculous cervical adenitis persists, and its prompt diagnosis and treatment are important from both a clinical and preventive health perspective. The aut...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288902800905
更新日期:1989-09-01 00:00:00
abstract::The lead found in drinking water can be a source of lead poisoning to young children, particularly those who consume large amounts of water. The authors describe a 13-month-old infant who was discovered to have plumbism during routine evaluation. The lead source was ultimately traced to the daily administration of pow...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288902800810
更新日期:1989-08-01 00:00:00
abstract::Forty-one children suspected of having tuberculosis were simultaneously given an intermediate strength Mantoux test, an old tuberculin tine test (OT), and a purified protein derivative (PPD) tine test. Each test was read at 48 hours, and the largest diameter of induration was recorded. Twenty-nine patients had a posit...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001900602
更新日期:1980-06-01 00:00:00
abstract::Ninety low socioeconomic adolescent females (aged 16-22 years, means 18.6 years) were screened for rubella immunity using a rubella IgG enzyme immunoassay. Data concerning past immunizations (with documentation, if possible), prior rubella disease, and previous pregnancies were gathered through direct interviews. Resu...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400705
更新日期:1985-07-01 00:00:00
abstract::This study compares 2 sampling methods for urine cultures in young infants. We analyzed data on urine samples obtained from 83 infants using 2 sources of urine: suprapubic bladder aspiration (SPA) and bladder catheterization. All specimens were subjected to both urinalysis and culture, and the results compared. Eighty...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815608278
更新日期:2016-08-01 00:00:00
abstract::The purpose of this study was to evaluate the effectiveness of sandalwood oil for cutaneous viral warts caused by human papillomavirus. Sandalwood oil was applied topically twice daily for 12 weeks to cutaneous warts on any area of the body. Data collected at each visit included measurement of wart size, photograph of...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817691536
更新日期:2018-01-01 00:00:00
abstract::Iron poisoning was a leading cause of pediatric morbidity and mortality. We sought to assess whether the removal of strict iron packaging requirements in 2003 resulted in an increase in iron-related morbidity and mortality in pediatric exposures. We performed a retrospective cohort study utilizing the National Poison ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922819901010
更新日期:2020-05-01 00:00:00
abstract::In a review of 17 adolescents and children (excluding newborns) with definite clinical signs, symptoms, and laboratory findings of hypothyroidism, 11 patients (65%) had anemia. The mean corpuscular volume (MCV) of the red blood cells was either macrocytic or normocytic. The hemoglobin did not correlate with the serum ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288102001102
更新日期:1981-11-01 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::This study investigated pediatrician-parent communication by content, analyzing medical encounters in a setting providing continuity of care. Thirty-eight encounters between middle class families and three senior pediatricians were audio-taped, transcribed, and analyzed for content. The categories of medical communica...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288202100507
更新日期:1982-05-01 00:00:00
abstract::A 12-hour fasting lipid profile was obtained from 88 otherwise healthy obese (BMI > or = 95%) adolescents (age 16 +/- 1 years, BMI 36 +/- 1 kg/m(2), 55 males, 33 females, 57% Hispanic, 23% African American, 19% Caucasian, 1% Asian American). About 56% of the obese adolescents exhibited lipid abnormalities based on cut...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809341076
更新日期:2010-01-01 00:00:00
abstract::Based on a retrospective 5-year medical record review, this study characterizes factors associated with patients discharged against medical advice (AMA) from a tertiary pediatric emergency department (ED) and compares rates of return to the ED and admission to the hospital with those of patients routinely discharged. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808323109
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Ethanol lock therapy (ELT) with systemic antimicrobial therapy is a promising therapy for catheter-related infection (CRI). The impact of ELT timing on treatment efficacy and costs is unknown. PROCEDURES:A prospective study was conducted in the Hematology/Oncology Unit at the Children's Hospital of Michigan...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922817717327
更新日期:2018-03-01 00:00:00
abstract::Only five cases of subarachnoid-pleural fistula in children have been reported previously. All had a history of trauma and associated neurologic deficit which gave clue to the diagnosis. The authors present a child who presented with a massive, rapidly filling, clear pleural effusion in whom there was no neurologic de...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702600807
更新日期:1987-08-01 00:00:00
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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::Infants with extracardiac anomalies or malformation syndromes frequently have associated cardiovascular malformations. Knowledge of these predictable patterns of associations allow rapid diagnosis and treatment of these infants. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300303
更新日期:1984-03-01 00:00:00
abstract::This retrospective cohort study aimed to describe antipyretic use among healthy patients in a pediatric emergency department (ED) with nonurgent fever defined as: triage level 4 or 5, chief complaint fever or temperature 38°C to 39°C, and otherwise normal vital signs, and determine if antipyretic administration is ass...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817734356
更新日期:2018-06-01 00:00:00
abstract::Clinical and laboratory findings of Zellweger syndrome (ZS) patients diagnosed at King Faisal Specialist Hospital and Research Center (KFSH & RC), Riyadh, Saudi Arabia over a period of 10 years are presented in this report. Eleven patients (nine females and two males) from 2 to 4 months old were referred to KFSH & RC ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289903800203
更新日期:1999-02-01 00:00:00
abstract::An 8-year-old girl with Hallermann-Streiff syndrome (oculomandibulofacial syndrome) was examined. She had a history of severe snoring, reported nocturnal apnea, excessive daytime hypersomnolence, nocturnal enuresis, and failure to thrive. Overnight polysomnography confirmed severe obstructive sleep apnea. Long-term na...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900212
更新日期:1990-02-01 00:00:00
abstract::Three cases are presented which illustrate the possible difficulties in differentiating between the diagnoses of Guillain-Barre Syndrome and conversion disorder. Accepted criteria are specified for each condition, as well as some associated features often characteristic of similar cases. Supportive interdisciplinary t...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289103001002
更新日期:1991-10-01 00:00:00
abstract::Developmental language disorder has been reported in 3% to 10% of term infants and 30% of preterm infants (<34 weeks gestation). Screening for language delay in preterm infants can be costly and time-consuming. The objective of this study was to assess the expressive language development of preterm infants using the L...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812439244
更新日期:2012-07-01 00:00:00
abstract::Parent surveys seem to provide sufficient information for asthma case selection. In this study, elementary school children were identified for an asthma education program through a screening questionnaire, followed by a comprehensive family survey. The data were analyzed by groups according to those with parent-report...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922806297515
更新日期:2007-06-01 00:00:00
abstract::We administered a questionnaire to determine changes in parental use and administration of over-the-counter (OTC) drugs after cyanide-laced Extra-Strength Tylenol capsules caused the deaths of at least seven people in Illinois in 1982. Three hundred area parents were studied and divided into three equally sized groups...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300806
更新日期:1984-08-01 00:00:00
abstract::The objective of this study is to describe feedback on a multimedia violence prevention program. Professionals and laypersons provided feedback regarding a multimedia CD program by completing an anonymous form. Feedback was obtained from 66% of participants (314). In general, participants felt more comfortable managin...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280304200904
更新日期:2003-11-01 00:00:00