Abstract:
:This article discusses a 4-year-old girl who displayed behavioral symptoms consistent with posttraumatic stress disorder. She was recently placed in foster care due to emotional and physical neglect. During her clinic visit, she disclosed being sexually abused by her father with a knife. Results of her general and anogenital physical examinations were normal. The case discussion proposes an explanation for how a maltreated child (1) develops behavioral problems, (2) has a normal genital examination despite the history of sexual abuse, and (3) has an implausible disclosure of her father hurting her with a knife. As part of the Integrating Basic Science into Clinical Teaching Initiative series, basic science principles are the method of explanation. The case discussion is an attempt to understand the science responsible for the disease that is present and make that understanding useful for future clinical problem solving.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Nazer D,Palusci VJdoi
10.1177/0009922807304365subject
Has Abstractpub_date
2008-01-01 00:00:00pages
7-14issue
1eissn
0009-9228issn
1938-2707pii
0009922807304365journal_volume
47pub_type
杂志文章abstract::A case study of a family referred for clarification of cultural issues illustrates how a transcultural psychiatric service developed in the pediatric hospital setting can be used to advantage. A Vietnamese family with an inherited disorder. Mucopolysaccharidosis type VI (Maroteaux-Lamy syndrome, MPS VI), resisted gene...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288902801009
更新日期:1989-10-01 00:00:00
abstract::Two patients with acute osteomyelitis had technetium 99m methylene diphosphonate bone images that were misinterpreted. A review of six prospective evaluations of technetium scanning in the diagnosis of acute osteomyelitis shows that bone image interpretation may be misleading in five to seven per cent of pediatric pat...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001900904
更新日期:1980-09-01 00:00:00
abstract::Four patients with the slipping rib syndrome presenting as chest pain are described, and the appropriate literature is reviewed. In two of the patients the physicians caring for the children were initially concerned that a cardiac condition was the cause of the chest pain, and a cardiac evaluation was done. In one pat...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289603500804
更新日期:1996-08-01 00:00:00
abstract:OBJECTIVE:To determine which anthropometric measure best correlates with change in fat mass (FM) over time. METHODS:The authors performed a retrospective cohort study of 76 obese patients (mean body mass index [BMI] 38 kg/m(2) and mean age 13 years) presenting to an obesity clinic between 2005 and 2010. For each patie...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812440838
更新日期:2012-07-01 00:00:00
abstract::Pain control measures in sickle cell diseases are not uniform. Most clinicians use parenteral morphine or meperidine for severe pain. Reports of seizures associated with meperidine have led to a growing reliance on intravenous morphine, usually with patient-controlled devices. Acceptance of morphine has been poor amon...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289903800803
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVE:Intervention to reduce nonurgent pediatric emergency department (PED) visits over a 12-month follow-up. METHODS:Prospective, randomized, controlled trial enrolled children seen in the PED for nonurgent concerns. Intervention subjects received a structured session/handout specific to their primary care provid...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922814540987
更新日期:2014-09-01 00:00:00
abstract::The objective of the study was to examine differences in pediatric resident perceptions and practices related to child mental health conditions in continuity clinic settings with versus without on-site mental health professionals (MHPs). A 20-item questionnaire, based on the American Academy of Pediatrics Periodic Sur...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816681136
更新日期:2017-11-01 00:00:00
abstract::Child maltreatment identified by medical professionals is poorly represented in records of child protection. International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) codes may better represent the burden of maltreatment treated in clinical settings. Using emergency department (ED) disc...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922819845895
更新日期:2019-08-01 00:00:00
abstract::This cross-sectional study examined how asthma control, demographic, and clinical characteristics are associated with the use of asthma medications in pediatric office visits in the United States. Data from the 2012-2015 National Ambulatory Medical Care Survey included patients aged 6 to 17 years, with asthma as a pri...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818822980
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVES:The rate at which pediatricians promote smoking cessation in clinical settings is low. The literature demonstrates that interventions paired with tangible health promotion materials may significantly increase screening rates to the pediatric office. The aim of this study was to investigate whether the additi...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922816684607
更新日期:2017-10-01 00:00:00
abstract:INTRODUCTION:The American Academy of Pediatrics recommends that pediatricians promote smoking cessation among caregivers at every visit. Currently, there are inconsistencies between recommendations and clinical practice. This study aims to compare results generated from 3 intervention methods on the rate at which pedia...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0009922816688261
更新日期:2018-01-01 00:00:00
abstract::In this retrospective case series, we report clinical factors associated with pediatric peritonsillar abscess (PTA), with hopes of contributing to the design of an evidenced-based, economic treatment approach. Charts were examined for presenting symptoms and signs. Each of these were analyzed for association with the ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818778048
更新日期:2018-10-01 00:00:00
abstract::We prospectively evaluated the incidence of difficulty in defecation in infants with gastroesophageal reflux who were treated with smaller volume feeds thickened with rice cereal and also assessed the effect of changing the cereal to oatmeal. We evaluated 53 thriving infants with uncomplicated gastroesophageal reflux ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280504400804
更新日期:2005-10-01 00:00:00
abstract::Henoch-Schönlein purpura (HSP) is the most common vasculitis occurring in childhood. Clinical presentation involves the classic tetrad of abdominal pain, nonthrombocytopenic purpura, arthritis, and renal involvement. Dermatological manifestations of HSP are characteristic of the condition and consist of palpable purpu...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810374977
更新日期:2010-11-01 00:00:00
abstract::Two infants presented with growth failure and were found to have generalized osteomalacia (rickets) due to phosphate depletion from prolonged administration of an aluminum-containing antacid given for the symptoms of colic. One of the infants developed bilateral proptosis due to craniosynostosis related to the underly...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289503400202
更新日期:1995-02-01 00:00:00
abstract::The value of sonography in assessing chronic abdominal pain (CAP) in children, the characteristics of CAP, and the local pediatrician's practice in evaluating CAP are reported. Fifty-seven patients with CAP had abdominal and/or pelvic sonography; 56 were normal. One sonogram showed an ovarian cyst on the side opposite...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289303200304
更新日期:1993-03-01 00:00:00
abstract::We examined characteristics associated with smoking cessation counseling among a national sample of 579 women pediatricians. Fifty-two percent of women pediatricians had received at least some training in cessation counseling and 41% counseled smoking patients at least once per year. Prevalence of counseling increased...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280204100507
更新日期:2002-06-01 00:00:00
abstract::Sleep-disordered breathing (SDB) is prevalent in children and most commonly treated by surgery with adenotonsillectomy. We aimed to learn physician perspectives of social and communication factors that influence decision making for treatment of pediatric SDB. Purposive sampling identified 10 physician key informants a...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817702939
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVE:The qualitative research presented here is part of a larger project on the significance of medical clowning during invasive examinations in children in the Department of Gastroenterology and the Center for the Sexually Abused in a hospital in Israel. It investigated what makes up the essence of medical clowni...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815598143
更新日期:2016-01-01 00:00:00
abstract::One hundred and ten full-term newborns were treated with integral phototherapy (IP) in the first week of life for hyperbilirubinemia (peak bilirubin concentration, 19.5 +/- 2.8 mg/dl). IP was provided by an apparatus which irradiated the infants over the entire skin surface with four visible blue light lamps placed ar...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300905
更新日期:1984-09-01 00:00:00
abstract::The Vaccines for Children (VFC) program distributes one half of all vaccines administered to US children. Compared with commercial vaccine distribution, VFC distribution is more complex. This prospective observational study compares the delivery and administration of VFC versus non-VFC influenza vaccine in US pediatri...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812470868
更新日期:2013-03-01 00:00:00
abstract::Although still considered to be a rare and mostly fatal illness, the reported incidence of neonatal bacterial endocarditis has increased during the past decade. This parallels the establishment of intensive supportive management of severely ill newborns with multiple medical problems. An extremely difficult diagnostic...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900707
更新日期:1990-07-01 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::Antibiotics are widely prescribed for children with nonspecific upper respiratory tract infections, contributing to the recent emergence of resistant pneumococci. To understand the reasons for the overprescription of antibiotics, we conducted focus groups with parents and with pediatricians and family physicians to as...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289803701104
更新日期:1998-11-01 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::Our primary objective was to compare parents of infants cared for in newborn intensive care units (NICUs) and infants cared for in well-baby ("general") nurseries with regard to knowledge and practice of safe sleep practices/sudden infant death syndrome risk reduction measures and guidelines. Our secondary objective w...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813506038
更新日期:2013-11-01 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::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 a...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818787280
更新日期:2018-10-01 00:00:00
abstract::Of 1045 children admitted with gastroenteritis over a 12-month period and studied retrospectively, serum sodium level was tested in 802. Sixty patients (7.5%) had hypernatremic dehydration (HD). The peak incidence of HD, the highest serum sodium levels, and the worst outcome were all encountered in infants under the a...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300501
更新日期:1984-05-01 00:00:00
abstract::The authors conducted an e-mail survey of their medical staff to explore the attitudes, patterns of recommendation, and communication of pediatric providers about complementary and alternative medicine (CAM) in a large metropolitan children's hospital. Two thirds of the respondents reported awareness about their patie...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810384724
更新日期:2011-02-01 00:00:00