Abstract:
OBJECTIVE:To determine the effectiveness of temporal artery thermometry (TAT) as an alternative for temperature assessment of children 1 to 4 years of age in the pediatric emergency department. METHODS:Prospective cross-sectional study conducted at an urban children's hospital emergency department. TAT and rectal temperatures are compared in a convenience sample of children 1 to 4 years of age. Comparison of the temperatures is performed using Pearson correlation coefficient and regression analysis. RESULTS:TAT and rectal temperatures are measured in 42 children 1 to 4 years of age. TAT predicts 83% of rectal temperatures. A receiver operating characteristic curve analysis shows that a cutoff of 37.7 degrees C or greater for fever in TAT is equivalent to rectal temperature greater than or equal to 38.3 degrees C with 100% sensitivity and 93.5% specificity. CONCLUSION:TAT is an effective screening tool in identifying fever in children 1 to 4 years of age.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Titus MO,Hulsey T,Heckman J,Losek JDdoi
10.1177/0009922808327056subject
Has Abstractpub_date
2009-03-01 00:00:00pages
190-3issue
2eissn
0009-9228issn
1938-2707pii
0009922808327056journal_volume
48pub_type
杂志文章abstract::The authors conducted a chart review of all febrile infants between 28 and 90 days of age who presented to the emergency department (ED) between December 1 and March 31 during 2004-2006. The objectives of the study were to describe the practice patterns of pediatric ED physicians caring for these infants and to determ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809339346
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abstract::Essential to the management of the sick, low birth weight infant is maintenance of a neutral thermal environment by use of convection incubators and radiant warmers. Manipulation of the infant in preparation for transfusion and the transfusion of cold blood could theoretically lower the infant's body temperature, subs...
journal_title:Clinical pediatrics
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doi:10.1177/000992288502401110
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abstract::The relationship between lipids, lipoproteins, total homocysteine, and lipoprotein (a) was studied in hypercholesterolemic and normocholesterolemic children. In hypercholesterolemic children, concentrations of total cholesterol, low-density lipoprotein (LDL) cholesterol, apolipoprotein B, and triglycerides were signif...
journal_title:Clinical pediatrics
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abstract::The purpose of the current study was to develop syndrome-specific standardized growth curves for growth hormone-treated Prader-Willi syndrome (PWS) individuals aged 0 to 18 years. Anthropometric growth-related measures were obtained on 171 subjects with PWS who were treated with growth hormone for at least 40% of thei...
journal_title:Clinical pediatrics
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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
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abstract::Liquid antibiotics are often substantially more expensive than their pill counterparts, representing an opportunity for substantial cost reductions. Children can be taught to swallow pills at about age 6 years. The objective of this study was to calculate the potential cost saved by replacing liquid antibiotics with c...
journal_title:Clinical pediatrics
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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
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abstract::Our goal was to determine if breastfeeding provides any protection against urinary tract infection (UTI) and if vitamin D supplementation imposes any additional risks for UTI in infants < 3 months of age. In this study, 40% of the children who had urine cultures were breastfed, and 18.7% of the children were exclusive...
journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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abstract::Much attention has been focused on the natural history of gastroesophageal reflux (GER) in neurologically normal infants which generally resolves by two years of age. In contrast, little is known of the outcome of GER diagnosed in normal older children. The charts of 32 children (21 males) without neurologic or esopha...
journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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abstract::This manuscript reviews the basic and most common types of congenital hand anomalies seen by the pediatrician. Each disorder is categorized into the standard classification system used, and the main highlights of each condition are detailed with representative illustrations. Other system anomalies associated with cong...
journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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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
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journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
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更新日期:1990-06-01 00:00:00
abstract::An online survey was administered through the American Academy of Pediatrics (AAP) Section of Emergency Medicine Survey Listserv in Fall, 2017. Overall compliance was measured as never using chest X-rays, viral testing, bronchodilators, or systemic steroids. Practice compliance was measured as never using those modali...
journal_title:Clinical pediatrics
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更新日期:2019-08-01 00:00:00
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journal_title:Clinical pediatrics
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journal_title:Clinical pediatrics
pub_type: 杂志文章
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更新日期:1991-02-01 00:00:00
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journal_title:Clinical pediatrics
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更新日期:1985-04-01 00:00:00
abstract::Dextromethorphan hydrobromide (DXM), a constituent of more than 125 patent cough/cold remedies, is the most popular antitussive medication in the United States. Cough syrups or capsules also contain additional ingredients such as acetaminophen, chlorpheniramine maleate, guaifenesin, and/or pseudoephedrine, and toxicit...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
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abstract:BACKGROUND/OBJECTIVE:Published data regarding outcomes of pediatric behavioral weight management are mainly from research interventions. The authors wished to explore outcomes from a clinical program. METHODS:A retrospective analysis of data from obese adolescents enrolled in the Michigan Pediatric Outpatient Weight E...
journal_title:Clinical pediatrics
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doi:10.1177/0009922810384845
更新日期:2011-03-01 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::The need for exchange transfusion was analyzed retrospectively using several different methods (total bilirubin binding capacity, birth weight, plasma protein level, and two published charts). These predictive methods were applied to 175 jaundiced infants for whom all the data were available and to 19 infants who were...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288302200801
更新日期:1983-08-01 00:00:00
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journal_title:Clinical pediatrics
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更新日期:2013-04-01 00:00:00