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 cutoff points established by American Heart Association (AHA) guidelines, and about 57% exhibited lipid abnormalities based on percentile values established by the Lipid Research Clinic Pediatric Prevalence Study. Isolated low high-density lipoprotein-cholesterol (HDL-C) was the most common abnormality (43% based on AHA, 36% based on the Lipid Research Clinic Pediatric Prevalence Study) among the obese adolescents with lipid disorders. While there was no significant statistical difference (SSD) between genders in the levels of total cholesterol and low-density lipoprotein-cholesterol (LDL-C), triglyceride (TG) levels were significantly higher (P = .003) in males (120 +/- 11 mg/dL) than in females (81 +/- 7 mg/dL), and levels of HDL-C were significantly higher (P = .006) in females (42 +/- 2 mg/dL) than in males (35 +/- 1 mg/dL). There was no SSD between races in total cholesterol and LDL-C levels. TG levels were significantly lower in African-American participants (81 +/- 9 mg/ dL) compared with levels in Caucasian participants (117 +/- 15 mg/dL, P = .05) and with levels in Hispanic participants (112 +/- 11 mg/dL, P = .03). HDL-C levels were significantly higher in African-American participants (43 +/- 3 mg/dL) compared with levels in Hispanic participants (36 +/- 1 mg/dL, P = .03), but there was no SSD when compared with HDL-C levels in Caucasian participants (37 +/- 2 mg/dL).
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Harel Z,Riggs S,Vaz R,Flanagan P,Harel Ddoi
10.1177/0009922809341076subject
Has Abstractpub_date
2010-01-01 00:00:00pages
29-34issue
1eissn
0009-9228issn
1938-2707pii
0009922809341076journal_volume
49pub_type
杂志文章abstract::The rectal-axillary temperature difference (R-A) was measured in the morning, at midday, and in the afternoon on 1,519 occasions in 1,149 children from birth to 5 years old. Of these, 302 children were febrile (rectal temperature > or = 38 degrees C) and 847 were afebrile. A wide range in R-A was found for each indivi...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289303200503
更新日期:1993-05-01 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::Asthma is the most prevalent chronic condition affecting children and a common chief complaint in emergency departments (EDs). We aimed to improve parents' understanding of their child's asthma severity on accessing our pediatric ED for an acute asthma exacerbation. A retrospective chart review was conducted to determ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813479163
更新日期:2013-07-01 00:00:00
abstract::Three infants who presented with premature rupture of membranes and neonatal pneumonia caused by organisms belonging to members of the B. fragilis group are reported. In all 3 instances, the organisms were recovered from tracheal aspirates and in 2 from blood cultures as well. Two of the newborns, treated with ampicil...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001900807
更新日期:1980-08-01 00:00:00
abstract:OBJECTIVE:To identify factors that might influence physicians' referrals of obese adolescents to pediatric multidisciplinary weight management (PMWM) programs. DESIGN/METHODS:Survey of a national sample of 375 pediatricians (PDs) and 375 family physicians (FPs) explored program availability, referral history, desired ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810368287
更新日期:2010-09-01 00:00:00
abstract::The use of totally implantable central venous catheters with reservoirs has grown steadily over the past few years. These systems mitigate many of the inherent problems associated with catheter systems that protrude from the skin. Totally implantable systems are easily cared for and permit activities such as swimming....
journal_title:Clinical pediatrics
pub_type: 信件
doi:10.1177/000992289303200515
更新日期:1993-05-01 00:00:00
abstract:OBJECTIVE:To assess weight stigma, self-perception of weight status, and factors contributing to accurate self-perception of weight status in obese youth presenting for treatment at a hospital-based multidisciplinary weight management program. METHODS:Participants (N = 97; mean age = 8.56 +/- 1.66 years) used a figura...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809346571
更新日期:2010-04-01 00:00:00
abstract::Atomoxetine has been shown to be safe and effective in the treatment of attention-deficit/hyperactivity disorder (ADHD). The purpose of this post hoc analysis was to examine response trajectories of pediatric patients treated with atomoxetine. Data were pooled from 7 atomoxetine double-blind, placebo-controlled clinic...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922814555973
更新日期:2015-02-01 00:00:00
abstract::We investigated the effects of a cognitive-behavioral treatment package on reduction of anticipatory fear of pain during self-administered insulin injections. Two patients diagnosed with insulin-dependent diabetes mellitus participated. An ABAB design was employed; the intervention conditions consisted of cue-controll...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289503401004
更新日期:1995-10-01 00:00:00
abstract::An eight-year-old boy developed staphylococcal endocarditis. He was treated initially with nafcillin and gentamicin, but he remained febrile. The minimum bactericidal concentration (MBC) of nafcillin was 130 times the minimum inhibitory concentration (MIC). Following the addition of rifampin to the antibiotic regimen,...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288202100414
更新日期:1982-04-01 00:00:00
abstract::Care coordination (CC) has shown positive outcomes among children with special health care needs (CSHCN); however, the association between CC and well-child care (WCC) visits is unknown. We hypothesize that CSHCN who receive CC are more likely to attend the recommended WCC visits. A retrospective cohort analysis was c...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820910823
更新日期:2020-06-01 00:00:00
abstract::The aim of this study was to evaluate the safety and efficacy of nonoperative treatment of esophageal perforation (EP) in children. Between 1999 and 2004, 13 episodes in 12 patients were evaluated. The treatment program consisted of broad-spectrum antibiotics, nasopharyngeal aspiration, parenteral and/or enteral nutri...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280504400204
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Milk supply concern is the most common reason given by mothers for discontinuing breastfeeding. OBJECTIVES. To describe maternal experiences of interactions with health care providers related to milk supply. PATIENTS AND METHODS:Ten focus groups (N = 56 participants) were conducted among mothers who had had...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812448954
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:Sexually transmitted infections (STIs) are common among adolescents, and multiple STIs over one's lifetime can increase health risks. Few studies have assessed lifetime STI prevalence. This study evaluates minority, underserved adolescents' self-reported lifetime STI history and objective STI rates. METHODS...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814533816
更新日期:2014-08-01 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::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: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::According to the National Health and Nutrition Examination Survey in 2007, nearly half of all American children are either overweight or obese. Retrospective chart review identified patients with the diagnostic codes for overweight, obese, and/or excessive weight gain. Inclusion criteria were current age between 2 and...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809359418
更新日期:2010-07-01 00:00:00
abstract::The authors compared dipstick tests for leukocyte esterase and nitrite and microscopic examination of urinary sediment with urine culture to assess whether the former tests could reliably rule out bacteriuria in specimens from children. The authors studied urine specimens from 1010 infants and children younger than ag...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900402
更新日期:1990-04-01 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::The purpose of the Pediatric Overweight Quality Improvement Initiative (POWQII) was to demonstrate the feasibility and value of simple interventions for improving pediatric care and to address the additional needs of overweight and obese children. Practices were recruited from around New Mexico, with 16 pediatricians ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813480844
更新日期:2013-07-01 00:00:00
abstract::A series of seven children in Hawaii experienced transient cortical blindness following mild head trauma. All children, ages 3 through 8, recovered fully. The most prominent clinical feature was initial restlessness and agitation following relatively mild head trauma without significant loss of consciousness (LOC). On...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992288802701003
更新日期:1988-10-01 00:00:00
abstract::In April of 1975, the United States government evacuated approximately 2,000 orphans from Vietnam and Cambodia. More than 1,500 orphans received initial medical evaluation and treatment at Clark Air Force Base, Republic of the Phillipines. The orphans underwent a minimum of 2 physician evaluations and were individuall...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287701600310
更新日期:1977-03-01 00:00:00
abstract::To describe pediatric clinicians' adherence to practice recommendations for obesity prevention and treatment, we conducted a cross-sectional analysis of 227 medical records of 3- to 18-year-old patients (seen from September 2003 to April 2004) and a longitudinal analysis of data from 632 overweight and obese patients ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809346567
更新日期:2010-02-01 00:00:00
abstract::A method for the detection of bacterial pathogens in sepsis and bacterial meningitis with 16S rRNA gene- based real-time fluorescent quantitative polymerase chain reaction (FQ-PCR) is developed. A total of 190 blood specimens and 5 cerebrospinal fluid specimens from neonates with suspected sepsis or bacterial meningit...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809333972
更新日期:2009-07-01 00:00:00
abstract::Between December 1980 and November 1984, the acute episode was studied prospectively in 187 children under 14 years presenting with acute poststreptococcal glomerulonephritis. The mean annual incidence was 19.5/10(5) children. The disease was mainly pharyngitis-associated and occurred throughout the year but peaked in...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288602500402
更新日期:1986-04-01 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::Patients with cyclic vomiting syndrome suffer from recurring episodes of severe nausea and vomiting. This paper presents 6 patients who responded to 1-carnitine administration. Average time between episodes was 1.7 months before carnitine administration and increased to 1.1 years after carnitine administration. Averag...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280204100307
更新日期:2002-04-01 00:00:00
abstract::Gynecomastia is defined as excessive development of the breast in boys. It is common in neonates and adolescents. Although in most cases this is a transient phenomenon, it might lead to significant social impediments such as decreased participation in physical education because of embarrassment. A primary care provide...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922806294800
更新日期:2007-07-01 00:00:00
abstract::The General Academic Pediatrician (GAP) may act as a consultant to both primary care pediatricians and tertiary care subspecialists. The authors surveyed a consultation service staffed by three GAP's in a tertiary care children's hospital. The service was financially successful and generated new sources of referrals f...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802701203
更新日期:1988-12-01 00:00:00