Abstract:
OBJECTIVE:To describe the pain associated with diagnostic tympanocentesis and to gather preliminary data comparing the efficacy of 3 methods of pain reduction for tympanocentesis. METHODS:In children 6 to 36 months of age undergoing tympanocentesis for acute otitis media, the authors measured pain and distress throughout all phases of the procedure and recovery using physiological (heart rate) and behavioral measures (cry duration, Global Mood Scale score, and pain visual analog scales). They compared--in a randomized controlled trial--3 pain reduction interventions: acetaminophen, acetaminophen plus codeine, and ibuprofen plus midazolam. RESULTS:Heart rate increased throughout the procedure, peaking during needle aspiration. Children treated with acetaminophen alone had higher peak heart rates and Global Mood Scale scores during parts of the procedure. CONCLUSIONS:Acetaminophen alone may not be as effective in reducing pain-related physiological and behavioral changes as acetaminophen plus codeine or ibuprofen plus midazolam during diagnostic tympanocentesis.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Shaikh N,Hoberman A,Kurs-Lasky M,Rockette HE,Chandra A,Colborn DK,Hooper EG,Reis ECdoi
10.1177/0009922810385677subject
Has Abstractpub_date
2011-03-01 00:00:00pages
231-6issue
3eissn
0009-9228issn
1938-2707pii
0009922810385677journal_volume
50pub_type
杂志文章,随机对照试验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::Excessive television (TV) viewing by children can lead to negative health and developmental outcomes. Using structural equation modeling, this study tests a conceptual model to understand social and familial factors associated with TV exposure among a sample of 767 Head Start families with children between the ages of...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817738340
更新日期:2018-07-01 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 measure the willingness and ability of primary care pediatricians (PCPs) to accept children and youth with special health care needs (CYSHCN) into their practices. METHODS:Surveys were mailed to 1441 members of the Illinois Chapter of the American Academy of Pediatrics practicing primary care. RESULTS:In...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813476572
更新日期:2013-04-01 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::This study aims to evaluate the cost-benefit of vaccination services, mostly partial series administration, provided by a mobile clinic program (MCP) in Houston for children of transient and low-income families. The study included 469 patients who visited the mobile clinics on regular service days in 2 study periods i...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820908586
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:Although family-centered rounds (FCRs) are recommended as standard practice, limited data address pediatric residents' opinions of FCRs. In the present study, we assessed residents' perceptions with respect to rounding experience and postgraduate year (PGY). METHODS:An anonymous online questionnaire was distri...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813501377
更新日期:2014-01-01 00:00:00
abstract::Families of children voluntarily enrolled in a managed care program for children with special health care needs receiving SSI and Medicaid benefits and their case managers were surveyed regarding care satisfaction, quality, and access. Claims data were used to compare the cost and utilization of health care before and...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289903800305
更新日期:1999-03-01 00:00:00
abstract::Despite the curriculum changes during the past decade, there is paucity of information regarding the structure and evaluation processes in pediatric clerkships. Information regarding the educational components of the pediatric clerkship and student evaluation practices was obtained from the pediatric clerkship directo...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280404300807
更新日期:2004-10-01 00:00:00
abstract::Fifty-eight growth hormone (hGH) deficient adults who had received long-term hGH therapy and their families were contacted to assess their past and current status regarding peer relationships, educational and vocational achievements, and self-concepts. Both heterosexual and same-sex peer relationships were reported as...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288602500103
更新日期:1986-01-01 00:00:00
abstract::In this paper, fecal incontinence and constipation were treated in two mentally retarded individuals using a novel intervention wherein incontinent stools were first rewarded in order to increase the frequency of bowel movements. This intervention was implemented only after more traditional pediatric and behavioral tr...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289103000105
更新日期:1991-01-01 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::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::The effectiveness of tepid sponging, in addition to antipyretic medication, in the reduction of temperature in febrile children living in a tropical environment, was assessed in a prospective, randomized, open trial. Seventy-five children aged between 6 and 53 months who attended the casualty department of the Childre...
journal_title:Clinical pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/000992289403300407
更新日期:1994-04-01 00:00:00
abstract::This study was conducted to determine whether intravenous theophylline, added to inhaled albuterol and intravenous methylprednisolone, provides a clinically significant benefit in the treatment of pediatric status asthmaticus. Patients aged 2 to 10 years were randomized to receive either intravenous theophylline or pl...
journal_title:Clinical pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/000992289503400905
更新日期:1995-09-01 00:00:00
abstract::The lead content of paint on wooden handles of kitchen utensils ranged from 0 to 9.7 per cent (97,000 ppm). Yellow paint showed the highest concentration of lead followed by green and red colors. The values of lead often exceeded the legal limit on toys and paint for use indoors. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287601500713
更新日期:1976-07-01 00:00:00
abstract::For 'Factors Associated With Specific Language Impairment and Later Language Development During Early Life: A Literature Review' by Benjamas Prathanee, MA, Bandit Thinkhamrop, PhD, Sumalee Dechongkit, PhD; Clinical Pediatrics; Volume 46 Number 1, January 2007; 22-29; © 2007; SAGE Publications; 10.1177/0009922806297153...
journal_title:Clinical pediatrics
pub_type: 杂志文章,已发布勘误
doi:10.1177/0009922817720961
更新日期:2017-09-01 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::Over-the-counter cold remedies are widely used for symptomatic relief of upper respiratory tract infections. The safety of these drugs is not well established in infants and their efficacy is questionable. Our aim was to study the attitude of family physicians and pediatricians toward the use of cold remedies in infan...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922806295281
更新日期:2006-11-01 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
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::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::Acute pancreatitis is unusual in pediatric patients, and chronic pancreatitis is even less common. Between 1983 and 1988, we diagnosed 24 patients in late childhood and adolescence with chronic pancreatitis. Our review revealed that chronic pancreatitis presents as recurrent abdominal pain in late childhood and adoles...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289403300205
更新日期:1994-02-01 00:00:00
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
pub_type: 杂志文章
doi:10.1177/000992289803700801
更新日期:1998-08-01 00:00:00
abstract::OBJECTIVES. Cough, pain, and desaturation episodes in infants are often ascribed to gastroesophageal reflux, and many are empirically treated with acid suppression medications. The authors hypothesize that most of these symptoms are not related to gastroesophageal reflux. METHODS. Retrospective review of 186 combined ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811412585
更新日期:2011-12-01 00:00:00
abstract::Outcomes of tonsillectomy (with or without adenoidectomy [w/woA]) in hospitalized children are unclear. We sought, to describe the characteristics of hospitalized children who underwent tonsillectomy (w/woA), to estimate the prevalence of complications and to evaluate the relative impact of different comorbid conditio...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815616885
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::Colors are frequently added to disposable diapers to enhance the diapering experience. The colors in the interior of diapers are composed of nonsensitizing pigments that are bound during the fiber-making process into the fibers of the nonwoven that covers the absorbent core materials. In the past, the use of color in ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814540379
更新日期:2014-08-01 00:00:00
abstract::Congenital right diaphragmatic hernia can present a difficult diagnostic problem. An illustrative case is reviewed in which the diagnosis was not considered during the initial hospitalization because chest radiographs were interpreted as showing an atelectatic and pneumonic process. Once suspected, the diagnosis was m...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288102000610
更新日期:1981-06-01 00:00:00