Abstract:
OBJECTIVE:Glucose-6-phosphate dehydrogenase (G6PD) deficiency is a major contributor to neonatal hyperbilirubinemia, yet newborn screening for this disorder in the United States is not standard practice. We surveyed pediatric providers regarding a novel newborn G6PD screening program successfully implemented in 2007 at a US urban women's hospital newborn nursery. STUDY DESIGN:An electronic survey was distributed to 472 pediatric providers addressing extent to which they were influenced by the screening program. RESULTS:Ninety-two (20%) providers responded, of whom 74 (80%) had taken care of G6PD-deficient patients diagnosed by the screening program. A majority found the diagnosis helpful for patient management and influential in their management. Most common changes in management included more counseling on jaundice and follow-up and avoidance of hemolytic crisis triggers. CONCLUSIONS:General pediatric providers support newborn G6PD screening and appreciate the current program. Knowing the G6PD deficiency status of newborns informed and influenced pediatric providers' care.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Bernardo J,Nock Mdoi
10.1177/0009922814557786subject
Has Abstractpub_date
2015-06-01 00:00:00pages
575-8issue
6eissn
0009-9228issn
1938-2707pii
0009922814557786journal_volume
54pub_type
杂志文章abstract::In this case report of an accidental automobile carbon monoxide poisoning, we identify the following risk factors: freezing temperature, young passenger age, location in the rear of the auto, smaller patient mass, and auto disrepair. The pathogenesis of carbon monoxide poisoning is reviewed. Emergency treatment and su...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402301210
更新日期:1984-12-01 00:00:00
abstract::An association between the frequency of otitis media in early childhood and later hyperactivity is reported in this study. The subjects were 67 children referred to a child development clinic for evaluation of school failure. Ranging from 6 to 13 years old, all the children demonstrated specific school learning proble...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702600508
更新日期:1987-05-01 00:00:00
abstract::When evaluating a school-aged patient, particularly for such issues as attention deficit disorder, or learning disabilities, health-care providers are encouraged to appraise children's school performance. Although some clinicians seek teachers' comments, recent research suggests that teachers' appraisals have limited ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280204100909
更新日期:2002-11-01 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::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::This study was designed to objectively examine depression and distress levels in parents of ill versus parents of healthy neonates by utilizing two well-validated questionnaires, the Beck Depression Inventory (BDI) and Kellner Symptom Questionnaire (KSQ). In addition, morbidity of infants was assessed by the Minde-Whi...
journal_title:Clinical pediatrics
pub_type: 临床试验,杂志文章
doi:10.1177/000992289403300203
更新日期:1994-02-01 00:00:00
abstract::The pediatrician must observe and assess a variety of emotional disorders in children, many of which seem related to adverse parental attitudes and actions. It is important for the pediatrician to appreciate the judicial system's constraints in defining psychological abuse so that, when appropriate, legal intervention...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288202101003
更新日期:1982-10-01 00:00:00
abstract::Childhood celiac disease (CD) is considered rare in the United States. Consequently there are few data concerning its clinical presentation. A validated questionnaire was distributed to families of children with CD. One hundred forty-one children with biopsy-proven CD were included in the study. We found significant d...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280504400309
更新日期:2005-04-01 00:00:00
abstract::Although trauma undertriage has been widely discussed in the literature, undertriage in the pediatric trauma population remains understudied. Using the 2009-2013 Nationwide Emergency Department Sample, we assessed the national undertriage rate in pediatric major trauma patients (age ≤16 years and injury severity score...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817709553
更新日期:2017-08-01 00:00:00
abstract::Klinefelter syndrome is a common condition that remains underdiagnosed, particularly prior to adulthood. Early detection could prevent morbidity and mortality, but the classic phenotype of small testes and tall stature may not be apparent until adolescence, and there is minimal guidance regarding whom to screen. We pe...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813493831
更新日期:2013-10-01 00:00:00
abstract::Premature delivery is common in pregnancies complicated by maternal diabetes. However, the outcome of very-low-birth-weight infants (VLBWI) born to mothers with diabetes is not known. Employing a matched double-cohort design, we investigated the influence of maternal diabetes on the outcome of VLBWI born in Winnipeg f...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280204100705
更新日期:2002-09-01 00:00:00
abstract::State regulations for neonatal screening for metabolic diseases do not optimally serve the needs of the dependents of the U.S. Armed Forces. Guidelines are therefore proposed for the neonatal screening for metabolic disease based both on responses received across the United States and on the unique needs of the U.S. A...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702600705
更新日期:1987-07-01 00:00:00
abstract::Paroxysmal supraventricular tachycardia is a common problem in infancy and childhood. Past treatment has included digitalis and nonselective beta blockers (propranolol). We describe a new mode of therapy with a cardioselective beta blocker (metoprolol) that may be of use in patients resistant to standard therapy. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288302200714
更新日期:1983-07-01 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:BACKGROUND:Waist circumference (WC) to height ratio (WC/HT) is used as a measure of central obesity. However, the optimum ratio that will separate populations with high from low cardiovascular risk remains controversial. This investigation evaluates an optimum WC/HT value to define central obesity in children. METHODS...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814557784
更新日期:2015-06-01 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::Although considerable attention has focused on the pathophysiology and external dermatologic consequences of epidermolysis bullosa (EB), head and neck mucosal manifestations pose specific management problems. The otolaryngologic aspects of EB, with emphasis on involvement and treatment of the ears, oral cavity and tee...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992289203100204
更新日期:1992-02-01 00:00:00
abstract:BACKGROUND:The purpose of our study was to compare caregiver perceptions of fever between ethnicities in a population with a large percentage of Hispanics. METHODS:A 20-item, cross-sectional survey was collected from English- and Spanish-speaking parents of children. Questions addressed level of parental worry, parent...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809336208
更新日期:2010-02-01 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::With discouragingly low vaccination rates for human papillomavirus (HPV), we sought to improve the HPV vaccine completion rate for adolescents by increasing the consistency and quality of provider recommendations. Baseline data was extracted for vaccine completion rates among patients aged 13 to 17 years. Quality impr...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817722014
更新日期:2018-03-01 00:00:00
abstract::Bacteremia in patients with cystic fibrosis (CF) has not been previously reported, a fact probably attributable to activated systemic immunity in the presence of chronic bronchopulmonary infection. We have observed two CF patients under a year of age with documented bacteremia, and a teen-aged patient with autopsy evi...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001901106
更新日期:1980-11-01 00:00:00
abstract::Objective To identify any socioeconomic, demographic, neonatal, and perinatal factors that may be associated with failing the otoacoustic emissions (OAE) newborn hearing screen. Study Design A retrospective chart review was performed looking at hearing screens performed on 1272 newborn infants by OAE testing. Socioeco...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815615826
更新日期:2016-10-01 00:00:00
abstract::The Parent Attitudes about Childhood Vaccines (PACV) survey for identifying vaccine-hesitant parents was recently validated in Washington State but did not include all recommended childhood vaccines. The current study compares vaccination rates for all recommended childhood vaccines and PACV scores at one pediatric pr...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815615823
更新日期:2016-06-01 00:00:00
abstract::Antibiotic choice for pediatric community-acquired pneumonia (CAP) varies widely. We aimed to determine the impact of a 6-month personalized audit and feedback program on primary care providers' antibiotic prescribing practices for CAP. Participants in the intervention group received monthly personalized feedback. We ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820928054
更新日期:2020-10-01 00:00:00
abstract::Seroprevalence of hepatitis B virus markers was examined in employees participating in patient care at The Children's Mercy Hospital in Kansas City, Missouri. Of 377 workers tested in 1985-86, 36 (9.6%) were seropositive for any marker. Among 285 employees who presumably have only work-related hepatitis B exposure, 14...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288902800601
更新日期:1989-06-01 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::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::A case of an 11-year-old girl with autoimmune hypothyroidism and a positive sweat test is presented. When the hypothyroidism was corrected the sweat test reverted to normal. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288902801110
更新日期:1989-11-01 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: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