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 (4.9%) were seropositive. Age 50 years and older, black race, and education no more than 12 years were associated with seropositivity among workers with work-related exposure. Employees in the clinics, laboratories, emergency room, and operating room had an increased prevalence of hepatitis B markers compared to those in other work locations (8 vs. 2%, p less than 0.05). Traditional risk factors for infection were not predictive of seropositivity. Although the risk of acquiring hepatitis B infection from employment in a children's hospital is low, this study does identify work-related risk factors. Possible reasons for this association are discussed.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Hicks RA,Cullen JW,Jackson MA,Burry VFdoi
10.1177/000992288902800601subject
Has Abstractpub_date
1989-06-01 00:00:00pages
245-50issue
6eissn
0009-9228issn
1938-2707journal_volume
28pub_type
杂志文章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::Of 43 youngsters with gonorrhea, 11 were under 10 years of age. These 11 had in common atypical clinical presentation, marital disharmony of the parents, crowded living conditions; some had been abused sexually. Management of gonorrhea in such young children may require a concerted effort by a team of medical, social,...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287701600709
更新日期:1977-07-01 00:00:00
abstract::The objective of this study is to document the incidence of falls from playground equipment in the United States over time and to provide a detailed profile of the individuals injured in playground falls using several state and national databases. During the past decade, there has been a steep decline in the number of...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817732618
更新日期:2018-05-01 00:00:00
abstract::The purpose of this study was to examine the immunization beliefs and practices of physicians in our community. A two-page descriptive survey of immunization practices and knowledge of vaccine contraindications was sent to all community physicians on the staff of Children's Hospital Medical Center in Cincinnati, Ohio....
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289603500205
更新日期:1996-02-01 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::We assessed the relationship between breastfeeding and antimicrobial use in the first year of life in healthy infants by surveying a military population of healthy term infants with questionnaires obtained at the 6-month and 12-month well-baby visits. Breastfed (BF) babies spent 48% as much time receiving antimicrobia...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280404300708
更新日期:2004-09-01 00:00:00
abstract::The multitude of treatment options for atopic dermatitis (AD) makes management frustrating for providers and patients. Eczema action plans (EAPs) have been proposed to improve parental and provider management. We developed a single-site randomized controlled trial to evaluate the impact of an EAP on quality of life (Q...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922818795906
更新日期:2018-12-01 00:00:00
abstract::The lead found in drinking water can be a source of lead poisoning to young children, particularly those who consume large amounts of water. The authors describe a 13-month-old infant who was discovered to have plumbism during routine evaluation. The lead source was ultimately traced to the daily administration of pow...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288902800810
更新日期:1989-08-01 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: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::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::Personal health records (PHRs) have the potential to improve incomplete health records. However, internet access through traditional methods may be limited for populations most at risk for fragmented care. A convenience sample of postpartum women at a community hospital and tertiary-care academic center in New York Ci...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816673438
更新日期:2017-04-01 00:00:00
abstract::IgG subclasses were measured in sera of 47 patients with acute hepatitis A during the course of the disease. IgG1 and IgG3 serum levels were found to be elevated, whereas IgG2 and IgG4 subclass concentrations did not differ from that found in healthy control individuals. These findings indicate that, similar to the sp...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900811
更新日期:1990-08-01 00:00:00
abstract::This study investigates relations between language and cognitive scores in children with receptive language (RL) delay and suggests guidelines for referral for cognitive testing. This retrospective review of the test scores of 41 children, ages 17 to 76 months (mean = 37.7 months), focuses on examining associations be...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808323108
更新日期:2009-01-01 00:00:00
abstract::A study of 58 consecutive Indian infants operated for congenital hypertrophic pyloric stenosis revealed an accentuated male predominance in the incidence of the disease and far less preoperative hemetemesis as compared to that in their Western counterparts. 'Pyloric tumor' was palpable in 89% of cases. Only 34.5% of t...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002901002
更新日期:1990-10-01 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::This study describes urban emergency department (ED) utilization and follow-up referral patterns among adolescents. ED visits for 14-19-year-old patients at an urban university hospital with adjacent adult and pediatric emergency departments during specified months in 1993 were retrospectively reviewed. A subgroup (n=...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280003900806
更新日期:2000-08-01 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::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: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 through...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922810385677
更新日期:2011-03-01 00:00:00
abstract::Eighty-five adolescents (ages 13 to 17), recruited from various metropolitan pediatric outpatient clinics, were administered the Patient Health Questionnaire (PHQ)-2, a two-item depression screener, along with two other well-established measures of depression, the Children's Depression Inventory (CDI) and the Beck Dep...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810370203
更新日期:2010-10-01 00:00:00
abstract::Pediatrician reimbursement is shifting from fee-for-service to a fixed salary. In the Netherlands, as physicians working on a fee-for-service basis have a financial interest in talking less and in carrying out more diagnostic tests and investigations, it may be questioned whether this will influence the structure and ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280003901004
更新日期:2000-10-01 00:00:00
abstract::Families of 49 hearing-impaired children responded to a questionnaire requesting information about the identification of their child's hearing loss. Parents were the first to suspect the hearing loss in 48 cases but more often than not were told that the child would outgrow it or was too young to test. When profession...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289103000202
更新日期:1991-02-01 00:00:00
abstract::A recent study has claimed that children who do not have gingivitis do not have bacteremia following dental manipulations and that these children do not require antibiotic prophylaxis. Postoperative blood cultures from 53 children and adolescents with and without gingivitis drawn within ten minutes of elevation of the...
journal_title:Clinical pediatrics
pub_type: 临床试验,杂志文章
doi:10.1177/000992287501400609
更新日期:1975-06-01 00:00:00
abstract::Two children presented with autoimmune alternating hypo- and hyperthyroidism related to the presence of blocking and stimulating thyroid antibodies. It was difficult to control their thyroid function adequately with an appropriate single drug regimen, and both children underwent total thyroidectomy with subsequent sta...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811412583
更新日期:2011-11-01 00:00:00
abstract::To examine how urban parents' perceptions of healthy infant size and growth relate to objective weight-for-length percentiles of their children, parents of 222 (69% minority) 6- to 27-month-old infants were surveyed. In all, 41% of parents said growth charts had never been explained to them, and 31% were not confident...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811398960
更新日期:2011-08-01 00:00:00
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
pub_type: 杂志文章
doi:10.1177/000992288402300406
更新日期:1984-04-01 00:00:00
abstract::Narcolepsy is a rare neurologic sleep disorder with morbidity associated with functional impairment and frequent delay in diagnosis. Symptoms typically manifest in adolescence or early adulthood, but diagnosis of narcolepsy has been reported in early childhood. Diagnosis rates are as low as 50% of the total population...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280604500409
更新日期:2006-05-01 00:00:00
abstract::Serum IgG, IgM, and IgA were measured in 316 infants younger than 12 months of age. Information including the child's race, sex, age, and past history of infections or atopy was collected. Birth records were also reviewed to ascertain the child's birthweight and gestational age. Serum IgG levels were higher in black i...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400204
更新日期:1985-02-01 00:00:00
abstract::Neisseria meningitidis is an important cause of fulminant septicemia and meningitis in children. Only limited reports of mild disease associated with this organism exist. In this study, we describe eight children, ages 2.5-19 months, with mild meningococcal disease and characterize the meningococcal isolates from some...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502401101
更新日期:1985-11-01 00:00:00