Undertriage of Pediatric Major Trauma Patients in the United States.

abstract：:An asymptomatic child with a murmur can be challenging practice management conundrum. Some providers refer all patients with a "new" murmur to a cardiologist, likely resulting in excessive resource utilization and parental anxiety. This study examines whether the prevalence of significant cardiac pathology differs in ...

journal_title：Clinical pediatrics

authors： Gupta LJ,May JW

更新日期：2017-04-01 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

authors： Dalal NN,Dzelebdzic S,Frank LH,Clauss SB,Mitchell SJ,Aljohani OA,Bradley-Hewitt T,Harahsheh AS

更新日期：2018-10-01 00:00:00

abstract：:This report describes the results of bone marrow leukocyte immunophenotypic studies, DNA index measurement, and chromosome analysis in a newborn with Down syndrome and transient myeloproliferative disorder. The infant's initial leukocytosis with immature cells in the peripheral blood and thrombocytopenia resolved with...

journal_title：Clinical pediatrics

authors： Cook JA,Raney B Jr,Innes DJ Jr,Normansell D

更新日期：1989-03-01 00:00:00

abstract：:Three children presented with acute onset of hemiplegia following an upper respiratory infection. Angiography revealed irregulaities, beading, and slow flow of a peripheral branch of a middle cerebral artery. In addition, one child had narrowing of the cervical segment of the internal carotid artery. An inflammatory a...

journal_title：Clinical pediatrics

authors： Zilkha A,Mendelsohn F,Borofsky LG

更新日期：1976-12-01 00:00:00

abstract：OBJECTIVE:To evaluate the efficacy and feasibility of a multifaceted, community-based weight intervention program for children using exergaming technology (activity-promoting video gaming). DESIGN AND METHODS:This is a prospective observational pilot study. Forty-eight children, between the ages of 8 and 16 years, who...

journal_title：Clinical pediatrics

authors： Christison A,Khan HA

更新日期：2012-04-01 00:00:00

abstract：:The duration of hospitalization for newborns has declined dramatically, driven by efforts to control health-care costs as well as by efforts to demedicalize childbirth. In order to determine the clinical basis for this practice, the quality of the published literature on discharge timing was analyzed. Thirteen experim...

journal_title：Clinical pediatrics

authors： Margolis LH

更新日期：1995-12-01 00:00:00

abstract：:Cervical adenopathy as the sole presentation of tuberculosis is seen infrequently in the pediatric age group. Despite modern treatment and public health measures, tuberculous cervical adenitis persists, and its prompt diagnosis and treatment are important from both a clinical and preventive health perspective. The aut...

journal_title：Clinical pediatrics

authors： Talmi YP,Cohen AH,Finkelstein Y,Versano I,Zohar Y

更新日期：1989-09-01 00:00:00

abstract：:Four patients with the slipping rib syndrome presenting as chest pain are described, and the appropriate literature is reviewed. In two of the patients the physicians caring for the children were initially concerned that a cardiac condition was the cause of the chest pain, and a cardiac evaluation was done. In one pat...

journal_title：Clinical pediatrics

authors： Taubman B,Vetter VL

更新日期：1996-08-01 00:00:00

abstract：:A 6-year-old boy with fever, vomiting, abdominal pain, and leucocytosis was found to have a small nodule of heterotopic pancreatic tissue in the wall of the jejunum. Leakage of pancreatic enzymes caused inflammation and hemorrhagic necrosis of adjacent smooth muscle. Excision of the lesion was followed by prompt and p...

journal_title：Clinical pediatrics

authors： Curran JP,Anderson V

更新日期：1986-09-01 00:00:00

abstract：:A common presenting problem of children in pediatric practice is the constellation of symptoms involving difficulty in completing assignments, trouble with written work, and organizational problems. Typically, these children do not have difficulty with reading but show problems with academic achievement. We have recen...

journal_title：Clinical pediatrics

authors： Siegel LS,Feldman W

更新日期：1983-04-01 00:00:00

abstract：:This article reports the case of a 3-year-old male with an elevated blood lead level. The child had a history of consuming imported lead-contaminated candies resulting in abdominal pains for which he was given a Hispanic folk remedy, called greta, by his mother. The home remedy aggravated the child's symptoms which pr...

journal_title：Clinical pediatrics

authors： Cabb EE,Gorospe EC,Rothweiler AM,Gerstenberger SL

更新日期：2008-01-01 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

authors： Hicks RA,Cullen JW,Jackson MA,Burry VF

更新日期：1989-06-01 00:00:00

abstract：:Presenting characteristics, long-term outcome, and techniques used in the diagnosis of 143 infants with suspected biliary obstruction are reviewed. Sixty-nine patients had surgically confirmed extrahepatic disease and 74 had intrahepatic disorders. A disproportionate number of infants with intrahepatic disease were bo...

journal_title：Clinical pediatrics

authors： Ferry GD,Selby ML,Udall J,Finegold M,Nichols B

更新日期：1985-06-01 00:00:00

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 temp...

journal_title：Clinical pediatrics

authors： Titus MO,Hulsey T,Heckman J,Losek JD

更新日期：2009-03-01 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

authors： Low RC,Cho CT,Dudding BA

更新日期：1977-07-01 00:00:00

abstract：:Topical application of ocular drugs may cause serious adverse ocular or systemic side effects. Children are at greater risk for systemic side effects because ocular dosing is not weight-adjusted, and infants are especially vulnerable as a consequence of the inability to efficiently metabolize the drug, and/or an immat...

journal_title：Clinical pediatrics

authors： Levy Y,Zadok D

更新日期：2004-01-01 00:00:00

abstract：:The present report is a review of all 554 papers published on Medline on pedophilia. The first discussion is the history of the disorder from ancient Greece to the present time, especially the influence of the liberal country of the Netherlands, the North American Man-Boy Love Association, and the sexual crisis in the...

journal_title：Clinical pediatrics

authors： Hughes JR

更新日期：2007-10-01 00:00:00

abstract：:As clinicians, pediatricians need to be cognizant of the how the principles of equity, social justice, and children's rights help to inform and guide us as we strive for the health and well being of all children. Children of the world are frequently the most vulnerable global citizens facing poverty, displacement, and...

journal_title：Clinical pediatrics

authors： Oberg CN

更新日期：2012-07-01 00:00:00

abstract：OBJECTIVE:The etiology of an apparent life-threatening event (ALTE) has been attributed to a wide range of causes. Physicians rely on caregiver narratives, which are often unreliable given the distressing nature of the event, which in turn leads to variation in the evaluation and management. The objective of this study...

journal_title：Clinical pediatrics

authors： Kundra M,Duffy E,Thomas R,Mahajan PV

更新日期：2012-02-01 00:00:00

abstract：:Such a program was used to treat 18 encopretic children; 17 improved and 14 became completely free of soiling. Most encopretic children can be managed by pediatricians and only those children with severe emotional disorders require psychiatric referral. ...

journal_title：Clinical pediatrics

authors： Hein HA,Beerends JJ

更新日期：1978-01-01 00:00:00

abstract：BACKGROUND:Seven pediatric primary care practices participated in New Mexico's Developmental Screening Initiative in a year-long quality improvement project with the goal of implementing standardized developmental screening tools. METHODS:The initiative utilized a learning collaborative approach and the Model for Impr...

journal_title：Clinical pediatrics

authors： Malik F,Booker JM,Brown S,McClain C,McGrath J

更新日期：2014-06-01 00:00:00

abstract：:This retrospective cohort study aimed to describe antipyretic use among healthy patients in a pediatric emergency department (ED) with nonurgent fever defined as: triage level 4 or 5, chief complaint fever or temperature 38°C to 39°C, and otherwise normal vital signs, and determine if antipyretic administration is ass...

journal_title：Clinical pediatrics

authors： Nelson CE,Ostapenko S,Zorc JJ,Balamuth F

更新日期：2018-06-01 00:00:00

abstract：:Eleventh- and 6th-grade students from an urban public school district were surveyed concerning vaccination outside the traditional medical home. Survey response rates were 50% for 11th- and 73% for 6th-grade students. Seventy-two percent of 11th-grade students reported that public health clinics were definitely or pro...

journal_title：Clinical pediatrics

authors： Pyrzanowski J,Curtis CR,Crane LA,Barrow J,Beaty B,Kempe A,Daley MF

更新日期：2013-04-01 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

authors： Mehta SK

更新日期：2015-06-01 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

authors： Khuffash FA,Sharda DC,Majeed HA

更新日期：1986-04-01 00:00:00

abstract：:The frequency of accessory nipples in black Americans is almost eight times greater than in white European patients. Association of a wide range of abnormalities with supernumerary nipples in whites has, thus far, not been our experience in black Americans. ...

journal_title：Clinical pediatrics

authors： Rahbar F

更新日期：1982-01-01 00:00:00

abstract：OBJECTIVE:To evaluate the skills and team behavior of pediatric residents during resuscitation with a high-fidelity mannequin before and after a deliberate practice intervention. METHODS:Each month residents participate in two 90-minute videorecorded sessions (2-3 weeks apart) in an "off-site" delivery room during the...

journal_title：Clinical pediatrics

authors： Cordero L,Hart BJ,Hardin R,Mahan JD,Nankervis CA

更新日期：2013-08-01 00:00:00

abstract：:The goal of this study was to describe a single emergency physician's experience with symptomatic blunt head injury in children and prospectively assess the sensitivity and predictive value of the neurologic examination. The author utilized a prospective patient series comparing neurologic examination with computed to...

journal_title：Clinical pediatrics

authors： Fisher JD

更新日期：1997-08-01 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

authors： Fosarelli P,Winkelstein J,DeAngelis C,Mellits ED

更新日期：1985-02-01 00:00:00

abstract：:Transient synovitis of the hip is a common cause of hip pain in children. The etiology of transient synovitis of the hip is unknown. Lyme arthritis is characterized by brief, often recurrent episodes of oligoarthritis. Lyme arthritis most often affects a single knee, but hip involvement is uncommon. This report descri...

journal_title：Clinical pediatrics

authors： Saulsbury FT

更新日期：2008-10-01 00:00:00