Abstract:
:One pattern of dysfunctional family interaction is described as a syndrome. Four case histories are presented in which different family members take polar positions on various continua. In one instance the continuum is oral communication, with garrulousness on one side and silence on the other. Another continuum is family responsibility, where one member of the family takes total responsibility and another takes almost none. The symbolic continuum is an electric blanket with hot at one extreme and cold at the other. In all cases, family therapy was performed by a pediatrician. Guidelines are discussed for treatment and for appropriate consultation with mental-health professionals.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Karofsky PS,Keith DVdoi
10.1177/000992288102000408subject
Has Abstractpub_date
1981-04-01 00:00:00pages
279-83issue
4eissn
0009-9228issn
1938-2707journal_volume
20pub_type
杂志文章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...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814557786
更新日期:2015-06-01 00:00:00
abstract::Helicobacter pylori (H. pylori) is responsible for one of the most frequently encountered infectious diseases worldwide. H. pylori infection can lead to the development of gastritis and peptic ulcer disease. The presence of H. pylori in the human stomach also represents an increased risk for gastric cancer and gastric...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992289603500401
更新日期:1996-04-01 00:00:00
abstract::In this study, the clinical and laboratory features of children with lymphadenopathy were evaluated. Over a 3-year period, 126 patients were referred to the clinic for lymphadenopathy. Twenty-eight of cases have diseases mimicking lymphadenopathy; 98 (mean age: 86+/-55 months) have lymphadenopathy. Localized, limited,...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922806290609
更新日期:2006-07-01 00:00:00
abstract::Attendance at well-child visits (WCVs) is a sine qua non of preventive care. We hypothesized that Reach Out and Read (ROR) would be associated with better WCV attendance. Parents of children 76 to 72 months at 8 clinics who did not yet have ROR reported how many WCVs their child had attended in the previous year; sepa...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818822975
更新日期:2019-01-07 00:00:00
abstract::Tests with the Bayley Motor Scale were given to 288 infants, equally divided by sex, in Yucatan, Mexico. These were 2 to 54 weeks in age and came from three sociocultural levels. In comparison to USA infants, early acceleration of motor development was followed by a marked downward trend. This phenomenon, if observed ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287801701106
更新日期:1978-11-01 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
pub_type: 杂志文章
doi:10.1177/000992288602500913
更新日期:1986-09-01 00:00:00
abstract::Research conducted in 10 cities assessed long-term pediatric asthma outcomes from a peer teaching intervention for physicians to improve their asthma-related clinical and counseling skills. Hypotheses were better outcomes for patients, symptom reduction, less health care use, and enhanced view of the physician. Peers ...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0009922808319964
更新日期:2008-11-01 00:00:00
abstract::Based on a retrospective 5-year medical record review, this study characterizes factors associated with patients discharged against medical advice (AMA) from a tertiary pediatric emergency department (ED) and compares rates of return to the ED and admission to the hospital with those of patients routinely discharged. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808323109
更新日期:2009-04-01 00:00:00
abstract::Anemia is defined as a reduction in red blood cell mass or hemoglobin concentration in blood. It is statistically differentiated from normal states as a hemoglobin concentration or hematocrit 2 SD below the mean for the healthy population adjusted for age and sex. Anemias may be classified based on the morphologic fun...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808323115
更新日期:2009-01-01 00:00:00
abstract::Parents are frequently cautioned by therapists, teachers, physicians, and online resources about potential negative effects of w-sitting in children (including hip dysplasia), despite lack of evidence. To examine relationships between w-sitting and hip dysplasia, a prospective cohort study was conducted of 104 patient...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820940810
更新日期:2020-10-01 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
pub_type: 杂志文章,meta分析
doi:10.1177/000992289503401201
更新日期:1995-12-01 00:00:00
abstract::A 6-year-old girl with sickle cell disease was admitted to the hospital with the diagnosis of the acute chest syndrome. The laboratory findings and the radionuclear lung scan supported a diagnosis of pulmonary infarction rather than pneumonia. She improved with intravenous fluids, oxygen, penicillin, and theophylline....
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502401209
更新日期:1985-12-01 00:00:00
abstract::Much attention has been focused on the natural history of gastroesophageal reflux (GER) in neurologically normal infants which generally resolves by two years of age. In contrast, little is known of the outcome of GER diagnosed in normal older children. The charts of 32 children (21 males) without neurologic or esopha...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289103000705
更新日期:1991-07-01 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::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::Electronic cigarettes, or e-cigarettes as they are commonly called, have gained wide acceptance among adolescents, especially those with sweet flavors such as bubble gum and cheesecake. Although health effects of e-cigarettes have not been well characterized, their use increases a teen's exposure to nicotine and may s...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/0009922817705188
更新日期:2017-09-01 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:OBJECTIVE:To describe the time and actions on 3 key health topics during health supervision (HS) visits of children aged 0 to 1 years. METHOD:HS visits were observed at 5 offices. Parents provided demographics and children's measurements were obtained. Using special computer software, visits were observed for frequenc...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809337530
更新日期:2009-11-01 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: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
pub_type: 杂志文章
doi:10.1177/0009922808327056
更新日期:2009-03-01 00:00:00
abstract::Few studies have described the woman who chooses breast-feeding by more than simple demographics. The purpose of our study was to characterize new mothers by their infant feeding decisions, by demographic and obstetrical data, and by sources of personal support they received during their pregnancies and in making thei...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900105
更新日期:1990-01-01 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
pub_type: 杂志文章
doi:10.1177/000992288902800601
更新日期:1989-06-01 00:00:00
abstract::The relationship between lipids, lipoproteins, total homocysteine, and lipoprotein (a) was studied in hypercholesterolemic and normocholesterolemic children. In hypercholesterolemic children, concentrations of total cholesterol, low-density lipoprotein (LDL) cholesterol, apolipoprotein B, and triglycerides were signif...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280104000304
更新日期:2001-03-01 00:00:00
abstract::The authors administered an abbreviated revision of a previously field-tested, self-administered, brief screening test (the 30-item Drug and Alcohol Problem Quick Screen) to 355 consecutive middle-class adolescent patients seen at a five-pediatrician group practice setting. Ninety-six percent (341) of the subjects com...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900106
更新日期:1990-01-01 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::Falszewska A, Dziechciarz P, Szajewska H. The diagnostic accuracy of Clinical Dehydration Scale in identifying dehydration in children with acute gastroenteritis: a systematic review. Clin Pediatr (Phila). 2014;53:1181-8. (Original DOI: 10.1177/0009922814538493 ). ...
journal_title:Clinical pediatrics
pub_type: 杂志文章,已发布勘误
doi:10.1177/0009922817711992
更新日期:2018-01-01 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
pub_type: 杂志文章
doi:10.1177/000992288502400601
更新日期:1985-06-01 00:00:00
abstract::A computerized screening system for growth disorders is presented. Its aim is to save time and to facilitate the decision of whether a patient with a suspected growth problem should be referred for specialized evaluation. It uses accepted methods and common sense, and has been shown to be effective. A radiography of t...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402301102
更新日期:1984-11-01 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::An acutely ill 4-year-old girl with Rocky Mountain spotted fever (RMSF) was found to have a coagulation inhibitor. This child had no serious bleeding manifestations and minimal hemorrhagic skin manifestations despite severe RMSF, concurrent thrombocytopenia, as well as the coagulation inhibitor. Hemostatic abnormaliti...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702600905
更新日期:1987-09-01 00:00:00