Abstract:
:Although pediatricians are increasingly aware of the problem of undernutrition in children with neurologic disabilities, many of these children remain poorly nourished despite prolonged attempts at oral feedings. We studied the effects of tube feeding on such children, using either nasogastric (NG) or gastrostomy (GT) feedings. Twenty-six patients (16 male, mean age at first visit 40.7 months) were followed while receiving tube feedings for a mean of 23 months. Thirteen children in the NG group were tube fed by nasogastric tube. The GT group consisted of two groups of children: 10 who began with nasogastric feedings and then changed to gastrostomy because of intolerance or need for reflux surgery, and three who were always tube fed via gastrostomy. Mean percent ideal body weight for height age (%IBWH) for the whole group improved from 73.2% to 94.2% (P < .0001), for the NG group from 72.1% to 89.3% (P < .002), and for the GT group from 74.2% to 98.8% (P < .0001). One patient died of unrelated severe upper airway obstruction. No patients reported hospitalization due to tube-feeding complications. Seventeen of the parents perceived that their child's mood was improved and that they spent less time in child care after NG or GT feedings were begun. We conclude that (1) both nasogastric and gastrostomy feedings safely improved nutrition in these children and (2) this objective improvement was often accompanied by subjective improvement. We suggest aggressive use of tube feedings in selected patients.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Naureckas SM,Christoffel KKdoi
10.1177/000992289403300608subject
Has Abstractpub_date
1994-06-01 00:00:00pages
353-9issue
6eissn
0009-9228issn
1938-2707journal_volume
33pub_type
杂志文章abstract::This cross-sectional study examined how asthma control, demographic, and clinical characteristics are associated with the use of asthma medications in pediatric office visits in the United States. Data from the 2012-2015 National Ambulatory Medical Care Survey included patients aged 6 to 17 years, with asthma as a pri...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818822980
更新日期:2019-04-01 00:00:00
abstract::The Bronx Ongoing Pediatric Screening (BOPS) project sought to improve screening for sexual activity and sexually transmitted infections (gonorrhea and chlamydia [GCC] and HIV) in a primary care network, employing a modified learning collaborative, real-time clinical data feedback to practices, improvement coaching, a...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1177/0009922817733702
更新日期:2018-07-01 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::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
pub_type: 杂志文章
doi:10.1177/0009922817734356
更新日期:2018-06-01 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
abstract::This article describes ( a) parent questions about ADHD (attention deficit/hyperactivity disorder), ( b) parent Internet use to seek ADHD information, and ( c) associations between type of Internet access and ADHD information-seeking. Seventy parents of children (ages 7-17 years) with ADHD completed questionnaires aft...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1177/0009922817691821
更新日期:2018-01-01 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
pub_type: 杂志文章
doi:10.1177/0009922813475703
更新日期:2013-04-01 00:00:00
abstract::This study compares 2 sampling methods for urine cultures in young infants. We analyzed data on urine samples obtained from 83 infants using 2 sources of urine: suprapubic bladder aspiration (SPA) and bladder catheterization. All specimens were subjected to both urinalysis and culture, and the results compared. Eighty...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815608278
更新日期:2016-08-01 00:00:00
abstract::The authors present a report on two sibling with a nearly identical phenotype mimicking peroxisomal disorder but with totally discordant biochemical findings. In an attempt to confirm the diagnosis of a peroxisomal disorder, plasma levels of very long chain fatty acids (VLCFA) and phytanic acid were determined. In add...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900814
更新日期:1990-08-01 00:00:00
abstract::This study presents the characteristics of 20 children (17 female) with NIDDM who required oral hypoglycemic agent (OHA) therapy. A family history of NIDDM was present in 55%. None had islet cell antibodies (ICA) or glutamic acid decarboxylase (GAD) antibodies. Tolbutamide was the drug of choice; glibenclamide was int...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289803700209
更新日期:1998-02-01 00:00:00
abstract::We examined whether gastrointestinal (GI) symptoms were associated with sleep disturbances in a community-based sample of 337 school-aged children from Ypsilanti, Michigan. Parents completed the sleep-related breathing disorder scale of the Pediatric Sleep Questionnaire and the Conners' parents rating scale, which inc...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818787858
更新日期:2018-11-01 00:00:00
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::Propionic acidemia (PA) is one of the most frequent organic acidurias, but information on the outcome of individuals with PA is rather limited. We present data of 49 patients with PA, which were gathered from 18 metabolic centers throughout Central Europe on the occasion of an international workshop. All patients were...
journal_title:Clinical pediatrics
pub_type:
doi:10.1177/000992280404300908
更新日期:2004-11-01 00:00:00
abstract::An eight-year-old boy developed staphylococcal endocarditis. He was treated initially with nafcillin and gentamicin, but he remained febrile. The minimum bactericidal concentration (MBC) of nafcillin was 130 times the minimum inhibitory concentration (MIC). Following the addition of rifampin to the antibiotic regimen,...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288202100414
更新日期:1982-04-01 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
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::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
pub_type: 杂志文章
doi:10.1177/000992288902800905
更新日期:1989-09-01 00:00:00
abstract::The authors conducted an e-mail survey of their medical staff to explore the attitudes, patterns of recommendation, and communication of pediatric providers about complementary and alternative medicine (CAM) in a large metropolitan children's hospital. Two thirds of the respondents reported awareness about their patie...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810384724
更新日期:2011-02-01 00:00:00
abstract::Liquid antibiotics are often substantially more expensive than their pill counterparts, representing an opportunity for substantial cost reductions. Children can be taught to swallow pills at about age 6 years. The objective of this study was to calculate the potential cost saved by replacing liquid antibiotics with c...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818774340
更新日期:2018-10-01 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::Rickets as a definite disease manifesting itself by a more or less constant association of symptoms was first described in 1645 by Daniel Whistler, as English physician. However, the disease must have existed years before Dr. Whistler's report, as is evident in the painting by Hans Burgkmair completed in 1509. ...
journal_title:Clinical pediatrics
pub_type: 传,历史文章,杂志文章
doi:10.1177/000992288001900305
更新日期:1980-03-01 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::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::This study was conducted to determine if culture confirmation is needed for a negative rapid antigen detection test. Data on 18,509 tests done in patients younger than 18 years old were reviewed. Of the 14,167 (76.5%) that were negative, 968 (6.8%) were associated with positive cultures. No significant seasonal variat...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1177/0009922806290219
更新日期:2007-04-01 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::Mammalian bites account for a large number of emergency department and doctor's visits. Children are the victims in more than half of reported cases. Dogs account for the majority of wounds, and almost all fatalities in these cases are due to dog bites. Human bites and cat bites account for the majority of infected wo...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900506
更新日期:1990-05-01 00:00:00
abstract::Pediatric obesity, which has reached epidemic proportions in the United States in the past 10 years, translates directly into rising rates of adult obesity. This study assessed the impact of a school, family, community, and industry-based primary intervention project on the rates of overweight and obesity in a rural c...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807299315
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Often diapers are not changed after infants pass urine. AIM:To define the association between the frequency of changing diapers and urinary tract infection (UTI) in infants. METHODS:Urine samples were tested in 131 infants (aged from 2 months to 2.5 years) who had a temperature > or =38 degrees C. The auth...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808320696
更新日期:2009-01-01 00:00:00
abstract::This study examined whether physical pain, mental health symptoms, and provider characteristics were associated with the discussion of children's behavior, mood, getting along with others, school performance, family stress, and parent stress during 800 pediatric primary care visits to 54 providers in 13 clinics. The d...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807304144
更新日期:2007-11-01 00:00:00
abstract::Anonymous self-report surveys of a convenience sample of caregivers accompanying children to the pediatrician for acute or well visits at 4 pediatric practices in the Washington, DC area from July through November 1998 were evaluated. Three hundred seventy-eight (85%) of 443 caregivers approached participated. The 348...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280404300408
更新日期:2004-05-01 00:00:00