Abstract:
:The use of totally implantable central venous catheters with reservoirs has grown steadily over the past few years. These systems mitigate many of the inherent problems associated with catheter systems that protrude from the skin. Totally implantable systems are easily cared for and permit activities such as swimming. These features have led many surgeons and patients to favor their use. However, some surgeons have resisted their use because of the added technical difficulty in placing the reservoir. The technical problem in seating a subcutaneous reservoir can be solved by utilizing the technique described below. It is especially useful in the pediatric patient, where the operative field is confined.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Gilchrist BF,Novak Zdoi
10.1177/000992289303200515subject
Has Abstractpub_date
1993-05-01 00:00:00pages
313-4issue
5eissn
0009-9228issn
1938-2707journal_volume
32pub_type
信件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::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::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::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::Fever is a common complaint leading families to seek medical attention. Its routine management is the bread and butter of pediatric practice. When fever is seen as prolonged beyond the expected time course (eg, 10 days for a presumed viral respiratory tract infection or 3 weeks for mononucleosis), concern for fever of...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/0009922809347799
更新日期:2010-03-01 00:00:00
abstract::A study was undertaken to evaluate the trends in radiological follow up of childhood pneumonia among consultant pediatricians throughout the United Kingdom. A questionnaire was sent to 120 consultant pediatricians. Among the 88 respondents, 18% would carry out a repeat chest radiograph on follow-up of all their patien...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922806290055
更新日期:2007-03-01 00:00:00
abstract::To assess knowledge regarding symptoms and treatment of anaphylaxis, a vignette of a child having an allergic reaction to a peanut was presented to residents in an allergy clinic. Twelve sets of clinical outcomes ranging from severe multi-organ to mild single organ involvement were described, and residents were asked ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820946012
更新日期:2021-01-01 00:00:00
abstract::Two types of calipers to measure skinfolds have been compared in adults, but the same type of comparison has not been done in a pediatric population who generally would have smaller skinfolds. Biceps and triceps skinfold measurements were made in 240 pediatric patients ranging in age from 2 weeks to 18 years. Skinfold...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300104
更新日期:1984-01-01 00:00:00
abstract:INTRODUCTION:Well child care is taught with individual visits in pediatric residency. Teaching residents how to deliver well child care efficiently is critical. Group well child care brings multiple families together for visits. The authors piloted group visits in pediatric residency clinic. METHODS:The authors conduc...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922811417289
更新日期:2012-02-01 00:00:00
abstract::Developmental language disorder has been reported in 3% to 10% of term infants and 30% of preterm infants (<34 weeks gestation). Screening for language delay in preterm infants can be costly and time-consuming. The objective of this study was to assess the expressive language development of preterm infants using the L...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812439244
更新日期:2012-07-01 00:00:00
abstract::Our goal was to determine if breastfeeding provides any protection against urinary tract infection (UTI) and if vitamin D supplementation imposes any additional risks for UTI in infants < 3 months of age. In this study, 40% of the children who had urine cultures were breastfed, and 18.7% of the children were exclusive...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809332588
更新日期:2009-09-01 00:00:00
abstract::With an incidence of 1 in 3,000, neurofibromatosis type 1 (NF1), or von Recklinghausen disease, is one of the most common genetic disorders encountered by primary care physicians. NF1 is a multisystem disease that affects more than one million people worldwide (more than 80,000 in the United States). Although most ped...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992289603501101
更新日期:1996-11-01 00:00:00
abstract::Participants were parents of 1- to 7-year-old children presenting to a pediatric clinic. The intervention was Play Nicely, 2nd edition, a multimedia educational program that teaches childhood aggression management skills. On average, parents viewed 10 to 15 min in clinic. The average age of the 89 participants was 30 ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807302508
更新日期:2007-10-01 00:00:00
abstract::The General Academic Pediatrician (GAP) may act as a consultant to both primary care pediatricians and tertiary care subspecialists. The authors surveyed a consultation service staffed by three GAP's in a tertiary care children's hospital. The service was financially successful and generated new sources of referrals f...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802701203
更新日期:1988-12-01 00:00:00
abstract::Half of US school children receive influenza vaccine. In our previous trials, school-located influenza vaccination (SLIV) raised vaccination rates by 5 to 8 percentage points. We assessed whether text message reminders to parents could raise vaccination rates above those observed with SLIV. Within urban elementary sch...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922818821878
更新日期:2019-04-01 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: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:OBJECTIVES:Functional gastrointestinal disorders (FGIDs) are common. Diagnosis is based on the Rome criteria. It has been argued that performing endoscopies could help by providing reassurance and thus improve outcomes. This study was conducted to evaluate the impact of obtaining normal endoscopies in the outcome of ch...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810392773
更新日期:2011-05-01 00:00:00
abstract::Although common, little is known about the characteristics and management of undifferentiated abdominal pain (UAP) in the pediatric emergency department (ED). This study was a 12-month retrospective study for "abdominal pain" ED visits. Patients without an identifiable diagnosis were categorized as "UAP," while others...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922819867459
更新日期:2019-10-01 00:00:00
abstract::The authors present three case studies of patients referred to Children's Hospital and Medical Center, Seattle, Washington, for evaluation of possible eating disorders. The atypical manifestations of the cases warranted further investigation, which revealed an organic basis for their weight loss. The authors summarize...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900606
更新日期:1990-06-01 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
pub_type: 杂志文章
doi:10.1177/000992287801700110
更新日期:1978-01-01 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:OBJECTIVE:This study describes the clinical course, treatment, and outcome of 13 critically ill children due to infection with new influenza A H1N1, admitted to 2 pediatric intensive care units (PICUs) in the northwestern part of the Netherlands. METHODS:Retrospective case series, conducted in 2 PICUs in Amsterdam, th...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1177/0009922810381426
更新日期:2011-01-01 00:00:00
abstract::Urinary tract infection (UTI) in children is a common diagnosis in general pediatric practice. Because of the potential severity and proven morbidity of such infections, the American Academy of Pediatrics (AAP) developed guidelines to better direct clinicians in the workup. This retrospective study sought to evaluate ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808319962
更新日期:2008-11-01 00:00:00
abstract::The physical and psychological changes of pseudocyesis have bewildered physicians since the time of Hippocrates. We present the case of a 14-year-old girl as a reminder that pseudocyesis needs to be considered in adolescents and that the diagnosis may not be obvious, even with current technologies. We document that ga...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288302201006
更新日期:1983-10-01 00:00:00
abstract::Clinic-based social needs screening has been associated with increased access to social services and improved health outcomes. Using a pragmatic study design in an urban pediatric practice, we used logistic regression to identify factors associated with successful social service uptake. From December 2017 to November ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820908589
更新日期:2020-06-01 00:00:00
abstract::An infant exposed in utero to valproic acid was born with multiple congenital malformations, including duodenal atresia, lumbar vertebral fusion, thoracolumbar scoliosis, renal abnormalities, diastasis recti abdominis, depigmentation of the eyebrows, and a large hemangioma. The child had neonatal hyperbilirubinemia an...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300611
更新日期:1984-06-01 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::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::Nursing bottle carries is a pattern of extensive decay in newly erupted maxillary incisors. We examined nutritional, demographic, and behavioral characteristics of children with this condition and age/sex-matched controls, generating a profile of factors associated with increased risk for the development of this disea...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288902800305
更新日期:1989-03-01 00:00:00