Abstract:
:We reviewed 74 outpatient febrile episodes in 22 pediatric heart transplant patients in order to determine etiologies, rates of serious and nonserious illness, and factors predictive of serious disease. Twenty-two febrile episodes (30%) resulted in hospital admission. Only three variables were predictive of serious illness: longer duration of fever, shorter time since transplant, and lower febrile episode number. We conclude that at least 70% of outpatient febrile episodes are nonserious and can be managed safely in an outpatient setting. The duration of fever may be predictive of serious disease but is not useful at initial presentation.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Crandall WV,Norlin C,Bullock EA,Shearrow ME,Tani LY,Orsmond GS,Shaddy REdoi
10.1177/000992289603500902subject
Has Abstractpub_date
1996-09-01 00:00:00pages
437-42issue
9eissn
0009-9228issn
1938-2707journal_volume
35pub_type
杂志文章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 fa...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288102000408
更新日期:1981-04-01 00:00:00
abstract::The study objective was to quantify sugar-sweetened beverage (SSB) offerings to children in Pennsylvania (PA) childcare centers and determine whether this information is communicated to parents. In October 2014, a SurveyMonkey link was sent to 4461 PA childcare centers. The 518 respondents represented 88% of PA counti...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815591887
更新日期:2016-06-01 00:00:00
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:BACKGROUND:The purpose of our study was to compare caregiver perceptions of fever between ethnicities in a population with a large percentage of Hispanics. METHODS:A 20-item, cross-sectional survey was collected from English- and Spanish-speaking parents of children. Questions addressed level of parental worry, parent...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809336208
更新日期:2010-02-01 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::In this paper, fecal incontinence and constipation were treated in two mentally retarded individuals using a novel intervention wherein incontinent stools were first rewarded in order to increase the frequency of bowel movements. This intervention was implemented only after more traditional pediatric and behavioral tr...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289103000105
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:This is a retrospective chart review of autistic patients presenting to the emergency department (ED) in a tertiary care pediatric center during the year 2011. RESULTS:There were 160 ED visits by 130 patients, 25% of visits were repeated, and 20% were admitted to the hospital. There were 126 (79%) male and ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814540983
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Sexually transmitted infections (STIs) are common among adolescents, and multiple STIs over one's lifetime can increase health risks. Few studies have assessed lifetime STI prevalence. This study evaluates minority, underserved adolescents' self-reported lifetime STI history and objective STI rates. METHODS...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814533816
更新日期:2014-08-01 00:00:00
abstract::The rectal-axillary temperature difference (R-A) was measured in the morning, at midday, and in the afternoon on 1,519 occasions in 1,149 children from birth to 5 years old. Of these, 302 children were febrile (rectal temperature > or = 38 degrees C) and 847 were afebrile. A wide range in R-A was found for each indivi...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289303200503
更新日期:1993-05-01 00:00:00
abstract::Positive newborn screening (NBS) results cause significant parental distress, but little is known about how parents find out about children's screening results and what they are told. This qualitative, exploratory study reports on parents' perceptions of the initial communication of NBS results. Participants included ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812446011
更新日期:2012-08-01 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:BACKGROUND:There are some studies demonstrating the effectiveness of the provision of written asthma action plans in improving asthma outcomes. There exist little data on the ability of parents to use these plans to make asthma care decisions. OBJECTIVE:To assess the associations between parental health literacy (HL),...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815587089
更新日期:2016-02-01 00:00:00
abstract::Childhood celiac disease (CD) is considered rare in the United States. Consequently there are few data concerning its clinical presentation. A validated questionnaire was distributed to families of children with CD. One hundred forty-one children with biopsy-proven CD were included in the study. We found significant d...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280504400309
更新日期:2005-04-01 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::An adolescent female with occult cystic medial necrosis died following spontaneous aortic rupture. A large saccular aortic aneurysm that had ruptured into the pericardial space was demonstrated by two-dimensional echocardiography and confirmed at surgery. Echocardiographic screening of the patient's family members rev...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400408
更新日期:1985-04-01 00:00:00
abstract::The lead content of paint on wooden handles of kitchen utensils ranged from 0 to 9.7 per cent (97,000 ppm). Yellow paint showed the highest concentration of lead followed by green and red colors. The values of lead often exceeded the legal limit on toys and paint for use indoors. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287601500713
更新日期:1976-07-01 00:00:00
abstract::Nephrotic syndrome (NS) is one of the most common causes of chronic kidney disease in children. Mostly, NS is controlled by steroids. In spite of this, 10% to 20% of the patients have steroid resistant NS (SRNS), and the rest have steroid sensitive NS (SSNS). Eighty-seven children with NS (66 SSNS; 21SRNS) were retros...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816645521
更新日期:2017-02-01 00:00:00
abstract::When dealing with the management of the dying patient and his family, systematic research has been very limited. Understanding the dying child's needs, as well as his family's, is important for approprirate therapy programs. The present study investigated the mother's awareness of her child's expressed and wanted need...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287701600207
更新日期:1977-02-01 00:00:00
abstract:OBJECTIVES:Obstructive sleep apnea (OSA) and habitual snoring are highly prevalent childhood conditions and have been associated with a large array of negative health outcomes. Although guidelines were published by the American Academy of Pediatrics (AAP) a decade ago recommending routine screening of sleep-disordered ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812464548
更新日期:2012-12-01 00:00:00
abstract::This study aims to evaluate the cost-benefit of vaccination services, mostly partial series administration, provided by a mobile clinic program (MCP) in Houston for children of transient and low-income families. The study included 469 patients who visited the mobile clinics on regular service days in 2 study periods i...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820908586
更新日期:2020-06-01 00:00:00
abstract::A case of a child suffering from recurrent parotitis secondary to inadvertant chewing on Stensen's duct orifice suggests that this cause may be common to other children plagued by this puzzling disorder. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001900313
更新日期:1980-03-01 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::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::Prior to the 1990s, most 46,XX infants with clitoromegaly secondary to congenital adrenal hyperplasia were treated with feminizing genitoplasty to make their cosmetic appearance congruent with their genotypic sex. A 2006 consensus statement for the management of intersex disorders accepted input from patient advocates...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818803407
更新日期:2018-12-01 00:00:00
abstract::Our primary objective was to compare parents of infants cared for in newborn intensive care units (NICUs) and infants cared for in well-baby ("general") nurseries with regard to knowledge and practice of safe sleep practices/sudden infant death syndrome risk reduction measures and guidelines. Our secondary objective w...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813506038
更新日期:2013-11-01 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
pub_type: 杂志文章
doi:10.1177/0009922814557784
更新日期:2015-06-01 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::A considerable percentage of American children and adults fail to learn adequate literacy skills and read below a third grade level. Shared book reading is perhaps the single most important activity to prepare young children for success in reading. The primary objective of this manuscript was to critically review the ...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/0009922813507995
更新日期:2014-04-01 00:00:00
abstract::Thrombocytopenia absent radius (TAR) syndrome, associated with small, echogenic kidneys and subsequent end-stage renal disease, was seen in a full-term newborn. In this infant, renal insufficiency may have increased the known risk of bleeding that is associated with TAR syndrome. Renal abnormalities and dysfunction ar...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900309
更新日期:1990-03-01 00:00:00
abstract::Excessive television (TV) viewing by children can lead to negative health and developmental outcomes. Using structural equation modeling, this study tests a conceptual model to understand social and familial factors associated with TV exposure among a sample of 767 Head Start families with children between the ages of...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817738340
更新日期:2018-07-01 00:00:00