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 il...

journal_title：Clinical pediatrics

authors： Crandall WV,Norlin C,Bullock EA,Shearrow ME,Tani LY,Orsmond GS,Shaddy RE

更新日期：1996-09-01 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：:The Internet, an extensive network of interlinked computers storing immense quantities of information, is growing exponentially. The author was interested in discovering what sources of information exist on this network that might be of importance to the pediatric health care provider. To accomplish this aim, a litera...

journal_title：Clinical pediatrics

authors： Fikar CR

更新日期：1996-05-01 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

authors： Blecker U

更新日期：1996-04-01 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

authors： Siegel RM,Schubert CJ

更新日期：1996-02-01 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：:We investigated the effects of a cognitive-behavioral treatment package on reduction of anticipatory fear of pain during self-administered insulin injections. Two patients diagnosed with insulin-dependent diabetes mellitus participated. An ABAB design was employed; the intervention conditions consisted of cue-controll...

journal_title：Clinical pediatrics

authors： Moore KE,Geffken GR,Royal GP

更新日期：1995-10-01 00:00:00

abstract：:This study was conducted to determine whether intravenous theophylline, added to inhaled albuterol and intravenous methylprednisolone, provides a clinically significant benefit in the treatment of pediatric status asthmaticus. Patients aged 2 to 10 years were randomized to receive either intravenous theophylline or pl...

journal_title：Clinical pediatrics

authors： Bien JP,Bloom MD,Evans RL,Specker B,O'Brien KP

更新日期：1995-09-01 00:00:00

abstract：:More than 300 patients who presented consecutively to a sexual abuse clinic, a family planning clinic, and a family practice clinic filled out an anonymous survey regarding unwanted sexual experiences. In the family planning and family practice clinics, 40% of females and 16% of males reported having at least one unwa...

journal_title：Clinical pediatrics

authors： Kellogg ND,Huston RL

更新日期：1995-06-01 00:00:00

abstract：:Neonatal intensive care unit (NICU) survivors demonstrate handicapping sensorineural hearing loss up to 50 times more frequently than normal newborns, yet little is known about the etiology of the hearing loss. Theoretically, accurate identification and triage of a particular infant based on a clinical profile would b...

journal_title：Clinical pediatrics

authors： Eavey RD,Bertero Mdo C,Thornton AR,Herrmann BS,Joseph JM,Gliklich RE,Krishnamoorthy KS,Todres ID

更新日期：1995-03-01 00:00:00

abstract：:Two infants presented with growth failure and were found to have generalized osteomalacia (rickets) due to phosphate depletion from prolonged administration of an aluminum-containing antacid given for the symptoms of colic. One of the infants developed bilateral proptosis due to craniosynostosis related to the underly...

journal_title：Clinical pediatrics

authors： Pivnick EK,Kerr NC,Kaufman RA,Jones DP,Chesney RW

更新日期：1995-02-01 00:00:00

abstract：:Scleredema is a rare connective disease which must be differentiated from scleroderma in childhood. Scleredema is characterized by thickening of the dermis of the neck, head, and upper trunk. We report a case of scleredema in an 8-year-old boy with coincident streptococcal colonization. The patient report demonstrates...

journal_title：Clinical pediatrics

authors： Cron RQ,Swetter SM

更新日期：1994-10-01 00:00:00

abstract：:X-linked ornithine transcarbamylase deficiency (OTCD) often leads to fatal neonatal hyperammonemia in affected males (hemizygotes). In prenatal management of subsequent pregnancies, families carrying female fetuses are often reassured of the low risk of clinically overt disease. We suggest that such reassurance may be...

journal_title：Clinical pediatrics

authors： Fries MH,Kuller JA,Jurecki E,Packman S

更新日期：1994-09-01 00:00:00

abstract：:Three hundred eighty-six isolates of Propionibacterium sp. were recovered from 2,003 specimens studied for the identification of anaerobic bacteria in children during a 15-year period. Three hundred forty-three (89%) of these were Propionibacterium acnes. A total of 50 (13%) Propionibacterium isolates identified from ...

journal_title：Clinical pediatrics

authors： Brook I

更新日期：1994-08-01 00:00:00

abstract：:Few tools are available to pediatricians for tracking and monitoring disability status in children. We describe the conceptual basis and pilot use of the Functional Independence Measure for Children (WeeFIM). Our pilot use of this instrument in children with limb deficiency, Down's syndrome, spina bifida, cerebral pal...

journal_title：Clinical pediatrics

authors： Msall ME,DiGaudio K,Rogers BT,LaForest S,Catanzaro NL,Campbell J,Wilczenski F,Duffy LC

更新日期：1994-07-01 00:00:00

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)...

journal_title：Clinical pediatrics

authors： Naureckas SM,Christoffel KK

更新日期：1994-06-01 00:00:00

abstract：:The effectiveness of tepid sponging, in addition to antipyretic medication, in the reduction of temperature in febrile children living in a tropical environment, was assessed in a prospective, randomized, open trial. Seventy-five children aged between 6 and 53 months who attended the casualty department of the Childre...

journal_title：Clinical pediatrics

authors： Mahar AF,Allen SJ,Milligan P,Suthumnirund S,Chotpitayasunondh T,Sabchareon A,Coulter JB

更新日期：1994-04-01 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

authors： Mathew P,Wyllie R,Caulfield M,Steffen R,Kay M

更新日期：1994-02-01 00:00:00

abstract：:This study was designed to objectively examine depression and distress levels in parents of ill versus parents of healthy neonates by utilizing two well-validated questionnaires, the Beck Depression Inventory (BDI) and Kellner Symptom Questionnaire (KSQ). In addition, morbidity of infants was assessed by the Minde-Whi...

journal_title：Clinical pediatrics

authors： McGettigan MC,Greenspan JS,Antunes MJ,Greenspan DI,Rubenstein SD

更新日期：1994-02-01 00:00:00

abstract：:The effects of position (upright vs reclining) and support (held vs chair) on the development and maintenance of feeding behavior were examined in a child with bronchopulmonary dysplasia and gastroesophageal reflux. A reclining position initially facilitated acceptance and swallowing with relatively rapid generalizati...

journal_title：Clinical pediatrics

authors： Kerwin ME,Osborne M,Eicher PS

更新日期：1994-01-01 00:00:00

abstract：:Transient cataracts in patients with insulin-dependent diabetes mellitus (IDDM) are rare and have been reported only in association with severe ketoacidosis or hyperosmolarity. We present an adolescent with transient bilateral posterior subcapsular cataracts, which developed after the recent onset of IDDM without keto...

journal_title：Clinical pediatrics

authors： Phillip M,Ludwick DJ,Armour KM,Preslan MW

更新日期：1993-11-01 00:00:00

abstract：:Bedwetting is the most common urologic complaint among children. Wetting frequency at age 7 years varies from 5% to 15%. Treatment has been multimodal: drugs to depress bladder activity, increase urethral resistance, or modulate sleep; electrophysiologic treatment; and, recently, urine production modulation. All of th...

journal_title：Clinical pediatrics

authors： Nørgaard JP,Djurhuus JC

更新日期：1993-07-01 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

authors： Anagnostakis D,Matsaniotis N,Grafakos S,Sarafidou E

更新日期：1993-05-01 00:00:00

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....

journal_title：Clinical pediatrics

authors： Gilchrist BF,Novak Z

更新日期：1993-05-01 00:00:00

abstract：:The value of sonography in assessing chronic abdominal pain (CAP) in children, the characteristics of CAP, and the local pediatrician's practice in evaluating CAP are reported. Fifty-seven patients with CAP had abdominal and/or pelvic sonography; 56 were normal. One sonogram showed an ovarian cyst on the side opposite...

journal_title：Clinical pediatrics

authors： Schmidt RE,Babcock DS,Farrell MK

更新日期：1993-03-01 00:00:00

abstract：:It has been estimated that as many as 250,000 adolescents are using anabolic steroids (AS). Recently, anecdotal reports suggest that athletes may also be using human growth hormone (HGH). The purpose of the present study was to determine the following: 1) if adolescents in two suburban midwestern high schools (83% whi...

journal_title：Clinical pediatrics

authors： Rickert VI,Pawlak-Morello C,Sheppard V,Jay MS

更新日期：1992-12-01 00:00:00

abstract：:This paper represents a first attempt at delineating and summarizing the issues in a child's medical and developmental history associated with the probability of suffering abuse. The sample consisted of 96 children between 5 and 10 years of age, 61 of whom had been maltreated and 35 of whom served as controls. There w...

journal_title：Clinical pediatrics

authors： Famularo R,Fenton T,Kinscherff R

更新日期：1992-09-01 00:00:00

abstract：:Although considerable attention has focused on the pathophysiology and external dermatologic consequences of epidermolysis bullosa (EB), head and neck mucosal manifestations pose specific management problems. The otolaryngologic aspects of EB, with emphasis on involvement and treatment of the ears, oral cavity and tee...

journal_title：Clinical pediatrics

authors： Schaffer SR

更新日期：1992-02-01 00:00:00

abstract：:A case presentation of a newborn infant with intermittent, complete airway obstruction secondary to a pedunculated nasopharyngeal dermoid is presented. The differential diagnosis of obstructing nasopharyngeal lesions of the neonatal period is discussed, and an organized management strategy is proposed. ...

journal_title：Clinical pediatrics

authors： Thomsen JR,Clayton J,Baker R,Nowlin J

更新日期：1992-01-01 00:00:00

abstract：:Three cases are presented which illustrate the possible difficulties in differentiating between the diagnoses of Guillain-Barre Syndrome and conversion disorder. Accepted criteria are specified for each condition, as well as some associated features often characteristic of similar cases. Supportive interdisciplinary t...

journal_title：Clinical pediatrics

authors： Wherry JN,McMillan SL,Hutchison HT

更新日期：1991-10-01 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

authors： Treem WR,Davis PM,Hyams JS

更新日期：1991-07-01 00:00:00

abstract：:A comprehensive program was founded in 1982 to provide adolescents with prenatal and family planning care. The program's impact through its first five years of operation on medical aspects of pregnancy course and fetal outcome will be the subject of a separate report. This study examines subsequent maternal and infant...

journal_title：Clinical pediatrics

authors： Rabin JM,Seltzer V,Pollack S

更新日期：1991-05-01 00:00:00

abstract：:Families of 49 hearing-impaired children responded to a questionnaire requesting information about the identification of their child's hearing loss. Parents were the first to suspect the hearing loss in 48 cases but more often than not were told that the child would outgrow it or was too young to test. When profession...

journal_title：Clinical pediatrics

authors： Thompson MD,Thompson G

更新日期：1991-02-01 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

authors： Piazza CC,Fisher W,Chinn S,Bowman L

更新日期：1991-01-01 00:00:00

abstract：:A study of 58 consecutive Indian infants operated for congenital hypertrophic pyloric stenosis revealed an accentuated male predominance in the incidence of the disease and far less preoperative hemetemesis as compared to that in their Western counterparts. 'Pyloric tumor' was palpable in 89% of cases. Only 34.5% of t...

journal_title：Clinical pediatrics

authors： Sharma M,Jain SK,Pathania OP,Taneja SB

更新日期：1990-10-01 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

authors： Pietrzyk JJ,Turowska-Heydel D,Klimek M,Kaczmarski F,Kaluza J

更新日期：1990-08-01 00:00:00

abstract：:IgG subclasses were measured in sera of 47 patients with acute hepatitis A during the course of the disease. IgG1 and IgG3 serum levels were found to be elevated, whereas IgG2 and IgG4 subclass concentrations did not differ from that found in healthy control individuals. These findings indicate that, similar to the sp...

journal_title：Clinical pediatrics

authors： Muller C,Godl I,Leibl H,Eibl MM

更新日期：1990-08-01 00:00:00

abstract：:A 3-year-old boy who presented with signs of virilization had a Leydig cell tumor of the left testis that could not be detected by physical examination or by high resolution ultrasonography. His very small tumor was demonstrated by magnetic resonance imaging. The implications of adding this sensitive method of imaging...

journal_title：Clinical pediatrics

authors： Kaufman E,Akiya F,Foucar E,Grambort F,Cartwright KC

更新日期：1990-07-01 00:00:00

abstract：:Although still considered to be a rare and mostly fatal illness, the reported incidence of neonatal bacterial endocarditis has increased during the past decade. This parallels the establishment of intensive supportive management of severely ill newborns with multiple medical problems. An extremely difficult diagnostic...

journal_title：Clinical pediatrics

authors： Bullaboy CA,Coulson JD,Jennings RB Jr,Johnson DH

更新日期：1990-07-01 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

authors： Wright K,Smith MS,Mitchell J

更新日期：1990-06-01 00:00:00