The Case of the Previously Shaky, Unimmunized, Itchy Infant With Rash and Pancytopenia
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Wolski, T. P., Blasick, S., Blackford, M. G. Tags: Resident Rounds Source Type: research

Pediatric Liver Transplantation in Sickle Cell Anemia: A Case of Extrahepatic Biliary Atresia
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Alder, L., Vasquez, R., Reichman, T., Serrano, M. Tags: Resident Rounds Source Type: research

Demographic Differences Among a National Sample of US Youth With Behavioral Disorders
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Visser, S. N., Deubler, E. L., Bitsko, R. H., Holbrook, J. R., Danielson, M. L. Tags: Brief Reports Source Type: research

A Healthy Weight for Toddlers? Two-Year Follow-up of a Randomized Controlled Trial of Group Well-Child Care
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Shah, N. B., Fenick, A. M., Rosenthal, M. S. Tags: Brief Reports Source Type: research

Email Isnt Just for Old People: Teen Acceptability of Internet Communication With Medical Providers
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Borus, J., Weas, S., Fleegler, E., Kahn, J., Chan, E. Tags: Brief Reports Source Type: research

Referrals to Pediatric Cardiology Outpatients: Continued Evidence of Increasing Workload
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Morrison, M. L., McCrossan, B. A., Sands, A. J., Craig, B., Casey, F. A., Grant, B. Tags: Brief Reports Source Type: research

Racial and Ethnic Disparities in Preventive Care: An Analysis of Routine Physical Examination Among Adolescents, 1998-2010
Routine health care plays a central role in health promotion and disease prevention for children and in reducing health disparities. The purpose of this study is to examine the prevalence of routine physical examination among racially and ethnically diverse adolescents at 5 different time points. The study used data from the Minnesota Student Survey. Measures include frequency of physical examination by race/ethnicity, poverty status, and family structure. The analytic sample included 351 510 adolescents (1998, n = 67 239; 2001, n = 69 177; 2004, n = 71 084; 2007, n = 72 312; and 2010, n = 71 698). There were significant d...
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Nitardy, C. M., Duke, N. N., Pettingell, S. L., Borowsky, I. W. Tags: Articles Source Type: research

Kingella kingae-Associated Pediatric Osteoarticular Infections: An Overview of 566 Reported Cases
This study aimed to summarize clinical experience with Kingella kingae–associated pediatric osteoarticular infections (OAIs). We reviewed 566 cases in the English literature from 2000 to June 2014. More than 80% of the patients were diagnosed between 4 months and 4 years of age, and the male to female ratio was 1.14:1. The most frequent preceding illness was upper respiratory tract infections (82%). The top 3 OAIs types were septic arthritis (73.1%), osteomyelitis (15.7%), and spondylodiscitis (5.4%), and the most affected sites of these types were knee (46%), calcaneus (20%), and L4/5 disc (70%). All cases where pol...
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Al-Qwbani, M., Jiang, N., Yu, B. Tags: Articles Source Type: research

The "Battle" of Managing Language Barriers in Health Care
Providing safe and high-quality health care for children whose parents have limited English proficiency (LEP) remains challenging. Reports of parent perspectives on navigating language discordance in health care are limited. We analyzed portions of 48 interviews focused on language barriers from 2 qualitative interview studies of the pediatric health care experiences of LEP Latina mothers in 2 urban US cities. We found mothers experienced frustration with health care and reported suboptimal accommodation for language barriers. Six themes emerged relevant to health care across settings: the "battle" of managing language bar...
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Steinberg, E. M., Valenzuela-Araujo, D., Zickafoose, J. S., Kieffer, E., DeCamp, L. R. Tags: Articles Source Type: research

Experiences of Children With Gay Fathers
An online survey was distributed via snowball sampling and resulted in responses from 61 gay fathers raising children in 2 states. Fathers reported on the barriers they experienced and the pathways they took to becoming parents. They reported also on experiences of stigma directed at them and their children, especially from family members, friends, and people in religious institutions. Despite these difficulties they reported that they engaged actively in parenting activities and that their child(ren)’s well-being was consistent with national samples. (Source: Clinical Pediatrics)
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Perrin, E. C., Pinderhughes, E. E., Mattern, K., Hurley, S. M., Newman, R. A. Tags: Articles Source Type: research

Improvement in Functioning and Psychological Distress in Adolescents With Postural Orthostatic Tachycardia Syndrome Following Interdisciplinary Treatment
This study evaluated the impact of an interdisciplinary rehabilitation program on the functional impairment and psychological distress in 33 adolescents diagnosed with POTS. Patients included in the study were adolescents ages 11 to 18 diagnosed with POTS. Measures completed at admission and discharge from the program included the Functional Disability Index, Center for Epidemiological Studies–Depression–Child scale, and the Pain Catastrophizing Scale for Children. After participation in the 3-week program, adolescents with POTS demonstrated a significant increase in overall functional ability and significant r...
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Bruce, B. K., Harrison, T. E., Bee, S. M., Luedtke, C. A., Porter, C.-B. J., Fischer, P. R., Hayes, S. E., Allman, D. A., Ale, C. M., Weiss, K. E. Tags: Articles Source Type: research

Management of Infectious Aspects of Atopic Dermatitis in Primary Care: A Resident Survey
Atopic dermatitis (AD) is the most common skin disease encountered by pediatric primary care providers. To describe the knowledge, attitudes, and practices of primary care residents in the management of infectious aspects of pediatric AD, an anonymous web-based survey was offered to all residents in the pediatric and family medicine departments at 3 New York City hospitals. Eighty residents responded. Most (62%) reported seeing 5 to 14 patients with AD monthly. Twenty-seven percent reported obtaining cultures prior to prescribing oral antibiotics most of the time, while 8% reported doing so before giving topical antibiotic...
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Weitz, N. A., Brody, E., Lauren, C. T., Morel, K. D., Paladine, H., Garzon, M. C., Krause, M. C. Tags: Articles Source Type: research

Social Risk Screening for Pediatric Inpatients
This systematic review aims to identify existing social risk screening instruments applicable to hospitalized children (primary) and evaluate their content validity and methodological quality (secondary). Individual questions were abstracted and sorted by social risk theme. Content validity was evaluated by 13 hospital-based social workers. Methodological quality was assessed using the 108-item Consensus Based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist. A total of 1070 citations were evaluated and 146 articles were reviewed, which identified 44 unique instruments. No instrument was app...
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Pai, N., Kandasamy, S., Uleryk, E., Maguire, J. L. Tags: Articles Source Type: research

Use of Rheumatology Laboratory Studies Among Primary Pediatricians
Rheumatology laboratory tests are often inappropriately ordered in situations for which they are of low diagnostic utility. We surveyed pediatricians to investigate reasons for ordering these tests. The response rate was 15.3% (93/609). The most commonly ordered tests were antinuclear antibody (ANA), anti-double-stranded DNA (dsDNA) antibody, and rheumatoid factor (RF). Of the 89% (83/93) who ordered an ANA, 86% ordered it for correct/possibly correct reasons; of the 73% (68/93) who ordered RF, 80% did so for correct/possibly correct reasons; and among the 59% (54/92) who had ordered anti-dsDNA antibody, 34% ordered it for...
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Correll, C. K., Spector, L. G., Zhang, L., Binstadt, B. A., Vehe, R. K. Tags: Articles Source Type: research

Integrating Environmental Management of Asthma into Pediatric Health Care: What Worked and What Still Needs Improvement?
This study, a follow-up to a 2013 study, evaluated the program’s impact and assessed training results by 5 new faculty champions. We surveyed attendees at training sessions to measure knowledge and the likelihood of asking about and managing environmental triggers of asthma. To conduct the program evaluation, a workshop was held with the faculty champions and NEEF staff in which we identified major program benefits, as well as challenges and suggestions for the future. Trainee baseline knowledge of environmental triggers was low, but they reported robust improvement in environmental triggers knowledge and intention t...
Source: Clinical Pediatrics - November 13, 2016 Category: Pediatrics Authors: Roberts, J. R., Newman, N., McCurdy, L. E., Chang, J. S., Salas, M. A., Eskridge, B., De Ybarrondo, L., Sandel, M., Mazur, L., Karr, C. J. Tags: Articles Source Type: research