{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:52:46Z","timestamp":1777524766713,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[1981,9,1]],"date-time":"1981-09-01T00:00:00Z","timestamp":368150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[1981,9]]},"abstract":"<jats:p>Eighty-five infants and children presenting with acute otitis media who had normal tympanic membrane landmarks and mobility within 1 month before entry into the study were studied. These criteria were used in order to avoid including children with prior otitis media with effusion (secretory otitis media). A diagnosis of suppurative otitis media was made in each case based on pneumo-otoscopic findings of diminished mobility, contour, and color of the tympanic membrane. The diagnosis was validated by myringotomy and posi tive culture of the middle ear fluid. A poorly mobile, bulging, yellow, opacified tympanic membrane was the most common type of tympanic membrane visu alized ; whereas a poorly mobile, bulging, red tympanic membrane was seen in only 19%. The color of the tympanic membrane did not correlate with a specific pathogen isolated from the middle ear exudate. Sixty-seven per cent of children had no fever; 28% had no pain or querulous behavior.<\/jats:p>","DOI":"10.1177\/000992288102000901","type":"journal-article","created":{"date-parts":[[2008,6,24]],"date-time":"2008-06-24T14:03:27Z","timestamp":1214316207000},"page":"549-554","source":"Crossref","is-referenced-by-count":43,"title":["Acute Otitis Media"],"prefix":"10.1177","volume":"20","author":[{"given":"Richard H.","family":"Schwartz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvan E.","family":"Stool","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William J.","family":"Rodriguez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth M.","family":"Grundfast","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1981,9,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(69)80460-9"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1967.02090230053002"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-197815050-00006"},{"key":"atypb4","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1542\/peds.45.1.29","volume":"45","author":"Howie VM","year":"1970","journal-title":"Pediatrics"},{"key":"atypb5","first-page":"91","volume":"19","author":"Schwartz RH","year":"1979","journal-title":"Am Fam Physician"},{"key":"atypb6","first-page":"102","volume":"20","author":"Schwartz RH","year":"1979","journal-title":"Am Fam Physician"},{"issue":"69","key":"atypb7","first-page":"6","volume":"89","year":"1980","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1931.02730070015006"},{"key":"atypb9","first-page":"1591","volume":"64","author":"Townsend EH","year":"1964","journal-title":"NY State J Med"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1968.02100010544003"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)32671-2"},{"key":"atypb12","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1542\/peds.56.2.285","volume":"56","author":"Rowe DS","year":"1975","journal-title":"Pediatrics"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000992288102000901","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000992288102000901","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:24:15Z","timestamp":1777393455000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000992288102000901"}},"subtitle":["Toward a More Precise Definition"],"short-title":[],"issued":{"date-parts":[[1981,9]]},"references-count":12,"journal-issue":{"issue":"9","published-print":{"date-parts":[[1981,9]]}},"alternative-id":["10.1177\/000992288102000901"],"URL":"https:\/\/doi.org\/10.1177\/000992288102000901","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[1981,9]]}}}