Current Problems in Pediatric and Adolescent Health Care最新文献_第2页

Hemostasis in primary care: A primer. 初级保健中的止血：入门。

IF 3 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-06-30 DOI: 10.1016/j.cppeds.2025.101762

Kevin E Todd

{"title":"Hemostasis in primary care: A primer.","authors":"Kevin E Todd","doi":"10.1016/j.cppeds.2025.101762","DOIUrl":"https://doi.org/10.1016/j.cppeds.2025.101762","url":null,"abstract":"<p><p>Bleeding symptoms in children create significant concern for families and pediatricians alike. This article aims to assist primary care providers in the evaluation of children with bleeding symptoms by reviewing the complexities inherent in diagnosing pediatric bleeding disorders, emphasizing the variability in clinical presentations, testing nuances, and aspects of common bleeding diatheses. The incidence of bleeding disorders among pediatric patients referred for bleeding symptoms and abnormal hemostatic screening remains variable, ranging from 4 % to 11 % across different institutions. A meticulous evaluation-including family history, medication review, and assessment of bleeding severity-is an essential first step in identifying potential bleeding disorders. In patients with a high index of suspicion we recommend screening testing including a complete blood count including blood smear for review, activated partial thromboplastin time (aPTT), prothrombin time (PT), von Willebrand factor (VWF) antigen and activity, and fibrinogen level. Common bleeding disorders in pediatrics include factor deficiencies (including von Willebrand disease) and platelet disorders. A collaborative approach between primary care providers and hematologists is paramount to optimizing outcomes for pediatric patients with bleeding symptoms.</p>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101762"},"PeriodicalIF":3.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adolescents and cannabis in the 21st century: Current Problems in Pediatric and Adolescent Health Care. 21世纪的青少年和大麻：目前儿科和青少年保健中的问题。

IF 3 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-06-27 DOI: 10.1016/j.cppeds.2025.101754

Khalida Itriyeva

{"title":"Adolescents and cannabis in the 21st century: Current Problems in Pediatric and Adolescent Health Care.","authors":"Khalida Itriyeva","doi":"10.1016/j.cppeds.2025.101754","DOIUrl":"https://doi.org/10.1016/j.cppeds.2025.101754","url":null,"abstract":"<p><p>The past 30 years in the United States have seen a shift towards increasing decriminalization and legalization of cannabis products. Despite the evolving legal landscape, adolescent cannabis use appears to have remained relatively stable, while use among young adults has increased. Cannabis-related emergency department visits, hospitalizations, and unintentional ingestions, particularly among young children, have all increased, with the availability of higher potency products such as concentrates and edibles likely playing a role. Cannabis intoxication should be suspected in youth presenting with altered mental status, somnolence, anxiety or euphoria, tachycardia, and conjunctival injection. In adolescents presenting with cyclic vomiting, cannabinoid hyperemesis syndrome should be considered. Long-term effects of heavy and frequent cannabis use in adolescents such as cognitive impairment, increased risk of psychosis, and the development of cannabis use disorder remain of particular concern as the tetrahydrocannabinol (THC) content of cannabis products has continued to increase in recent years. Ongoing surveillance to monitor trends in adolescent cannabis use, public education on the health effects of cannabis use in adolescence, and expanding access to substance use and mental health treatment will be crucial in the coming years.</p>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":" ","pages":"101754"},"PeriodicalIF":3.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Foreword: Substance use in adolescents - Alcohol, nicotine, marijuana: Old problems, new trends. 前言：青少年物质使用-酒精，尼古丁，大麻：老问题，新趋势。

IF 3 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-06-26 DOI: 10.1016/j.cppeds.2025.101751

Martin Fisher

引用次数: 0

An update on nicotine use in adolescents. 青少年尼古丁使用的最新情况。

IF 3 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-06-26 DOI: 10.1016/j.cppeds.2025.101753

Sara Haque, Nadia Saldanha

引用次数: 0

Foreword: Issue 1 Providing a PCPs learning pathway around the RBC, CBC, and bleeding in a pediatric patient. 前言：第1期：在儿科患者中提供围绕红细胞、CBC和出血的pcp学习途径。

IF 3 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-06-25 DOI: 10.1016/j.cppeds.2025.101760

John W Harrington

引用次数: 0

Foreword: Issue 1 providing a PCPs learning pathway around the RBC, CBC, and bleeding in a pediatric patient. 前言：问题1提供了一个pcp学习途径围绕红细胞，CBC，和出血的儿科患者。

IF 3 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-06-25 DOI: 10.1016/j.cppeds.2025.101764

John W Harrington

引用次数: 0

Editorial Board Page 编委会页面

IF 3 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-02-01 DOI: 10.1016/S1538-5442(25)00020-3

引用次数: 0

Foreword: Integrated behavioral and mental health in pediatric primary care: Challenges and solutions–Part II 前言：综合行为和心理健康在儿科初级保健：挑战和解决方案-第二部分。

IF 3 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-02-01 DOI: 10.1016/j.cppeds.2025.101733

Arthur H. Fierman M.D. (Editor-in-Chief)

引用次数: 0

Beyond depression and anxiety in pediatric primary care: Current insights from the collaborative care model 超越抑郁和焦虑在儿科初级保健：当前的见解从协作护理模式。

IF 3 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-02-01 DOI: 10.1016/j.cppeds.2025.101734

Roberta Guimaraes De Oliveira, Ian Christopher Carroll

{"title":"Beyond depression and anxiety in pediatric primary care: Current insights from the collaborative care model","authors":"Roberta Guimaraes De Oliveira, Ian Christopher Carroll","doi":"10.1016/j.cppeds.2025.101734","DOIUrl":"10.1016/j.cppeds.2025.101734","url":null,"abstract":"<div><div>Collaborative Care is well accepted as an evidence-based model to manage depression and anxiety in pediatric primary care. However, symptoms of attention-deficit hyperactivity disorder (ADHD), traumatic stress, and grief are common in primary care and can also be identified by pediatricians and treated within this model. Attention-deficit hyperactivity disorder (ADHD) is the most common childhood-onset neurodevelopmental disorder with a prevalence of 10.2 %.<sup>1</sup> Trauma-spectrum disorders are another cluster of disorders that will often be seen first by the pediatrician, and, potentially, only by the pediatrician. In some urban pediatric centers, the rate of children who have been exposed to traumatic events is as high as 90 %.<sup>2</sup> Similarly, symptoms of grief are often first identified by the pediatrician. Considering that the COVID-19 pandemic alone has claimed >760,000 parents, custodial grandparents, and other caregivers to children in the US, the number of children and teenagers affected by trauma and loss overwhelms the mental health care system's capacity. In light of the shortage of child and adolescent psychiatrists in the United States and the increased demand for mental health services, it is essential to broaden the scope of what collaborative care initiatives can accomplish in pediatrics. This paper shares insights from a collaborative care model implemented in a New York City safety net hospital center to illustrate how ADHD, traumatic stress, and grief can be identified and managed in pediatric primary care. Lastly, we will discuss the potential for collaborative care models to increase access to care for immigrant families.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 2","pages":"Article 101734"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health disparities in food allergy 食物过敏的健康差异。

IF 3 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-01-01 DOI: 10.1016/j.cppeds.2025.101731

Joseline M. Cruz Vazquez MPH , Agartha Kankam BS , Kara Jordon MD

引用次数: 0