{"title":"Respiratory Viral Infection Unmasking Congenital Heart Disease.","authors":"Sarah Keaney","doi":"10.1016/j.pedhc.2025.01.004","DOIUrl":"10.1016/j.pedhc.2025.01.004","url":null,"abstract":"<p><p>Congenital heart disease affects nearly 1% of all live births or 40,000 infants each year. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart defect that constitutes 0.25% to 0.50% of all congenital cardiac diseases. If left untreated, infant mortality is as high as 90%. The following is a case report of a 4-month-old infant presenting with respiratory viral illness and a chest radiograph demonstrating cardiomegaly. Echocardiography revealed possible ALCAPA with severe left ventricular (LV) dysfunction. The diagnosis was confirmed using gated computed tomography angiography (CTA). The patient required urgent surgical correction and post-operative circulatory support for myocardial rest in the setting of severe left ventricular dysfunction.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450827","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}
Eric W Glissmeyer, Carole H Stipelman, Zi Sheng He, Alexis R Olivas, Jason M Fox, Jennifer M Rigby, Spencer S Cannon, Emily Winn, Justin Alvey, Howard Kadish
{"title":"Improving Same-Day Access in Pediatric Primary Care-A Patient-Centered and Timeliness Quality Improvement Initiative.","authors":"Eric W Glissmeyer, Carole H Stipelman, Zi Sheng He, Alexis R Olivas, Jason M Fox, Jennifer M Rigby, Spencer S Cannon, Emily Winn, Justin Alvey, Howard Kadish","doi":"10.1016/j.pedhc.2025.01.001","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.01.001","url":null,"abstract":"<p><strong>Introduction: </strong>Preventive care visits have increased for United States children, shifting access for problem-based visits and shifting same-day availability to other venues.</p><p><strong>Problem description: </strong>Prior to this initiative we lacked sufficient same-day visits in pediatric primary care. We aimed to increase same-day slots and fill >75% of them within 3 months.</p><p><strong>Methods: </strong>Quality improvement initiative utilizing an inbound and centralized call center model.</p><p><strong>Interventions: </strong>We iteratively modified scheduling efforts to achieve this goal and identified call-center scheduling efficiencies for fill rate optimization when visits were scheduled under individual providers names added to the general pediatric scheduling department.</p><p><strong>Results: </strong>This initiative exceeded the aim of filling >75% of same-day slots within 3 months and demonstrated increased access for urgent illness or injury, hospital follow-up, and newborn management via in-house collaboration with pediatric emergency medicine providers and advance practice providers within primary care.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411360","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}
{"title":"Simulation-Based Education for Caregivers of Infants with Shunt-Dependent Cardiac Physiology: Decreasing Caregiver Anxiety.","authors":"Brittany Dahlen, Heidi Shafland, Jocelyn Berbee, Jamie Heil, Samreen Vora","doi":"10.1016/j.pedhc.2025.01.003","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.01.003","url":null,"abstract":"<p><strong>Background: </strong>Home monitoring programs for infants with shunt-dependent cardiac physiology have significantly reduced mortality, but they demand extensive caregiver education and vigilance before and after hospital discharge.</p><p><strong>Local problem: </strong>Caregivers in the home monitoring program face complex tasks that can lead to anxiety and decreased confidence.</p><p><strong>Methods: </strong>This quality improvement project aimed to implement a modified simulation-based mastery learning (SBML) curriculum to improve confidence in home monitoring skills and decrease caregiver anxiety. The State Trait Anxiety Index for Adults short form Y was used to assess the impact.</p><p><strong>Interventions: </strong>The SBML intervention allowed caregivers to learn and demonstrate all home monitoring program skills in a simulated environment.</p><p><strong>Results: </strong>All participants met the minimum passing standards during the simulation. State anxiety decreased in 9 of 10 measures, and caregiver confidence increased.</p><p><strong>Conclusions: </strong>The modified SBML intervention effectively decreased caregiver anxiety and increased confidence in home monitoring skills. This is the first intervention of its kind and may improve patient outcomes during this tenuous stage.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411363","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}
{"title":"Society Page","authors":"","doi":"10.1016/S0891-5245(25)00010-0","DOIUrl":"10.1016/S0891-5245(25)00010-0","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Page A8"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348302","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}
{"title":"Information for Readers","authors":"","doi":"10.1016/S0891-5245(25)00011-2","DOIUrl":"10.1016/S0891-5245(25)00011-2","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Page A10"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348303","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}
{"title":"Editorial Board Page","authors":"","doi":"10.1016/S0891-5245(25)00009-4","DOIUrl":"10.1016/S0891-5245(25)00009-4","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages A5-A6"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348301","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}
Karen Rance, Nancy Banasiak, Amanda Filippelli, Sarah Heinonen
{"title":"Diagnosis and Management of Pediatric Allergic Rhinoconjunctivitis in the US.","authors":"Karen Rance, Nancy Banasiak, Amanda Filippelli, Sarah Heinonen","doi":"10.1016/j.pedhc.2024.07.012","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.07.012","url":null,"abstract":"<p><p>Allergic rhinoconjunctivitis (AR/C) is a common pediatric condition. The physical, emotional, and social burden of AR/C in children highlights the need for accurate diagnosis with optimal treatment. This review provides practical information on the diagnosis and management of pediatric AR/C. Key features of the patient history and physical exam needed to diagnose seasonal and perennial AR/C are covered. Various AR/C treatment options are reviewed such as allergen avoidance, pharmacotherapies, and allergy immunotherapy (both subcutaneous injections and sublingual tablets) as well as their mode of action, side effects, and their role in guideline-recommended therapy. Practical information such as pollen calendars, management algorithms, and treatment product characteristics have also been included in this review.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366398","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}
Deniz Sümeyye Yorulmaz-Demir, Deniz Kocoglu-Tanyer
{"title":"The Effect of the Vaccine Education Program Prepared Using The Integrated Change Model on Mothers' Vaccine Advocacy and Vaccine Literacy: A Waitinglist Randomized Controlled Trial.","authors":"Deniz Sümeyye Yorulmaz-Demir, Deniz Kocoglu-Tanyer","doi":"10.1016/j.pedhc.2024.11.012","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.11.012","url":null,"abstract":"<p><strong>Introduction: </strong>The study evaluated the effect of the vaccine education program developed using the Integrated Change Model on mothers' vaccine literacy and advocacy.</p><p><strong>Methods: </strong>The study is a parallel design randomized controlled trial with a waiting-list. Seventy-four mothers were enrolled in the study. In the study, the experimental group received a four-session vaccine education program, one week apart. The study used mixed ANOVA to explore the interaction between time and group. Effect sizes were interpreted using partial eta squared.</p><p><strong>Results: </strong>Vaccine literacy increased significantly in the intervention group in the post-test, and the intervention had a large effect size. In addition, it was found that vaccine knowledge increased with a large effect size in the intervention group, positive changes in vaccine attitudes, and vaccine advocacy intentions increased.</p><p><strong>Discussion: </strong>The Integrated Change Model vaccine education program can be used to reduce maternal and community vaccine hesitancy and increase vaccine acceptance.</p><p><strong>Reporting method: </strong>The CONSORT-Outcomes 2022 Extension.</p><p><strong>Protocol registration: </strong>ClinicalTrials NCT05929053.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076152","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}
Mia Roberts, Rachel Johnson-Koenke, Scott Harpin, Amy J Barton
{"title":"Optimizing Adolescent Mental Health Treatment: A Study of the Warm Handoff.","authors":"Mia Roberts, Rachel Johnson-Koenke, Scott Harpin, Amy J Barton","doi":"10.1016/j.pedhc.2024.11.010","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.11.010","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this study was to describe the warm handoff (WH) and to evaluate its use and impact with adolescents.</p><p><strong>Methods: </strong>A case study design utilized a parallel convergent mixed-methods approach. Chi Square analysis and logistic regression examined the association between type of referral and attendance at the initial behavioral health appointment among other variables. Qualitative analysis of semi-structured interviews with adolescents and clinical staff members occurred.</p><p><strong>Results: </strong>A relationship was found between referral type and frequency of attendance (X<sup>2</sup> = 6.06, df = 2, N = 145, p = .049). Referral type was a significant predictor of attendance with decreased odds of attendance with an in-person WH compared to a traditional in-house referral. (OR = 0.340, 95% CI [0.132, 0.880], p = .026). Qualitative interviews suggest that WHs are more than a referral mechanism, supporting adolescents' needs.</p><p><strong>Discussion: </strong>Findings support the use of WHs in clinics to address adolescent behavioral health needs. Future research is needed to evaluate long-term outcomes and feasibility.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076149","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}
Renee E Sieving, Yunqi He, Sydnee Lucas, Pooja Brar, Janna R Gewirtz O'Brien, Amy L Gower, Shari Plowman, Jill Farris, Christina Ross, John Santelli, Christopher J Mehus
{"title":"Primary Care Clinicians' Views of Parents' Roles in Clinical Preventive Services for Adolescents.","authors":"Renee E Sieving, Yunqi He, Sydnee Lucas, Pooja Brar, Janna R Gewirtz O'Brien, Amy L Gower, Shari Plowman, Jill Farris, Christina Ross, John Santelli, Christopher J Mehus","doi":"10.1016/j.pedhc.2024.11.019","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.11.019","url":null,"abstract":"<p><strong>Introduction: </strong>This study examines primary care clinicians' (PCCs) views of parents' roles in adolescent preventive services, and strategies they use to engage with a wide range of parents.</p><p><strong>Method: </strong>Using a generic qualitative approach, researchers conducted semistructured interviews with a purposive sample of PCCs (n = 25) from urban and rural Minnesota communities. Interviews explored PCCs' experiences and perspectives on multiple topics, including parents' roles in adolescent care. Researchers used thematic analysis to answer the question \"How do PCCs view parents' role(s) in adolescent health care?\"</p><p><strong>Results: </strong>Clinicians noted that parents (1) are interested, but not experts in adolescent health, (2) can be coached to be a source of support to teens, (3) can be a barrier to adolescent health and health care, (4) can facilitate adolescents' health care. Specific types of PCC-parent interactions corresponded with each theme.</p><p><strong>Discussion: </strong>Findings highlight multiple strategies for clinicians to work collaboratively with adolescents' parents.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191233","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}