Journal of Pediatric Health Care最新文献

Disaccharidase Deficiency in a Pediatric Patient With Autism Spectrum Disorder: Case Report. 儿童自闭症谱系障碍患者双糖酶缺乏：病例报告。

IF 1.8 4区医学

Journal of Pediatric Health Care Pub Date : 2025-10-03 DOI: 10.1016/j.pedhc.2025.08.008

Micayla Meyers Madell, Marcy Weidkamp, Laurie Newton

引用次数: 0

Postoperative Opioid Use in Pediatric Inguinal Orchiopexy. 小儿腹股沟睾丸切除术后阿片类药物的使用。

IF 1.8 4区医学

Journal of Pediatric Health Care Pub Date : 2025-09-27 DOI: 10.1016/j.pedhc.2025.08.009

Tracy Chin, Evelyn James, Bailey Carter, Caitlyn Desir, Leepao Khang, Lily C Wang

{"title":"Postoperative Opioid Use in Pediatric Inguinal Orchiopexy.","authors":"Tracy Chin, Evelyn James, Bailey Carter, Caitlyn Desir, Leepao Khang, Lily C Wang","doi":"10.1016/j.pedhc.2025.08.009","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.08.009","url":null,"abstract":"Introduction: Using data collected from 2020 to 2022 on pediatric patients undergoing inguinal orchiopexy, we seek to identify factors associated with opioid use after surgery.Method: Data were collected and analyzed using multivariate logistic regression. A total of 166 patients aged 1-21 were included. All patients were given instructions to use weight/age-based acetaminophen for mild/moderate pain after surgery and hydrocodone-acetaminophen for severe pain.Results: Age, acetaminophen use, and preferred language were associated with postoperative opioid use while other patient and surgical variables were not.Discussion: In this study, we found that increasing age, lack of acetaminophen use, and preferred language of English were associated with increased postoperative opioid use. In addition, while race/ethnicity was not associated with opioid use, patient language preference for English in this Hispanic-majority population was associated with increased opioid use. The findings of this study highlight the importance of patient education and effective communication to limit opioid use and prescription.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180299","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

Missed Opportunities in Pediatric Feeding Clinic: A Multivariate Analysis. 儿科喂养门诊错失机会：多变量分析。

IF 1.8 4区医学

Journal of Pediatric Health Care Pub Date : 2025-09-24 DOI: 10.1016/j.pedhc.2025.07.001

Amy Ricketts, Dana M Bakula, Sarah Edwards, Kristina Nash, April Escobar, Rachel Graham, Ryan Thompson, Sarah Bullard, Julianne Brogren, Keith Feldman, Lori A Erickson

{"title":"Missed Opportunities in Pediatric Feeding Clinic: A Multivariate Analysis.","authors":"Amy Ricketts, Dana M Bakula, Sarah Edwards, Kristina Nash, April Escobar, Rachel Graham, Ryan Thompson, Sarah Bullard, Julianne Brogren, Keith Feldman, Lori A Erickson","doi":"10.1016/j.pedhc.2025.07.001","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.07.001","url":null,"abstract":"Background: Patient non-attendance at pediatric ambulatory visits disrupts clinic workflow and limits access to care, causing financial losses for the healthcare system.Methods: A cross-section of 487 patients scheduled from January 2023 to July 2023, 4 years of age or less, were analyzed for descriptive patient demographics and the first scheduled appointment during the study window. The univariate analysis compared groups of attendance and non-attendance with multivariate logistic regression examining relationships between variables of interest.Results: The overall missed opportunities rate was 30.2% (n = 147). Lead time, marginalized populations, use of prescription medications, and previous non-attendance were independent determinants of non-attendance using a multivariate logistic model.Discussion: The primary modifiable driver of patient non-attendance was appointment lead time. Several non-modifiable determinants of non-attendance could provide focus areas for targeted interventions from missed opportunity appointments. Reducing non-attendance should focus on improving access to care for vulnerable pediatric patients from under-resourced communities.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132514","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

Self-Injurious Thoughts and Behaviors Among Juvenile Legal System-Involved Adolescent Girls: A Scoping Review. 未成年法律涉事少女的自残思想与行为：一个范围回顾。

IF 1.8 4区医学

Journal of Pediatric Health Care Pub Date : 2025-09-24 DOI: 10.1016/j.pedhc.2025.08.002

Lilian G Bravo, Kathryn M Nowotny, Karina Gattamorta, Yannine Estrada, Juliane Martínez, Aleeza West, Marianne Gutiérrez, Rachel Russman, Jocelyn I Meza

{"title":"Self-Injurious Thoughts and Behaviors Among Juvenile Legal System-Involved Adolescent Girls: A Scoping Review.","authors":"Lilian G Bravo, Kathryn M Nowotny, Karina Gattamorta, Yannine Estrada, Juliane Martínez, Aleeza West, Marianne Gutiérrez, Rachel Russman, Jocelyn I Meza","doi":"10.1016/j.pedhc.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.08.002","url":null,"abstract":"Introduction: Adolescents involved in the juvenile legal system (JLS) face an increased risk of experiencing self-injurious thoughts and behaviors (SITBs), especially at the intersections of race/ethnicity and gender-based inequities. This scoping review identifies rates of SITBs and their associated factors among JLS-involved adolescent girls (aged 12-17 years) while examining racial/ethnic differences in these rates and factors.Method: This study applies Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines to synthesize literature from 2014-2024 examining SITBs among JLS-involved adolescent girls.Results: Across 17 reports (12 studies), findings highlight high rates of suicide attempts (15% to 48%), suicidal ideation (37% to 50%), and nonsuicidal self-injury (22% to 43%). Associated factors include mental health concerns and adverse childhood experiences, whereas limited research explores protective factors.Discussion: This review highlights elevated SITBs among JLS-involved adolescent girls. Trauma-informed, culturally-responsive screening strategies in clinical settings and strengths-based approaches are discussed.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139219","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

COVID-19 Pandemic Restrictions and Pediatric Emergency Department Attendance for Accidents. COVID-19大流行限制和儿科急诊室的事故出勤率。

IF 1.8 4区医学

Journal of Pediatric Health Care Pub Date : 2025-09-24 DOI: 10.1016/j.pedhc.2025.08.010

Alice Boria, Ilaria Acquaviva, Alessio Correani, Chiara Monachesi, Simona Gatti, Elisabetta Fabiani, Maria Elena Lionetti

{"title":"COVID-19 Pandemic Restrictions and Pediatric Emergency Department Attendance for Accidents.","authors":"Alice Boria, Ilaria Acquaviva, Alessio Correani, Chiara Monachesi, Simona Gatti, Elisabetta Fabiani, Maria Elena Lionetti","doi":"10.1016/j.pedhc.2025.08.010","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.08.010","url":null,"abstract":"Introduction: From January 2020 to March 2022, Italy implemented stringent public health measures during the COVID-19 state of emergency (EM). This study evaluated their impact on pediatric emergency department (PED) attendances for accidents.Methods: We retrospectively analyzed 17,852 accident-related visits among patients aged ≤15 years at a regional referral PED between February 2018 and January 2024, comparing prepandemic (PRE-PAN), pandemic emergency (EM-PAN), and postemergency (PostEM-PAN) phases.Results: Of 107,187 total PED visits, 16.7% were related to accidents. During EM-PAN, accident-related attendances rose to 24.2%, despite a 42.8% decrease in overall visits, and admission abandonment rates declined. In PostEM-PAN, total attendances remained 9.6% lower than PRE-PAN levels, accident-related visits dropped to 8.4%, and the proportion of critical triage codes increased. Visits declined in children aged 0-5 years and rose among adolescents.Conclusions: Emergency measures during the pandemic significantly affected PED utilization, altering access patterns, clinical severity, and age distribution. While not currently part of the Italian healthcare system, nurse practitioners may be considered in future planning to support changes in pediatric emergency care, especially in contexts of public health strain.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132534","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

Impact of Ondansetron Timing on Symptom Burden and Diagnostic Performance During Pediatric Growth Hormone Stimulation Testing. 在儿童生长激素刺激试验中使用昂丹司琼对症状负担和诊断性能的影响。

IF 1.8 4区医学

Journal of Pediatric Health Care Pub Date : 2025-09-23 DOI: 10.1016/j.pedhc.2025.09.001

Emir Tas, Swetha Movva, Katrina Stumbras, Erika McCann, Elizabeth Ranella, Luigi Garibaldi, Wassim Chemaitilly, Oscar Escobar

{"title":"Impact of Ondansetron Timing on Symptom Burden and Diagnostic Performance During Pediatric Growth Hormone Stimulation Testing.","authors":"Emir Tas, Swetha Movva, Katrina Stumbras, Erika McCann, Elizabeth Ranella, Luigi Garibaldi, Wassim Chemaitilly, Oscar Escobar","doi":"10.1016/j.pedhc.2025.09.001","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.09.001","url":null,"abstract":"Introduction: Growth hormone (GH) stimulation testing using levodopa/carbidopa often causes nausea and vomiting. Ondansetron is commonly used for symptom control, but its effect on GH test accuracy is unclear.Methods: We retrospectively studied 129 children (ages 2-16) who underwent GH stimulation testing with arginine-levodopa/carbidopa. Ondansetron timing was categorized as none, early (0-30 minutes), or late (31-120 minutes). We assessed the association between ondansetron timing and GH test response, incorporating clinical, auxological, and biochemical characteristics into multivariable regression models. Primary outcomes were peak GH concentration and GH deficiency classification (<10 μg/L).Results: Ondansetron timing was not associated with peak GH or GH deficiency. Nausea/vomiting was more common in the late group (51%) than early (38%) or none (25%) (p = .019), possibly reflecting selection bias. Higher BMI SDS was associated with lower peak GH (β = -0.302, p < .001) and increased odds of GH deficiency (OR = 1.81, p = .016).Discussion: Ondansetron does not affect GH test outcomes and may reduce symptoms. BMI standard deviation scores (SDS) is an independent predictor of GH response and should be considered in interpreting test results.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132542","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

Chest Pain in a Teen: How Serious Could It Have Been? 青少年胸痛：会有多严重？

IF 1.8 4区医学

Journal of Pediatric Health Care Pub Date : 2025-09-23 DOI: 10.1016/j.pedhc.2025.09.003

Kelly Veerasammy, Shiva Sandesh Hossali Math, Ratna Basak

引用次数: 0

Chemical Pneumonitis from a Swimming Pool Disinfectant Exposure in a 13-Year-Old Male: A Case Report. 13岁男性泳池消毒剂暴露致化学性肺炎1例报告

IF 1.8 4区医学

Journal of Pediatric Health Care Pub Date : 2025-09-16 DOI: 10.1016/j.pedhc.2025.08.007

Erin M Field, Camron Johnson-Privitera

{"title":"Chemical Pneumonitis from a Swimming Pool Disinfectant Exposure in a 13-Year-Old Male: A Case Report.","authors":"Erin M Field, Camron Johnson-Privitera","doi":"10.1016/j.pedhc.2025.08.007","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.08.007","url":null,"abstract":"While chlorine and other pool chemicals can be used for the purpose of disinfection and pool maintenance, they also serve as a potential respiratory hazard. We report the case of a 13-year-old boy who presented to the emergency department after experiencing immediate dyspnea, drooling, coughing, nausea, and vomiting following an exposure to newly added pool chemicals. The patient's medical history included intermittent asthma with a recent history of an acute exacerbation two weeks before the inhaled chemical exposure. The treatment course following pool chemical exposure consisted of corticosteroids, bronchodilator therapy, and supportive care. At 1-week follow-up, the patient had no ongoing pulmonary symptoms but developed sinus discomfort and inflammation treated with a sinus rinse and azithromycin. Here, we describe the pathophysiology, risk factors, symptoms, treatment, and long-term consequences of a case of acute chemical pneumonitis caused by exposure to inhaled chemicals. This case emphasizes the importance of pool chemical safety, and the respiratory effects acute chlorine inhalation can have both in the short and long term.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071043","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

Recurrent Crusted Scabies in Pediatrics: A Case Report. 儿科复发结痂性疥疮1例报告。

IF 1.8 4区医学

Journal of Pediatric Health Care Pub Date : 2025-09-09 DOI: 10.1016/j.pedhc.2025.07.018

Thi Hoai Thu Nguyen

引用次数: 0

When Nonspecific Symptoms Conceal Kidney Disease: A Case Report on Recognizing Juvenile Nephronophthisis in Pediatric Practice. 当非特异性症状掩盖肾脏疾病：儿科实践中识别少年肾病的一例报告。

IF 1.8 4区医学

Journal of Pediatric Health Care Pub Date : 2025-09-02 DOI: 10.1016/j.pedhc.2025.08.004

Aryan Shah, Aalok Shah, Mathieu Lemaire, Mina Matsuda-Abedini, Vinay Kukreti

{"title":"When Nonspecific Symptoms Conceal Kidney Disease: A Case Report on Recognizing Juvenile Nephronophthisis in Pediatric Practice.","authors":"Aryan Shah, Aalok Shah, Mathieu Lemaire, Mina Matsuda-Abedini, Vinay Kukreti","doi":"10.1016/j.pedhc.2025.08.004","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.08.004","url":null,"abstract":"Juvenile nephronophthisis (NPHP) is the most common genetic cause of pediatric chronic kidney disease (CKD). Its nonspecific findings such as intermittent fatigue, nausea, or vomiting, often delay diagnosis, especially without extra-renal manifestations. This case study reports a 9-year-old boy with a week of acute-on-chronic vomiting, a year of nausea and fatigue, and new onset polydipsia and nocturnal enuresis. Initial symptomatic treatment failed. Examination revealed short stature (5th percentile), stage 2 hypertension (130/89 mm Hg), anemia (Hb 7.4 g/dL), and elevated serum creatinine (4.89 mg/dL). Renal ultrasound showed corticomedullary cysts, and genetic testing confirmed compound heterozygous NPHP4 mutations. Medical management included fluid and electrolyte optimization, ACE‑inhibitor for BP control, oral sodium bicarbonate for acidosis, ergocalciferol and calcium carbonate for mineral‑bone disorder, recombinant erythropoietin for anemia, and nutrition referral to mitigate complications and sequelae of CKD. Progressive renal insufficiency required chronic hemodialysis, which was maintained until the child underwent a successful renal transplant. Therefore, pediatric primary care providers should suspect NPHP in children with chronic, nonspecific symptoms-particularly when accompanied by CKD signs like delayed growth, hypertension, polyuria, or nocturnal enuresis.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976789","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