Journal of Pediatric Health Care最新文献

{"title":"NAPNAP Position Statement on Menstrual Equity","authors":"","doi":"10.1016/j.pedhc.2025.05.006","DOIUrl":"10.1016/j.pedhc.2025.05.006","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 848-851"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922353","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":"A Child With Moyamoya Disease—A Case Study","authors":"Swathi Ganesan MBBS,&nbsp;Ratnamani Kesineni MBBS,&nbsp;Nayan Lath MBBS,&nbsp;Sangeetha Geminiganesan MD, PhD","doi":"10.1016/j.pedhc.2025.03.010","DOIUrl":"10.1016/j.pedhc.2025.03.010","url":null,"abstract":"<div><div>Pediatric palliative care is a narrow subspeciality dealing with specialized comprehensive care approach for children living with chronic life-limiting illness and their families. Moyamoya disease with extracranial involvement is one such rare disease, where the most appropriate curative treatment is not yet determined. It is a vaso-occlusive disorder affecting intracranial vessels commonly, and rarely extracranial vessels. It is considered as one of the infrequent causes of acute stroke in children. We report a severe case of Moyamoya disease in a child, affecting both cerebral and extra-cranial vessels. The child had renal vessel involvement, which led to renovascular hypertension and end-stage renal disease. Considering the intricacies of complicated transplant outcomes, parents opted for pediatric palliative care. Bearing in mind the poor outcome of the extensive disease and need for regular follow-up, periodic counselling is imperative in successful management of children with Moyamoya disease. Given the progressive and relentless nature of the child's disease, a coordinated, multifaceted management is required to optimize the physical, psychological and social functioning of these children and their families.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 814-819"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054414","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":"Description and Analysis of Sources of Fear and Associated Fear Scores in Children Aged 7 to 12 in the Pediatric Emergency Department in France: A Retrospective Study: Fear Kids","authors":"Stephanie Thurillet RN, BSc ,&nbsp;Pascale Beloni RN, Ph.D ,&nbsp;Jean Toniolo RN, Ph.D","doi":"10.1016/j.pedhc.2025.05.001","DOIUrl":"10.1016/j.pedhc.2025.05.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The validation of the self-assessment fear scale, the Trouillomètre®, has enabled the systematic identification of children's sources of fear notably in pediatric emergency settings.</div></div><div><h3>Methods</h3><div>This retrospective study, conducted at a pediatric emergency department in France, aimed to describe fear scores and sources of fear in children aged 7–12. Fear was measured using the Trouillomètre® and pain via the Visual Analogue Scale.</div></div><div><h3>Results</h3><div>Thematic analysis identified eight major sources of fear, with fear of pain, needles, surgery, and hospitalization being most frequent. Boys and girls displayed similar fear levels, but pain scores were higher among girls. Children presenting for medical reasons reported more fear than those with surgical reasons.</div></div><div><h3>Discussion</h3><div>Our study explored comprehensively the children's fear in emergency contexts in France, providing critical insights for developing targeted interventions and improving care pathways to alleviate pediatric distress.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 726-736"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692265","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":"Prevalence of Vitamin D Deficiency in Children and the Relationship of Vitamin D Levels With Allergic and Rheumatological Diseases","authors":"Hilal Koyuncu MD,&nbsp;Ayşe Tolunay Oflu MD,&nbsp;Aysun Soyugüzel MD,&nbsp;Nur Önen MD,&nbsp;Yiğit Şenol MD,&nbsp;Ayşegül Bükülmez MD,&nbsp;Ahmet Afşin Kundak MD","doi":"10.1016/j.pedhc.2025.04.007","DOIUrl":"10.1016/j.pedhc.2025.04.007","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to determine the prevalence of vitamin D deficiency in children and compare vitamin D levels between healthy children and children with various health problems, including allergic, rheumatic and infectious diseases.</div></div><div><h3>Method</h3><div>Children who were admitted to our center for any reason between June 2022 and June 2023 and had a vitamin D level check were included in the study. Vitamin D levels were examined by age, sex, season, reason for admission and final diagnosis.</div></div><div><h3>Results</h3><div><span>The mean 25-OH vitamin D level of 3,532 children was 23 ± 12.5 ng/mL. It was insufficient in 28.4% of the cases and deficient in 18.2%. Factors associated with the highest risk of vitamin D deficiency were female sex, adolescent age, and spring season (</span><em>p</em> &lt; .000). By diagnostic group, the mean vitamin D level in healthy children was 22.0 ng/mL. The groups with the lowest vitamin D levels were obesity (16.1 ng/mL) and rheumatic disease (18.1 ng/mL).</div></div><div><h3>Discussion</h3><div>This study showed that vitamin D deficiency is quite common in children, and the most important risk factors are female gender, adolescent age group and winter-spring season. Although routine vitamin D screening is not recommended, testing may be performed in children with a history of allergies, rheumatic diseases, or frequent infections. It may be recommended to extend vitamin D prophylaxis to obese individuals and adolescents.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 775-781"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128694","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":"Assessing Utilization of Spirometry Among Pediatric Primary Care Providers","authors":"Quinn Taylor DNP, APRN, CPNP-PC,&nbsp;Jennifer Sonney PhD, APRN, PPCNP-BC, FAANP, FAAN,&nbsp;Mayumi Willgerodt PhD, MPH, FAAN, FNASN, RN","doi":"10.1016/j.pedhc.2025.03.007","DOIUrl":"10.1016/j.pedhc.2025.03.007","url":null,"abstract":"<div><h3>Background</h3><div><span>Asthma is the most common chronic respiratory disease in childhood, affecting 6.5% of children in the United States. </span>Spirometry<span> is the gold standard objective measure when diagnosing and managing asthma, yet it is underutilized in primary care.</span></div></div><div><h3>Aim Statement</h3><div>The purpose of this quality improvement<span><span> project was to assess pediatric </span>primary care provider use of spirometry and perceived barriers to use.</span></div></div><div><h3>Methods</h3><div>The Knowledge-to-Action framework informed this quality improvement project. A focused review of current evidence was completed, and a survey was conducted to assess current spirometry practices and provider perspectives about spirometry.</div></div><div><h3>Results</h3><div>The majority of respondents (<em>n</em> = 37) reported that they diagnose and manage asthma regularly (mean = 4.08/5 ± 0.72) but do not use spirometry regularly (mean = 2.22/5 ± 0.98). The top reported barriers to spirometry utilization included availability, time, and training.</div></div><div><h3>Conclusions</h3><div>NPs can improve asthma care by advocating for spirometry in primary care. This manuscript provides strategies for incorporating spirometry into primary care practice.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 768-774"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062963","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)00211-1","DOIUrl":"10.1016/S0891-5245(25)00211-1","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages A5-A6"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922425","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":"Misinformation and Disinformation Are Harmful to Your Health","authors":"Felesia R. Bowen PhD, DNP, PPCNP-BC, FADLN, FAAN","doi":"10.1016/j.pedhc.2025.06.008","DOIUrl":"10.1016/j.pedhc.2025.06.008","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 701-702"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922429","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":"Beyond the BMI: An Educational, Family-Centered Approach to Identifying Risk for Childhood Obesity","authors":"Michelle Mak DNP, APRN","doi":"10.1016/j.pedhc.2025.07.011","DOIUrl":"10.1016/j.pedhc.2025.07.011","url":null,"abstract":"<div><h3>Category/Date</h3><div>Evidence-Based Practice Poster presented at NAPNAP’s 46^th National Conference on Pediatric Health Care, <em>Posters on the Move</em>, March 12, 2025</div></div><div><h3>Background &amp; Significance</h3><div>In the United States, the increasing prevalence of obesity has caused public health concerns. From 2017 to 2020, 14.7 million children were considered obese. Obesity is defined as a body mass index (BMI) at or above the 95th percentile on the growth chart. Pediatric patients with obesity have a 70% likelihood of becoming obese in adulthood and can develop associated cardiometabolic complications. Additionally, they can spend $310 more for healthcare annually than their healthy weight counterparts.</div></div><div><h3>Purpose/Aims</h3><div>The Family Nutrition and Physical Activity (FNPA) screening tool can be implemented in pediatric primary care clinics to address lifestyle habits and risk for childhood obesity. The purpose of this project was to determine if the FNPA tool can identify more obesogenic behaviors than the standard of care, and if counseling using motivational interviewing (MI) improves FNPA score.</div></div><div><h3>Methods</h3><div>Thirty-three families with children aged 4 to 18 presenting for their well-child visits filled out the FNPA tool and the standard of care. Counseling was performed with MI and a handout of AAP-endorsed recommendations. After three months, 27 families participated in a follow-up via phone call where the tool was administered again.</div></div><div><h3>Results</h3><div>92.6% of participants (25/27) improved their score, signifying that family lifestyle changes were implemented. A paired sample t-test showed that scores significantly increased from the pre-intervention score (mean = 64.67, SD = 5.903) to the post-intervention score (mean = 70.67, SD = 5.407); t(26) = -7.109, p&lt; 0.001. Additionally, the FNPA tool identified more obesogenic risk factors than the standard of care.</div></div><div><h3>Discussion</h3><div>In using the FNPA screening tool, the provider can better counsel on lifestyle behaviors than the standard of care. Improved screening will identify more children at risk for obesity and begin weight management interventions. Children with improved lifestyle behaviors will have lower obesity risk factors. In turn, reduced rates of childhood obesity will have large cost savings.</div></div><div><h3>Conclusions</h3><div>Families that were screened using the FNPA tool and counseled with MI techniques had a mean improvement of 9% (six points) in their score and demonstrated improved lifestyle behaviors over three months. Future studies may be necessary with extended follow-up periods to see long-term lifestyle changes.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 852-853"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922355","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":"Dissolved Bictegravir/Emtricitabine/Tenofovir Alafenamide Improves Medication Adherence","authors":"Matthew J. Grant MD","doi":"10.1016/j.pedhc.2025.03.008","DOIUrl":"10.1016/j.pedhc.2025.03.008","url":null,"abstract":"<div><div>The availability of single-tablet regimens for pediatric patients living with perinatally-acquired HIV continues to lag behind those in the adult population, presenting a unique challenge to providers, particularly in the setting of complex care needs. Presented is a 7-year-old male living with perinatally-acquired HIV complicated by developmental delay, seizure disorder, and oral-motor dysfunction. To support medication adherence, caregivers dissolved low-dose bictegravir/emtricitabine/tenofovir alafenamide, with follow-up showing maintenance of virologic suppression, no adverse side effects, and improved adherence to medication based on parental report and pharmacy refill history. This is the first known published case report of dissolved low-dose bictegravir/emtricitabine/tenofovir alafenamide in a pediatric patient.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 811-813"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042678","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":"Case Study of Group A Streptococcal Bacteremia With Simultaneous Viral Co-Infections","authors":"Rebecca A. Carson DNP, APRN, CPNP-PC/AC","doi":"10.1016/j.pedhc.2025.03.011","DOIUrl":"10.1016/j.pedhc.2025.03.011","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 795-800"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006207","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}