{"title":"Pediatric Expert Researchers for JPHC","authors":"","doi":"10.1016/S0891-5245(26)00059-3","DOIUrl":"10.1016/S0891-5245(26)00059-3","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Page A7"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147757094","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":"NAPNAP Position Statement on the Integration of Mental Health Care in Pediatric Primary Care Settings","authors":"","doi":"10.1016/j.pedhc.2026.01.001","DOIUrl":"10.1016/j.pedhc.2026.01.001","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages 475-477"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756361","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}
Mary Jean Ohns DNP, APRN, CPNP-AC/PC, CCRN , Brooklyn Wolfe BSN, RN
{"title":"Second Episode of Rhabdomyolysis: A Case Report","authors":"Mary Jean Ohns DNP, APRN, CPNP-AC/PC, CCRN , Brooklyn Wolfe BSN, RN","doi":"10.1016/j.pedhc.2025.11.027","DOIUrl":"10.1016/j.pedhc.2025.11.027","url":null,"abstract":"<div><div>Rhabdomyolysis is a serious medical condition resulting from skeletal muscle breakdown, leading to the release of intracellular contents—most notably myoglobin—into the bloodstream. The accumulation of myoglobin can result in acute kidney injury and electrolyte disturbances. Common etiologies include trauma, strenuous physical activity, infections, genetic predisposition, and certain medications. Clinically, patients may present with muscle pain, weakness, fatigue, dark-colored urine, and decreased urine output. Creatine kinase, an enzyme predominantly located in skeletal muscle, serves as a highly sensitive marker for muscle injury and is a key diagnostic indicator of rhabdomyolysis.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages e119-e124"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866099","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 Pulse Check: Evolution of the Pediatric Cardiac ICU Advanced Practice Provider Education, Training, and Practice","authors":"Jessica Mann DNP, CPNP-AC, Melissa Cleveland DNP, CPNP, Melina Handley DNP, PNP-AC, ARNP, Christin Diller DNP, CPNP-AC, Sandra Staveski PhD, RN, CPNP-AC, FAAN, Patrick Ercole PhD, MPH, Lindsey Justice DNP, APRN, CPNP-AC","doi":"10.1016/j.pedhc.2025.09.015","DOIUrl":"10.1016/j.pedhc.2025.09.015","url":null,"abstract":"<div><h3>Introduction</h3><div>The role of the advanced practice provider (APP) in the pediatric cardiac intensive care unit (PCICU) is evolving. A previously published study was revised to evaluate the current state of PCICU APP practice.</div></div><div><h3>Method</h3><div>A 44-question survey was distributed via email to 328 members of the Pediatric Cardiac Intensive Care Society. Univariate statistics, chi-square tests, and Fisher’s exact tests were used to compare descriptive data to the original survey.</div></div><div><h3>Results</h3><div>Seventy participants from 48 PCICUs across the US and Canada were represented in the analysis. Results showed a greater proportion of APP’s are working in a dedicated PCICU (89% vs. 72% in 2016) and APPs are practicing longer in the PCICU (> 7 years: 42% vs. 23%). Orientation processes were variable in content and time frame. Approximentaly 80% of APPs rated orientation as moderately effective or better. 57% of respondents reported they were “somewhat” prepared to care for patients autonomously, 20% reported feeling “only slightly” or “not at all” prepared.</div></div><div><h3>Conclusion</h3><div>Survey results show that orientation practices remain highly variable and demonstrate a need for a standardized and comprehensive orientation program.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages 443-450"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145369247","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}
Kristina L. Banks DNP, APRN, CPNP-PC, Carol L. Savrin DNP, APRN, CPNP, R, FNP-BC, FAANP, FANP
{"title":"Expanding Clarity in Competency-Based Education for Pediatric Nurse Practitioners: Response from the Authors","authors":"Kristina L. Banks DNP, APRN, CPNP-PC, Carol L. Savrin DNP, APRN, CPNP, R, FNP-BC, FAANP, FANP","doi":"10.1016/j.pedhc.2025.11.018","DOIUrl":"10.1016/j.pedhc.2025.11.018","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages 357-358"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850891","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":"Hoagland Sign—A Common Diagnosis Preceded by an Uncommon Sign","authors":"Joana Azevedo Silva MD, Raquel Santos MD, Mafalda Cascais MD, Andreia Dias MD, Lígia Peralta MD","doi":"10.1016/j.pedhc.2025.10.005","DOIUrl":"10.1016/j.pedhc.2025.10.005","url":null,"abstract":"<div><div>Infectious mononucleosis, usually caused by Epstein–Barr virus (EBV), typically presents with fever, asthenia, pharyngotonsillitis, and lymphadenopathy. Periorbital edema — the Hoagland sign — is a less common but potentially early manifestation. We report a 16-year-old girl with depression who presented with progressive bilateral periorbital edema, fatigue, fever, and myalgia. Examination showed eyelid edema, tonsillar hypertrophy, and cervical lymphadenopathy. Laboratory studies revealed lymphocytosis with atypical lymphocytes, thrombocytopenia, and mild transaminase elevation. A positive Paul–Bunnell test and EBV serologies confirmed acute infection. Her initial symptomatic management later required hospitalization due to worsening oropharyngeal symptoms. This case underscores the importance of recognizing Hoagland sign for timely diagnosis.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages e131-e134"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566058","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}
Nathan Fredricks BSA, BA, Maria J. San Andrés MD, FAAP
{"title":"Mucopolysaccharidosis III B: A Case Report","authors":"Nathan Fredricks BSA, BA, Maria J. San Andrés MD, FAAP","doi":"10.1016/j.pedhc.2025.10.004","DOIUrl":"10.1016/j.pedhc.2025.10.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Mucopolysaccharidosis type III B (MPS III B) is a rare, autosomal recessive disorder with a broad constellation of progressive symptoms. The time course and onset of disease can vary broadly.</div></div><div><h3>Case Presentation</h3><div>We present a case following a male from birth to age eight years in his development of disease with MPS III B. Macrocephaly and developmental delay began at 10 months, followed by sensorineural hearing loss. Urine mucopolysaccharide screen was diagnostic for MPS III B, and development was temporarily stabilized with varied supportive therapy.</div></div><div><h3>Discussion</h3><div>Early MPS III B diagnosis remains challenging despite variable presentations. This case emphasizes the importance of clinical suspicion, supportive therapy benefits, and the need for improved screening methods and developmental monitoring.</div></div><div><h3>Conclusions</h3><div>This case demonstrates the value of newborn screening, awareness amongst clinicians, and continued support for treatment development. MPS III B can present in broadly different time courses and therefore, is important to consider in differentials.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages e115-e118"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453918","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":"Peripheral Neuropathy in Adolescence With Anorexia Nervosa: A Rare Yet Significant Clinical Manifestation","authors":"Ayşe Gül Güven MD, PhD, Esra Yürümez MD, Aysun Genç MD, Ömer Bektaş MD, Simay Mirioğlu MSc, Zehra Aycan MD, PhD","doi":"10.1016/j.pedhc.2025.10.010","DOIUrl":"10.1016/j.pedhc.2025.10.010","url":null,"abstract":"<div><div>The neurological complications of anorexia nervosa (AN) remain poorly understood. In the pediatric population, rare cases of isolated nerve involvement—most frequently peroneal nerve—or sensory and/or motor neuropathies have been reported. This case report describes a 16-year-old female adolescent with restrictive-type AN who developed left foot drop due to peroneal nerve injury in which both mechanical nerve compression and malnutrition were implicated as contributing factors. The diagnosis was confirmed through detailed history-taking, physical examination, and electromyographic studies. Early initiation of electrotherapy and targeted exercise programs—prior to full weight restoration—combined with psychiatric and nutritional management within a multidisciplinary approach led to complete clinical recovery. This report discusses the evaluation, differential diagnosis, and multidisciplinary treatment strategies for peripheral neuropathies associated with AN, supported by a review of the relevant literature.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages e142-e148"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589786","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":"Position Statement on Children and Youth with Special Health Care Needs: Key Issues on Care Coordination, Transitions, and Leadership","authors":"","doi":"10.1016/j.pedhc.2026.02.006","DOIUrl":"10.1016/j.pedhc.2026.02.006","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages 478-480"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756362","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}