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Influence of Feeding Practices on Intestinal Microbiota Composition in Healthy Chinese Infants: A Prospective Cohort Study. 喂养方式对中国健康婴儿肠道微生物群组成的影响：前瞻性队列研究
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-09-16 DOI: 10.1016/j.pedhc.2024.06.015
Kris Yw Lok, Jade Ll Teng, Jordan Yh Fong, Ye Peng, Heidi Sl Fan, Yuanchao Ma, Tsz Tuen Li, Susanna Kp Lau, Patsy Ph Chau, Hani El-Nezami, Patrick Ip, Marie Tarrant, Hein M Tun, Patrick Cy Woo
{"title":"Influence of Feeding Practices on Intestinal Microbiota Composition in Healthy Chinese Infants: A Prospective Cohort Study.","authors":"Kris Yw Lok, Jade Ll Teng, Jordan Yh Fong, Ye Peng, Heidi Sl Fan, Yuanchao Ma, Tsz Tuen Li, Susanna Kp Lau, Patsy Ph Chau, Hani El-Nezami, Patrick Ip, Marie Tarrant, Hein M Tun, Patrick Cy Woo","doi":"10.1016/j.pedhc.2024.06.015","DOIUrl":"10.1016/j.pedhc.2024.06.015","url":null,"abstract":"<p><strong>Introduction: </strong>This study investigates the impact of different feeding methods (direct breastfeeding, expressed milk feeding, formula feeding) on the infant microbiota at 6 weeks of age.</p><p><strong>Methods: </strong>A total of 217 healthy infants stool samples were collected from Hong Kong between August 2018 and December 2019.</p><p><strong>Results: </strong>Various microbial taxa, including the genera Enterobacter and Raoultella were identified in the expressed breast milk feeding group. The richness and composition of the major bacterial phyla showed similar abundance between direct breastfeeding and expressed breast milk.</p><p><strong>Discussion: </strong>These findings suggests that these bacteria may have colonized the milk during expression or could be introduced from other external sources. The mode of breastfeeding did not significantly alter microbiota parameters in the infant gut at 6 weeks.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"14-21"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299708","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 Equity and Children With Medical Complexity/Children and Youth With Special Health Care Needs: A Scoping Review. 卫生公平与医疗复杂性儿童/有特殊卫生保健需要的儿童和青少年：范围审查。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-11-30 DOI: 10.1016/j.pedhc.2024.11.008
Elizabeth A Flasch
{"title":"Health Equity and Children With Medical Complexity/Children and Youth With Special Health Care Needs: A Scoping Review.","authors":"Elizabeth A Flasch","doi":"10.1016/j.pedhc.2024.11.008","DOIUrl":"10.1016/j.pedhc.2024.11.008","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"140-146"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773763","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
Congenital Nasal Pyriform Aperture Stenosis and the Significance of McGovern Nipple. 先天性鼻梨状孔狭窄与麦戈文乳头的意义
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-09-21 DOI: 10.1016/j.pedhc.2024.06.017
Amanda Esperas, Rachel Marlow, Danielle Sebbens
{"title":"Congenital Nasal Pyriform Aperture Stenosis and the Significance of McGovern Nipple.","authors":"Amanda Esperas, Rachel Marlow, Danielle Sebbens","doi":"10.1016/j.pedhc.2024.06.017","DOIUrl":"10.1016/j.pedhc.2024.06.017","url":null,"abstract":"<p><p>Congenital nasal pyriform aperture stenosis (CNPAS) is a rare but potentially life-threatening cause of upper airway obstruction in infants. It was first described in 1988 and 1989 in the radiology and otolaryngology literature. Congenital airway obstruction affects up to 1 in 5,000 infants, and many of these obstructions result from choanal atresia. CNPAS is estimated to occur 1 in 25,000 live births. This case report describes a neonate with acute respiratory distress and obstructive breathing pattern relieved by opening her oral airway and maintained with the McGovern nipple decreasing ventilator days during hospitalization with viral bronchiolitis.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"e1-e4"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299705","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
Case Presentation of a Neuroglial Cyst Causing Acute Hydrocephalus. 神经胶质细胞囊肿导致急性脑积水的病例介绍。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-06-21 DOI: 10.1016/j.pedhc.2024.05.003
Elizabeth M Byrd, James M Johnston
{"title":"Case Presentation of a Neuroglial Cyst Causing Acute Hydrocephalus.","authors":"Elizabeth M Byrd, James M Johnston","doi":"10.1016/j.pedhc.2024.05.003","DOIUrl":"10.1016/j.pedhc.2024.05.003","url":null,"abstract":"<p><p>Neuroglial cysts are rare congenital cysts that seldom require surgical treatment. This case highlights a rare instance when a neurolglial cyst caused acute hydrocephalus in a 10-year old boy. Originally diagnosed and managed as pediatric-onset migraines, the patient presented to the emergency department with nausea, vomiting, and ataxia without clear pathology on neuroradiology. The neurosurgical team took him to the operating room based on his clinical picture and history and the cyst was discovered there. The pathology was benign, and he has had a complete resolution of symptoms.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"83-87"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433253","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
Screening for Adverse Childhood Experiences in Adolescents Using the Bright Futures Previsit Questionnaire. 使用 "光明未来 "预访问卷筛查青少年的不良童年经历。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-07-15 DOI: 10.1016/j.pedhc.2024.06.018
Janel M Draxler, Todd M Ruppar, Julie A Carbray, Kathleen R Delaney
{"title":"Screening for Adverse Childhood Experiences in Adolescents Using the Bright Futures Previsit Questionnaire.","authors":"Janel M Draxler, Todd M Ruppar, Julie A Carbray, Kathleen R Delaney","doi":"10.1016/j.pedhc.2024.06.018","DOIUrl":"10.1016/j.pedhc.2024.06.018","url":null,"abstract":"<p><p>In pediatric primary care, incorporation of existing practice tools into screening for adverse childhood experiences (ACEs) may reduce screening barriers, promoting timely intervention on negative health impacts from childhood trauma. One such screening tool is the Bright Futures Previsit Questionnaire (PVQ). To evaluate the extent to which the PVQ may be used to screen for ACEs, this research aimed to map items related to ACEs from adolescent PVQs against adverse events historically identified as conventional and expanded ACEs. The adolescent PVQs mapped effectively to nine ACEs: adverse neighborhood experiences, bullying, emotional neglect, friend or family substance misuse, household safety, intimate partner violence, interpersonal violence, physical neglect, and sexual abuse. Universal ACE screening can be conducted using adolescent PVQs; however, issues remain regarding the reliability and validity of using the PVQs to identify ACEs, and some ACEs are not effectively assessed using adolescent PVQs.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"76-82"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635562","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
Relationships Among Stress, Diabetes Distress, and Biomarkers in Children with Type 1 Diabetes Mellitus from Diverse Income and Racial Backgrounds. 来自不同收入和种族背景的 1 型糖尿病患儿的压力、糖尿病困扰和生物标志物之间的关系。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-10 DOI: 10.1016/j.pedhc.2024.08.012
Sara L Davis, Sarah S Jaser, Nataliya Ivankova, Marti Rice
{"title":"Relationships Among Stress, Diabetes Distress, and Biomarkers in Children with Type 1 Diabetes Mellitus from Diverse Income and Racial Backgrounds.","authors":"Sara L Davis, Sarah S Jaser, Nataliya Ivankova, Marti Rice","doi":"10.1016/j.pedhc.2024.08.012","DOIUrl":"10.1016/j.pedhc.2024.08.012","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this quantitative study was to consider factors that may negatively impact glycemic levels in Black and White children 8-12 years old with a diagnosis of type 1 diabetes mellitus.</p><p><strong>Method: </strong>Perceived stress, diabetes distress, morning and afternoon salivary cortisol, inflammatory biomarkers, and hemoglobin A1c (HbA1c) were measured in this quantitative, cross-sectional phase of a larger, mixed methods study. Thirty-four children and their parents completed self-report surveys, and children provided blood and salivary samples, to examine effect sizes of relationships among variables of interest.</p><p><strong>Results: </strong>Most children did not meet ADA recommendations for HbA1c. HbA1c was higher in Black children. Medium-to-large effects were noted between perceived stress and HbA1c. Cortisol and IL-8 may mediate the relationship between perceived stress and HbA1c in children.</p><p><strong>Discussion: </strong>Understanding causes of elevated glycemic levels in children, especially from low-income and underrepresented populations, may help tailor diabetes management interventions to improve health outcomes.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"5-13"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11646180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing an Adverse Childhood Experiences Screening Tool With Migrant Children: A Quality Improvement Project Using the PEARLS Screening Tool. 对移民儿童实施童年不良经历筛查工具：使用 PEARLS 筛查工具的质量改进项目。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-04 DOI: 10.1016/j.pedhc.2024.08.014
Natasha J Fevry, Sean Convoy, Melinda Teague, Tracey Taldon, Julee Waldrop
{"title":"Implementing an Adverse Childhood Experiences Screening Tool With Migrant Children: A Quality Improvement Project Using the PEARLS Screening Tool.","authors":"Natasha J Fevry, Sean Convoy, Melinda Teague, Tracey Taldon, Julee Waldrop","doi":"10.1016/j.pedhc.2024.08.014","DOIUrl":"10.1016/j.pedhc.2024.08.014","url":null,"abstract":"<p><strong>Background: </strong>Immigrants, asylum seekers, and refugees live with extreme stress, consistent vulnerability, and life-long health consequences. Children in these populations face an increased risk of poor mental health because of adverse childhood experiences (ACEs).</p><p><strong>Aim: </strong>To implement an ACE screening questionnaire for all migrant children aged < 19 years in a community shelter.</p><p><strong>Method: </strong>The Model for Improvement.</p><p><strong>Intervention: </strong>The Pediatric ACEs and Related Life Events Screener was implemented over 10 weeks in a community shelter.</p><p><strong>Results: </strong>All children screened had at least 1 ACE. Initiation of screening led to the recognition of adverse experiences, thus allowing for mental health support and referrals to mental health specialists.</p><p><strong>Conclusions: </strong>This quality improvement project supports screening for ACEs in migrant children to uncover potential mental health concerns and provide targeted support, recognizing the long-term effects of trauma on their well-being.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"69-75"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373411","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
Early Education Suspension and Expulsion: Newly Released AAP Policy Guidelines. 早期教育停学和开除：新发布的 AAP 政策指南。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-15 DOI: 10.1016/j.pedhc.2024.09.006
Erika Handley, Heide S Temples
{"title":"Early Education Suspension and Expulsion: Newly Released AAP Policy Guidelines.","authors":"Erika Handley, Heide S Temples","doi":"10.1016/j.pedhc.2024.09.006","DOIUrl":"10.1016/j.pedhc.2024.09.006","url":null,"abstract":"<p><p>Childcare and early educational programs provide children with the opportunities to learn and develop social skills prior to being introduced into the academic system. Suspension and expulsion from childcare and early education programs occur in high numbers and can cause life-long detrimental effects for children. Federal and state legislation has made advances over the years, but further development and implementation of universal policies are needed in order to reduce the number of young children being suspended and expelled. Pediatric nurse practitioners have a unique role in screening, identifying, and intervening when children are at risk or have experienced exclusionary discipline tracts.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"130-135"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479389","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
Increasing Screening for Sexually Transmitted Infections Among Adolescents and Young Adults Diagnosed With Sickle Cell Disease: A Quality Improvement Project. 在确诊患有镰状细胞病的青少年中加强性传播感染筛查：质量改进项目。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-10 DOI: 10.1016/j.pedhc.2024.09.008
Myckayla Ashlee Perry
{"title":"Increasing Screening for Sexually Transmitted Infections Among Adolescents and Young Adults Diagnosed With Sickle Cell Disease: A Quality Improvement Project.","authors":"Myckayla Ashlee Perry","doi":"10.1016/j.pedhc.2024.09.008","DOIUrl":"10.1016/j.pedhc.2024.09.008","url":null,"abstract":"<p><strong>Background: </strong>Sexually transmitted infections (STIs) affect 20 million adolescents and young adults in the United States annually.</p><p><strong>Local problem: </strong>In a pediatric outpatient sickle cell disease clinic in the southeastern United States, 16% (43/272) of patients aged 16-24 years had a documented sexual health history, and 12% (4/77) completed STI screenings. The clinic aimed to increase sexual health assessment, STI screenings, diagnosis, and treatment.</p><p><strong>Methods: </strong>Using process redesign, a standardized sexual health and STI screening process at routine visits was implemented to increase the completion of sexual health histories and STI screening.</p><p><strong>Results: </strong>Sexual health history collection rates increased from 16% (43/272) pre-intervention to 92% (107/116) pos-tintervention. The rate of STI testing offered increased from 12% (5/43) preintervention to 100% (116/116) postintervention. The STI testing rates increased 22.5% from 40% (2/5) pre-intervention to 49% (20/41) post-intervention.</p><p><strong>Conclusions: </strong>Evidence-based standardized interventions can successfully be used to assist in sexual health documentation and STI screening.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"51-57"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479391","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
An Exploration of the Understanding and Experiences of Health in Urban Dominican American Adolescents. 探索多米尼加裔美国城市青少年对健康的理解和体验。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-02 DOI: 10.1016/j.pedhc.2024.08.013
Jennifer Dean Durning, Jennifer Yost, Elizabeth B Dowdell
{"title":"An Exploration of the Understanding and Experiences of Health in Urban Dominican American Adolescents.","authors":"Jennifer Dean Durning, Jennifer Yost, Elizabeth B Dowdell","doi":"10.1016/j.pedhc.2024.08.013","DOIUrl":"10.1016/j.pedhc.2024.08.013","url":null,"abstract":"<p><strong>Introduction: </strong>This study explored the understanding and experiences related to health among Dominican American adolescents in an urban setting in the northeastern United States.</p><p><strong>Method: </strong>A qualitative descriptive study was conducted, applying thematic analysis to focus group interview data from 23 students.</p><p><strong>Results: </strong>Five themes emerged: (1) Health is All About Healthy Eating, (2) Sugarcoating, (3) Dynamics Affecting Adherence, (4) Dominican Cultural Influences on Health, and (5) Toll of the Immigrant Life.</p><p><strong>Discussion: </strong>Cultural expectations, particularly deference to family members, substantially impact health care providers' interactions with Dominican American adolescents. Limited communication hinders discussion on topics like healthy eating and mental health. Parental reliance on home remedies over seeking professional care adds another layer of complexity. This study establishes a foundational understanding of Dominican American adolescents' health experiences, highlighting areas where pediatric nurse practitioners can target interventions to support Dominican American adolescents' health journeys.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"33-40"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373408","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
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