{"title":"Uncommon Organisms in Neonatal Meningitis: Two Case Reports","authors":"Mary Jean Ohns DNP, APRN, CPNP-AC/PC, CCRN","doi":"10.1016/j.pedhc.2024.08.011","DOIUrl":"10.1016/j.pedhc.2024.08.011","url":null,"abstract":"<div><div>These case reports describe two neonates, born at term, diagnosed with bacterial meningitis and septicemia caused by uncommon organisms. The clinical presentation, diagnostic reasoning, national guidelines, hospital course, and follow-up are discussed. Meningitis is among the differential diagnoses when there is a concern for neonatal sepsis. Concern for sepsis can arise from a variety of antepartum, intrapartum, and postpartum risk factors and present with a variety of symptoms. Neonatal sepsis is a significant cause of mortality, with 750,000 infant deaths annually. Effective treatment of neonatal sepsis requires timely diagnosis and tailored antimicrobial therapy that targets the causative pathogens.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages 93-100"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331433","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 Breastfeeding","authors":"","doi":"10.1016/j.pedhc.2024.10.014","DOIUrl":"10.1016/j.pedhc.2024.10.014","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages 136-138"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143166222","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(24)00346-8","DOIUrl":"10.1016/S0891-5245(24)00346-8","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages A5-A6"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143166224","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":"Health Equity and Children With Medical Complexity/Children and Youth With Special Health Care Needs: A Scoping Review","authors":"Elizabeth A. Flasch MSN, APNP, PNP-PC","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":"39 1","pages":"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}
Kris YW Lok RD, PhD , Jade LL Teng PhD , Jordan YH Fong PhD , Ye Peng PhD , Heidi SL Fan RN, PhD , Yuanchao Ma PhD , Tsz Tuen Li PhD , Susanna KP Lau MBBS, MD, MRCP, FRCPath, FHKCPath, FHKAM(Path) , Patsy PH Chau PhD , Hani El-Nezami PhD , Patrick Ip MBBS, FRCPCH (UK), FHKAM (Paediatrics), FHKCPaed, MRCP (UK) , Marie Tarrant RN, MPH, PhD , Hein M Tun BVSc, PhD , Patrick CY Woo MBBS (HK), MD(HK), FRCPath (UK), FRCP(Glas)
{"title":"Influence of Feeding Practices on Intestinal Microbiota Composition in Healthy Chinese Infants: A Prospective Cohort Study","authors":"Kris YW Lok RD, PhD , Jade LL Teng PhD , Jordan YH Fong PhD , Ye Peng PhD , Heidi SL Fan RN, PhD , Yuanchao Ma PhD , Tsz Tuen Li PhD , Susanna KP Lau MBBS, MD, MRCP, FRCPath, FHKCPath, FHKAM(Path) , Patsy PH Chau PhD , Hani El-Nezami PhD , Patrick Ip MBBS, FRCPCH (UK), FHKAM (Paediatrics), FHKCPaed, MRCP (UK) , Marie Tarrant RN, MPH, PhD , Hein M Tun BVSc, PhD , Patrick CY Woo MBBS (HK), MD(HK), FRCPath (UK), FRCP(Glas)","doi":"10.1016/j.pedhc.2024.06.015","DOIUrl":"10.1016/j.pedhc.2024.06.015","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>A total of 217 healthy infants stool samples were collected from Hong Kong between August 2018 and December 2019.</div></div><div><h3>Results</h3><div>Various microbial taxa, including the genera <em>Enterobacter and Raoultella</em> 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<em>.</em></div></div><div><h3>Discussion</h3><div>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.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily R. Hamilton DNP, RN, NP-C, CCRN, Marketa Rejtar DNP, APRN, CPNP-PC/AC, Michele DeGrazia PhD, RN, NNP-BC, FAAN, Youyang Yang MD, MHQS
{"title":"Failure Modes and Effects Analysis to Evaluate Discharge Delays of Postoperative Tonsillectomy Patients From the Medical-Surgical PICU","authors":"Emily R. Hamilton DNP, RN, NP-C, CCRN, Marketa Rejtar DNP, APRN, CPNP-PC/AC, Michele DeGrazia PhD, RN, NNP-BC, FAAN, Youyang Yang MD, MHQS","doi":"10.1016/j.pedhc.2024.09.007","DOIUrl":"10.1016/j.pedhc.2024.09.007","url":null,"abstract":"<div><h3>Background</h3><div>Discharge delays of Medical-Surgical Pediatric Intensive Care Unit (PICU) patients with Obstructive Sleep Apnea (OSA) following tonsillectomy or tonsillectomy with adenoidectomy (T&A) negatively impact hospital bed availability.</div></div><div><h3>Aim Statement</h3><div>This project identified process improvements to reduce discharge delays and increase PICU bed availability.</div></div><div><h3>Methods</h3><div>A Failure Modes and Effects Analysis (FMEA) was implemented to identify care and process failures that result in discharge delays.</div></div><div><h3>Intervention</h3><div>Through the FMEA, failure risk profile numbers with the highest impact were recognized for improvement (Institute for Healthcare Improvement, 2017; VHA National Center for Patient Safety, 2023).</div></div><div><h3>Results</h3><div>Forty failure modes were identified. High-impact failures included not administering dexamethasone early for patient pain or desaturation, intervening for desaturations consistent with the patient's baseline, and not anticipating family needs for discharge.</div></div><div><h3>Conclusions</h3><div>The FMEA identified several actionable changes that if implemented, could promote timely discharge of patients with OSA following tonsillectomy or T&A.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages 58-68"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479390","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}
Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN
{"title":"2025: A New Year to Reflect on 2024 and Create New and Innovative Directions for JPHC","authors":"Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN","doi":"10.1016/j.pedhc.2024.10.011","DOIUrl":"10.1016/j.pedhc.2024.10.011","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages 1-3"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824620","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(24)00347-X","DOIUrl":"10.1016/S0891-5245(24)00347-X","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Page A8"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143166225","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":"Congenital Nasal Pyriform Aperture Stenosis and the Significance of McGovern Nipple","authors":"Amanda Esperas DNP, CPNP-AC/PC, Rachel Marlow MD, Danielle Sebbens DNP, CPNP-AC/PC, FAANP","doi":"10.1016/j.pedhc.2024.06.017","DOIUrl":"10.1016/j.pedhc.2024.06.017","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"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}
Sara L. Davis PhD, RN, PCNS-BC, Sarah S. Jaser PhD, Nataliya Ivankova PhD, MPH, Marti Rice PhD, RN, FAAN
{"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 PhD, RN, PCNS-BC, Sarah S. Jaser PhD, Nataliya Ivankova PhD, MPH, Marti Rice PhD, RN, FAAN","doi":"10.1016/j.pedhc.2024.08.012","DOIUrl":"10.1016/j.pedhc.2024.08.012","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages 5-13"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}