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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 DOI: 10.1016/j.pedhc.2024.05.003
Elizabeth M. Byrd PhD, RN (Assistant Professor and Postdoctoral Fellow), James M. Johnston MD (Professor and Neurosurgeon)
{"title":"Case Presentation of a Neuroglial Cyst Causing Acute Hydrocephalus","authors":"Elizabeth M. Byrd PhD, RN (Assistant Professor and Postdoctoral Fellow),&nbsp;James M. Johnston MD (Professor and Neurosurgeon)","doi":"10.1016/j.pedhc.2024.05.003","DOIUrl":"10.1016/j.pedhc.2024.05.003","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"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 DOI: 10.1016/j.pedhc.2024.06.018
Janel M. Draxler PhD, APRN, PMHNP-BC, Todd M. Ruppar PhD, RN, FAAN, Julie A. Carbray PhD, FPMHNP-BC, PMHCNS-BC, APRN, Kathleen R. Delaney PhD, APRN, PMH-NP, FAAN
{"title":"Screening for Adverse Childhood Experiences in Adolescents Using the Bright Futures Previsit Questionnaire","authors":"Janel M. Draxler PhD, APRN, PMHNP-BC,&nbsp;Todd M. Ruppar PhD, RN, FAAN,&nbsp;Julie A. Carbray PhD, FPMHNP-BC, PMHCNS-BC, APRN,&nbsp;Kathleen R. Delaney PhD, APRN, PMH-NP, FAAN","doi":"10.1016/j.pedhc.2024.06.018","DOIUrl":"10.1016/j.pedhc.2024.06.018","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"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
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 DOI: 10.1016/j.pedhc.2024.08.014
Natasha J. Fevry DNP, PMHNP-BC, Sean Convoy DNP, PMHNP-BC, Melinda Teague DNP, CPNP-AC/PC, Tracey Taldon MSW, LICSW, Julee Waldrop DNP, FNP-BC, PNP-BC, CNE, EBP-C FAANP, FAAN
{"title":"Implementing an Adverse Childhood Experiences Screening Tool With Migrant Children: A Quality Improvement Project Using the PEARLS Screening Tool","authors":"Natasha J. Fevry DNP, PMHNP-BC,&nbsp;Sean Convoy DNP, PMHNP-BC,&nbsp;Melinda Teague DNP, CPNP-AC/PC,&nbsp;Tracey Taldon MSW, LICSW,&nbsp;Julee Waldrop DNP, FNP-BC, PNP-BC, CNE, EBP-C FAANP, FAAN","doi":"10.1016/j.pedhc.2024.08.014","DOIUrl":"10.1016/j.pedhc.2024.08.014","url":null,"abstract":"<div><h3>Background</h3><div>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).</div></div><div><h3>Aim</h3><div>To implement an ACE screening questionnaire for all migrant children aged &lt; 19 years in a community shelter.</div></div><div><h3>Method</h3><div>The Model for Improvement.</div></div><div><h3>Intervention</h3><div>The Pediatric ACEs and Related Life Events Screener was implemented over 10 weeks in a community shelter.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"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 DOI: 10.1016/j.pedhc.2024.09.006
Erika Handley DNP-c, BSN, RN, Heide S. Temples PhD, APRN, PPCNP-BC, IBCLC
{"title":"Early Education Suspension and Expulsion: Newly Released AAP Policy Guidelines","authors":"Erika Handley DNP-c, BSN, RN,&nbsp;Heide S. Temples PhD, APRN, PPCNP-BC, IBCLC","doi":"10.1016/j.pedhc.2024.09.006","DOIUrl":"10.1016/j.pedhc.2024.09.006","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"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 DOI: 10.1016/j.pedhc.2024.09.008
Myckayla Ashlee Perry DNP, BSN, RN
{"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 DNP, BSN, RN","doi":"10.1016/j.pedhc.2024.09.008","DOIUrl":"10.1016/j.pedhc.2024.09.008","url":null,"abstract":"<div><h3>Background</h3><div>Sexually transmitted infections (STIs) affect 20 million adolescents and young adults in the United States annually.</div></div><div><h3>Local Problem</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>Evidence-based standardized interventions can successfully be used to assist in sexual health documentation and STI screening.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"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
Gene Therapy: A New Hope in Sickle Cell Disease Treatment 基因疗法：镰状细胞病治疗的新希望。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 DOI: 10.1016/j.pedhc.2024.07.007
Margaret Christy RN, BSN, Beth Fisher DNP, APRN, CPNP-AC/PC, CPON, CHPPN
{"title":"Gene Therapy: A New Hope in Sickle Cell Disease Treatment","authors":"Margaret Christy RN, BSN,&nbsp;Beth Fisher DNP, APRN, CPNP-AC/PC, CPON, CHPPN","doi":"10.1016/j.pedhc.2024.07.007","DOIUrl":"10.1016/j.pedhc.2024.07.007","url":null,"abstract":"<div><div>Sickle cell disease (SCD) is a lifelong disease requiring expensive treatment for management and limited curative options until the last few years. Gene therapy has emerged as a curative option for SCD, with two approved therapies available to SCD patients aged ≥ 12 years. Consideration must be considered regarding the ethics, efficacy, management requirements, education, and counseling needs of patients and their parents. Current and future practices will need to advocate for improved access and affordability of this specialized care and address the unknown and less defined areas of gene therapy pertaining to SCD through research.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages 122-129"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824623","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 DOI: 10.1016/j.pedhc.2024.08.013
Jennifer Dean Durning PhD, RN, CPNP-PC, Jennifer Yost PhD, RN, Elizabeth B. Dowdell PhD, RN, AFN-C, FAAN
{"title":"An Exploration of the Understanding and Experiences of Health in Urban Dominican American Adolescents","authors":"Jennifer Dean Durning PhD, RN, CPNP-PC,&nbsp;Jennifer Yost PhD, RN,&nbsp;Elizabeth B. Dowdell PhD, RN, AFN-C, FAAN","doi":"10.1016/j.pedhc.2024.08.013","DOIUrl":"10.1016/j.pedhc.2024.08.013","url":null,"abstract":"<div><h3>Introduction</h3><div>This study explored the understanding and experiences related to health among Dominican American adolescents in an urban setting in the northeastern United States.</div></div><div><h3>Method</h3><div>A qualitative descriptive study was conducted, applying thematic analysis to focus group interview data from 23 students.</div></div><div><h3>Results</h3><div>Five themes emerged: (1) <em>Health is All About Healthy Eating</em>, (2) <em>Sugarcoating</em>, (3) <em>Dynamics Affecting Adherence</em>, (4) <em>Dominican Cultural Influences on Health</em>, and (5) <em>Toll of the Immigrant Life.</em></div></div><div><h3>Discussion</h3><div>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.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"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
Lack of Immediate Diagnosis and Appropriate Intervention Leads to Malnutrition in an Infant With Cleft Palate 缺乏及时诊断和适当干预导致腭裂婴儿营养不良。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 DOI: 10.1016/j.pedhc.2024.07.004
Jessica L. Williams MS, CCC-SLP, Megan Halvorson MSNRN, Katelyn J. Kotlarek PhD, CCC-SLP
{"title":"Lack of Immediate Diagnosis and Appropriate Intervention Leads to Malnutrition in an Infant With Cleft Palate","authors":"Jessica L. Williams MS, CCC-SLP,&nbsp;Megan Halvorson MSNRN,&nbsp;Katelyn J. Kotlarek PhD, CCC-SLP","doi":"10.1016/j.pedhc.2024.07.004","DOIUrl":"10.1016/j.pedhc.2024.07.004","url":null,"abstract":"<div><div>This case report describes a full-term infant with a cleft palate who experienced malnutrition because of the delayed introduction of a cleft-adapted bottle and identifies potential areas for improvement in clinical practice. The infant's weight for age z-score at birth was 0.05 and dropped to −1.45 by 2 months of age, indicating mild malnutrition. The infant established care with a cleft team and a cleft-adapted bottle was recommended as the primary feeding method. Feeding time subsequently decreased from 60 minutes per feeding to 20 minutes. The infant presented for palate repair at 9 months of age, and his z-score was −0.01, indicating he was no longer malnourished. Cleft-adapted bottles aid in feeding efficiency in infants with cleft palate, which may subsequently impact weight gain. Appropriate weight gain is essential to receive timely cleft palate repair and support healing.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages 101-106"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753168","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
A Qualitative Descriptive Study Exploring the Systemic Challenges of Caring for Children With Medical Complexity at Home 一项定性描述性研究，探索在家中照顾病情复杂儿童所面临的系统性挑战。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 DOI: 10.1016/j.pedhc.2024.08.010
David Geyer PhD, RN, CPNP-PC, Jane M. Flanagan PhD, RN, AHN-BC, ANP-BC, FAAN, Brittney van de Water PhD, RN, CPNP-PC, Susan McCarthy, Judith A. Vessey PhD, MBA, RN, FAAN
{"title":"A Qualitative Descriptive Study Exploring the Systemic Challenges of Caring for Children With Medical Complexity at Home","authors":"David Geyer PhD, RN, CPNP-PC,&nbsp;Jane M. Flanagan PhD, RN, AHN-BC, ANP-BC, FAAN,&nbsp;Brittney van de Water PhD, RN, CPNP-PC,&nbsp;Susan McCarthy,&nbsp;Judith A. Vessey PhD, MBA, RN, FAAN","doi":"10.1016/j.pedhc.2024.08.010","DOIUrl":"10.1016/j.pedhc.2024.08.010","url":null,"abstract":"<div><h3>Introduction</h3><div>The purpose of this study is to explore challenges within the home care system encountered by parental caregivers of children with medical complexity in Massachusetts.</div></div><div><h3>Method</h3><div>A qualitative descriptive study was completed with 11 parental caregivers interviewed.</div></div><div><h3>Results</h3><div>Using conventional content analysis of transcripts, three themes emerged: (1) lack of discharge preparedness causes emotional distress, (2) care becomes increasingly complex creating new unanticipated challenges, and (3) psychological toll of parents assuming provider role.</div></div><div><h3>Discussion</h3><div>Navigating a variety of complex systemic challenges with minimal preparation or support contributes to an overall feeling of parental caregiver burnout. Additionally, mental health supports for parental caregivers are lacking, further exacerbating the negative impact of these challenges. Future work should focus on research, advocacy, and system reform that ensures parental caregivers receive necessary supports to care for children within a sustainable and supportive home care model. Nurses across the profession are in unique position to facilitate this change.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages 24-32"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382202","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
Information for Readers
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 DOI: 10.1016/S0891-5245(24)00351-1
{"title":"Information for Readers","authors":"","doi":"10.1016/S0891-5245(24)00351-1","DOIUrl":"10.1016/S0891-5245(24)00351-1","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Page A10"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143166226","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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