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Journal of Pediatric Health Care最新文献

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Multisystem Inflammatory Syndrome in Children: A Case Report on Increased Intracranial Pressure 儿童多系统炎症综合征：颅内压增高1例报告。
IF 1.8 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-09-01 DOI: 10.1016/j.pedhc.2025.03.001
Rachel Collins DNP, CPNP-AC, Theresa Motley DNP, MPH, CPNP-AC/PC
{"title":"Multisystem Inflammatory Syndrome in Children: A Case Report on Increased Intracranial Pressure","authors":"Rachel Collins DNP, CPNP-AC,&nbsp;Theresa Motley DNP, MPH, CPNP-AC/PC","doi":"10.1016/j.pedhc.2025.03.001","DOIUrl":"10.1016/j.pedhc.2025.03.001","url":null,"abstract":"<div><div>This case study examines the uncommon complication of increased intracranial pressure (ICP) in refractory multisystem inflammatory syndrome in children (MIS-C). Due to the rare condition, there are few cases and randomized control trials that report on the association with increased ICP. This case report discusses the importance of monitoring for symptoms of increased ICP and adverse effects of cyclosporine A, as this agent has been used in some cases of refractory MIS-C. Ultimately the patient in this case study experienced no significant long-term complications. Current clinical recommendations include intravenous immunoglobulins and corticosteroids as the first-line therapy and adding biologic therapies for refractory cases. Patients should be screened for obesity, as it is a risk factor for intracranial hypertension. Lastly, invasive ICP monitoring can be used for severe cases of intracranial hypertension.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 801-804"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788915","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
Defining Priorities for Canadian PICU Family Presence Policies Under Changing Contexts: A Qualitative Focus Group Study 在变化的背景下确定加拿大PICU家庭存在政策的优先事项：一项定性焦点小组研究。
IF 1.8 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-09-01 DOI: 10.1016/j.pedhc.2025.03.002
Karla D. Krewulak PhD, Jennifer R. Foster MD, Laurie A. Lee NP, MN, PhD, Molly J. Ryan MPH, Dana Rhyno BA, Violetta Reznikov MPH, Daniel Garros MD, Jamie A. Seabrook PhD, Janet Curran RN, PhD, Corey Slumkoski PhD, Martha Walls PhD, Kirsten M. Fiest PhD, Canadian Critical Care Trials Group RFP-PICU research collaboration
{"title":"Defining Priorities for Canadian PICU Family Presence Policies Under Changing Contexts: A Qualitative Focus Group Study","authors":"Karla D. Krewulak PhD,&nbsp;Jennifer R. Foster MD,&nbsp;Laurie A. Lee NP, MN, PhD,&nbsp;Molly J. Ryan MPH,&nbsp;Dana Rhyno BA,&nbsp;Violetta Reznikov MPH,&nbsp;Daniel Garros MD,&nbsp;Jamie A. Seabrook PhD,&nbsp;Janet Curran RN, PhD,&nbsp;Corey Slumkoski PhD,&nbsp;Martha Walls PhD,&nbsp;Kirsten M. Fiest PhD,&nbsp;Canadian Critical Care Trials Group RFP-PICU research collaboration","doi":"10.1016/j.pedhc.2025.03.002","DOIUrl":"10.1016/j.pedhc.2025.03.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Recognizing the importance of parental presence for seriously ill children's well-being, many pediatric intensive care units (PICUs) have adopted policies encouraging family presence. However, PICU family presence policies remain varied, with gaps in policy development and implementation across Canadian hospitals. We aimed to determine patient, family, clinician, and policymaker-identified priorities for family presence policies under baseline and emergency (e.g., pandemics, disease outbreaks) contexts.</div></div><div><h3>Methods</h3><div>Between January and August 2023, we conducted focus groups with PICU youth, families, clinicians, and policymakers. Using the Theoretical Domains Framework (TDF) and inductive analysis, we explored key themes.</div></div><div><h3>Results</h3><div>Seven focus groups included youth (<em>n</em> = 4), family members (<em>n</em> = 7), clinicians (<em>n</em> = 14), and policymakers (<em>n</em> = 4). Nearly all TDF domains were significant, leading to three primary categories: policy development (e.g., transparency, adaptability), implementation (e.g., communication, roles), and future lessons.</div></div><div><h3>Discussion</h3><div>Key priorities included bedside access for two people, sibling presence, and flexible, equitable policies developed with diverse community engagement.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 825-835"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755561","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
Transitioning to Online Journal Only While Supporting Our Commitment to Research, Clinical Excellence, and Evidence-Based Practice 仅向在线期刊过渡，同时支持我们对研究，临床卓越和循证实践的承诺。
IF 1.8 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-09-01 DOI: 10.1016/j.pedhc.2025.06.004
Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN
{"title":"Transitioning to Online Journal Only While Supporting Our Commitment to Research, Clinical Excellence, and Evidence-Based Practice","authors":"Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN","doi":"10.1016/j.pedhc.2025.06.004","DOIUrl":"10.1016/j.pedhc.2025.06.004","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 699-700"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602146","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
The Role of Behavioral Health Comorbidities in Pediatric Bowel and Bladder Dysfunction Severity: A Retrospective Analysis 行为健康合并症在儿童肠道和膀胱功能障碍严重程度中的作用：回顾性分析
IF 1.8 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-09-01 DOI: 10.1016/j.pedhc.2025.05.004
Jennika Finup MSN, RN, CPNP_PC, Krista Brackman BS, Walid Farhat MD, Vinaya Bhatia MD
{"title":"The Role of Behavioral Health Comorbidities in Pediatric Bowel and Bladder Dysfunction Severity: A Retrospective Analysis","authors":"Jennika Finup MSN, RN, CPNP_PC,&nbsp;Krista Brackman BS,&nbsp;Walid Farhat MD,&nbsp;Vinaya Bhatia MD","doi":"10.1016/j.pedhc.2025.05.004","DOIUrl":"10.1016/j.pedhc.2025.05.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Children with bowel and bladder dysfunction<span> (BBD) have high rates of neuropsychiatric disorders (NPDs), however the impact on severity of voiding symptoms is poorly understood. Our objective was to assess prevalence of NPDs and other behavioral health symptoms and the impact on voiding symptoms.</span></div></div><div><h3>Methods</h3><div>We conducted a retrospective review of 304 BBD patients. Severity of voiding symptoms were measured using the dysfunctional voiding<span> symptom score (DVSS). The strengths and difficulties questionnaire (SDQ) measured behavioral health symptoms. Regression models and odds ratios evaluated the relationship between DVSS and SDQ.</span></div></div><div><h3>Results</h3><div>Thirty-three percent had diagnosed NPD, and 31.5% had a positive SDQ. DVSS scores predicted SDQ score (<em>p</em> &lt; .001). Children with voiding dysfunction had increased odds of behavioral health concerns (OR 1.84 [CI 1.03–3.30]).</div></div><div><h3>Discussion</h3><div>Behavioral health symptoms are common in children with BBD and increase severity of symptoms. Early screening and referral to behavioral health specialists may decrease time to symptom improvement.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 719-725"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568088","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
Assessing Knowledge of Nurse Practitioners on Youth in Foster Care: Results of Nationwide Survey. 护理人员对青少年寄养知识的评估：全国调查结果。
IF 1.8 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-08-31 DOI: 10.1016/j.pedhc.2025.08.001
Brigit VanGraafeiland, Christina Quick, Valerie C Martinez, Christina M Cwynar, Jennifer Helman, Shawna Mudd, Sarah Wilson, Tracy Halasz
{"title":"Assessing Knowledge of Nurse Practitioners on Youth in Foster Care: Results of Nationwide Survey.","authors":"Brigit VanGraafeiland, Christina Quick, Valerie C Martinez, Christina M Cwynar, Jennifer Helman, Shawna Mudd, Sarah Wilson, Tracy Halasz","doi":"10.1016/j.pedhc.2025.08.001","DOIUrl":"10.1016/j.pedhc.2025.08.001","url":null,"abstract":"<p><strong>Introduction: </strong>There are over 368,000 youth in foster care. Pediatric advanced practice nurses (APN) are the ideal healthcare provider to optimize this vulnerable population's physical, behavioral, and mental health and well-being.</p><p><strong>Methods: </strong>The Alliance for Children in Foster Care, through Partners for Vulnerable Youth, conducted a mixed methods nationwide survey of all NAPNAP members on their knowledge regarding the health of youth in foster care.</p><p><strong>Results: </strong>The survey results demonstrated 3 key gaps in knowledge, (1) Integrating Guidelines into Clinical Practice, (2) Recognizing Risks and Providing Ongoing Care, and (3) Navigating the Healthcare and Foster Systems.</p><p><strong>Discussion: </strong>The result of this survey reinforces the gap in knowledge among PNPs caring for youth in foster care. Future directions should be aimed at utilizing evidenced-based education to increase PNP knowledge in key areas identified.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976807","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
Addressing Obesity and Mental Health in Adolescents: Holistic Insights from a Case Report. 解决肥胖和青少年心理健康：从一个案例报告的整体见解。
IF 1.8 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-08-28 DOI: 10.1016/j.pedhc.2025.07.002
Latonya Fore-Williams, Anne Derouin
{"title":"Addressing Obesity and Mental Health in Adolescents: Holistic Insights from a Case Report.","authors":"Latonya Fore-Williams, Anne Derouin","doi":"10.1016/j.pedhc.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.07.002","url":null,"abstract":"<p><p>Obesity in young adults is a major public health issue. Although the physical effects and long-term consequences of obesity are well-documented, the psychological effects contribute to a cycle that worsens both weight gain and emotional distress. Teens with obesity experience social isolation, poor body image, and low self-esteem, increasing their risk for anxiety and depression. Their mental health burden is compounded by stigma and victimization. This fictional case report follows Jessica, a 15-year-old Black adolescent, as she navigates obesity alongside peer interactions, societal expectations, and challenges to self-confidence. Her experiences with weight-based stigma and social dynamics illustrate the interconnected relationship between mental health and obesity, shaped by broader social and environmental factors. By examining Jessica's journey, this report emphasizes the need for holistic, trauma-informed care that acknowledges individual experiences, fosters resilience, and promotes well-being.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976560","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
Spontaneous Gastric Rupture: A Case of a Toddler. 自发性胃破裂：一个幼儿的案例。
IF 1.8 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-08-27 DOI: 10.1016/j.pedhc.2025.07.008
Fatih Durak, Emine Pinar Kulluoglu, Gokcen Ozcifci, Yusuf Alper Kara
{"title":"Spontaneous Gastric Rupture: A Case of a Toddler.","authors":"Fatih Durak, Emine Pinar Kulluoglu, Gokcen Ozcifci, Yusuf Alper Kara","doi":"10.1016/j.pedhc.2025.07.008","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.07.008","url":null,"abstract":"<p><p>Spontaneous gastric rupture is a rare but potentially fatal condition in the pediatric population, with most cases occurring during the neonatal period. The exact etiology remains unclear, and the underlying mechanism has yet to be definitively established. Through this case, we aim to emphasize the possibility of spontaneous gastric perforation occurring in a child without preexisting comorbidities and to highlight the importance of prompt recognition and management of spontaneous gastric rupture.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976820","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
Nano-Bubble Hydrogen Water in Wet-Wrap Dressing Improves the Severity of Pediatric Patients With Atopic Dermatitis. 湿敷敷料中的纳米气泡氢水改善儿童特应性皮炎的严重程度。
IF 1.8 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-08-19 DOI: 10.1016/j.pedhc.2025.07.005
Lai-San Wong, Ho-Chang Kuo
{"title":"Nano-Bubble Hydrogen Water in Wet-Wrap Dressing Improves the Severity of Pediatric Patients With Atopic Dermatitis.","authors":"Lai-San Wong, Ho-Chang Kuo","doi":"10.1016/j.pedhc.2025.07.005","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.07.005","url":null,"abstract":"<p><strong>Introduction: </strong>Atopic dermatitis (AD) is a chronic inflammatory skin condition in which reactive oxygen species (ROS) contribute to its pathogenesis. Hydrogen water (HW), with potent antioxidant properties, may counteract ROS and improve AD symptoms. This study assessed the clinical efficacy of nano-HW wet-wrap dressing in AD.</p><p><strong>Method: </strong>Twenty AD patients received wet-wrap therapy using sterile gauze soaked in nano-bubble HW. In eight patients, a split-body design was used: one limb with nano-HW, the other with pure water.</p><p><strong>Results: </strong>HW wet-wrap significantly reduced erythema (0.5 ± 0.69, p = .01), dryness (0.7 ± 0.57, p = .002), and total score (1.55 ± 1.64, p < .0001), while pure water showed no significant changes. HW-treated limbs improved more than pure water-treated limbs.</p><p><strong>Discussion: </strong>HW wet-wrap therapy is a safe, effective adjunct for pediatric AD, improving erythema, dryness, and hydration while limiting systemic side effects.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976803","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
What Do Parents Want? A Qualitative Study on Parental Preferences for Infant Sleep Health Education in Dutch Preventive Youth Health Care. 父母想要什么？荷兰青少年预防保健中父母对婴儿睡眠健康教育偏好的质性研究。
IF 1.8 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-08-16 DOI: 10.1016/j.pedhc.2025.06.006
Marijn P W van de Sande, Sanne M P L Gerards, Monique P L'Hoir, Tessa J M de Leeuw, Lisa B Verspeek, Ree M Meertens
{"title":"What Do Parents Want? A Qualitative Study on Parental Preferences for Infant Sleep Health Education in Dutch Preventive Youth Health Care.","authors":"Marijn P W van de Sande, Sanne M P L Gerards, Monique P L'Hoir, Tessa J M de Leeuw, Lisa B Verspeek, Ree M Meertens","doi":"10.1016/j.pedhc.2025.06.006","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.06.006","url":null,"abstract":"<p><strong>Introduction: </strong>Infant sleep problems are an important and frequent concern for parents and negatively affect infant and parental health. Sleep education via pediatric primary care can aid in promoting healthy infant sleep, but currently seems suboptimal. To promote healthy infant sleep, this study explores parents' experiences, needs, and wishes regarding infant sleep education in Dutch pediatric primary care (i.e., Youth Health Care).</p><p><strong>Method: </strong>A qualitative needs assessment with semistructured interviews was conducted with nine parents of children aged 0-2 years receiving Dutch Youth Health Care. Data were analyzed independently by two researchers using thematic content analysis.</p><p><strong>Results: </strong>Parents perceived Youth Health Care sleep education can be improved. Improvement suggestions included providing more timely information about infant sleep, proactive screening for infant sleep problems, tailoring guidance to parents' needs, and offering more support and follow-up.</p><p><strong>Discussion: </strong>These insights can improve the promotion of healthy infant sleep via Youth Health Care.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862637","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
Severe Immune Thrombocytopenia and Myositis After 23-Valent Pneumococcal Vaccine. 23价肺炎球菌疫苗接种后的严重免疫性血小板减少和肌炎。
IF 1.8 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-08-12 DOI: 10.1016/j.pedhc.2025.07.003
Arjun Gampala, Divya Minnaganti, Darcy Weidemann
{"title":"Severe Immune Thrombocytopenia and Myositis After 23-Valent Pneumococcal Vaccine.","authors":"Arjun Gampala, Divya Minnaganti, Darcy Weidemann","doi":"10.1016/j.pedhc.2025.07.003","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.07.003","url":null,"abstract":"<p><p>An adolescent patient developed a severe local inflammatory reaction, acute kidney injury, extensive myofascitis, and profound immune thrombocytopenia resulting in vitreous hemorrhage and long-term permanent visual impairment after 23-valent polysaccharide pneumococcal vaccine administration. This severe adverse outcome has not previously been reported in the literature with this particular vaccination. This case highlights rare but serious potential adverse immunologic effects of polysaccharide vaccines.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838436","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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