Journal of Pediatric Health Care最新文献_第6页

Dietary and Behavioral Determinants of Blood Phenylalanine Levels in Children With Phenylketonuria: A Cross-Sectional Study. 饮食和行为对苯丙酮尿症患儿血液苯丙氨酸水平的影响：一项横断面研究。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-08-15 DOI: 10.1016/j.pedhc.2026.07.008

Jiyan Aslan Ceylan

{"title":"Dietary and Behavioral Determinants of Blood Phenylalanine Levels in Children With Phenylketonuria: A Cross-Sectional Study.","authors":"Jiyan Aslan Ceylan","doi":"10.1016/j.pedhc.2026.07.008","DOIUrl":"https://doi.org/10.1016/j.pedhc.2026.07.008","url":null,"abstract":"Introduction: Maintaining optimal blood phenylalanine (Phe) levels in children with phenylketonuria (PKU) depends on dietary, behavioral, and psychosocial factors. This study examined dietary and behavioral determinants of metabolic control in pediatric PKU.Method: This cross-sectional study included 50 children with PKU. Participants were categorized according to whether their Phe levels were within or above age-specific therapeutic target ranges.Results: The mean Phe level was 536.3 ± 311.7 µmol/L, and 54% of participants had uncontrolled Phe values. Those with uncontrolled Phe levels more frequently exhibited poor dietary adherence, consumption of protein-rich foods, lack of satiety after meals, and social difficulties (p < .05), whereas no associations were observed for age and gender. Intake of protein-rich foods emerged as the strongest independent predictor of elevated Phe levels.Conclusion: Metabolic control in PKU is closely linked to feeding behaviors and psychosocial challenges. Health care providers should address behavioral and social barriers alongside dietary prescriptions to improve long-term Phe control.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759692","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

Hospital Type and Clinical Outcomes for Pediatric Lower-Extremity Open Fracture: Implications for Child Health Services Organizations. 儿童下肢开放性骨折的医院类型和临床结果：对儿童健康服务机构的启示

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-08-13 DOI: 10.1016/j.pedhc.2026.07.002

Keri M Spitler, Andrea Krzyzaniak, Kevin Kuhn, Alexandra S Rooney, Margaret N Mericle, Romeo C Ignacio, Rasheed I Ahmad, Brad Culotta, Michael J Krzyzaniak, Vishal Bansal, Michael J Sise

{"title":"Hospital Type and Clinical Outcomes for Pediatric Lower-Extremity Open Fracture: Implications for Child Health Services Organizations.","authors":"Keri M Spitler, Andrea Krzyzaniak, Kevin Kuhn, Alexandra S Rooney, Margaret N Mericle, Romeo C Ignacio, Rasheed I Ahmad, Brad Culotta, Michael J Krzyzaniak, Vishal Bansal, Michael J Sise","doi":"10.1016/j.pedhc.2026.07.002","DOIUrl":"https://doi.org/10.1016/j.pedhc.2026.07.002","url":null,"abstract":"Objectives: Evaluate associations between hospital type and clinical outcomes for pediatric lower-extremity open fractures.Methods: Retrospective study of children ≤17 years with lower-extremity open fractures using HCAI (2016-2021). Fractures were categorized as Type I/II or III. Hospitals were categorized as exclusively children's hospitals (ECH), other hospitals with pediatric surgeon coverage (WPS), or without (NPS). Outcomes included time to surgery, length of stay (LOS), discharge disposition, and complications. Multivariate models evaluated associations between hospital type and outcomes.Results: Among 1,118 admissions, 324 (29%) were treated at ECH, 445 (40%) at WPS, and 349 (31%) at NPS. ECH patients had a shorter time to surgery (p = .02), had shorter LOS (p < .001), and were more frequently discharged home (p < .001). Complication rates were similar. Multivariable regression showed WPS and NPS had lower odds of routine home discharge while WPS had longer LOS for isolated fractures.Conclusion: ECH provide more efficient care for pediatric lower-extremity open fractures while maintaining comparable complication rates.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763468","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

Mortality Trends for Infant Intracranial Hemorrhage in the United States, 1999-2020: A 22-year Analysis. 1999-2020年美国婴儿颅内出血死亡率趋势：22年分析

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-08-13 DOI: 10.1016/j.pedhc.2026.06.007

Muhammad Shaheer Ahmad, Sarmad Imran, Warda Shahzad, Tooba Shahzad, Muhammad Humza Tahir, Mohammedsadeq A Shweliya

{"title":"Mortality Trends for Infant Intracranial Hemorrhage in the United States, 1999-2020: A 22-year Analysis.","authors":"Muhammad Shaheer Ahmad, Sarmad Imran, Warda Shahzad, Tooba Shahzad, Muhammad Humza Tahir, Mohammedsadeq A Shweliya","doi":"10.1016/j.pedhc.2026.06.007","DOIUrl":"https://doi.org/10.1016/j.pedhc.2026.06.007","url":null,"abstract":"Background: Intracranial hemorrhage (ICH) is a major cause of infant mortality and neurodevelopmental complications, yet national mortality trends and demographic disparities remain poorly characterized.Methods: A retrospective analysis using the CDC WONDER Multiple Cause of Death database (1999-2020) identified infant (<1 year) deaths with ICH (ICD-10 P52) as an underlying or contributing cause. Mortality rates per 100,000 live births were calculated by demographic and geographic factors, and Joinpoint regression estimated annual and average annual percent changes (APC, AAPC) with 95% confidence intervals.Results: From 1999 to 2020, 20,544 infant ICH deaths were recorded in the United States, with a crude rate of 23.64 per 100,000 live births. Mortality peaked in 2003 at 31.57 and declined to 17.32 by 2020 (AAPC -2.51%). Among 20,544 ICH infant deaths recorded , mortality declined from 31.57 (2003) to 17.32 (2020) (AAPC -2.51%). Males exceeded females (28.18 vs. 18.88), Non-Hispanic Blacks had the highest racial rate (37.5), and Southern states showed the greatest regional burden. Urban areas declined faster than rural (AAPC -2.53% vs. -1.89%).Conclusions: Despite substantial overall decline in infant ICH rates, persistent disparities by sex, race, region, and urbanization underscore the need for equitable maternal and infant healthcare.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763722","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

Management and Outcomes of Pediatric Dog Bites at a Single Institution. 在单一机构的儿童狗咬伤的管理和结果。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-07-31 DOI: 10.1016/j.pedhc.2026.06.016

Cody Dalton, Eli Isenberg, Brock Crockett-Beck, Zoona Sarwar, Jeremy Johnson, Catherine J Hunter

{"title":"Management and Outcomes of Pediatric Dog Bites at a Single Institution.","authors":"Cody Dalton, Eli Isenberg, Brock Crockett-Beck, Zoona Sarwar, Jeremy Johnson, Catherine J Hunter","doi":"10.1016/j.pedhc.2026.06.016","DOIUrl":"https://doi.org/10.1016/j.pedhc.2026.06.016","url":null,"abstract":"Objectives: Pediatric dog bite injuries are a common cause of emergency department. This study aimed to characterize management, and outcomes of pediatric dog bite injuries at a tertiary care center and identify implications for pediatric emergency practitioners.Methods: A retrospective chart review was conducted of patients with dog bite injuries over two-years at a single pediatric tertiary care center. Descriptive statistical analysis was performed on injury characteristics, management, and outcomes.Results: Most injuries occurred in familiar environments. Facial injuries were most common (83%). Nearly all patients (98.9%) required laceration repair mostly in the emergency department. Most patients had antibiotics. Minimal complications were observed and were primarily cosmetic.Conclusions: Pediatric dog bite injuries most frequently involve the face and are typically managed nonoperatively. Multidisciplinary consultation is often required, particularly for complex facial injuries. This supports prompt assessment, appropriate wound management, and targeted antibiotic use in pediatric emergency care.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654983","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

Associations Between Weight Status, Peer Victimization, and Mental Health in Clinically Referred Children: A Cross-Sectional Study. 临床转诊儿童体重状况、同伴受害和心理健康之间的关系：一项横断面研究。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-07-27 DOI: 10.1016/j.pedhc.2026.06.015

Halenur Teke, Mehri Durak, Selcuk Teke, Burcin Ozlem Ates, Seda Bozduman Celebi, Mehmet Ayhan Congologlu, Necati Balamtekin

{"title":"Associations Between Weight Status, Peer Victimization, and Mental Health in Clinically Referred Children: A Cross-Sectional Study.","authors":"Halenur Teke, Mehri Durak, Selcuk Teke, Burcin Ozlem Ates, Seda Bozduman Celebi, Mehmet Ayhan Congologlu, Necati Balamtekin","doi":"10.1016/j.pedhc.2026.06.015","DOIUrl":"https://doi.org/10.1016/j.pedhc.2026.06.015","url":null,"abstract":"Introduction: To examine peer victimization, internalizing symptoms, and psychiatric disorders in underweight and obese clinically referred youth versus normal-weight peers.Methods: Cross-sectional study of 161 children aged 7-17 (51 underweight, 57 normal-weight, 53 obese). Victimization was measured using the Olweus Bully/Victim Questionnaire, depressive and anxiety symptoms with the CDI and STAI-C trait, and psychiatric diagnoses with the K-SADS-PL.Results: Peer victimization and anxiety disorders were higher in underweight and obese than normal-weight children (p < .001 and p = .005, respectively). Trait anxiety symptoms were elevated in both groups (p < .001), whereas depressive symptoms did not differ. Victimized youth had higher rates of anxiety (p = .009) and depressive disorders (p = .001). In adjusted models, underweight predicted anxiety disorder (OR 5.03, p = .010), underweight (OR 4.19, p = .003) and obesity (OR 9.00, p < .001) predicted victimization, and victimization predicted depressive disorder (OR 3.03, p = .016).Discussion: Weight extremes in clinically referred children are linked to peer victimization and internalizing problems, supporting routine psychosocial screening in clinical practice.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594306","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

Spirometry Monitoring and Asthma Responsibility in Kids (SMARt-Kids): A Mixed-Methods Study. 儿童（SMARt-Kids）的肺量监测和哮喘责任：一项混合方法研究。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-07-27 DOI: 10.1016/j.pedhc.2026.06.014

Aymee Steidl, Jenna McHale, Stephen Harmon, Jennifer Sonney

{"title":"Spirometry Monitoring and Asthma Responsibility in Kids (SMARt-Kids): A Mixed-Methods Study.","authors":"Aymee Steidl, Jenna McHale, Stephen Harmon, Jennifer Sonney","doi":"10.1016/j.pedhc.2026.06.014","DOIUrl":"10.1016/j.pedhc.2026.06.014","url":null,"abstract":"Introduction: Asthma affects 4.6 million U.S. children, and home spirometry offers a promising monitoring tool, yet research on its use in children is limited. This study explored feasibility, acceptability, usability, barriers, facilitators, and management responsibility of home spirometry in school-aged children with persistent asthma.Methods: A convergent mixed-methods design was used to assess home spirometry feasibility, acceptability, usability, and management responsibility in 11 parent-child dyads (children aged 7-11), sampled from a completed RCT (NCT04908384).Results: Both parents and children found home spirometry feasible and acceptable. Parents valued real-time lung function tracking but identified usability issues and technological challenges as barriers. Responsibility scores indicated shared management, though interviews revealed predominantly parent-driven use.Discussion: Home spirometry is feasible and acceptable for families with school-aged children with asthma; however, technological barriers complicate use. Family-centered education and integration of home spirometry into routine care may help clinicians detect early changes in asthma control.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13416703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609673","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

A Case of the Blues: Pseudochromhidrosis in an Adolescent Following Injury. 一例蓝调：青少年受伤后的假性汗臭。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-07-24 DOI: 10.1016/j.pedhc.2026.06.012

Alyssa L Kesselman

引用次数: 0

Neonatal and Infant Health Outcomes Following Maternal COVID-19 Vaccination: CDC's COVID-19 Vaccine Pregnancy Registry. 孕产妇接种COVID-19疫苗后的新生儿和婴儿健康结果：疾病预防控制中心的COVID-19疫苗妊娠登记。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-07-22 DOI: 10.1016/j.pedhc.2026.06.017

Lauren Head Zauche, Sabrina A Madni, David K Shay, Christine K Olson, Erin Stroud, Andrea J Sharma

{"title":"Neonatal and Infant Health Outcomes Following Maternal COVID-19 Vaccination: CDC's COVID-19 Vaccine Pregnancy Registry.","authors":"Lauren Head Zauche, Sabrina A Madni, David K Shay, Christine K Olson, Erin Stroud, Andrea J Sharma","doi":"10.1016/j.pedhc.2026.06.017","DOIUrl":"10.1016/j.pedhc.2026.06.017","url":null,"abstract":"Introduction: The COVID-19 Vaccine Pregnancy Registry (C19VPR) monitored pregnant women vaccinated for COVID-19 during December 2020 to June 2021. We report incidence of health outcomes among infants of C19VPR participants.Methods: Data about birthweight (e.g., low birthweight [LBW] <2,500 grams), small-for-gestational-age (SGA), death, and 10 prespecified conditions (i.e., cardiac arrest, cardiomyopathy, congenital hearing loss, heart failure, hypoxic-ischemic encephalopathy, intussusception, myocarditis/pericarditis, seizures, stroke, and supraventricular tachycardia) were collected through phone interviews from birth through 3 months postpartum; among a subsample, interviews extended through 15 months postpartum. Incidence of each prespecified condition was compared with prepandemic estimates.Results: Of 19,852 infants with 3-month follow-up data, 125 (0.6%) had at least one prespecified condition. Estimated C19VPR incidences for these conditions, LBW, SGA, and death, were within or below ranges reported in prepandemic studies.Conclusion: The incidence of LBW, SGA, death, or each of 10 prespecified infant conditions in C19VPR did not exceed prepandemic estimates.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13636450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550942","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

A Case Study on Bronchiolitis Management: Quality Improvement, Guideline Utilization, and Resource Stewardship in the Pediatric Emergency Department. 小儿急诊科毛细支气管炎管理案例研究：质量改进、指南使用和资源管理

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-07-16 DOI: 10.1016/j.pedhc.2026.06.011

Sarah Smith, Christy A Leyland, Margaret MacKay, Matthew K Icard, Rémi Hueckel

引用次数: 0

The Key to Early Diagnosis: Retropharyngeal Abscess Masked by Neck Extension Limitation in a Pediatric Patient. 早期诊断的关键：小儿咽后脓肿掩盖颈部伸展限制。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-07-16 DOI: 10.1016/j.pedhc.2026.06.013

Ayfer Şahin, Meryem Coşkun

引用次数: 0