Journal of Pediatric Health Care最新文献

{"title":"Implementing The Food Ladder For Tolerance Acquisition In A Pediatric Case With Food Protein-Induced Enterocolitis Syndrome.","authors":"Halime Yağmur, Damla Baysal-Bakır, Gizem Kabadayı, Özge Atay, Nevin Uzuner","doi":"10.1016/j.pedhc.2025.06.010","DOIUrl":"10.1016/j.pedhc.2025.06.010","url":null,"abstract":"<p><strong>Background: </strong>Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated food allergy predominantly diagnosed in infancy and early childhood. The acute form is characterized by symptoms such as repetitive vomiting, pallor, diarrhea, and, in severe cases, hypovolemic shock following ingestion of the allergen food. To date, the only traditional treatment is strictly eliminating allergens in food. However, unlike prolonged elimination strategies, applying a food ladder (milk ladder) approach, commonly used in IgE-mediated food allergies, may facilitate earlier tolerance acquisition in selected FPIES cases.</p><p><strong>Case presentation: </strong>A 5-month-old female infant presented with projectile vomiting, coughing, fatigue, and subsequent diarrhea approximately 2 hours after consuming yoghurt. The presence of projectile vomiting, lethargy, and diarrhea prompted a preliminary diagnosis of non-IgE-mediated FPIES. In contrast, the combination of vomiting and coughing raised clinical suspicion of IgE-mediated anaphylaxis, which is defined as IgE-mediated. Following comprehensive clinical and laboratory evaluation, a diagnostic oral food challenge (OFC) confirmed a diagnosis of acute, early-onset, severe, and atypical FPIES triggered by milk protein. After maintaining a strict milk protein elimination diet for over 1 year, two separate OFCs with unprocessed milk were conducted to assess the development of tolerance, both of which yielded adverse outcomes that were related to FPIES. Subsequently, a stepwise reintroduction protocol based on the food ladder (milk ladder), consisting of milk products processed at varying degrees, including extensively baked, fermented, and eventually unprocessed forms, was implemented, resulting in the successful acquisition of tolerance (cake, yoghurt, milk, respectively).</p><p><strong>Conclusion: </strong>In IgE-mediated food allergies, the food ladder (milk ladder) is a well-established approach to induce tolerance. Although FPIES represents a non-IgE-mediated hypersensitivity, current evidence supporting such stepwise reintroduction strategies in this context remains limited. Prolonged and unnecessary elimination of allergen foods can have significant repercussions on the child's nutritional status and the family's psychosocial well-being, ultimately impairing quality of life. Our case highlights the potential utility of the food ladder (milk ladder) as an effective strategy for achieving tolerance in patients with non-IgE-mediated FPIES, offering an alternative to unnecessarily prolonged food restrictions.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692266","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":"Angelman Syndrome: Multidisciplinary Management.","authors":"Whitney A Bridges, Heide S Temples, Tracy B Lowe","doi":"10.1016/j.pedhc.2025.06.005","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.06.005","url":null,"abstract":"<p><p>Angelman syndrome is a rare genetic disorder with various phenotypes caused by the combination of genomic imprinting and loss of the maternal UBE3A gene. The case presentation involves a nine-month-old who continues with developmental delays after working with an early intervention therapist and was later diagnosed with Angelman syndrome following several specialty referrals and genetic testing. Currently, there is no cure for Angelman syndrome, only supportive symptomatic treatment. Angelman syndrome requires a multidisciplinary approach across providers who understand the complex care essential for these patients to thrive. The case study reviews the clinical presentation for early identification of infants with Angelman Syndrome, the diagnostic criteria, symptomatic management, family resources, implications for the primary care provider, and promising future therapies.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610226","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":"Unlocking the Potential of Social Robot Pepper: A Comprehensive Evaluation of Child-Robot Interaction","authors":"Alina Roštšinskaja MD,&nbsp;Marianne Saard PhD,&nbsp;Liisa Korts MSc,&nbsp;Christen Kööp MD,&nbsp;Kätlin Kits,&nbsp;Triinu-Liis Loit,&nbsp;Johanna Juhkami,&nbsp;Anneli Kolk MD, PhD","doi":"10.1016/j.pedhc.2025.01.010","DOIUrl":"10.1016/j.pedhc.2025.01.010","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to examine the child-robot interaction characteristics relevant to the use of robot Pepper as a new tool in neurorehabilitation.</div></div><div><h3>Method</h3><div>The study was conducted at the Children's Clinic of Tartu University Hospital and involved 89 children (aged 4–16 years): 39 healthy children and 50 children with neurological disorders. Forty-nine children interacted with Pepper directly, whereas 40 interacted via video. Interaction was assessed through therapists’ observations, self-ratings, and a survey based on four sociocultural concepts.</div></div><div><h3>Results</h3><div>Children quickly engaged with Pepper (M = 2.0 s), and 93.8% maintained eye contact throughout the entire interaction. The children found the robot friendly, thoughtful, intelligent, and safe. Children with neurological disorders perceived Pepper as twice as safe and more anthropomorphic. Communication via video showed less gesticulation and more static postures compared with those of direct interaction (55.9% vs. 80%, respectively).</div></div><div><h3>Discussion</h3><div>Pepper's anthropomorphic design enhances acceptance and is a potential tool for developing children's social skills.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 572-584"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606978","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":"Response to Letter to the Editor from the Authors of the published article, Caregiver Willingness, Pediatric Clinical Research and COVID-19","authors":"Crystal S. Lim PhD, ABPP,&nbsp;Dustin E. Sarver PhD,&nbsp;Dustin C. Brown PhD,&nbsp;Tre D. Gissandaner PhD,&nbsp;Robert D. Annett PhD","doi":"10.1016/j.pedhc.2025.02.006","DOIUrl":"10.1016/j.pedhc.2025.02.006","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 528-530"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673660","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":"Improving Same-Day Access in Pediatric Primary Care—A Patient-Centered and Timeliness Quality Improvement Initiative","authors":"Eric W. Glissmeyer MD, MBA,&nbsp;Carole H. Stipelman MD, MPH,&nbsp;Zi Sheng He BS,&nbsp;Alexis R. Olivas BS,&nbsp;Jason M. Fox MPA, MHA,&nbsp;Jennifer M. Rigby,&nbsp;Spencer S. Cannon DNP, CPNP-PC,&nbsp;Emily Winn DNP, APRN, PPCNP-BC, PMHS,&nbsp;Justin Alvey MD,&nbsp;Howard Kadish MD, MBA","doi":"10.1016/j.pedhc.2025.01.001","DOIUrl":"10.1016/j.pedhc.2025.01.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Preventive care visits have increased for United States children, shifting access for problem-based visits and shifting same-day availability to other venues.</div></div><div><h3>Problem Description</h3><div>Prior to this initiative we lacked sufficient same-day visits in pediatric primary care. We aimed to increase same-day slots and fill &gt;75% of them within 3 months.</div></div><div><h3>Methods</h3><div>Quality improvement initiative utilizing an inbound and centralized call center model.</div></div><div><h3>Interventions</h3><div>We iteratively modified scheduling efforts to achieve this goal and identified call-center scheduling efficiencies for fill rate optimization when visits were scheduled under individual providers names added to the general pediatric scheduling department.</div></div><div><h3>Results</h3><div>This initiative exceeded the aim of filling &gt;75% of same-day slots within 3 months and demonstrated increased access for urgent illness or injury, hospital follow-up, and newborn management via in-house collaboration with pediatric emergency medicine providers and advance practice providers within primary care.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 633-637"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411360","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":"Reporting Guidelines Child Health Policy Perspective Manuscripts for the Journal of Pediatric Healthcare","authors":"Sally S. Cohen PhD, RN, PNP, FAAN,&nbsp;Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN","doi":"10.1016/j.pedhc.2025.03.003","DOIUrl":"10.1016/j.pedhc.2025.03.003","url":null,"abstract":"<div><div>The new health policy department for the <em>Journal of Pediatric Health Care</em> (<em>JPHC)</em> will be referred to as <em>Child Health Policy Perspectives,</em> and abbreviated <em>as Policy Perspectives</em>. A major goal for this new department is to invigorate JPHC readers as policy advocates for all pediatric populations and their families in government, community, healthcare delivery, education, research, and quality improvement projects. Another goal is for National Association of Pediatric Nurse Practitioner members and all pediatric-focused NPs to submit their policy analysis for publication in the JPHC. The U.S. Centers for Disease Control and Prevention's Policy Analytical Framework is the recommended framework for all manuscript submissions. The Centers for Disease Control and Prevention's Overview of Policy Process will be used to guide authors in developing health policy manuscripts. The intent is to publish health policy articles that improve the health of pediatric populations.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 681-685"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052318","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":"Patellofemoral Pain Syndrome in Adolescents: Continuing Education for the Primary Care Provider","authors":"Sarah C. White BSN, RN, FNP-S,&nbsp;Heide S. Temples PhD, APRN, PPCNP-BC, IBCLC","doi":"10.1016/j.pedhc.2025.02.008","DOIUrl":"10.1016/j.pedhc.2025.02.008","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 686-694"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514424","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":"Misdiagnosed Scrotal Arteriovenous Malformation and the Role of Clinical Assessment: A Case Report","authors":"Meryem Hamam MBBS,&nbsp;Atilla Adnan Eyuboglu MD,&nbsp;Mustafa Tonguc Isken MD","doi":"10.1016/j.pedhc.2024.11.002","DOIUrl":"10.1016/j.pedhc.2024.11.002","url":null,"abstract":"<div><div>Vascular anomalies usually present at the beginning of life and vary in their course of progression and treatment. The pinpoint diagnosis of each lesion is often misdirected, owing to the complexity surrounding the classification. At the broadest level, differentiation between tumoral structures such as hemangiomas and other vascular malformations is required to not only select the correct procedure, but more importantly determining whether treatment is necessary.</div><div>A 3-year-old patient presented to our institution with a vascular lesion in the scrotum, which had been labeled as a hemangioma. The unusual prognosis and continuous growth of the lesion suggested otherwise. Comprehensive clinical assessment was conducted, and the physical examination allowed for the accurate diagnosis of an arteriovenous malformation. The lesion was successfully excised without harm to the underlying structures. The authors uphold that misdiagnosis across vascular lesions is preventable through the correct clinical approach.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 673-677"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733746","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":"Preclinical Didactic Content Coupled with Simulation Improves Pediatric Nurse Practitioner Student Clinical Confidence and Ensures Obtainment of Beginning-Level Competencies Prior to Initiation of Clinical Rotations","authors":"Jeannie Rodriguez PhD, RN, CPNP-PC, CHSE,&nbsp;Theresa Motley DNP, MPH, CPNP-AC/PC,&nbsp;Stacy B. Buchanan DNP, RN, CPNP-PC","doi":"10.1016/j.pedhc.2025.02.004","DOIUrl":"10.1016/j.pedhc.2025.02.004","url":null,"abstract":"<div><h3>Introduction</h3><div>The National Task Force on Nurse Practitioner Quality Education recommends nurse practitioner students meet national competencies before beginning clinical experiences in their nurse practitioner program. This initiative aimed to create a preclinical preparatory program for pediatric nurse practitioner students to boost clinical confidence and document competency achievement.</div></div><div><h3>Method</h3><div>Using a backward design, coursework, and simulations were developed for students to master preclinical competencies. At semester's end, students underwent a summative assessment simulating pediatric primary care scenarios aimed at documenting competency mastery.</div></div><div><h3>Results</h3><div>Students reported increased confidence and preparedness for clinical settings.</div></div><div><h3>Discussion</h3><div>This qualty improvement preparatory program sets students up for success in their first clinical rotation. Further work is planned to link this semester's outcomes with nurse practitioner student clinical performance.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 605-610"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674898","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":"Caregiver Willingness to Participate in Pediatric Clinical Research During COVID-19","authors":"Crystal S. Lim PhD, ABPP,&nbsp;Dustin E. Sarver PhD,&nbsp;Dustin C. Brown PhD,&nbsp;Russell McCulloh MD,&nbsp;Lacy Malloch,&nbsp;Tre D. Gissandaner PhD,&nbsp;Robert D. Annett PhD","doi":"10.1016/j.pedhc.2024.12.001","DOIUrl":"10.1016/j.pedhc.2024.12.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Understanding caregiver willingness to participate in pediatric clinical research is needed. We examined caregiver perceptions of pediatric clinical research during COVID-19 and examined research attitudes and sociodemographic factors as predictors of willingness.</div></div><div><h3>Methods</h3><div>A cross-sectional telephone survey was administered to caregivers of children from August 2020 to April 2021. We examined caregiver willingness to participate in the following research modalities during COVID-19: telehealth, in-person, and vaccine-focused.</div></div><div><h3>Results</h3><div>Participants included 600 caregivers (52.8% non-Hispanic White; Child Age <em>M</em> = 9.3 years; 50.0% from rural areas). Caregivers reported more willingness to participate in nonvaccine research (64.0% telehealth, 59.4% face-to-face) compared to vaccine research (22.1%). Different predictors were found for caregivers living in rural and nonrural areas and specific research attitudes predicted willingness.</div></div><div><h3>Discussion</h3><div>Caregiver willingness to participate in pediatric clinical research during COVID-19 differed by modality and research attitudes predicting willingness differed by geography. Surveillance regarding pediatric vaccine and clinical research hesitancy broadly should continue.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 531-540"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903453","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}