Journal of Pediatric Health Care最新文献

{"title":"Editorial Board Page","authors":"","doi":"10.1016/S0891-5245(24)00268-2","DOIUrl":"10.1016/S0891-5245(24)00268-2","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages A9-A10"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656149","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":"Screen Time, Outdoor Play, and Sleep Routines in Early Childhood: Longitudinal Associations with Parenting Stress during Toddler to Preschool Years","authors":"Amrik S. Khalsa MD, MSc (Assistant Professor of Pediatrics),&nbsp;Rebecca Andridge PhD, MS (Professor, Associate Dean for Undergraduate Studies and Assessment),&nbsp;Sarah A. Keim PhD, MA, MS (Professor and Principal Investigator),&nbsp;Bharathi J. Zvara PhD, MS (Associate Professor, Associate Chair of Research in the Department of Maternal and Child Health),&nbsp;Sarah E. Anderson PhD, MS (Professor of Epidemiology)","doi":"10.1016/j.pedhc.2024.07.003","DOIUrl":"10.1016/j.pedhc.2024.07.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Our study examined the longitudinal relationship between parenting stress and screen time, outdoor play, and sleep routines in toddler to preschool-aged children.</div></div><div><h3>Method</h3><div>We conducted a descriptive quantitative analysis of a prospective observational cohort study of 300 families with an 18-month-old toddler who were followed for 2 years. Parenting stress was measured using a subscale of the Parenting Stress Index-4 Short Form at child age 18 months. Screen time, outdoor play, and sleep routines were parent-reported at child age 36 months. Multivariable regression estimated associations between parenting stress and screen time behaviors, outdoor play, and sleep routines.</div></div><div><h3>Results</h3><div>Data from 280 children (42.1% female) showed that 39.6% did not have rules around screen time and 82% of families reported frequently having the television on without anyone watching. In adjusted models, a 1-standard deviation increase in parenting stress at 18 months was associated with increased odds of having a television on without anyone watching (OR 1.26, 95% CI: 1.01, 1.57) and decreased odds of not having rules about the amount of screen time at 36 months (OR 0.75, 95% CI: 0.58, 0.96).</div></div><div><h3>Discussion</h3><div>Increased parenting stress in early childhood was associated with some suboptimal screen time behaviors and sleep routines when children were preschool-aged.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 794-803"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299712","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":"Decision Style Inventory Application in Parent/Guardian Vaccination Decision-Making: A Pilot Study","authors":"Lindsay Arthur PhD, RN,&nbsp;Audrey Snyder PhD, RN, CCRN, CEN, ANCP-BC, FNP-BC, FAANP, FAEN, FAAN","doi":"10.1016/j.pedhc.2024.07.009","DOIUrl":"10.1016/j.pedhc.2024.07.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Cases of preventable diseases continue to occur globally. Much literature is present about barriers and factors that influence vaccination, but little is known about psychologically ingrained decision-making styles and their relationship with vaccination decisions.</div></div><div><h3>Design/Methods</h3><div>This quantitative descriptive cross-sectional pilot study aimed to explore using an established tool, the Decision Style Inventory (Rowe &amp; Mason, 1987), in parents/guardians of children 2 months to 20 years old.</div></div><div><h3>Results</h3><div>Nineteen parents/guardians participated in this study and provided positive feedback on the Decision Style Inventory (Rowe &amp; Mason, 1987). Descriptive statistics revealed vaccination decisions occurred more frequently with certain decision styles.</div></div><div><h3>Conclusions</h3><div>Further research examining associations between decision styles and vaccination decisions is warranted. The findings of such research could lead to new tool development that integrates external factors and parental decision-making style. This new tool could allow healthcare providers to select targeted interventions that holistically address parental vaccination decisions.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 886-892"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299706","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":"The Care of Lesbian, Gay, Bisexual, Gender Diverse, Transgender, Questioning, Queer, Intersex, Two Spirit, and Asexual (LGBTQ+) Youth","authors":"","doi":"10.1016/j.pedhc.2024.07.016","DOIUrl":"10.1016/j.pedhc.2024.07.016","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 947-952"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656144","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)00325-0","DOIUrl":"10.1016/S0891-5245(24)00325-0","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Page A12"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656145","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":"Exploring the Historical Context of American Indian/Alaska Native Intensive Care Inequities: A Narrative Review","authors":"Joseph Burns MD,&nbsp;Daniel J. Penny MD, PhD,&nbsp;Alessandra C. Angelino MD, MPH,&nbsp;Yuen Lie Tjoeng MD, MS,&nbsp;Jason F. Deen MD","doi":"10.1016/j.pedhc.2024.08.009","DOIUrl":"10.1016/j.pedhc.2024.08.009","url":null,"abstract":"<div><h3>Introduction</h3><div>This narrative review aims to frame the historical context of American Indian/Alaska Native (AI/AN) pediatric intensive care and offers suggestions for mitigating the impact of unique social drivers.</div></div><div><h3>Methods</h3><div>Recent literature was surveyed to determine pertinent studies describing intensive care outcomes in AI/AN children and was summarized in a narrative review.</div></div><div><h3>Results</h3><div>American Indian/Alaska Native people experience disproportionate health inequites due to unique social drivers of health, including settler colonialism, historical trauma, and systemic racism. These factors contribute to inequities in the pediatric intensive care experience, including rates of admission for injury and infectious diseases and mortality due to injuries and following cardiac surgery.</div></div><div><h3>Discussion</h3><div>These inequities are understudied and require dedicated evaluation. Institutions and providers are responsible for educating, modeling, and providing culturally competent care and aiming to achieve workforce equity to improve outcomes for AI/AN children receiving intensive care.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 866-872"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299707","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":"Refractory Kawasaki Disease With a Giant Aneurysm Successfully Treated With Infliximab and Enoxaparin: A Case Report.","authors":"Zhe-Jia Liu, Wan-Fu Hsu","doi":"10.1016/j.pedhc.2024.09.001","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.09.001","url":null,"abstract":"<p><p>Kawasaki disease (KD) is the most common vasculitis in children, and can result in the development of coronary artery aneurysms (CAAs) if not properly managed. While intravenous immunoglobulin (IVIG) and aspirin are standard first-line treatments, refractory KD may develop, increasing the risk of coronary complications. Herein, we report the case of a young girl with KD who initially responded to IVIG, but later developed a giant CAA, despite additional treatments. Infliximab stabilized her condition, and one year later, the CAA remained stable without thrombus formation. This case demonstrates that clinical appearance, particularly fever, may not fully reflect the patient's condition, as fever can subside immediately after treatment, but may relapse days later, underscoring the need for vigilant monitoring.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512100","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":"Unusual Presentation of Myeloid Sarcoma as Thigh Mass.","authors":"Sneh Yadav, Shilpa Khanna Arora, Alok Hemal, Sonia Sandip, Geetika Sharma, Prakhya Lalita Jyotsana, Shivkumar M Biradar","doi":"10.1016/j.pedhc.2024.09.005","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.09.005","url":null,"abstract":"<p><strong>Introduction: </strong>Myeloid sarcoma (MS) is a tumor containing myeloid blasts, with or without maturation, involving any anatomical site other than the bone marrow. It can occur de novo or following a hematological malignancy.</p><p><strong>Case: </strong>We report a 6-year-old female who presented with fever and a rapidly enlarging left thigh mass. The initial provisional diagnosis considered was tubercular hip arthritis with an abscess, but imaging investigations suggested neoplastic swelling. A biopsy of the mass showed a malignant small-round cell tumor. Bone marrow aspiration revealed the diagnosis of acute myeloid leukemia without the presence of blasts in the peripheral smear.</p><p><strong>Conclusion: </strong>MS is a rare malignancy. The diagnosis is often delayed due to a lack of clinical suspicion and the absence of blasts in peripheral blood. This report aims to enhance the awareness of pediatric nurse practitioners that MS should also be considered as a differential for an extremity mass.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512101","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":"Methamphetamine and Ecstasy-Induced Acute Reversible Cerebellar Neurotoxicity in a 3-Year-Old Child: A Case Report.","authors":"Mustafa Tolga Tunagur, Elif Merve Kurt Tunagur","doi":"10.1016/j.pedhc.2024.07.013","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.07.013","url":null,"abstract":"<p><p>The prevalence of substance use disorders is increasing among children and adolescents. We present a case of a 3-year-old girl who was admitted to our hospital with complaints of acute onset difficulty walking and speaking. Neurological examination revealed dysarthria, truncal ataxia, hypotonia, and hyporeflexia. Brain magnetic resonance imaging, cerebrospinal fluid analysis, and routine blood and urine analyses were normal. Urine drug testing revealed positive results for ecstasy and methamphetamine. The patient's symptoms improved during hospitalization. To our knowledge, this is the youngest reported case of methamphetamine and ecstasy-induced acute reversible cerebellar neurotoxicity. It is essential to carefully monitor acute reversible neurological symptoms related to methamphetamine and ecstasy.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299710","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":"Pediatric-focused Nurse Practitioners: A Qualitative Examination of Perceptions of Role Recognition","authors":"Kristin Hittle Gigli PhD, RN, CPNP-AC,&nbsp;Ashleigh F. Bowman DNP, RN, CPNP-AC","doi":"10.1016/j.pedhc.2024.06.010","DOIUrl":"10.1016/j.pedhc.2024.06.010","url":null,"abstract":"<div><h3>Category/Date</h3><p>Clinical Research Poster presented at NAPNAP's 45^th National Conference on Pediatric Health Care, <em>Posters on the Move</em>, March 13, 2024.</p></div><div><h3>Background</h3><p>Pediatric-focused nurse practitioners (NPs) play an essential role in achieving optimal child health. Yet, as a small portion of the overall NP workforce, unique challenges surround full role implementation (Gigli et al., 2019; Gigli et al., 2023).</p></div><div><h3>Purpose</h3><p>The purpose of this study was to identify challenges in pediatric-focused NPs’ practice that limit their ability to provide care.</p></div><div><h3>Methods</h3><p>We conducted a secondary data analysis of a cross-sectional mixed-methods survey of pediatric-focused NPs conducted by the National Association of Pediatric Nurse Practitioners (NAPNAP) in the Fall of 2021. The survey included three open-ended questions. We conducted inductive thematic analysis of one open-ended question: What is the biggest challenge to the pediatric-focused NP role? Each author open-coded a representative sample of the data, then met to group codes into themes. Using an iterative process, the final codebook compromised of 19 total themes (Runge et al., 2014). This abstract focuses on themes related to pediatric-focused NP role recognition which aligns with the NAPNAP research priority area - the pediatric workforce. The University of Texas at Arlington IRB deemed this study non-human subjects’ research.</p></div><div><h3>Results</h3><p>In total, 980 pediatric-focused NPs responded. A majority (67.9%) were primary care pediatric NPs, and 15.2% were acute care pediatric NPs. Nearly half (n=421, 43.0%) had 15 or more years of NP experience. Most respondents (n=952, 97.1%) provided an open-ended question response. Overall, respondents identified challenges with “who we are” and “what can we do”. Themes related to “who we are” included: role recognition, certification alignment, education quality, and workforce capacity. Respondents described challenges in “what can we do” with themes including: work to full scope and be valued as pediatric experts.</p></div><div><h3>Conclusions</h3><p>Pediatric-focused NPs identified barriers to role recognition that align with improving professional identify. Future research should address barriers to role recognition to increase the ability of pediatric-focused NPs to contribute to child healthcare delivery.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Page 783"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524001652/pdfft?md5=68fa3eee62388edbf53d3b26ae9101c2&pid=1-s2.0-S0891524524001652-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164318","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}