Journal of Pediatric Health Care最新文献

{"title":"Challenges in Pediatric Diabetes Classification: A Case Report","authors":"","doi":"10.1016/j.pedhc.2023.11.008","DOIUrl":"10.1016/j.pedhc.2023.11.008","url":null,"abstract":"<div><p>Type 2 diabetes (T2DM) incidence and prevalence are increasing in pediatrics. All children aged &gt; 10 years or postpubertal should be screened in primary care for T2DM if they are overweight with one risk factor or have signs of insulin resistance or associated conditions. Classifying pediatric diabetes is challenging. An accurate, timely diagnosis is critical to optimize care, as children with T2DM are at risk for more severe disease as adults. We describe a 10-year-old female referred to endocrine following abnormal laboratory results in primary care. Despite the initial presentation of diabetic ketoacidosis, the child was diagnosed with T2DM.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 751-757"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138717049","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":"A Call to Action for Children in Hostile War-Torn Conflict Zones: Correspondence","authors":"Hinpetch Daungsupawong,&nbsp;Rujittika Mungmunpuntipantip,&nbsp;Viroj Wiwanitkit","doi":"10.1016/j.pedhc.2024.04.004","DOIUrl":"10.1016/j.pedhc.2024.04.004","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 641-642"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163722","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":"Adolescent Connectedness During the COVID-19 Pandemic","authors":"Melissa Christie MSN, CPNP-PC,&nbsp;Elizabeth B. Froh PhD, RN,&nbsp;Cynthia M. Kropp MSS, LCSW","doi":"10.1016/j.pedhc.2024.06.013","DOIUrl":"10.1016/j.pedhc.2024.06.013","url":null,"abstract":"<div><h3>Category/Date</h3><p>Clinical Research Podium Presentations: <strong><em>Current Topics in Pediatric Research.</em></strong> Presented at NAPNAP's 45^th National Conference on Pediatric Health Care, March 14, 2024.</p></div><div><h3>Background</h3><p>Connectedness to adults, schools, and peers is a powerful protective factor for adolescent development. Unfortunately, the COVID-19 pandemic disrupted the environmental and social frameworks that adolescents historically used to connect with others in a pre-pandemic world. During this same time period, we have seen devastating effects on adolescent mental health. The emerging post-pandemic evidence base is limited to survey data and quantitative analysis. Very little data highlights the adolescent experience during the pandemic, in their own words.</p></div><div><h3>Aims</h3><p>This study aims to understand adolescents’ perceptions of their lived experiences of connectedness to others during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>Using a prospective qualitative descriptive study design, semi-structured 1:1 virtual interviews were conducted with adolescent participants. Inclusion criteria included: 1) age 12 through 15 years of age, 2) up-to-date on well child care at the study site, 3) parent/legal guardian permission to participate in the study, 4) access to WiFi or cellular service and hardware capable of videoconference, and 5) consent to audio-recording of the virtual interview. Potential participants were identified through EMR dataset query and were randomly recruited via email and telephone outreach. Interview data was analyzed using conventional content analysis with inductive and deductive coding to generate themes.</p></div><div><h3>Results</h3><p>Twelve adolescents participated in the study. Adolescents described connecting via both in-person and virtual means during the pandemic with household members, non-household relatives, and friends. Six themes describe adolescents’ perceptions of their connectedness to others during the pandemic: 1) “Stuck”, 2) “We couldn't do nothing because of COVID”, 3) “Game night”, 4) “Sometimes we Zoomed for almost like hours a day”, 5) “I begged my mom to not make me virtual”, and 6) “Closer”.</p></div><div><h3>Conclusions</h3><p>Findings from this study highlight adolescents’ voices as they share their perspectives on the impact of the pandemic on their connectedness to others. This data addresses a gap in the existing evidence of the adolescent experience of the pandemic, which has been largely quantitative thus far. By listening to adolescents’ voices, health care providers become closer to understanding the impact of the pandemic on adolescents and can utilize empathy to support adolescents’ resiliency moving forward.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 781-782"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164314","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":"Parental Concerns for Children With Cold-like Symptoms With Reduced Access to Evaluation in Primary Care Settings During the COVID-19 Pandemic: A Qualitative Study","authors":"","doi":"10.1016/j.pedhc.2024.05.007","DOIUrl":"10.1016/j.pedhc.2024.05.007","url":null,"abstract":"<div><h3>Introduction</h3><p>We aimed to explore the concerns of parents when their children had symptoms of infection during the COVID-19 pandemic.</p></div><div><h3>Method</h3><p>Two Norwegian internet forums were searched for parents’ experiences when their children had upper respiratory infection symptoms in 2020–2021. A total of 197 posts were included and analyzed using thematic analysis.</p></div><div><h3>Results</h3><p>Parents described COVID-19-related and general worries regarding their children with upper respiratory infection symptoms. The first theme, “It is not ‘just a cold’ during the pandemic,” captures how infection control measures influenced parents’ concerns. The second theme, “Concerns and consequences of fever and cold symptoms,” describes general parental worries. Varying levels of worries regarding health care services, limitations of family life, and concerns for relatives were highlighted.</p></div><div><h3>Discussion</h3><p>Knowledge of parents’ concerns about cold symptoms may help primary health care providers target individual patient counseling and provide background information when policymakers develop information material for infection prevention and treatment.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 695-702"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524001378/pdfft?md5=725a9bf656471421fcdc5e4b13a0745a&pid=1-s2.0-S0891524524001378-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433255","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}

{"title":"Genital Ulcers Are Not Always Because of Sexually Transmitted Infections: A Case Report of an Unusual Presentation of Fixed Drug Eruption in a Pediatric Patient","authors":"","doi":"10.1016/j.pedhc.2023.12.013","DOIUrl":"10.1016/j.pedhc.2023.12.013","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 758-760"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524523003759/pdfft?md5=86844ab3ef9735355f160be63ebf66cb&pid=1-s2.0-S0891524523003759-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522317","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}

{"title":"Risk Factors of Obstructive Sleep Apnea (OSA) in Pediatric Patients: A Systematic Review and Meta-analysis","authors":"","doi":"10.1016/j.pedhc.2024.05.008","DOIUrl":"10.1016/j.pedhc.2024.05.008","url":null,"abstract":"<div><h3>Introduction</h3><p>This review aimed to assess the risk factors of Obstructive Sleep Apnea (OSA) in pediatric children, a common condition with serious long-term sequela.</p></div><div><h3>Methods</h3><p>PubMed, CENTRAL, Scopus, and Google Scholar were searched using the keywords “Apnea”, “Obstructive Sleep” OR “Obstructive Sleep Apnea Syndrome” AND “Child” OR “Children” OR “Pediatrics”. Data from 35 studies involving 497,688 pediatric patients diagnosed with OSA using polysomnography were reviewed. Risk factors examined included sex, obesity, neck circumference, tonsillar/adenoid hypertrophy, respiratory infections, nasal stenosis, parental OSA/smoking, ethnicity, preterm birth, and breastfeeding history. Relative Risk (RR) with 95% Confidence Intervals (95% CI) were calculated, using Cochrane Q and I² statistics to estimate heterogeneity.</p></div><div><h3>Results</h3><p>Tonsillar hypertrophy (RR = 3.55), adenoid hypertrophy (RR = 1.63), respiratory tract infection (RR = 2.59), obesity (RR = 1.74), and family history of OSA (RR = 3.03) were significantly associated with pediatric OSA. White ethnicity was protective (RR = 0.77).</p></div><div><h3>Discussion</h3><p>Recognizing these risk factors aids in early diagnosis and treatment of pediatric OSA.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 717-726"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S089152452400138X/pdfft?md5=e6e2bd0af75a663343918009bc3f43a9&pid=1-s2.0-S089152452400138X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560231","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}

{"title":"Exploring Preoperative Experiences and Informational Needs Among Chinese School-Age Children Undergoing Elective Surgery: A Qualitative Study","authors":"","doi":"10.1016/j.pedhc.2024.05.005","DOIUrl":"10.1016/j.pedhc.2024.05.005","url":null,"abstract":"<div><h3>Aim</h3><p><span>To understand preoperative experiences and information needs of Chinese school-aged children undergoing elective surgery to design standardized </span>preoperative education programs to alleviate preoperative anxiety.</p></div><div><h3>Methods</h3><p>Semi-structured interviews combined with drawing, writing, and telling techniques were conducted in 12 children. The paintings were interpreted alongside children's verbal expressions. All data were analyzed using thematic analysis.</p></div><div><h3>Results</h3><p>Three themes emerged: <strong>Origins of Surgical Knowledge</strong>: Proximity-based knowledge, media exposure, past personal medical experiences, ward-mate interactions, healthcare staff education; <strong>Pre-Surgery Experiences</strong><span>: Anticipation of pain, post-op sensations and impact on life, fantasizing about the operation, being aware of risks, demonstrating psychological resilience, being curious about anesthesia experience, enjoying a break; </span><strong>Preoperative Informational Needs:</strong> 55 identified.</p></div><div><h3>Conclusions</h3><p>Lack of standardized preoperative education creates a gap between children's knowledge and actual surgical experiences. Developing preoperative education tailored to individualized informational needs and developmental level helps fill their gaps, alleviate preoperative anxiety and improve health outcomes.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 685-694"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433254","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":"NAPNAP Position Statement on Primary and Acute Care Pediatric Nurse Practitioner Roles","authors":"","doi":"10.1016/j.pedhc.2024.06.003","DOIUrl":"10.1016/j.pedhc.2024.06.003","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 775-777"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524001469/pdfft?md5=818e8472b5beb2595b67377f55ec7eac&pid=1-s2.0-S0891524524001469-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163627","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}

{"title":"Resources, Workload, and Care Coordination Hours Predict Depressive Symptoms in Parents of Children with Medical Complexity","authors":"Patricia R. Lawrence PhD, RN, CPNP-AC,&nbsp;Regena Spratling PhD, RN, APRN, CPNP-PC, FAANP, FAAN","doi":"10.1016/j.pedhc.2024.06.012","DOIUrl":"10.1016/j.pedhc.2024.06.012","url":null,"abstract":"<div><h3>Category/Date</h3><p>Clinical Research Podium Presentations: <strong><em>Current Topics in Pediatric Research.</em></strong> Presented at NAPNAP's 45^th National Conference on Pediatric Health Care, March 14, 2024.</p></div><div><h3>Background</h3><p>Parents of children with medical complexity (CMC) experience social hardships, financial strain, and demanding care. Research examining their mental health is limited.</p></div><div><h3>Aims</h3><p>This study examined relationships among financial resources, social support, parents’ workload and capacity to care for their CMC, and how these impact parental depressive symptoms, particularly when workload exceeds capacity.</p></div><div><h3>Methods</h3><p>A cross-sectional, correlational design was used in a national sample of 106 parents of CMC, recruited using social media after IRB approval. Pearson's correlation and multiple regression were used to examine relationships using well-validated, reliable instruments.</p></div><div><h3>Results</h3><p>Parent participants were white (84.9%), college educated (37.7%) mothers (98.1%), ranging from 23 to 47 years, residing in 40 of 50 states. CMC averaged 33.78 months of age, with 40.6% having 2-5 chronic conditions. CMC required an average of 8.57 weekly care coordination hours. Nearly 62% of parents reported clinically significant depressive symptoms. Higher financial resources were associated with lower workload (r = - 0.47, p &lt;.001), higher capacity (r = .54, p &lt; .001), and lower depressive symptom scores (r = - 0.56, p &lt; .001). When workload exceeded capacity, it predicted parental depressive symptoms (Adj. R2 = .203, F (1, 104) = 27.714, p = &lt; .001). The number of weekly hours parents coordinate care (β = .38, SE= .16, p = &lt;.001) significantly contributed to depressive symptoms. Together social support, financial resources, workload, and capacity explained 32.4% of the variance in depressive symptoms, with financial resources being the strongest predictor.</p></div><div><h3>Conclusions</h3><p>In this sample of parents with CMC, depressive symptoms were common, and were associated with inadequate financial resources, high workload, and high care coordination hours. Results emphasize the importance of care coordination support and screening for depressive symptoms. Future research will include diverse samples and health literacy as a proxy for capacity.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Page 781"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524001676/pdfft?md5=c42f941dad9d1f33aee179aa18a4bb75&pid=1-s2.0-S0891524524001676-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163629","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}

{"title":"Quality of Life in Children With Eosinophilic Esophagitis in Saudi Arabia","authors":"","doi":"10.1016/j.pedhc.2024.06.001","DOIUrl":"10.1016/j.pedhc.2024.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Eosinophilic esophagitis (EoE) is a chronic inflammatory disease of the esophagus that can adversely affect the quality of life (QOL) in children. We aim to investigate the burden of EoE on the QOL in children aged 2–18 years and identify factors that influence their QOL.</p></div><div><h3>Method</h3><p>A multicenter cross-sectional study was conducted in six Saudi pediatric hospitals. Pediatric Quality of Life 3.0 EoE Module was used to measure the QOL of children with EoE.</p></div><div><h3>Results</h3><p>Thirty-six families (36 parents and 33 children) were enrolled. The most reported symptoms were vomiting (50%), dysphagia (44.4%), and food impaction (36.1%). The mean total score of the parent-proxy report of the Pediatric Quality of Life EoE was 82.9 ± 10.3 versus the children's self-reported score of 77.28 ± 13.6 (<em>p</em> = .043).</p></div><div><h3>Discussion</h3><p>Recurrent emergency department visits were associated with a lower QOL, and a positive family history of EoE was associated with a better QOL.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 677-684"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472094","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}