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Pediatric Integrative Medicine: Expanding Treatment Options to Enhance Children's Health.
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-03-01 DOI: 10.3928/19382359-20250108-01
Hilary McClafferty
{"title":"Pediatric Integrative Medicine: Expanding Treatment Options to Enhance Children's Health.","authors":"Hilary McClafferty","doi":"10.3928/19382359-20250108-01","DOIUrl":"https://doi.org/10.3928/19382359-20250108-01","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 3","pages":"e81-e82"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574478","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
Review of Integrative Interventions in Pediatric Sleep.
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-03-01 DOI: 10.3928/19382359-20250108-03
Caroline Okorie
{"title":"Review of Integrative Interventions in Pediatric Sleep.","authors":"Caroline Okorie","doi":"10.3928/19382359-20250108-03","DOIUrl":"https://doi.org/10.3928/19382359-20250108-03","url":null,"abstract":"<p><p>Ensuring good sleep is crucial for the overall well-being of children, as it impacts their development, mental health, and physical wellness. Children with sleep disorders, especially those with comorbid health conditions, may experience insufficient or low-quality sleep. Given that sleep disorders typically have multifactorial contributors, the holistic approach of integrative medicine is well suited to address sleep health concerns comprehensively. This article will provide insignia into evidence-based integrative interventions for common pediatric sleep disorders. These interventions encompass foundational sleep hygiene principles, mind-body interventions, behavioral therapies, dietary supplements, and other nonpharmacologic methods. <b>[<i>Pediatr Ann</i>. 2025;54(3):e88-e93.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 3","pages":"e88-e93"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574427","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 WINSS (Well-Being, Interactions and Inflammation, Nutrition, Sleep, and Steps) Way.
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-03-01 DOI: 10.3928/19382359-20250108-06
Sirisha Durbhakula
{"title":"The WINSS (Well-Being, Interactions and Inflammation, Nutrition, Sleep, and Steps) Way.","authors":"Sirisha Durbhakula","doi":"10.3928/19382359-20250108-06","DOIUrl":"https://doi.org/10.3928/19382359-20250108-06","url":null,"abstract":"<p><p>Integrative medicine (ie, combining conventional and complementary therapies) offers a holistic approach that significantly enhances pediatric care. The WINSS (well-being, interactions and inflammation, nutrition, sleep, and steps) program, initiated in March 2023, applies this approach by addressing physical, emotional, developmental, and lifestyle aspects of children's health. Evidence highlights the impact of lifestyle modifications on long-term health, particularly for children, who benefit from proactive preventive measures. The program integrates stress reduction, positive social interactions, nutrition, sleep hygiene, and physical activity into routine care. Initial results show improved behavioral and nutritional outcomes, including stabilized body mass index and healthier lifestyle habits among participants. The program is well-received by families; although, challenges in reimbursement and resource development remain. Future efforts will focus on expanding educational tools and securing better reimbursement structures. Overall, the WINSS framework represents a promising model for comprehensive, patient-centered pediatric care. <b>[<i>Pediatr Ann</i>. 2025;54(3):e107-e111.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 3","pages":"e107-e111"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574428","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
An Evidence-Based Approach to Protect, Support, and Heal the Whole Person. 保护、支持和治愈全人类的循证方法。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-03-01 DOI: 10.3928/19382359-20250108-04
Amy Shoptaugh, LaDon Dieu, Jennifer Jones, Victoria Bernaud, Kristen Samaddar
{"title":"An Evidence-Based Approach to Protect, Support, and Heal the Whole Person.","authors":"Amy Shoptaugh, LaDon Dieu, Jennifer Jones, Victoria Bernaud, Kristen Samaddar","doi":"10.3928/19382359-20250108-04","DOIUrl":"https://doi.org/10.3928/19382359-20250108-04","url":null,"abstract":"<p><p>Traditional health care models lack capacity to address the complex intersections of social, mental, emotional, and physical health and well-being. Adverse childhood experiences (ACEs) are common and can negatively affect lifelong physiology at molecular, cellular, and organ levels. Therefore, it is critical to address ACEs, support positive childhood experiences, and create services that promote holistic well-being. The Center for Resiliency and Wellbeing's (CRW) novel approach to care includes surveilling and screening for adversity, providing integrated and integrative services (I and I model), and changing the culture of health care through education and research. Since 2020, approximately 1,300 unique patients have been cared for by the CRW. The CRW team focuses on the human stress response, integrative care education, and trauma-specific mental health approaches. Early recognition and intervention for ACEs can impart immense personal and population benefits. The I and I model promotes healthy development, stable and nurturing relationships, and skill-building to improve lifelong health and well-being. <b>[<i>Pediatr Ann</i>. 2025;54(3):e94-e101.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 3","pages":"e94-e101"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574470","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
Putting LUMBAR on Your Radar.
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-03-01 DOI: 10.3928/19382359-20250108-07
Alexander A Metry, Denise W Metry
{"title":"Putting LUMBAR on Your Radar.","authors":"Alexander A Metry, Denise W Metry","doi":"10.3928/19382359-20250108-07","DOIUrl":"https://doi.org/10.3928/19382359-20250108-07","url":null,"abstract":"<p><p>Infantile hemangiomas (IHs) are the most common vascular tumors in children. While many are uncomplicated, a significant minority can cause cutaneous complications or be associated with multiorgan congenital anomalies. Infants with so-called \"segmental\" IH (patterned and not round) are at-risk for two related syndromes: PHACE (posterior fossa anomalies, hemangioma of the head or neck, cerebrovascular arterial anomalies, cardiac and eye anomalies) and LUMBAR (IH of the lower body; urogenital anomalies and IH ulceration; spinal cord malformations; bony, anorectal, arterial, and renal anomalies). Prompt recognition of LUMBAR syndrome is crucial, given the potential for IH-associated complications, such as ulceration and permanent disfigurement, and more importantly, associated regional birth anomalies. This article synthesizes current knowledge on LUMBAR syndrome, including recognition, evaluation, diagnosis, risk factors, pathogenesis, and management. <b>[<i>Pediatr Ann</i>. 2025;54(3):e112-e116.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 3","pages":"e112-e116"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574426","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 Is Trauma-Informed Pediatric Practice?
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-03-01 DOI: 10.3928/19382359-20250131-01
Joseph R Hageman, Lolita Alcocer Alkureishi, M Denise Dowd
{"title":"What Is Trauma-Informed Pediatric Practice?","authors":"Joseph R Hageman, Lolita Alcocer Alkureishi, M Denise Dowd","doi":"10.3928/19382359-20250131-01","DOIUrl":"https://doi.org/10.3928/19382359-20250131-01","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 3","pages":"e78-e80"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574430","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
Reproductive Health in Congenital Heart Disease.
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-02-01 DOI: 10.3928/19382359-20241009-01
Carley Bright, Anita Saraf
{"title":"Reproductive Health in Congenital Heart Disease.","authors":"Carley Bright, Anita Saraf","doi":"10.3928/19382359-20241009-01","DOIUrl":"https://doi.org/10.3928/19382359-20241009-01","url":null,"abstract":"<p><p>As more children with congenital heart disease (CHD) survive to adulthood, reproductive health care in this demographic is becoming increasingly important. While all women with CHD can have an increased risk of morbidity associated with contraception and pregnancy, these risks can range from those that are medically manageable to catastrophic sequalae that can affect quality of life. Clinicians should discuss reproductive health before puberty and should counsel for pregnancy, family planning, and contraception. Comprehensive counseling during adulthood should include risks during the peripartum period, fetal risk, and long-term cardiovascular sequalae, and should be done with a cardiologist experienced in CHD. <b>[<i>Pediatr Ann</i>. 2025;54(2):e70-e73.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 2","pages":"e70-e73"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392547","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
Chest Pain in Children and Adolescents.
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-02-01 DOI: 10.3928/19382359-20241009-04
Sangitha Krishnan
{"title":"Chest Pain in Children and Adolescents.","authors":"Sangitha Krishnan","doi":"10.3928/19382359-20241009-04","DOIUrl":"https://doi.org/10.3928/19382359-20241009-04","url":null,"abstract":"<p><p>Chest pain is a common presenting complaint in children and adolescents that often causes significant anxiety for both the patient and their families. Unlike in adults, the majority of chest pain in pediatrics is noncardiac in nature. The following article outlines the important elements of the history and physical, as well as ancillary tests, that can help differentiate between the noncardiac causes of chest pain. It also highlights high-risk features concerning for cardiac causes of chest pain that require further evaluation by a pediatric cardiologist. The most common cardiac causes of chest pain are discussed, as well as the initial management and treatment for the general pediatric provider. <b>[<i>Pediatr Ann</i>. 2025;54(2):e57-e63.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 2","pages":"e57-e63"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392467","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
Neurodevelopment in Children With Congenital Heart Disease.
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-02-01 DOI: 10.3928/19382359-20241009-05
Meredith Sooy-Mossey, Lindsay A Edwards
{"title":"Neurodevelopment in Children With Congenital Heart Disease.","authors":"Meredith Sooy-Mossey, Lindsay A Edwards","doi":"10.3928/19382359-20241009-05","DOIUrl":"https://doi.org/10.3928/19382359-20241009-05","url":null,"abstract":"<p><p>Congenital heart disease (CHD) is the most common birth defect and is associated with significant morbidity and mortality. With advances in medical management and surgical techniques, most individuals with CHD now live into adulthood. Many children and adults with CHD face ongoing medical, developmental, psychological, and psychosocial challenges. Recognizing and mitigating neurodevelopmental abnormalities is an important component of the holistic care of children and adults with CHD. This article outlines the scope of neurodevelopmental abnormalities seen in children and young adults with CHD, individual risk stratification, screening and evaluation recommendations, and emerging strategies to improve neurodevelopmental outcomes. Pediatricians play a central role in identifying high-risk patients and referring for neurodevelopmental evaluation, screening low-risk patients, supporting neuroprotective practices in hospitalized patients, coordinating developmental services, and supporting children and families as they navigate the sequalae of CHD. <b>[<i>Pediatr Ann</i>. 2025;54(2):e52-e56.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 2","pages":"e52-e56"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392544","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
Food Allergy Induced Anaphylaxis: An Overview.
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-02-01 DOI: 10.3928/19382359-20241203-01
Michael Harries
{"title":"Food Allergy Induced Anaphylaxis: An Overview.","authors":"Michael Harries","doi":"10.3928/19382359-20241203-01","DOIUrl":"https://doi.org/10.3928/19382359-20241203-01","url":null,"abstract":"<p><p>Anaphylaxis is a potentially life-threatening condition that requires immediate medical treatment and evaluation. The prevalence of food allergies has risen during the last few decades, resulting in increased awareness of the potential for anaphylactic reactions and the need for patient and parent education around how to properly treat a reaction in the nonhospital setting. This article will address the epidemiology, patho-physiology, diagnostic criteria, and treatment of anaphylaxis. While anaphylaxis can result from exposure to non-food allergens (ie, medication, insect stings, environmental allergens), this article will specifically focus on the role of food allergies in anaphylaxis. <b>[<i>Pediatr Ann</i>. 2025;54(2):e47-e49.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 2","pages":"e47-e49"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392541","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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