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Trauma-Informed Care During the Newborn Period: Connecting from the First Encounter. 新生儿时期创伤知情护理：从第一次接触开始。
IF 0.9 4区 医学
Pediatric Annals Pub Date : 2026-08-01 DOI: 10.3928/19382359-20260609-02
Shannon Haines, Patricia Davis, Dena Hubbard
{"title":"Trauma-Informed Care During the Newborn Period: Connecting from the First Encounter.","authors":"Shannon Haines, Patricia Davis, Dena Hubbard","doi":"10.3928/19382359-20260609-02","DOIUrl":"10.3928/19382359-20260609-02","url":null,"abstract":"<p><p>Pediatric trauma-informed care typically begins after toxic stress has been identified. Yet, trauma and the opportunity to prevent adverse impacts begin in utero. This article offers practical guidance for incorporating trauma-informed approaches to pediatric encounters during the newborn period. By focusing on building safety, trust, and parental self-efficacy from the first encounter, pediatricians have the opportunity to strengthen the caregiver-infant relationship, the primary buffer against toxic stress, and improve long-term health outcomes.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 8","pages":"e308-e312"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820289","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
Structured Approach to Pediatric Acute Gastroenteritis: Discussion of Diagnostics and Treatment of Acute Gastroenteritis in Children. 儿童急性胃肠炎的结构化方法：讨论儿童急性胃肠炎的诊断和治疗。
IF 0.9 4区 医学
Pediatric Annals Pub Date : 2026-08-01 DOI: 10.3928/19382359-20260609-05
Benjamin Traisman, Raga Kilaru, Sonia Parikh, Zoe Listernick
{"title":"Structured Approach to Pediatric Acute Gastroenteritis: Discussion of Diagnostics and Treatment of Acute Gastroenteritis in Children.","authors":"Benjamin Traisman, Raga Kilaru, Sonia Parikh, Zoe Listernick","doi":"10.3928/19382359-20260609-05","DOIUrl":"https://doi.org/10.3928/19382359-20260609-05","url":null,"abstract":"<p><p>Pediatric acute gastroenteritis remains a leading global cause of mortality and malnutrition, accounting for 1.7 billion annual cases. Despite its prevalence, management remains variable. This article advocates for a transition from unstructured clinical \"gestalt\" to evidence-based frameworks in order to improve outcomes. Diagnostic evaluation should prioritize validated tools, like the Clinical Dehydration Scale and the Gorelick Scale, as physician intuition often lacks precision. Laboratory diagnostics and polymerase chain reaction testing should be reserved for severe cases or patients with high risk to avoid over testing. Management emphasizes oral rehydration therapy as the gold standard for mild-to-moderate dehydration, supported by single-dose ondansetron to reduce intravenous (IV) fluid reliance and hospitalization. Antimicrobials are indicated only for specific pathogens (eg, <i>Shigella</i>, <i>Vibrio cholerae</i>) or immunocompromised hosts. Finally, there is discussion on systemic health disparities-noting that children who are Black and not Hispanic and children who are Hispanic are statistically less likely to receive IV fluids or admission-underscoring the role of standardized guidelines in ensuring equitable, high-value care.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 8","pages":"e323-e327"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820214","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 Role of Schools for the Trauma-Informed Pediatrician. 学校对创伤知情儿科医生的作用。
IF 0.9 4区 医学
Pediatric Annals Pub Date : 2026-08-01 DOI: 10.3928/19382359-20260609-01
Katherine A Connor, Jerica Knox, Tiffany Beason, Sara B Johnson
{"title":"The Role of Schools for the Trauma-Informed Pediatrician.","authors":"Katherine A Connor, Jerica Knox, Tiffany Beason, Sara B Johnson","doi":"10.3928/19382359-20260609-01","DOIUrl":"https://doi.org/10.3928/19382359-20260609-01","url":null,"abstract":"<p><p>Trauma exposure is common among school-aged children. Pediatricians are called upon to provide trauma-informed care (TIC) to support early identification and treatment. Understanding patients' school experiences can help to uncover trauma symptoms. Partnering with schools can improve the delivery of supports for children who have experienced trauma. This article provides practical tips to integrate school perspectives into TIC in pediatric settings.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 8","pages":"e313-e317"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820212","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 Trauma-Informed Pediatrician: Making the Invisible Visible. 了解创伤的儿科医生：让不可见的显现。
IF 0.9 4区 医学
Pediatric Annals Pub Date : 2026-08-01 DOI: 10.3928/19382359-20260820-02
Nina Agrawal, Lori Legano
{"title":"The Trauma-Informed Pediatrician: Making the Invisible Visible.","authors":"Nina Agrawal, Lori Legano","doi":"10.3928/19382359-20260820-02","DOIUrl":"https://doi.org/10.3928/19382359-20260820-02","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 8","pages":"e300-e301"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820299","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
From Early Childhood to Adulthood: Implementing Neuroaffirming Health Care for Autistic Individuals. 从幼儿期到成年期：对自闭症患者实施神经确认保健。
IF 0.9 4区 医学
Pediatric Annals Pub Date : 2026-07-01 DOI: 10.3928/19382359-20260317-01
Kruti Acharya, Sarah C Bauer, Helen Rottier
{"title":"From Early Childhood to Adulthood: Implementing Neuroaffirming Health Care for Autistic Individuals.","authors":"Kruti Acharya, Sarah C Bauer, Helen Rottier","doi":"10.3928/19382359-20260317-01","DOIUrl":"10.3928/19382359-20260317-01","url":null,"abstract":"<p><p>In health care, autism is viewed through the medical model. This approach may lead to adverse health care experiences and outcomes for autistic individuals. In contrast, integrating neurodiversity into care can improve the health care experiences and outcomes of autistic individuals. The authors combine scientific literature, the health care perspectives of autistic people, and clinical experiences to highlight the barriers and needs of individuals who are neurodivergent in health care. The authors present tangible neuroaffirming practices for pediatric medicine, from screening and diagnosis to transition to adulthood. Physicians play a crucial role in advancing accessible, neuroaffirming care. Even small changes in practice meaningfully improve health care experiences for autistic individuals from early childhood to adulthood.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 7","pages":"e246-e251"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392402","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
Introducing the Spectrum of Neurodiversity. 介绍神经多样性谱。
IF 0.9 4区 医学
Pediatric Annals Pub Date : 2026-07-01 DOI: 10.3928/19382359-20260318-01
Paige Terrien Church, Yarden Fraiman, John S Maypole, Peter Rosenbaum, Michael E Msall
{"title":"Introducing the Spectrum of Neurodiversity.","authors":"Paige Terrien Church, Yarden Fraiman, John S Maypole, Peter Rosenbaum, Michael E Msall","doi":"10.3928/19382359-20260318-01","DOIUrl":"https://doi.org/10.3928/19382359-20260318-01","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 7","pages":"e243-e245"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392380","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
Neurodiversity and Intellectual Disability: Opportunities and Challenges for Functioning and Participation Across the Life Course. 神经多样性和智力残疾：整个生命过程中功能和参与的机遇和挑战。
IF 0.9 4区 医学
Pediatric Annals Pub Date : 2026-07-01 DOI: 10.3928/19382359-20260317-02
Rudaina Banihani, Michael E Msall
{"title":"Neurodiversity and Intellectual Disability: Opportunities and Challenges for Functioning and Participation Across the Life Course.","authors":"Rudaina Banihani, Michael E Msall","doi":"10.3928/19382359-20260317-02","DOIUrl":"10.3928/19382359-20260317-02","url":null,"abstract":"<p><p>There is increasing recognition that intellectual developmental disabilities are best understood through strengths, everyday functioning, and participation rather than through deficits or predicted limitations. The \"F-Words\" framework (ie, Function, Family, Fitness, Fun, Friends, Future) translates the World Health Organization's International Classification of Functioning, Disability and Health into language that is meaningful for clinicians and families. Using three common pediatric scenarios (eg, Down syndrome, fetal alcohol spectrum disorder, prematurity), this review shows how early counseling and interdisciplinary support can shift care from prediction to enablement-focused participation. These early global developmental delay conditions are commonly accompanied by uncertainty and deficit-based prognostic framing. A function- and participation-focused approach supports clinically useful goal setting, reduces diagnostic overshadowing and stigma, and improves alignment with family priorities. We propose practical, clinically applicable principles for enablement counseling and collaboration across health, education, and community systems to support belonging and quality of life across the life course.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 7","pages":"e252-e259"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392378","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
Rethinking "Healthy" for Every Child: Building Flexible, Family Centered Routines in a Neurodiverse World. 重新思考每个孩子的“健康”：在神经多样性的世界中建立灵活的、以家庭为中心的日常生活。
IF 0.9 4区 医学
Pediatric Annals Pub Date : 2026-07-01 DOI: 10.3928/19382359-20260603-02
Lolita Alcocer Alkureishi
{"title":"Rethinking \"Healthy\" for Every Child: Building Flexible, Family Centered Routines in a Neurodiverse World.","authors":"Lolita Alcocer Alkureishi","doi":"10.3928/19382359-20260603-02","DOIUrl":"https://doi.org/10.3928/19382359-20260603-02","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 7","pages":"e240-e242"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392361","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
Centering Lived Experience: Inclusive Pediatric Care for Children Who Are Deaf and Hard of Hearing and Their Families. 以生活经验为中心：聋儿和重听儿童及其家庭的包容性儿科护理。
IF 0.9 4区 医学
Pediatric Annals Pub Date : 2026-07-01 DOI: 10.3928/19382359-20260318-02
Arielle Spellun, Bonnie Crume, Alayna Finley, Jennifer Fleming, Karen Hopkins, Jane Stewart
{"title":"Centering Lived Experience: Inclusive Pediatric Care for Children Who Are Deaf and Hard of Hearing and Their Families.","authors":"Arielle Spellun, Bonnie Crume, Alayna Finley, Jennifer Fleming, Karen Hopkins, Jane Stewart","doi":"10.3928/19382359-20260318-02","DOIUrl":"https://doi.org/10.3928/19382359-20260318-02","url":null,"abstract":"<p><p>The diversity of experiences of children and individuals who are d/Deaf or hard of hearing (DHH) is broad. Nearly 1 to 2 out of every 1,000 children in the United States, and globally up to 20 out of every 1,000 children, are born DHH, with increasing prevalence as children grow. With proper support that centers early language access, positive identity development, and learning from individuals with lived experience-either as caregivers or as adults who are DHH-all children who are DHH can thrive. Due to the varied needs and backgrounds of children who are DHH, individualized, family-centered, and culturally informed care is essential. In order to best support children who are DHH and their families, primary care clinicians must provide care that is informed by specialists, parents, and individuals with lived experience to ensure children who are DHH are equipped with the resources and interventions necessary to reach their full potential.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 7","pages":"e260-e268"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392366","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
Navigating Pediatric Urticaria: Diagnosis and Management for the Busy Pediatrician. 导航儿科荨麻疹：忙碌儿科医生的诊断和管理。
IF 0.9 4区 医学
Pediatric Annals Pub Date : 2026-07-01 DOI: 10.3928/19382359-20260504-02
Kristen D Goncalves, Sara M Laule, Heather L Burrows, Sara K McLaughlin
{"title":"Navigating Pediatric Urticaria: Diagnosis and Management for the Busy Pediatrician.","authors":"Kristen D Goncalves, Sara M Laule, Heather L Burrows, Sara K McLaughlin","doi":"10.3928/19382359-20260504-02","DOIUrl":"10.3928/19382359-20260504-02","url":null,"abstract":"<p><p>Urticaria is a common pediatric skin condition frequently prompting a clinical encounter, unnecessary testing, and subspecialist referrals. Etiology, symptom management, and work-up vary based on the type of urticaria. In this review, we highlight causes of acute and chronic urticaria in children and review pathophysiology and treatment strategies, focusing on new developments. We emphasize practical clinical management strategies for the outpatient pediatrician and discuss indications for work-up and referral.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"55 7","pages":"e286-e291"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392371","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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