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Promoting Equitable Engagement in Attention-Deficit/Hyperactivity Disorder Care. 促进注意缺陷/多动障碍护理的公平参与。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-01-01 DOI: 10.3928/19382359-20241007-01
Kim Alleyne, Jason Fogler, Kevin M Simon, Adiaha Spinks-Franklin, Andrea E Spencer
{"title":"Promoting Equitable Engagement in Attention-Deficit/Hyperactivity Disorder Care.","authors":"Kim Alleyne, Jason Fogler, Kevin M Simon, Adiaha Spinks-Franklin, Andrea E Spencer","doi":"10.3928/19382359-20241007-01","DOIUrl":"10.3928/19382359-20241007-01","url":null,"abstract":"<p><p>Attention-deficit/hyperactivity disorder (ADHD) is a treatable pediatric condition, but children with racial-ethnic minority backgrounds often do not receive timely or consistent treatment. Understanding how systemic racism impacts care and learning from families of color about their experiences can provide critical insights for improving clinical practice and engaging patients equitably in ADHD care. We interweave a mother's experience navigating ADHD care for her son with commentary from an interprofessional team about what clinicians can do for families to reduce the impact of systemic racism on care. <b>[<i>Pediatr Ann</i>. 2025;54(1):e12-e17.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 1","pages":"e12-e17"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933679","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}
引用次数: 0
The Case for Managing Attention-Deficit/Hyperactivity Disorder in Pediatric Primary Care. 在儿科初级保健中管理注意缺陷/多动障碍的案例。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-01-01 DOI: 10.3928/19382359-20241007-02
Rachel Ballard
{"title":"The Case for Managing Attention-Deficit/Hyperactivity Disorder in Pediatric Primary Care.","authors":"Rachel Ballard","doi":"10.3928/19382359-20241007-02","DOIUrl":"https://doi.org/10.3928/19382359-20241007-02","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 1","pages":"e4-e5"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933681","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
Challenges and Opportunities: Identification and Monitoring of Attention-Deficit/Hyperactivity Disorder in Pediatrics. 挑战与机遇：儿科注意力缺陷/多动障碍的识别和监测。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-01-01 DOI: 10.3928/19382359-20241007-05
John T Parkhurst, Eric Peist
{"title":"Challenges and Opportunities: Identification and Monitoring of Attention-Deficit/Hyperactivity Disorder in Pediatrics.","authors":"John T Parkhurst, Eric Peist","doi":"10.3928/19382359-20241007-05","DOIUrl":"https://doi.org/10.3928/19382359-20241007-05","url":null,"abstract":"<p><p>Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder that typically presents in childhood and can cause significant impairment from youth into adulthood across multiple settings (eg, school, home). Pediatricians are the most likely health professionals to identify and treat ADHD. However, ADHD symptoms often overlap with other common mental health disorders, making accurate identification challenging. The diagnosis of ADHD relies on a combination of history gathering, screening tools, and clinical judgment. In this article, we review tools and strategies for ADHD identification, assessment, and treatment monitoring in primary care pediatrics. <b>[<i>Pediatr Ann</i>. 2025;54(1):e6-e11.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 1","pages":"e6-e11"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933676","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
Impaired Mental Health and School Shootings. 精神健康受损和校园枪击事件
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-01-01 DOI: 10.3928/19382359-20241126-01
Lolita Alcocer Alkureishi, Joseph R Hageman, Veena Ramaiah
{"title":"Impaired Mental Health and School Shootings.","authors":"Lolita Alcocer Alkureishi, Joseph R Hageman, Veena Ramaiah","doi":"10.3928/19382359-20241126-01","DOIUrl":"https://doi.org/10.3928/19382359-20241126-01","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 1","pages":"e1-e3"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933677","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
Stimulant Management of Attention-Deficit/Hyperactivity Disorder for the Pediatric Prescriber: A Review of Stimulant-Dosing Strategies and An Overview of New Stimulants. 儿科处方医生对注意缺陷/多动障碍的兴奋剂管理：刺激剂用药策略回顾与新型刺激剂概述》（A Review of Stimulant-Dosing Strategies and An Overview of New Stimulants）。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2025-01-01 DOI: 10.3928/19382359-20241007-06
Courtney Romba, Jasleen Singh
{"title":"Stimulant Management of Attention-Deficit/Hyperactivity Disorder for the Pediatric Prescriber: A Review of Stimulant-Dosing Strategies and An Overview of New Stimulants.","authors":"Courtney Romba, Jasleen Singh","doi":"10.3928/19382359-20241007-06","DOIUrl":"https://doi.org/10.3928/19382359-20241007-06","url":null,"abstract":"<p><p>Pediatricians are often the first providers to assess and treat attention-deficit/hyper-activity disorder (ADHD) in youth. While a variety of pharmacological and psychosocial interventions exist for ADHD, stimulants remain the first-line medication treatment. Many stimulant formulations now exist, providing the pediatric prescriber with a diverse repertoire of treatment options. This article is tailored to the pediatric prescriber in the primary care setting and discusses stimulant management, with emphasis on dosing equivalencies, common stimulant-dosing strategies, and newer stimulants. <b>[<i>Pediatr Ann</i>. 2025;54(1):e22-e26.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 1","pages":"e22-e26"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933680","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
Diagnosing and Managing Inflammatory Bowel Disease in Young Children. 幼儿炎症性肠病的诊断和治疗。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2024-12-01 DOI: 10.3928/19382359-20241022-01
Lolita Alcocer Alkureishi, Joseph R Hageman, Vince Biank
{"title":"Diagnosing and Managing Inflammatory Bowel Disease in Young Children.","authors":"Lolita Alcocer Alkureishi, Joseph R Hageman, Vince Biank","doi":"10.3928/19382359-20241022-01","DOIUrl":"https://doi.org/10.3928/19382359-20241022-01","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e433-e434"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803532","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 Primacy of Professionalism: A Selective Review of Medical Education, Practice, and Research. 专业精神的首要地位：医学教育、实践和研究的选择性回顾。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2024-12-01 DOI: 10.3928/19382359-20241003-04
Richard M Frankel
{"title":"The Primacy of Professionalism: A Selective Review of Medical Education, Practice, and Research.","authors":"Richard M Frankel","doi":"10.3928/19382359-20241003-04","DOIUrl":"https://doi.org/10.3928/19382359-20241003-04","url":null,"abstract":"<p><p>From the 12th Century, when the word referred to taking religious vows, to its present meaning as a constellation of organized practices requiring special training, legal liability, and covenants with individual patients and society, professionalism has played an important role in the practice of medicine. Until relatively recently, the concepts of professionalism and professional behavior were rooted in timeless ideals that individual physicians were expected to achieve in training and practice. As an ideal type, professionalism was seen as a quality or characteristic residing in the individual physician. By the same measure, the period of rapid technological and social change that marked the early to mid-20th Century made clear that timelessness, as it applied to professionalism, had its limitations. Where once sharing bad or sad news with patients was viewed as harmful, the right to know one's diagnosis is now enshrined in law and taken for granted in education and practice. Moreover, research shows that knowing one's diagnosis is often beneficial, not harmful, to individuals and families. In response to changing norms and technological advances, medical educators have introduced new models of professionalism that stress the role of social context and relationships in training and practice. One innovative approach is based on the concept of professional identity formation, the moment-by-moment process of becoming and being a physician. Identity formation occurs primarily through story-telling and other forms of self-expression in the context of a community of peers who learn to practice medicine with technical proficiency, kindness, and self-awareness together. <b>[<i>Pediatr Ann</i>. 2024;53(12):e440-e445.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e440-e445"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803510","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
Advocacy for Children: A Pediatrician's Core Professionalism Responsibility. 儿童权益：儿科医生的核心职业责任。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2024-12-01 DOI: 10.3928/19382359-20241003-06
Sanghamitra M Misra, Lindy U McGee
{"title":"Advocacy for Children: A Pediatrician's Core Professionalism Responsibility.","authors":"Sanghamitra M Misra, Lindy U McGee","doi":"10.3928/19382359-20241003-06","DOIUrl":"https://doi.org/10.3928/19382359-20241003-06","url":null,"abstract":"<p><p>Pediatric advocacy is an effort to champion the well-being of children and adolescents, ensuring access to quality health care and addressing socioeconomic issues linked to adverse health. This article explores pediatricians' responsibilities in advocating for their patients within the health care system and in broader societal contexts. Models of physician advocacy and the concept of advocacy as a fundamental professionalism responsibility, grounded in ethical principles and societal obligations, are introduced. As providers for patients who lack the capacity to advocate for themselves, the unique role of the pediatrician is examined. The improving landscape of advocacy education in undergraduate and graduate medical training programs is presented, and the concept that engaging in advocacy can help physicians battle burnout is raised. Barriers to advocacy for pediatricians are addressed. Pediatricians should leverage their expertise and influence to advance the health and rights of patients and their families. <b>[<i>Pediatr Ann</i>. 2024;53(12):e452-e457.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e452-e457"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803531","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
Inspiring Professionalism in Medicine: A Review of Incentives to Promote Positive Behaviors in Training and Practice. 激励医学专业精神：在培训和实践中促进积极行为的激励措施综述。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2024-12-01 DOI: 10.3928/19382359-20241003-05
Jimin Kim, Julia M Morales, Ellen M Friedman, Stacey R Rose
{"title":"Inspiring Professionalism in Medicine: A Review of Incentives to Promote Positive Behaviors in Training and Practice.","authors":"Jimin Kim, Julia M Morales, Ellen M Friedman, Stacey R Rose","doi":"10.3928/19382359-20241003-05","DOIUrl":"https://doi.org/10.3928/19382359-20241003-05","url":null,"abstract":"<p><p>While the importance of medical professionalism is widely recognized, strategies for incentivizing positive professionalism have not been formally reviewed. We reviewed available literature on interventions to promote professionalism in training and practice to identify common themes and differentiate extrinsic vs intrinsic motivators. Among 24 relevant articles identified for review, 4 programmatic themes emerged: recognition and rewards (extrinsic motivators), and review of performance and reflection (intrinsic motivators). Most incentive programs were geared toward medical students or faculty, and few studies included outcomes data, although the reported findings suggested a positive impact. Incentive programs, such as awards programs, recognition of role models, feedback, coaching, and reflection, appear to promote positive professional behaviors, though further study is needed to facilitate optimal integration of best practices across training and practice. <b>[<i>Pediatr Ann</i>. 2024;53(12):e446-e451.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e446-e451"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803534","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 Triad of COVID-19 in Children: Acute COVID-19, Multisystem Inflammatory Syndrome, and Long COVID-Part I. COVID-19在儿童中的三重特征：急性COVID-19、多系统炎症综合征和长期性covid -1。
IF 1.1 4区 医学
Pediatric Annals Pub Date : 2024-12-01 DOI: 10.3928/19382359-20241003-03
Avanti Gupte, Swetha Sriram, Vignesh Gunasekaran, Kushagra Chaudhari, Deepak Kamat
{"title":"The Triad of COVID-19 in Children: Acute COVID-19, Multisystem Inflammatory Syndrome, and Long COVID-Part I.","authors":"Avanti Gupte, Swetha Sriram, Vignesh Gunasekaran, Kushagra Chaudhari, Deepak Kamat","doi":"10.3928/19382359-20241003-03","DOIUrl":"https://doi.org/10.3928/19382359-20241003-03","url":null,"abstract":"<p><p>The coronavirus disease 2019 (COVID-19) originated in Wuhan, China, in late 2019. Within a span of a few months, it was deemed a global pandemic by the World Health Organization. It was first thought to affect the adult population, but soon after, cases of COVID-19 in children started emerging. As more and more pediatric cases started unveiling, an entity called multisystem inflammatory syndrome in children (MIS-C) that replicated Kawasaki disease was established. More recently, it has been noted that children have persistent symptoms for weeks or months after acute COVID-19 infection, and the term coined for these symptoms is \"long COVID.\" This section of the review will summarize the respiratory, cardiovascular, dermatological, and gastroenterological manifestations noted in infants in three broad categories: acute COVID, MIS-C, and long COVID. <b>[<i>Pediatr Ann</i>. 2024;53(12):e473-e477.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e473-e477"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803512","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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