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Journal of Pediatric Health Care

Hope Bussenius, Angela M Zeck, Bryan Williams, Angela Haynes-Ferere
INTRODUCTION: Elevated blood pressure is becoming increasingly common in the pediatric population. Hypertension costs nearly $51 billion/year, and cardiovascular disease is responsible for 17% of the nation's health care expenditures. Traditionally, time-consuming and complicated interpretation standards result in infrequent pediatric blood pressure screenings. This may lead to the under-diagnosis of pediatric hypertension. Early detection of elevated blood pressure is important in order to prevent hypertension related conditions such as, target organ damage, left ventricular hypertrophy, and cerebrovascular disease...
July 10, 2018: Journal of Pediatric Health Care
Carrie Tully, Eleanor Mackey, Laura Aronow, Maureen Monaghan, Celia Henderson, Fran Cogen, Jichuan Wang, Randi Streisand
OBJECTIVE: This study reports the feasibility and acceptability of a healthy eating and physical-activity-focused behavioral intervention for parents of young children with type 1 diabetes (T1D). METHODS: Ten parents of young children (age 2-5 years) with T1D enrolled. The intervention included six behavioral sessions (five by telephone), diabetes nursing consultation, parent coach contact, text messages, and a study website. Analyses explored feasibility, acceptability, and preliminary findings...
June 25, 2018: Journal of Pediatric Health Care
Hiba Abujaradeh, Reema Safadi, Susan M Sereika, Cecilia T Kahle, Susan M Cohen
INTRODUCTION: We aimed to determine the benefits/efficacy of mindfulness-based interventions (MBIs) implemented among adolescents with chronic diseases in clinical settings. METHODS: An electronic search of PubMed, CINAHL, and PsycINFO databases was conducted in November 2017 to identify studies in which mindfulness was the primary intervention delivered for adolescents with chronic diseases to improve psychological and physical health. RESULTS: Nineteen eligible studies were included in this review...
June 22, 2018: Journal of Pediatric Health Care
Colleen M McGovern, Lisa K Militello, Kimberly J Arcoleo, Bernadette M Melnyk
OBJECTIVE: Guided by cognitive theory, this study tested an explanatory model for adolescents' beliefs, feelings, and healthy lifestyle behaviors and sex differences in these relationships. METHODS: Structural equation modeling evaluated cross-sectional data from a healthy lifestyle program from 779 adolescents 14 through 17 years old. RESULTS: Theoretical relationships among thoughts, feelings, and behaviors were confirmed and sex differences identified...
June 22, 2018: Journal of Pediatric Health Care
Jill F Kilanowski
INTRODUCTION: Youth and children in agriculture are highly vulnerable to the health hazards associated with agricultural work and the rural environment. METHODS: The purpose of this study was to conduct a national needs assessment for developing a continuing education unit that increases the knowledge of pediatric nurse practitioners (PNPs) on safety in an agricultural environment using the Google family of products. This was a cross-sectional, one-group design descriptive-correlational study...
June 22, 2018: Journal of Pediatric Health Care
Jennifer Bevacqua
No abstract text is available yet for this article.
June 15, 2018: Journal of Pediatric Health Care
Anne L Ersig, Janet K Williams
INTRODUCTION: Constant vigilance to manage severe food allergies (FAs) can lead to high stress. Additional stress may develop during life-course transitions, such as the transition to college. However, few studies have evaluated everyday and FA-related stress in college students with FA and their parents. This analysis examined experiences of 26 college students with FA and their parents. METHODS: Students and parents completed online surveys in a mixed-methods exploratory study of everyday and FA-related stressors, potential contributing factors, and FA management...
June 12, 2018: Journal of Pediatric Health Care
Nancy J DelGiudice, Nancy Street, Ronald J Torchia, Susan S Sawyer, Sylvia Allison Bernard, Michael F Holick
Vitamin D deficiency and insufficiency is a pandemic problem in children and adolescents in the United States. The problem may be aggravated by the inconsistent implementation of current clinical practice guidelines for vitamin D management by pediatric primary care providers. This study examines the relationship between primary care providers' prescribing vitamin D to children ages 1 through 18 years and their practice actions and knowledge. A descriptive correlation design was used. Participants were recruited from a purposive sample of pediatricians and pediatric nurse practitioners through an online invitation to participate in a survey...
May 24, 2018: Journal of Pediatric Health Care
Kelly Cadogan, Julee Waldrop, Gary Maslow, Richard J Chung
INTRODUCTION: Various programs have been proposed to facilitate more successful transitions from pediatric to adult care for children with special health care needs. Few have been evaluated for their effectiveness. The purpose of this project was to systematically evaluate the Duke Complex Care Clinic using the social-ecological model of adolescent and young adult readiness for transition (SMART). METHODS: Cross-sectional data were acquired from surveys of 23 patient/parent dyads and from retrospective chart reviews for 50 patients...
July 2018: Journal of Pediatric Health Care
Gail Hornor
Despite generations of doubt about the true impact of bullying, it is now clear that childhood bullying can have significant lifelong consequences for victims and bullies alike. Recent school shootings and suicides by students who have been victims of bullying have helped to solidify public awareness of the gravity of the problem of childhood bullying. Adults who were frequently bullied in childhood have an increased frequency of psychiatric disorders, including anxiety, depression, and suicidality, extending into middle age (Arseneault, 2017)...
July 2018: Journal of Pediatric Health Care
Martha K Swartz
No abstract text is available yet for this article.
July 2018: Journal of Pediatric Health Care
Maria F Saavedra, Praveen Kumar
No abstract text is available yet for this article.
July 2018: Journal of Pediatric Health Care
Sharon Anderson
Lysosomal storage disorders (LSDs) are a heterogeneous group of approximately 50 rare inherited metabolic conditions that result from enzyme deficiencies that interfere with lysosome function. Although often grouped together, there is great variability regarding age of onset, severity, treatment, and outcomes for each disorder and subtype. Currently, laboratory methods are available to test newborns for seven of these conditions. Although newborn screening programs remain state-based, each at a different phase of condition review and implementation, if newborn screening for LSDs has not yet been adopted by the state within which you practice, it likely will...
May 2018: Journal of Pediatric Health Care
Martha K Swartz
No abstract text is available yet for this article.
May 2018: Journal of Pediatric Health Care
Beth Herold, Karen St Claire, Scott Snider, Aditee Narayan
Child maltreatment is a leading cause of childhood morbidity in the United States, often leading to lifelong adverse health consequences. Currently, there is a nationwide shortage of child abuse pediatricians (CAPs), resulting in many unfilled child abuse positions throughout the United States. In addition, the number of future CAPs currently in fellowship training will meet neither the current need for CAPs nor provide replacements for the senior CAPs who will be retiring in the next 5 to 10 years. Although it is recognized that pediatric nurse practitioners (PNPs) play an important role in the care of maltreated children, there are few available data on the impact of the PNP as an integral member of the child abuse team...
May 2018: Journal of Pediatric Health Care
Catherine E Ferland, Diana-Luk Ye, Jean A Ouellet
This case report illustrates the value of a comprehensive perioperative pain assessment composed of quantitative sensory testing and self-reported measures that highlight the impact of pain experienced by a 14-year-old boy suffering from chronic low back pain and sciatica. Before surgery, the pain assessment revealed inefficient endogenous inhibitory pain control with presence of temporal summation of pain. The severe pain was constant and lasted for 18 months. The patient was in a high-anxiety state, and reported significant functional disability and poor sleep quality...
May 2018: Journal of Pediatric Health Care
Emma A Omoruyi
No abstract text is available yet for this article.
May 2018: Journal of Pediatric Health Care
Rachel S Dawson, Oluwaseun Fashina, Lea H Mallett
Adolescent School-Based Health Initiatives (ASBHIs) are designed to increase adolescent access to medical homes and services that are not otherwise available without significant barriers. ASBHIs have been proven to increase access to care for school-aged adolescents with unique needs and limited access to these much-needed medical services. For this descriptive study we conducted a needs assessment to understand and determine the needs and desires for a school-based health initiative in a middle school in the community...
May 2018: Journal of Pediatric Health Care
Gail Hornor, Jennifer Sherfield
OBJECTIVE: The purpose of this study was to describe pediatric health care utilization, familial psychosocial factors, child sexual abuse case characteristics, and patient demographic characteristics of adolescents prior to or at the time of their most recent identification as a victim of commercialized sexual exploitation of children (CSEC). METHODS: A retrospective chart review was conducted for the above detailed information of all adolescents presenting to the Emergency Department (ED) or Child Advocacy Center (CAC) of a pediatric hospital with concerns of suspected CSEC...
May 2018: Journal of Pediatric Health Care
Nichole D Benson, Craig Cunningham, Lisa Braun, Jerrol Wallace, Kathryn Stewart, Anne Derouin
No abstract text is available yet for this article.
May 2018: Journal of Pediatric Health Care
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