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Journal of Pediatric Health Care

Francine Bono-Neri
The persistence of acute rheumatic fever continues to be seen globally. Once thought to be eradicated in various parts of the world, the disease came back with a vengeance secondary to a lack of diligence on the part of providers. Today, the global burden of group A streptococcal infection, the culprit of the numerous sequelae manifested in acute rheumatic fever, is considerable. Although a completely preventable disease, rheumatic fever continues to exist. It is a devastating disease that involves long-term, multisystem treatment and monitoring for patients who were unsuccessful at eradicating the precipitating group A streptococcal infection...
October 21, 2016: Journal of Pediatric Health Care
Michelle L Munro-Kramer, Nicole M Fava, Tanima Banerjee, Cynthia S Darling-Fisher, Michelle Pardee, Antonia M Villarruel, Kristy K Martyn
INTRODUCTION: The purpose of this study was to examine the effect of a youth-centered assessment, the Sexual Risk Event History Calendar (SREHC), compared with the Guidelines for Adolescent Preventive Services (GAPS) assessment, on sexual risk attitudes, intentions, and behaviors. METHODS: The Interaction Model of Client Health Behavior guided this participatory research-based randomized control trial. Youth participants recruited from university and community clinics in the Midwestern United States were randomized to a health care provider visit using either the SREHC or GAPS and completed surveys at baseline, postintervention, and 3, 6, and 12 months...
October 20, 2016: Journal of Pediatric Health Care
Rachel McCarrison, Dianxu Ren, Gail Ratliff Woomer, Brenda Cassidy
INTRODUCTION: This project evaluated an evidence-based self-instructional program aimed at improving cardiopulmonary resuscitation (CPR) knowledge and confidence in parents with children in swim lessons. METHOD: A prospective, repeated-measures design evaluated the CPR Anytime Child program. Twenty-nine parents completed questionnaires before, immediately after, and 1 month after the program. RESULTS: Knowledge and confidence scores improved significantly over time...
October 19, 2016: Journal of Pediatric Health Care
Angela A Northrup, Arlene Smaldone
INTRODUCTION: This exploratory study examined maternal attitudes, normative beliefs, subjective norms, and meal selection behaviors of mothers of 2- and 3-year-old children. METHODS: Guided by the Theory of Reasoned Action, we had mothers complete three surveys, two interviews, and a feeding simulation exercise. Data were analyzed using descriptive and bivariate statistics and multivariate linear regression. RESULTS: A total of 31 mothers (50% Latino, 34% Black, 46...
October 13, 2016: Journal of Pediatric Health Care
Nicholas D Spence, Amanda S Newton, Rachel A Keaschuk, Kathryn A Ambler, Mary M Jetha, Nicholas L Holt, Rhonda J Rosychuk, John C Spence, Arya M Sharma, Geoff D C Ball
INTRODUCTION: Attrition in pediatric weight management is a substantial problem. This study examined factors associated with short- and long-term attrition from a lifestyle and behavioral intervention for parents of children with overweight or obesity. METHOD: Fifty-two families with children ages 6 to 12 years old and body mass index at or above the 85th percentile participated in a randomized controlled trial focused on parents, comparing parent-based cognitive behavioral therapy with parent-based psychoeducation for pediatric weight management...
October 12, 2016: Journal of Pediatric Health Care
Roxanna M Bendixen, Amy Houtrow
PURPOSE: Duchenne muscular dystrophy (DMD) is a rare neuromuscular disease with no known cure. We sought to update over 30 years of research reporting on the diagnostic delays in DMD. METHODS: Through personal interviews, this study qualitatively explored parents' experiences regarding receipt of the DMD diagnosis and the guidance for care provided. Thematic analysis identified themes and provided answers to the research questions being addressed. RESULTS: Four themes emerged: (a) Dismissive illustrates little consideration of parent concern in the diagnostic process; (b) Limited Knowledge describes misunderstandings about clinical signs, recommended screenings, and testing to achieve a diagnosis of DMD; (c) Careless Delivery reports on the manner in which the diagnosis was given; and (d) Lack of Guidance describes the follow-up that occurred after the diagnosis...
October 12, 2016: Journal of Pediatric Health Care
Paige Johnson
No abstract text is available yet for this article.
October 11, 2016: Journal of Pediatric Health Care
Jeanne M Little, Janice A Odiaga, Carla Z Minutti
For adolescents with diabetes, ineffective health care transition to adult health services may result in suboptimal adherence to medical supervision, leading to poor glycemic control, increased diabetes complications, and hospitalization. Despite national recommendations, few youth receive the needed preparation to transition to adult health services. A data transition registry was created at a large Midwest urban academic medical center to identify patients 14 years and older with Type 1 diabetes. Thirty-nine patients with Type 1 diabetes were identified, and 33 were eligible to begin transition planning...
September 29, 2016: Journal of Pediatric Health Care
Christopher Roberts, Grace Wagler, Michele M Carr
INTRODUCTION: Extensive evidence exists regarding health risks posed by children's exposure to second-hand smoke, and there is increasing evidence concerning the risks of third-hand smoke. This evidence is most meaningful if the public is aware of these risks and can help curb childhood exposure. METHODS: Participants were selected at an academic medical center and asked to complete a survey. Responses were compared based on respondents' smoking status and the presence or absence of children in their homes...
September 27, 2016: Journal of Pediatric Health Care
Marketa Rejtar, Lee Ranstrom, Christina Allcox
Nurse practitioners (NPs) have been providing high-quality and safe patient care for a few decades, and evidence showing the extent of their impact is emerging. This article describes the implementation of a 24/7 NP patient care model on an inpatient pediatric general surgery service in a tertiary free-standing Children's Hospital in the Northeastern United States. The literature shows that there is limited evidence regarding NP models of care and their effect on patient outcomes. In response to policy changes leading to reduction of resident work hours and a more acute and complex inpatient pediatric general surgery patient population, our existing NP model evolved into a 24/7 NP Model in June 2011...
September 27, 2016: Journal of Pediatric Health Care
Sarah L Tsai, Mark A Clements, Timothy R Apodaca
No abstract text is available yet for this article.
September 27, 2016: Journal of Pediatric Health Care
Xin Hu, Victoria L Phillips, Laura M Gaydos, Peter Joski
INTRODUCTION: Medicaid agencies have been promoting the patient-centered medical home (PCMH) model. Most caregivers choose physician practices for their children, and we hypothesized that those following healthier childrearing practices are more likely to seek care in a PCMH. METHOD: We selected children with public insurance plans (n = 20,801) from the 2011-2012 National Survey of Children's Health. We used generalized ordinal logistic regression with state fixed effects to assess the association between home environments and children's use of PCMHs...
September 27, 2016: Journal of Pediatric Health Care
Sarah Mgonja, Anne Schoening
INTRODUCTION: The purpose of this quality improvement project was to implement and evaluate a postpartum depression screening program using the Edinburgh Postnatal Depression Scale (EPDS) during well-child appointments up to 1 year of age at a private, faith-based primary care clinic. METHOD: The Plan-Do-Study-Act framework was used in this quality improvement project. The EPDS was administered to mothers ages 19 years and older at their infants' well-child appointments at a faith-based clinic in the Midwest...
September 7, 2016: Journal of Pediatric Health Care
Kelly Williams
Kawasaki disease is currently the leading cause of long-term cardiac damage in pediatric patients in the United States. Kawasaki disease is diagnosed based on symptomatology and by ruling out other etiology. There is a significant need for an improved, standardized treatment protocol for patients diagnosed with Kawasaki disease and a more rapid initiation of treatment for these patients. Decreasing the cardiac damage caused by Kawasaki disease with timely diagnosis and treatment needs be a principal goal.
August 31, 2016: Journal of Pediatric Health Care
Regena Spratling, Erin Powers
No abstract text is available yet for this article.
August 26, 2016: Journal of Pediatric Health Care
Gina Weddle, Jennifer Goldman, Angela Myers, Jason Newland
BACKGROUND: Up to 21% of pediatric visits result in an antibiotic prescription, and a large portion of these are unnecessary. OBJECTIVE: To determine if educational sessions would reduce inappropriate antibiotic use. METHODS: Intervention study evaluating antibiotic prescribing following educational sessions for urinary tract infection, skin and soft tissue infection, pharyngitis, upper respiratory tract infection, acute otitis media, and acute bacterial sinusitis...
August 23, 2016: Journal of Pediatric Health Care
Elaine Webber, Mary Serowoky
INTRODUCTION: Health care provider support is essential for breastfeeding success. Family Nurse Practitioners (FNP) are in a unique position to promote and manage breastfeeding. There is a gap in the literature regarding the amount and type of breastfeeding curricular content in FNP programs. METHOD: An online survey of FNP programs was conducted. Data collection included program descriptors, didactic breastfeeding coursework, and clinical breastfeeding opportunities available to students...
August 20, 2016: Journal of Pediatric Health Care
Jesica Pagano-Therrien, Susan Sullivan-Bolyai
The aims of this qualitative descriptive study were to describe how past experiences with research (including communication, information, values, and support) may contribute to research fatigue among youth and parents of youth with HIV, cystic fibrosis, and Type 1 diabetes. Eighteen parents and youth were purposively recruited from outpatient subspecialty clinics at a major academic medical center. They took part in qualitative interviews and completed a demographics form and the Decisional Conflict Scale. Youth participants also completed the Erikson Psychosocial Stage Inventory...
August 20, 2016: Journal of Pediatric Health Care
Ashley L Merianos, Cinnamon A Dixon, E Melinda Mahabee-Gittens
INTRODUCTION: This study aimed to determine the relationship between patients presenting to the pediatric emergency department (PED) and potential tobacco smoke exposure (TSE)-related illnesses. METHODS: A retrospective review of electronic medical records of pediatric emergency department patients (N = 116,084) was conducted. Sociodemographic characteristics, TSE-related illnesses, and TSE documentation were extracted. Logistic regression analyses were performed...
August 16, 2016: Journal of Pediatric Health Care
Martha K Swartz
No abstract text is available yet for this article.
November 2016: Journal of Pediatric Health Care
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