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Journal of Pediatric Health Care

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https://www.readbyqxmd.com/read/29778298/a-case-report-of-kernicterus-in-a-neonate-with-hemolytic-disease-of-newborn-lessons-to-learn
#1
Maria F Saavedra, Praveen Kumar
No abstract text is available yet for this article.
May 16, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29678304/improving-postoperative-neonatal-nutritional-practices-in-an-intensive-care-unit-using-the-pdsa-cycle
#2
Jennifer Newcombe, Eileen Fry-Bowers
Quality Improvement models offer a framework for health care professionals to follow in implementing process improvement changes. Use of these models promotes a systematic approach to problem solving, keeps providers from eliminating important steps, facilitates team work, and provides a clear plan for ongoing communication. This paper describes use of the Plan-Do-Study-Act model to implement a unit-based quality improvement project that focused on improving postoperative nutritional practices for neonates with critical congenital heart disease following complex cardiac surgery...
April 17, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29661617/caring-for-military-children-implications-for-nurse-practitioners
#3
Jaime Panton
Nearly two million American children belong to a military family. Armed Forces families are located in almost every state and around the globe. Military children are a unique and at times vulnerable population. Military children and adolescents may face significant stressors throughout their lives compared to their civilian counterparts. Military families encounter frequent moves and over half of these children have encountered at least one parental deployment since September 11th, 2001. Civilian health care providers often care for military children and adolescents...
April 13, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29661616/feasibility-of-providing-pediatric-neurology-telemedicine-care-to-youth-with-headache
#4
Amy Vierhile, Jane Tuttle, Heather Adams, Cynthia tenHoopen, Erin Baylor
No abstract text is available yet for this article.
April 13, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29657076/gasping-for-a-diagnosis-pediatric-vocal-cord-dysfunction
#5
Mariel Wenzel
Vocal cord dysfunction is an obstruction of the upper airway, primarily on inspiration, due to the paradoxical adduction of the vocal cords. Vocal cord dysfunction continues to be underdiagnosed as its own entity. The lack of diagnosis can be attributed to the overlap of symptoms between asthma and exercise-induced bronchospasm. It is possible for patients diagnosed with asthma and/or exercise-induced bronchospasm to have underlying vocal cord dysfunction, which needs to be considered when prescribing asthma medications...
April 13, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29551274/screening-for-chlamydia-gonorrhea-and-high-risk-sexual-behaviors-in-utah-s-juvenile-justice-population-results-and-implications-for-practice
#6
Jennifer M Clifton
Compared with adults, sexually active adolescents are at higher risk of acquiring chlamydia and gonorrhea (CT/GC). Additionally, sex trafficking and sexual violence are serious public health problems. Before this project, no data on the sexual behaviors of adolescents within Utah's Juvenile Justice System had been gathered in a systematic manner that provided a population-based perspective. From July 1, 2015, through December 30, 2016, nurses and staff in 18 Utah Juvenile Justice facilities screened all youth admitted to their facilities...
March 15, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29548796/reliability-and-validity-of-heartsmartkids-a-survey-of-cardiovascular-risk-factors-in-children
#7
Bonnie Gance-Cleveland, Sarah Schmiege, Heather Aldrich, Carol Stevens, Makena Scheller
INTRODUCTION: Reliable and valid instruments to measure counseling effectiveness related to eating, activity, and inactivity are lacking. HeartSmartKids (HSK; HeartSmartKids, LLC, Boulder, Colorado) is a bilingual decision-support technology that can be used to assess and counsel families on cardiovascular risk factors in children. The purpose of this study was to establish preliminary test-retest reliability and convergent validity of HSK questions relative to a previously validated questionnaire, HABITS...
March 13, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29540280/improving-care-of-inner-city-children-with-poorly-controlled-asthma-what-mothers-want-you-to-know
#8
Melissa H Bellin, Angelica Newsome, Cassie Lewis-Land, Joan Kub, Shawna S Mudd, Rachel Margolis, Arlene M Butz
INTRODUCTION: Low-income caregiver perspectives on asthma management are understudied but may illuminate strategies to improve care delivery and child outcomes. METHOD: Purposive sampling methods were used to recruit 15 caregivers of children with frequent asthma emergency department visits. Interviews explored how poverty and stress affect asthma management. Grounded theory coding techniques were used to analyze the data. RESULTS: Participants were the biological mother (100%) and were poor (75% had mean annual income ≤ $30,000)...
March 12, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29540279/one-child-s-food-fight-a-case-study-of-oral-immunotherapy-treatment-for-food-allergies
#9
Jessica L Peck, E Katherine Larson, Stacy K Silvers
The prevalence of food allergy has risen dramatically in the last two decades. Primary care providers encounter food-allergic children on a daily basis. Although the standard of care has traditionally been strict avoidance of the allergen and advisement to carry an epinephrine autoinjector in case of an accidental exposure resulting in a severe reaction, food allergy research has progressed in the past decade concerning various immunotherapies that may provide an alternate treatment strategy. Oral immunotherapy (OIT), performed under the supervision of an allergist, is the most widely studied of these therapies...
March 12, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29678259/newborn-screening-for-lysosomal-storage-disorders
#10
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
https://www.readbyqxmd.com/read/29678258/why-is-it-different-this-time
#11
EDITORIAL
Martha K Swartz
No abstract text is available yet for this article.
May 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29544915/integration-of-the-nurse-practitioner-into-your-child-abuse-team
#12
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
https://www.readbyqxmd.com/read/29540281/perioperative-pain-assessment-in-a-14-year-old-boy-with-lumbar-disc-herniation
#13
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
https://www.readbyqxmd.com/read/29523433/practice-guideline-approach-to-the-child-with-rhinorrhea
#14
Emma A Omoruyi
No abstract text is available yet for this article.
May 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29426728/outcomes-of-an-adolescent-school-based-health-initiative-needs-assessment
#15
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
https://www.readbyqxmd.com/read/29422230/commercial-sexual-exploitation-of-children-health-care-use-and-case-characteristics
#16
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
https://www.readbyqxmd.com/read/29398164/transitioning-pediatric-patients-to-adult-health-care-a-quality-improvement-needs-assessment
#17
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
https://www.readbyqxmd.com/read/29398163/descriptive-analysis-and-profile-of-health-care-transition-services-provided-to-adolescents-and-emerging-adults-in-the-movin-on-up-health-care-transition-program
#18
Cecily L Betz, Kathryn Smith, Alex Van Speybroeck, Robert A Jacobs, Natalie Rivera, Jeannie Lee, Saba Saghhafi, Benjamin Nguyen, Hao Tu
Global efforts are underway to develop, implement and test health care transition (HCT) models of care. Most studies have focused on the transfer of care models. In contrast, the nurse-led interdisciplinary HCT model, Movin' On Up, provides comprehensive HCT services beginning in early adolescence. A retrospective analysis was conducted of data extracted from HCT records of 146 adolescents and emerging adults with spina bifida (with a mean age of 13.91 years) who were provided services in the Movin' On Up HCT program...
May 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29455855/impact-of-degree-of-obesity-on-sleep-quality-of-life-and-depression-in-youth
#19
Brandi N Whitaker, Paige L Fisher, Supriya Jambhekar, Gulnur Com, Samiya Razzaq, Julia E Thompson, Todd G Nick, Wendy L Ward
OBJECTIVE: Obese youth are more likely to report difficulties with sleep, depression, and quality of life (QOL). This study aims to characterize sleep problems, QOL, and symptoms of depression by degree of obesity. METHOD: The cross-sectional study was conducted in a specialized obesity clinic. Obese youth and their caregivers (N = 150) were evaluated with the Child Sleep Habits Questionnaire and Pediatric Quality of Life. Youth completed the Children's Depression Inventory...
March 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29455854/pathophysiology-and-management-of-mild-to-moderate-pediatric-atopic-dermatitis
#20
Kammi Yap Sayaseng, Peggy Vernon
Atopic dermatitis (AD), or eczema, is a chronic inflammatory skin condition characterized by relapsing pruritic and dry, scaly lesions. AD affects 10% to 20% of children in the United States and significantly affects the quality of life of patients and their families. Primary care providers (PCPs) are often the first point of contact for the management of AD symptoms. As many as 70% of patients with mild to moderate disease can be managed by a PCP, underscoring the need for these providers to understand basic AD pathophysiology and current standards of care...
March 2018: Journal of Pediatric Health Care
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