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Journal of Pediatric Health Care

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https://www.readbyqxmd.com/read/28416079/management-of-childhood-congenital-adrenal-hyperplasia-an-integrative-review-of-the-literature
#1
Louise Fleming, Marcia Van Riper, Kathleen Knafl
Congenital adrenal hyperplasia (CAH) is an endocrine condition that requires parents to administer steroids up to three times daily, supplementing maintenance doses with oral or injectable doses during times of illness. The purpose of this integrative review was to explore the management, care, and associated health issues for children with CAH and the family response to the condition. Four literature indexes were searched, with 39 articles included. Four themes emerged: (a) Health- and Development-Related Issues, (a) Effects of Excess Androgens, (c) Life Experience of CAH, and (d) Managing and Averting Adrenal Crisis...
April 13, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28411876/stakeholders-perceptions-of-care-coordination-a-participatory-process
#2
Annmarie A Lyles, Penny Morgan Overgaard, Grace L Caputo, Elizabeth Reifsnider
OBJECTIVE: Children with special health care needs or chronic conditions are more likely to have unmet health needs than other children. The purpose of this study was to use a community engagement research strategy to assess the essential elements of care coordination that can serve as the foundation for a system-wide care coordination model for children with special health care needs. STUDY DESIGN: As part of a summit designed to review the status of pediatric care coordination within the state of Arizona and a call to action, a qualitative descriptive study was conducted to solicit anonymous feedback from 104 stakeholders (family, health care provider, or community entity) on the strengths and areas of improvement in the current system that provides care to Arizona children with special health care needs...
April 12, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28410774/maintaining-the-gift-of-life-achieving-adherence-in-adolescent-heart-transplant-recipients
#3
Rachael Steuer, Sabrina Opiola McCauley
Since the beginning of United Network of Organ Sharing data collection in 1987, a total of 8,333 pediatric patients have received a heart transplant in the United States. Because these patients now have longer graft success with improved care and immunosuppression, many of them are entering adolescence and young adulthood. Primary care pediatric nurse practitioners need to be alert to the prevalence of noncompliance with treatment in heart transplant patients, which continues to be highest in adolescence. Low compliance in adolescence increases morbidity, contributes to decreasing quality of life, and is the leading reason for graft failure and mortality in this age group...
April 12, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28396105/eosinophilic-esophagitis-a-case-study-of-a-12-year-old-boy
#4
Katherine Kiely
Eosinophilic esophagitis is an underrecognized chronic condition in which symptoms of gastroesophageal reflux are accompanied by eosinophilia in the esophagus. This disorder affects both children and adults and is associated with a history of other atopic disorders, particularly food allergies. This case study discusses the epidemiology of eosinophilic esophagitis and the proper procedures for diagnosis, referral, and management using the dietary restrictions and pharmacologic treatment included in the clinical recommendations issued by the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition; the American Academy of Allergy, Asthma, and Immunology; and the American College of Gastroenterologists...
April 7, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28390856/a-case-study-of-a-preadolescent-with-osteopathia-striata-with-cranial-sclerosis
#5
Doreen W Ng
No abstract text is available yet for this article.
April 5, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28341524/a-clinical-care-algorithmic-toolkit-for-promoting-screening-and-next-level-assessment-of-pediatric-depression-and-anxiety-in-primary-care
#6
Lisa Honigfeld, Susan J Macary, Damion J Grasso
With a documented shortage in youth mental health services, pediatric primary care (PPC) providers face increased pressure to enhance their capacity to identify and manage common mental health problems among youth, such as anxiety and depression. Because 90% of U.S. youth regularly see a PPC provider, the primary care setting is well positioned to serve as a key access point for early identification, service provision, and connection to mental health services. In the context of task shifting, we evaluated a quality improvement project designed to assist PPC providers in overcoming barriers to practice-wide mental health screening through implementing paper and computer-assisted clinical care algorithms...
March 21, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28283348/congenital-glucose-galactose-malabsorption-a-case-report
#7
Sharon Anderson, Soula Koniaris, Baozhong Xin, Susan Sklower Brooks
Congenital glucose-galactose malabsorption (CGGM) is a rare cause of intractable infantile diarrhea, with only a few hundred cases recognized worldwide. This life-threatening disorder must be considered in the differential diagnosis of an infant who presents with diarrhea and dehydration that fails to respond to standard therapy. The clinical and diagnostic course of an infant with recurrent episodes of watery diarrhea and hypernatremic dehydration found to be homozygous for a rare variant in the SLC5A1 gene, c...
March 7, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28268043/-i-didn-t-even-know-you-cared-about-that-stuff-youths-perceptions-of-health-care-provider-roles-in-addressing-bullying
#8
Judith A Vessey, Rachel L DiFazio, Tania D Strout
INTRODUCTION: Youth bullying is a critical public health problem, with those exposed to bullying at risk for development of serious sequelae lasting into adulthood. The purpose of this study was to explore youths' perceptions regarding the role that advanced practice nurses and physicians play in addressing bullying. METHODS: A qualitative descriptive approach was used; focus groups were used to generate study data. Twenty-four adolescents participated in focus groups centered on exploring health care providers' roles in addressing bullying...
March 3, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28238611/utilization-of-the-premature-birth-knowledge-scale-to-assess-pediatric-provider-knowledge-of-neurodevelopmental-outcomes
#9
Michelle M Kelly, Spencer Dean
INTRODUCTION: Prematurity affects a significant portion (10-12%) of children in the Unites States, with potential for physical, psychological, neurodevelopmental, and behavioral impairments continuing long past the neonatal period. The specific aim of this research was to evaluate pediatric primary and specialty care providers' knowledge and understanding of neurodevelopmental outcomes of children born prematurely. METHODS: Pediatric nurse practitioner (PNP) members of the National Association of Pediatric Nurse Practitioners participated in an online survey using the 33-item Premature Birth Knowledge Scale (PB-KS) to assess their knowledge of current neurodevelopmental outcomes of children born prematurely...
February 23, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28202205/american-parents-attitudes-and-beliefs-about-corporal-punishment-an-integrative-literature-review
#10
Ellen M Chiocca
Research on American parents' beliefs about the use of corporal punishment (CP) shows widespread approval of this child-rearing practice. This review integrated 25 research articles to gain a better understanding of what American parents believe about the use of CP as a method of child-rearing, where they get their information about CP, and if American parents' beliefs about CP translate to the actual use of CP. The results showed that the main factors that influence a parent's endorsement of CP is the belief that CP is normative and expected when raising a child; is a necessary part of parenting, even for infants; and that certain stressors involving interactions between the parent, child, and environment can elicit the use of CP...
February 12, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28202204/expedited-partner-therapy-a-review-for-the-pediatric-nurse-practitioner
#11
Lauren M Hopson, Sabrina Opiola McCauley
The rate of sexually transmitted infections in the United States increased in 2015 for the second year in a row. Adolescents bear an undue portion of this burden because of increased physiologic susceptibility, higher rates of reinfection, and developmental age. Despite expedited partner therapy (EPT) being legalized in 39 states, health care providers still report infrequently providing EPT to their adolescent patients. Patients who benefit most from EPT include those with high-risk sexual behavior, a steady relationship status, higher education level, or an established relationship with the provider...
February 12, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28189399/characteristic-differences-between-school-based-health-centers-with-and-without-mental-health-providers-a-review-of-national-trends
#12
Satu Larson, Joanne Spetz, Claire D Brindis, Susan Chapman
BACKGROUND: Minority racial/ethnic pediatric populations and those living in poverty are at greater risk of exposure to trauma, development of mental health disorders, and school failure yet are less likely to have access to mental health services (MHS). School-based health centers (SBHCs) staffed with mental health providers may be one strategy for decreasing health care disparities. METHODS: Secondary analysis of the cross-sectional School-Based Health Alliance Census School Year 2010-2011 Report was conducted...
February 8, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28189398/the-identification-of-psychosocial-risk-factors-associated-with-child-neglect-using-the-we-care-screening-tool-in-a-high-risk-population
#13
Stephanie Zielinski, Heather A Paradis, Pamela Herendeen, Paula Barbel
INTRODUCTION: Neglect accounts for over 70% of child maltreatment and carries significant sequelae. Identification of psychosocial determinants of health may allow pediatric providers to ameliorate precursors of child neglect. METHODS: Data were collected 1 month before and after implementation of the Well-Child Care Visit, Evaluation, Community Resources, Advocacy, Referral, Education (i.e., WE-CARE) screen at all well-child visits. Social workers recorded number and types of referrals, and providers completed surveys...
February 8, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28215220/methicillin-resistant-staphylococcus-aureus-a%C3%A2-pharmacotherapy-primer
#14
Leah Molloy
No abstract text is available yet for this article.
March 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28215219/sexually-transmitted-infections-and-children-what-the-pnp-should-know
#15
Gail Hornor
Sexual abuse is a problem of epidemic proportions in the United States. In their practice, pediatric nurse practitioners will likely encounter children who have experienced sexual abuse-both those who have and have not previously been identified as victims. Sexually transmitted infections (STIs) are rare in sexually abused children and adolescents. However, when present, they can be crucial to making the diagnosis of sexual abuse and protecting children. This continuing education article will assist the pediatric nurse practitioner in interpreting the relationship between STIs and sexual abuse, correctly testing for STIs, and treating STIs in children and adolescents...
March 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28215218/taking-another-look-at-screen-time-for-young-children
#16
EDITORIAL
Martha K Swartz
No abstract text is available yet for this article.
March 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/27955876/rickets-not-just-a-disease-caused-by-vitamin-d-deficiency
#17
Lauren Head Zauche
No abstract text is available yet for this article.
March 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/27916339/a-pregnant-teen-living-in-an-area-with-active-zika-virus-transmission
#18
Jane Cox
No abstract text is available yet for this article.
March 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/27839632/advocating-for-childcare-employee-single-dose-tdap-vaccination-to-combat-infant-pertussis
#19
Jeanette L H Parker, Ruth S Conner
Incidence rates of pertussis have been higher over the past 5 years than at any time since the first pertussis vaccine became widely available, with infants younger than 12 months old being particularly vulnerable. Once infected, infants may experience severe respiratory symptoms and incur high rates of hospitalization, and they account for the vast majority of pertussis-related deaths each year. With the diminished effectiveness of herd immunity, experts increasingly rely on cocooning to protect at-risk populations against infectious diseases such as pertussis...
March 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/27692972/implementation-of-a-diabetes-transition-of-care-program
#20
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...
March 2017: Journal of Pediatric Health Care
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