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Current Problems in Pediatric and Adolescent Health Care

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https://www.readbyqxmd.com/read/29037829/foreword-pediatric-environmental-health-using-data-on-toxic-chemical-emissions-in-practice
#1
EDITORIAL
Ruth A Etzel
No abstract text is available yet for this article.
October 13, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/29033206/pediatric-environmental-health-using-data-on-toxic-chemical-emissions-in-practice
#2
Kara Koehrn, Jocelyn Hospital, Alan Woolf, Jennifer Lowry
Children's unique behavioral and physiological characteristics can increase their exposure and susceptibility to environmental chemicals. The link between exposure to environmental chemicals and specific health outcomes, however, is often uncertain. This article introduces several resources to help health practitioners identify potential environmental exposures and risks related to toxic chemicals. It focuses on the U.S. Environmental Protection Agency's (EPA's) free and public environmental data, including the Toxics Release Inventory (TRI) data that contain information about toxicants released to the environment...
October 12, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28943013/foreword-postpartum-mood-and-anxiety-disorders
#3
EDITORIAL
Arthur H Fierman, Nerissa S Bauer
No abstract text is available yet for this article.
September 21, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28935390/ask-the-question-screening-for-postpartum-mood-and-anxiety-disorders-in-pediatric-primary-care
#4
Stacy Kurtz, Jack Levine, Marcy Safyer
Postpartum mood and anxiety disorders (PMADs) are a significant source of toxic stress for young children and can disrupt developing brain architecture resulting in long-lasting deleterious effects. Thus, screening for PMADs must be considered as an essential task of a pediatric primary care provider (PCP) and the pediatric medical home. Problems in parenting capacity in mothers with PMADs can lead to disorders in attachment and a range of other emotional and developmental challenges for a young child. Therefore, all PCP office visits with mothers should include surveillance as well as formal screening at regular, pre-determined intervals...
September 18, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28916453/making-the-legal-and-ethical-case-for-universal-screening-for-postpartum-mood-and-anxiety-disorders-in-pediatric-primary-care
#5
Amy Lewis Gilbert, Casey Balio, Nerissa S Bauer
Postpartum depression (PPD), part of a larger spectrum of perinatal mood and anxiety disorders, affects up to 15% of women following the birth of an infant. Fathers may also be affected. PPD not only affects caregivers, but also impacts infants through mechanisms such as inadequate caregiver-infant interactions and non-adherence to safety practices. The negative impact on infants may extend across the life course through adulthood. This article seeks to move the needle toward universal screening for PPD using validated tools in pediatric primary care settings for new caregivers by making the legal and ethical case for this course of action in a manner that is both compelling and accessible for clinicians...
September 12, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28928043/treating-postpartum-mood-and-anxiety-disorders-in-primary-care-pediatrics
#6
Polina Umylny, Miguelina German, Alexa Lantiere
Postpartum psychiatric disorders represent a significant public health problem that has not been readily addressed, particularly in the primary care setting. As maternal mood and anxiety difficulties are associated with a number of adverse outcomes for the mother, her offspring and the family system, addressing these concerns during the perinatal period is of critical importance. Although researchers and clinicians have become increasingly aware of the problem, postpartum mood and anxiety disorders (PMADs) remain widely unrecognized and poorly understood by both patients and providers...
October 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/29031567/operation-breakthrough-in-2017-builds-on-the-past
#7
Mary Esselman, Brijin Gardner, Marsha Gillespie
Operation Breakthrough (OB) is one of Missouri's largest early Head Start program and provides a variety of other services related to early childhood education and family support to low-income families who live in the poorest neighborhoods of Kansas City. Currently 96% of its preschool children enter kindergarten ready to learn. Current CLASS(TM) scores for Emotional Support, Organizational Support, and Instructional Support exceed national averages. In this paper, we describe the range of services it provides and give details of its organizational structure and budget...
September 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28844854/optimizing-the-office-visit-for-adolescents-with-special-health-care-needs
#8
Rita Nathawad, Christopher Hanks
Youth with special health care needs (YSHCN) experience health care disparities and often need additional support to receive optimal medical care, particularly in adolescence as they prepare to transition to adult care. Many medical practices struggle to address their needs. Here, we discuss approaches to improve medical care in office-based settings for YSHCN. Office visits can be optimized by training staff in developmentally appropriate care and ensuring that the physical office space facilitates care. Participating in previsit preparation, including managing patient registries of YSHCN, engaging in regular team huddles, and incorporating previsit planning, can improve preparation and ensure that important needs are not overlooked...
August 24, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28826807/building-a-collaboration-between-a-children-s-hospital-and-an-early-childhood-education-and-social-services-center
#9
Donna O'Malley, Briana A Woods-Jaeger, M Denise Dowd
To address toxic stress among children growing up in poverty, an innovative collaboration was developed between a community center, Operation Breakthrough (OB), and a tertiary care children's hospital, Children's Mercy Hospital (CMH). OB started as a day care center but has expanded and developed ways to provide shelter, safety, food, employment, education and health care. CMH is a traditional academic children's hospital that, in recent years, has been looking for ways to better address the social determinants of health...
August 17, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28818435/a-parent-reveals-the-biases-that-she-faced-to-get-care-for-her-daughter
#10
Sosha Chaney, John D Lantos
A poor, African-American mother describes the difficulties that she has in getting a comprehensive medical evaluation for her child in an Emergency Room. Eventually, she finds the care and the caring that she needs at a medical clinic in a community health center.
August 14, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28807641/a-novel-partnership-disrupts-the-norm-in-early-childhood-education-and-pediatric-health-care
#11
EDITORIAL
M Denise Dowd, John D Lantos
Children living in poverty in the United States in 2016 face a devastating combination of psychological problems. Their neighborhoods are often violent. They have no place to get healthy food. It is not safe to play outside, even on playgrounds. The children who grow up in this environment, not surprisingly, have many adverse childhood experiences (ACEs). ACEs cause toxic stress. Toxic stress leads to long-term physical and psychological problems. For many pediatricians, children's hospitals, civic leaders, and public health officials, it is difficult to know how to intervene...
August 11, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28807640/rogue-nuns-grow-services-to-combat-growing-problems
#12
Loring Leifer
This paper tells the story of how an experiment in caring for the children of poor, working mothers became a multimillion-dollar early learning center. It follows the evolution of two nuns who began providing day care in a church and came to realize that children living in poverty need a much greater range of services. It covers how the sisters broke with the Catholic Church and engaged alternative and unorthodox sources to help the operation survive and to extend its reach. It documents how far the sisters went to keep the doors open and how they sustained success...
August 11, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28803828/preparing-for-transition-of-youth-with-special-health-care-needs
#13
Susan Hunt, Thomas Davis
No abstract text is available yet for this article.
August 10, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28803827/caring-for-the-caregiver-supporting-families-of-youth-with-special-health-care-needs
#14
Mariecel Pilapil, Daniel J Coletti, Cindy Rabey, David DeLaet
Caregivers of youth with special health care needs (YSHCN) are a critical part of the health care team. It is important for pediatric providers to be cognizant of the burden and strain caregiving can create. This article will discuss the health, psychological, social, and financial effects of caregiving, as well as strategies to screen for caregiver strain among families of YSHCN. Caregivers of YSHCN, for example, are more likely to report poor health status and demonstrate higher rates of depression and anxiety...
August 10, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28803826/hospital-leadership-recognizes-need-to-create-partnerships-to-treat-consequences-of-poverty
#15
Karen Cox, David H Westbrook
In this paper, two senior administrative leaders at a tertiary care children's hospital explain why they decided to partner with a community organization in order to better fulfill the hospital mission.
August 10, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28779959/foreword-youth-with-special-health-care-needs-from-the-perspective-of-a-provider-and-parent
#16
EDITORIAL
Cindy Rabey, Mariecel Pilapil
No abstract text is available yet for this article.
August 2, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28895859/evidence-supporting-the-effectiveness-of-transition-programs-for-youth-with-special-health-care-needs
#17
Ronald Feinstein, Cindy Rabey, Mariecel Pilapil
More than 90% of adolescents and young adults with chronic medical conditions will survive into adulthood. Transitioning from pediatric to adult health care services for these individuals has often times been associated with deterioration of their health and Quality of Life. Separation from their pediatric provider and lack of preparedness of the adult health care system has been identified as major barriers in preventing the successful transition of these individuals. The purpose of this review is to summarize the available data related to transitioning adolescents and young adults (AYA) with special health care needs into the adult health care system...
August 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28716515/calming-the-storm-dysautonomia-for-the-pediatrician
#18
Justin M Burton, Olga M Morozova
Dysautonomia is a potentially life-threatening syndrome seen in many different types of brain injuries. It involves paroxysmal sympathetic hyperactivity and typically includes a constellation of symptoms, including: tachycardia, tachypnea, hyperthermia, hypertension, diaphoresis, hypertonia, and/or decerebrate or decorticate posturing. It is a clinical diagnosis of exclusion. A multimodal treatment approach is necessary including environmental modifications along with pharmacotherapy. Early management can help prevent comorbidities including secondary brain injury while also improving patient outcomes...
July 14, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28734746/spina-bifida-management
#19
Leslie A Phillips, Justin M Burton, Sarah Helen Evans
Myelomeningocele, commonly known as spina bifida, is a birth defect in which the spinal cord does not develop properly due to incomplete closure of the neural tube at 28 days of gestation. With advances in treatment modalities, technologies, and medical knowledge, people with spina bifida in the United States are living well into adulthood. Myelomeningocele management includes life-long comprehensive neurologic, urologic, musculoskeletal, skin, and habilitation management. We describe approaches to the same, with an emphasis on the signs and symptoms of medical urgencies and emergencies of which every pediatrician must be aware...
July 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28716516/hypertonia
#20
Sarah Helen Evans, Mark William Cameron, Justin Michael Burton
Hypertonia is the abnormal increase in muscle tone as a result of upper motor neuron lesions. There are three following clinical types: spasticity, dystonia, and rigidity. Management of hypertonia is individualized and should be directed by the patient and/or family׳s goals of care as well as the underlying cause of the hypertonia. Treatment options include stretching, strengthening, positioning, oral medications, botulinum toxin injections, phenol injections, as well as surgical procedures. Without effective management, hypertonia can result in muscle imbalance, abnormal movement patterns, pain, joint contracture, joint deformity, and ultimately negatively impact a patient׳s function...
July 2017: Current Problems in Pediatric and Adolescent Health Care
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