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Journal of Pediatric Health Care

Eileen M Condon, Margaret L Holland, Arietta Slade, Nancy S Redeker, Linda C Mayes, Lois S Sadler
INTRODUCTION: Our purpose was to examine associations between maternal caregiving and child indicators of toxic stress among multiethnic, urban families with children of early school age. METHOD: We conducted an exploratory cross-sectional analysis of 54 maternal-child dyads. Mothers reported on parenting behaviors and parental reflective functioning (PRF). Child indicators of toxic stress included hair/salivary biomarkers, anthropometric characteristics, and maternally reported health and behavior...
January 22, 2019: Journal of Pediatric Health Care
Elizabeth Hawkins-Walsh, Susan N Van Cleve
Lack of access to support, services, and providers for children and adolescents with mental health conditions is a serious problem in the United States. Fewer than half of the children who need services obtain them. To meet this demand, the Pediatric Nursing Certification Board launched a new specialty certification in 2011 for advanced practice registered nurses called the pediatric primary care mental health specialist (PMHS). In 2016, a job task analysis of the role of the PMHS and nurse practitioners practicing in pediatric mental health and developmental/behavioral pediatrics was conducted...
January 22, 2019: Journal of Pediatric Health Care
Emily Burd, Elizabeth A Doyle
Children with autism spectrum disorder (ASD) face many challenges, including feeding problems due to behavioral issues and food aversions. Therefore, pediatric nurse practitioners need to assess for different mineral deficiencies, including iron deficiency anemia (IDA). The following case study describes a 4-year-old with ASD with persistent IDA despite typical recommendation of oral iron supplementation. Other potential etiologies of IDA are reviewed. Finally, different management approaches for managing IDA in children with ASD are described...
January 22, 2019: Journal of Pediatric Health Care
Susan H Vacca, Elizabeth L Salsgiver, Melanie A Gold, Natalie Neu
INTRODUCTION: Expedited partner therapy (EPT) may reduce Chlamydia trachomatis reinfection. This pilot study was conducted to determine if female adolescents with C. trachomatis accept and deliver EPT to male sexual partners and whether it is associated with decreased C. trachomatis reinfection rates at 3 and 6 months. METHOD: Forty-six female adolescents, aged 13 to 19 years and diagnosed with C. trachomatis at two urban school-based health centers, participated in four visits over 6 months...
January 22, 2019: Journal of Pediatric Health Care
Glenn R Mesman, Shannon L Harper, Nicola A Edge, Tiffany W Brandt, Joy L Pemberton
It is important for health care professionals to have a strong knowledge base of childhood sexual development, to know how to differentiate between problematic and normative sexual behaviors, and counsel parents accordingly given their assessment of the behaviors. A review of the literature suggests that sexual behaviors are a common occurrence in childhood, though some behaviors are rare regardless of age. Frequency of the behavior, developmental considerations, and the level of harm may help health care professionals assess whether the sexual behavior is typical or problematic...
January 17, 2019: Journal of Pediatric Health Care
Jennifer Sonney, Chris Segrin, Tessa Kolstad
INTRODUCTION: The school-age years represent a critical time for children to begin assuming shared asthma management responsibility. This study aimed to describe parent- and child-reported asthma responsibility, examine agreement and disagreement, and explore family functioning as a predictor of agreement/disagreement. METHODS: Twenty children (age range = 6-11 years) and one of their parents participated in this cross-sectional study. Parent-child dyads independently reported on their asthma management responsibility and asthma control...
January 17, 2019: Journal of Pediatric Health Care
Genesis R Bojorquez, Eileen K Fry-Bowers
No abstract text is available yet for this article.
January 17, 2019: Journal of Pediatric Health Care
Jordan E Reasor, Dhanashree A Rajderkar, Christopher D Jolley, Priti Joshi-Guske, Maria N Kelly
No abstract text is available yet for this article.
January 16, 2019: Journal of Pediatric Health Care
Tracy Klein, Teri M Woo, Shannon Panther, Tamara Odom-Maryon, Kenn Daratha
INTRODUCTION: Researchers evaluated the prescribing of medications that induce somnolence to children with attention deficit hyperactivity disorder (ADHD) insured by Medicaid. METHOD: An observational study of prescription claims for children ages 3-18 with ADHD-associated ICD 9 diagnoses filled between January 1, 2012 and December 31, 2016 in Oregon. RESULTS: There were 14,567 prescriptions written for a 30-day supply of sleep medication for 2,518 children...
January 7, 2019: Journal of Pediatric Health Care
Moriah Freeman
No abstract text is available yet for this article.
January 4, 2019: Journal of Pediatric Health Care
Kimberly P Toole, Catherine Frank
This case report describes an atypical or incomplete presentation of Kawasaki Disease. Kawasaki Disease is an inflammatory process that can affect all blood vessels and result in cardiac complications; particularly coronary artery aneurysms. Patients are typically young children, usually younger than 5 years of age, who initially present with a high fever and nonspecific rash. The child in this case presented with an atypical or incomplete presentation, and was diagnosed with Kawasaki disease after multiple provider encounters...
December 26, 2018: Journal of Pediatric Health Care
Caroline Carnevale, Jason Zucker, Julie A Womack, Jane Dixon, Alwyn Cohall, Magdalena E Sobieszczyk, Peter Gordon
On May 15, 2018, the Federal Drug Administration amended the approval of preexposure prophylaxis (PrEP) to include minors (> 35 kgs). Adolescent providers are now in need of access to a comprehensive education curriculum on the administration of PrEP to adolescents. This paper outlines such a curriculum with the goal of reaching adolescent providers unfamiliar with PrEP assessment, administration, and monitoring. A comprehensive adolescent PrEP curriculum was designed using a literature review. An expert panel of seven reviewed the curriculum for content validity...
December 26, 2018: Journal of Pediatric Health Care
Amy Ryan, Raheel Rizwan, Brenda Williams, Alexis Benscoter, David S Cooper, Ilias Iliopoulos
INTRODUCTION: In the current era of limited physician trainee work hours, limited nurse practitioner orientation times, and highly specialized care settings, frontline providers have limited opportunities for mentored resuscitation training in emergency situations. We aimed to evaluate the effectiveness of a pilot program to improve resuscitation team leadership skills of nurse practitioners using simulation-based training. METHODS: Seven nurse practitioners underwent a 4-hour simulation course in pediatric cardiac emergencies...
November 27, 2018: Journal of Pediatric Health Care
Latoya Edwards, Joan S Leafman
INTRODUCTION: Children with special health care needs (CSHCN) have chronic conditions that generally are classified as developmental disabilities. Children with developmental disabilities are at high risk of malnutrition. Gastrostomy buttons are frequently used to provide enteral nutrition for children with developmental disabilities. OBJECTIVE: This study aimed to understand caregivers' perceptions regarding gastrostomy button placement for CSHCN. METHODS: Caregivers (N = 257) were recruited from CSHCN peer support groups to complete an online survey regarding perceptions of gastrostomy button placement...
November 26, 2018: Journal of Pediatric Health Care
Thea Senger-Carpenter, Elizabeth A Doyle
Families may approach primary care providers for advice and treatment for tall stature (height more than two standard deviations above the mean height for a given age) in pre-pubertal children. The following case report describes an 11-year-old girl who was referred to an endocrinology specialist for familial tall stature. Potential pathological causes for tall stature are reviewed. The assessment, management, and risks and benefits of treatment for this condition are described. Finally, the role of the pediatric nurse practitioner in caring for youth with this chief complaint is discussed...
November 26, 2018: Journal of Pediatric Health Care
Gail Hornor, Cathy Davis, Jennifer Sherfield, Kerri Wilkinson
March 2019: Journal of Pediatric Health Care
Martha K Swartz
No abstract text is available yet for this article.
March 2019: Journal of Pediatric Health Care
Megan Fortenberry, Justin Crowder, Tsz-Yin So
Codeine and tramadol are opioid analgesics approved for the management of pain in the United States. Both agents are metabolized in the liver to active compounds via the cytochrome P450 2D6 enzyme. Case reports of pediatric patients with overactive CYP2D6 enzymes have been reported. These ultra-rapid metabolizers experience an increase in the production of active metabolites of codeine and tramadol, which can lead to oversedation, respiratory depression, and death. In 2017, the U.S. Food and Drug Administration updated their warnings regarding codeine and tramadol use in the pediatric population, making their use contraindicated in patients under the age of 12 years...
January 2019: Journal of Pediatric Health Care
Jiwon Lee, Regena Spratling
No abstract text is available yet for this article.
January 2019: Journal of Pediatric Health Care
Martha K Swartz
No abstract text is available yet for this article.
January 2019: Journal of Pediatric Health Care
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