2,376 results match your criteria Journal of Pediatric Health Care[Journal]


Associations Between Maternal Caregiving and Child Indicators of Toxic Stress Among Multiethnic, Urban Families.

J Pediatr Health Care 2019 Jan 22. Epub 2019 Jan 22.

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). Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.12.002DOI Listing
January 2019
1 Read

A Job Task Analysis of the Expanding Role of the Pediatric Mental Health Specialist and the Nurse Practitioner in Pediatric Mental Health.

J Pediatr Health Care 2019 Jan 22. Epub 2019 Jan 22.

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). Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.11.001DOI Listing
January 2019
1 Read

Challenges in the Treatment of Iron Deficiency Anemia in a Child With Autism Spectrum Disorder: A Case Study.

J Pediatr Health Care 2019 Jan 22. Epub 2019 Jan 22.

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. Read More

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January 2019
2 Reads

Patient-Delivered Expedited Partner Therapy for Chlamydia trachomatis Infection Among Female Adolescents Using School-Based Health Centers.

J Pediatr Health Care 2019 Jan 22. Epub 2019 Jan 22.

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. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.11.008DOI Listing
January 2019
1 Read

Problematic Sexual Behavior in Children.

J Pediatr Health Care 2019 Jan 17. Epub 2019 Jan 17.

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. Read More

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January 2019
6 Reads

Parent- and Child-Reported Asthma Responsibility in School-Age Children: Examining Agreement, Disagreement, and Family Functioning.

J Pediatr Health Care 2019 Jan 17. Epub 2019 Jan 17.

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. Read More

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January 2019
2 Reads
1.970 Impact Factor

Somnolence-Producing Agents: A 5-Year Study of Prescribing for Medicaid-Insured Children With Attention Deficit Hyperactivity Disorder.

J Pediatr Health Care 2019 Jan 7. Epub 2019 Jan 7.

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. Read More

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January 2019
1 Read

Child Sexual Abuse and Differential Diagnoses: A Case Report.

Authors:
Moriah Freeman

J Pediatr Health Care 2019 Jan 4. Epub 2019 Jan 4.

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January 2019

Atypical or Incomplete Kawasaki Disease in a Young Child: A Case Report.

J Pediatr Health Care 2018 Dec 26. Epub 2018 Dec 26.

Catherine Frank, Assistant Professor, Xavier University School of Nursing, and Acute Care Nurse Practitioner, Mercy Health Emergency Departments, Cincinnati, OH.

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. Read More

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December 2018
2 Reads

Adolescent Preexposure Prophylaxis Administration: An Education Curriculum for Health Care Providers.

J Pediatr Health Care 2018 Dec 26. Epub 2018 Dec 26.

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. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.09.007DOI Listing
December 2018

The Use of Codeine and Tramadol in the Pediatric Population-What is the Verdict Now?

J Pediatr Health Care 2019 Jan;33(1):117-123

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. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.04.016DOI Listing
January 2019
7 Reads

Nursing Now: A Global Campaign.

Authors:
Martha K Swartz

J Pediatr Health Care 2019 Jan;33(1):1-2

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January 2019

Cystic Fibrosis: Advancing Along the Continuum.

J Pediatr Health Care 2018 Oct 24. Epub 2018 Oct 24.

Cystic fibrosis (CF) is an autosomal recessive genetic disorder resulting from a mutation in the gene which encodes a cellular transmembrane protein channel known as the CF transmembrane conductance regulator. Located systemically on the surface of numerous cells, these altered channels yield multisystem dysfunction. Typical manifestations seen are chronic, progressive, obstructive lung disease, pancreatic insufficiency, CF-related diabetes mellitus, malabsorption and malnutrition, liver disease, and infertility. Read More

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October 2018
1 Read

Perceptions of Gastrostomy Buttons Among Caregivers of Children With Special Health Care Needs.

J Pediatr Health Care 2018 Nov 26. Epub 2018 Nov 26.

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. Read More

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November 2018

Simulation Training Improves Resuscitation Team Leadership Skills of Nurse Practitioners.

J Pediatr Health Care 2018 Nov 27. Epub 2018 Nov 27.

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. Read More

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November 2018
7 Reads

The Evaluation and Treatment of Tall Stature in Preadolescent Girls: A Case Report.

J Pediatr Health Care 2018 Nov 26. Epub 2018 Nov 26.

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. Read More

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November 2018

Watch Me Grow: A Well-Child Examination Protocol to Improve Preventive Care in Dominican Children.

J Pediatr Health Care 2018 Nov 21. Epub 2018 Nov 21.

Ashley D. Marass, Assistant Professor and Certified Pediatric Nurse Practitioner, University of South Alabama, Mobile, AL.. Electronic address:

Introduction: Morbidity and mortality rates among Dominican children are a serious health concern worsened by a lack of preventive care that hinders early identification and avoidance of illnesses. The purpose of this study was to improve health outcomes in Dominican children by implementing a well-child examination (WCE) protocol entitled "Watch Me Grow."

Methods: A quantitative, descriptive methodology was used. Read More

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November 2018

Syncope in the Pediatric Patient: A Case Report.

Authors:
Alexa Beversdorf

J Pediatr Health Care 2018 Nov 21. Epub 2018 Nov 21.

Alexa Beversdorf, Doctorate of Nursing Practice Student, University of Wisconsin-Madison, 701 Highland Ave., Madison, WI.. Electronic address:

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November 2018
1 Read

Adolescent Infertility: A Case Report.

J Pediatr Health Care 2018 Nov 20. Epub 2018 Nov 20.

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November 2018

Sleep Evaluation in the Assessment of Pediatric Attention Deficit Disorders.

J Pediatr Health Care 2018 Nov 19. Epub 2018 Nov 19.

Introduction: Examining the impact of appropriate sleep evaluation on diagnosis of attention deficit disorders can improve the standard of care in pediatrics. This quality improvement project examined current practice and subsequent implementation of a validated standardized sleep evaluation tool in the assessment of children with symptoms of attention deficit.

Methods: Retrospective chart review and implementation of the Children's Sleep Habits Questionnaire (CSHQ) for children 6 to 14 years old with attention deficit symptoms. Read More

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November 2018
12 Reads

Infant Immunizations in Pediatric Critical Care: A Quality Improvement Project.

J Pediatr Health Care 2018 Nov 15. Epub 2018 Nov 15.

Introduction: Infants with congenital heart disease can be critically ill; prolonged hospitalization is common. The purpose of this project was to create and then evaluate the efficacy of education programs for staff nurses and medical providers aimed at improving infant immunization administration during hospitalization for congenital heart disease.

Methods: This project used pre- and post-education program chart review to evaluate infant immunization rates at discharge. Read More

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November 2018
8 Reads

Pediatric Delirium: Early Identification of Barriers to Optimize Success of Screening and Prevention.

J Pediatr Health Care 2018 Nov 15. Epub 2018 Nov 15.

Introduction: Pediatric delirium has a 25% prevalence rate in the pediatric intensive care unit. The purpose of this project was to evaluate the impact/effect of implementing nonpharmacologic nursing bundles on the incidence of pediatric delirium. It is not yet known whether or not bundles consistently reduce the incidence of delirium. Read More

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November 2018

Satisfaction With Care Coordination for Families of Children With Disabilities.

J Pediatr Health Care 2018 Nov 16. Epub 2018 Nov 16.

Introduction: Children with disabilities have significant health care needs, and receipt of care coordinator services may reduce caregiver burdens. The present study assessed caregivers' experience and satisfaction with care coordination.

Method: Caregivers of Medicaid-enrolled children with disabilities (n = 2,061) completed a survey (online or by telephone) collecting information on the caregivers' experiences and satisfaction with care coordination using the Family Experiences with Coordination of Care questionnaire. Read More

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November 2018
9 Reads

Novel Withdrawal Symptoms of a Neonate Prenatally Exposed to a Fentanyl Analog.

J Pediatr Health Care 2019 Jan 8;33(1):102-106. Epub 2018 Nov 8.

Neonatal abstinence syndrome (NAS) is a withdrawal syndrome observed in neonates exposed to drugs in utero, typically opioids, which is associated with symptoms affecting the central and autonomic nervous systems and the gastrointestinal system. West Virginia, particularly the southeastern region of the state, has remarkably higher rates of NAS than similar communities. Our facility is increasingly faced with complex cases of NAS caused by in utero exposure to multiple substances. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.08.014DOI Listing
January 2019
1 Read

Review of Tools for Measuring Exposure to Adversity in Children and Adolescents.

J Pediatr Health Care 2018 Nov - Dec;32(6):564-583. Epub 2018 Jun 29.

Exposure to childhood adversity can result in negative behavioral and physical health outcomes due to potential long-term embedding into regulatory biological processes. Screening for exposure to adversity is a critical first step in identifying children at risk for developing a toxic stress response. We searched PubMed, PsycArticles, and CINAHL for studies published between January 1, 2012, and December 31, 2016, as well as other sources, to identify potential tools for measuring cumulative adversity in children and adolescents. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.04.021DOI Listing
June 2018
12 Reads

Celiac Disease in the Pediatric Population.

J Pediatr Health Care 2018 Nov - Dec;32(6):627-631

Celiac disease is an autoimmune disorder in which the lining of the gastrointestinal tract is damaged by an immune-mediated response to gluten proteins (Allen, 2015). It is a polygenetic disease that only appears in genetically susceptible individuals (Newton & Singer, 2012). It is a worldwide concern, with North America having a high prevalence rate (Liu et al. Read More

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December 2017
22 Reads

Cost-Benefit Analysis of Providing Fluoride Varnish in a Pediatric Primary Care Office.

J Pediatr Health Care 2018 Nov - Dec;32(6):620-626

Introduction: The American Academy of Pediatrics and the U.S. Preventive Services Task Force, among others, call for the provision of fluoride varnish in the pediatric primary care setting, but many barriers exist to the implementation of such a service in this setting. Read More

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April 2018
6 Reads

The Power of Positive Psychology.

Authors:
Martha K Swartz

J Pediatr Health Care 2018 Nov - Dec;32(6):533

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September 2018

Integration of 12-Lead Electrocardiograms Into Preparticipation Screenings to Prevent Sudden Cardiac Death in High School Athletes.

J Pediatr Health Care 2018 Oct 22. Epub 2018 Oct 22.

Introduction: Sudden cardiac arrest continues to be the leading cause of death in young athletes despite preparticipation sports screening (PPS). The devastating loss of children to sudden cardiac arrest has led communities to demand more comprehensive heart screenings. The purpose of this study was to evaluate a community youth heart screening program in Minnesota. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.07.006DOI Listing
October 2018
11 Reads

Development, Implementation, and Satisfaction With a Nurse Practitioner Professional Ladder: A Children's Hospital Experience.

J Pediatr Health Care 2019 Jan 15;33(1):111-116. Epub 2018 Sep 15.

Carol Okuhara, Pediatric Nurse Practitioner Lead, Children's Hospital Los Angeles, Los Angeles, CA.

This article describes the development and implementation of a nurse practitioner professional ladder (NPPL) at a large freestanding urban pediatric hospital. The NPPL was created to recognize advanced practice registered nurses and differentiate levels of clinical expertise, role development, leadership, and professional contributions into a three-tiered approach, designated as NP I, NP II, and NP III. The results of a nurse practitioner satisfaction survey at Year 2 and Year 4 after the development of the NPPL are summarized. Read More

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January 2019
6 Reads

Applying Human-Centered Design to the Development of an Asthma Essentials Kit for School-Aged Children and Their Parents.

J Pediatr Health Care 2018 Sep 15. Epub 2018 Sep 15.

Danielle Teska, Graduate Student, Human Centered Design and Engineering, University of Washington, Seattle, WA.

This study aimed to design and test an asthma essentials kit to support parent-child shared asthma management. Fourteen children (age range = 7-11 years) with asthma and their parents participated in this study. Development of the asthma essentials kit involved a generative phase, focused on understanding and designing to meet user needs, and an evaluative phase, which entailed narrowing, evaluating, and refining the asthma essentials kit. Read More

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September 2018
1.970 Impact Factor

Pediatric Provider Education and Use of Long-Acting Reversible Contraception in Adolescents.

J Pediatr Health Care 2018 Sep 15. Epub 2018 Sep 15.

Introduction: Pediatric primary care providers prescribe the majority of contraception to adolescents, but they often lack training in long-acting reversible contraception (LARC). Our objective was to assess whether a provider education initiative was associated with a change in LARC use for adolescents.

Method: Using electronic medical records, we examined LARC use for 7,331 women ages 15 to 21years with an established primary care provider before and after a provider education initiative on LARC. Read More

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September 2018

Weight Loss in Adolescents After Bariatric Surgery: A Systematic Review.

Authors:
Danielle Karasko

J Pediatr Health Care 2019 Jan 14;33(1):26-34. Epub 2018 Sep 14.

Danielle Karasko, Doctoral Candidate, University of Missouri, Columbia, MO, and Pediatric Nurse Practitioner, Children's Hospital of Philadelphia, Philadelphia, PA.. Electronic address:

Introduction: Bariatric surgery is a treatment option for the obese adolescent. There are three primary surgical procedures: the bypass, sleeve gastrectomy, and lap band. The most recent literature was reviewed to examine changes in weight, comorbidities, and complications after bariatric surgery in the adolescent. Read More

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January 2019

Missed Opportunities in the Outpatient Pediatric Setting to Support Breastfeeding: Results From a Mixed-Methods Study.

J Pediatr Health Care 2019 Jan 12;33(1):64-71. Epub 2018 Sep 12.

Courtney R. McKinney, Program Manager, Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque, NM.

Introduction: Outpatient pediatric providers play a crucial role in the promotion of breastfeeding. We conducted a mixed methods study to measure provider knowledge, attitudes, and current practices around breastfeeding counseling.

Method: In New Mexico in 2016 and 2017, we conducted a knowledge, attitudes, and practice survey of outpatient pediatric providers (i. Read More

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January 2019
5 Reads

Renal Calculus in Floating-Harbor Syndrome: A Case Report.

J Pediatr Health Care 2019 Jan 8;33(1):97-101. Epub 2018 Sep 8.

Floating-Harbor syndrome is a rare condition marked by short stature and delayed bone age, characteristic facial features, and speech impairment. Floating-Harbor syndrome commonly results from a sporadic genetic mutation. Renal abnormalities have rarely been encountered. Read More

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January 2019
2 Reads

Child Maltreatment Red Flags: Two Cases of Bruising in Premobile Infants.

J Pediatr Health Care 2019 Jan 3;33(1):92-96. Epub 2018 Sep 3.

Child maltreatment is a serious public health concern in the United States. Young infants and children younger than 3 years are at the highest risk of being abused and can experience both acute injuries and long-term developmental, behavioral, and mental health problems. Health care providers are mandated reporters of suspected abuse but may misdiagnose potentially abusive injuries because of lack of knowledge in recognizing maltreatment. Read More

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January 2019
15 Reads

Adolescent Stress Management in a Primary Care Clinic.

J Pediatr Health Care 2018 Sep 3. Epub 2018 Sep 3.

Introduction: The American Academy of Pediatrics recommends that adolescents be screened for mental health concerns and receive anticipatory guidance on stress management strategies.

Methods: Eighty-six participants (50 participants in the intervention group; 36 participants in the control group) participated in the study. Intervention group participants received training in diaphragmatic breathing, progressive muscle relaxation, and use of no-cost/low-cost exercise options. Read More

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September 2018
15 Reads

Developing, Implementing, and Evaluating Personalized Education for Pediatric Patients Diagnosed With Asthma on an Observation Unit.

J Pediatr Health Care 2019 Jan 1;33(1):72-79. Epub 2018 Sep 1.

Virginia Allison, Assistant Professor, University of Pittsburgh School of Nursing, Pittsburgh, PA.

Introduction: A quality improvement project was commenced to determine if personalized, patient-specific education can increase parent/guardian knowledge and reduce subsequent emergency department (ED) visits and inpatient admissions secondary to asthma.

Method: Pre- and post-education survey scores were analyzed for a change in knowledge. A retrospective electronic health record (EHR) chart review was performed one year following the education to determine if the patients had additional ED visits or inpatient admissions. Read More

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January 2019

The Latest in Teen Pregnancy Prevention: Long-Acting Reversible Contraception.

J Pediatr Health Care 2018 Sep - Oct;32(5):e91-e97. Epub 2018 Jul 4.

Teen pregnancy is prevalent in the United States and has a number of potential negative outcomes. The most effective contraceptives available, known as long-acting reversible contraceptives (LARCs), were recently approved for use in adolescents. LARC devices, including the intrauterine device and subdermal implant, are currently recommended as the first-line contraceptive for all women, including adolescents. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.02.009DOI Listing
July 2018
3 Reads

Comprehensive Infant Clinic for Sickle Cell Disease: Outcomes and Parental Perspective.

J Pediatr Health Care 2018 Sep - Oct;32(5):485-489. Epub 2018 Jul 4.

Introduction: Comprehensive care for children with sickle cell disease (SCD) includes penicillin prophylaxis, pneumococcal immunization, hydroxyurea therapy, and transcranial Doppler screening for stroke prevention. Along with caregiver education, these strategies have been shown to be effective in reducing early morbidity and mortality in this population. The subspecialty Infant Sickle Cell Clinic was initiated to improve access, education, patient outcomes, and family satisfaction. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.04.018DOI Listing
July 2018
16 Reads

Exploratory Factor Analysis of the Mishel Uncertainty in Illness Scale Among Adolescents and Young Adults With Chronic Medical Conditions.

J Pediatr Health Care 2018 Aug 31. Epub 2018 Aug 31.

Objective: To identify a developmentally relevant factor structure of the Mishel Uncertainty in Illness Scale-Community form (MUIS-C) among adolescents and young adults with chronic medical conditions.

Methods: Data on college students with a self-reported chronic medical condition (N = 238) were collected between November 2013 and May 2015. Participants completed the MUIS-C as part of a larger questionnaire battery. Read More

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August 2018
1 Read

Juvenile Idiopathic Arthritis: A Focus on Pharmacologic Management.

J Pediatr Health Care 2018 Sep - Oct;32(5):515-528

Juvenile idiopathic arthritis is a chronic condition that affects many pediatric patients. It is a prevalent disease and has become the most common rheumatologic disease of childhood. The condition encompasses multiple different forms of chronic arthritides classified based on the location and number of joints affected as well as the presence or lack of a number of different inflammatory markers. Read More

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December 2017

Skin Deep: Simplifying Practice Guidelines for Children With Atopic Dermatitis.

J Pediatr Health Care 2018 Sep - Oct;32(5):507-514

Carol A. Clark, Clinical Assistant Professor, Indiana University School of Nursing, Indianapolis, IN.

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May 2018
2 Reads

A Case Study of a Child With Mitochondrial Disease.

J Pediatr Health Care 2018 Sep - Oct;32(5):494-499

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December 2017
1 Read

The ACEs Connection.

Authors:
Martha K Swartz

J Pediatr Health Care 2018 Sep - Oct;32(5):423

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