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A practical approach to the assessment of faltering growth in the infant and toddler

Paediatrics and Child Health - Mon, 07/15/2019 - 00:00
Faltering growth, previously called failure to thrive, in infants and toddlers is a common primary care presentation and reason for paediatric referral. This article suggests an approach to selection of cases for referral, the assessment and investigation required in secondary care and the identification of the less than 5% of cases with an underlying organic disease. A framework is suggested to aid advice to be given to parents with a child who has faltering growth due to inadequate nutritional intake for their energy requirements.
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An 8-Month-Old With a Chronic Cough

Journal of Pediatric Health Care - Fri, 07/12/2019 - 00:00
Cough is a common and chief complaint in primary care. Chronic cough, which is defined as cough lasting for a duration of 4 or more weeks by the American College of Chest Physicians Guidelines (Chang et al., 2017), requires medical attention; it is important to determine the etiology of chronic cough in infants and children. Although chronic cough can be commonly attributed to airway disorders and infectious diseases, it is important to consider less-common diagnoses and use appropriate pediatric guidelines when diagnosing and treating the underlying cause (Bergamini, Kantar, Cutrera, & Italian Pediatric Cough Interest Group, 2017; Chang et al., 2017).
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Hereditary spherocytosis

Paediatrics and Child Health - Thu, 07/11/2019 - 00:00
Hereditary spherocytosis is a red cell membrane disorder which is variable in respect to clinical presentation, biochemical and genetic basis. This review highlights the underlying pathophysiology, clinical features, investigations and management of HS in childhood.
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Long-term parenteral nutrition

Paediatrics and Child Health - Wed, 07/10/2019 - 00:00
Intestinal failure (IF) is a term applied when intestinal function becomes insufficient to allow adequate absorption of fluid, electrolytes, or nutrients required for normal growth and survival. The development of parenteral nutrition (PN) as a treatment modality has greatly improved the outcome for children with IF and has contributed to improved outcomes in neonates and children from intensive care settings. Home parenteral nutrition (HPN) is central to the care of patients when IF is expected to last for more than 3–6 months.
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Anorexia nervosa in adolescence

Paediatrics and Child Health - Mon, 07/08/2019 - 00:00
Eating disorders are complex mental health conditions. Anorexia Nervosa (AN) represents a particular subtype of eating disorder that is significantly more common in young women than in young men and is the second most common mental health disorder in adolescent girls. It is a serious condition with the highest standardized mortality of any psychiatric condition. Optimal care of requires input from a multi-disciplinary team (MDT) providing collaborative medical, nutritional and psychological interventions, which includes the family, dieticians, consultant psychiatrists, therapists, nurses, paediatricians and general practitioners.
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Malnutrition in developing countries: nutrition disorders, a leading cause of ill health in the world today

Paediatrics and Child Health - Sat, 07/06/2019 - 00:00
Shockingly, malnutrition remains a dominant cause of mortality, morbidity and lost potential in today's children. In 2017, more than 1 in 5 children did not achieve their growth potential and were at risk of the associated long-term deficits in cognitive development. Stunting affects almost 40% of children in South Asia and the number of stunted children in Africa is rising. More than 1 in 14 of the world's children are wasted. Forty-five percent of all deaths in under-fives are attributable to undernutrition.
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Management of sickle cell disease: management of acute episodes in the community and in hospital

Paediatrics and Child Health - Sat, 07/06/2019 - 00:00
This review discusses the presentation and management of acute sickle crises, highlighting which aspects of diagnosis and management can be undertaken in the community and which require urgent referral to hospital. GP's, community nurse specialists, and community paediatricians should be aware of the different acute presentations in order to provide effective and safe care, and should understand warning symptoms and signs which indicate the need for assessment in hospital. It is also important that the parents have a good awareness of these symptoms and know when and how to seek help.
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Human Trafficking of Children: Nurse Practitioner Knowledge, Beliefs, and Experience Supporting the Development of a Practice Guideline: Part One

Journal of Pediatric Health Care - Wed, 07/03/2019 - 00:00
Up to 87% of trafficking victims encounter a health care provider while being trafficked but are not recognized as victims. Most health care providers receive little or no training, and awareness remains low. To describe the knowledge, beliefs, and attitudes of pediatric advanced practice registered nurses about human trafficking.
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Understanding infant formula

Paediatrics and Child Health - Wed, 07/03/2019 - 00:00
The World Health organisation recommends breast feeding infants for the first six months of life. When this breast feeding does not occur either through parental choice or medical need, infant formulas will be required. There is a bewildering array of formulas on the UK market for many different requirements. When faced with an unsettled infant many parents (and healthcare professionals) will experiment with the infant formula available and then attend the paediatric clinic looking for help and advice.
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Gastro-oesophageal reflux in infancy

Paediatrics and Child Health - Tue, 07/02/2019 - 00:00
Gastro-oesophageal reflux is very common in infancy. It is important to differentiate benign physiological reflux from gastro-oesophageal reflux disease, which is associated with significant morbidity. This review summarises the approach to infants with symptoms and signs of reflux, differential diagnosis, investigations and management including non-pharmacological, pharmacological and surgical treatments. Most infants with physiological gastro-oesophageal reflux do not require any medical management if the infant is thriving.
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Editorial Board

Paediatrics and Child Health - Mon, 07/01/2019 - 00:00
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Society Page

Journal of Pediatric Health Care - Mon, 07/01/2019 - 00:00
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Measles: Public and Professional Education

Journal of Pediatric Health Care - Mon, 07/01/2019 - 00:00
Recently, one of the students whom I was precepting at my primary care site stated “we didn't learn much about the measles.” To which I replied, “no, we haven't talked much about the measles.” Certainly, the students had memorized the standard immunization schedule and were aware of the thoroughly debunked theory linking the measles-mumps-rubella (MMR) vaccine to autism, but they needed a refresher on the presenting signs and symptoms of the extremely contagious viral infection and how to educate their patients and families.
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Pediatric Sexual Assault Program: 10 Years in Review

Journal of Pediatric Health Care - Mon, 07/01/2019 - 00:00
Practice Innovation Poster presented at Posters on The Move, at NAPNAP's 40th National Conference on Pediatric Health Care, March 9, 2019, New Orleans, LA.
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Parental self-efficacy and infant feeding practices in a group of first-time, low-income, African-American mother-infant dyads

Journal of Pediatric Health Care - Mon, 07/01/2019 - 00:00
Research Poster presented at Posters on The Move, at NAPNAP's 40th National Conference on Pediatric Health Care, March 7, 2019, New Orleans, LA.
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Enough Zzzs? Sleep, Snoring, and Sleep Apnea Evaluation in Underinsured Overweight and Obese Children

Journal of Pediatric Health Care - Mon, 07/01/2019 - 00:00
Emerging Knowledge for Clinical Practice Podium Presentations focusing on the Research Agenda Priority of Pediatric Research: Professional Role & Health Promotion and Disease Prevention, Presented at NAPNAP's 40th National Conference on Pediatric Health Care, March 8, 2019, New Orleans, LA.
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What Keeps Pediatric Nurses Up at Night?: A National Delphi

Journal of Pediatric Health Care - Mon, 07/01/2019 - 00:00
Emerging Knowledge for Clinical Practice Podium Presentations focusing on the Research Agenda Priority of Pediatric Research: Professional Role & Health Promotion and Disease Prevention, Presented at NAPNAP's 40th National Conference on Pediatric Health Care, March 8, 2019, New Orleans, LA.Prolonged exposure to morally distressing patient care experiences and other healthcare issues may lead advanced practice nurses to worry. When worry becomes excessive, Pediatric Nurse Practitioners (PNPs) can lose professional joy that gives meaning to their work.
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