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

Journal of Pediatric Health Care - Fri, 01/18/2019 - 00:00
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.
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Problematic Sexual Behavior in Children

Journal of Pediatric Health Care - Fri, 01/18/2019 - 00:00
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.
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Beyond Eligibility: Access to Federal Public Benefit Programs for Immigrant Families in the United States

Journal of Pediatric Health Care - Thu, 01/17/2019 - 00:00
Federal benefit programs assist individuals and low-income families with basic expenses like food, housing, and health care. The eligibility rules associated with these programs impact access to health care and the health of immigrants, as well as natural-born citizens in the United States (Salami, 2017). In 2016, about 44 million immigrants resided in the United States and accounted for 13.5% of the total U.S. population (Gambino, 2017). California has the largest population of legal permanent residents (LPRs); of the 38 million people in California, 27% are immigrants, and an estimated 3.3 million are LPRs (Ponce et al., 2018).
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A Rare Cause of Recurrent Abdominal Pain in a 5-Year-Old

Journal of Pediatric Health Care - Wed, 01/16/2019 - 00:00
A healthy 5-year-old boy of Indian and Caucasian descent presented to his pediatrician after three intermittent monthly bouts of cramping diffuse abdominal pain. His mother described these episodes as waves of writhing pain that would incapacitate her son for approximately 10 to 20 minutes before remitting briefly, only to start over again in a repetitive manner. These recurrent episodes of pain continued for 3 to 9 hours and occurred in the evening or at night. Associated symptoms included nonbloody, nonbilious episodes of vomiting with loose stools.
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The role of designated and named professionals in child safeguarding

Paediatrics and Child Health - Wed, 01/16/2019 - 00:00
All practitioners in the health service have clearly described roles and responsibilities with regard to the protection of children from harm and the improvement of their welfare. This article will focus on the parts played by the two tiers of leading clinical responsibility. These posts are required by statutory guidance and their expertise is thereby available across the health economy, and influential within child safeguarding partnerships.Nearly all failures of child safeguarding involve failures of communication between partners.
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Hair loss in infancy and childhood

Paediatrics and Child Health - Mon, 01/14/2019 - 00:00
Hair problems can cause considerable anxiety to both children and their parents. This article discusses hair growth and cycling, the common presentations of hair loss in infancy and childhood and an approach to diagnosis. This information will help equip the reader to manage common types of hair loss in the paediatric setting.
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Somnolence-Producing Agents: A 5-Year Study of Prescribing for Medicaid-Insured Children With Attention Deficit Hyperactivity Disorder

Journal of Pediatric Health Care - Mon, 01/07/2019 - 00:00
Researchers evaluated the prescribing of medications that induce somnolence to children with attention deficit hyperactivity disorder (ADHD) insured by Medicaid.
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Child Sexual Abuse and Differential Diagnoses: A Case Report

Journal of Pediatric Health Care - Fri, 01/04/2019 - 00:00
A 4-year-old African American female presented to her primary care provider with her maternal grandmother for a chief complaint of pain around her genitals and a pruritic rash on her abdomen that had been unchanged for the past 7 days.
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The management of eczema in children

Paediatrics and Child Health - Fri, 01/04/2019 - 00:00
Atopic eczema (AE) is a chronic, itchy, inflammatory skin condition that affects 10–20% of children in developed countries. It is a relapsing and remitting condition, with episodes of disease exacerbation as frequently as two or three times per month. In severe cases it may become continuous. Some children with AE develop lifelong disease whilst others go on to develop asthma and allergic rhinitis, in a sequence referred to as the ‘atopic march’. This article details the current therapies available for treating children with AE, with practical advice on management and reference to the most recent guidelines.
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Self-assessment

Paediatrics and Child Health - Thu, 01/03/2019 - 00:00
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Management of paediatric dermatological emergencies

Paediatrics and Child Health - Wed, 01/02/2019 - 00:00
Most skin diseases can be safely managed in outpatients; however, in a significant proportion of cases, immediate and aggressive intervention is required. Recognition of these more serious and potentially life-threatening dermatological presentations is imperative in order to provide correct emergency treatment and limit morbidity and mortality. This article looks at conditions which may present in childhood that might require urgent treatment. These include infection, drug reactions, erythroderma, congenital ichthyoses (especially collodian baby and Harlequin ichthyosis), Stevens-Johnson syndrome, toxic epidermal necrolysis, infantile haemangiomas and epidermolysis bullosa.
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The child with a non-blanching rash

Paediatrics and Child Health - Wed, 01/02/2019 - 00:00
Appearance of non-blanching rash in a child is a common reason to seek medical attention. However, most children with non-blanching rash are well from benign self-limiting illness. Only minority of these children have a serious underlying cause such as invasive meningococcal sepsis or malignancy. Therefore a huge responsibility rests on the frontline clinician to unpick the seriously unwell child or the child who could potentially deteriorate from a cohort of all children with non-blanching rash.
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Management of infantile haemangioma

Paediatrics and Child Health - Wed, 01/02/2019 - 00:00
Infantile haemangiomas (IH) are common benign vascular neoplasms of infancy. Natural history follows a characteristic pattern - proliferation, stabilisation, and involution. Most IH remain uncomplicated. Watchful expectancy will suffice for this group. Segmental type of IH over face and lower back can be associated with extra cutaneous abnormalities. A small subset of IH gets complicated with risk of functional impairment, cosmetic disfigurement, or ulceration. Systemic treatment is required for this selective group to hasten natural involution and prevent secondary complications.
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Society Page

Journal of Pediatric Health Care - Tue, 01/01/2019 - 00:00
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Nursing Now: A Global Campaign

Journal of Pediatric Health Care - Tue, 01/01/2019 - 00:00
Across the globe, examples of nursing practice illustrate the varied and diverse aspects of the professional roles and responsibilities which nurses hold. In remote parts of the world, a nurse may be the first and only health professional whom people see for their health care needs, which fosters enormous creativity and innovation in providing care. Such a nurse is usually also a part of the local community, and shares in the cultural strengths and challenges. In other parts of the world, nurses may be advanced practitioners, who practice independently but collaboratively, with the capability to diagnose and manage a range of disorders while also promoting health and positive coping among patients with chronic illness.
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On Looking Forward and Looking Back

Journal of Pediatric Health Care - Tue, 01/01/2019 - 00:00
The beginning of January is a special time for me. December brings Christmas, my favorite holiday, and my youngest daughter's birthday. It means lights, family, friends, and traditions. I spend the time leading up to New Year's Eve thinking about the previous year: the good and the bad, the things I improved on, and the areas where I still have room to grow. New Years is a time of hope and promise. This spurs many of us to make life changes. This may be a desire to change an unhealthy habit, to spend more time with loved ones and less time on trivial things, or to spend more time volunteering and sharing our blessings with others.
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NAPNAP Position Statement on Pediatric-Focused Advanced Practice Registered Nurses’ Role in Disasters Involving Children

Journal of Pediatric Health Care - Tue, 01/01/2019 - 00:00
The National Association of Pediatric Nurse Practitioners (NAPNAP) acknowledges the central role of pediatric nurse practitioners (PNPs) and their fellow pediatric-focused advanced practice registered nurses (APRNs) in disaster preparedness to provide guidance and care before, during, and after local, national, and global disasters that affect children and families. The term disaster encompasses natural (i.e., hurricanes, earthquakes, wildfires, mudslides, tornadoes, tsunamis, pandemics) and man-made (i.e., active shooter, chemical, biological, radiologic, nuclear, explosive) occurrences and implies a mass casualty incident.
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