Journal of Pediatric Health Care

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Updated: 6 hours 42 min ago

Medical Marijuana in the Pediatric Population With Epilepsy—What You Should Know

Sat, 06/01/2019 - 00:00
This article discusses the controversial but promising topic of medical marijuana (MM) use in the pediatric population with epilepsy. Included is the importance of MM throughout history, the pharmacodynamics and pharmacokinetics, and a literature review that provides anecdotal evidence of the positive effect MM has on children suffering from seizures. From this literature review, dosage for treatment and management is provided. Also discussed is the recent FDA-approved pharmaceutical grade CBD product, Epidiolex, for treatment of two pediatric-onset seizure syndromes, Lennox-Gastaut and Dravet.
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Perceived Needs for Adolescent Mental Health in an Urban Community

Thu, 05/30/2019 - 00:00
Stressors in urban communities are detrimental to adolescents’ psychological health. Key factors for success are a community–academic partnership in which researchers and stakeholders in the community work together on program development and research practices. This study elicited students’, parents’, and teachers’ perceived needs for psychological well-being in urban-dwelling adolescents.
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Effects of Early Initiation of Breastfeeding on Exclusive Breastfeeding Practices of Mothers in Rural Haiti

Thu, 05/30/2019 - 00:00
Rates and relationships of early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) of mothers in rural Haiti were examined. Prelacteal and complementary feedings were identified.
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Information for Readers

Wed, 05/01/2019 - 00:00
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Society Page

Wed, 05/01/2019 - 00:00
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Editorial Board Page

Wed, 05/01/2019 - 00:00
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Table of Contents

Wed, 05/01/2019 - 00:00
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#NursesToo

Wed, 05/01/2019 - 00:00
A nurse in the operating room is the target of vulgar comments made by a surgeon over an anesthetized patient. A cardiology fellow who travels to a conference is told by an attending physician that he'll pay for one more night in the hotel if she'll share the room with him. And, after reporting the incidents to her union and to the medical center, a licensed practical nurse successfully brings legal action against a male nursing assistant who had numerous times shoved her into a closet and groped her.
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The Importance of Professional Advocacy

Wed, 05/01/2019 - 00:00
Nurse practitioners (NPs) and other advanced practice nurses are the front-line health care providers to millions of people every single day. Research demonstrates we provide high-quality care equal or superior to other health care providers, yet our restrictions in scope of practice are many. Common issues we face include difficulty achieving third-party payor designation, federal policies that ultimately are costlier to the system than a more streamlined approach, state-level limitations on practice that prevent us from working to the highest scope of our education and practice, and institutional restrictions that lead to fragmented care.
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A Review on the Use of Cystic Fibrosis Transmembrane Conductance Regulator Gene Modulators in Pediatric Patients

Wed, 05/01/2019 - 00:00
The literature surrounding the use of cystic fibrosis transmembrane conductance regulator-targeted pharmacotherapies in pediatric patients continues to evolve. These therapies represent a departure from symptom management and infection prevention, which have been the mainstay of cystic fibrosis management in pediatrics, to targeting the genetic defect present within these patients. This article reviews the clinical studies evaluating the safety and efficacy of ivacaftor, ivacaftor/lumacaftor, and ivacaftor/tezacaftor.
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Immunization-Associated Pain: Taking Research to the Bedside

Sat, 04/27/2019 - 00:00
Immunization-associated pain is the number one cause of pain in pediatric settings. Untreated pain has many short- and long-term detrimental effects. The purpose of this project was to implement a nonpharmaceutical immunization-associated–pain prevention program.
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LGBT Youth, Sex Trafficking, and the Nurse Practitioner's Role

Fri, 03/29/2019 - 00:00
Sex trafficking is one of the most profitable forms of transnational crimes (U.S. Department of Homeland Security, 2018). Sex traffickers prey on vulnerable populations to commission these crimes. Lesbian, gay, bisexual, and transgender (LGBT) youth are subject to adversity from an early age, which leaves them especially vulnerable to sex traffickers. Health care providers lack the resources, education, protocols, and policies required to protect these youth members of society. This literature review explores LGBT youth's risk factors for becoming a trafficked child, a provider's role in protecting and treating these youth, the legalities of a provider reporting sex trafficking, and research opportunities pertinent to these issues.
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Case Report: Neuropsychiatric Symptoms in PKU Disease

Fri, 03/29/2019 - 00:00
Phenylketonuria is a rare inborn error of metabolism. The build-up of phenylalanine in the blood and body tissues can have significant impact on the brain's development. High phenylalanine levels have been shown to be associated with an increase in neuropsychiatric symptoms, including mood, anxiety, and attention problems; decreased social competence; and low self-esteem. This case report highlights such a presentation in an adolescent with phenylketonuria.
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Nurse-Led Telephone Follow-Up to Improve Parent Promotion of Healthy Behaviors in Young Children With Motivational Interviewing Techniques

Wed, 03/27/2019 - 00:00
The American Academy of Pediatrics (AAP) recommends primary care–based health promotion for obesity prevention at all visits, focusing on nutrition and activity.
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Outcomes of a Brief Cognitive Skills-Based Intervention (COPE) for Adolescents in the Primary Care Setting

Wed, 03/20/2019 - 00:00
Approximately 25% of adolescents have behavioral disorders, yet few receive treatment. Primary care (PC) screening for depression and anxiety is recommended; however treatments, such as cognitive behavioral therapy (CBT), are rarely available in PC settings. Our aim was to determine whether the use of a CBT-based intervention (COPE for Teens) is associated with improved outcomes on measures of depression and anxiety, and to understand the patient experience.
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The Pediatric Procedural Holistic Comfort Assessment: A Feasibility Study

Tue, 03/19/2019 - 00:00
Holistic comfort is an essential component of pediatric procedural care. However, a main gap in the literature is the ability to measure this. In this study, researchers report the feasibility of implementing a newly developed psychosocial measurement instrument in clinical practice.
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Relationships Between Adolescent Stress, Depressive Symptoms, and Sexual Risk Behavior in Young Adulthood: A Structural Equation Modeling Analysis

Tue, 03/19/2019 - 00:00
This study examined longitudinal associations between stressful life events and depressive symptoms, assessed during two time points of adolescence, and sexual risk behavior, assessed during young adulthood.
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Traditional and Nontraditional Collaborations to Improve Population Health Using Geospatial Information SystemMaps: Analysis of the Opioid Crisis

Tue, 03/19/2019 - 00:00
The study aims were to analyze interprofessional practice collaborations among traditional and nontraditional health care providers and to educate nurse practitioner preceptors and students on population health, specifically, implementation of geospatial information system (GIS) maps and the correlation with the opioid crisis.
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Screening for the Social and Behavioral Determinants of Health at a School-Based Clinic

Tue, 03/19/2019 - 00:00
Screening and providing interventions for adverse social and behavioral determinants of health (SBDOHs) can potentially improve health outcomes. The purpose of this project was to evaluate the feasibility of screening for SBDOHs during an episodic visit at a school-based clinic and to evaluate whether it increased identification of and intervention for adverse SBDOHs.
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