Journal of Pediatric Health Care最新文献

英文中文

Addressing Obesity and Mental Health in Adolescents: Holistic Insights from a Case Report 解决肥胖和青少年心理健康：从一个案例报告的整体见解。

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care

Pub Date : 2026-01-01 DOI: 10.1016/j.pedhc.2025.07.002

Latonya Fore-Williams DNP, APRN, NP-C, CSOWM, CBN, CCM , Anne Derouin DNP, APRN, CPNP-PC, PMHS, FAANP, ANEF

Obesity in young adults is a major public health issue. Although the physical effects and long-term consequences of obesity are well-documented, the psychological effects contribute to a cycle that worsens both weight gain and emotional distress. Teens with obesity experience social isolation, poor body image, and low self-esteem, increasing their risk for anxiety and depression. Their mental health burden is compounded by stigma and victimization. This fictional case report follows Jessica, a 15-year-old Black adolescent, as she navigates obesity alongside peer interactions, societal expectations, and challenges to self-confidence. Her experiences with weight-based stigma and social dynamics illustrate the interconnected relationship between mental health and obesity, shaped by broader social and environmental factors. By examining Jessica’s journey, this report emphasizes the need for holistic, trauma-informed care that acknowledges individual experiences, fosters resilience, and promotes well-being.

年轻人肥胖是一个重大的公共健康问题。虽然肥胖对身体的影响和长期的后果是有据可查的，但它对心理的影响会形成一个恶性循环，加剧体重增加和情绪困扰。肥胖的青少年会经历社会孤立，身体形象不佳，自卑，增加了他们焦虑和抑郁的风险。她们的精神健康负担因耻辱和受害而加重。这个虚构的案例报告讲述了15岁的黑人青少年杰西卡的故事，她在同龄人交往、社会期望和自信挑战中度过了肥胖的生活。她在体重歧视和社会动态方面的经历说明了心理健康和肥胖之间的相互关系，这种关系受到更广泛的社会和环境因素的影响。通过检查杰西卡的旅程，本报告强调需要全面的、创伤知情的护理，承认个人经历，培养韧性，促进幸福。

引用次数: 0

Impact of Ondansetron Timing on Symptom Burden and Diagnostic Performance During Pediatric Growth Hormone Stimulation Testing 在儿童生长激素刺激试验中使用昂丹司琼对症状负担和诊断性能的影响。

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care

Pub Date : 2026-01-01 DOI: 10.1016/j.pedhc.2025.09.001

Emir Tas MD, Swetha Movva MD, Katrina Stumbras MD, MPH, Erika McCann RN, Elizabeth Ranella PA, Luigi Garibaldi MD, Wassim Chemaitilly MD, Oscar Escobar MD

Introduction

Growth hormone (GH) stimulation testing using levodopa/carbidopa often causes nausea and vomiting. Ondansetron is commonly used for symptom control, but its effect on GH test accuracy is unclear.

Methods

We retrospectively studied 129 children (ages 2–16) who underwent GH stimulation testing with arginine–levodopa/carbidopa. Ondansetron timing was categorized as none, early (0–30 minutes), or late (31–120 minutes). We assessed the association between ondansetron timing and GH test response, incorporating clinical, auxological, and biochemical characteristics into multivariable regression models. Primary outcomes were peak GH concentration and GH deficiency classification (<10 μg/L).

Results

Ondansetron timing was not associated with peak GH or GH deficiency. Nausea/vomiting was more common in the late group (51%) than early (38%) or none (25%) (p = .019), possibly reflecting selection bias. Higher BMI SDS was associated with lower peak GH (β = −0.302, p < .001) and increased odds of GH deficiency (OR = 1.81, p = .016).

Discussion

Ondansetron does not affect GH test outcomes and may reduce symptoms. BMI standard deviation scores (SDS) is an independent predictor of GH response and should be considered in interpreting test results.

简介：使用左旋多巴/卡比多巴进行生长激素（GH）刺激试验常引起恶心和呕吐。昂丹司琼常用于症状控制，但其对生长激素检测准确性的影响尚不清楚。方法：我们回顾性研究了129名接受精氨酸-左旋多巴/卡比多巴刺激生长激素试验的儿童（2-16岁）。昂丹司琼时间分为无、早（0-30分钟）和晚（31-120分钟）。我们评估了昂丹司琼时间与生长激素试验反应之间的关系，将临床、生理和生化特征纳入多变量回归模型。主要结果是GH峰值浓度和GH缺乏分类(结果：昂丹司琼时间与GH峰值或GH缺乏无关。恶心/呕吐在晚期组（51%）比早期组（38%）或无（25%）更常见（p = 0.019），可能反映了选择偏差。BMI SDS越高，生长激素峰值越低（β = -0.302, p < .001），生长激素缺乏的几率越高（OR = 1.81, p = .016）。讨论：昂丹司琼不影响生长激素测试结果，可能减轻症状。BMI标准偏差评分（SDS）是生长激素反应的独立预测因子，在解释测试结果时应予以考虑。

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引用次数: 0

Empowering Bladder Health Education for Children: Integrating Situated Learning Theory and the ARCS Model in Online Program Design 强化儿童膀胱健康教育：情境学习理论与ARCS模式在线上课程设计中的整合。

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care

Pub Date : 2026-01-01 DOI: 10.1016/j.pedhc.2025.09.005

Chenxi Liu PhD, Jacky Chu BS, Taylor Hughes MD, Claire Follis MSEd, Kathleen M. Kan MD

Introduction

Urotherapy, including behavior modification education, improves pediatrics lower urinary tract symptoms, but access remains limited due to a lack of publicly available, evidence-based programs. We developed Bladder Basics, a self-paced online bladder health education program and examined its instructional design and acceptability.

Methods

Informed by Situated Learning Theory and the ARCS Model, Bladder Basics teaches key bladder health practices to promote behavior changes in an authentic, engaging way. 70 children ages 5–10 years with bladder symptoms and their parents watched Bladder Basics over four weeks, then completed online surveys and open-ended questions.

Results

Bladder Basics was well-accepted and demonstrated high motivational appeal. Participants reported positive attitudes, strong engagement, and interest in expanded content. Parents observed increased child engagement and self-efficacy in adopting bladder health-promoting behaviors.

Conclusion

Integrating the two theoretical frameworks supports authentic, engaging bladder health education, enhancing motivation and acceptability, and potentially promoting healthy behavior adoption.

导读：泌尿治疗，包括行为矫正教育，可以改善儿科下尿路症状，但由于缺乏公开的、基于证据的方案，其可及性仍然有限。我们开发了膀胱基础，一个自定进度的在线膀胱健康教育项目，并检查了它的教学设计和可接受性。方法：根据情境学习理论和ARCS模型，膀胱基础课程教授关键的膀胱健康实践，以真实、吸引人的方式促进行为改变。70名年龄在5-10岁之间有膀胱症状的儿童和他们的父母在四周的时间里观看了《膀胱基础》，然后完成了在线调查和开放式问题。结果：《膀胱基础》被广泛接受，具有较高的激励吸引力。参与者报告了积极的态度，强烈的参与度和对扩展内容的兴趣。父母观察到采用膀胱健康促进行为的孩子的参与和自我效能增加。结论：两种理论框架的整合支持真实、有效的膀胱健康教育，增强动机和可接受性，并有可能促进健康行为的采用。

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Monitoring Vaccine Safety: United States Vaccine Safety Surveillance Systems 监测疫苗安全：美国疫苗安全监测系统

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care

Pub Date : 2026-01-01 DOI: 10.1016/j.pedhc.2025.07.016

Lauren Head Zauche PhD, CPNP-PC, RN, Elaine R. Miller MPH, RN, Sehwa S. Kim MSHI, RN, Amelia Jazwa MSPH, David K. Shay MD, MPH

Immunization is an effective public health tool to protect children from hospitalization and death from vaccine-preventable diseases. Vaccine safety monitoring is essential to understand risks of vaccination. The Centers for Disease Control and Prevention closely monitors vaccine safety through multiple surveillance systems, including V-safe, the Vaccine Adverse Event Reporting System, the Vaccine Safety Datalink, and the Clinical Immunization Safety Assessment Network. This article briefly discusses each surveillance system and available evidence that healthcare providers can use to respond to common vaccine concerns. As trusted sources of information about vaccines, pediatric nurses and nurse practitioners need to understand how vaccine safety is monitored, where to access reliable resources about vaccines, and when and where to report adverse events noted after vaccination.

免疫接种是一项有效的公共卫生工具，可保护儿童免于因疫苗可预防的疾病住院和死亡。疫苗安全监测对于了解疫苗接种的风险至关重要。疾病控制和预防中心通过多种监测系统密切监测疫苗安全性，包括V-safe、疫苗不良事件报告系统、疫苗安全数据链和临床免疫安全评估网络。本文简要讨论了每个监测系统以及卫生保健提供者可用于应对常见疫苗问题的现有证据。作为可信赖的疫苗信息来源，儿科护士和护士从业人员需要了解如何监测疫苗安全性，在何处获得可靠的疫苗资源，以及何时何地报告接种疫苗后注意到的不良事件。

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NAPNAP Position Statement on Protection of Children Involved in Research Studies 关于保护参与研究的儿童的立场声明

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care

Pub Date : 2026-01-01 DOI: 10.1016/j.pedhc.2025.09.014

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A Missed Opportunity: Severe Malnutrition in an Infant Despite Routine Care Access 错失的机会：尽管有常规护理，婴儿仍然严重营养不良。

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care

Pub Date : 2026-01-01 DOI: 10.1016/j.pedhc.2025.07.006

Claire Kee RD (Pediatric Dietitian)

Severe malnutrition of an infant is rare in Canada but poses a major public health concern. This case report describes a 5-month-old male presenting with a rash, found to be severely malnourished with hypoglycemia, bradycardia, hypothermia, ketosis, and metabolic acidosis. Malnutrition was likely due to inadequate breastmilk supply and underfeeding. The infant was treated with intravenous fluids and carefully managed feeding plans while closely monitoring biochemical markers. His nutritional status gradually improved, normalizing symptoms and lab values. This case highlights the importance of early recognition of growth failure, timely referrals, and prevention of complications like refeeding syndrome.

婴儿严重营养不良在加拿大是罕见的，但却引起了重大的公共卫生关注。本病例报告描述了一名5个月大的男性，表现为皮疹，发现严重营养不良，伴有低血糖、心动过缓、体温过低、酮症和代谢性酸中毒。营养不良可能是由于母乳供应不足和喂养不足。婴儿接受静脉输液治疗和精心管理的喂养计划，同时密切监测生化指标。他的营养状况逐渐改善，症状和实验室指标恢复正常。该病例强调了早期识别生长衰竭、及时转诊和预防再进食综合征等并发症的重要性。

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Severe Immune Thrombocytopenia and Myositis After 23-Valent Pneumococcal Vaccine 23价肺炎球菌疫苗接种后的严重免疫性血小板减少和肌炎。

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care

Pub Date : 2026-01-01 DOI: 10.1016/j.pedhc.2025.07.003

Arjun Gampala BA , Divya Minnaganti BA , Darcy Weidemann MD, MHS

An adolescent patient developed a severe local inflammatory reaction, acute kidney injury, extensive myofascitis, and profound immune thrombocytopenia resulting in vitreous hemorrhage and long-term permanent visual impairment after 23-valent polysaccharide pneumococcal vaccine administration. This severe adverse outcome has not previously been reported in the literature with this particular vaccination. This case highlights rare but serious potential adverse immunologic effects of polysaccharide vaccines.

一例青少年患者在接种23价多糖肺炎球菌疫苗后出现严重的局部炎症反应、急性肾损伤、广泛的肌筋膜炎和严重的免疫性血小板减少症，导致玻璃体出血和长期永久性视力障碍。这种严重的不良后果以前没有在文献中报道过这种特殊疫苗接种。本病例突出了多糖疫苗罕见但严重的潜在不良免疫效应。

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Consequences of Screen Time on Sleep Quality in Children and Adolescents: A Scoping Review 屏幕时间对儿童和青少年睡眠质量的影响：一项范围综述。

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care

Pub Date : 2026-01-01 DOI: 10.1016/j.pedhc.2025.08.005

Raquel Lourenço Silva MD , Bruna Paiva Couto Gonçalves MD , Matheus Hissa Lourenço Ferreira PT , Nelson Carvas Junior MSc

Introduction

Excessive use of electronic devices can negatively impact sleep quality in children and adolescents. This scoping review mapped the literature on the effects of screen time on sleep and identified research gaps.

Methods

Following PRISMA-ScR guidelines, 32 observational, experimental, and systematic review studies published up to 2025 were included (PubMed, Embase, Cochrane Library, and BVS). Screen time duration, device type, content, and exposure timing were analyzed.

Results

Prolonged screen use before bedtime was associated with shorter sleep duration, increased sleep latency, and sleep fragmentation. Social media and video games were particularly linked to higher risks of insomnia and daytime sleepiness.

Conclusions

There is a lack of standardization in screen time definitions and measurement methods. Future research should evaluate interventions such as parental education programs, blue light filters, and nighttime screen use policies to mitigate screen time’s negative impact on sleep quality in youth.

过度使用电子设备会对儿童和青少年的睡眠质量产生负面影响。这篇综述梳理了有关屏幕时间对睡眠影响的文献，并确定了研究空白。方法：遵循PRISMA-ScR指南，纳入了32项截至2025年发表的观察性、实验性和系统评价研究（PubMed、Embase、Cochrane Library和BVS）。对屏幕时长、设备类型、内容和曝光时间进行了分析。结果：睡前长时间使用屏幕与睡眠时间缩短、睡眠潜伏期增加和睡眠碎片化有关。社交媒体和视频游戏尤其与失眠和白天困倦的风险增加有关。结论：屏幕时间的定义和测量方法缺乏标准化。未来的研究应该评估干预措施，如父母教育计划、蓝光过滤器和夜间屏幕使用政策，以减轻屏幕时间对青少年睡眠质量的负面影响。

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引用次数: 0

Information for Readers 读者资讯

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care

Pub Date : 2026-01-01 DOI: 10.1016/S0891-5245(25)00349-9

引用次数: 0

Recurrent Crusted Scabies in Pediatrics: A Case Report 儿科复发结痂性疥疮1例报告。

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care

Pub Date : 2026-01-01 DOI: 10.1016/j.pedhc.2025.07.018

Thi Hoai Thu Nguyen MSc

Crusted scabies (also referred to as Norwegian scabies) is an uncommon and highly contagious variant of scabies. Although crusted scabies is often prevalent in the elderly and immunocompromised individuals, it can occur in the immunocompetent pediatric population. Early and accurate diagnosis, and appropriate treatments must be provided to pediatric patients who present with symptoms of crusted scabies to prevent complications and spread the disease in communities.This case report highlights the follow-up care that can prevent recurrent crusted scabies, which is associated with reduced children’s quality of life and increased financial burden on the health care system.

结痂性疥疮（也被称为挪威疥疮）是一种罕见的高度传染性疥疮变种。虽然结痂性疥疮通常在老年人和免疫功能低下的个体中流行，但它可以发生在免疫能力强的儿科人群中。必须向出现结痂疥疮症状的儿科患者提供早期和准确的诊断和适当的治疗，以防止并发症和疾病在社区中传播。本病例报告强调可以预防结痂性疥疮复发的后续护理，这与儿童生活质量下降和卫生保健系统的经济负担增加有关。

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Journal of Pediatric Health Care

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