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Accuracy of a Single Financial Security Question to Screen for Social Needs. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Janel Hanmer,Kristin N Ray,Kelsey Schweiberger,Seth A Berkowitz,Deepak Palakshappa
OBJECTIVES Screening for social needs is recommended during clinical encounters but multi-item questionnaires can be burdensome. We evaluate if a single question about financial stress can be used to prescreen for food insecurity, housing instability, or transportation needs. METHODS We use retrospective medical record data from children (<11 years) seen at 45 primary pediatric care offices in 2022
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Diagnostic Accuracy of a Real-Time Host-Protein Test for Infection. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Adi Klein,Ma'anit Shapira,Shelly Lipman-Arens,Ellen Bamberger,Isaac Srugo,Irena Chistyakov,Michal Stein
OBJECTIVE Determining infection etiology can be difficult because viral and bacterial diseases often manifest similarly. A host protein test that computationally integrates the circulating levels of TNF-related apoptosis-induced ligand, interferon γ-induced protein-10, and C-reactive protein to differentiate between bacterial and viral infection (called MMBV) demonstrated high performance in multiple
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Sharing Pediatric Trial Results With Youth and Families: From Why to How. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Ami Baba,Martin Offringa,Nancy J Butcher
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CD55 Deficiency With Budd-Chiari Syndrome Treated by Liver Transplantation and Eculizumab. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Sinja Ohlsson,Elke Lainka,Christoph Hünseler,Carsten Bergmann,Sebahattin Cirak,Hideo A Baba,Peter F Hoyer
We report the case of a male patient who had a history of early-onset protein-losing enteropathy, chronic diarrhea, and repeated thrombotic events since early childhood. He developed Budd-Chiari syndrome with consequent acute liver failure that required liver transplantation when he was 12 years old. The initial graft failed to function and he required retransplantation. Steroid-resistant rejection
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Mandatory Reporting of Intimate Partner Violence by Health Care Providers May Be Required by State or Tribal Law. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Mitchell Berger
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Misleading Statements About Children as Living Organ Donors. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Lainie Friedman Ross
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Author Response: Misleading Statements About Children as Living Organ Donors. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Benson Hsu
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Author Response: Mandatory Reporting of Intimate Partner Violence by Health Care Providers May Be Required by State or Tribal Law. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Jonathan Thackeray
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Pediatric Care Management Programs: The Evidence Gap Remains. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Kao-Ping Chua,Sean P Gleeson
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Cost, Utilization, and Patient and Family Experience With ACO-Based Pediatric Care Management. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Katherine H Schiavoni,Megan Flom,Karen J Blumenthal,E John Orav,Margaret Hefferon,Erin Maher,Alexy Arauz Boudreau,Christopher P Giuliano,Barbara Chambers,Mark H Mandell,Maryann Vienneau,Mallika L Mendu,Christine Vogeli
BACKGROUND AND OBJECTIVES Children and Youth with Special Health Care Needs have high healthcare utilization, fragmented care, and unmet health needs. Accountable Care Organizations (ACOs) increasingly use pediatric care management to improve quality and reduce unnecessary utilization. We evaluated effects of pediatric care management on total medical expense (TME) and utilization; perceived quality
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Clinician Management Practices for Infants With Hypothermia in the Emergency Department. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Sriram Ramgopal,Christopher Graves,Paul L Aronson,Andrea T Cruz,Alexander Rogers,
BACKGROUND Young infants with serious bacterial infections (SBI) or herpes simplex virus (HSV) infections may present to the emergency department (ED) with hypothermia. We sought to evaluate clinician testing and treatment preferences for infants with hypothermia. METHODS We developed, piloted, and distributed a survey of ED clinicians from 32 US pediatric hospitals between December 2022 to March 2023
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Supporting the Family After the Death of a Child or Adolescent. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Meaghann S Weaver,Arwa Nasir,Blyth T Lord,Amy Starin,Jennifer S Linebarger,,
Whether death occurs in the context of a chronic illness or as the sudden loss of a previously healthy infant, child, or adolescent, the death of a child is a highly stressful and traumatic event. Psychosocial support for families after the death of a child embodies core medical values of professional fidelity, compassion, respect for human dignity, and promotion of the best interests of a grieving
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Transcutaneous Bilirubin Accuracy Before, During, and After Phototherapy: A Meta-Analysis. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Lisa Ten Kate,Tiemen van Oorschot,Jessica Woolderink,Sarah Teklenburg-Roord,Jolita Bekhof
CONTEXT Transcutaneous bilirubinometry (TcB) is used as a valid screening to identify neonates requiring measurement of total serum bilirubin (TSB) before phototherapy. Its use during and after phototherapy is not advised yet because of unknown reliability. OBJECTIVES To determine the agreement of TcB and TSB measurements before, during, and after phototherapy. DATA SOURCES PubMed Medline, Cochrane
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Ovotesticular Disorder of Sex Development Presenting as a Scrotal Emergency. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Junfeng Zhao,Jianming Zhu,Shuxia Ding,Haibo Li
Ovotesticular (OT) disorder of sex development (DSD) is a rare condition that affects the development of reproductive organs and manifests in a wide range of phenotypic presentations. The clinical diagnosis of this condition is challenging because of its atypical nature, and the variability of presentation in 46,XX OT-DSD cases makes it a complex issue in medical practice. We report a case of a 13-year-old
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Food Insecurity and Experiences of Discrimination Among Caregivers of Hospitalized Children. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Alexis M Cacioppo,Victoria Winslow,Emily M Abramsohn,Jyotsna S Jagai,Jennifer A Makelarski,Elaine Waxman,Kristen Wroblewski,Stacy Tessler Lindau
BACKGROUND AND OBJECTIVES Pediatric hospitals are adopting strategies to address food insecurity (FI), a stigmatizing condition, among families with children. We hypothesized that parents and other caregivers ("caregivers") from households with FI or marginal food security (MFS) are more likely to experience discrimination during their child's hospitalization. METHODS We analyzed data from 319 caregivers
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Measurement of Ambulatory Medication Errors in Children: A Scoping Review. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Lisa Rickey,Katherine Auger,Maria T Britto,Isabelle Rodgers,Shayna Field,Alayna Odom,Madison Lehr,Alexandria Cronin,Kathleen E Walsh
BACKGROUND AND OBJECTIVES Children use most medications in the ambulatory setting where errors are infrequently intercepted. There is currently no established measure set for ambulatory pediatric medication errors. We have sought to identify the range of existing measures of ambulatory pediatric medication errors, describe the data sources for error measurement, and describe their reliability. METHODS
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Fecal Microbiota Transplantation: Information for the Pediatrician. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Maria Oliva-Hemker,Stacy A Kahn,William J Steinbach,,
Fecal microbiota transplantation (FMT) involves the delivery of an entire microbial community from a healthy donor to a recipient with the intention of ameliorating or curing a specific disease. Current evidence strongly supports a role for FMT in the treatment of Clostridiodes difficile infection, with cure rates of approximately 80% to 90%. This success has led to increasing attention for FMT as
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LGBTQ+ Youth Experiencing Homelessness: Health Impacts and a Call to Action. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Avik Chatterjee,Aura Obando
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Cumulative Health Vulnerabilities Among Adolescents by Age and Neighborhood Opportunity. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Gabrielle DiFiore,Sarah Wood,Brian P Jenssen,Alexander G Fiks,Stephanie L Mayne
BACKGROUND AND OBJECTIVES Early detection of health vulnerabilities in adolescents is integral to promoting healthy behaviors into adulthood. Our objective was to quantify the prevalence of health vulnerabilities among adolescents and examine differences by age and neighborhood opportunity. METHODS In a cross-sectional analysis of electronic health record data for adolescents aged 13 to 18 years with
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Race, Ethnicity, and Ancestry in Clinical Pathways: A Framework for Evaluation. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Robert H Rosen,Alexandra Epee-Bounya,Dorothy Curran,Sarita Chung,Robert Hoffmann,Lois K Lee,Carolyn Marcus,Camila M Mateo,Jason E Miller,Cameron Nereim,Elizabeth Silberholz,Snehal N Shah,Christina V Theodoris,Hanna Wardell,Ariel S Winn,Sara Toomey,Jonathan A Finkelstein,Valerie L Ward,Amy Starmer,
Clinical algorithms, or "pathways," promote the delivery of medical care that is consistent and equitable. Race, ethnicity, and/or ancestry terms are sometimes included in these types of guidelines, but it is unclear if this is appropriate for clinical decision-making. At our institution, we developed and applied a structured framework to determine whether race, ethnicity, or ancestry terms identified
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Increasing Access to and Utilization of Behavioral Health Care Through Integrated Primary Care. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Cody Hostutler,Noelle Wolf,Tyanna Snider,Catherine Butz,Alex R Kemper,Eric Butter
OBJECTIVES To evaluate changes in access to and utilization of behavioral health (BH) services after the integration of psychologists into primary care clinics compared with clinics without integrated psychologists. METHODS We integrated 4 of 12 primary care clinics within our academic health system. We used the median wait time for BH services as a proxy for changes in access and defined BH utilization
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Diabetes in Pregnancy, Neonatal Morbidities, and Early Growth in Moderate or Late Preterm Infants. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Catherine O Buck,Veronika Shabanova,Reese H Clark,Sarah N Taylor
OBJECTIVES To compare differences in short term morbidities and early growth among moderate and late preterm infants of mothers with and without diabetes (DM) in pregnancy. METHODS In a longitudinal analysis using data from the Pediatrix Clinical Data Warehouse of preterm infants (born 32 0/7 to 36 6/7 weeks) discharged from neonatal intensive care units from 2008 to 2019, health characteristics were
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Caregiver Language Preference and Health Care Utilization Among Children With Asthma. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Mickey Emmanuel,Rachel Margolis,Ranjodh Badh,Nikita Kachroo,Stephen J Teach,Kavita Parikh
BACKGROUND AND OBJECTIVES Asthma is a leading cause of health care utilization in children and disproportionately affects historically marginalized populations. Yet, limited data exist on the role of caregiver language preference on asthma morbidity. The study aim was to determine whether caregiver non-English language preference (NELP) is associated with unscheduled asthma-related health care utilization
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Cardiovascular Follow-up of Patients Treated for MIS-C. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Dayna Zimmerman,Mark Shwayder,Andrew Souza,Jennifer A Su,Jodie Votava-Smith,Sharon Wagner-Lees,Kelli Kaneta,Andrew Cheng,Jacqueline Szmuszkovicz
OBJECTIVES To assess the prevalence of residual cardiovascular pathology by cardiac MRI (CMR), ambulatory rhythm monitoring, and cardiopulmonary exercise testing (CPET) in patients ∼6 months after multisystem inflammatory disease in children (MIS-C). METHODS Patients seen for MIS-C follow-up were referred for CMR, ambulatory rhythm monitoring, and CPET ∼6 months after illness. Patients were included
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A Primary Care-Based Quality Improvement Project to Reduce Asthma Emergency Department Visits. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Stephen J Hersey,Jessica Retzke,Elizabeth D Allen,Dane Snyder,Charles Hardy,Judith Groner
BACKGROUND AND OBJECTIVES Asthma exacerbation is a common and often preventable cause of Emergency Department (ED) utilization. Children eligible for Medicaid are at increased risk of poor asthma control and subsequent ED visits. In 2010, we implemented a multicomponent longitudinal quality improvement project to improve pediatric asthma care for our primary care population, which was 90% Medicaid-eligible
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Previous Infection and Effectiveness of COVID-19 Vaccination in Middle- and High-School Students. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Olivia M Almendares,Jasmine D Ruffin,Abigail H Collingwood,Leisha D Nolen,William A Lanier,Sarah Rebecca Dash,Allison Avrich Ciesla,Ryan Wiegand,Jacqueline E Tate,Hannah L Kirking
BACKGROUND AND OBJECTIVES Understanding the real-world impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) mitigation measures, particularly vaccination, in children and adolescents in congregate settings remains important. We evaluated protection against SARS-CoV-2 infection using school-based testing data. METHODS Using data from Utah middle- and high-school students participating
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Trends in Outpatient Influenza Antiviral Use Among Children and Adolescents in the United States. Pediatrics (IF 8.0) Pub Date : 2023-12-01 James W Antoon,Jyotirmoy Sarker,Abdullah Abdelaziz,Pei-Wen Lien,Derek J Williams,Todd A Lee,Carlos G Grijalva
BACKGROUND Influenza antivirals improve outcomes in children with duration of symptoms <2 days and those at high risk for influenza complications. Real-world prescribing of influenza antivirals in the pediatric population is unknown. METHODS We performed a cross-sectional study of outpatient and emergency department prescription claims in individuals <18 years of age included in the IBM Marketscan
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Influenza Antivirals in Pediatrics: Why Aren't We Using All the Available Tools? Pediatrics (IF 8.0) Pub Date : 2023-12-01 Pia S Pannaraj
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Risk of Developmental Disorders in Children Born at 32 to 38 Weeks' Gestation: A Meta-Analysis. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Katherine J Pettinger,Clare Copper,Elaine Boyle,Sarah Blower,Catherine Hewitt,Lorna Fraser
CONTEXT Very preterm birth (<32 weeks) is associated with increased risk of developmental disorders. Emerging evidence suggests children born 32 to 38 weeks might also be at risk. OBJECTIVES To determine the relative risk and prevalence of being diagnosed with, or screening positive for, developmental disorders in children born moderately preterm, late preterm, and early term compared with term (≥37
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Peripheral Nerve Stimulation for the Management of Pediatric Neuropathic Pain. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Akshat Gargya,Alan Zats,Tiffini Lake
The management of neuropathic pain in children poses an enormous challenge for pediatricians and pain management physicians. Current treatment options include physical therapy and medication management. Peripheral nerve stimulation/neuromodulation is a novel and minimally invasive treatment that can be initiated and monitored in an outpatient setting. This new technology can be a useful tool for treating
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Umbilical Cord Milking Versus Delayed Cord Clamping in Infants 28 to 32 Weeks: A Randomized Trial. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Anup Katheria,Jeff Szychowski,Waldemar A Carlo,Akila Subramaniam,Frank Reister,Jochen Essers,Farha Vora,Courtney Martin,Georg M Schmölzer,Brenda Law,Eugene Dempsey,Keelin O'Donoghue,Joseph Kaempf,Mark Tomlinson,Kevin Fulford,Bergen Folsom,Simon Karam,Rachael Morris,Toby Yanowitz,Stacy Beck,Erin Clark,Tara DuPont,Manoj Biniwale,Rangasamy Ramanathan,Shazia Bhat,Matthew Hoffman,Nitin Chouthai,Fayez Bany-Mohammed
OBJECTIVES To determine whether rate of severe intraventricular hemorrhage (IVH) or death among preterm infants receiving placental transfusion with UCM is noninferior to delayed cord clamping (DCC). METHODS Noninferiority randomized controlled trial comparing UCM versus DCC in preterm infants born 28 to 32 weeks recruited between June 2017 through September 2022 from 19 university and private medical
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2023 American Heart Association and American Academy of Pediatrics Focused Update on Neonatal Resuscitation: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Pediatrics (IF 8.0) Pub Date : 2023-11-16 Nicole K Yamada,Edgardo Szyld,Marya L Strand,Emer Finan,Jessica L Illuzzi,Beena D Kamath-Rayne,Vishal S Kapadia,Susan Niermeyer,Georg M Schmölzer,Amanda Williams,Gary M Weiner,Myra H Wyckoff,Henry C Lee
This 2023 focused update to the neonatal resuscitation guidelines is based on 4 systematic reviews recently completed under the direction of the International Liaison Committee on Resuscitation Neonatal Life Support Task Force. Systematic reviewers and content experts from this task force performed comprehensive reviews of the scientific literature on umbilical cord management in preterm, late preterm
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Code Status Discussions in Pediatric Patients With Heart Disease During Terminal Admissions. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Isabella E Valente,Gabrielle Fisher,Bethany J Wolf,Mariah K Tanious
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Pediatricians as Childhood Development Advocacy Champions in Kenya and Tanzania: A Case Study. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Reshma Shah,Susan Wamithi,Theopista Masenge,Rosemarie Gachie Lopokoiyit,Terrell Carter,Kiran A Patel,Sherri L Smith,Kim Wilson
Early childhood development (ECD) is instrumental to shaping educational, emotional, and economic trajectories; alleviating poverty; and achieving gender equality. Pediatricians are experts in children's health and trusted sources of guidance for families and clinicians and thus are optimal ECD champions. This case study describes collaboration by the American Academy of Pediatrics, Kenya Pediatric
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Social Drivers of Health and Pediatric Extracorporeal Membrane Oxygenation Outcomes. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Faraz Alizadeh,Kimberlee Gauvreau,Joshua Mayourian,Ella Brown,Jessica A Barreto,Jeff Blossom,Emily Bucholz,Jane W Newburger,John Kheir,Sally Vitali,Ravi R Thiagarajan,Katie Moynihan
BACKGROUND Relationships between social drivers of health (SDoH) and pediatric health outcomes are highly complex with substantial inconsistencies in studies examining SDoH and extracorporeal membrane oxygenation (ECMO) outcomes. To add to this literature with emerging novel SDoH measures, and to address calls for institutional accountability, we examined associations between SDoH and pediatric ECMO
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Firearm Homicides of US Children Precipitated by Intimate Partner Violence: 2003-2020. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Rebecca F Wilson,Likang Xu,Carter J Betz,Kameron J Sheats,Janet M Blair,Xin Yue,Brenda Nguyen,Katherine A Fowler
OBJECTIVES Examine characteristics associated with firearm homicides of children aged 0-17 years precipitated by intimate partner violence (IPV). METHODS Data were from the Center for Disease Control and Prevention's National Violent Death Reporting System (49 states, District of Columbia, Puerto Rico; 2003-2020). Logistic regression was used to examine associations between various characteristics
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Intimate Partner Violence-Related Firearm Child Homicides: An Urgent Call to Action. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Maya I Ragavan,Alison J Culyba
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Pediatric Firearm Injury Emergency Department Visits From 2017 to 2022: A Multicenter Study. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Jennifer A Hoffmann,Camille P Carter,Cody S Olsen,Pradip P Chaudhari,Sofia Chaudhary,Susan Duffy,Nicolaus Glomb,Monika K Goyal,Jacqueline Grupp-Phelan,Maya Haasz,Bijan Ketabchi,Nicole Kravitz-Wirtz,E Brooke Lerner,Bashar Shihabuddin,Wendi Wendt,Lawrence J Cook,Elizabeth R Alpern,
BACKGROUND AND OBJECTIVE Pediatric firearm injuries increased during the coronavirus disease 2019 pandemic, but recent trends in firearm injury emergency department (ED) visits are not well described. We aimed to assess how pediatric firearm injury ED visits during the pandemic differed from expected prepandemic trends. METHODS We retrospectively studied firearm injury ED visits by children <18 years
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Rehydration Rates and Outcomes in Overweight Children With Diabetic Ketoacidosis. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Kathleen M Brown,Nicole S Glaser,Julie K McManemy,Andrew DePiero,Lise E Nigrovic,Kimberly S Quayle,Michael J Stoner,Jeff E Schunk,Jennifer L Trainor,Leah Tzimenatos,Arleta Rewers,Sage R Myers,Maria Y Kwok,Simona Ghetti,T Charles Casper,Cody S Olsen,Nathan Kuppermann,
BACKGROUND AND OBJECTIVES The Pediatric Emergency Care Applied Research Network Fluid Therapies Under Investigation in Diabetic Ketoacidosis (DKA) (FLUID) Trial found that rapid fluid infusion does not increase the risk of cerebral injury. Concern persists, however, whether fluid rates should be adjusted for overweight or obese patients. We used the FLUID Trial database to evaluate associations between
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A Quality Improvement Initiative to Reduce Necrotizing Enterocolitis in Very Preterm Infants. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Belal N Alshaikh,Thomas D R Sproat,Christel Wood,Jill-Marie Spence,Megan Knauff,Claire Hamilton,Meagan Roy
OBJECTIVE To reduce the incidence of necrotizing enterocolitis (NEC) among very preterm infants in the Calgary Health Region to ≤2% within 2 years. METHODS A multidisciplinary team developed key drivers for NEC. Targeted interventions included strategies to increase mothers' own milk (MOM), improve compliance with feeding regimens, standardize management of feeding intolerance, prevent intestinal microbial
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Innovations in Cancer Treatment of Children. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Lauren Helms,Allison E Guimera,Katherine A Janeway,Kelly M Bailey
Pediatric cancer outcomes have significantly improved, and yet this success is not spread equally across cancer types or patients. Disparities data in pediatric oncology highlight needed improvements in access to care, including clinical trials and advanced testing for all patients. For cancers such as brain tumors and sarcomas, continued advancement in understanding the biology of tumor heterogeneity
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Parental Incarceration in the United States: 2016-2021. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Luke Muentner,Rebecca J Shlafer,Nia Heard-Garris,Dylan B Jackson
BACKGROUND AND OBJECTIVES Parental incarceration (PI) is both an adverse childhood experience (ACE) and an influencer of pediatric health. Despite evidence that rural America sees the highest incarceration rates and substantial inequities in pediatric health care access and services, it is unclear how the prevalence of PI and associated sociodemographic factors vary across urban, suburban, and rural
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Learning to Action: Finding Your Anti-Racism and Equity Lens. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Uchechi Oddiri,Oriaku A Kas-Osoka,Stephanie L White
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Mental Health of Youth With Autism Spectrum Disorder and Gender Dysphoria. Pediatrics (IF 8.0) Pub Date : 2023-12-01 Nicole F Kahn,Gina M Sequeira,Valentino Reyes,Michelle M Garrison,Felice Orlich,Dimitri A Christakis,Tandy Aye,Lee Ann E Conard,Nadia Dowshen,Anne E Kazak,Leena Nahata,Natalie J Nokoff,Raina V Voss,Laura P Richardson
BACKGROUND AND OBJECTIVES Youth with either autism spectrum disorder (ASD) or gender dysphoria (GD) alone have also been shown to be at greater risk for mental health (MH) concerns; however, very little research has considered how cooccurring ASD and GD may exacerbate MH concerns. The purpose of this study was to examine associations between ASD, GD, and MH diagnoses (anxiety, depression, eating disorder
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Earlier Screening of Infants With Perinatal Hepatitis C Exposure: A Key Step Towards Elimination. Pediatrics (IF 8.0) Pub Date : 2023-11-01 Ezzeldin Saleh,Ravi Jhaveri
Hepatitis C virus (HCV) infection continues to be a major national public health problem and is targeted for domestic and global elimination. Driven by the ongoing opioid epidemic, HCV incidence has been rising in the US over the last decade with highest infection rates among young adults including women of childbearing age.1 This is significant because if these young adults with HCV viremia get pregnant
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Medicaid and the Children's Health Insurance Program: Optimization to Promote Equity in Child and Young Adult Health. Pediatrics (IF 8.0) Pub Date : 2023-11-01 Jennifer D Kusma,Jean L Raphael,James M Perrin,Mark L Hudak,
The American Academy of Pediatrics envisions a child and adolescent health care system that provides individualized, family-centered, equitable, and comprehensive care that integrates with community resources to help each child and family achieve optimal growth, development, and well-being. All infants, children, adolescents, and young adults should have access to this system. Medicaid and the Children's
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Pediatric Mental Health Emergencies During 5 COVID-19 Waves in New York City. Pediatrics (IF 8.0) Pub Date : 2023-11-01 Deborah A Levine,P Stephen Oh,Katherine A Nash,Will Simmons,Zachary M Grinspan,Erika L Abramson,Shari L Platt,Cori Green
OBJECTIVES To describe the proportion of pediatric mental health emergency department (MH-ED) visits across 5 COVID-19 waves in New York City (NYC) and to examine the relationship between MH-ED visits, COVID-19 prevalence, and societal restrictions. METHODS We conducted a time-series analysis of MH-ED visits among patients ages 5 to 17 years using the INSIGHT Clinical Research Network, a database from
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Implementation of a Children's Hospital Acute Care Behavior Response Team. Pediatrics (IF 8.0) Pub Date : 2023-11-01 Angela M Statile,Michael Schweer,Lisa Herrmann,Amanda Warniment,Marykay Duncan,Brenda Demeritt,Krista Keehn,Nancy M Daraiseh,Randall Edwards,Kimberly Whitesell,Li Lin,D'arrell Brown,Alison Muth,Rena Sorensen,Adam Hill,Jeffrey M Simmons
BACKGROUND Pediatric patients with behavioral needs are frequently admitted to the hospital for medical care; when behavioral crises occur, patients and staff are at risk for injury. Our aim was to implement a behavior response team (BRT) to increase the days between employee injury due to aggressive patient interactions on the inpatient medical units from 99 to 150 over 1 year. METHODS A multidisciplinary
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The Beginning of a New Era in RSV Control. Pediatrics (IF 8.0) Pub Date : 2023-11-01 H Cody Meissner
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Addressing Early Education and Child Care Expulsion. Pediatrics (IF 8.0) Pub Date : 2023-11-01 P Gail Williams,Michael Yogman,,
An important goal of early childhood education is teaching emotional self-regulation within the context of a safe, stable, nurturing environment. Expulsion of young children ignores underlying emotional and behavioral concerns, disproportionately affects children of color (Black or Hispanic), males, children with disabilities, and socioeconomically disadvantaged populations, and has long-term consequences
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Uptake of PrEP for Youth…Progress not Perfection. Pediatrics (IF 8.0) Pub Date : 2023-11-01 David C Griffith,Allison L Agwu
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HIV Preexposure Prophylaxis Provision among Adolescents: 2018 to 2021. Pediatrics (IF 8.0) Pub Date : 2023-11-01 Anne A Kimball,Weiming Zhu,Jerome Leonard,Wei Wei,Ishwarya Ravichandran,Mary R Tanner,Ya-Lin A Huang,Karen W Hoover,Athena P Kourtis
BACKGROUND AND OBJECTIVES HIV preexposure prophylaxis (PrEP) is safe, effective, and was approved for adolescents in 2018. Adolescents and young adults make up 20% of HIV diagnoses in the United States. Our objective was to describe trends in adolescents prescribed PrEP during 2018 through 2021 and characteristics of these adolescents and their PrEP providers. METHODS We identified adolescents aged
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The Role of Medical Education Podcasts in Pediatrics. Pediatrics (IF 8.0) Pub Date : 2023-11-01 Joanna J Parga-Belinkie,Michael Cosmini,David Hill,Justin Berk,Katie Lockwood,Michael Patrick,Chris Novak,Tony R Tarchichi
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Real-Time Digital Feedback Device and Simulated Newborn Ventilation Quality. Pediatrics (IF 8.0) Pub Date : 2023-11-01 Santorino Data,Brett D Nelson,Kevin Cedrone,Winifride Mwebesa,Santa Engol,Naome Nsiimenta,Kristian R Olson
OBJECTIVES Effective bag-valve-mask ventilation is critical for reducing perinatal asphyxia-related neonatal deaths; however, providers often fail to achieve and maintain effective ventilation. The Augmented Infant Resuscitator (AIR) attaches to bag-valve-masks and provides visual feedback on air leaks, blocked airways, harsh breaths, and improper ventilatory rates. We evaluated the effect of this
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Early Peanut Introduction in Infants: Improving Guideline Adherence With EMR Standardization. Pediatrics (IF 8.0) Pub Date : 2023-11-01 Lauren E Herlihy,Elizabeth M Walters,Jennifer P D'Auria,Kelly Orgel,Katherine A Jordan
OBJECTIVES Peanut allergy in children is a population health problem. Evidence suggests early peanut introduction (EPI) for infants can reduce the development of peanut allergy. Primary care settings have not widely adopted guidelines recommending EPI. Peanut allergy prevention depends on primary care providers incorporating EPI guidelines into well-child check (WCC) encounters. We aimed to improve
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COVID-19 Vaccine Hesitancy Among Parents: A Qualitative Study. Pediatrics (IF 8.0) Pub Date : 2023-11-01 Aubree Honcoop,James R Roberts,Boyd Davis,Charlene Pope,Erin Dawley,Russell J McCulloh,Maryam Y Garza,Melody L Greer,Jessica Snowden,Linda Y Fu,Heather Young,Walter Dehority,Paul T Enlow,Delma-Jean Watts,Katie Queen,Lisa M Costello,Zain Alamarat,Paul M Darden
OBJECTIVES Addressing parental/caregivers' coronavirus disease 2019 (COVID-19) vaccine hesitancy is critical to improving vaccine uptake in children. Common concerns have been previously reported through online surveys, but qualitative data from KII and focus groups may add much-needed context. Our objective was to examine factors impacting pediatric COVID-19 vaccine decision-making in Black, Spanish-speaking
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The COVID-19 Pandemic and Parental Attitudes Toward Routine Childhood Vaccines. Pediatrics (IF 8.0) Pub Date : 2023-11-01 David M Higgins,Angela Moss,Sarah Blackwell,Sean T O'Leary
BACKGROUND AND OBJECTIVES The coronavirus disease 2019 (COVID-19) pandemic may have impacted parental attitudes toward childhood vaccines. However, few data sources followed attitudes before and after onset of the pandemic. We used data from a parental survey to describe the effect of the pandemic on parental attitudes toward childhood vaccines. METHODS Data were analyzed from the Health eMoms survey
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It's Time for a National Surveillance System for Vaccine Confidence and Hesitancy. Pediatrics (IF 8.0) Pub Date : 2023-11-01 Melissa B Gilkey,Noel T Brewer
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Preventing Excessive Noise Exposure in Infants, Children, and Adolescents. Pediatrics (IF 8.0) Pub Date : 2023-11-01 Sophie J Balk,Risa E Bochner,Mahindra A Ramdhanie,Brian K Reilly,,
Noise affects people of all ages. Noise-induced hearing loss, a major problem for adults, is also a problem for young people. Sensorineural hearing loss is usually irreversible. Environmental noise, such as traffic noise, can affect learning, physiologic parameters, sleep, and quality of life. Children and adolescents have unique vulnerabilities. Infants and young children must rely on adults to remove