We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
In This Issue of JAMA Pediatrics |

Highlights FREE

JAMA Pediatr. 2014;168(9):785. doi:10.1001/jamapediatrics.2014.1549.
Text Size: A A A
Published online


The Nurse-Family Partnership has been widely disseminated in the United States and has been found to be effective in improving a variety of maternal and child outcomes. In this 20-year follow-up, Olds and colleagues examine the effect of the intervention on the mortality of mothers and children who participated in the randomized clinical trial in Memphis, Tennessee. Women enrolled in the 2 nurse-visited groups were less likely to have died than women assigned to the control group, and by age 20 years, children whose mothers received home visits during pregnancy and through child age 2 years were less likely to have died from preventable causes compared with their counterparts in the control group. These findings suggest that this intervention may have longer-term effects on health and mortality as the mothers and their children grow older.

The relative effectiveness of different interventions for the treatment of severe obesity remains unclear, and reports of long-term effectiveness are scarce. Van der Baan-Slootweg and colleagues randomized 90 children aged 8 to 18 years with severe obesity to inpatient treatment during weekdays for 26 weeks or to an outpatient program of 12 visits over 6 months. While there were greater reductions in body mass index in the hospitalized group at the end of treatment, this difference was not sustained at 12 and 24 months after treatment. In their editorial, Inge and colleagues discuss the potential reasons for the long-term failure of the intervention and the direction for future research.

Screening adolescents for substance use and intervening immediately can reduce the burden of addiction and substance-related morbidity. Levy and colleagues examine the accuracy of an electronic screen and brief assessment tool to identify nontobacco substance use among 12- to 17-year-old adolescents. A single screening question assessing past-year frequency use for 8 commonly misused categories of substances appeared to be a valid method for discriminating among clinically relevant risk categories of adolescent substance use. In their editorial, Subramaniam and Volkov discuss the need to develop the evidence base to guide the clinician when substance misuse is uncovered in an adolescent.


In this Special Communication, a group of health professionals from North America and Europe who regularly communicate with the parents of sick children use their own experiences as parents or grandparents of a sick child in the neonatal intensive care unit (NICU) to provide practical recommendations that will assist health care professionals in helping parents who have a child in the NICU. They offer 10 essentials of etiquette-based neonatal care from the parents’ perspective. They are based on the belief that anyone can learn simple techniques to express their compassion in ways that help parents navigate the difficult experience of having a baby in the NICU.





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.