RT Journal T1 RUral vista JF Archives of Pediatrics & Adolescent Medicine JO Archives of Pediatrics & Adolescent Medicine YR 2012 FD June 1 VO 166 IS 6 SP 497 OP 497 DO 10.1001/archpediatrics.2012.599 UL http://dx.doi.org/10.1001/archpediatrics.2012.599 AB Photographer: Katherine Kaufer Christoffel, MD, MPH, Chicago, Illinois, October 2007.