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 Showing 1-20 of 30 Articles
Editorial  FREE
Christopher J. D. McKinlay, MBChB, PhD; Jane E. Harding, MBChB, DPhil

In a unique perinatal cohort linking findings from early postnatal blood glucose screening to educational achievement test scores at age 10 years, Kaiser and colleagues1 in this issue of JAMA Pediatrics reignite debate over the significance of early asymptomatic, or transitional, neonatal hypoglycemia. While there is little ...

Original Investigation  FREE
Jeffrey R. Kaiser, MD, MA; Shasha Bai, PhD; Neal Gibson, PhD; Greg Holland, PhD; Tsai Mei Lin, MS; Christopher J. Swearingen, PhD; Jennifer K. Mehl, MD; Nahed O. ElHassan, MD
Includes: Supplemental Content

Importance  Prolonged neonatal hypoglycemia is associated with poor long-term neurocognitive function. However, little is known about an association between early transient newborn hypoglycemia and academic achievement.

Objective  To determine if early (within the first 3 hours of life) transient hypoglycemia (a single initial low glucose concentration, ...

Editorial: Revisiting Transitional Hypoglycemia; Christopher J. D. McKinlay, MBChB, PhD; Jane E. Harding, MBChB, DPhil
Joel D. Hernandez, MD; Jonathan S. Ellison, MD; Thomas S. Lendvay, MD

The incidence of pediatric nephrolithiasis has been steadily increasing for the past several decades, with a concomitant concerning increase in health care costs and burden to children with this disease. Recent population-based studies have also demonstrated a change in the current trends of pediatric nephrolithiasis that is characterized ...

Original Investigation 
Kathrine Sullivan, MSW; Gordon Capp, MSW, LCSW; Tamika D. Gilreath, PhD; Rami Benbenishty, PhD; Ilan Roziner, PhD; Ron Avi Astor, PhD
Includes: Supplemental Content

Importance  Military families and military-connected youth exhibit significant strengths; however, a sizeable proportion of these families appear to be struggling in the face of war-related stressors. Understanding the consequences of war is critical as a public health concern and because additional resources may be needed to support ...

Original Investigation  FREE
Analee J. Etheredge, MSPH, PhD; Zul Premji, MD; Nilupa S. Gunaratna, PhD; Ajibola Ibraheem Abioye, MD; Said Aboud, MD; Christopher Duggan, MD; Robert Mongi, MD; Laura Meloney, MPH; Donna Spiegelman, ScD; Drucilla Roberts, MD; Davidson H. Hamer, MD; Wafaie W. Fawzi, MBBS, DrPH
Includes: Supplemental Content

Importance  Anemia is common in pregnancy and increases the risk of adverse outcomes. Iron deficiency is a leading cause of anemia in sub-Saharan Africa, and iron supplementation is the standard of care during pregnancy; however, recent trials among children have raised concerns regarding the safety of iron ...

Original Investigation 
Sarah K. G. Jensen, MSc; Erin W. Dickie, PhD; Deborah H. Schwartz, MA; C. John Evans, PhD; Iroise Dumontheil, PhD; Tomáš Paus, MD, PhD; Edward D. Barker, PhD
Includes: Supplemental Content

Importance  Early adversity is an important risk factor that relates to internalizing symptoms and altered brain structure.

Objective  To assess the direct effects of early adversity and child internalizing symptoms (ie, depression, anxiety) on cortical gray matter (GM) volume, as well as the extent to which ...

Jonathan M. Davis, MD; Mark A. Turner, MB, PhD, MRCPCH

This Viewpoint discusses the specific areas that should be considered by global investigators when collaborating on the development of drugs for neonatal patients.

In this issue of JAMA Pediatrics, Asarnow et al1 review randomized clinical trials to evaluate behavioral health outcomes among children and adolescents receiving integrated medical-behavioral health care. The integration of mental or behavioral health services in pediatric primary care is by all accounts a national priority ...

Original Investigation  FREE
Joan Rosenbaum Asarnow, PhD; Michelle Rozenman, PhD; Jessica Wiblin, BA; Lonnie Zeltzer, MD
Includes: Supplemental Content

Importance  Recent health care legislation and shifting health care financing strategies are transforming health and behavioral health care in the United States and incentivizing integrated medical-behavioral health care as a strategy for improving access to high-quality care for behavioral health conditions, enhancing patient outcomes, and containing costs....

Daniel Garros, MD; Wendy Austin, RN, PhD; Franco A. Carnevale, RN, PhD

This Viewpoint discusses moral distress among health care professionals in the pediatric intensive care unit and ways to successfully resolve it.

Original Investigation  FREE
Alisa Khan, MD, MPH; Mari M. Nakamura, MD, MPH; Alan M. Zaslavsky, PhD; Jisun Jang, MA; Jay G. Berry, MD, MPH; Jeremy Y. Feng, AB; Mark A. Schuster, MD, PhD
Includes: Supplemental Content

Importance  Health care systems, payers, and hospitals use hospital readmission rates as a measure of quality. Although hospitals can track readmissions back to themselves (hospital A to hospital A), they lack information when their patients are readmitted to different hospitals (hospital A to hospital B). Because hospitals ...

Bria M. Coates, MD; Kelly L. Staricha; Kristin M. Wiese, MD; Karen M. Ridge, PhD

Infection with influenza A virus is responsible for considerable morbidity and mortality in children worldwide. While it is apparent that adequate activation of the innate immune system is essential for pathogen clearance and host survival, an excessive inflammatory response to infection is detrimental to the young host. A ...

Chén C. Kenyon, MD, MSHP; Deepak Palakshappa, MD; Chris Feudtner, MD, PhD, MPH

This Viewpoint suggests that logic models applied by investigators may provide a supportive trestle in bridging theoretical interventions and real-world applications.

When people acknowledge that life expectancy has increased dramatically in the past 5 decades, many mistakenly believe it is because of huge improvements in care for diseases that affect adults and the elderly at the end of their lives. What is missed is that many, if not most, ...

Original Investigation  Open Access
Wade Harrison, MPH; David Goodman, MD, MS
Includes: Supplemental Content

Importance  Neonatal intensive care has been highly effective at improving newborn outcomes but is expensive and carries inherent risks. Existing studies of neonatal intensive care have focused on specific subsets of newborns and lack a population-based perspective.

Objectives  To describe admission rates to neonatal intensive care ...

Shawn Ralston, MD; Kavita Parikh, MD; David Goodman, MD, MS

This Viewpoint discusses the relative paucity of attention paid to overuse of medical interventions with regard to bronchiolitis.

Joan L. Luby, MD

Because the brain is the organ from which all cognition and emotion originates, healthy human brain development represents the foundation of our civilization. Accordingly, there is perhaps nothing more important that a society must do than foster and protect the brain development of our children. Building on a ...

Original Investigation 
Andrew F. Beck, MD, MPH; Todd A. Florin, MD, MSCE; Suzanne Campanella, BA; Samir S. Shah, MD, MSCE
Includes: Supplemental Content

Importance  Bronchiolitis and pneumonia are leading causes of pediatric hospitalizations. Identifying geographic patterns in hospitalization rates across small geographic areas could be particularly relevant to targeted patient-level and population-level health care.

Objective  To determine whether lower respiratory tract infection hospitalization rates varied geographically across a single ...

Original Investigation 
Nicole L. Hair, PhD; Jamie L. Hanson, PhD; Barbara L. Wolfe, PhD; Seth D. Pollak, PhD
Includes: Supplemental Content

Importance  Children living in poverty generally perform poorly in school, with markedly lower standardized test scores and lower educational attainment. The longer children live in poverty, the greater their academic deficits. These patterns persist to adulthood, contributing to lifetime-reduced occupational attainment.

Objective  To determine whether atypical ...

Editorial: Poverty’s Most Insidious Damage; Joan L. Luby, MD
Eric M. Hecht, MD, MSPH; Julien Thomas, MS; David C. Landy, MD, MPH, PhD

This Viewpoint discusses the imbalance of US regulations requiring chemical flame retardants in many household and clothing items and the lack of accompanying chemical safety regulations.

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