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 Showing 1-20 of 36 Articles
Michael Apkon, MD, PhD; Jeremy N. Friedman, MD
Hospital discharges occur more than 35 million times per year in the United States and the process of discharging the patient is one of very few processes common to all hospitalizations where the patients survive. Patients’ safety is at risk when discharge plans do not ensure that the patients, their ...
Jen Faultner, BA
Our daughter Zoe was born with a set of severe congenital heart defects that left her unable to survive without a heart transplant, which she received when only 5 weeks old. Infections, viruses, failure to thrive, transfusions, and many more complications required numerous hospital stays. She has received care in ...
Patrick J. Hagan, MHSA
More than once during the last years of my father’s life, I found myself navigating for him and my mother the many challenges and frustrations of hospitalization. His clinicians and the hospital staff were well trained and well intended. The supplies, equipment, and facilities were all first rate. But the ...
Topics: weekend
Original Investigation 
Elizabeth K. Goodman, BA; Anne F. Reilly, MD, MPH; Brian T. Fisher, DO, MSCE; Julie Fitzgerald, MD, PhD; Yimei Li, PhD; Alix E. Seif, MD, MPH; Yuan-Shung Huang, MS; Rochelle Bagatell, MD; Richard Aplenc, MD, PhD
Includes: Supplemental Content

Importance  In adult patients with leukemia, weekend admission is associated with increased inpatient mortality. It is unknown whether weekend diagnostic admissions in pediatric patients with leukemia demonstrate similar adverse outcomes.

Objective  To estimate adverse clinical outcomes associated with weekend admission in the first hospitalization of pediatric ...

Original Investigation 
Ralph J. DiClemente, PhD; Gina M. Wingood, ScD, MPH; Jessica M. Sales, PhD; Jennifer L. Brown, PhD; Eve S. Rose, MSPH; Teaniese L. Davis, PhD, MPH; Delia L. Lang, PhD, MPH; Angela Caliendo, MD, PhD; James W. Hardin, PhD

Importance  Behavioral change interventions have demonstrated short-term efficacy in reducing sexually transmitted infection (STI)/human immunodeficiency virus (HIV) risk behaviors; however, few have demonstrated long-term efficacy.

Objective  To evaluate the efficacy of a telephone counseling prevention maintenance intervention (PMI) to sustain STI/HIV-preventive behaviors and reduce incident STIs ...

Jay G. Berry, MD, MPH; Kevin Blaine, MAEd; Jayne Rogers, MSN, RN, NEA-BC, CPHQ; Sarah McBride, MD; Edward Schor, MD; Jackie Birmingham, BSN, MS, RN, CMAC; Mark A. Schuster, MD, PhD; Chris Feudtner, MD, PhD, MPH

To our knowledge, no widely used pediatric standards for hospital discharge care exist, despite nearly 10 000 pediatric discharges per day in the United States. This lack of standards undermines the quality of pediatric hospital discharge, hinders quality-improvement efforts, and adversely affects the health and well-being of children and ...

Alexandra N. Menchise, MD; Mitchell B. Cohen, MD
Gastroesophageal reflux disease (GERD) is common in infants and children and has been estimated to affect as much as 3.3% of the pediatric population.1 Despite this, we still struggle with the management of GERD. With a growing body of literature that illustrates a lack of efficacy and alarming adverse effects, ...
Original Investigation 
Rachel Rosen, MD, MPH; Janine Amirault, BA; Hongye Liu, PhD; Paul Mitchell, MS; Lan Hu, PhD; Umakanth Khatwa, MD; Andrew Onderdonk, PhD

Importance  The use of acid suppression has been associated with an increased risk of upper and lower respiratory tract infections in the outpatient setting but the mechanism behind this increased risk is unknown. We hypothesize that this infection risk results from gastric bacterial overgrowth with subsequent seeding ...

On My Mind 
Tendo Kironde, BA
“My favorite class is math.”
Rachel van der Pol, MD; Miranda Langendam, PhD; Marc Benninga, MD, PhD; Michiel van Wijk, MD, PhD; Merit Tabbers, MD, PhD
Includes: Supplemental Content

Importance  Histamine-2 receptor antagonists (H2RAs) are frequently used in the treatment of gastroesophageal reflux disease (GERD) in children; however, their efficacy and safety is questionable.

Objective  To systematically review the literature to assess the efficacy and safety of H2RAs in pediatric GERD.

Evidence Review  PubMed, ...

Viewpoint  FREE
Deepak Palakshappa, MD; Genevieve Daftary, MD, MPH; Chris Feudtner, MD, PhD, MPH
On February 26, 2013, Doug Rauch, former president of Trader Joe’s grocery chain, announced his plans for the Urban Food Initiative (UFI). The goals are to address obesity, food insecurity, and food waste by opening nonprofit supermarkets in low-income neighborhoods and providing nutritious low-cost foods. To accomplish this, he proposed ...
Susan E. Coffin, MD, MPH
In this issue, Kaufman and colleagues describe their efforts to reduce the risk of infection among critically ill neonates.1 Late-onset infections are devastating for infants. Whether they are classified as health care–associated infections, such as central line–associated bloodstream infections (CLABSIs), or identified as a somewhat less distinct clinical syndrome, such ...
Original Investigation 
Blegina Shashaj, MD, PhD; Giorgio Bedogni, MD; Maria P. Graziani, MD; Alberto E. Tozzi, MD; Maria L. DiCorpo, MD; Donatella Morano, MD; Ludovica Tacconi, MD; Patrizio Veronelli, MD; Benedetta Contoli, Ph.D; Melania Manco, MD, PhD

Importance  To date, the relationship among adiposity, insulin resistance, and cardiovascular risk factors at the onset of overweight or obesity has been unexplored.

Objectives  To assess whether insulin resistance and metabolic abnormalities are detectable at the onset of obesity and to unravel the interplay among adiposity, ...

Original Investigation  FREE
David A. Kaufman, MD; Amy Blackman, RN; Mark R. Conaway, PhD; Robert A. Sinkin, MD, MPH
Includes: Supplemental Content, Multimedia: (powerpoint)

Importance  Late-onset infections commonly occur in extremely preterm infants and are associated with high rates of mortality and neurodevelopmental impairment. Hand hygiene alone does not always achieve the desired clean hands, as microorganisms are still present more than 50% of the time. We hypothesize that glove use ...

Thomas J. Hwang, AB; Florence T. Bourgeois, MD, MPH
The development of safe and effective pediatric drugs continues to fall short.1 The paucity of new therapies is particularly stark for rare diseases, which disproportionately affect children and collectively affect an estimated 25 million people in the United States and 30 million in Europe.2 Since the 1980s, US policymakers have ...
Kenneth B. Roberts, MD
In this issue of JAMA Pediatrics, Shaikh and colleagues1 report their analysis of risk factors for renal scarring in infants and young children following a urinary tract infection (UTI). The methods are notable. Shaikh and colleagues sought out individual patient data from multiple published articles, and the researchers of the ...
Original Investigation 
Nader Shaikh, MD, MPH; Jonathan C. Craig, MD, MBChB, PhD; Maroeska M. Rovers, PhD; Liviana Da Dalt, MD; Stefanos Gardikis, MD; Alejandro Hoberman, MD; Giovanni Montini, MD; Carlos Rodrigo, MD; Seppo Taskinen, MD; David Tuerlinckx, MD; Timothy Shope, MD, MPH
Includes: Supplemental Content

Importance  No studies have systematically examined the accuracy of clinical, laboratory, and imaging variables in detecting renal scarring in children and adolescents with a first urinary tract infection.

Objectives  To identify independent prognostic factors for the development of renal scarring and to combine these factors in ...

Original Investigation 
Kiran More, MD, FRACP; Pankaj Sakhuja, MD; Prakesh S. Shah, MSc, MD, FRCPC
Includes: Supplemental Content

Importance  Surfactant administration by minimally invasive methods that allow for spontaneous breathing might be safer and more effective than administration with endotracheal intubation and mechanical ventilation; however, the efficacy and safety of minimally invasive methods have not been reviewed.

Objective  To conduct a meta-narrative review of ...

Valerie J. Flaherman, MD, MPH; Elena Fuentes-Afflick, MD, MPH
Pediatricians often encounter clinical scenarios in which individual health benefit, public health benefit, and social values intersect. For example, circumcision benefits health for an individual by reducing the risk of urinary tract and sexually transmitted infections and also has public health benefit by reducing overall population risk of sexually transmitted ...
Geetha A. Subramaniam, MD, DFAPA; Nora D. Volkow, MD
Alcohol, tobacco, and marijuana are the top 3 substances of misuse among teenagers. According to the Monitoring the Future study,1 marijuana use continues to increase in contrast to tobacco or alcohol use, which has leveled off; currently, more than one-third of 12th graders report having used marijuana in the past ...

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