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 Showing 1-20 of 29 Articles
Methicillin-resistant Staphylococcus aureus (MRSA) emerged in the late 1980s and is a leading cause of skin and soft-tissue infections (SSTIs) in the United States.1 Unlike hospital-associated MRSA strains, community-associated MRSA strains, commonly designated USA300 by use of pulsed-field gel electrophoresis, initially were found in children without health care exposure. These ...
Original Investigation 
Meera Kotagal, MD, MPH; Adam C. Carle, MA, PhD; Larry G. Kessler, ScD; David R. Flum, MD, MPH

Importance  The Patient Protection and Affordable Care Act (PPACA) allowed young adults to remain on their parents’ insurance until 26 years of age. Reports indicate that this has expanded health coverage.

Objective  To evaluate coverage, access to care, and health care use among 19- to 25-year-olds ...

Original Investigation 
Stephanie A. Fritz, MD, MSCI; Patrick G. Hogan, MPH; Lauren N. Singh, MPH; Ryley M. Thompson; Meghan A. Wallace, BS; Krista Whitney, MD; Duha Al-Zubeidi, MD; Carey-Ann D. Burnham, PhD; Victoria J. Fraser, MD
Includes: Supplemental Content

Importance  Household environmental surfaces may serve as vectors for the acquisition and spread of methicillin-resistant Staphylococcus aureus (MRSA) among household members, although few studies have evaluated which objects are important reservoirs of MRSA.

Objectives  To determine the prevalence of environmental MRSA contamination in households of children ...

Neil L. Schechter, MD
In the past 30 years, a major shift has occurred in the way that pediatric pain is conceptualized and treated. Although pain management was widely viewed as inadequate in adults in the 1970s, the classic report by Eland and Anderson1 documented that children’s pain management was far worse, with an ...
Catherine P. Bradshaw, PhD, MEd
Bullying is a significant public health concern that has garnered considerable attention by the media, policy makers, educators, parents, and researchers. In some ways, its increased visibility has followed a similar trajectory to the issue of child maltreatment, whereby research on short- and long-term impacts of maltreatment, high-profile case examples, ...
Topics: bullying
Original Investigation 
Frank J. Elgar, PhD; Anthony Napoletano, BA; Grace Saul, BA; Melanie A. Dirks, PhD; Wendy Craig, PhD; V. Paul Poteat, PhD; Melissa Holt, PhD; Brian W. Koenig, MS
Includes: Supplemental Content

Importance  This study presents evidence that cyberbullying victimization relates to internalizing, externalizing, and substance use problems in adolescents and that the frequency of family dinners attenuate these associations.

Objectives  To examine the unique association between cyberbullying victimization and adolescent mental health (after controlling differences in involvement ...

On My Mind 
Monica Stemmle, MD
I love working nights. I’m a pediatrician at a county hospital, and it’s a great job. The work is interesting, and the daytime hassles seem distant (even hospital administrators sleep sometimes!). I love spending the day with my kids; then, just as their activities and their activity levels are winding ...
Eric Trupin, PhD; Nicholas Weiss, MD; Suzanne E. U. Kerns, PhD
The past 2 decades have seen remarkable growth in the development of cost-beneficial, evidence-based programs in pediatric health, behavioral health, youth juvenile justice, and child welfare. Despite the economic and system constraints that have slowed broad dissemination, research-proven approaches have exceptional potential to improve population-level well-being while simultaneously protecting society ...
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 ...

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