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 Showing 1-20 of 34 Articles
Original Investigation 
Elsie M. Taveras, MD, MPH; Richard Marshall, MD; Ken P. Kleinman, ScD; Matthew W. Gillman, MD, SM; Karen Hacker, MD, MPH; Christine M. Horan, MPH; Renata L. Smith, MPH; Sarah Price, MPH; Mona Sharifi, MD, MPH; Sheryl L. Rifas-Shiman, MPH; Steven R. Simon, MD, MPH
Includes: Supplemental Content

Importance  Evidence of effective treatment of childhood obesity in primary care settings is limited.

Objective  To examine the extent to which computerized clinical decision support (CDS) delivered to pediatric clinicians at the point of care of obese children, with or without individualized family coaching, improved body ...

Original Investigation 
Li Ming Wen, MD, MMed, PhD; Louise A. Baur, MBBS, PhD; Judy M. Simpson, PhD; Huilan Xu, MBiostat, MPH; Alison J. Hayes, PhD; Louise L. Hardy, MPH(Hons), PhD; Mandy Williams, MHP; Chris Rissel, PhD

Importance  Little evidence exists on whether effects of an early obesity intervention are sustainable.

Objective  To assess the sustainability of effects of a home-based early intervention on children’s body mass index (BMI) and BMI z score at 3 years after intervention.

Design, Setting, and Participants  ...

David J. McLario, DO, MS; Adam B. Sivitz, MD

Importance  Point-of-care (POC) ultrasound has been used by a variety of nonradiologist physicians. Recently, POC ultrasound use by pediatricians has received increased attention with the practice of both established and novel applications.

Objectives  To review various uses of ultrasound by pediatricians, discuss challenges and potential pitfalls ...

Michelle M. Garrison, PhD
It is a classic chicken or egg conundrum: across the many cross-sectional studies in the literature reporting significant associations between childhood sleep problems and emotional/behavioral problems, some consider sleep the exposure and behavior the outcome in their statistics and tables1,2 and some examine behavior problems as the predictor and sleep ...
Evaline A. Alessandrini, MD, MSCE; Joseph L. Wright, MD, MPH
Every day, approximately 80 000 children seek emergency care in US emergency departments (EDs), and 20% of all children in the United States will have at least 1 ED visit each year.1,2 Yet the needs of children historically have received little attention in the emergency medical services system.3 Emergency medical ...
Original Investigation 
Marianne Gausche-Hill, MD; Michael Ely, MHRM; Patricia Schmuhl, BA; Russell Telford, MA; Katherine E. Remick, MD; Elizabeth A. Edgerton, MD, MPH; Lenora M. Olson, PhD, MA
Includes: Supplemental Content, Multimedia: (powerpoint)

Importance  Previous assessments of readiness of emergency departments (EDs) have not been comprehensive and have shown relatively poor pediatric readiness, with a reported weighted pediatric readiness score (WPRS) of 55.

Objectives  To assess US EDs for pediatric readiness based on compliance with the 2009 guidelines for ...

Editorial: The Continuing Evolution of Pediatric Emergency Care; Evaline A. Alessandrini, MD, MSCE; Joseph L. Wright, MD, MPH
Original Investigation 
Børge Sivertsen, PhD; Allison G. Harvey, PhD; Ted Reichborn-Kjennerud, PhD, MD; Leila Torgersen, PhD; Eivind Ystrom, PhD; Mari Hysing, PhD

Importance  Childhood sleep problems have been linked to a range of adverse health outcomes, but there is limited knowledge as to the temporal association between sleep problems and subsequent emotional and behavioral problems in young children.

Objective  To examine whether sleep problems in toddlers aged 18 ...

James M. Perrin, MD; Sarosh P. Batlivala, MD; Tina L. Cheng, MD, MPH
Greg J. Duncan, PhD; Marie C. McCormick, MD, ScD; Constance F. Citro, PhD
This Viewpoint discusses why the National Children’s Study was discontinued and whether a scaled-down version of the original study would be as effective.
Original Investigation 
Michael Zappitelli, MD, MSc; Jason H. Greenberg, MD; Steven G. Coca, DO, MS; Catherine D. Krawczeski, MD; Simon Li, MD, MPH; Heather R. Thiessen-Philbrook, MMath; Michael R. Bennett, PhD; Prasad Devarajan, MD; Chirag R. Parikh, MD, PhD; for the Translational Research Investigating Biomarker Endpoints in Acute Kidney Injury (TRIBE-AKI) Consortium

Importance  Research has identified improved biomarkers of acute kidney injury (AKI). Cystatin C (CysC) is a better glomerular filtration rate marker than serum creatinine (SCr) and may improve AKI definition.

Objective  To determine if defining clinical AKI by increases in CysC vs SCr alters associations with ...

Original Investigation  FREE
Holly C. Gooding, MD, MSc; Angie Mae Rodday, MSc; John B. Wong, MD; Matthew W. Gillman, MD, SM; Donald M. Lloyd-Jones, MD, ScM; Laurel K. Leslie, MD, MPH; Sarah D. de Ferranti, MD, MPH

Importance  Health care practitioners who care for adolescents transitioning to adulthood often face incongruent recommendations from pediatric and adult guidelines for treatment of lipid levels.

Objective  To compare the proportion of young people aged 17 to 21 years who meet criteria for pharmacologic treatment of elevated ...

Richard I. G. Holt, PhD, FRCP
Gestational diabetes mellitus (GDM) remains a major clinical challenge and is likely to remain so as the numbers of women with hyperglycemia in pregnancy continue to increase. The rising incidence has followed the changing demographic characteristics of pregnant women, such as older age and increasing body mass index, coupled with ...
Original Investigation 
Wendy Camelo Castillo, PhD; Kim Boggess, MD; Til Stürmer, PhD; M. Alan Brookhart, PhD; Daniel K. Benjamin Jr, PhD; Michele Jonsson Funk, PhD
Includes: Supplemental Content

Importance  Glyburide is thought to be safe for use during pregnancy for treatment of gestational diabetes mellitus (GDM). However, there are limited data on the effectiveness of glyburide when compared with insulin as used in a real-world setting.

Objective  To estimate the risk of adverse maternal ...

Editorial: Glyburide in Pregnancy; Richard I. G. Holt, PhD, FRCP
Research Letter 
Elizabeth D. Lowenthal, MD, MSCE; Tafireyi Marukutira, MBChB, MPH, MPhil; Ontibile Tshume, BA; Jennifer Chapman, MPH; Jean B. Nachega, MD, PhD, MPH, DTM&H; Gabriel Anabwani, MBChB, MMed, MSc; Robert Gross, MD, MSCE
This research letter reports that the absence of a parent from an adolescent’s clinic visit is strongly associated with human immunodeficiency virus virologic failure.
Research Letter 
Colin D. Rehm, PhD, MPH; Adam Drewnowski, PhD
The percentage of energy from fast foods consumed by US adults declined from 12.8% in 2007 to 2008 to 11.3% in 2009 to 2010.1 Other than analyses of menu offerings,2 there are no comparable data on fast food consumption by children. While sources of energy by food groups and sources ...
Rakesh D. Mistry, MD, MS; Peter S. Dayan, MD, MSc; Nathan Kuppermann, MD, MPH
This Viewpoint reports on the antimicrobial stewardship programs that have been created in many institutions in response to the overuse of antibiotics that has been implicated as a contributor to childhood morbidities such as asthma and obesity.
Mitesh S. Patel, MD, MBA, MS; Kevin G. Volpp, MD, PhD
Almost one-third of school-aged children are overweight or obese, a level that has not improved over the past decade.1 Overweight children are more likely to become overweight adults.2 Even more concerning is that childhood obesity is associated with higher morbidity and mortality later in life, independent of adult obesity.3 Interventions ...
Original Investigation 
Juliana F. W. Cohen, ScM, ScD; Scott A. Richardson, MBA; Sarah A. Cluggish, MBA; Ellen Parker, MBA, MSW; Paul J. Catalano, ScD; Eric B. Rimm, ScD
Includes: Supplemental Content

Importance  Little is known about the long-term effect of a chef-enhanced menu on healthier food selection and consumption in school lunchrooms. In addition, it remains unclear if extended exposure to other strategies to promote healthier foods (eg, choice architecture) also improves food selection or consumption.

Objective  ...

Editorial: Nudging Students Toward Healthier Food Choices; Mitesh S. Patel, MD, MBA, MS; Kevin G. Volpp, MD, PhD
Research Letter 
Terri Voepel-Lewis, PhD; Deborah Wagner, PharmD; Alan R. Tait, PhD
Increasing rates of opioid misuse, adverse events, and deaths from opioids have paralleled prescription patterns,1 suggesting that physician efforts to alleviate pain have contributed to this public health crisis. Children and adolescents are particularly vulnerable to prescription opioid overdose and misuse, given high rates of exposure in this group.2- 4 ...
On My Mind 
Kirstin Hirni, MD; Brian Carter, MD
I watch you hold her tiny, limp hand. She does not wrap her fingers around yours like babies her age would do. You run your hand over her wispy hair, but she does not look at you. She does not smile. A day has never passed that you have seen ...

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