Acute Switchitis: A New Subtype of Nintendinitis
A previously healthy,12-year-old, boy presented with left index finger pain of six weeks ’ duration. Physical examination revealed left index finger swelling (Figure 1A). The patient had no history of injury and denied fever, malaise, weight loss, and joint pain. A blood analysis demonstrated normal inflammation markers, and magnetic resonance imaging found subcutaneous soft tissue sw elling and bone marrow edema (Figure 1B). The patient was referred for further evaluation to the pediatric rheumatology clinic where detailed history taking found that he habitually used a Nintendo SwitchⓇ game console. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 23, 2023 Category: Pediatrics Authors: Hiroyoshi Takahashi, Kazuhiro Uda, Masato Yashiro Tags: Insights and Images Source Type: research

Time to Reaching Target Cooling Temperature and Two-Year Outcomes in Infants with Hypoxic-Ischemic Encephalopathy
To determine if time to reaching target temperature (TT) is associated with death or neurodevelopmental impairment (NDI) at 2 years of age in infants with hypoxic-ischemic encephalopathy (HIE). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 23, 2023 Category: Pediatrics Authors: Rakesh Rao, Bryan A. Comstock, Tai-Wei Wu, Ulrike Mietzsch, Dennis E. Mayock, Fernando F. Gonzalez, Thomas R. Wood, Patrick J. Heagerty, Sandra E. Juul, Yvonne W. Wu Tags: Original Articles Source Type: research

Green Urine in the Diaper: A Key Indicator for Diagnosing Hemolytic Anemia
A 23-month-old Japanese boy presented with fever, cough, and runny nose. His mother observed green urine in the diaper (Figure). Physical examination revealed conjunctival pallor and mild pharyngeal redness, but no hypertension, hepatosplenomegaly, edema, or weight gain. Laboratory examination revealed: white blood cell count: 20.0 × 109/L; hemoglobin (Hb):7.7 g/dL; platelet count:1.5 × 1011 /L; total bilirubin:1.41 mg/dL; direct bilirubin:0.09 mg/dL; lactate dehydrogenase:1353 IU/L; and creatinine:0.24 mg/dL. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 23, 2023 Category: Pediatrics Authors: Akinori Yaguchi, Mayu Nakagawa, Amane Endo, Junya Fujimura, Toshiaki Shimizu Tags: Insights and Images Source Type: research

A Decade of Efforts to Add Value to Child Health Research Practices
To identify practices that add value to improve the design, conduct, and reporting of child health research and reduce research waste. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 22, 2023 Category: Pediatrics Authors: Adrian Sammy, Ami Baba, Terry P. Klassen, David Moher, Martin Offringa Tags: Original Articles Source Type: research

Risk Factors for Admission Hyperthermia and Associated Outcomes in  Infants Born Preterm
Maternal, placental, and neonatal factors were compared between infants born at ≤29 weeks of gestational age with admission hyperthermia (>37.5 ○C) and euthermia (36.5-37.5○C). Admission hyperthermia was associated with longer duration of face-mask positive-pressure ventilation and infant’s temperature ≥37.5○C in the delivery room. Infants born preterm with admission hyperthermia had greater odds of developing necrotizing enteroco litis and neurodevelopmental impairment. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 21, 2023 Category: Pediatrics Authors: Melody Chiu, Imran Mir, Emily Adhikari, Roy Heyne, Nancy Ornelas, Kristine Tolentino-Plata, Anita Thomas, Patti Burchfield, Valerie Simcik, Emma Ramon, L. Steven Brown, David B. Nelson, Myra H. Wyckoff, Venkatakrishna Kakkilaya Tags: Brief Reports Source Type: research

Understanding Health Outcomes in Pediatric Inflammatory Bowel Diseases: Contributing Factors that Aren ’t so Black and White
Inflammatory bowel disease (IBD) primarily encompasses two chronic gastrointestinal disorders, ulcerative colitis (UC) and Crohn ’s disease (CD). These conditions can be distinguished using standardized clinical and pathologic criteria, although some patients present with features of both disorders at diagnosis. Consistent with findings from adult studies, the pathogenesis of IBD in pediatric patients appears to be multifac torial, involving an interplay of genetic susceptibilities and environmental factors. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 21, 2023 Category: Pediatrics Authors: Dennis J. Spencer Tags: Editorials Source Type: research

Exome Sequencing Identifies Multiple Genetic Diagnoses in Children with Syndromic Growth Disorders
To evaluate the presence of multiple genetic diagnoses in syndromic growth disorders. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 21, 2023 Category: Pediatrics Authors: Raissa Carneiro Rezende, Nathalia Liberatoscioli Menezes de Andrade, Naiara Castelo Branco Dantas, Laurana de Polli Cellin, Ana Cristina Victorino Krepischi, Antonio Marcondes Lerario, Alexander Augusto de Lima Jorge Tags: Original Articles Source Type: research

Risk Factors for Admission Hyperthermia and Associated Outcomes in Preterm Infants
Maternal, placental, and neonatal factors were compared between infants born at ≤ 29 weeks’ gestational age with admission hyperthermia (> 37.5 ○C) and euthermia (36.5-37.5○C). Admission hyperthermia was associated with longer duration of face mask positive pressure ventilation and infant’s temperature ≥ 37.5○C in the delivery room. Infants born preterm with admission hyperthermia had higher odds of developing necrotizing enteroco litis and neurodevelopmental impairment. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 21, 2023 Category: Pediatrics Authors: Melody Chiu, Imran Mir, Emily Adhikari, Roy Heyne, Nancy Ornelas, Kristine Tolentino-Plata, Anita Thomas, Patti Burchfield, Valerie Simcik, Emma Ramon, L. Steven Brown, David B. Nelson, Myra H. Wyckoff, Venkatakrishna Kakkilaya Tags: Brief Reports Source Type: research

Identifying Gender and Racial Bias in Pediatric Fellowship Letters of Recommendation: Do Word Choices Influence Interview Decisions?
To describe linguistic differences in letters of recommendation (LORs) for pediatric fellowship candidates based on applicant and letter writer demographics and to examine if these differences influenced the decision to interview a candidate for a fellowship position. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 21, 2023 Category: Pediatrics Authors: Henna Boolchandani, Laura Chen, Robert W. Elder, Rachel Osborn, Uma P. Phatak, Vidya Puthenpura, Beverley J. Sheares, Gunjan Tiyyagura, Leah Amster, Seohyuk Lee, Melissa L. Langhan Tags: Original Articles Source Type: research

Perioperative Brain Injury in Relation to Early Neurodevelopment among Children with Severe Congenital Heart Disease: Results from a European Collaboration
To examine the relationship between perioperative brain injury and neurodevelopment during early childhood in patients with severe congenital heart disease (CHD). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 21, 2023 Category: Pediatrics Authors: Astrid Neukomm, Nathalie H.P. Claessens, Alexandra F. Bonthrone, Raymond Stegeman, Maria Feldmann, Maaike Nijman, Nicolaas J.G. Jansen, Joppe Nijman, Floris Groenendaal, Linda S. de Vries, Manon J.N.L. Benders, Johannes M.P.J. Breur, Felix Haas, Mireille Tags: Original Articles Source Type: research

Can Red Blood Cell and Platelet Transfusions Have a Pathogenic Role in Bronchopulmonary Dysplasia?
To evaluate whether transfusions in infants born preterm contribute to the pathogenesis of bronchopulmonary dysplasia (BPD). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 19, 2023 Category: Pediatrics Authors: Timothy M. Bahr, Gregory L. Snow, Thomas R. Christensen, Patricia Davenport, Erick Henry, Sarah M. Tweddell, Sarah J. Ilstrup, Bradley A. Yoder, Robin K. Ohls, Martha C. Sola-Visner, Robert D. Christensen Tags: Original Articles Source Type: research

Enhancing Leadership and Faculty Development: The Benefits of Coaching for Physicians and Physician Leaders
In the complex environment of modern academic medicine, coaches are increasingly being used in a variety of contexts to address faculty and trainee development and performance.1-6 Coaching in healthcare and academic medicine has multiple interpretations and applications. Historically, coaching has been thought of as a remedial, or last-ditch measure for a disruptive or nonproductive faculty member. More recently, however, coaching is being applied in a variety of proactive, career, and leadership developmental processes. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 16, 2023 Category: Pediatrics Authors: Elaine E. Schulte Tags: Notes from the Association of Medical School Pediatric Department Chairs, Inc. Source Type: research

Enhancing Leadership and Faculty Development: The Benefits of Coaching for Physician Leaders
In the complex environment of modern academic medicine, coaches are increasingly being used in a variety of contexts to address faculty and trainee development and performance.1-6 Coaching in healthcare and academic medicine has multiple interpretations and applications. Historically, coaching has been thought of as a remedial, or last-ditch measure for a disruptive or non-productive faculty member. More recently, however, coaching is being applied in a variety of proactive, career and leadership developmental processes. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 16, 2023 Category: Pediatrics Authors: Elaine E. Schulte Source Type: research

Access and Inequities: Differential Effects of Digital Access by Race, Ethnicity, and Language
Structural inequity, shaped by longstanding systemic racism, remains a powerful force in propagating racial, ethnic, and language-based disparities in health care access. Two recently published articles in The Journal present important reminders of the ways in which health care systems may unwittingly create, or worsen, health disparities when structural barriers prevent some patients and families from accessing interventions that aim to improve health care access. In a retrospective analysis of telemedicine access across a large tertiary pediatric hospital system, George et  al found the emergence of new disparities in a...
Source: The Journal of Pediatrics - November 15, 2023 Category: Pediatrics Authors: Colleen K. Gutman, Elyse N. Portillo, K. Casey Lion Tags: Editorials Source Type: research

Access and Inequities: Differential Effects of Digital Access By Race, Ethnicity and Language
Structural inequity, shaped by longstanding systemic racism, remains a powerful force in propagating racial, ethnic, and language-based disparities in healthcare access. Two recently published articles in The Journal of Pediatrics present important reminders of the ways in which healthcare systems may unwittingly create, or worsen, health disparities when structural barriers prevent some patients and families from accessing interventions that aim to improve healthcare access. In a retrospective analysis of telemedicine access across a large tertiary pediatric hospital system, George et al. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 15, 2023 Category: Pediatrics Authors: Colleen K. Gutman, Elyse N. Portillo, K. Casey Lion Tags: Editorials Source Type: research