Current and Future Perspectives of Child's Health Care in China
Within the framework of membership in the International Pediatric Association representing the European national societies of pediatrics, the European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA) actively interacts globally with similar organizations and centers of excellence of other continents. The aim is to create a world where all children, regardless of age, location, or family situation, can live healthy lives. EPA/UNEPSA has established an active collaboration with colleagues of a few key Chinese academic institutions and medical centers with the purpose of fac...
Source: The Journal of Pediatrics - November 7, 2019 Category: Pediatrics Authors: Wenyan Jiao, Rui Li, Hua Guo, Jianping Chen, Fuyong Jiao, Jieming Wang, Alhaji Adam Abubakari, Eli Somekh Tags: European Paediatric Association Source Type: research

Inhaled Nitric Oxide Is Associated with Improved Oxygenation in a Subpopulation of Infants with Congenital Diaphragmatic Hernia and Pulmonary Hypertension
To determine which patients with congenital diaphragmatic hernia (CDH) and pulmonary hypertension (PH) benefit from inhaled nitric oxide (iNO) treatment by comparing characteristics and outcomes of iNO responders to nonresponders. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 6, 2019 Category: Pediatrics Authors: Kendall M. Lawrence, Stylianos Monos, Samantha Adams, Lisa Herkert, William H. Peranteau, David A. Munson, Rachel K. Hopper, Catherine M. Avitabile, Natalie E. Rintoul, Holly L. Hedrick Tags: Original Article Source Type: research

A Celiac Care Index Improves Care of Pediatric Patients Newly Diagnosed with Celiac Disease
To describe quality improvement efforts to reduce variability in the care of children diagnosed with celiac disease through use of an institutional patient registry and a chronic care index. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 6, 2019 Category: Pediatrics Authors: Brandon Sparks, Salman Salman, Mary Shull, Anne Trout, Ashley Kiel, Ivor Hill, Tracy Ediger, Brendan Boyle Tags: Original Article Source Type: research

Periventricular Hemorrhagic Infarction in Very Preterm Infants: Characteristic Sonographic Findings and Association with Neurodevelopmental Outcome at Age 2  Years
To describe the sonographic characteristics of periventricular hemorrhagic infarction (PVHI) and their association with mortality and neurodevelopmental disability in very preterm infants born in 2008-2013. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 6, 2019 Category: Pediatrics Authors: Mehmet N. Cizmeci, Linda S. de Vries, Linh G. Ly, Ingrid C. van Haastert, Floris Groenendaal, Edmond N. Kelly, Jeffrey Traubici, Hilary E. Whyte, Lara M. Leijser Tags: Original Article Source Type: research

A Stroke Alert Protocol Decreases the Time to Diagnosis of Brain Attack Symptoms in a Pediatric Emergency Department
To determine whether a stroke alert system decreases the time to diagnosis of children presenting to the emergency department (ED) with acute-onset focal neurologic deficits. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 5, 2019 Category: Pediatrics Authors: Dana B. Harrar, Catherine L. Salussolia, Kush Kapur, Amy Danehy, Monica E. Kleinman, Rebekah Mannix, Michael J. Rivkin Tags: Original Articles Source Type: research

Paradoxical Response of Parathyroid Hormone to Vitamin D –Calcium Supplementation in Indian Children
To investigate the effect of oral vitamin D –calcium supplementation on serum intact parathyroid hormone (PTH), calcium, phosphorous, and alkaline phosphatase (ALK-P) concentrations in children with habitually low calcium intakes. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 5, 2019 Category: Pediatrics Authors: Rubina M. Mandlik, Zulf M. Mughal, Anuradha V. Khadilkar, Veena H. Ekbote, Neha A. Kajale, Vivek G. Patwardhan, Vaman V. Khadilkar, Raja Padidela Tags: Original Articles Source Type: research

Longitudinal Analysis of Ventilation Perfusion Mismatch in Congenital Diaphragmatic Hernia Survivors
To determine the natural history of pulmonary function for survivors of congenital diaphragmatic hernia (CDH). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 5, 2019 Category: Pediatrics Authors: Duy T. Dao, Ali Kamran, Jay M. Wilson, Catherine A. Sheils, Virginia S. Kharasch, Mary P. Mullen, Samuel E. Rice-Townsend, Jill M. Zalieckas, Donna Morash, Mollie Studley, Steven J. Staffa, David Zurakowski, Ronald E. Becker, Charles J. Smithers, Terry L. Tags: Original Article Source Type: research

Longitudinal Analysis of Pulmonary Function in Survivors of Congenital Diaphragmatic Hernia
To analyze longitudinal trends of pulmonary function testing in patients with congenital diaphragmatic hernia (CDH) followed in our multidisciplinary clinic. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 5, 2019 Category: Pediatrics Authors: Duy T. Dao, Lystra P. Hayden, Terry L. Buchmiller, Virginia S. Kharasch, Ali Kamran, Charles J. Smithers, Samuel E. Rice-Townsend, Jill M. Zalieckas, Ronald Becker, Donna Morash, Mollie Studley, Jay M. Wilson, Catherine A. Sheils Tags: Original Article Source Type: research

Predictors of Parenting Readiness in Fathers of High-Risk Infants in the Neonatal Intensive Care Unit
To evaluate discharge readiness perceptions among mother –father dyads, parents of infants in the neonatal intensive care unit completed a parenting readiness survey. Fathers had more favorable perceptions than their partners. Maternal perceptions and social risk, but not infant morbidities, predicted paternal perceptions. Discharge support should focus on the mother–father dyad. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 5, 2019 Category: Pediatrics Authors: Catherine O. Buck, Richard Tucker, Betty Vohr, Elisabeth C. McGowan Tags: Brief Reports Source Type: research

Let's fix it at the source! The disappearing clinician scientist
We read with interest the article by Somekh et  al on the disappearing entity that is the “clinician scientist” and would like to thank them for highlighting this issue and applaud the European Paediatric Association/Union of National European Paediatric Societies for tackling it.1 The role of doctors in medical research is critical; the in sight and knowledge they add through lived experience can help identify gaps in medical science. As medical students, we are the doctors of the future and take this opportunity to provide our perspectives as invited by the authors. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 5, 2019 Category: Pediatrics Authors: Ryan Jayesinghe, Harriet Lewis Tags: Letter to the Editor Source Type: research

It's Time to Get Serious about Pediatric Readiness
Mismatches between needs and resources abound in health care. There is no greater example than the mismatch between the huge volume of pediatric emergency visits and the paucity of facilities fully prepared to provide such care. Although 34 million emergency department (ED) visits for pediatric illness or injury occur annually, two-thirds of children live more than 30  minutes from the most prepared hospitals.1,2 Children and their families should be able to rely on the nearest ED to be ready to provide outstanding care for their emergencies, but it is unclear how to encourage hospitals to improve their own pediatric ...
Source: The Journal of Pediatrics - November 5, 2019 Category: Pediatrics Authors: Kenneth A. Michelson Tags: Editorials Source Type: research

Minimally Invasive Endoscopic Surgery for Infantile Craniosynostosis: A Longitudinal Cohort Study
To evaluate patient outcomes of minimally invasive endoscopic strip craniectomy (ESC) for craniosynostosis. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 1, 2019 Category: Pediatrics Authors: Coleman P. Riordan, David Zurakowski, Petra M. Meier, Georgios Alexopoulos, John G. Meara, Mark R. Proctor, Susan M. Goobie Tags: Original Articles Source Type: research

Association between Serum Ferritin and Cognitive Function in Early Childhood
In infants 1-3  years of age, we found higher serum ferritin values associated with higher cognitive function, as measured by the Mullen Scales of Early Learning (P = .02 for the nonlinear relationship). A serum ferritin of 17 μg/L corresponded to the maximum level of cognition, beyond which there was no mean ingful improvement. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 1, 2019 Category: Pediatrics Authors: Patricia C. Parkin, Christine Koroshegyi, Eva Mamak, Cornelia M. Borkhoff, Catherine S. Birken, Jonathon L. Maguire, Kevin E. Thorpe, TARGet Kids! Collaboration Tags: Brief Reports Source Type: research

Changes in Ambulatory Blood Pressure Phenotype over Time in Children and Adolescents with Elevated Blood Pressures
To determine the stability of ambulatory blood pressure monitoring (ABPM) over time in children referred for evaluation of elevated BPs and assess for factors predicting change. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 1, 2019 Category: Pediatrics Authors: Coral D. Hanevold, Yosuke Miyashita, Anna V. Faino, Joseph T. Flynn Tags: Original Article Source Type: research

Insurance Coverage for Children Impacts Reporting of Child Maltreatment by Healthcare Professionals
Children's insurance coverage, through increased access and use of the healthcare system, may increase the likelihood that healthcare professionals (HCPs) will detect and report child maltreatment. We sought to estimate the association between insurance coverage for children and reporting of child maltreatment by HCPs. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 1, 2019 Category: Pediatrics Authors: Henry T. Puls, Matthew Hall, James D. Anderst, John M. Leventhal, Paul J. Chung Tags: Original Article Source Type: research

Acute Periorbital Rash
A 7-year-old girl presented with a sudden onset, asymptomatic rash around the eyes for the past 3  days. She was receiving treatment for an upper respiratory tract infection, characterized by severe paroxysms of nonproductive cough. The lesions had appeared spontaneously and was not associated with any prior trauma. Physical examination revealed bilaterally symmetrical, erythematous, nonblancha ble macules distributed over both the upper and lower eyelids (Figure). There were no similar lesions and the systemic examination was unremarkable. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - November 1, 2019 Category: Pediatrics Authors: Abheek Sil, Dibyendu Bikash Bhanja, Avik Panigrahi, Sayantani Chakraborty Tags: Insights and Images Source Type: research

Congenital Onychodysplasia of Index Fingers: Iso-Kikuchi Syndrome
A 4-year-old girl presented for evaluation of partial nail growth of the bilateral index fingers. There was no history of trauma, complications during pregnancy, family history of similar eruption, or any other inciting event. Further history revealed that this nail dystrophy was present at birth and it had been unchanged. Examination showed that the nail plate was present only in the ulnar one-third of the index fingers bilaterally (Figure, A; white arrows). There was complete absence of the nail plate, matrix, and apparatus on the radial two-thirds of the affected fingernails (Figure, A; black arrowheads). (Source: The J...
Source: The Journal of Pediatrics - November 1, 2019 Category: Pediatrics Authors: Nima Milani-Nejad, Joy Mosser-Goldfarb Tags: Rediscovering the Physical Exam Source Type: research

Osteonecrosis (Avascular Necrosis) of Knee and Tibia
A 14-year-old boy presented with bilateral knee pain. He had acute lymphoblastic leukemia, B precursor, and had received chemotherapy for 2  years. Following induction and consolidation therapy, maintenance therapy with methotrexate, mercaptopurine, dexamethasone, and vincristine was given. The patient complained of bilateral knee pain in week 103 of maintenance therapy. Physical examination yielded unremarkable findings, and an radiog raphs showed intact bony structures. Magnetic resonance imaging (MRI) showed bone infarction with a “map”-like appearance of bilateral femurs and tibias (Figures 1, 2, ...
Source: The Journal of Pediatrics - November 1, 2019 Category: Pediatrics Authors: Ting-Huan Huang, Hsi-Che Liu, Ting-Chi Yeh, Jen-Yin Hou, Chien-Yu Lin Tags: Rediscovering the Physical Exam Source Type: research

Self-Efficacy in Children with Functional Constipation Is Associated with  Treatment Success
To assess the relationship between self-efficacy, the belief that an individual can succeed at a goal, and short-term treatment outcome in children with functional constipation. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 31, 2019 Category: Pediatrics Authors: Neha R. Santucci, Lauren E. Rein, Miranda A. van Tilburg, Aryn Karpinski, Allan Rosenberg, Amir Amado-Feeley, Eva Stoops, Rachel E. Herdes, Paul E. Hyman Tags: Original Article Source Type: research

Reply
We agree with the authors that our definition of “mild” and “severe” PPHN is not used in the clinical setting or in clinical research studies. There are other, more accurate ways to define the severity of PPHN such as echocardiography or the Score for Neonatal Acute Physiology-Version II mentioned in their letter. Unfortunately, such clini cal details are not available in an administrative dataset. Although using a population-based administrative dataset has advantages such as lower risk of selection bias, large case numbers, and available data after hospital discharge, it also has significant limit...
Source: The Journal of Pediatrics - October 31, 2019 Category: Pediatrics Authors: Martina A. Steurer Tags: Letters to the Editor Source Type: research

A 6-Year-Old Boy with a Frontal Mass: Pott Puffy Tumor
A 6-year-old boy was treated with sultamicillin for 6 days for frontal sinusitis. Upon clinical improvement, he was discharged with oral antibiotics to be continued for another week. Within 24 hours, he presented with a newly developed, nontender subtle frontal swelling. His general condition was not compromised, and there were no signs of local inflammation or a history of recent trauma. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 31, 2019 Category: Pediatrics Authors: Nasenien Nourkami-Tutdibi, Stefan Linsler, Umut Yilmaz, Jochen Pfeifer, Christoph Derouet, Prof. S ören L. Becker, Prof. Michael Zemlin, Prof. Sascha Meyer, Philipp Kulas Tags: Rediscovering the Physical Exam Source Type: research

Reply
Thank you for sharing the comments from the medical students. We would like to thank them for their response and suggestions. We are happy that our report helped in raising awareness among the future generation of physicians who are interested in pursuing a dual career as clinician –scientists. We strongly agree that there may be an added value in the implementation of a medical student research program taught alongside clinical sciences. It should be discussed whether research programs should be taught from day 1 or apparently later, beginning at the second year of medical school. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 31, 2019 Category: Pediatrics Authors: Ido Somekh, Eli Somekh, Massimo Pettoello-Mantovani, Raz Somech Tags: Letter to the Editor Source Type: research

Corrigendum
In the article “Morbidity of Persistent Pulmonary Hypertension of the Newborn in the First Year of Life” by Steurer et al (J Pediatr 2019;213:58-65.e4), an error occurred in the second sentence of the Results section of the abstract. The correct sentence should read “Infants with congenital diaphragmatic h ernia as the etiology for PPHN had an aRR of 8.2 (95% CI, 6.7-10.2) and infants with meconium aspiration syndrome had an aRR of 4.2 (95% CI, 3.7-4.6) compared with infants without PPHN.” (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 30, 2019 Category: Pediatrics Tags: Correction Source Type: research

Late Adiposity Rebound and the Probability of Developing and Reversing Childhood Obesity
To evaluate the associations between late adiposity rebound (at or after 7.0  years of age) and the probability of developing and reversing obesity during elementary school years. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 29, 2019 Category: Pediatrics Authors: Rena C. Moon Tags: Original Articles Source Type: research

Correction
In the article “Dietary Treatment with Extensively Hydrolyzed Casein Formula Containing the Probiotic Lactobacillus rhamnosus GG Prevents the Occurrence of Functional Gastrointestinal Disorders in Children with Cow's Milk Allergy” by Nocerino et al (J Pediatr 2019;213:137-42), there was an error in a sentence in the Methods section under Sample Size. The correct sentence should read “We calculated that 110 subjects with a previous double-blind placebo-controlled food-challenge–confirmed CMA diagnosis per group were needed to detect a difference of 0.18 in the incidence of FGIDs in the EHCF+LGG ...
Source: The Journal of Pediatrics - October 29, 2019 Category: Pediatrics Tags: Correction Source Type: research

Improved Neurodevelopmental Outcomes Associated with Bovine Milk Fat Globule Membrane and Lactoferrin in Infant Formula: A Randomized, Controlled Trial
To evaluate neurodevelopment, growth, and health outcomes in infants receiving bovine milk fat globule membrane (MFGM) and lactoferrin in infant formula. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 24, 2019 Category: Pediatrics Authors: Fei Li, Steven S. Wu, Carol Lynn Berseth, Cheryl L. Harris, James D. Richards, Jennifer L. Wampler, Weihong Zhuang, Geoffrey Cleghorn, Colin D. Rudolph, Bryan Liu, D. Jill Shaddy, John Colombo Tags: Original Article Source Type: research

Outcomes for Ectopia Cordis
To utilize a large multicenter neonatal cohort to describe survival and clinical outcomes of very low birth weight (VLBW) or preterm infants with ectopia cordis. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 24, 2019 Category: Pediatrics Authors: Benjamin J. Smith, Jonathan N. Flyer, Erika M. Edwards, Roger F. Soll, Jeffrey D. Horbar, Scott B. Yeager Tags: Original Article Source Type: research

Disseminated Cysticercosis —A Tropical Curse
A 7-year-old boy from rural northern India presented with complaints of fever, headache, and vomiting for the last 4  months. His headache was moderate to severe in intensity and associated with nonprojectile vomiting. There was no history of seizures, altered sensorium, or blurring of vision. Examination revealed pallor, bilateral proptosis, normal fundoscopy, and multiple palpable, nontender, pinhead-sized, sub cutaneous nodules over extremities. There were no signs of meningeal irritation. The remainder of the systemic examination was unremarkable. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 24, 2019 Category: Pediatrics Authors: Bhanudeep Singanamalla, Bikramjit Singh, Lokesh Saini, Chirag Kamal Ahuja, Sanjay Verma, Priyanka Madaan, Naveen Sankhyan Tags: Insights and Images Source Type: research

50 Years Ago in The Journal of Pediatrics
Humbert JR, Abelson H, Hathaway WE, Battaglia FC. J Pediatr 1969;75:812-9. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Jannicke H. Andresen, Ola Didrik Saugstad Source Type: research

50 Years Ago in The Journal of Pediatrics
McCracken GH Jr, Eichenwald HF, Nelson JD. J Pediatr 1969;75:742-57 (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Sarah S. Long Source Type: research

50 Years Ago in The Journal of Pediatrics
Bass JW, Klenk EL, Kotheimer JB, Linnemann CC, Smith MH. J Pediatr 1969;75:768-81. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Nidhi Bedi, Piyush Gupta Source Type: research

50 Years Ago in The Journal of Pediatrics
Cohen MI, McNamara H. J Pediatr 1969;75:838-42. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Sharad I. Wadhwani Source Type: research

50 Years Ago in The Journal of Pediatrics
Perry LW, Henikoff LM, Findlan C. J Pediatr 1969;75:876-8 (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Nicholas B. Zaban, Leon F. Przybylowski, Marcus S. Schamberger Source Type: research

50 Years Ago in The Journal of Pediatrics
Capitanio M, Kirkpatrick JA Jr. J Pediatr 1969;75:896-908 (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Angie Milady Castillo Tarquino, Sara E. Ortega Alonzo Source Type: research

50 Years Ago in The Journal of Pediatrics
Kogut MD, Blaskovics M, and Donnell GN. J Pediatr 1969;74;6:853-871. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Ming Yeh Lee, David M. Maahs Source Type: research

Neonatal Palliative Care for Complicated Cardiac Anomalies: A 10-Year Experience of an Interdisciplinary Program at a Large Tertiary Cardiac Center
To report the outcomes of a Neonatal Palliative Care (NPC) Program at a large tertiary cardiac center caring for a subset of fetuses and neonates with life-limiting cardiac diagnoses or cardiac diagnoses with medical comorbidities leading to adverse prognoses. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Caitlin Haxel, Julie Glickstein, Elvira Parravicini Tags: Original Article Source Type: research

A Resident-Based, Educational Program to Drive Individual and Institutional Improvement in a Pediatric Training Hospital
Poor resource utilization in clinical practice leads to  waste, renders patients at risk of harm, and reduces available capacity for the health system as a whole.1-3 However, barriers to improving resource utilization are often complex and complicated by institutional cultural influences. These include insufficient tolerance of uncertainty; fragmented c are and transitions between clinical units and care teams; time pressure; over-emphasis on anecdotal experience; under-emphasis on adverse impacts of unnecessary testing and treatment related to concerns for rare conditions or negative outcomes; and perceived pres...
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: James T. Gaensbauer, James Todd, Joseph A. Grubenhoff, Danielle E. Soranno, Douglas Scudamore, Alexandra Cheetham, Kevin Messacar Tags: Notes from the Association of Medical School Pediatric Department Chairs, Inc. Source Type: research

Could genetic variations explain variability in neonatal opiate withdrawal syndrome?
Over the past decade, increased use and misuse of opioids during pregnancy have resulted in more than a 5-fold increase in neonatal opioid withdrawal syndrome (NOWS). In 2014, more than 8 out of every 1000 births were affected by maternal opioid abuse, which has created an urgent need for methods to accurately detect, monitor, and treat symptoms of neonatal opiate withdrawal. Current methods of NOWS assessment are based on behavioral findings of irritability, tachypnea, crying, and hyperphagia, and are inherently subjective. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Robin H. Steinhorn Tags: The Editors' Perspectives Source Type: research

Parents can accurately observe the severity of respiratory illness in their infants born term and preterm
The report by Caserta et al derives from an investigation of infants born term and preterm studied prospectively from birth to 12 months corrected gestational age, using diaries, and collections of respiratory swabs to detect viruses at monthly visits and at times of illness. The methodology and statistical analyses used in this study are not for the faint of heart, but the bottom lines are not difficult. For those conducting clinical research on respiratory illnesses in infants and toddlers, the study validates that parents have the ability to accurately observe infants' illness and its severity using the Childhood Origin...
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Sarah S. Long Tags: The Editors' Perspectives Source Type: research

How to evaluate concussion in all children?
Debate continues regarding which tools should be used to assess children for concussion and whether all children in sports should have baseline testing. Can one metric be applied across all children? (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Paul G. Fisher Tags: The Editors' Perspectives Source Type: research

Pediatric emergency care —A method to drive action
Most pediatric emergency department (ED) care occurs in non-pediatric EDs, and EDs vary widely in their readiness to care for pediatric cases and in the access of children to high pediatric-readiness emergency care (J Pediatr 2018;194:225-32). At the same time, research regarding pediatric ED outcomes reflects practice in urban academic centers. We lack ways to objectively and efficiently compare pediatric care across EDs. Although adult providers have established methodology to do so using administrative data, we have lacked a comparable approach in pediatrics. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Denise M. Goodman Tags: The Editors' Perspectives Source Type: research

Cytomegalovirus intestinal disease in infants born very prematurely is likely under-recognized
In this retrospective study performed over 17 years at Nationwide Children's Hospital, 178 infants had surgical- or autopsy-confirmed necrotizing enterocolitis (NEC) or spontaneous perforation of the small intestine, and had archived paraffin-embedded intestinal tissue specimens available for cytomegalovirus (CMV) testing using polymerase chain reaction methodology. Seven infants (4%) had CMV detected, and 5 of 6 with “surgical” NEC had gestational ages (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Sarah S. Long Tags: The Editors' Perspectives Source Type: research

Table of Contents
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Source Type: research

Masthead
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Source Type: research

Information for Readers
(Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Source Type: research

High-flow nasal canula not noninferior to nasal CPAP
Manley BJ, Arnolda GRB, Wright IMR, Owen LS, Foster JP, Huang L, et al. Nasal High-Flow Therapy for Newborn Infants in Special Care Nurseries. N Engl J Med 2019;380:2031-40. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Antonio Di Mauro, Nicola Laforgia Tags: Current Best Evidence Source Type: research

A rebound hyperbilirubinemia prediction rule
Chang PW, Newman TB. A Simpler Prediction Rule for Rebound Hyperbilirubinemia. Pediatrics 2019;144. pii: e20183712. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: M. Jeffrey Maisels Tags: Current Best Evidence Source Type: research

Low-value radiographic imaging apparently less employed in Canada vs US emergency departments
Cohen E, Rodean J, Diong C, Hall M, Freedman, Aronson PL, et al. Low-Value Diagnostic Imaging Use in the Pediatric Emergency Department in the United States and Canada. JAMA Pediatr 2019:e191439. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Arthur S. Hong Tags: Current Best Evidence Source Type: research

Oral health problems associated with worse academic performance
Guarnizo-Herre ño CC, Lyu W, Wehby GL. Children's Oral Health and Academic Performance: Evidence of a Persisting Relationship Over the Last Decade in the United States. J Pediatr 2019;209:183-9.e2. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Molly A. Martin Tags: Current Best Evidence Source Type: research

Foreign body ingestion may be increasing in the US
Orsagh-Yentis D, McAdams RJ, Roberts KJ, McKenzie LB. Foreign-Body Ingestions of Young Children Treated in US Emergency Departments: 1995-2015. Pediatrics 2019;143. pii: e20181988. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 23, 2019 Category: Pediatrics Authors: Vigil James Tags: Current Best Evidence Source Type: research